ABSTRACT
Previous investigations of the dose-effect relationship in psychotherapy suggest that therapeutic benefits occur early in treatment.Approximately 25% of patients have been estimated to improve after 1 session, and 50% improve by 8 sessions. The aim of this study was to compare such estimates with the actual performance of outpatients in therapy. Forty-five patients seen at an outpatient clinic were monitored session by session for evidence of clinically significant change. Results indicated only 22% of patients "recovered" (as defined in this study) after 8 sessions, with the earliest recovery occurring after 2 sessions. Possible reasons for the lower dose-effect relationship found here are discussed.
ABSTRACT
Approximately one year after partial removal of an intramedullary glioblastoma at T12, a patient was admitted to Wadsworth Veterans Administration Hospital with signs and symptoms of an intracranial tumor. We describe the unusual occurrence of intracranial seeding from spinal glioblastoma and review this rare condition and the possible mechanism involved.
