Partial remediation of speaker and listener behaviors in people with severe dementia

We investigated the effects of contingent reinforcement (Intervention 1) and contingent reinforcement with modeling (Intervention 2) on speaker and listener behaviors in 5 people with severe dementia. Intervention 1 generally increased listener behavior; there was no clear effect on tacting, but echoic behavior increased in the one case investigated. Given the weak baseline repertoires of these clients and the paucity of other effective interventions, even the small increases in verbal behaviors found here are important. Further gains may be achieved, for example, if reinforcement opportunity per trial type were to be increased from one to several per day or if participants were trained to echo the listener stimulus in mand compliance tasks.     

Effects of retrieval practice and presentation modality on verbal learning: testing the limits of the testing effect

ABSTRACT

The testing effect refers to improved memory after retrieval practice and has been researched primarily with visual stimuli. In two experiments, we investigated whether the testing effect can be replicated when the to-be-learned information is presented auditorily, or visually?+?auditorily. Participants learned Swahili-English word pairs in one of three presentation modalities – visual, auditory, or visual?+?auditory. This was manipulated between-participants in Experiment 1 and within-participants in Experiment2. All participants studied the word pairs during three study trials. Half of participants practiced recalling the English translations in response to the Swahili cue word twice before the final test whereas the other half simply studied the word pairs twice more. Results indicated an improvement in final test performance in the repeated test condition, but only in the visual presentation modality (Experiments 1 and 2) and in the visual?+?auditory presentation modality (Experiment 2). This suggests that the benefits of practiced retrieval may be limited to information presented in a visual modality.     

Conditional acceleration and external disinhibition of operant lever pressing by prereward, neutral, and reinforcing stimuli

Rats responding under a differential-reinforcement-of-low-rate schedule increased their rates of lever pressing during a 20-second click/flash stimulus that preceded the delivery of a response-independent food pellet. The increase could not be attributed to suppression of collateral behavior that has been said to mediate temporally-spaced responding. We propose that the prereward stimulus functioned as an external disinhibitor of lever pressing that had been inhibited by the constraints of the operant schedule. Support is derived from the observed disinhibitory effects of a 10-second unpaired click/flash stimulus and of unsignaled, response-independent pellets that were presented while the animals were responding under the same schedule.     

Self-awareness and self-monitoring of cognitive and behavioral deficits in behavioral variant frontotemporal dementia, primary progressive aphasia and probable Alzheimer's disease

Lack of insight is a core diagnostic criterion for behavioral variant frontotemporal dementia (bvFTD), and is believed to be intact in the early stages of primary progressive aphasia (PPA). In other neurological conditions, symptom-specific insight has been noted, with behavioral symptoms appearing especially vulnerable to reduced insight. Different components of insight, self-awareness and self-monitoring, are also often considered separate phenomena. The current study compared insight in patients with PPA, bvFTD, and probable Alzheimer's disease (PrAD) and a group of cognitively intact control subjects. Additionally, differences in insight for the domains primarily affected by the three types of dementia, namely, Behavior, Naming, and Memory, were assessed, and self-awareness and self-monitoring were compared. A total of 55 participants were enrolled. Participants were asked to complete self-estimate scales demonstrating their perceived ability immediately prior to, and immediately following a test in each domain of interest. Results indicated that PPA and normal control groups performed very similarly on control (Weight and Eyesight) and cognitive domains, whereas bvFTD and PrAD patients were unable to accurately assess Memory. All three diagnostic groups failed to accurately assess their behavioral symptoms, suggesting that this domain is vulnerable to loss of insight across diagnoses. Naming ability, in contrast, was either accurately assessed or underestimated in all groups. Finally, there were no notable differences between self-awareness and self-monitoring, potential explanations for this are examined.     

Correspondence training, prior verbal training, and control of nonverbal behavior via control of verbal behavior

The role of prior verbal training in correspondence training and later verbal control of nonverbal behavior was examined in two groups of Head Start children. One group received correspondence training without prior verbal training, the other with. Essentially no differences were found between the two sequences; thus it seems appropriate to consider the content phases (reinforcement contingent on target verbalization alone) of previous research as control procedures and not a necessary precursor to correspondence training.     

Academic success in adolescence: Relationships among verbal IQ,social support and emotional intelligence

The objective of this study was to examine, by gender, whether emotional intelligence (EI), peer social support, and/or family social support partially mediated the influence of verbal IQ on Grade 10 grade point average (GPA) for 192 students (96 male, 96 female). For male students, EI and peer social support predicted GPA and EI mediated the association between verbal IQ and GPA. For female students, EI, peer social support, and family support predicted GPA but did not mediate the association between verbal IQ and GPA. This study further examined whether subscales of EI (intrapersonal, interpersonal, adaptability, and stress management abilities), peer social support and family social support (emotional, socialising, practical, financial, and advice) added to the prediction of GPA after verbal IQ, gender, and socioeconomic status were controlled. Adaptability, stress management and practical family social support each added to the explanation of variability. None of the peer social support subscales predicted additional variance in GPA.     

Automated verbal credibility assessment of intentions: The model statement technique and predictive modeling

Recently, verbal credibility assessment has been extended to the detection of deceptive intentions, the use of a model statement, and predictive modeling. The current investigation combines these 3 elements to detect deceptive intentions on a large scale. Participants read a model statement and wrote a truthful or deceptive statement about their planned weekend activities (Experiment 1). With the use of linguistic features for machine learning, more than 80% of the participants were classified correctly. Exploratory analyses suggested that liars included more person and location references than truth‐tellers. Experiment 2 examined whether these findings replicated on independent‐sample data. The classification accuracies remained well above chance level but dropped to 63%. Experiment 2 corroborated the finding that liars' statements are richer in location and person references than truth‐tellers' statements. Together, these findings suggest that liars may over‐prepare their statements. Predictive modeling shows promise as an automated veracity assessment approach but needs validation on independent data.     

Alien voices and inner dialogue: towards a developmental account of auditory verbal hallucinations

The phenomenon of auditory verbal hallucinations (AVHs) is one of the most intriguing features of the psychiatric literature. Two alternative models of the development of AVHs in both normal and psychotic populations are proposed. In the disruption to internalisation (DI) model, AVHs result from a disruption to the normal processes of internalisation of inner speech. In the re-expansion (RE) model, AVHs result when normal inner speech is re-expanded into inner dialogue under conditions of stress and cognitive challenge. Both models draw on Vygotsky's (The Collected Works Of L.S. Vygotsky, New York, Plenum Press, 1987) ideas about the development of inner speech. On this view, normal inner speech is considerably abbreviated relative to external speech, and also undergoes some important semantic transformations. In both the DI and RE models, AVHs arise when the subject's inner speech involves inappropriately expanded inner dialogue, leading the subject to experience the voices in the dialogue as alien. The two models may prove useful in explaining some of the social-developmental evidence surrounding the phenomenon, and also make a number of testable predictions which are suggested as priorities for future research.     

Pattern of intrusions in verbal recall: comparison of Alzheimer's disease, Parkinson's disease, and frontal lobe dementia

Although some researchers have suggested that intrusions in word list learning are more frequent in Alzheimer's disease, recent studies have shown that this might not be true. In fact, intrusions are common in many neurological degenerative diseases. The goal of the present study was to examine the types of intrusions made by three groups of patients, namely patients with Parkinson's disease (PD), Alzheimer's disease (AD), and dementia with prominent frontal lobe semiology (FD). Although PD patients learned more words (trials 1 to 5 on the RAVLT) than the two other groups, there was no significant difference in the total number of intrusions. However, significant differences between groups were observed for nonrelated intrusions, the proportion of PD patients (15.4%) being lower than the proportion of AD (45.5%) and FD (45.8%) patients with this type of intrusions. No other type of intrusions (same category, recurring, phonemic) significantly differentiated between the three groups. The proactive interference effect (PI), measured as the difference between first recall of list A and list B recall, was stronger in PD than in the two other groups, reflecting the strong positive correlation between total number of words recalled on the RAVLT and severity of the PI effect. Prior list intrusions (intrusions from list A while recalling list B items) were significantly more pronounced in FD than in the two other groups. Finally, free associations (series of intrusions related to one another but not to the target items) were observed almost exclusively in FD patients. These findings illustrate some qualitative differences between various neurological degenerative diseases. They also stress the marked similarities between AD and FD with regards to verbal learning.     

The association of motor information and verbal information: a new perspective on the mechanism of the SPT effect

Current perspectives on the mechanism underlying the Subject Performed Task (SPT) effect have not yet reached a consensus. This study investigated whether the association between motor and verbal information is a key factor that explains the SPT effect. Experiment 1 and 2 tested whether motor and verbal retrieval memory performance were different when the association level was varied. Results showed that when subjects used low association learning materials, memory performance in either motor or verbal retrieval condition was significantly better than performance in the combined retrieval condition. Experiment 3 examined whether the level of association between motor and verbal information affects the SPT effect. Results revealed that the SPT effect disappeared when low association learning materials were used. Our findings imply that the high association level between motor and verbal information enables mutual activation of the two information types, leading to improved memory performance.     

Temporal differentiation of response duration in children of different ages: developmental changes in relations between verbal and nonverbal behavior.

Children aged 4.5, 7, or 11 years received an experimental session in which a contingency was placed on button-press duration. Each discrete trial was followed by a brief verbal probe asking a question about the contingency requirement. Other groups of children received an identical task followed by a postexperimental interview. Level of adaptation to the duration contingency tended to increase with age in subjects receiving posttrial verbal probes, but not for those who were interviewed. Eleven-year-olds in the verbal probe condition showed a strong correlation between accurate temporal differentiation and number of verbalizations relating to response duration or timing. The younger subjects, with one exception, showed no association between timing-related verbalizations (which were almost totally absent) and response duration differentiation. This developmental difference occurred even though the younger subjects verbalized after almost every trial. The results suggest that although 11-year-old children apparently produce rule-governed behavior under verbal control as adults do, the behavior of younger children may be controlled directly by reinforcement contingencies even when their verbal repertoires are highly developed.     

Not only encoding and retrieval: The enactment effect as a function of task preparation

Three experiments examined the implications of adding a fourth preparation stage to the encoding-retention-retrieval stage analysis of memory. Action memory was selected as the research domain. The results demonstrated that systematic variation of the preparation stage yields new insights about enactment effects in memory. Together with effects of enactment in the preparatory stage, enactment was also shown to give differential effects in encoding and retrieval, with interactions between these three factors. The experimental results were discussed in relation to a strategy processing interpretation of action memory.     

Parallel distributed processing and neuropsychology: A neural network model of Wisconsin card sorting and verbal fluency

Neural networks can be used as a tool in the explanation of neuropsychological data. Using the Hebbian Learning Rule and other such principles as competition and modifiable interlevel feedback, researchers have successfully modeled a widely used neuropsychological test, the Wisconsin Card Sorting Test. One of these models is reviewed here and extended to a qualitative analysis of how verbal fluency might be modeled, which demonstrates the importance of accounting for the attentional components of both tests. Difficulties remain in programming sequential cognitive processes within a parallel distributed processing (PDP) framework and integrating exceedingly complex neuropsychological tests such as Proverbs. PDP neural network methodology offers neuropsychologists co-validation procedures within narrowly defined areas of reliability and validity.     

Semantic and syntactic aspects of the mass/count distinction: a case study of semantic dementia

Semantic and syntactic contributions to processing of mass and count nouns were assessed by examining the performance of a patient suffering from a pure semantic deficit. Semantic and syntactic processing was evaluated on grammaticality judgement and sentence-picture matching tasks, respectively, where each task involved mass and count readings of metonymic nouns. While the patient did not show impaired performance on the grammaticality judgment task, he manifested difficulties in making mass/count distinctions in the sentence-picture matching task. It is thus argued that while distributionally the mass/count distinction may be established on a purely syntactic basis, cognitive processing of mass/count information requires both intact syntactic and semantic knowledge.     

Insight in frontotemporal dementia: conceptual analysis and empirical evaluation of the consensus criterion "loss of insight" in frontotemporal dementia

The objective of this study was to suggest a new formulation of the core research diagnostic consensus criterion "loss of insight" in frontotemporal dementia (FTD). Eight patients with FTD (diagnoses made by interviews, medical and neuropsychological examination, CT scan, and regional cerebral glucose metabolism measured by positron emission tomography (PET) participated in the study). The results indicated that insight was present in three out of eight patients, and that insight appears to be a heterogeneous concept. Two types of insight emerged: Emotional insight associated with frontotemporal functions, and cognitive insight, related to posterior cognitive functions. These results suggest that loss of insight should not serve as a core criterion on FTD, but serves well as a supportive criterion of the disease.     

Effects of Helper and Recipient Sex on the Experience and Outcomes of Comforting Messages: An Experimental Investigation

The purpose of this experimental study was to examine whether and in what ways the sex of the helper and the recipient moderate the effects of comforting messages in face-to-face interactions. A total of 216 participants disclosed an emotionally upsetting event to a confederate trained to display different levels of nonverbal immediacy and verbal person centeredness. Men and women responded very similarly to comforting messages that exhibited different levels of verbal person centeredness and nonverbal immediacy, and this response similarity was not moderated by the sex of the helper. Both men and women were most comforted by messages that exhibited high levels of person centeredness and nonverbal immediacy, and they were least comforted by messages that exhibited low levels of these qualities. Moreover, both sexes viewed highly person-centered and immediate messages as exhibiting the highest comforting quality, and, with one minor exception, both sexes viewed helpers who used these messages as the most competent.