Palilalia and repetitive speech: two case studies.

Palilalia, a disorder of speech characterized by compulsive repetitions of utterances has been found in various neurological and psychiatric disorders. It has commonly been interpreted as a defect of motor speech. This article describes palilalia and other variants of verbal repetitive behavior, such as monosyllabic iterations and conduite d'approche. The clinical features of palilalia, its prevalence in different language tasks, and the individual patterns of verbal repetitive behavior are illustrated in two patients with a long-standing cerebrovascular disease. An attempt is made to locate the origin of different forms of verbal repetitions in a standard model of speech production (Butterworth, 1980a; Garrett, 1980; Levelt, 1989) by analysis of their morphology and correlation with impairments of lexical or phonological processes. From these observations it is suggested that palilalia results from control malfunctions at the level of the Articulator, whereas other variants of pathological verbal iterations result from an impairment of the Formulator or from malfunctions of both the Articulator and the Formulator.     

Writing impairment in schizophasia: two case studies

Two case studies were conducted of patients suffering from paranoid schizophrenia with glossomanic schizophasia. Their dictation-taking performance was assessed via a comprehensive standardized neuropsychological test battery following a protocol specifically designed for the purpose (Lecours, 1996.). The patients' performance was compared with normative data from the general population. The results show that the patients committed graphemic paragraphias, that is, they replaced target graphemes with others representative of the corresponding phoneme (ph and f for/f/, in French) or with graphemes representative of a similar phoneme (v for/f/). These errors suggest that components of a cognitive model of writing are dysfunctional.     

Derivation by prefixation in Slovenian: two aphasia case studies

The present study is concerned with two Slovenian-speaking patients who were asked to produce, in various tasks, verbs, nouns, and adjectives derived by prefixation with prepositions. Despite differences due to their specific linguistic difficulties, both patients' performance was characterized by the differential processing of prefixes and remaining components of complex words. Prepositions in prefixation were mostly preserved, and less frequently substituted, regardless of the numerous errors produced in the remaining portion of the words. These errors seem clearly determined by the morphological structure of the words and therefore appear to be authentic morphological errors. These findings contribute to the theoretical debate on mental lexical representation, speaking in favor of a morphological decomposition in processing of prefixed complex words at different processing levels.     

Final part-word repetitions in school-age children: two case studies

In contrast to the many published accounts of the disfluent repetition of sounds at the beginnings of words, cases where it is predominantly the final parts of words that are repeated have been reported relatively rarely. With few exceptions, those studies that have been published have described either pre-school children or neurologically impaired subjects. The purpose of this case report was to describe final part-word repetitions in the speech of two school-age boys of normal intelligence with no known neurological lesions. Their speech was recorded during spontaneous conversation, reading, and sentence repetition. The repetitions occurred in all three speaking conditions, although the majority of instances were observed in spontaneous speech, and on both content words and function words. The participants exhibited no apparent awareness of the disfluencies, no abnormal muscle tension, and no accessory behaviours. Each child produced word-final repeated fragments whose phonological structure was highly predictable according to his individual set of rules. The results are discussed in terms of possible motor and cognitive explanations for the disfluencies. EDUCATIONAL OBJECTIVES: As a result of this activity, the participant will be able to: (1) summarize prior research into final part-word repetition; (2) describe the detailed characteristics of final part-word repetitions as displayed by two children of normal intelligence; and (3) discuss ways in which the behaviour might be explained as part of a model of speech production.     

Perceptual, cognitive and linguistic development after early hemispherectomy: two case studies.

Longitudinal data on perceptual-motor, cognitive, and linguistic functioning is reported for two children: one with right hemispherectomy and one with left hemispherectomy. Both levels of functioning and specific profiles of abilities within an area of function are evaluated. The subjects both show effects from damage to the brain: shortened memory span, general perceptual and motor disabilities, and somewhat depressed general intellectual functioning. Areas of comparative strength and weakness in functioning in the two subjects are suggestive of adult patterns of hemispheric specialization, despite the young age of the subjects at the time of brain damage.     

Reformation,gender, and sexuality in Switzerland: two case studies

Abstract

Niklaus Manuel, active in Bern, painter, playwright, and politician, wrote a carnival play in 1525 entitled the Der Ablasskrämer [The Indulgence Seller], which stages seven women as rather aggressive propagators of the Reformation. The first case study examines this play and questions the predominant tendency among scholars to qualify Manuel's staging of women simply as a case of literary inversion. The second case study is concerned with sexual deviance among the Anabaptists of the St. Gall and Appenzell areas of eastern Switzerland in the mid-1520s. It interprets this, in line with other recent research, as an attempt to spiritualize sexuality.     

Behavior modification with culturally deprived school children: two case studies

Techniques of behavior modification were employed with two second-grade Negro girls in a demonstration school for culturally deprived children to increase the girls' appropriate classroom behaviors. A classification system that provided for continuous categorization of behavior was used to code the children's behavior in two classroom situations. Data were also taken on the type, duration, and frequency of the teachers' verbal interactions. The study included four conditions: Baseline, Modification I, Postmodification, and Modification II. The treatment variable was positive social reinforcement-attention and approval contingent upon desirable classroom behaviors-which was presented, withheld, or withdrawn (timeout from social reinforcement). Withholding of social reinforcement was contingent upon inappropriate attention-getting behaviors. Timeout from social reinforcement was contingent upon behaviors classified as aggressive and resistive. After 25 days of Modification I, desirable behavior increased markedly for each girl. The teachers were then asked to return to their Baseline level of performance. The resultant behaviors demonstrated that for one girl, behavior was still primarily under the control of the treatment contingencies. For the second child, many desirable behaviors that had increased in frequency during Modification I remained high, but inappropriate behaviors increased. When treatment was reinstated, the amount of time spent in desirable behaviors increased and remained high for both girls. Three checks during the three months following data collection showed that these behaviors continued to remain high.     

Family studies of psychosomatically ill patients in adolescence

In widening of the diagnostic to the preparation of an Intended Dynamic Group Psychotherapy was realized a common discourse at 40 juvenile patients (at an age of 17 up to 22) with the patients and their parents. Additionally neurosis screenings BFB and VFB and polarity profiles were used. Especially at the families with psychosomatic patients an externally more normal picture is given at all tests inspite of clearer inner familiar strains. This "Pseudo-normality" also is part of all significant concepts of psychosomatics.     

Religion and motion pictures' effects on reversing suicidal intentions: two case studies

Case studies of two veterans contemplating suicide are described. Their suicidal intentions subsided as a result of a rekindling of their Christian faith. Although their Christian beliefs were awakened following their attendance at a motion picture, they both attributed the remission of their suicidal intentions to the practices of their Christian faith in their lives. Despite the favorable outcome, these findings are not generalizable to other cases.     

Family timing in late adolescence and early adulthood: The case of southern males

Social science research and theory about familial orientations and reproductive ideals have largely neglected males' attitudes. Drawing on demographic and status attainment perspectives, this study applies a model of processes underlying marriage and family timing to longitudinal data on 288 young adult males from the Southern Youth Study. Several posited influences of family of origin factors, significant others, and adolescent status and familial aspirations on marital timing and early family growth are assessed.Development of this report was sponsored in part by the Texas Agricultural Experiment Station and contributes both to TAES Project H-2811 and to USDA (CSRS) Regional Research Project S-81, and in part by the Maxwell Policy Center on Aging and the All-University Gerontology Center, Syracuse University through Title IV-C Grant #90-A-1054101 from the Administration on Aging, Department of Health, Education, and Welfare. Information for analysis was obtained by pooling data collected under grants provided by the Agricultural Experiment Stations of Alabama, Georgia, South Carolina, and Texas. Appreciation is expressed to John Womack, Paul D. Mader, and G. David Curry for their advice at various stages of this research.     

Symptomatology of depression in adolescence.

The symptomatology and dimensions of depression in adolescence were studied using the MMPI protocols of 212 adolescent psychiatric patients. A Face Valid Depression Scale for Adolescents was judgmentally developed by five child psychiatrists and psychologists. It included symptoms common to depressive adults and adolescents as well as symptoms peculiar to adolescents, which was confirmed by comparison with adult depression scales. Factor analysis of the scale yielded the following six factors: lack of self-confidence, social abandonment, loss of interests, sadness, somatic symptoms, and acting-out. The second and sixth factors appeared to be particularly characteristic of adolescents.     

Resilience in adolescence: Gender differences two years after the earthquake of L’Aquila

The aim of this study was to evaluate the impact of L’Aquila earthquake (Italy) on Resilience and Coping 2 years after the earthquake in a high school sample. Three hundred and twenty-four male and female students exposed to the earthquake and 147 not-exposed have been assessed with the Resilience Scale for Adolescents (READ) and the Brief COPE. The two way ANOVAs for gender by exposure level to the distressing event showed statistically significant interactions with males exposed to the earthquake reporting consistently higher READ factor scores. Problem-focused but not emotion-focused coping strategies showed a similar pattern. These findings are compatible with a resilient ‘protective mechanism’ for males.     

Gender identity disorder in adolescence: outcomes of psychotherapy.

Gender identity disorder (GID) is characterized by strong and persistent cross-gender identification and by persistent discomfort with one's sex. This paper reviews reports of GID in which adolescent psychotherapy patients initially desired sex reassignment. In addition, four case studies of adolescents with GID, demonstrating different outcomes of psychotherapy, are presented. It is concluded that great caution must be exercised when treating adolescents with GID, and that sex reassignment must not be started before patients have reached eighteen years of age.     

Self-awareness and transgression in children: two field studies

Two field studies explored the relationship between self-awareness and transgressive behavior. In the first study, 363 Halloween trick-or-treaters were instructed to only take one candy. Self-awareness induced by the presence of a mirror placed behind the candy bowl decreased transgression rates for children who had been individuated by asking them their name and address, but did not affect the behavior of children left anonymous. Self-awareness influenced older but not younger children. Naturally occurring standards instituted by the behavior of the first child to approach the candy bowl in each group were shown to interact with the experimenter's verbally stated standard. The behavior of 349 subjects in the second study replicated the findings in the first study. Additionally, when no standard was stated by the experimenter, children took more candy when not self-aware than when self-aware.     

Children's competence and value beliefs from childhood through adolescence: growth trajectories in two male-sex-typed domains

The purpose of this study was to document gender differences in children's competence and value beliefs (N =514) from the 1st through 12th grades and to investigate the relation of these trends to initial differences in parents' perceptions of children's ability. Six separate growth models were tested: math competence, math interest, math importance, sports competence, sports interest, and sports importance. Across all 6 models, children's self-perceptions declined from 1st grade to 12th grade. Gender differences in competence and value beliefs were found. The gap between boys' and girls' competence beliefs decreased over time. In addition, parents' initial ratings of children's ability helped to explain mean level differences and variations in the rate of change in children's beliefs over time, with the effect being strongest in the sports models.     

Testosterone as a social inhibitor: two case studies of the effect of testosterone treatment on language

This study aimed to correlate testosterone levels with natural written language in 2 people undergoing testosterone therapy. Two participants, a man receiving treatment for loss of upper-body strength and a female-to-male transgendered individual, supplied records of injections over 1-2 years along with e-mails or journal entries as writing samples. Results showed that higher testosterone levels correlated with reduced use of words related to social connections. Language relating to anger, sexuality, and achievement was unrelated to testosterone levels. It appears that testosterone steers attention away from social connections but not necessarily toward concerns with aggression or sexual activity.     

Temperament and self-esteem in late adolescence.

The purpose of this study was to investigate the relationship between temperament and self-esteem (or social competence) among late adolescents. The Dimensions of Temperament Scale and the Short Form of the Texas Social Behavior Inventory were administered to 186 students. It was found that Adaptability, Attention/Distractibility, and Reactivity all showed significant correlations with self-esteem. An interactive framework suggested that temperament may mediate how each individual perceives and experiences social demands and constraints, thereby influencing the level of positive regard and success during development.