Primary Progressive Aphasia: A Review of 112 Cases

Primary progressive aphasia (PPA) was first recognized by Mesulam in 1982. Although dozens of cases have since been described, it has been difficult to place these cases into a coherent framework due to the wide variation in measures which have been reported. We review 170 contacts with 112 patients to provide a clinical, neuroanatomical, and neuropsychological profile of patients with the disorder. The progression of the disease is analyzed over a 10-year reporting period starting from symptom onset to show how progression affects five general linguistic skills: oral and written naming, reading, repetition, and general comprehension. The pattern of functional and neurological deficits in PPA is heterogeneous. Differences in the distribution of neurological anomalies between patients with bilateral and unilateral changes suggest that there may be two separate disease processes involved.     

The Gradual Deterioration of Syntax and Semantics in a Patient with Progressive Aphasia

FM is a progressive aphasic patient whose language comprehension we studied over a 4-year period. We developed a variety of implicit and explicit tasks to chart progressive changes in the representation of linguistic knowledge (in particular, syntax and semantics) and the automatic and controlled processes which operate on that knowledge. The representation of FM's semantic knowledge remained essentially intact over the years, but she became increasingly impaired at combining the meanings of words. She also showed progressive impairments in the processes of syntactic combination. Thus, FM's disease resulted in a progressive inability to engage in those combinatorial processes necessary for the normal comprehension of a spoken utterance. This is not a selective deficit in the traditional sense of the term, since aspects of both syntax and semantics are implicated; but it is selective in the sense that other aspects of language comprehension remain intact.     

An overview of paradoxical counseling and its congruence with biblical writings

Paradoxical counseling (PC) became popular in the second part of last century with the advent of systemic and multi-relational therapies. Since then, it has changed into a variety of behavioral techniques still in use today. How consistent or inconsistent is PC will depend a great deal upon each counselor's beliefs, including those who consider themselves pastoral counselors or Christian counselors. The authors suggest, however, that using workbooks written in both linear-straight-forward or circular-paradoxical ways as homework assignments may enlarge the expertise of a variety of counselors in ways perhaps heretofore unfamiliar to them.     

EMDR therapy: An overview of its development and mechanisms of action

IntroductionThis article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice.Elements of the literatureAn overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy.DiscussionEMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges.ConclusionEMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.     

An editorial overview

Now is an excellent time to be doing research at the intersection of psychology and law. In the last few years, both the legal system and the legal academic community have taken more and more interest in the empirical findings of cognitive and social psychologists. Much of this interest has been provoked by the large number of convicted people who have been exonerated by DNA evidence. Examination of their cases reveals that most are associated with one (or more) of the following problems: bad eyewitness testimony, a false confession, or flawed forensic evidence. These issues are ones that psychologists have been investigating for years. For those of you new to this area, we recommend Elizabeth Loftus’s foundational work on so many areas of memory, Gary Wells’s work on eyewitness identification, Saul Kassin’s work on false confessions, and Reid Hastie’s work on jury decision making. All have written for both psychological and legal audiences.     

An Acoustic Analysis of Rate of Speech Effects on Vowel Production in Aphasia

The present investigation examined the production of tense and lax vowel duration differences at two speaking rates in the speech of 10 nonfluent aphasics, 8 fluent aphasics, and 10 normal control subjects. Subjects produced four repetitions of each of the vowels [i e æ o u I ε υ Λ] at each speaking rate. Acoustic analyses revealed that subjects in all three groups were able to manipulate overall rate of speech. In addition, normal controls and fluent aphasic subjects produced vowels under the fast rate condition which were significantly shorter than those under the slow rate condition. Despite a change in overall speaking rate, the nonfluent aphasics did not exhibit a significant difference in vowel duration at the two rates of speech, suggesting a deficit in the implementation of this temporal parameter. Both normal controls and fluent aphasic patients produced nonoverlapping distributions of tense and lax vowels at both speaking rates. In contrast, the nonfluent aphasics demonstrated a great deal of overlap in the distribution of tense and lax vowel durations at the fast rate. Results are discussed in relation to the nature of the speech production deficits in nonfluent and fluent aphasic patients.     

School phobia: An overview

This article discusses general features of school phobia and specific clinical and familial traits and characteristics. Included are overviews of theoretical explanations, types of school phobia, suggested methods of treatment, and their efficacy.     

Informed consent: An overview

Over the past 25 years, obtaining informed consent for the performance of many medical procedures has become part of the practice of medicine. As opposed to the “duty to warn” that is enforced by the law, informed consent should be a cornerstone of a fully collaborative decision-making process, the elements of which are presented in this paper. The responsibility for this process rests upon health care institutions and financing arrangements, as well as upon physicians and courts. In response to emergencies, patient preferences, and public interests, the consent process is justifiably abbreviated. However, as presently articulated, the consent process treats communication too simplistically, is distorted by the way it is enforced in litigation, is inattentive to social justice issues, and is not integrated into the moral commitment of physicians.     

An overview of transpersonal psychology

Abstract

An overview of transpersonal psychology is provided with specific focus on a number of its central themes (nonduality, intrinsic health, self‐transcendence, and inclusivity) and practices (meditation, ritual, and inquiry). The relationship of transpersonal psychology to both mainstream psychology and spiritual wisdom traditions is discussed. The field's implications for diversity issues, research, and service applications are also considered.     

Father-daughter incest: An overview

The problem of father-daughter incest is discussed from the perspectives of the offender, mother, victim, and family. The literature is reviewed for areas of consensus and disagreement. Conclusions describe the state of the art of current knowledge and suggest areas for research and theory development.     

Medical ethnomethodology: An overview

This paper gives a selective overview of studies in medical ethnomethodology. It starts with the 1967 contributions by Garfinkel and Sudnow, which focus on medical action as accountable Then it discusses the many CA-inspired studies of doctor-patient interaction published during the 1980s. Finally, it points to scattered studies that suggest several ways in which this latter approach can be deepened and enlarged. In this way, it formulates the contours of a program for ethnomethodological studies in the medical field.Revised draft of a paper read at the Conference: Ethnomethodology: Twenty Five Years Later,International Institute for Ethnomethodology and Conversation Analysis, Bentley College, Waltham, Mass. 13–16 August, 1992     

Behavioral economics: An overview

This article reviews the emerging literature in behavioral economics from the standpoint of discoveries of interest to business practitioners. Behavioral economics is a new branch of the discipline which has become prominent only within the last decade. In spite of its short life span, behavioral economics has already produced insights into consumer behavior, the behavior of labor, managerial behavior and business ethics. The major findings are covered in this article.