Coping responses by adults who stutter: Part I. Protecting the self and others

Using a grounded theory approach, four clusters were identified that represent patterns of coping by adults who stutter. In order to understand the complexities within the coping responses of speakers to the experience of stuttering, this first of two companion papers summarizes the literature on the human coping response to stress and the nature of two of the four main findings identified. These findings describe a coping process that emphasizes strategies of protecting both the speaker and the listener from experiencing discomfort associated with stuttering. The companion paper describes the remaining two main findings that emphasize the characteristics of self-focused and action oriented coping responses.Educational Objectives: The reader will be able to: (1) describe, from the perspective of a select group of adults who stutter, the themes associated with the process of coping with stuttering, (2) describe the basic rationale for the procedures associated with grounded theory methods, (3) describe the factors that influence the choice to use emotion-focused and problem-focused coping strategies, and (4) explain the factors that contribute to the use of methods of escape.     

Developing the therapeutic relationship: from 'expert' professional to 'expert' person who stutters

This article looks back over the years and identifies some of the most influential thinkers, writers, and researchers who have had a profound effect on the way the therapy at the Michael Palin Centre for Stammering Children in London has evolved. It tracks the changes that have occurred in theoretical perspective, treatments offered, and the delivery of therapy. In particular this author is interested in the changing nature of the therapeutic relationship between professionals and people who stutter (PWS), and describes the way it has developed from the “expert professional” towards a more collaborative relationship that recognises the “expert patient”. It was inspired by a book written in 1902 by Mr Beasley, a person who stammered. After several unsuccessful attempts to find a ‘cure’ he found his own solution to his stuttering and then used what he had learned to help many others. Much of what he wrote was well ahead of his time and reminds us, the professionals, of the importance of listening to and taking account of the views of PWS in therapy and designing treatment that meets the needs of the individual. This article also looks briefly at evidence based practice (EBP) and the issues involved in measuring outcomes that reflect the complex and individual nature of the problem. Finally the importance of the research in developing the knowledge and skill base of clinicians as well as PWS is acknowledged and discussed and the way ahead signposted.Educational objectives: The reader will learn about (1) the early history and development of stuttering therapy, (2) the influence of a variety of psychotherapeutic approaches, (3) the relevance of designing therapy to meet the needs of the PWS, and (4) discuss the role of ‘common’ factors in EBP.     

Ways of coping with excessive drug use in the family: A provisional typology based on the accounts of 50 close relatives

This paper outlines an eight-fold typology of coping actions based upon a qualitative analysis of the accounts provided by 50 close relatives of people with drug problems. In a number of different ways relatives draw attention to the contrasts between these distinguishable ways of coping. Emphasis is placed upon the provisional nature of this typology and upon the compromises between, and combinations of, ways of coping that are often used by relatives in practice. Different ways of coping represent alternative choices for relatives, often explicitly expressed by them as difficult dilemmas. Links are suggested between the ways of coping identified here and those discussed in the literature on coping with other disorders and disabilities in the family, with ways of coping described in the general literature on coping with stress, and with types of social action appearing in general models of interpersonal behaviour. Implications for counselling close relatives of people with drug problems are also outlined.     

Biases in long-term location memory in the real world

The category adjustment (CA) approach to distortions in location memory has been largely documented in simplified lab-created spaces but minimally in navigable real-world environments. In the current paper, we extend the approach to a navigable real-world environment and specifically evaluate the assumption that long-term location memory may be retrievable despite errors in recall. Memory for the location of a fountain in a heavily navigated square on a university campus was tested by reproduction on a photograph of the square and then by a forced-choice recognition test. While the recall data showed the standard bias, the recognition data revealed chance-level performance. The pattern of results suggests a possible difference between accessibility of working memories for locations within laboratory-created spaces and long-term memories for locations within complex navigable spaces. The results are discussed in terms of the CA model.     

On the relativistic nature of predicted and real physical experiences: A field experiment

ObjectivesAn important yet unresolved question stemming from judgment and decision-making literature is whether individuals evaluate physical experiences in relative or absolute terms.Design and methodThe study examined 181 experienced basketball players in a 2 (type of experience: predicted versus real) × 2 (evaluation mode: separate versus joint) × 2 (type of activity: running versus shooting) experimental research design.ResultsWe demonstrated that individuals who were familiar with physical tasks evaluated predicted and real physical experiences in absolute terms. In addition, we showed that relativistic modes of evaluation applied to real physical experiences but not predicted physical experiences.ConclusionsThis research contributes to the debate concerning whether prior task experience influences formation of relative evaluations, and reveals that contexts that urge for relative evaluations undermine happiness with physical tasks.     

Life experiences of people who stutter, and the perceived impact of stuttering on quality of life: personal accounts of South African individuals

The purpose of the study was to investigate the life experiences of a group of South African adults who stutter and the impact of stuttering on their quality of life. Participants were 16 adults with a mean age of 28.9 and ranging from 20 to 59 years. Methods involved individual interviews designed to explore the life domains of education; social life; employment; speech therapy; family and marital life; and identity, beliefs and emotional issues. Main findings of the study indicated that the majority of participants perceived their stuttering to have impacted on their academic performance at school, and relationships with teachers and classmates. Although their stuttering was not perceived to adversely influence their ability to establish friendships, people generally reacted negatively to their stuttering. Many felt that their stuttering did not have an adverse effect on their choice of occupation, ability to obtain work, and relationships with managers and co-workers, although it was perceived to influence their work performance and hamper their chances for promotion. Although the majority viewed their speech therapy experiences as being negative; more than half the sample believed that speech therapy had, nevertheless exerted a positive effect on their quality of life. Overall, stuttering did not appear to have influenced participants’ family and marital life. Most participants felt that stuttering had affected their self-esteem and self-image, and had evoked strong emotions within them. Findings are taken to suggest the need to incorporate subjective feelings about stuttering into the clinical practice of speech-language therapy; to provide information and coping strategies for teachers and employers; and for further research.

Educational objectives: After completing this activity, the reader will be able to: (1) describe and explain the perceived impact of stuttering on quality of life in terms of education; social life; employment; speech therapy; family and marital life; and identity, beliefs and emotional issues; (2) to interpret and utilize the subjective meanings that individuals attach to their stuttering to improve stuttering treatment, counseling and research.     

Developmental psychology in the real world: A paradigm of parent education

Twenty years ago, William Kessen, Greta Fein and I developed and tested a model of parent education, a model which involved variation in curricular content, didactic approaches, and child outcomes–experimentally contrasted. Our experience yielded some valuable lessons about the extent to which researchers can influence parents' behaviour, and parents their children's development. In the present article I suggest that these lessons might be useful for researchers now as they were for us then. I present some observations about the research that developmental psychologists have done in the intervening two decades and suggest that we could learn much by using such a model of parent education to answer questions about the effets of parents' behaviour on children's development. Carefully done, parent education studies can yield valuable information about many of the questions raised in recent correlational research. Parent training research can suggest hypotheses that can be tested with data collected non-interventively and analysed in causal model analyses–and vice versa. What is more, because one reason for studying parent effects is so that we can offer guidance to parents about rearing their children, this design has a particular advantage; it is both the medium and the message.     

Spatial memory in the real world: long-term representations of everyday environments

When people learn an environment, they appear to establish a principle orientation just as they would determine the “top” of a novel object. Evidence for reference orientations has largely come from observations of orientation dependence in pointing judgments: Participants are most accurate when asked to recall the space from a particular orientation. However, these investigations have used highly constrained encoding in both time-scale and navigational goals, leaving open the possibility that larger spaces experienced during navigational learning depend on a different organizational scheme. To test this possibility, we asked undergraduates to perform judgments of relative direction on familiar landmarks around their well-learned campus. Participants showed clear evidence for a single reference orientation, generally aligned along salient axes defined by the buildings and paths. This result argues that representing space involves the establishment of a reference orientation, a requirement that endures over repeated exposures and extensive experience.     

Coping strategies in the workplace: Relationships with attributional style and job satisfaction

This paper examined the relationships between workplace coping strategies, occupational attributional style, and job satisfaction among a sample of 190 nurses employed with a Veterans Affairs Medical Center. As an occupational group, nurses experience high levels of chronic workplace stressors. Participants completed a questionnaire packet containing the Brief COPE, the Minnesota Satisfaction Questionnaire (MSQ)-Short Form, and the Occupational Attributional Styles Questionnaire (OASQ). Results indicated that a positive occupational attributional style was associated with greater use of problem solving/cognitive restructuring coping styles and less use of avoidance coping styles to deal with workplace stress. This pattern of coping strategies was also associated with greater job satisfaction. Further analyses indicated that the relationship between occupational attributional style and job satisfaction was mediated by the use of problem solving/cognitive restructuring, and avoidance coping strategies to deal with workplace stress. Implications for workplace interventions and work adjustment counseling are discussed.     

Toward an Experimental Timing Standards Lab: Benchmarking precision in the real world

Much discussion has taken place over the relative merits of various platforms and operating systems for real-time data collection. Most would agree that, provided great care is taken, many are capable of millisecond timing precision. However, to date, much of this work has focused on the theoretical aspects of raw performance. It is our belief that researchers would be better informed if they could place confidence limits on their own specific paradigms in situ and without modification. To this end, we have developed a millisecond precision test rig that can control and time experiments on a second presentation machine. In this paper, we report on the specialisthardware and software used. We elucidate the importance of the approach in relation to real-world experimentation.     

Visual search in the real world: evidence for the formation of distractor representations

Visual search in the real world often requires that we search the same environment a number of times for different targets. What is the fate of information about fixated distractor objects during these searches? Here, participants searched the same array of real objects on a tabletop twice for two different targets successively whilst wearing a head-mounted eye-tracker. We found that fixating an object when it was a distractor in the first search facilitated search for that same object when it became the target in the second search. The results suggest that the location and identity of fixated distractor objects are represented to a level that guides subsequent searches, even when this information is not required at the time of fixation.     

Exploring the interactions underlying flow states: A connecting analysis of flow occurrence in European Tour golfers

ObjectivesResearch to date has identified a range of factors suggested to facilitate flow states in sport. However, less attention has focused on how exactly those facilitating factors influence the occurrence of flow. Therefore, this study aimed to explore the specific ways in which such facilitators influenced flow occurrence in European Tour golfers.DesignQualitative design.MethodTen full-time golfers from the European Tour (M age = 37; SD = 13.08) participated in semi-structured interviews investigating the occurrence of their flow states. Data were interpreted using an iterative process of thematic and connecting analyses.ResultsTen facilitators of flow were identified, of which commitment and the caddie have not been reported previously. Twenty four connecting links were identified in the data, through which the caddie, effective preparation, and high-quality performance appeared to be most influential for flow occurrence. Confidence and concentration also emerged as key constructs underlying the flow experience in this setting.ConclusionA central contribution of this study is the identification of ways in which facilitating factors could influence flow occurrence in elite golf. This process adds detail to understanding of flow occurrence, and moves beyond simply identifying factors which are associated with the experience. As such, connecting analysis is proposed as an additional strategy for qualitatively investigating flow occurrence in sport. Results are discussed in relation to previous literature, and recommendations are identified for researchers, athletes, coaches and practitioners.     

Stuttering and its treatment in adolescence: the perceptions of people who stutter

Adolescence is a complicated phase of maturation during which a great deal of physical, neurological and social development occurs. Clinically this phase is thought to be the last chance to arrest the development of the disorder of stuttering before it becomes chronic in adulthood. However, little treatment development for this age group has occurred. Previous research on the impact of stuttering during adolescence presents a complex picture of apprehension about speaking which does not, however, appear to interfere with social life. The purpose of the present study was to investigate further the experiences of adolescents who stutter with respect to: (1) their experience of stuttering during the adolescent years, (2) reasons for seeking or not seeking therapy during the adolescent years, (3) barriers to seeking therapy during the adolescent years, (4) their experience of therapy during the adolescent years, and finally (5) suggested improvements to therapy for adolescents. Two focus groups and seven individual interviews were conducted with 13 adolescents and young adults. The major finding was a perceived lack of awareness about stuttering by teachers and parents, as well as other adolescents. In addition it appeared that having a stutter was, in itself, not enough reason to seek treatment. However when adolescents did seek treatment, for reasons such as joining the workforce, group therapy was well liked. Educational objectives: The reader will summarize key features that characterize: (1) the complex developmental phase of adolescence, (2) evaluate the experience of stuttering during the adolescent years, (3) discuss the experience of stuttering therapy during the adolescent years, (4) list adolescents' reported barriers to seeking therapy during the adolescent years, and (5) suggest possible ways to improve management of stuttering in adolescence.     

Reorientation in the real world: the development of landmark use and integration in a natural environment

An influential series of studies have argued that young children are unable to use landmark information to reorient. However, these studies have used artificial experimental environments that may lead to an underestimation of the children’s ability. We tested whether young children could reorient using landmarks in an ecologically valid setting. Children aged between 3 and 7 years completed a reorientation task in open parkland, and the properties of the search array (size and distinctiveness) were manipulated in a within-subjects design. Responses were recorded using Global Positioning Systems technology. All age groups performed above chance level, demonstrating that young children can reorient using natural landmarks. This behaviour was modulated by the nature of the search array: children were more accurate when the locations were spaced in a large array, and when the search locations were distinctively coloured. This suggests that the integration between landmarks and search locations, at different spatial scales, is a key factor in characterising human reorientation in the real world.     

When the world went color: Emotions,senses and spaces in contemporary accounts of the Czechoslovak Velvet Revolution

Two decades after the dramatic conclusion of socialist rule in Czechoslovakia, Czechs’ personal recollections of the 1989 Velvet Revolution offer a counter-point to official histories of this period by downplaying the revolution’s role as a catalyst for political and economic modernization to focus on its affective, sensory and other bodily dimensions. In this paper I argue that Czechs’ personal memories of 1989 convey the feeling of having (in local terminology) “really lived” through the revolution by highlighting its emotional and sensorial impact and by locating the physical self within local, public spaces that were invested with novel political and personal meanings. Crucial here is the situating of not just memory, but also emotion, affect, and sensation, in sites that are culturally coded as “public” in distinction to the “private” realms of domesticity, the family, and the body, suggesting how the revolution instigated a significant experiential rupture between these two domains. In doing so, these accounts illuminate how local sites can become the nexus of not only personal and collective historical memories but also of emotional and sensorial anchorages of self to event.     

Covert communication in laboratories, classrooms, and the truly real world

Hundreds of research studies have demonstrated that one person's expectations for the behavior of another person can actually affect that other person's behavior. These studies implicate the operation of processes of covert communication, communication that is subtle, largely nonverbal, and ordinarily unintended. The earliest studies of these processes showed that through their expectations, laboratory researchers unwittingly affected the responses of their research participants. Later studies showed that teachers' experimentally induced expectations about their pupils affected the pupils' intellectual performance. Most recently, studies of covert communication processes have extended to diverse contexts, such as the judicial and health care systems. For example, research indicates that judges' beliefs about the guilt of trial defendants can be unwittingly communicated to juries by the judges' nonverbal behavior during jury instruction. In addition, studies of covert communication in medical contexts show that physicians' effectiveness in persuading their patients to enter into treatment can be predicted from their tone of voice in talking to or about their patients. For example, one study showed that surgeons who used a bossy tone of voice when talking to their patients were more likely to be sued by their patients than were surgeons who used a more respectful tone. In sum, then, we have learned a great deal about the importance of subtle processes of nonverbal communication, but a great deal more is yet to be learned about these processes as they occur in the relatively sheltered context of laboratories and classrooms and in the rough-and-tumble of the truly real world beyond.