Comprehension disorders in aphasia: a historical review.

This paper reviews the clinical reports and theoretical inferences made by early scientists in regard to the impairment of auditory comprehension so often found in aphasics. It first presents an analysis of the literature on and the interpretation of comprehension disorders in aphasia up to the time of Pierre Marie and Arnold Pick. It then reviews early attempts to assess and quantify receptive impairment. Finally, it discusses the historical origin of some of the questions on comprehension currently under investigation by contemporary researchers.     

Polyglot aphasics and language mixing: A comment on Perecman (1984)

Perecman (1984) Brain and Language, 23, 43-63, proposes that language mixing (and especially utterance level mixing) in polyglot aphasics reflects a linguistic deficit and that spontaneous translation indicates a prelinguistic processing deficit. It is argued in this comment that both language mixing (including utterance-level mixing) and spontaneous translation are also found in normal polyglots, and that they may not therefore always be reflecting language deficit in aphasics. Only a good assessment of the patient's language and speech before and after the injury will determine if these behaviors do indeed reflect deficits.     

Causal attributions and information seeking to explain success and failure

Previous studies of attributions for success and failure have relied upon a theoretically derived set of causal attributions, either luck versus skill (derived from Rotter, 1966) or ability, effort, luck, and task difficulty (Weiner et al., 1971; Weiner, 1972). The same tendency of relying upon a set of logically derived cues has been evident in investigations of information-processing in making attributional judgments for success and failure (e.g., Fontaine, 1972; Frieze & Weiner, 1971). Two studies were conducted which employed an open-ended format to determine the relevance of the causal categories and information which have been utilized in previous studies. Results of these studies supported the validity of previously employed causal categories and information cues as well as establishing other important but previously ignored causes and sources of information.     

Behavior modification in education: Contributions and limitations

Behavior modification has been applied widely in educational settings encompassing a wide range of student populations, ages, and areas of focus. Major contributions of behavior modification include development and evaluation of a large number of techniques with extensive classroom research. As a direct consequence of technique development, behavior modification has provided teachers with a selection of classroom practices and information regarding their use. Despite the widespread application of behavioral principles in education, several limitations can be identified including the responses that are altered, the emphasis on response consequences, the focus on child performance rather than behaviors of teachers and others, and the lack of maintenance of improvements evident in many programs. Although limitations can be identified within the field, remarkable advances have been made in identifying educational practices that can improve student and teacher behavior. A major limitation in applying behavior modification to education pertains to dissemination and extension of existing techniques to a large number of settings likely to profit their use. The present paper considers various contributions and limitations of contemporary behavior modification and suggests areas for expansion to augment the progress that has been made.     

Evaluation of social competence training in the schools

A social competence program for high risk children is described and evaluated in this paper. Advanced undergraduates majoring in psychology used interpersonal problem-solving techniques to work with 32 maladapting first through third graders who were seen on a small group basis. The intervention program was conducted for 14 weeks. Compared to a control group of 32 children, results indicated that children in the program made siginficantly greater gains in classroom adjustment as rated by teachers. Additionally, socimetric status served as a criterion for evaluating program effectiveness. Results demonstrated that children who participated in the social competence training made significantly greater gains in peer acceptance as measured by a brief sociometric questionnaire than the controls. The implications of these findings and the methodological limitations of the study are discussed.     

Selective information use and perseveration in the search behavior of infants and young children

Two experiments examined the early development of selective information use in search. The first experiment tested 9- and 16-month-olds on a modification of Piaget's Stage IV object permanence task. It examined infants' use of information from previous experiences with an object (prior information) and from the most recent hiding (current information) to locate a hidden object. In the second experiment, 2-, $\text{2}\text{1}\text{2}$-, and 4-year-old children received these same sources of information along with new forms of prior and current information: information about the typical locations of objects (location specificity) and verbal information. No systematic perseveration was observed at 9 months, although previous findings related to perseveration were replicated. Perseveration was found at 16 months, but there was also evidence of selectivity at that age. When errors occurred, they tended to be to the prior location, but they were infrequent in comparison to correct searches at the current location. The preschoolers, while continuing to show perseveration, were more consistently selective than the infants. They also showed considerable generality in extending their selectivity to new sources of information.     

Right hemisphere comprehension of verbs in patients with complete forebrain commissurotomy: Use of the dichotic method and manual performance

The paradigm of dichotic listening was used to investigate verbal comprehension in the right, so-called “nonverbal,” hemisphere. Verbal commands were presented to the right and left ears in the simultaneous (dichotic) paradigm. There were striking instances, especially when the left hemisphere was occupied with some extraneous task, in which the right hemisphere understood the verbal command and executed the appropriate motor responses. In those instances the left hemisphere gave no overt response. Although the left hemisphere was usually dominant, it can be nevertheless concluded that not only can the right hemisphere understand verbal commands but can also express itself manually by executing actions more complex than object retrieval or pointing. As has been known for some time, the blockage of the ipsilateral pathway seems so complete during dichotic listening in the commissurotomy patient that there is no report of the words in the left ear—only of those presented to the right. At the same time there is normal report when words are presented to the left ear alone. It was found in the present study, however, that this model is too simple and only applies to the verbal response paradigm of dichotic listening. Under circumstances of dichotic presentation where the stimulus in the left ear (ipsilateral pathway) is necessary or important to the left hemisphere for completing a task, words from both pathways are reported. One may conclude that there exists a gating mechanism in each hemisphere that controls the monitoring of each auditory pathway and the degree of ipsilateral suppression.     

Selectivity and strategy in early search

Early information-processing strategies were examined in a study of very young children's search for hidden objects. Sixteen younger children (mean age: 1 year; 11 months) and sixteen older children (mean age: 2;6) received search problems in which observational and/or verbal information about an object's location was provided. The question of primary interest was how they would respond when given two conflicting sources of information, which differed in modality (observational vs verbal) and in currentness. Both younger and older children showed some use of an appropriate strategy of relying on the more current information, although they did not follow it consistently. Children also showed preferential use of observational over verbal information and response biases favoring the middle location. Age differences were found in children's use of verbal information, in the degree to which they benefitted from practice, and in response biases. These results suggested a distinction between two aspects of the development of search: the acquisition of new search skills and the establishment of appropriate priorities among skills already in the child's repertoire.     

Cerebral organization in bilinguals : I. Lateralization

There were no differences in lateral dominance indices between first and second languages in English-Hebrew bilinguals tested with a dichotic word test. Lateral dominance was the same for both languages regardless of when the second language was learned, how long it had been used, or how well it was known (according to a self-rating scale). In addition, the “traditional” sex differences were found where females had a significantly better overall recall performance but a significantly smaller difference in performance between the right and left ears.     

Dichotic listening ear asymmetry: Patterns of longitudinal development

Dichotic listening research with children has continued to be prevalent although numerous authors have described both theoretical and methodological limitations with traditional dichotic listening free-recall paradigms. The present research adds to this growing skepticism by reanalyzing two major longitudinal studies of children's ear asymmetries. These two studies, based in different countries (United States, Holland), utilized highly similar paradigms (free-recall digits), subjects (males), and age levels (kindergarten and second and fifth grade). The questions of ear advantage development, patterns of ear advantages, and the relationship between dichotic listening performance and reading skills are addressed from the multiple statistical methodologies represented in the literature. From these analyses, support for all of the major hypotheses regarding the developmental patterns of dichotic listening performances could be obtained from the same data samples. The use of traditional free-recall dichotic listening paradigms are not recommended for use with children. The implications for future research are discussed.     

The effect of response choice relatedness on pantomime and verbal recognition ability in aphasic patients

Twenty aphasic and twenty control subjects were examined on two versions of a pantomime recognition and a verbal recognition test; one version containing response choices conceptually/semantically related to target responses, the other containing unrelated response choices. The aphasic group was inferior to controls on the pantomime and verbal recognition tests, although the magnitude and consistency of the differences between aphasics and controls were greater for the pantomime test. The presence of conceptually/semantically related response choices on the pantomime recognition test significantly reduced test scores of aphasic patients, and this reduction was related to the magnitude of the effect of response choice relatedness on their verbal recognition test performance. The findings are consistent with an interpretation of aphasia as an impairment of a central symbolic ability which can affect processing for meaning in both verbal and nonverbal modes of communication.     

Comparison of the performances of a fluent and a nonfluent aphasic on a pantomimic referential task

The pantomimic performances of a typical Broca's (nonfluent) and Wernicke's (fluent) aphasic were compared with each other and with four normal control subjects on a simple task of nonverbal referential communication. Both aphasic subjects demonstrated only about 50% accuracy in their pantomimic communication. Also, measures were obtained of the motoric fluency of the pantomimes of all subjects and comparisons were made between the fluent and nonfluent aphasics. These measures demonstrated distinct differences in the fluency patterns of the pantomimes of the two aphasic subjects similar to the differences in speech fluency which distinguish and characterize these two types of aphasia; that is, the fluent aphasic pantomimed fluently and like the control subjects and the nonfluent aphasic pantomimed nonfluently. The quantitative and qualitative similarities in the fluency patterns of the speech and the pantomimic behaviors of the aphasic subjects are discussed in terms of their implications for a definition of aphasia.     

Infants' search for visible objects: implications for the interpretation of early search errors

This study examined the error patterns of 9-month-old infants searching for hidden objects and objects that were visible within a container. Although errors occurred in both conditions, there were important differences between them. When the object was hidden, infants showed significant perseveration in that they searched more often at the object's previous hiding place than at a control location. When the object was visible, however, they made fewer errors and the errors they did make were as likely to be to the control location as to the previous hiding place. These results suggest that infants' errors in searching for a visible object reflect lapses of attention rather than systematic misunderstandings of objects or space and so are not incompatible with an information-processing account of early search.     

Psychometric properties of the Wolpe-Lazarus assertiveness scale

The psychometric properties of the Wolpe-Lazarus Assertiveness Scale (WLAS) were evaluated with a sample of 100 male and 157 female psychiatric patients. There were no significant differences with regard to males and females for total WLAS scores. The WLAS seems to be internally consistent and has acceptable split-half and test-retest reliabilities. A factor analysis performed separately for males and females indicates that the 10 most prominent factors account for about 60% of the accumulated variance. The primary factor, shared by males and females, was labeled General Expressiveness. There was little evidence for the external validity of the WLAS when total scores were correlated with performance on a role play test. However, when WLAS factor scores were evaluated in light of role played performance, somewhat better evidence of the external validity of the WLAS was found in two of the factors for the females.     

Speech abnormalities in seizures: a comparison of absence and partial complex seizures

In order to determine whether speech changes are useful in differentiating seizure types, a study was done in which speech abnormalities during two distinct seizure types, partial complex and absence seizures, were compared. Speech changes noted during prolonged electroencephalographic and video monitoring were compared in 16 patients with 47 partial complex seizures and 19 patients with 95 absence seizures. Speech changes were common during both seizure types. Although some significant differences in speech patterns were noted in the two seizure types, the degree of overlap was such to preclude using speech changes alone as the sole clinical criteria in differentiating the seizures.