Representativeness reasoning and the search for the origins of stuttering: A return to basic observations

In this paper, we present our views on theories of the distal and proximal causes of stuttering. We suggest that the search for the etiology of stuttering has been hampered by the inappropriate use of the representativeness heuristic, a method of reasoning which proposes that the effects of a disorder reflect its causes. We encourage a return to the ideas of Froeschels and Bluemel so that the representativeness heuristic might properly be employed in investigations into the proximal, mechanical causes of stuttering and into the etiological implications of the repetitions of early stuttering.     

Child and mother variables in the development of stuttering among high-risk children: A longitudinal study

In this prospective study, 26 of the 93 preschool children with a parental history of stuttering who began to stutter were compared at preonset and 1 year later with those of a matched group of 26 children who continued to be seen as nonstutterers. These two groups of at-risk children were compared in terms of the development of their articulatory and language skills and in terms of the communicative style and speaking behaviors of their mothers. At preonset, the children who started to stutter demonstrated a faster articulatory rate than those who remained fluent. One year later, however, this difference was no longer statistically significant. The two groups of children did not differ in their linguistic skills at either of these time periods. Moreover, the communicative style and speaking behaviors of the mothers of the children who later began to stutter did not differ from that of the mothers of children who did not either prior to or after the onset of stuttering. This suggests that these variables did not contribute to the onset of stuttering or to its course.     

A clinician survey of speech and non-speech characteristics of neurogenic stuttering

This study presents survey data on 58 Dutch-speaking patients with neurogenic stuttering following various neurological injuries. Stroke was the most prevalent cause of stuttering in our patients, followed by traumatic brain injury, neurodegenerative diseases, and other causes. Speech and non-speech characteristics were analyzed separately for these four etiology groups. Results suggested possible group differences, including site of lesion and influence of speech conditions on stuttering. Other characteristics, such as within-word localization of disfluencies and presence of secondary behaviors were comparable across the etiology groups. The implications of our results for the diagnosis of neurogenic stuttering will be discussed.

Educational objectives: After reading this article, the reader will be able to: (1) provide a concise overview of the main literature on neurogenic stuttering; (2) discuss the speech and non-speech characteristics of neurogenic stuttering; (3) provide an overview of current clinical practices for intervention with neurogenic stuttering patients and their perceived outcome.     

Sudden onset of excessive repetitions in the speech of a patient with multiple sclerosis: A case report

This report provides a detailed analysis of excessive part- and whole-word repetitions in the speech of a 36-year-old male patient hospitalized for treatment of multiple sclerosis (MS) who also exhibited concurrent language and prosodic disturbances. Shortly following his hospitalization, a magnetic resonance imaging examination revealed plaques in the white matter of the medulla, cerebellum, basal ganglion, and periventricular white matter. His speech strongly resembled apractic speech patterns, chiefly syllable segregation. The source of data collected for this study was seven tape-recorded speech samples containing 2536 words spoken in 32.75 min, diagnostic reports, and clinical notes of 27 biweekly speech therapy sessions across a 5-month period. This report focused on an analysis of variables associated with the patient's part- and whole-word repetitions, and it was concluded that they were used as a compensatory device to procure additional time to articulate complex syllables. A brief critique of the therapeutic procedures used for treating his speech problem is also presented.

Educational objectives: The reader will learn about and be able to describe (1) the effects of MS on speech and language; (2) the kinds of data that were gathered to account for this patient's sudden onset of speech and language disorders; and (3) the findings that led them to conclude that his excessive repetitions were compensatory behaviors.     

Asian American career development: A qualitative analysis

This study used a modified version of consensual qualitative research design to examine how contextual, cultural, and personal variables influence the career choices of a diverse group of 12 Asian Americans. Seven domains of influences on career choices emerged including family, culture, external factors, career goals, role models, work values, and self-identity. Furthermore, several overarching themes were discovered that expressed elements of many of these domains. These themes highlighted the pervasive and influential role that both culture and family of origin play in the construction of meaning that these Asian American participants made from their career choices. Implications of these domains and themes and suggestions for future research are discussed.     

Measuring lexical diversity in children who stutter: application of vocd

There is growing but equivocal evidence that the language abilities of young children who stutter (CWS) may be depressed when compared to those of their fluent peers. In particular, the lexical skills of CWS have variously been reported to be weaker or stronger than comparison children in a number of recent studies. One source for such disagreement may be the measures used to compute lexical characteristics of these children’s spoken conversations. In this study, we examined the concurrent validity of two measures of lexical diversity in spontaneous language samples, Type-Token Ratio (TTR) and the newly developed utility vocd (Malvern & Richards, 1997), using a standard test of expressive vocabulary as the comparison measure. Findings indicated that vocd values (“D”) correlated well with standardized measures of expressive vocabulary, while TTR values did not. In addition, both the standardized measure and vocd revealed significantly poorer expressive lexical skills of CWS, whereas TTR analyses did not evidence this difference. Results are discussed in relation to the relative strength of vocd over TTR as a method for describing lexical characteristics of the spontaneous language samples of this population.

Educational objectives: The reader will learn about and be able to (1) identify several common measures of conversational vocabulary and the strengths and weaknesses of each, and (2) compare the performance of the young CWS in this study to their normally fluent peers in terms of vocabulary performance on both formal and conversational measures of vocabulary.     

A Universe of Stories

The complete adoption of a narrative paradigm for therapy is proposed and its implications and possibilities spelled out, especially for life in a post-modern world that lacks any objective frame of reference. In the post-modern sensibility, the story is set free to perform as simply a story that allows for re-invention as the story-teller finds a voice rooted in the person's own experience and in the connection of her story to those of others, and to larger stories of culture and humanity. The realization that we are all characters in each other's stories as well as our own reminds us that our stories only go forward as we act in ways that also forward the stories of others. A hermeneutics for such therapy validates and questions all points of view so that they do not harden into stories that are assumed to be objectively true.     

Integrating complementary and alternative therapies into psychological practice: A qualitative analysis

Although complementary and alternative therapies (CATs) are utilised widely for treating psychological disorders, little research has examined psychologists' beliefs about integrating CAT into psychological practice. Six practicing psychologists and six psychology students were interviewed about their CAT integration beliefs, in particular integrating CAT into clinical practice via recommending CATs, offering referrals to CAT practitioners, or undertaking training to utilise CATs within psychological practice. Guided broadly from a theory of planned behaviour perspective, participants raised a number of costs and benefits, discussed referent groups who would influence their decisions, and suggested motivators and barriers for integration. A number of additional themes were raised, including risks, such as the possibility of litigation and the need for clear Society guidelines, as most participants were unclear about what constitutes appropriate practice. Identifying these themes serves as an important initial step to informing discussion and policy for this emerging practice issue within psychology.     

Mentoring relationships from early adolescence through emerging adulthood: A qualitative analysis

This study compared perceptions of mentoring relationships among early adolescents, middle adolescents, and emerging adults. In ten focus groups, 56 middle school, high school, and college students described relational experiences that were analyzed thematically. Differences in the characteristics of the mentors nominated by the youth across the age groups were noted and five broad themes identified. Three themes were similar across the different age groups: (a) the importance of spending time together and engaging in shared activities, (b) trust and fidelity, and (c) role modeling and identification. Two themes were present in the narratives of all three age groups but played out differently in ways that were consistent with developmental issues and needs of that age group: (a) balancing connection and autonomy and (b) empowerment. These data can help guide future research and practice involving youth mentoring relationships across developmental and disciplinary divides.     

Dimensional analysis of a categorical diagnostic interview: the DICA-IV

The aim of this study is to obtain dimensions from a categorical diagnostic interview. 512 children aged 8 to 17 attending public centers for children's mental health and presenting some form of psychological disorder were interviewed with the "Diagnostic Interview for Children and Adolescents" (DICA-IV). Analysis of the principal components indicate that a two-dimensional model (externalizing-internalizing) satisfactorily explain the data collected from the children and their parents. The data from the adolescents are better represented by a three-dimensional model (attention problems-internalizing-antisocial behavior). The factor scales show good internal consistency and significantly relate to other criteria of psychopathology and incapacity (concurrent validity). These results show that it is possible to use DICA-IV to obtain categorical and dimensional indicators simultaneously. The latter are particularly sensitive for measuring changes over the course of disorders.     

fMRI of developmental stuttering: a pilot study

The purpose of this investigation was to explore the feasibility of fMRI in the study of developmental stuttering. Speech contrasts (loud versus silent reading) and language contrasts (reading of semantically meaningful text versus nonsense words) of six developmental stutterers and six nonstutterers were compared using a commercial 1 Tesla MR-Scanner (Siemens Expert). Results indicate that mapping cortical function in persons who stutter is indeed feasible, even with a 1TMR-system. Compared to normals the stutterers seemed to employ different and particularly less differentiated auditory and motor feedback strategies in speech. They apparently rely on auditory processing and on cerebellar contribution as much during silent reading as during reading aloud. Moreover, they showed a greater involvement of the right hemisphere in language processing, activating not only the typical language areas on the left but also and with equal magnitude the right side homologues of these areas. In spite of the promising results, at present several practical problems such as possible movement artifacts and possible masking through scanner noise still hamper a more straightforward use of fMRI in the study of developmental stuttering.     

A qualitative analysis of emotional effector patterns and their feedback

This paper is devoted to the study of the relationship between the subjective component (feelings) and the behavioral aspect of emotions. The following emotions were studied: fear-anxiety, anger-aggression, joy-laughter, love-eroticism, love-tenderness, and sadness-tears. The observations were performed with three different groups of people: patients with anxiety neurosis, students under hypnosis, and drama students. Each emotion was characterized by a specific set of reactions in the respiratory pattern, heart activity, muscular activity, and facial expression. The feelings were correlated with the behavioral patterns and each time the behavioral patterns were interfered with a concomitant modification of the subjectivity component was observed. The direct performance of the behavioral emotional patterns in the absence of the emotogenic stimulus produced the feeling corresponding to the mimicked emotion. If the subjects were stimulated with an emotogenic stimulus during the direct performance of the behavioral patterns of another emotion, they confessed to have the feeling corresponding to the mimicked emotion, and not to the emotion belonging to the emotogenic stimulus. The role played by the feedback from the effector organs in the determination of the subjective emotional states is discussed.     

A qualitative analysis of contemporary ultra-orthodox rabbinical perspectives on scrupulosity

Scrupulosity is a religiously themed sub-type of obsessive-compulsive disorder. Religious individuals with scrupulosity tend to first turn to clergy for assistance rather than to mental health professionals. This is particularly relevant for Ultra-Orthodox Jewish patients, whose rabbis arbitrate a wide variety of life issues. In the current qualitative study, 15 Ultra-Orthodox rabbis were interviewed regarding their views on scrupulosity and their responses were analysed via grounded theory and thematic networks theory. All rabbis were familiar with scrupulosity and distinguished it from normative behaviors. Their conceptualizations regarding etiology were mostly psychological in nature, as opposed to religious or spiritual. Rabbis were generally supportive of psychology as a professional field and open to collaborating with therapists, although some controversies were raised. Given their isolated lifestyle, these findings are somewhat surprising and encouraging. Results suggest collaboration with Ultra-Orthodox rabbis can be fruitful and at times essential when dealing with scrupulosity.     

Quantitative analysis of qualitative data

This paper presents an overview of an approach to the quantitative analysis of qualitative data with theoretical and methodological explanations of the two cornerstones of the approach, Alternating Least Squares and Optimal Scaling. Using these two principles, my colleagues and I have extended a variety of analysis procedures originally proposed for quantitative (interval or ratio) data to qualitative (nominal or ordinal) data, including additivity analysis and analysis of variance; multiple and canonical regression; principal components; common factor and three mode factor analysis; and multidimensional scaling. The approach has two advantages: (a) If a least squares procedure is known for analyzing quantitative data, it can be extended to qualitative data; and (b) the resulting algorithm will be convergent. Three completely worked through examples of the additivity analysis procedure and the steps involved in the regression procedures are presented.Presented as the Presidential Address to the Psychometric Society's Annual meeting, May, 1981. I wish to express my deep appreciation to Jan de Leeuw and Yoshio Takane. Our team effort was essential for the developments reported in this paper. Without this effort the present paper would not exist. Portions of this paper appear in Lantermann, E. D. & Feger, H. (Eds.)Similarity and Choice, Hans Huber, Vienna, 1980. The present paper benefits greatly from a set of detailed comments made by Joseph Kruskal on the earlier paper.     

A qualitative analysis of sensory phenomena induced by perceptual deprivation

Previous studies have shown that misperceptions and illusory experiences can occur if sensory stimulation is withdrawn or becomes invariant even for short periods of time. Using a perceptual deprivation paradigm, we created a monotonous audiovisual environment and asked participants to verbally report any auditory, visual or body-related phenomena they experienced. The data (analysed using a variant of interpretative phenomenological analysis) revealed two main themes: (1) reported sensory phenomena have different spatial characteristics ranging from simple percepts to the feeling of immersion in a complex multisensory environment and (2) the active contribution of the perceiver where participants report engaging in exploratory processes even when there is nothing to find. Detailed analysis of the qualitative data further showed that participants who reported more perceptual phenomena were more likely to report internal bodily sensations, move more during the experiment and score higher on the Revised Hallucination Scale than those reporting fewer percepts explicitly linking perceptual deprivation to somatic phenomena. The results demonstrate how the variety of sensory experiences induced by perceptual deprivation can give further insight into the factors mediating conscious awareness and may suggest ways in which the brain imposes meaning on the environment under invariant sensory conditions.     

Feared consequences of panic attacks in panic disorder: A qualitative and quantitative analysis

Cognitions are hypothesized to play a central role in panic disorder (PD). Previous studies have used questionnaires to assess cognitive content, focusing on prototypical cognitions associated with PD; however, few studies have qualitatively examined cognitions associated with the feared consequences of panic attacks. The purpose of this study was to conduct a qualitative and quantitative analysis of feared consequences of panic attacks. The initial, qualitative analysis resulted in the development of 32 categories of feared consequences. The categories were derived from participant responses to a standardized, semi-structured question (n?=?207). Five expert-derived categories were then utilized to quantitatively examine the relationship between cognitions and indicators of PD severity. Cognitions did not predict PD severity; however, correlational analyses indicated some predictive validity to the expert-derived categories. The qualitative analysis identified additional areas of patient-reported concern not included in previous research that may be important in the assessment and treatment of PD.     

Pediatric discourse on corporal punishment: A historical review

Corporal punishment is a commonly used, but controversial disciplinary technique. This article reviews the pediatric professional response to corporal punishment over the past century. We focus predominantly on the discourse written to educate pediatricians, for the most part, textbooks. Using the sociologic construction of deviance proposed by Conrad and Schneider, we show how corporal punishment has moved from a condoned behavior to a socially deviant behavior. Based on our review of this literature, we delineate three distinct pediatric professional attitudes toward corporal punishment over this century:(a) corporal punishment as morally sanctioned behavior, (b) corporal punishment as atool for controlling behavior, and (c) corporal punishment as abusive. We show how each of these stances developed and demonstrate how these stances inform paradigms that are still operative today. By reviewing changes in pediatric thought toward corporal punishment, this article provides a useful framework for child health professionals struggling with the appropriateness of corporal punishment as a disciplinary technique.     

College students’ perceptions of calling in work and life: A qualitative analysis

This study examined open-ended responses from 295 college students to questions regarding how they define the construct of calling, how having a calling influences their career development, and the extent to which the term “calling” may apply to areas of life other than work. Results indicated that students perceived a calling as originating from guiding forces, co-occurring with unique fit and well-being, having altruistic features, and extending to multiple life roles. These results largely support recent conceptualizations of calling in the career development literature, and suggest themes to explore in counseling with clients who desire to approach work as a calling.