Line bisection and cognitive plasticity of unilateral neglect of space

Patients with neglect of the left half of space were asked to bisect lines of different lengths. The leftmost points of the represented lines, determined on the basis of the midpoints set by the patients on the objective lines, were the dependent variable. It was thus possible to recognize diverse patterns of behavior which were conceivably averaged away in earlier investigations. In discussing the results, the question is raised of whether unilateral neglect of space may be altered by cognitive processes.     

Selective deficit of conceptual structures in aphasia: Class versus thematic relations

Conceptual structures in aphasia were investigated by means of a nonverbal test. The understanding of class and thematic relationships was demonstrated to be selectively impaired according to varieties of aphasic deficit. Broca's aphasics showed difficulty evaluating a thematic relationship and did not differ from normal controls as far as class relationships were concerned. The opposite happened for Wernicke's aphasics whose defect seems to be selectively restricted to class relationships.     

Residual reading capability in a patient with alexia without agraphia

A case of pure alexia due to an ischemic lesion of the occipital temporal region is described. Written words could be matched but not read. Immediate memory span for graphemes was defective. The reading defect probably depends on the inability to modify the written word “globally”; the phonological process was intact, but the memory disturbance impeded reading. The dissociation is explained by the preservation of word forms, which are linked to the semantic stage. Nonwritten stimuli trigger a “meaning” which evokes the word form and so the written word is recognized even though it cannot be read.     

Cognitive analysis of a case of pure dysgraphia

An Italian patient with a pure dysgraphia who incorrectly spelled words and nonwords is described. The spelling errors made by the patient were not affected by lexical factors (e.g., frequency, form class) and were qualitatively the same for words and nonwords. The pattern of writing performance is discussed in relation to current models of writing and, specifically, in relation to the role of the Output Grapheme Buffer and Phoneme-Grapheme Conversion in writing.     

Do laterality measures relate to speed of response in central vision?

This study was aimed at determining whether an efficiency index (speed of response in central vision) related to a laterality index (difference in speed of response between right and left field presentations). In Experiment 1 female subjects were required to discriminate facial emotional expressions shown in either central vision or the periphery. In Experiment 2 male and female subjects had to classify as same or different pairs of letters printed in different typefaces. It was found that the efficiency index related (negatively) to the laterality index only in Experiment 1 so that slower responses indicate larger visual field differences. The results are discussed in terms of current models of hemispheric specialization.     

Increased susceptibility of aphasics to a distractor task in the recall of verbal commands

The ability of 15 control, 15 nonaphasic brain-damaged, and 15 aphasic patients to carry out three-word commands on the Token Test was studied under three conditions: no delay, 20-sec unfilled delay, and 20-sec delay filled with a counting task. Only aphasics with mild to moderate comprehension deficit participated in the experiment and their scores in the no-delay condition were not inferior to those of the other two groups. The 20-sec unfilled delay did not bring about a decrement of the performance in any group, while all of them were impaired with 20-sec filled delay. The rate of forgetting was, however, significantly greater in aphasics than in patients without language disorders, even when the scores of the no-delay condition were introduced as covariates in the analysis of the filled-delay condition. The same result was obtained when, in a second experiment, 4 sec elapsed between the end of the command and the beginning of the counting activity. The increased susceptibility of aphasics to the disruptive effect of the distractor task is viewed as following a failure in organizing verbal information, a deficit that may contribute to lowering their comprehension level.     

Compatibility due to the coding of the relative position of the effectors

Response latencies emitted with the hands crossed are slower than those emitted with the hands uncrossed. Two explanations are available for the so-called crossed-hand effect. One attributes it to the non-natural posture of the arms in the crossed position, whereas the other is in terms of a conflict between the code describing the hand and the code describing its position. Experiment 1 disproved the postural hypothesis by showing that crossing the hands has no effect on response latencies in a simple reaction time task. Experiments 2 and 3 replicated the crossed-hand effect in a choice reaction time task and showed that it depends on the relative position of the two hands. In other words, responses are slower when the hand is located in the “wrong” position with respect to the other (e.g., the right hand is located to the left of the left hand), whereas the absolute position, that is the side of the body where the responding hand is located, does not seem to effect the speed of response.     

Hemispheric prevalence in acoustical attention

Two experiments were conducted in which monaural clicks were presented to the right or left ear preceded by biaural verbal (Experiment 1) and musical (Experiment 2) warnings. After the “neutral” warnings, the clicks could be presented to the right or left ear equally often (50%); after the warnings which directed the attention to the left or right ear, the clicks could be presented to either the “expected” (67%) or to the “unexpected” (33%) ear. In Experiment 1 there was a cost effect for the “unexpected” ear and reaction times were significantly faster when the clicks were presented to the right ear. In Experiment 2, the musical warnings brought about a cost effect while no significant ear advantage was observed.     

Anatomoclinical correlations of the aphasias as defined through computerized tomography: Exceptions

We have studied the frequency of exceptions to classical aphasia localizations in right-handed, literate, adult, native speakers of Italian with focal vascular left-hemisphere lesions, correlating clinical and computerized tomography data. Two hundred sixty-seven subjects were given computerized tomography (CT) examinations; lesions were mapped onto lateral diagrams and the sites of the lesions were defined. Patients were then classified as nonfluent aphasics, fluent aphasics, and nonaphasics. Patients with negative CT scans (n = 10) or only "deep" lesions (n = 50) were not studied for anatomoclinical correlations. Of the remaining 207 patients, 36 presented unexpected findings. There were seven cases of fluent aphasia and "anterior" CT lesions and six cases with nonfluent aphasia and "posterior" CT lesions among them. The significance of these findings is discussed.     

Observations on regional cerebral blood flow in cortical and subcortical structures during language production in normal man

Regional cerebral blood flow (rCBF) was studied by single photon emission computerized tomography (SPECT) of inhaled xenon-133 in six normal volunteers during various language, articulatory, and control conditions. Language production increased rCBF in predominantly left-sided cortical and subcortical areas. The involved regions were anatomically related to a left frontal area (Broca's), to both caudate nuclei, to a left thalamic/pallidal area, and bilaterally in retrorolandic areas. The failure to demonstrate lateralized retrorolandic activity is thought to reflect the complexity of the tasks.     

The effect of continuous, intermittent, and "placebo" reinforcement on the effectiveness of the conditioning treatment for enuresis nocturna

It has been suggested that intermittent reinforcement may be of value in reducing the rate of relapse in bedwetting conditioning therapy. An experiment was conducted with 30 enuretic boys to examine acquisition and extinction parameters of continuous (100%), intermittent (70% variable ratio), and “placebo” (0%) reinforcement schedules. Reinforced trials were administered as in the typical Mowrer conditioning procedure. Non-reinforced trials were achieved by means of a time delay with the subsequent alarm being activated in the parent's room rather than in the child's room. These procedures required the development of a new conditioning device which could be programmed to automatically administer the desired schedule of reinforcement. The results of the field investigation revealed that continuous reinforcement (CR) and intermittent reinforcement (IR) groups attained acquisition in approximately the same number of trials and with essentially the same success rate. Relapse rate was significantly greater in the CR group than in the IR group. The placebo group showed no improvement over the 6 weeks of treatment. The results of this study may be interpreted as supporting the tenet that relapse can be viewed and treated as an extinction of the acquired response.     

Effects of question type and experimenter position on bilateral differences in electrodermal activity and conjugate lateral eye movements

28 dextral males participated in a within-subjects experiment which tasted for the effects of question type (verbal versus spatial) and experimenter-position (in front of or behind the subject) on direction of conjugate lateral eye movements (LEMs) and bilateral differences in skin conductance responses (SCRs). Question dependent asymmetries were observed for LEM direction but not for SCR magnitude. Experimenter-position had no significant effect. The results for LEM direction are consistent with the hypothesis linking eye movements to the left or right with activation of the cerebral hemisphere contralateral to the direction of gaze. The results for SCR magnitude, given certain assumptions, can be reconciled with a hemispheric model of contralateral excitatory control of that system.     

Towards a model of stress and human performance

An outline is presented of a model that aims to relate energetical and structural mechanisms of human information processing and to incorporate an interactionally defined stress notion in performance research. The first section summarizes objections to unidimensional notions of arousal and stress. It is concluded that further progress requires the analysis of joint cognitive-energetical processing structures. In the second section two current performance models - in terms of linear stages and resources - are briefly reviewed. Despite a number of problems and objections, it is decided to base the model upon linear stage notions of information processing. This is further elaborated in the third section. In accord with Pribram and McGuinness (1975) three energetical supply systems are proposed which are selectively related to specific cognitive processing mechanisms. Stress is defined as a state of imbalance in the energetical supply which is difficult to restore or to compensate. The final section is devoted to the discussion of some lines of evidence and to suggestions for future research.     

Toward a Reconstruction of Medical Morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

Some types of stability in the study of students' work values

It is suggested the concept of “stability” in the study of work values has at least three facets: (1) hierarchical stability, (2) response pattern stability, and (3) factor stability. These three facets are investigated using a sample of 165 Australian students, assessed using a work values list initially in Grade 12 and then $\text{2}\text{1}\text{2}$ years later during which time all had engaged in full-time tertiary study. Of the 13 work values assessed only independence and intellectual stimulation increased in importance and surroundings decreased. Canonical correlation analysis revealed four significant response patterns which indicated that the same work value may sometimes be stable or changeable in combination with other work values. It was also found using factor analysis that two rotated principal components appeared stable over time. They were identified as an Intellectual Concern factor and People Concern factor. An Extrinsic Concern factor for subjects as high school students was found to differentiate into a Status/Power Concern factor and a Co-workers Concern factor by the time of the second assessment. A Freedom Concern factor found in the Grade 12 assessment was not discovered until $\text{2}\text{1}\text{2}$ years later. The results confirm the need for further theoretical and methodological refinement of the notion of stability in the study of work values.     

Adolescent Decisional Autonomy Regarding Participation in an Emergency Department Youth Violence Interview

Much attention has been given to determining whether an adolescent patient has the capacity to consent to research. This study explores the factors that influence adolescents' decisions to participate in a research study about youth violence and to determine positive or negative feelings elicited by being a research subject. The majority of subjects perceived their decision to participate to be free of coercion, and few felt badly about having participated. However, adolescents who were alone in the room during the assent process were more likely to report that they chose freely to be a research subject. This study may influence the ways physicians communicate with adolescent patients around research assent within a clinical care environment.     

A comment on Koriat,Averill, and Malmstrom's “individual differences in habituation”

The paper considers the issues, raised by Koriat et al. (1973), of the consistency and reliability of measures of habituation currently used in personality research. It is argued that the problem of reliability is not as serious as Koriat et al. proposed and that specificity of measures of habituation is a theoretical rather than a methodological problem. It is proposed that ambiguity in the literature on the personality correlates of habituation is more likely to be due to the failure to consider the effects of stimulus conditions on habituation than to the problems of reliability and specificity.     

The use of a self-control package to enhance temporal generality of a parent training program

The purpose of the present study was to examine the effectiveness of a self-control package in enhancing temporal generality of a parent training program. Sixteen mothers and their clinic-referred noncompliant children were assigned to either a parent training alone group, or a parent training plus self-control group. All mother-child dyads were treated individually by teaching the mother to reward compliance and other prosocial behavior, and to use time-out for noncompliance. In addition, mothers who also received self-control training learned to self-monitor their use of their new parenting skills and to reinforce themselves for use of the skill during a 2 month follow-up period. Assessment consisted of four home observations by independent observers prior to treatment, after treatment, and at a 2 month follow-up. The data indicated that the children in the parent training plus self-control group were significantly more compliant and less deviant at the 2 month follow-up than the children in the parent training alone group. Parental behavior did not differ between the two groups at the follow-up.     

Contribution of the speech musculature to apparent human EEG asymmetries prior to vocalization

Vocalizations are preceded by slow EEG waves over inferior frontal scalp regions, but some controversy exists as to whether these slow potentials are left-lateralized as a function of speech. In this study both speech and non-speech vocalizations were studied, under conditions of repetitive and variable production. Averaged responses over the speech musculature, including the temporalis, masseter, orbicularis oris, and mylohyoid muscles, as well as the eyes and tongue, were calculated simultaneously with scalp EEG averages. The responses of the temporalis and masseter muscles, as well as that of the tongue, were correlated with EEG sites at specific latencies prior to speech, suggesting that no part of the inferior frontal EEG record was free from myogenic confounds. In addition, all significant EEG differences between speech and non-speech conditions were subsequently eliminated by covariance analysis, using selected muscle channels as covariates. Previous reports of asymmetrical “speech potentials” in the EEG probably reflected a combination of several myogenic confounds.     

Symbol complexity and symbol identification with rotated symbols

Previous studies of the identification of rotated symbols have been restricted to either alphanumeric characters or symbols designed to be similar in complexity and type to alphanumerics. These researches have found identification response times to be independent of the magnitude of a symbol's angular displacement from a standard upright position, such findings being typically interpreted as supporting a feature extraction model of identification. In the present experiment complex Japanese characters were used to assess whether such a feature extraction interpretation could be generalized to identifying complex rotated symbols. Identification response times were also found to be constant across all non-standard orientations of the characters, supporting a feature extraction interpretation, but quicker times for standard cases suggested that some qualifications might be necessary.