Oral and written discourse in adolescents with closed head injury

Analysis of oral and written discourse suggested differing cognitive demands for modes of expression. Verbal samples were provided by 8 adolescents with closed head injury (CHI) and 8 controls. A generation task using a picture stimulus was the basis for discourse. Eight measures [productivity, efficiency, semantic ties (lexical, incomplete, elliptical), maze use, coherence (global, local)] were utilized. A covariate model consisting of group membership (CHI vs control), executive functioning and working memory helps to explain variance in the discourse skills of adolescents with CHI.     

Discourse after Closed Head Injury in Young Children

This study examined narrative discourse in 23 children, ages 6 to 8 years, who sustained a severe closed head injury (CHI) at least 1 year prior to assessment. Narratives were analyzed at multiple levels using language and information structure measures. Results revealed significant discourse impairments in the CHI group on all measures of information structure, whereas differences in the linguistic domain failed to reach significance. In addition, effects of age at injury and lateralization of lesion on discourse were considered. Although no significant differences were found according to age at injury, a consistent pattern of generally poorer discourse scores was found for the early injured group (<5 years). With regard to lesion focus, the group findings were unimpressive. However, preliminary examination of individual CHI cases with relatively large lateralized lesions suggested that the late injured children may show the language–brain patterns reported in brain-injured adults, whereas early injured children may not.     

Teaching self-treatment of cold symptoms to an anoxic brain injured adult

Traumatic brain injury can result in behavioral and physical deficits that require intensive post-acute residential rehabilitation. Behaviors targeted by such programs include basic self-care and living skills. We examined the efficacy of a behavioral training strategy to teach appropriate medical treatment of four different groups of simulated cold symptoms to an anoxic brain injured adult. The strategy included instructor prompting and feedback in the use of written task analyses and picture cues as self-administered prompts. Subsequent to baseline, the participant used written generic task analyses combined with picture cues and then, if necessary, written specific task analyses combined with picture cues to prompt appropriate self-treatment of the four types of colds. Written individualized task analyses, tailored to participant errors, were used to fade specific task analysis prompts and transfer stimulus control to the discriminative stimuli present in the picture cues. A multiple baseline design across responses showed that skill acquisition did not occur after generic task analysis training, but did so after specific task analysis training. The participant responded to all four types of colds for three consecutive trials at 100% correct under baseline conditions. Follow-up results indicated that transfer of stimulus control to the cold symptoms simulated by the picture cues alone did not maintain over time. Correct responding was retrained using generic and, if necessary, individualized task analysis training conditions.     

Production of narratives: picture sequence facilitates organizational but not conceptual processing in less educated subjects

Fifty-three healthy older adults were produced stories induced by two types of picture stimuli (single picture and picture sequence). Discourse samples were analyzed for: (1) percentage of expected main ideas (which reflect conceptual processing) and (2) number of transitional markers (which reflect organizational processing). Results indicate that the older group (75 to 84 years) produced a lower percentage of main ideas and less transitional markers than the younger group (65 to 74 years). Both groups also showed better performance in response to the picture sequence than to the single picture. For the percentage of expected main ideas, however, a superior performance in response to the picture sequence was observed only among older subjects with higher (11 to 18 years) but not lower (4 to 10 years) levels of formal education. The role of education and the importance of stimulus type in discourse-specific tasks are discussed.     

Pictorial Superiority during Verbal Learning Tasks in Moderate to Severe Closed Head Injury: Additional Evidence

Evidence for picture superiority in verbal learning following moderate to severe closed head injury (CHI) was found in a study involving 31 participants with CHI and 31 noninjured participants. A multitrial free-recall paradigm was implemented incorporating three modalities: Auditory, visual, and simultaneous auditory plus visual. Participants with moderate to severe CHI learned fewer words and at a slower rate than the noninjured participants. The visual presentation of objects (with or without the simultaneous auditory presentation of names) resulted in better learning than the auditory presentation alone.     

"Why is it that I see everything differently?" Reading a 1933 letter from Paula Heimann to Theodor Reik

A letter from Paula Heimann to her training analyst, Theodor Reik, written shortly before her emigration from Berlin to London, sheds light on some of the technical controversies and personal animosities that shaped psychoanalytic clinical discourse in the early 1930s, as well as on Heimann's subsequent development as a clinician. A close reading of this letter highlights several distinctive aspects of psychoanalytic training and demonstrates the transgenerational transmission of psychoanalytic ideas.     

输入方式对学语前聋生语篇理解的影响：文本和测题类型的调节效应

为了考察信息输入方式、文本类型和测题类型对聋生语篇理解的影响,研究通过录像呈现,以口语、手语、书面语三种输入方式向学语前极重度七、八、九年级聋生呈现叙述性和描述性两种文本类型的语篇信息,并要求其完成理解测试。结果显示：输入方式对聋生语篇理解的效率存在影响,书面语成绩最高且速度最快,依次为手语、口语,文本类型和测题类型对该影响有调节作用。结果表明输入方式是聋生语篇理解的主要影响因素,文本和测题类型是调节因素。     

Writing words from pictures: What representations are activated, and when?

In three experiments, the nature of the representations involved in written picture naming and the time course of their activation were investigated. French participants had to produce picture names while hearing distractors. In Experiment 1, distractors semantically related to the picture names yielded a semantic interference effect when a stimulus onset asynchrony (SOA) of--150 msec, but not when a SOA of 0 msec, was used, in both spoken and written picture naming. Experiment 2 showed that the semantic interference effect was not located at the conceptual level. In Experiment 3, participants wrote down picture names while hearing semantically related, phonologically related, both semantically and phonologically related, or unrelated distractors, presented at both SOAs. A semantic interference effect was obtained with phonologically unrelated distractors but was eliminated with phonologically related distractors. Facilitatory effects of phonologically related distractors were found at both SOAs. The implications of the findings for written picture naming are discussed.     

Message size constraints on discourse planning in synchronous computer-mediated communication

Three groups of 20 dyads planned the MTV Music Video Awards Show over computers. The groups varied in whether they could send 4-line, 10-line, or 18-line messages, in part to examine whether increased planning efficiency in computer-mediated communication reflects communication strategies associated with constraints on message size. The results demonstrate that increased efficiency is not a function of such design features as the maximum message that may be sent. However, the subjects in the 4-line condition sent shorter messages to one another, were less likely to engage in a strategy of making multiple suggestions that required a single assent, and were more likely to differ in the relative proportion of their contributions to the discourse. The subjects in the 10-line condition had shorter maximum messages (and proportionately more disfluencies) than did those in the 18-line condition, despite the finding that the maximum messages of the latter would have also fit within 10 lines. Thus, the results also support a claim that size of the text window may result in different discourse management strategies and may influence an initial discourse-planning stage.