Discriminant analysis of gross and fine motor proficiency data

Two classes of non-handicapped and two classes of handicapped children (n = 67), aged 5 to 12 years, took part in a study designed to determine whether a regular or specially designed physical education program suited their individual needs best. Initially receiving instruction with class peers each child was administered the 14-item short-form Bruininks-Oseretsky Test of Motor Proficiency. Discriminant analysis of the data indicated that two of the three functions were significant, together accounting for 93% of the variance. For each significant function fewer than half the test items contributed substantial discriminatory power. Over-all, 75% of the subjects were correctly classified but misclassifications occurred in each class; different placements seem appropriate for non-handicapped and handicapped children.     

PET activation studies comparing two speech tasks widely used in surgical mapping

"Automatic" speech, especially counting, is frequently preserved in aphasia, even when word production is severely impaired. Although brain sites and processes for automatic speech are not well understood, counting is frequently used to elicit fluent speech during preoperative and intraoperative cortical mapping for language. Obtaining both behavioral and functional brain imaging measures, this study compared counting with a word production task (generation of animal names), including non-verbal vocalizations and quiet rest as control states, in normal and aphasic subjects. Behavioral data indicated that normal and aphasic groups did not differ in counting or non-verbal vocalizations, but did differ significantly in word production ("naming" animals). Functional brain imaging results on normal subjects using partial least squares analysis of PET rCBF images revealed three significant latent variables (LVs): one for naming and vocalizing, identifying bilateral anterior areas, with left predominating over right; a second LV for naming, identifying left and right frontal and temporal areas. For the third, only marginally significant LV, which was associated with automatic speech alone (counting), right and subcortical sites predominated. For patients, two LVs emerged, identified with naming and vocalization, and corresponding to a variety of cerebral sites; the analysis failed to find a specific latent variable for counting. A comparison between group data for normal subjects and patients suggested that the naming, counting, and vocalization tasks were performed differently by the two groups. These results suggest that word generation as a verbal task is more likely to elicit activity in classical language areas than counting. Further studies are suggested to better understand differences between neurological substrates for non-propositional and automatic speech.     

Health-Related Quality of Life in Women with Eating Disorders: Association with Subjective and Objective Binge Eating

This study examined health-related quality of life (QOL) and its association with different forms of binge eating in 53 women with eating disorders. Participants had enrolled in treatment for anorexia nervosa, bulimia nervosa, binge eating disorder, or other eating disorders not otherwise specified and completed measures of QOL, eating-related psychopathology, and mood disturbance. Eating- and mood-related psychopathology, and to a lesser extent, mental-component QOL scores, were severely impaired in this sample relative to population norms. QOL was significantly and independently predicted by subjective bulimic episodes and compensatory behaviors, including food avoidance, laxative abuse, and self-induced vomiting, accounting for 32% of the variance. Subjective bulimic episodes and food avoidance also independently predicted the physical-component QOL, accounting for 27% of the variance. These findings suggest that subjective bulimic episodes may be independently associated with impairment in QOL and may require specific attention as targets of treatment.     

Display vs. memory search for digits and faces among mentally handicapped and MA-matched non-handicapped youngsters

This experiment was designed to explore possible explanations for handicapped individuals' characteristically poor performance on memory scanning tasks. Independent variables included group (mentally handicapped vs. non-handicapped), type of search (display vs. memory), type of stimuli (digits vs. pictures of unfamiliar boys' faces), and load (2, 3, or 4 items to be searched). Results indicated that handicapped and non-handicapped groups did not differ when searching displays but did when searching memory, which suggested that the handicapped group's most significant impairment was specific to some aspect of memory search. Handicapped youngsters were also hindered by increasing loads more than control youngsters were. This result as well as impairment in memory search may have been due to handicapped youngsters' relatively short visual spans. The groups did not differ in their response to the two types of stimuli, faces and digits. Facial search was a considerably more demanding task than digit search for handicapped and normal children.     

Verb retrieval in brain-damaged subjects: 2. Analysis of errors

Verb retrieval for action naming was assessed in 53 brain-damaged subjects by administering a standardized test with 100 items. In a companion paper (Kemmerer & Tranel, 2000), it was shown that impaired and unimpaired subjects did not differ as groups in their sensitivity to a variety of stimulus, lexical, and conceptual factors relevant to the test. For this reason, the main goal of the present study was to determine whether the two groups of subjects manifested theoretically interesting differences in the kinds of errors that they made. All of the subjects' errors were classified according to an error coding system that contains 27 distinct types of errors belonging to five broad categories-verbs, phrases, nouns, adpositional words, and "other" responses. Errors involving the production of verbs that are semantically related to the target were especially prevalent for the unimpaired group, which is similar to the performance of normal control subjects. By contrast, the impaired group had a significantly smaller proportion of errors in the verb category and a significantly larger proportion of errors in each of the nonverb categories. This relationship between error rate and error type is consistent with previous research on both object and action naming errors, and it suggests that subjects with only mild damage to putative lexical systems retain an appreciation of most of the semantic, phonological, and grammatical category features of words, whereas subjects with more severe damage retain a much smaller set of features. At the level of individual subjects, a wide range of "predominant error types" were found, especially among the impaired subjects, which may reflect either different action naming strategies or perhaps different patterns of preservation and impairment of various lexical components. Overall, this study provides a novel addition to the existing literature on the analysis of naming errors made by brain-damaged subjects. Not only does the study advance our knowledge of the relatively under investigated topic of action naming errors, but it also approaches the analysis from the point of view of a detailed, theoretically motivated, and reliable error coding system.     

Stimulus overselectivity in autistic,trainable mentally retarded,and non-handicapped children: Comparative research controlling chronological (rather than mental) age

Much of the comparative research on stimulus overselectivity has been flawed by either failure to control for chronological age and language ability of the subjects or reliance on the controversial technique of matching on mental age. The present study investigated the prevalence of overselectivity in autistic, trainable mentally retarded, and non-handicapped children demonstrating some expressive speech. The ages of the children were between 6 years-6 months and 9 years-3 months. Thus, chronological age and language ability were controlled, rather than allowed to vary unsystematically. Results indicated no significant differences between the autistic and TMR samples, but significant differences between the handicapped samples and the non-handicapped group. Some, but not all, of the handicapped children displayed overselectivity.     

Is continuous visual monitoring necessary in visually guided locomotion?

Subjects were asked to walk to targets that were up to 21 m away, either with vision excluded during walking or under normal visual control. Over the entire range, subjects were accurate whether or not vision was available as long as no more than approximately 8 sec elapsed between closing the eyes and reaching the target. If more than 8 sec elapsed, (a) this had no influence on distances up to 5 m, but (b) distances between 6-21 m were severely impaired. The results are interpreted to mean that two mechanisms are involved in guidance. Up to 5 m, motor programs of relatively long duration can be formulated and used to control activity. Over greater distances, subjects internalized information about the environment in a more general form, independently of any particular set of motor instructions, and used this to control activity and formulate new motor programs. Experiments in support of this interpretation are presented.     

Intact visual discrimination of complex and feature-ambiguous stimuli in the absence of perirhinal cortex

The perirhinal cortex is known to be important for memory, but there has recently been interest in the possibility that it might also be involved in visual perceptual functions. In four experiments, we assessed visual discrimination ability and visual discrimination learning in severely amnesic patients with large medial temporal lobe lesions that included complete lesions of perirhinal cortex. Experiment 1 tested complex visual object perception. Experiments 2a and 2b tested in two different ways the ability to discriminate between feature-ambiguous images, which was reported to be impaired in monkeys with perirhinal lesions. Experiment 3 involved images that were successfully discriminated in Experiment 2a and asked patients to learn across 20 trials which of the images had been designated as "correct." Patients performed as well as controls in Experiments 1, 2a, and 2b, but one of the patients had difficulty in Experiment 3 when the task required remembering from trial to trial which image was "correct." These findings indicate that perirhinal cortex is not needed for visual perception across a wide range of visual perceptual tasks.     

Waking and dreaming: related but structurally independent. Dream reports of congenitally paraplegic and deaf-mute persons

Models of dream analysis either assume a continuum of waking and dreaming or the existence of two dissociated realities. Both approaches rely on different methodology. Whereas continuity models are based on content analysis, discontinuity models use a structural approach. In our study, we applied both methods to test specific hypotheses about continuity or discontinuity. We contrasted dream reports of congenitally deaf-mute and congenitally paraplegic individuals with those of non-handicapped controls. Continuity theory would predict that either the deficit itself or compensatory experiences would surface in the dream narrative. We found that dream form and content of sensorially limited persons was indifferent from those of non-handicapped controls. Surprisingly, perceptual representations, even of modalities not experienced during waking, were quite common in the dream reports of our handicapped subjects. Results are discussed with respect to feedforward mechanisms and protoconsciousness theory of dreaming.     

Cognitive style and moral judgement in mentally handicapped and non-handicapped children of equal mental age*

Forty-seven mentally handicapped and 47 non-handicapped children matched on mental age were assessed with Kagan's Matching Familiar Figures Test (MFFT) and a Piagetian measure designed to elicit moral judgements. No significant differences were observed in the error and latency scores between the two groups nor in the proportion of reflective, impulsive, fast/accurate or slow/inaccurate individuals. The results also indicated that the subjects did not differ in their level of moral judgement; although reflectives made moral judgements on the basis of intention rather than consequence. Moral judgement was not significantly correlated with performance on the MFFT. The findings were interpreted as being consistent with Zigler's developmental concept of cultural-familial retardation and suggesting that the ability to solve moral dilemmas appears to involve cognitive capacities.     

Experimental Studies of the Relation Between Rate of Reading and Speed of Association

Three groups of Ss read a five-paragraph story. One group read the middle paragraph under conditions of .2-second DAF. The other two groups functioned as control groups. Both an immediate and a delayed oral recall were obtained. The usual changes in reading rate were observed. Immediate memory for the material presented under DAF was severely impaired. Delayed retention showed a marked relative increase, but not enough of an absolute increase to eliminate the significant difference between the experimental and the control groups.     

Social Desirability and Attitudes Toward the Disabled

This study explored the influence of social desirability (SD) on responses of non-handicapped persons to three attitude-toward-disability scales under conditions that varied the personally evaluative nature of the testing situation. The design of the study was based on an adaptation-level model. 280 undergraduates were divided into 3 experimental groups. All were administered the SD scale. Each group was then exposed to one of 3 sets of instructions that varied the emphasis on personal evaluation. Subjects were then administered 3 attitude-toward-disability scales that differed in degree of test structure. Results indicate that those who had high SD needs responded with significantly more positive attitudes toward the disabled on each of the attitude scales. Variations in test instructions were effective in modifying responses of high SD subjects on two of the scales.     

Impairments of nonverbal oral movements after left hemisphere damage: A followup analysis of errors

Acquisition of a task requiring the imitation of a series of nonverbal oral movements is most severely impaired in patients with aphasic disturbance. However, nonaphasic patients with left hemisphere damage also perform more poorly than patients with right hemisphere damage or normal control subjects. Analysis of the errors made on the multiple oral movements task reveals that left, but not right, hemisphere damage is highly associated with perseverative responses. Patients with right hemisphere damage do not differ significantly from normal control subjects in the acquisition of or in the type of errors made on the task. It is suggested that the left hemisphere plays an important role in the control of nonverbal oral movement production.     

Recall and recognition are equally impaired in patients with selective hippocampal damage

In two recent studies, the hypothesis that recall is more severely impaired than recognition in patients with damage thought to be limited to the hippocampus was tested. Yonelinas et al. (2002) reported findings that appeared to support this hypothesis, whereas Manns, Hopkins, Reed, Kitchener, and Squire (2003) found that recall and recognition were equally impaired. An analysis of the individual subject data from the two studies revealed that the apparent disagreement stemmed from the inclusion of a single outlying recognition score for 1 of the 55 control subjects in Yonelinas et al. (2002). When that outlier was excluded, the studies were in agreement that recognition and recall are substantially and similarly impaired in these patients. Yonelinas et al. (2002) also analyzed remember/know judgments and ROC data in an effort to show that recollection is selectively impaired in patients, but these analyses also raise problems.     

Differential Predictability: Selection of Handicapped and Non-handicapped

This research is concerned with the question of differential predictability of handicapped and non-handicapped subgroups. The specific question posed was: Is the performance of non-handicapped subgroups of skilled, clerical, and non-skilled workers more predictable than that of handicapped subgroups when aptitude measures are used as predictors? Correlations between scores on selected scales of the GATB and a composite performance criterion were obtained for each of the subgroups. Results showed a pattern of consistently lower validities for the handicapped which suggests that aptitude measures typically used in selection may not be appropriate for the handicapped, and that validity coefficients may be diluted by the inclusion of this subgroup with the non-handicapped in validity studies.     

Verbal self-correction behaviors of fluent and nonfluent aphasic subjects

This investigation examined the use of six explicitly defined verbal self-correction behaviors by fluent and nonfluent aphasic subjects of high and low verbal ability, and by subjects further classified into six groups according to type of aphasia (Broca's, Anomic, Wernicke's etc.). Aphasic groups, on the average, generated some type of verbal self-correction effort on more than half of their initially erroneous responses, and the proportions of these efforts did not differ between aphasic patient groups. Significant differences in self-correction success were found, however, between groups classified according to fluency and severity, as well as among the six groups based on type of aphasia. In the former case, distinctions in self-correction skill favored high-verbal-ability groups regardless of fluency classification. In the latter instance, the subgroups typically formed by less severely impaired patients (Anomic and Broca's) had significantly higher proportions of successful self-correction behaviors than those comprised of individuals with more severe involvement (Wernicke's and Broca's plus severely limiting apraxia of speech). Between-group differences for specific types of self-correction behaviors occurred rarely, but those which were found could be related to characteristics of the particular aphasic groups under consideration. Verbal self-correction behavior is discussed as a behavioral reaction to an erroneous response or dissatisfaction with the quality of an intended response. These behaviors are viewed as indicators of the intactness of an aphasic individual's self-monitoring system, and of his tolerance for responses that are qualitatively limited by his verbal deficits.     

The Use of Criteria in Decision Making Regarding the Placement of Hearing Impaired Children

This article investigates the relationship between the criteria used for placement by groups of placement team members and by groups of professionals in the area of education of hearing impaired children. Eight groups of subjects were asked to make decisions regarding the placement of hearing impaired children in simulated case studies and 26 Committees on the Handicapped were asked to place one simulated case in the committee setting. The placements were analyzed using multiple regression techniques. Results, as predicted, show that the various groups place relatively different importance on the variables, although several emerge as important to all groups. The analysis of committee placements indicates a tendency for placements more restrictive than those made in the individual task.     

Obesity-Related Quality of Life and Distorted Self-Body Image in Adults

Quality of life (QOL) is associated with body mass index (BMI). Self-awareness of false body image may influence the behavior of weight control and QOL. This study was conducted to identify the relationships between BMI and QOL, and distortion of self-estimated body image and its impact on QOL and the general health of Korean adults. A total of 229 adults who visited two university hospitals in Seoul and Chungju cities for regular health check-up responded to a questionnaire. To assess QOL, a Korean version of the obesity-related Quality of Life Scale (KOQOL) was used. The results showed that obesity-related quality of life decreased as BMI increased and as alcohol consumption became heavier. In the low weight and normal body weight groups, a portion of the groups had a more obese self-estimated body image than their actual BMI. In the overweight and obese groups, some had a leaner self-estimated body image than their actual BMI. Persons who had a self-body image of being fat had a low QOL. For Korean adults over 20 and under 65, a higher BMI is associated with a lower obesity-related quality of life. Persons who thought themselves fat had a lower QOL, regardless of their real body type.