Five-year retrospective on stuttering theory, research, and therapy: 1982–1987

From time to time it is worthwhile looking back and reviewing significant developments in theorizing about, researching, and treating stuttering. Retrospectives of this type have been published in the Journal of Fluency Disorders for the periods 1972–1977, and 1977–1982. The present article is the third in this series of reviews and encompasses the period 1982–1987.     

Discontinuity in the enumeration of sequentially presented auditory and visual stimuli

The seeking of discontinuity in enumeration was recently renewed because Cowan [Cowan, N. (2001). The magical number 4 in short-term memory: A reconsideration of mental storage capacity. Behavioral and Brain Sciences, 24, 87–185; Cowan, N. (2005). Working memory capacity. Hove: Psychology Press] suggested that it allows evaluating the limit of the focus of attention, currently estimated at four items. A strong argument in favour of a general constraint of the cognitive system is that similar discontinuities should be observed in modalities different from the classic simultaneous presentation of visual objects. Recently, data were provided on tactile stimuli, but the authors diverged in their conclusion about the existence of such discontinuity [Gallace, A., Tan, H. Z., & Spence, C. (2006). Numerosity judgments for tactile stimuli distributed over the body surface. Perception, 35(2), 247–266; Riggs, K. J., Ferrand, L., Lancelin, D., Fryziel, L., Dumur, G., & Simpson, A. (2006). Subitizing in tactile perception. Psychological Science, 17(4), 271–272]. Following a similar rationale, our study aimed at evaluating discontinuity in the enumeration of auditory and visual stimuli presented sequentially. The clear and similar discontinuity observed in error rates, response times and given responses for both modalities favours the general capacity limit view, but also questions the size of this capacity, because the discontinuity occurred here at size 2. However, the masking of stimuli in sensory memory could not be entirely discarded.     

Conditioning experiences and phobias

A retrospective study was conducted to examine the extent to which phobias are associated with a conditioning pathway to fear. The Phobic Origin Questionnaire (Öst and Hugdahl, Behav. Res. Ther. 19, 439–477, 1981) was administered to a sample of 91 phobic outpatients (patients with panic disorder with agoraphobia, social phobics, simple phobies). Results show clearly that conditioning experiences occur more frequently than either vicarious or informational, learning experiences, which confirms the findings previously reported by Rimm, Janda, Lancaster, Nahl and Dittmar (Behav. Res. Ther. 15, 231–238, 1977) and by Öst and Hugdahl (1981; Behav. Res. Ther. 21, 623–631, 1983). Yet, conditioning experiences consist mainly of panic attacks in confined environments. The findings also suggest that a considerable number of phobias are based on a combination of different pathways to fear.     

Putting lexical constraints in context into the visual-world paradigm

Prior eye-tracking studies of spoken sentence comprehension have found that the presence of two potential referents, e.g., two frogs, can guide listeners toward a Modifier interpretation of Put the frog on the napkin… despite strong lexical biases associated with Put that support a Goal interpretation of the temporary ambiguity (Tanenhaus, M. K., Spivey-Knowlton, M. J., Eberhard, K. M. & Sedivy, J. C. (1995). Integration of visual and linguistic information in spoken language comprehension. Science, 268, 1632–1634; Trueswell, J. C., Sekerina, I., Hill, N. M. & Logrip, M. L. (1999). The kindergarten-path effect: Studying on-line sentence processing in young children. Cognition, 73, 89–134). This pattern is not expected under constraint-based parsing theories: cue conflict between the lexical evidence (which supports the Goal analysis) and the visuo-contextual evidence (which supports the Modifier analysis) should result in uncertainty about the intended analysis and partial consideration of the Goal analysis. We reexamined these put studies (Experiment 1) by introducing a response time-constraint and a spatial contrast between competing referents (a frog on a napkin vs. a frog in a bowl). If listeners immediately interpret on the… as the start of a restrictive modifier, then their eye movements should rapidly converge on the intended referent (the frog on something). However, listeners showed this pattern only when the phrase was unambiguously a Modifier (Put the frog that’s on the…). Syntactically ambiguous trials resulted in transient consideration of the Competitor animal (the frog in something). A reading study was also run on the same individuals (Experiment 2) and performance was compared between the two experiments. Those individuals who relied heavily on lexical biases to resolve a complement ambiguity in reading (The man heard/realized the story had been…) showed increased sensitivity to both lexical and contextual constraints in the put-task; i.e., increased consideration of the Goal analysis in 1-Referent Scenes, but also adeptness at using spatial constraints of prepositions (in vs. on) to restrict referential alternatives in 2-Referent Scenes. These findings cross-validate visual world and reading methods and support multiple-constraint theories of sentence processing in which individuals differ in their sensitivity to lexical contingencies.     

Salkovskis on obsessional-compulsive neurosis: a critique

Salkovskis (Behav. Res. Ther. 23, 571–583. 1985) offers of cognitive-behavioural analysis of obsessional-compulsive disorder and the treatment implications of the analysis are discussed by Salkovskis (1985) and Salkovskis and Warwick (Behav. Psychother. 13, 243–255, 1985). A number of criticisms and objections to this work are set out.     

Identification and explanation of racial differences on contamination measures

Compared with published norms, African Americans endorse significantly more items intended to assess pathological anxiety about contamination on self-report instruments for obsessive–compulsive disorder. The current study suggests that this is not due to greater psychopathology in African Americans, but rather to differences in normal attitudes about cleanliness that also influence responses to items intended to assess anxiety pathology. Contamination items from obsessive–compulsive disorder (OCD) scales including the Padua Inventory [Sanavio E. (1988). Obsessions and compulsions: The Padua Inventory. Behaviour Research and Therapy, 26(2), 169–177] were supplemented with cleanliness attitude items and administered to Black and White participants (N=1483). An exploratory factor analysis suggested a three-factor solution: one factor that encompassed pathological anxiety, and two that expressed attitudes about cleanliness, grooming, and domestic animals. African Americans scored significantly higher on all three factors. A confirmatory factor analysis demonstrated that the difference between Black and White participants on the pathological anxiety factor was eliminated when differences on the attitude factors were controlled statistically.     

Responses to novelty in phobic and non-phobic cynomolgus monkeys: The role of subject characteristics and object features

In two previous studies it has been shown that most surrogate-reared cynomolgus monkeys became phobic of a harmless object (a big paper bag) while most mother-reared monkeys approached that object. Results of the first study seemed to indicate that the phobic reaction was restricted to the bag. Barnett and Cowan (Interdisciplinary Science Review, 1, 43–62, 1976) and Suomi (Anxiety disorder in childhood, pp. 1–23, 1986), however, reported that subjects (respectively rats and monkeys) that avoided a first novel object also avoided subsequent novel objects. In the present study we exposed phobic (bag-avoiding) and non-phobic (bag-approaching) monkeys from the study by Röder, Timmermans and Vossen (Behaviour Research and Therapy, 27, 221–231, 1989) to several big and small novel objects. Our results show that, irrespective of their rearing conditions, subjects that were phobic also avoided big novel objects while subjects that were non-phobic approached big novel objects. The reaction to small novel objects was independent of the previous reaction to the bag.     

When is cataphoric reference recognised?

Pronouns typically have explicit antecedents in the prior discourse otherwise processing difficulty is experienced. However, it has been argued [Gordon, P. C., & Hendrick, R. (1997). Intuitive knowledge of linguistic co-reference. Cognition, 62, 325–370; Gordon, P. C., & Hendrick, R. (1998). The representation and processing of co-reference in discourse. Cognitive Science, 22, 389–424] that when a pronoun appears in a preposed subordinate clause (as in, Before she began to sing, Susan stood up), incremental interpretation is suspended and no antecedent is immediately sought, since the pronoun cannot be resolved until the main clause is encountered. We report results from an eye-tracking study showing that on encountering a pronoun that has no prior antecedent (compared to cases where there is an explicit prior antecedent), readers experience immediate difficulty whether or not the pronoun appears in a preposed subordinate clause, suggesting that attempted incremental interpretation is not suspended in these cases.     

Estimating and testing autocorrelation with small samples: A comparison of the c-statistic to a modified estimator

Huitema and McKean (Psychological Bulletin, 110, 291–304, 1991) recently showed, in a Monte-Carlo study, that five conventional estimators of first-order autocorrelation perform poorly for small (< 50) sample sizes. They suggested a modified estimator and a test for autocorrelation. We examine an estimator not considered by Huitema and McKean: the C-statistic (Young, Annals of Mathematical Statistics, 12, 293–300, 1941). A Monte-Carlo study of the small sample properties of the C-statistic shows that it performs as well or better than the modified estimator suggested by Huitema and McKean (1991). The C-statistic is also shown to be closely related to the d-statistic of the widely used Durbin-Watson test.     

Experimental manipulations of responsibility: An analogue test for models of Obsessive-Compulsive Disorder

Several authors attribute excessive responsibility a predominant role in Obsessive-Compulsive Disorder (OCD) [Salkovskis, P. M. (1985) Behaviour Research and Therapy, 23, 571–583; Rachman, S. (1993) Behaviour Research and Therapy, 31, 149–154; van Oppen, P. & Arntz, A. (1994) Behaviour Research and Therapy, 32, 79–87]. The present studies aimed at demonstrating the link between different levels of perceived responsibility and checking behaviors by experimentally manipulating responsibility in non-clinical Ss. In the first study, a sound recognition task was used to compare checking behaviors in Ss with high (HR) and low (LR) perceived responsibility. Only one variable was significantly different, Ss from the HR group reporting more anxiety during the task than Ss from the LR group. Results did not support a link between responsibility and checking behavior. In a second study HR and LR Ss were compared on a manual classification task. Subjects from the HR group hesitated and checked more, and reported more preoccupation with errors and anxiety during the task than Ss from the LR group. Since perceived severity of the outcome was the most variable affected by the manipulation, the implications for current models of OCD are discussed and an alternative explanation is attempted. Finally, clinical implications are examined and suggestions are made for future directions of research.     

Information relevance, working memory, and the consideration of alternatives

People routinely focus on one hypothesis and avoid consideration of alternative hypotheses on problems requiring decisions between possible states of the world--for example, on the “pseudodiagnosticity” task (Doherty, Mynatt, Tweney, & Schiavo, 1979). In order to account for behaviour on such “inference” problems, it is proposed that people can hold in working memory, and operate upon, but one alternative at a time, and that they have a bias to test the hypothesis they think true. In addition to being an ex post facto explanation of data selection in inference tasks, this conceptualization predicts that there are situations in which people will consider alternatives. These are:

1. “action” problems, where the alternatives are possible courses of action;

2. “inference” problems, in which evidence favours an alternative hypothesis.

Experiment 1 tested the first prediction. Subjects were given action or inference problems, each with two alternatives and two items of data relevant to each alternative. They received probabilistic information about the relation between one datum and one alternative and picked one value from among the other three possible pairs of such relations. Two findings emerged; (1) a strong tendency to select information about only one alternative with inferences; and (2) a strong tendency, compared to inferences, to select information about both alternatives with actions.

Experiment 2 tested the second prediction. It was predicted that data suggesting that one alternative was incorrect would lead many subjects to consider, and select information about, the other alternative. For actions, it was predicted that this manipulation would have no effect. Again the data were as predicted.     

“Make things as simple as possible, but no simpler.” A rejoinder to Scruggs and Mastropieri

Scruggs and Mastropieri (Behaviour Research and Therapy, 32, 879–883, 1994) take issue with criticisms of their PND (Percent of Nonoverlapping Data) statistic that we offered in our recent article (Allison & German, Behaviour Research and Therapy, 31, 621–631, 1993), which advocated a regressionbased method for obtaining effect sizes in single-subject studies. They contend that their PND approach has several advantages over our approach because: (1) they believe that, unlike ours, it can take advantage of the small number of observations that are typically available in single-case studies; (2) it is simple to compute; (3) it frees researchers from traditional regression assumptions of normality, homogeneity of variance, and independence of observations and residuals; and (4) it correlates with visual judgements made by experts. As we shall argue, these claims are built upon very questionable assumptions and they are very difficult to substantiate. In addition, we show that the expected value of the PND is so strongly related to sample size as to be rendered meaningless.     

Thought control strategies in schizophrenia: a comparison with non-patients

This study tested the hypothesis that patients with a diagnosis of schizophrenia would report the use of different thought control strategies in comparison with non-patients. The Thought Control Questionnaire [TCQ; Wells, A. & Davies, M. (1994). The thought control questionnaire: a measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871–878.] was administered to 22 patients who met DSM-IV criteria for schizophrenia and 22 non-patients. The results showed that schizophrenic patients used different thought control strategies (more worry and punishment-based strategies, less distraction-based strategies) in comparison with non-patients. The theoretical and clinical implications of these findings are discussed.     

Book reviews and books received

Supporting health care Davis, H. & Faixowfield, L. (Eds), 1991 Counselling and Communication in Health Care Chichester, Wiley €39.50 (hardback); €15.95 (paperback)

Everything you wanted to know about counselling Feltham, C. & Dryden, W. 1993 Dictionary of Counselling London, Whurr €19.95

Therapy with photographs Beyond the Smile: the Therapeutic Use of the Photograph BERMAN, L. 1993 London, Routledge €14.99     

Effects of stimulus-stimulus compatibility and stimulus-response compatibility on response inhibition

Previous studies demonstrated that interference control in stimulus–stimulus compatibility tasks slowed down stopping in the stop signal task (e.g., Kramer, A. F., Humphrey, D. G., Larish, J. F., Logan, G. D., & Strayer, D. L. (1994). Aging and inhibition: beyond a unitary view of inhibitory processing in attention. psychology and aging, 9, 491–512). In the present study, the impact of stimulus–stimulus compatibility and stimulus–response compatibility on response inhibition is further investigated. In Experiment 1, the stop signal task was combined with a traditional horizontal Simon task and with a vertical variant. For both dimensions, stopping responses was prolonged in incompatible trials, but only when the previous trial was compatible. In Experiment 2, the Simon task was combined with a spatial Stroop task in order to compare the effects of stimulus–stimulus and stimulus–response compatibility. The results demonstrated that both types of compatibility influenced stopping in a similar way. These findings are in favor of the hypothesis that response inhibition in the stop signal task and interference control in conflict tasks rely on similar mechanisms.     

Origins of the stuttering stereotype: stereotype formation through anchoring-adjustment

The stereotype of people who stutter is predominantly negative, holding that stutterers are excessively nervous, anxious, and reserved. The anchoring–adjustment hypothesis suggests that the stereotype of stuttering arises from a process of first anchoring the stereotype in personal feelings during times of normal speech disfluency, and then adjusting based on a rapid heuristic judgment. The current research sought to test this hypothesis, elaborating on previous research by [White, P. A., & Collins, S. R. (1984). Stereotype formation by inference: A possible explanation for the “stutterer” stereotype. Journal of Speech and Hearing Research, 27, 567–570]. Participants provided ratings of a hypothetical typical person who stutters, a person suffering from normal speech disfluency and a typical male on a 25-item semantic differential scale. Results showed a stereotype of people who stutter similar to that found in previous research. The pattern of results is consistent with the anchoring–adjustment hypothesis. Ratings of a male stutterer are very similar to a male experiencing temporary disfluency, both of which differ from ratings of a typical male. As expected, ratings of a stutterer show a small but statistically significant adjustment on several traits that makes the stereotype of stutterers less negative and less emotionally extreme than the temporarily disfluent male. Based on the results of this research, it appears that stereotype formation is a result of generalization and adjustment from personal experience during normal speech disfluency.

Educational objectives: The reader will be able to: (1) explain how the negative stereotype of people who stutter arises; (2) discuss the negative implications of stereotypes in the lives of people who stutter; and (3) summarize why the stereotype of people who stutter is so consistent and resistant to change.     

Salkovskis on obsessional-compulsive neurosis: a rejoinder

Salkovskis (Behav Res. Ther. 27, 677–682, 1989) presents a development of his 1985 account, together with empirical findings. A number of criticisms of this work are presented.     

Graphing multivariate data with Chernoff''s faces

Chernoff's faces is one of several icon graphics routines accessible through the SYGRAPH module available through SYSTAT Inc. SYSTAT is a very sophisticated statistics package that has been previously reviewed in the Journal of School Psychology (Roberts, D. M. JSP 25, 313–318, 1987). SYSTAT and SYGRAPH are available for both the IBM PC and the Apple Macintosh computers. The output from this example was produced with SYSTAT 5.1 on a Macintosh computer.     

The effects of self-focused rumination on global negative self-judgements in depression

Previous research in dysphoric participants has found that compared with distraction, rumination inductions are associated with increased levels of cognitive distortions and overgeneral autobiographical memories. Watkins and Teasdale ((2001) Journal of Abnormal Psychology, 110, 353–357) investigated which component of rumination was responsible for this effect in overgeneral memory, and found two distinct modes of ruminative self-focus, with analytical, evaluative self-focus maintaining overgeneral memory, whereas self-focus low in analytical thinking reduced overgeneral memory. The present study compared the effects of these two distinct forms of self-focused rumination with another measure of overgeneral thinking—global negative self-judgements. Thirty depressed participants and thirty never-depressed participants were randomly allocated to ‘analytic’ (high analysis) or ‘experiential’ (low analysis) self-focused manipulations. As predicted, in depressed participants, the analytical self-focus condition increased ratings of the self as worthless and incompetent pre- to post-manipulation, whereas the experiential self-focus condition resulted in no significant change in such judgements. The results are consistent with the hypothesis that an analytical mode of self-focused rumination may be particularly maladaptive in depression.     

Learning history in fear of blushing

Two studies, investigating the learning history (i.e. traumatic conditioning experiences, vicarious learning, informational learning) of individuals with and without fear of blushing, are presented. In study 1, individuals high (n=61) and low (n=59) in fear of blushing completed the (revised) Phobic Origin Questionnaire [POQ; Öst, L. G., & Hugdahl, K. (1981). Acquisition of phobias and anxiety response patterns in clinical patients. Behavior Research and Therapy, 19, 439–447]. In study 2, individuals who applied for treatment for fear of blushing (n=31) and a nonfearful, matched control group (n=31) were interviewed with the same instrument, taking into account only specific memories. High fearful individuals reported more negative learning experiences in connection with blushing than low fearful individuals, irrespective of the type of questioning. Meanwhile, study 1 (written POQ) produced higher percentages of negative learning experiences for both high and low fearful individuals than study 2 (interview). It is concluded that the POQ interview showed a more realistic picture than the written POQ. The possible role of learning history in the acquisition of fear of blushing is discussed.