The analysis of verbal interactions occurring during consultation

This article describes a consultation analysis technique for coding conversion between a consultant (e.g., psychologist) and a consultee (e.g., teacher) serving a client (e.g., student). Consultation analysis classifies the topics discussed in consultation, the verbal processes exhibited during consultation, and the extent to which one participant in consultation controls the kinds of things which another participant says. Uses of consultation analysis in training and research are discussed.     

Progressive changes in articulatory patterns in verbal apraxia: A longitudinal case study

This research reports findings in a 10-year study of an apraxic adult, who was one of five subjects described by Shankweiler and Harris, (Cortex, ,2 277–292, 1966). Confusion matrices and feature analysis were used to compare 1965 and 1975 performances. Results indicate that over the 10-year period, errors of place, manner, and omission were markedly reduced. Voicing errors, however, while reduced in total number, still constituted a significant percentage of the patient's residual errors. Implications of these findings are discussed.     

Formal paraphasias: A single case study

A case study is reported of an aphasic patient, RB, who showed frequent form-related whole-word substitutions in oral naming, writing to dictation, and reading aloud. In both written language tasks, the abstractness of the targets influenced the number of formal errors. In oral naming, a high proportion of formal paraphasias was related to the intended words in both form and meaning. A comparison between targets and formal paraphasias indicated a high agreement both in word class, number of syllables, stress pattern, and in basic (stressed) vowels. The agreement in consonants (including word-initial consonants), however, was low. It is argued that RB's formal substitutions are not caused solely by errors of lexical selection but that semantic, lexical, and segmental factors contribute to the error outcome.     

Family systems consultation with an athletic team: A case study of themes

Abstract

Utilizing family therapy theory and techniques to consult with businesses and other organizations has grown in popularity. In recent years, systems consultation has also been utilized with athletic teams (Schindler-Zimmerman, Washle, & Rotinsky, 1990; Zimmerman & DeVoe, 1993; Zimmennan & Protinsky, 1993; Zimmennan, 1991, 1993). The literature on systems consultation and athletic teams has primarily focused on interventions, guidelines for consulting with athletic teams, common concerns of athletes and specific theories utilized. This article presents themes which emerged from a consultation case study with a university women's athletic team. The themes emerged from videotape analysis using qualitative methodology. This presentation of themes will give the reader a flavor of systemic consultation with athletic teams including typical issues, team structure, and the similarities between families and sports teams.     

Interaction between verbal and gestural language in progressive aphasia: a longitudinal case study.

The objective of this longitudinal study is to investigate the on-line interaction between praxis and linguistic abilities in a progressive aphasia case. During 3 years of evolution, procedural discourse of a progressive aphasic patient was videotaped five times, allowing us to analyze the progression of both language and gestural production as well as the interaction between these two. We anticipated that, in the absence of apraxia, the patient would compensate for her speech deficit by producing progressively more and more meaningful gestures. Our compensatory hypothesis was confirmed but the compensation was not as efficient as one would expect given the absence of apraxia. With the progression of the speech deficit, the patient could not replace some verbs by pantomimes that were otherwise accompanying her discourse in the preceding testing sessions. We suggest that such a compensatory ability may constitute one important characteristic of the progressive aphasia syndrome.     

Mother-child verbal interchange: A descriptive study of young children's verbal behavior

The theoretical importance of the linguistic data available to the child in his natural environment has been increasingly emphasized in recent work on child language acquisition. This study sought to describe a portion of such data as contained in maternal verbal behavior and to analyze its influence on the child's usage of speech. The subjects were five 21-month-old children and their mothers. The mother-child verbal interchange was recorded during free-play situations carried out both at the subject's home and in a playroom. The interactive patterns of mother-child utterances were analyzed with regard to the kind and frequency of verbalizations, and the temporal intervals between them. Results showed that the temporal pattern of mother-child interchanges was characterized by significantly shorter pauses (<2 s) for mothers than for children. A variation in this pattern, consisting of pauses longer than 4 s, was associated with certain kinds of ongoing mother-child verbal behaviors. Thus mothers showed selectiveness, in varying degrees, in responding to the child's utterances, and their verbal responses had differential effects on the child's subsequent verbal performance. These effects were described as “initiating”, “maintaining”, or “ending” verbal chains, or else as “non-reacted” utternances. Moreover, the amount of verbalization by the children was positively correlated with the proportion of the mother's output that consisted of immediate responses to the child, and not with the total verbal output.     

A computational account of deep dysphasia: evidence from a single case study.

We present a case study of a patient, NC, who demonstrates the defining characteristics of deep dysphasia including semantic errors in repetition and an inability to repeat nonwords. In addition, NC's single word repetition and lexical decision performances are influenced by the imageability of the word input. NC also demonstrates a severely restricted phonological short-term memory (one digit, one word). Although his phonological discrimination is good in a minimal pairs judgment task, it becomes impaired when a delay is imposed or rehearsal is prevented between presentation of each member of a pair. NC's output is fluent but contains many formal paraphasias and neologisms. NC's total language profile is evaluated within the framework of Dell's (1986) interactive spreading activation model of language production. Adapting this output model to input processes, we account for all of NC's deep dysphasic symptoms as well as his pattern of production in a way that is more parsimonious than other attempts to model this disorder. In particular, we suggest that the semantic and formal paraphasias in naming and repetition result from a pathological increase in the rate of decay of primed nodes in the semantic-lexical-phonological network. This rapid decay increases the probability that phonologically and/or semantically related lexical nodes primed by top-down and bottom-up feedback during the operation of lexical activation and retrieval will be activated and selected instead of the lexical target. The advantages of using this model to account for aphasic symptoms and the implications for other lexical theories are discussed.     

The fractionation of arithmetical skills: A single case study

A single case study of a patient with a selective impairment of arithmetical calculation is reported. DRC became severely acalculic after sustaining a left parietal intra-cerebral haematoma. His numeracy skills were documented as fully as possible. It was found that his knowledge of the significance of individual numbers and his concept of quantity appeared to be intact, but simple addition, subtraction and multiplication were all performed laboriously and inaccurately and his performance was inconsistent from trial to trial. Further it was shown that it was his knowledge of arithmetical facts not his knowledge of arithmetical operations which was impaired. The findings are discussed in relation to models of arithmetical calculation and it is concluded that for DRC there was a deficit in accessing one category of verbal semantic knowledge systems, namely arithmetical facts.     

Evaluation of changes in mother-infant brief psychotherapy: A single case study

Representation-oriented brief psychotherapy with mother-infant dyads is used to examine correspondences between maternal behaviors and maternal representations of her infant. A single case study is presented to illustrate how one can objectify interactional variables that may correspond behaviorally to underlying maternal mental representations. This paper presents the results of a collaboration that focuses on the process of enacting fantasy via the domain of behavior. Attention is drawn to interacted themes that are enacted versions of representational themes. Enacted themes are pathogenic in behavioral terms for the infant. Five themes are identified in the case material. Changes in the mother's representations affect both the mother-infant relationship and the infant's functioning.     

Training teachers in behavioral consultation and therapy: An analysis of verbal behaviors

This study evaluated the relative effectiveness of two teacher-training packages under two analogue consultation conditions in a 2 × 2 completely randomized factorial design. The subjects were 56 elementary school teachers in an urban school district in Arizona. The conditions included a training package of classroom behavior modification and consultation, a training package of consultative service procedures, and general multidisciplinary team processes (a nonspecific control). The consultation conditions included one variant in which very specific consultant questions were presented, and a second in which much more general, somewhat vague, consultant elicitors were presented to subjects in problem-identification, problem-analysis, and problem-evaluation behavioral consultation analogue interviews. The effectiveness of these training packages was evaluated in respect to knowledge of behavior modification principles and concepts, and the frequency of specific categories of consultee verbal behaviors. The results indicated that the experimental training package was effective in increasing teachers' knowledge of behavioral procedures and in increasing the frequency of teacher verbalization regarding overt child behaviors and behavioral intervention plans during the problem identification and problem analysis phases of consultation. It was also found that even after training, specific consultant questions were important in eliciting consultee statements related to environmental conditions surrounding behavior. The use of more general consultant verbal behaviors resulted in significantly more vague, unspecified, and irrelevant types of consultee verbalizations. Implications for future research are discussed.     

Repetition and verbal STM in transcortical sensory aphasia: a case study

The repetition performance of a patient (S.T.) with transcortical sensory aphasia is examined in four experiments with particular emphasis on the STM capacities underlying her performance. S.T.'s repetition of word strings exceeding her span (two words) is characterized by good recall of the final items and a strong tendency to lose the initial items in the input string. This pattern contrasts with the serial position effects observed in a phonologically based STM impairment, and it is suggested that a lexical-semantic impairment, also evident in S.T.'s naming and lexical comprehension, contributes to her inability to retain the primacy portions of the input string. Lexical effects obtained in her reproduction of words and nonwords, as well as word strings (Experiments 1 and 2), indicate that under conditions of impaired semantics S.T. is relying on lexical phonological information to repeat. Priming by repeated exposure (Experiment 3) failed to improve her repetition performance, indicating that access to lexical information is brief and dependent on recent phonological input. In Experiment 4, the role of syntactic structure in S.T.'s sentence repetition was examined, and it was shown that syntactic structure affects the recall of order information, but not the number of items recalled. The repetition and verbal STM abilities of this patient, in light of her total language profile, are then evaluated in the context of a language-based view of verbal STM.     

Temporal coordination of phonation and articulation in a case of verbal apraxia: A voice onset time study

A study of voice onset time (VOT) in stop production was undertaken in order to investigate the hypothesis that the voicing feature errors in the speech of an apraxic patient (Sands, E. S., Freeman, F. J., & Harris, K. S. 1978. Brain and Language, 6, 97–105) were related to deficits in temporal coordination of phonation and articulation. Results demonstrated that the VOTs of the apraxic subject differed markedly from those of normal subjects. The apraxic productions did not include voicing lead for voiced stops. Lag times for voiced stops were longer than normal, while those for voiceless stops were shorter than normal, yielding a compression of the two categories and a marked overlap.     

A.R. luria's contribution to the study of the verbal control of behavior

Summary This paper examines Luria's contribution to research on the verbal control of behavior, which spanned from the 1930s to 1962. The speechmotor method utilized in the original Soviet experiments is reviewed, and the central methodological issues discussed. The internalization of speech is suggested as a theoretical problem yet to be adequately explained in cognitive or behaviorist theory.     

Comparative analysis of a client's verbal responses in counseling sessions: quantitative case study

This study investigated how the in-session change in a client's verbal behavior might influence the effectiveness of counseling sessions. 10 sessions of counseling with a male undergraduate suffering from depressive mood were conducted by a humanistically oriented counselor. The two most effective and the two least effective sessions were identified according to the client's evaluation of the effectiveness of counseling sessions. Results indicated that over the three segments of the most effective sessions, the client gradually increased responses that indicated exploration of his own emotions, thoughts, and behaviors. By contrast, the client continued talking mainly about past events in a storytelling manner throughout the least effective sessions.     

Short-term memory and verbal learning with auditory phonological coding defect: a neuropsychological case study.

A patient is described with a rarely reported linguistic syndrome: he could repeat words but not nonwords. The patient produced semantic paraphasias in repetition and could read both words and nonwords flawlessly. His basic difficulties were localized in auditory phonological coding, identifying a clinical picture called "phonemic deafness." Short-term memory and verbal learning results suggested that a standard, selective short-term memory defect can be induced by auditory phonological coding deficits as well as by "pure" short-term memory capacity limitation and other phonological deficits. Findings also provided evidence that lexical-semantic code can allow normal verbal learning.     

Towards a unitary account of access dysphasia: A single case study

Abstract

We report the case of a patient, H.E.C., with a profound verbal comprehension impairment. His comprehension impairment involved both common names (animal and inanimate items) and proper names. Within the proper name category, his comprehension of country and famous peoples' names was better than his comprehension of common forenames. By using matching to sample techniques, H.E.C.'s impairment was found to be affected by presentation rate and by semantic relatedness, but not by word frequency. An analysis of his responses showed marked inconsistency and serial position effects (i.e. a decrement of performance on subsequent presentations of the same items). H.E.C.'s comprehension deficit was interpreted in terms of an “access” impairment within the word-meaning system. A unitary account of this impairment in terms of a deficit that delays the return, following activation, of the set of representations underlying a word, to a “ready state” is proposed.