Comments on the concept of the so-called negative therapeutic reaction

The author recommends a consistent analytic rather than therapeutical or educational response to the negative therapeutic reaction whenever it occurs in the treatment process. This attitude is especially helpful in cases where strivings for autonomy are active behind the negative therapeutic reaction and where these are jeopardized by the intermingling of the patient's projective identifications with those of the therapist.     

Comments on so-called "chronic" and "therapy refractory" depression

The problems of so-called "therapy resistant or chronic" depression has been investigated on own patients of the year 1986, but simply one chronic example could be noticed. Configurations-frequence-analytic research didn't essentially result in significant statements. It is referred to that the frequent occurrence of the so-called "therapy resistant" depressions described by some authors, could be in connection with limited diagnosis inventories and insufficient to the personality orientated therapy regime.     

Aggregation, acquiescence, and the assessment of trait affectivity

General affect ratings are subject to problems that lessen their validity. Some critics therefore have argued that aggregated on-line ratings provide better measures of trait affectivity. However, aggregated mood ratings suffer from two significant problems. First, correlations among same-valenced affects are substantially higher, indicating poorer discriminant validity. Second, cross-valence correlations are much weaker, reflecting a virtual absence of bipolarity. We show how both of these effects are due to an inflated acquiescence component in aggregated data. We also demonstrate that (a) these effects are a direct result of the aggregation process itself and (b) controlling for acquiescence counteracts these effects. These results indicate that the validity of aggregated mood ratings is lessened by an augmented acquiescence component.     

A new empirical angle on the variability debate: quantitative neurosyntactic analyses of a large data set from Broca's aphasia

Behavioral variation in Broca's aphasia has been characterized as boundless, calling into question the validity of the syndrome-based schema and related diagnostic methods of acquired language disorders. More generally, this putative variability has cast serious doubts on the feasibility of localizing linguistic operations in cortex. We present a new approach to the quantitative analysis of deficient linguistic performance, and apply it to a large data set, constructed from the published literature: Comprehension data of 69 carefully selected Broca's aphasic patients, tested on nearly 6000 stimulus sentences, were partitioned in different ways, and subjected to a series of analyses. While a certain amount of variability is indeed evident in the data, our quantitative analyses reveal a highly robust selective impairment pattern for the group: the patients' ability to analyze syntactic movement is severely compromised, in line with the Trace-Deletion Hypothesis. Further analyses suggest that patients' performance on no-movement sentence types exhibits less variation than on sentences that contain movement. We discuss the clinical and theoretical implications of our results.     

Picture-naming in aphasia

The distribution of picture-naming errors for Broca's aphasics (n = 9), Wernicke's aphasics (n = 9), conduction aphasics (n = 9), frontal anomics (n = 7), and posterior anomics (n = 9) was examined to determine the diagnostic power of error types in picture-naming. Negated responses were associated with Broca's aphasia, whole-part errors ("hose" for nozzle) were associated with frontal anomia, and poor phonemic cuing was associated with Wernicke's aphasia. In addition, the relative distribution of the three most prominent naming errors-phonemic errors, semantic errors, and multiword circumlocutions-tended to distinguish the two anomic subgroups from the other aphasia subgroups. Anomic aphasics produced the fewest phonemic errors and the most multiword circumlocutions; this pattern suggests minimal word-production difficulty in anomic aphasia relative to the other aphasia syndromes. Despite such group differences, the overall picture indicates that there is considerable similarity among aphasia syndromes in terms of picture-naming behavior.     

Comprehending homographs in aphasia

This study assessed 13 aphasic subjects' knowledge of the multiple meanings of homographs. The results indicated that the various meanings were less available to aphasic subjects than to normal subjects. In addition, specific meanings became less available as they became less typical although the number of meanings associated with a homograph did not influence performance. Aphasia type also did not influence performance. Performance on the experimental test was significantly correlated with auditory comprehension level and picture naming ability. The results were related to recent findings on semantic organization in aphasia.     

Text comprehension in aphasia

The semantic and pragmatic strategies in the comprehension of spoken texts are investigated in four subgroups of aphasic patients and in normal and brain-damaged controls. Short texts of similar linguistic structure were read to the subjects, who were required to choose the picture, from a multiple choice set of five, that was appropriate to the story. Besides a picture showing the main event of the story, one picture depicted the literal sense of a metaphorical comment, and the others misrepresented semantic functions expressed in the text. With respect to these types of responses, both aphasics and controls exhibited the same pattern of reaction. It is concluded that the redundancy of texts makes up for the difficulties aphasics have in comprehending isolated words and sentences.     

Phonemic imperception in aphasia

This study investigated characteristics of 14 aphasics with impaired phoneme discrimination identified from a population of 100 patients with left hemisphere lesions. All patients with impaired phoneme discrimination were significantly impaired in aural comprehension, but many showed intact sound recognition and some showed normal reading comprehension. Defects in phoneme discrimination were typically seen in the acute stage of aphasia resulting from stroke; and in most instances, defects in phoneme discrimination were no longer apparent 4 months postonset. All patients who recovered normal phoneme discrimination also made significant improvement in aural comprehension. The findings support the concept that some aural comprehension defects result from a specific disturbance in phoneme discrimination.     

Crossed aphasia in multilinguals

Reports of crossed aphasia in single case studies of bilinguals have led to incidence studies of crossed aphasia among larger groups of stroke patients. Among a few others, studies carried out in India (K. R. Nair & Virmani, 1973 Indian Journal of Medical Research, 61, 9; P. Chary, 1986, In Language processing in bilinguals: Psycholinguistic and neuropsychological perspectives) have lent support to the notion of a higher incidence of crossed aphasia among bi- and multilinguals and form major citations in support of the hypothesis that bilingualism could lead to a greater bilateral cerebral representation of languages. This paper reports on the incidence of crossed aphasia in a large unselected population of stroke patients in monolingual and multilingual speakers of South India, which is in agreement with the previous reports of a higher incidence of crossed aphasia in multilinguals. However, along with this high incidence of crossed aphasia a low incidence of sinistrality was also seen. In order to confirm these findings and their significance two further studies were carried out-an incidence study of crossed aphasia in a population of mono- and multilingual aphasics and an incidence study of hand dominance in a normal population. The results and their significance to the issue of crossed aphasia in multilinguals are presented.