Effects of speech and language treatment on recovery from aphasia

Language recovery in aphasic patients who received one of three types of speech and language treatment was compared with that in aphasic patients who received no treatment. One hundred aphasic patients were followed from 2 to 4 weeks postonset for 1 year or until recovery, using a standardized test battery administered at systematic intervals. Both treatment methods provided by trained speech-language pathologists were efficacious, while the method provided by trained nonprofessionals approached statistical significance. Small group size prevented resolution of the question of whether one type of treatment was superior to another.     

Phonological processing in Broca's aphasics

Phonological processing was investigated in nine Broca's aphasics. A receptive phonological task examined knowledge of phonotactic rules. Three lists of “word” pairs, phoneme sequences, were constructed such that one member was possible in English and the other was not. The lists varied in distance from English or phonemic structure (CCVC vs. CCVCC). Following auditory presentation, the aphasic was required to indicate which of the two “words” was possible in English. The productive task was an articulation test for monosyllabic and polysyllabic words. The high positive correlation between receptive and productive scores suggested that, rather than motor speech sequencing problems being exclusively involved, more general phonological-articulatory processes were disrupted. Several hypotheses were advanced to describe the nature of this disruption.     

Effects of neutral and positive stimuli on stuttering: “Calling attention to stuttering” revisited

This study investigated the effects of presumably positive and neutral response-contingent stimuli on the occurence of stuttering. Eight adult stutterers spoke spontaneously during a 60-min experimental session, which was divided into three 20-min periods. During Condition I no stimuli were delivered. During Condition II a digital counter and a pair of yellow lights were activated each time the subject stuttered. During Condition III these same response-contingent stimuli were delivered, but with the additional factor that the subject would earn 5¢ each time the counter moved forward and the lights were illuminated. Conditions II and III were counterbalanced across subjects. The experimenter was unaware of which of the two contingencies were operative during Conditions II and III. Results showed no significant changes in occurence of stuttering due to either response-contingent stimulus. A discussion of theoretical and experimental implications is given.     

Programmed stuttering therapy for children: Comparison of four establishment programs

Four different establishment programs (programmed traditional, delayed auditory feedback, pause, and gradual increase in length and complexity of utterance) for improving the fluency of school-age children who stutter were compared. The programs were carried out by eight public school clinicians with 16 children (eight elementary and eight junior-senior high school) in their respective schools. All four programs produced important improvement in the speech fluency of the 16 children. All the children demonstrated transfer of fluency to extratraining settings. The delayed auditory feedback program required the least therapy hours, but it was difficult for the clinicians to operate correctly. The gradual increase in length and complexity of utterance programs produced the best overall results. The transfer and maintenance programs provided for additional generalization and permanency of fluency. Follow-up revealed that the children continued their increased level of fluency.     

Toward an integrated approach to early childhood stuttering

This article proposes a model that integrates various factors influencing early childhood stuttering. The factors interact in a synergistic manner and can be subsumed under three macrofactors: physiological, psycholinguistic, and psychosocial. Such a model can be clinically applied toward an integrated approach to the assessment and treatment of the young stutterer.     

Some effects of lick-contingent delays on the development of schedule-induced polydipsia

Experiments 1 and 2 examined the effects of various durations of lickcontingent delays of reinforcement on the development of schedule-induced polydipsia. Food was provided every 1 min in the absence of licking. Delays of 1 min or more effectively disrupted the development of the licking behavior. In Experiments 3 and 4 a lick-contingent stimulus was provided in addition to the delay of food delivery. A light, which was turned on by a lick and turned off by food, greatly enhanced the development of polydipsia under delays that had previously prevented such development. A tone proved less effective than the light in promoting the development of polydipsia. Adventitious reinforcement and conditioned punishment explanations of these results were considered. A distinction was drawn between the mechanism responsible for the development of schedule-induced behavior and that responsible for its maintenance.     

Teacher attitudes toward stuttering

Attitudes of 100 elementary school teachers toward stuttering were studied using the Teacher Attitudes Toward Stuttering (TATS) Inventory. Teacher attitudes, as indicated by TATS Inventory scores, were compared with teacher knowledge of stuttering, age of teacher, number of years teaching experience, educational level, and whether the teacher had personal experience with a stutterer. Results indicated that significant positive correlations existed between teacher attitudes toward and knowledge of stuttering. Significant negative correlations were demonstrated between teacher attitudes/knowledge of stuttering and the presence of a stuttering child in the classroom. The applicability of the TATS Inventory as a clinical instrument in its current form and the research needed to enhance its flexibility are discussed.     

Remembrance of places lasts: Proactive inhibition and patterns of choice in rat spatial memory

A series of experiments was carried out to evaluate the notion that rats given a sequence of massed daily trials on the radial maze reset working memory at the end of each trial by deleting its contents. Although curves presented by D. S. Olton [Scientific American, 1977, 236, 82–98; In S. H. Hulse, H. Fowler, & W. K. Honig (Eds.), Cognitive processes in animal behavior, Hillsdale, N.J.: Erlbaum, 1978] show that rats return to errorless performance at the beginning of each trial after the first, the fact that accuracy falls less rapidly over choices on Trial 1 than on subsequent trials suggests a proactive inhibition (PI) effect. In Experiment 1, Olton's findings were replicated, and a PI effect was observed on Days 1–2 of testing. On Days 3–5, overall accuracy improved significantly and was associated with the development of a strong tendency for rats to enter adjacent alleys, which became particularly marked on the final trials of a day's testing. In order to prevent rats from achieving accurate performance by using an adjacent alleys pattern, a procedure was used in Experiment 2 which involved initial forced random choices followed by a retention test consisting of free choices. Repeated daily trials with this procedure yielded a significant PI effect, which was more marked at a 60-sec delay than at a 0-sec delay. Experiments 3 and 4 showed this PI effect to be robust and resistant to manipulations designed to produce release from PI. Both the PI effect and a strong tendency found in Experiment 1 for animals to avoid on the initial choices of Trial n those alleys most recently entered on Trial n?1 argue that rats do not reset working memory between trials.     

Effects of simulated stuttering on listener recall

In an investigation of the effects of simulated stuttering on listener recall, a presentation was varied on two factors: degree of stuttering (mild or severe) and information value of stuttered words (low or high). A control presentation featuring non-stuttered speech also was prepared. Five groups of 16 subjects were randomly assigned to, and participated in, one of the five listening conditions. Then they completed a 20-item recall test. A one-way analysis of variance revealed sognificant differences among the five conditions. Two-way analysis of variance disclosed no main effects. However, a significant interaction showed that recall was lowest in the severe stuttering-high information condition. The results are discussed in terms of attention to critical information.     

Spatial memory in rats under restricted viewing conditions

In a procedure devised by J. A. Walker and D. S. Olton (Learning and Motivation, 1979, 10, 73–84), rats were placed on two arms of a four-arm radial maze and then were placed in the center of the maze to test how accurately they could choose the alleys on which they had not been placed. In three experiments, the conditions under which animals viewed the environment from the arms were varied. In Experiment 1, both the extent of spatial view and the exposure time were varied factorially in a within-subjects design; animals viewed the environment down a tunnel or had a 180° or 360° view, and subjects were allowed to view the environment for either 2 or 20 sec. In Experiment 2, a between-subjects design was used, in which different groups of subjects were tested repeatedly under either the tunnel, 180°, or 360° conditions. Both experiments showed that animals could avoid the arms previously visited at no better than a chance level of accuracy in the tunnel viewing condition but could perform with progressively better accuracy at the 180 and 360° viewing conditions. Animals also were more accurate in Experiment 1 after viewing for 20 sec than after viewing for 2 sec. Experiment 3 involved a procedure in which restricted viewing conditions were used both during arm placements and testing. Animals tested under tunnel viewing eventually achieved above-chance performance with this procedure, but did not exceed chance as rapidly as groups tested with 45 and 90° views of the environment. These results suggest that animals can learn about their position in a spatial environment through observation and that an animal's ability to locate its position is directly related to the extent of the surrounding environment it can see and the length of time it is allowed to look. The implications of these findings for list and map hypotheses of spatial memory representation are discussed.     

A case report on the use of flooding in stuttering therapy

The last several years have seen the development and use of anxiety-reduction procedures in stuttering therapy. Among these types of methods, systematic desensitization and reciprocal inhibition have been employed almost exclusively. Emotional de-conditioning by means of flooding or implosive techniques has been attempted far less often. This article presents a case report on the utilization of the flooding tactic. Results are offered and discussed relative to the question of whether the elimination of anxiety is a realistic goal in therapy. The suggestion is offered that what many stutterers may really need to develop is the ability to generate fluency-enhancing behaviors in spite of the presence of heightened emotionality.     

Learning from negative outcomes in stuttering therapy: I. Getting off on the wrong foot

Considering the long history of research into stuttering, it is surprising that so little time has been devoted to the study of factors that contribute to the success of therapy. Even less attention has been devoted to uncovering forces that promote poor treatment outcomes. In this article and the companion piece that follows it, an attempt has been made to delineate what may prove to be predictors of unsuccessful therapy. In this first of the two articles, the focus in on the identification of patient, extraclinical, and clinician variables that could act to negate progress during the establishment phase of treatment.     

The influence of flavor preexposure and test interval on conditioned taste aversions in the rat

The effects of flavor preexposure and test interval on conditioned taste aversions were examined in four experiments. In the first three experiments, prior experience with a flavor different from that used as a conditioned-stimulus (CS) produced attenuated aversions when testing occurred after a 1-day interval but not after a 21-day interval. Preexposure to the same stimulus used as a CS produced attenuated aversions at both 1- and 21-day intervals. In Experiment 4, a delay interval between flavor preexposure and conditioning eliminated the attenuating effect of preexposure, but only when different stimuli were used for preexposure and conditioning. These data could not be easily accounted for by contemporary interpretations of preexposure as an event that interferes with subsequent acquisition of a conditioned aversion. An alternative retrieval interference hypothesis was outlined.     

On ad hoc personality scales: A reply to Burisch

Two recent articles by M. Burisch (1984, American Psychologist, 37, 214–227; 1984, Journal of Research in Personality, 18, 81–98) have presented data bearing on the traditional methods by which personality is assessed. Based on a review of selected empirical studies and analyses of new data, Burisch has concluded that (a) single-item global self-ratings generally yield greater coefficients of criterion validity than questionnaire measures of the same traits, and (b) most existing personality questionnaires can be shortened considerably without any consequent loss in validity. These conclusions stand in direct contrast to previous appeals by Epstein and others for the use of extensive aggregate measures of personality derived according to the axioms of psychometric theory. In response to Burisch, we describe measurement artifacts and strategies of test item selection that account for some of his conclusions and we reiterate the need for the application of conventional construct-based questionnaires in the assessment of personality.     

The reliability of aggregated measurements: Lessons to be learned from psychometric theory

In a recent article, H. D. Day, D. Marshall, B. Hamilton, and J. Christy (1983, Journal of Research in Personality, 17, 97–109) have reported on a series of simulation studies designed to investigate properties of various coefficients of behavior stability as applied to cross-situational data. The results of their research have prompted them to suggest precautions regarding the measurement of behavioral regularity with conventional indices of response consistency. A critical review of their paper reveals aspects of the data, procedures, and interpretations of Day et al. (1983) which undermine many of their conclusions. Notable problems include (a) inappropriate comparisons of internal consistency reliability coefficients based on nonparallel analyses, (b) anomalous data which may be due to errors of rounding or recording, and (c) the failure to recognize certain assumptions underlying reliability estimation. More importantly, it is shown that the investigation of Day et al. (1983) represents primarily an empirical verification of several measurement principles for which algebraic proofs are amply documented.     

The early history of behavior modification of stuttering: A view from the trenches

The attitudes of 644 employers toward stuttering were studied through the use of a questionnaire which required the respondents to indicate their strenght-of- agreement to seven attitudinal statements concerning stuttering. While rejecting the suggestion that stuttering interferes with job performance, the employers agreed that stuttering decreases employability and interferes with promotion possibilities. It was concluded that although stuttering may not typically interfere with job performance, it is a significant vocationally handicapping problem.     

A component model for diagnosing and treating children who stutter

Nine components of stuttering and their distribution among 54 children who stutter are described. The components are arranged into a model that includes four neurologic components (attending disorder, auditory-processing disorder, sentence-formulation disorder, and oral-motor disorder) and five traditional components (high self-expectations, manipulative stuttering, disruptive communication environment, unrealistic parental expectations, and abnormal parental need for the child to stutter). Diagnostic and treatment usefulness of the model are discussed. Thirty-two of the children have been followed through component-based treatment and 12 mo post termination. Results indicate that treatment was successful with 27 (84%) of the 32 children. Only one child regressed during the 12 mo after treatment ended. These results suggest that treating the neurologic and traditional factors which disrupt fluency improves maintenance and carry-over.