EFFECTS OF MEMORY AIDS ON THE DYADIC CONVERSATIONS OF INDIVIDUALS WITH DEMENTIA

The effects of a prosthetic memory aid on the conversational content and social skills of dyads with dementia were evaluated. Six individuals with moderate to severe dementia served as either subject or partner in dyads during 5-min conversational probes conducted three times per week in daycare and nursing-home settings. During phases when a memory aid, consisting of personally relevant picture and sentence stimuli, was available, most subjects used their own aid to improve the quality of conversations by increasing the frequency of on-topic statements, diminishing nonproductive utterances, lengthening their conversational turn, and/or increasing the frequency of turns taken. Most partners demonstrated awareness of social discourse conventions by appropriately relinquishing conversational dominance, decreasing both content and nonproductive utterances, and increasing acknowledging or affirmative comments when subjects used memory aids. Naive judges' ratings of aided and unaided conversational samples on seven conversational dimensions reflected differences in perceptions of significant improvement as a function of the conversational discourse style of each dyad.     

Conversational skills training with a chronically hospitalized psychiatric inpatient

While conversational skills training has been conducted with select psychiatric populations, it has rarely been used with severely debilitated inpatients. The purpose of this study was to use a multiple baseline design across conversational components to evaluate the effectiveness of a conversational skills training package to enhance the conversational repertoire of a severely impaired inpatient. Audiotaped conversations with a standard confederate were evaluated for the frequency of questions, self-disclosures, and reinforcing/acknowledging comments. Generalization probe conversations to novel partners were also obtained. Training effects were noted for the 3 conversational units. Mixed results were obtained for generalization and follow-up.     

Group Skills Training to Increase the Conversational Repertoire of Retarded Adolescents

Ten retarded adolescents in a short-term residential center lacked appropriate social itneraction skills and were referred for group conversational skills training. Group treatment consisted of an instruction-modeling-rehearsal procedure sequentially targeting three classes of converstaional skills:(1) eliciting information from others;(2) appropriate self-disclosing of interests and personal information; and (3) using reinforcing-complimentary conversational behaviors. During baseline and following each training group, social behavior was assessed by recording unstructured 8-minute dyadic conversations between randomly-paired subjects. Weekly generalization probes consisted of unstructured 8-minute conversations between each subject and a different nonretarded, unfamiliar partner. Results indicated that contingent upon group targeting of a specific conversational skill, the frequency of that skill increased in both (1) the unstructured dyadic interactions between pairs of retarded subjects, and (2)the generalization interactions between retarded subjects and novel nonretarded persons. Follow-up mainenance of skill increases was obtained. The utility of a "single group" multiple baseline design in applied social skills research is discussed.     

MEMORY WALLET INTERVENTION IN AN ADULT DAY-CARE SETTING

The use of memory wallets to prompt factual information during conversations with day-care center volunteers was evaluated for four subjects with dementia. Memory wallets contained 15–20 pictures and sentences about familiar persons, places, and events that each subject had difficulty remembering. All subjects used the memory wallets to improve their conversations by increasing factual statements and decreasing ambiguous, unintelligible, and perseverative utterances. Volunteers decreased their use of questions and prompts during conversations in which subjects used their memory wallets. These results demonstrate the effectiveness of using volunteers to develop memory wallets and to encourage their use during conversations with day-care clients.     

FACILITATING GENERALIZED REQUESTING BEHAVIOR IN BROCA'S APHASIA: AN EXPERIMENTAL ANALYSIS OF A GENERALIZATION TRAINING PROCEDURE

The effects of a generalization training procedure on requesting by 4 subjects with chronic Broca's aphasia were examined using a multiple baseline design across behaviors and subjects. Subjects were trained to request information on three topics sequentially. Generalization across topics and persons was assessed in weekly probe sessions consisting of 5-min conversational interactions with trainers and unfamiliar volunteers in a nontreatment setting. Results revealed generalization effects were greatest when trainers, as opposed to unfamiliar volunteers, served as conversational participants. Nevertheless, subjects' requests increased with all conversational participants to a level comparable to a normal comparison group assessed under conditions identical to the experimental probes. Social validation of treatment effects using a subjective evaluation procedure revealed significant improvement on the parameters of talkativeness, inquisitiveness, and conversational success.     

FACILITATING CONVERSATION THROUGH SELF-INITIATED AUGMENTATIVE COMMUNICATION TREATMENT

We examined the conversational skills of 2 adult males with severe motor and speech deficits resulting from cerebral palsy. A multiple baseline design across subjects was used to determine the effectiveness of an intervention strategy designed to teach them to use an augmentative communication system (Touch Talker) independently. The dependent measure was the number of conversation initiations relative to conversation reactions during spontaneous communication across baseline and treatment. The treatment included specific training on using the augmentative system to participate in communication. Once the intervention began, the production of conversation initiations accelerated at a rapid rate. The treatment program was effective in training the subjects to use the augmentative system to increase conversation participation. These results demonstrate that training on the operation of the device alone is not sufficient to ensure improvement in conversation performance, and that it is important to incorporate direct conversational treatment when providing instruction on the use of augmentative communication systems for severely speech-impaired individuals.     

The effects of multiple-exemplar self-instructional training on high school students' generalized conversational interactions

A multiple-baseline-across-students design was used to investigate the effects of multiple-exemplar self-instructional training on the acquisition and generalization of conversational interaction of 4 high school students with mental retardation. The multiple-exemplar component of the model consisted of (a) several peers without disabilities teaching the use of a self-instructional social skills strategy across diverse examples of conversational interactions and across two settings and (b) assessing the generalized effects of training across additional peers and one setting. Findings indicated that peers were effective in teaching the multiple-exemplar strategy and that peer training was associated with systematic increases in generalized conversational interactions with familiar and unfamiliar peers with and without disabilities in an additional setting. Social validation data indicated that following multiple-exemplar training, all participants' performances approximated those of general education students and was judged by others to have improved.     

The effects of talker familiarity on spoken word identification in younger and older listeners

The present study was designed to examine age differences in the ability to use voice information acquired intentionally (Experiment 1) or incidentally (Experiment 2) as an aid to spoken word identification. Following both implicit and explicit voice learning, participants were asked to identify novel words spoken either by familiar talkers (ones they had been exposed to in the training phase) or by 4 unfamiliar voices. In both experiments, explicit memory for talkers' voices was significantly lower in older than in young listeners. Despite this age-related decline in voice recognition, however, older adults exhibited equivalent, and in some cases greater, benefit than young listeners from having words spoken by familiar talkers. Implications of the findings for age-related changes in explicit versus implicit memory systems are discussed.     

Behavioral treatment of children with phonological disorder: the efficacy of vocal imitation and sufficient-response-exemplar training

This study examined whether sufficient-response-exemplar training of vocal imitation would result in improved articulation in children with phonological disorder, and whether improved articulation established in the context of vocal imitation would transfer to other verbal classes such as object naming and conversational speech. Participant 1 was 6 years old and attended first grade in a regular public school. Participant 2 was 5 years 4 months old and attended a public kindergarten. Both participants had normal hearing and no additional handicaps. A multiple baseline design across behaviors (target sounds or blends) was employed to examine whether the vocal imitation training resulted in improved articulation. Results showed that both participants improved articulation once training was implemented, and that the improved articulation transferred from vocal imitation to more natural speech such as object naming and conversational speech. Improvement established during training was maintained posttraining and at a 6-month follow-up.     

Computer-Facilitated Therapy: Reality-Based Dialogue with People with Schizophrenia

Schizophrenia is often characterized by deficits in information processing, attention, and memory that profoundly disrupt communication. Two vignettes are presented to illustrate how computer word-processing technique can be used with people with schizophrenia to facilitate reality-based conversation, to help them remember or remain focused in therapy session, and to participate with them in the development of cognitive-behavioral statements in managing their psychiatric symptoms. By visually representing the spoken words on the computer screen, the author hypothesizes that people with schizophrenia can partially compensate for the difficulties in remaining focused in a typically auditory-based conversational mode. Print-outs given from the conversational sessions can also be helpful as a memory aid.     

Boosting Children's Memory by Training Mothers in the Use of an Elaborative Conversational Style as an Event Unfolds

An experimental methodology was adapted to examine children's language skills and mothers' conversational styles during a specified event as they are linked to the children's event memory. Thirty-nine preschoolers (mean age = 46.82 months) were pretested and grouped as having high or low language skills. Children in each group were then randomly assigned to either maternal-style training or no training conditions. Trained mothers were instructed to use 4 specific conversational techniques to enhance children's understanding of unfolding events: Wh- questions, associations, follow-ins, and positive evaluations. When observed engaging with their children in a specially constructed camping activity, trained mothers did indeed use these elements of style more than untrained mothers. Moreover, assessments of the children's memory after 1-day- and 3-week-delay intervals indicated substantial effects of both maternal training and children's language skills on remembering.     

Long-term proactive interference and novelty enhancement effect in monkey list memory

Serial-probe-recognition (SPR) performance by 2 monkeys deteriorated over several months of training. Three hundred and twenty different items were presented without repetition within a session (trial unique) but were repeated between sessions. The cause of the deterioration was identified as proactive interference (PI) due to repetitive use of items from day to day. Introduction of novel stimuli across days improved performance from 63% to 82% correct (Experiment 1). Tests with only probe items and no list items (Experiment 2) revealed that the monkeys were using a familiar/novel response strategy in combination with a relational strategy (relating the probe item to the list items) to further improve their SPR performance. Intermixing familiar baseline trials and novel transfer trials within a session (Experiment 3) encouraged the subjects to use a relational strategy, and it improved performance on baseline trials as well as on transfer trials. Possible qualitative similarity between the relational strategy and the familiar/novel response strategy is discussed along with theoretical implications of these findings for experiments which have used small number of repeating stimuli within a session.     

Visual working memory for trained and novel polygons

This study investigates whether training changes the capacity of visual working memory (VWM). We compared change detection performance for novel and trained polygons. During training, subjects developed familiarity with 8 random polygons. Specifically, 4 polygons from a set of 8 were presented on each trial. After a brief retention interval, one of the polygons changed and subjects judged which one had changed (Exps. 1–2) or whether there was a change (Exp. 3). After 320 training trials, subjects could recognize the trained polygons with high accuracy. In the testing phase, subjects carried out the same task again, only this time each trial might contain all familiar polygons, all novel polygons, or a mixture of familiar and novel polygons. We found that change detection performance improved during training, but the improvement was not limited to trained polygons. We suggest that familiarity of non-nameable shapes plays a limited role in modulating the capacity of VWM.     

Teaching conversational speech to children with autism spectrum disorder using text‐message prompting

The present study was designed to teach conversational speech using text‐message prompts to children with autism spectrum disorder (ASD) in home play settings with siblings and peers. A multiple baseline design across children was used. Children learned conversational speech through the text‐message prompts, and the behavior generalized across peers and settings. Maintenance of treatment gains was seen at 1‐month follow‐up probes. Social validity measures indicated that parents of typically developing children viewed the participants' conversational speech as much improved after the intervention. Results are discussed in terms of the efficacy of text‐message prompts as a promising way to improve conversational speech for children with ASD.     

个体差异对工作记忆训练迁移效果的调节

本研究考察了流体智力基线水平对工作记忆训练迁移效果的影响。采用前后测设计,以视觉和听觉双任务n-back作为工作记忆训练任务,对训练组进行为期一个月的训练;积极对照组采用阅读任务进行训练。结果发现积极控制组的流体智力水平在基线与后测之间无显著变化;而训练组流体智力水平在后测时与基线相比有显著提高,且工作记忆训练提升量越大的个体其流体智力改善越大。说明认知训练有效迁移到了流体智力水平的改善上。我们还发现流体智力基线水平调节了工作记忆训练对流体智力水平的迁移,即工作记忆训练提升量越大,流体智力改善值越大,对于那些流体智力基线水平较高的人来说,工作记忆训练对流体智力改善的效果更大。流体智力基线水平、工作记忆训练提升量及两者的乘积共同影响了流体智力改善值。这一结果表明个体差异如流体智力基线水平可以调节工作记忆训练对流体智力水平的迁移。     

Elimination of position-biased responding in individuals with autism and intellectual disabilities

Five individuals with autism or other developmental disabilities participated in paired-stimulus preference assessments during repeated baseline probes. All subjects initially showed a pronounced bias by typically selecting the stimulus placed in either the left or right position. Biased responding for 3 subjects was eliminated when training trials were conducted in which a stimulus of known lesser quality was presented as one of the choices. Reinforcer-quality training was unsuccessful for 2 subjects, as was a condition in which reinforcer magnitude was modified to favor unbiased responding. These subjects' biased responding was eliminated only when a correction procedure (repetition of error trials) was implemented.     

Independence training vs modeling procedures for teaching phone conversation skills to the mentally retarded

Forty-five mildly mentally retarded adults were assessed for deficits in telephone conversational skills. They were ranked on the basis of their pretest scores and matched into triplets on skill level. One member from each of these groups was then randomly assigned to either a no-treatment control group, a modeling condition or independence training—a treatment that incorporated social reinforcement, instructions, performance feedback, modeling, shaping by successive approximations and self-monitoring and evaluation. For the two latter conditions, treatment was provided three times weekly for 2 months in group sessions (N = 5) of 1 hr duration. The dependent variable, conversational skills of subjects was assessed at pretest, posttest and at a 3-month follow-up based on verbal responses that subjects made to nine questions asked by an experimenter and related social responses during a phone call. Independence training proved to be significantly more effective than the other two experimental conditions at posttest and follow-up. In addition, modeling proved to be significantly more effective than the no-treatment controls at both of these assessment points.     

Cues-pause-point language training: Structuring trainer statements to provide students with correct answers to questions

This study assessed the applicability of Cues-Pause-Point language training procedures in teaching students to obtain information from the statements of others. Two mentally retarded subjects, one of whom was echolalic, received training on one set of stimuli but not on another. During training the subjects were encouraged to remain quiet before, during, and briefly after the presentation of statements and then verbalize (i.e., answer a question) using the verbal cue(s) that had been presented in the statement. Correct responding reached 100% to the trained stimuli and both subjects' responding improved to the untrained stimuli. Posttests revealed that subjects used the trainer's statements to answer novel questions. The results suggest that Cues-Pause-Point procedures may be useful in teaching severely retarded individuals the functional use of observing and listening to others' verbal behavior.     

Free recall by deaf and hearing children: semantic clustering and recall in trained and untrained groups.

Free recall tasks with semantically categorizable stimuli were given to 60 deaf and 60 hearing children, divided equally among Grades 3, 5, and 7 (ages 9, 11, and 13 years, respectively). Half the children were trained to use semantic categorization as a memory aid after the first study-test trial. All subjects were told category labels and sizes on the third recall trial. As hypothesized, older children showed more spontaneous semantic clustering and higher recall scores than younger children. Training increased clustering in all groups, while the provision of category information at retrieval increased clustering regardless of training condition. Contrary to expectations, deaf children used semantic clustering as much as hearing children. Deaf children's recall scores, however, were significantly lower than hearing children's. The specific contrasts observed between deaf and hearing children's performance suggest that deaf children's recall deficiencies probably reflect either inadequate knowledge of category membership or inflexibility in reclassifying individual items, rather than a general inability to recognize and use the categorical nature of a list as a mnemonic aid.