Imitating step by step: a detailed analysis of 9- to 15-month-olds' reproduction of a three-step action sequence

To investigate what infants around their first birthday learn from observing an action sequence, 9- to 15-month-olds' imitative behavior was compared in three conditions: a demonstration group watched three target action steps and a final outcome, a control group observed only the third step and final outcome, and a baseline group received no demonstration. After a short delay, the demonstration infants of all ages produced more target actions than the control and baseline infants. Moreover, the latency to the first step was shortest in the demonstration condition. Data about the performance of the single steps in each age sample revealed which target actions were novel to the infants, and which steps were learned by observation. Infants in the control condition did not generate the unseen target action steps. It is concluded that infants' memory capacity and their ability to encode action-effect relations contribute to their imitation of an action sequence.     

Production deficits in aphasia: A voice-onset time analysis

An experimental study was conducted to examine phonetic and phonemic deficits in the speech production of aphasics. Subjects included four Broca's aphasics, four Conduction aphasics, five Wernicke's aphasics, one nonaphasic dysarthric patient, and four normal controls. The subjects read a list of words containing word-initial stop consonants which were subsequently measured acoustically for voice-onset time. The results showed that Broca's aphasics exhibit a more severe production disorder than Conduction aphasics who in turn exhibit a more severe disorder than Wernicke's aphasics, in accord with clinical observations. In addition, although Broca's aphasics produced both phonetic and phonemic errors, the results showed that they have a pervasive phonetic disorder which affects their correct target productions as well as the total number of phonetic errors produced. This deficit however seems to be a speech deficit rather than a low-level motor control problem. In contrast, the Wernicke's aphasics show a deficit characterized by isolated phonemic mistargeting errors. Finally, the pattern of productions for the Conduction aphasics indicates that some patients show a predominantly phonetic disorder similar to the Broca's aphasics and others show predominantly a phonemic disorder similar to the Wernicke's aphasics.     

2001 INVITED ADDRESS: Empowerment Evaluation: Building Communities of Practice and a Culture of Learning

Empowerment evaluation is the use of evaluation concepts, techniques, and findings to foster improvement and self-determination. Program participants—including clients—conduct their own evaluations: an outside evaluator often serves as a coach or additional facilitator depending on internal program capabilities. Empowerment evaluation has three steps: 1) establishing a mission; 2) taking stock; and 3) planning for the future. These three steps build capacity. They also build a sense of community, often referred to as communities of practice. Empowerment evaluation also helps to create a culture of learning and evaluation within an organization or community.     

Short-term retention of lexical-semantic representations: implications for speech production

Patients with semantic STM deficits have difficulty comprehending sentences that require the retention of several lexical-semantic representations prior to their integration into higher-level propositions (Martin, 1995: Martin & Romani. 1994). In Experiment 1, patients with a semantic retention deficit had difficulty with the same type of constructions in speech production, namely noun phrases with one or two prenominal adjectives. Their performance improved when they could produce the nouns and adjectives in sentence form, which placed smaller demands on lexical-semantic retention. In Experiment 2 these patients were better able to produce syntactically complex sentences than the prenominal adjective phrases having an equal number of content words, indicating that the findings in Experiment 1 could not be attributed to syntactic complexity. These patients produced more pauses in the sentence constructions in Experiments 1 and 2, suggesting that the timing of such productions is abnormal. In contrast, patient EA, with a phonological retention deficit, performed better than the patients with a semantic retention deficit on the AN phrases despite having a smaller STM span. She showed no significant benefit of producing sentence compared to phrase constructions, and also made fewer and shorter pauses than the other patients. These findings support the multiple capacities view of verbal working memory and suggest that the same semantic retention capacity used in language comprehension is used in speech production.     

Changes in the level and quality of object relations in psychoanalysis: followup of a longitudinal, prospective study

As part of a prospective, longitudinal study of suitability for and outcome of psychoanalysis, 22 patients were evaluated for changes in the level and quality of their object relations. These patients had been accepted for supervised analysis with candidates in training by senior analysts who had diagnosed them as neurotic. The majority of these patients reported difficulties in relationships as at least one of their reasons for originally seeking psychoanalytic treatment. Prior to beginning analysis, each patient was given a battery of psychological tests. One year after the termination of analysis, the test battery was readministered and a followup interview was conducted separately with each patient and analyst. Ratings of change based on patient and analyst interviews and comparisons of psychological tests before and after treatment all showed statistically significant improvement in the level and quality of object relations for this patient group. The results of this study support what is often observed in clinical practice, that psychoanalysis has a positive effect on the level and quality of a patient's object relations.     

Tracking the line of primary gaze in a walking simulator: Modeling and calibration

This article describes a system for tracking the line of primary gaze (LoPG) of participants as they view a large projection screen. Using a magnetic head tracker and a tracking algorithm, we find the onscreen location at which a participant is pointing a head-mounted crosshair. The algorithm presented for tracking the LoPG uses a polynomial function to correct for distortion in magnetic tracker readings, a geometric model for computing LoPG from corrected tracker measurements, and a method for finding the intersection of the LoPG with the screen. Calibration techniques for the above methods are presented. The results of two experiments validating the algorithm and calibration methods are also reported. Experiments showed an improvement in accuracy of LoPG tracking provided by each of the two presented calibration steps, yielding errors in LoPG measurements of less than 2° over a wide range of head positions. Source code for the described algorithms can be downloaded from the Psychonomic Society Web archive,http://www.psychonomic.org/archive/.     

Tracking the line of primary gaze in a walking simulator: modeling and calibration.

This article describes a system for tracking the line of primary gaze (LoPG) of participants as they view a large projection screen. Using a magnetic head tracker and a tracking algorithm, we find the onscreen location at which a participant is pointing a head-mounted crosshair. The algorithm presented for tracking the LoPG uses a polynomial function to correct for distortion in magnetic tracker readings, a geometric model for computing LoPG from corrected tracker measurements, and a method for finding the intersection of the LoPG with the screen. Calibration techniques for the above methods are presented. The results of two experiments validating the algorithm and calibration methods are also reported. Experiments showed an improvement in accuracy of LoPG tracking provided by each of the two presented calibration steps, yielding errors in LoPG measurements of less than 2 degrees over a wide range of head positions. Source code for the described algorithms can be downloaded from the Psychonomic Society Web archive, http://www.psychonomic.org/archive/.     

Evaluating rate,accuracy, and fluency of young children's diadochokinetic productions: a preliminary investigation

Diadochokinetic (DDK) rates are commonly assessed in children with speech-language disorders, even though the implications of fast or slow DDK rates are not clear. This study explored the possibility that the accuracy and fluency of DDK productions may provide a meaningful supplement to traditional measures of DDK rate. Participants were 15 boys, age 3-7, with normal speech-language development, who were asked to produce "puh-tuh-kuh" or "pattycake" in a standard DDK task. Analyses revealed that normally developing children produce frequent articulation errors but few disfluencies during DDK tasks. Errors and disfluencies did not affect DDK rate, suggesting that the rate of DDKs may be a relatively insensitive measure of children's speaking abilities. Although an expected correlation was found between age and overall DDK rate, no correlations were found between age and the frequency of articulation errors or speech disfluencies. Findings suggest that measures of DDK accuracy and fluency may provide information about children's speech development that is independent of age and may be more closely related to oral motor development than rate. Overall, results underscore concerns with the interpretation of DDK rate and highlight ways that rate measures might be supplemented with measurement of accuracy and fluency in the evaluation of children's speaking abilities. EDUCATIONAL OBJECTIVES: The reader will learn about a technique that may facilitate the evaluation of young children's oral DDK abilities. The reader will learn about the frequency and type of errors children produce on DDKs and how this information can be used in the assessment of children's oral motor abilities.     

Teaching an amnesic a complex cognitive skill

G.P., a Korsakoff's amnesic, was able to learn an algorithm for squaring two-digit numbers mentally over a 7-day period at a rate comparable to that of age-matched controls. He failed to show normal positive transfer to specific problems or to specific numbers used in components of the task. He also exhibited slight improvement in simple naming speed, forward digit span, simple multiplication speed, but no apparent improvement for the recall of repeated supraspan digit strings. He was unable to state the algorithm he had learned to square two-digit numbers, though he could implement it successfully. The results suggest that the compilation of a skill may involve two dissociable components: composition and proceduralization, with the former, but not the latter, occurring at normal rates for Korsakoff's amnesics.     

The Mental Changes Due to Frontal Lobe Damage

The literature suggests association between arousal, general activation, and anxiety on the one hand, and time judgments on the other hand, implying that reported differences in time judgment between nosological groups may be confounded by group differences in arousal-anxiety.

Self-report measures of anxiety, as well as magnitude estimates and magnitude productions of standards ranging from 500 to 2000 msec in 250 msec steps and presented in 10 randomized blocks, were obtained from 16 male normals and from 16 male hospitalized patients with a tentative diagnosis of chronic undifferentiated schizophrenia. Only 10 of the 16 patients were later found to have the same confirmed diagnosis. Data from nine normals and from seven chronic undifferentiated schizophrenics met a criterion of linearity of response functions for both time judgment methods and were further analyzed.

Magnitude estimates and magnitude productions showed underestimation of elapsed time, both types of judgment exhibited satisfactory reliability, estimates showed “shortening,” and productions showed “lengthening” over blocks of trials.

Intercepts of the response × standards functions were not generally equal to zero, were more negative in estimation than in production, had marginal reliability or were unreliable, did not correlate significantly between methods, and did not show significant trends over blocks of trials.

Following a model by Carlson and Feinberg, slopes of response × standard functions were used as estimates of the rate of the “internal clock.” (In estimation, the rate is equal to the slope; in production, it is equal to the reciprocal of the slope.) Average rates of the internal clock did not differ between methods for normals, but were higher in production than in estimation for the seven patients. Clock rates did not differ significantly between groups, were reliable, and exhibited positive correlation between methods. Clock rates exhibited trends over blocks of trials: arctan equivalents of clock rates were linearly related to ordinal numbers of blocks of trials and showed decreases, or “slowing” of the internal clock, in both methods.

Differences in mean anxiety between groups were not significant. In each group, anxiety scores showed positive average correlations with magnitude estimates and negative average correlations with magnitude productions, failed to correlate significantly with intercepts, but showed positive correlations with clock rates.

The data also suggest that anxiety and intrasubject variability may be interrelated.

To conclude: Reported differences in time judgments between nosological groups may not solely be due to nosological differences per se, but instead may be due to group differences in anxiety.     

A real-time phoneme counting algorithm and application for speech rate monitoring

Adults who stutter can learn to control and improve their speech fluency by modifying their speaking rate. Existing speech therapy technologies can assist this practice by monitoring speaking rate and providing feedback to the patient, but cannot provide an accurate, quantitative measurement of speaking rate. Moreover, most technologies are too complex and costly to be used for home practice. We developed an algorithm and a smartphone application that monitor a patient’s speaking rate in real time and provide user-friendly feedback to both patient and therapist. Our speaking rate computation is performed by a phoneme counting algorithm which implements spectral transition measure extraction to estimate phoneme boundaries. The algorithm is implemented in real time in a mobile application that presents its results in a user-friendly interface. The application incorporates two modes: one provides the patient with visual feedback of his/her speech rate for self-practice and another provides the speech therapist with recordings, speech rate analysis and tools to manage the patient’s practice. The algorithm’s phoneme counting accuracy was validated on ten healthy subjects who read a paragraph at slow, normal and fast paces, and was compared to manual counting of speech experts. Test-retest and intra-counter reliability were assessed. Preliminary results indicate differences of −4% to 11% between automatic and human phoneme counting. Differences were largest for slow speech. The application can thus provide reliable, user-friendly, real-time feedback for speaking rate control practice.     

Building capability throughout a change effort: leading the transformation of a police agency to community policing

This case describes a change effort to move a police agency to become a community policing organization. The community policing effort was seen as a means to make a transformational change to become a learning organization with the goal of improving the delivery of police services. The case describes the steps taken to meet the new vision of community policing as well as the steps taken to deal with the challenges or realities of trying to make change happen. The lens for this case is the leadership role across the stages of change (exploration, planning, implementation, monitoring and institutionalization) in building capacity within the organization to sustain the change effort. The capacity building focused on incorporating systems thinking into the mindset of the members of the organization, breaking down the command and control mindset by building a new norm around high involvement of committed teams, and developing skill sets to support continuous learning and improvement in order to align organizational systems. A key lesson learned is that effective leaders do not just prepare an organization prior to a change effort. They must have the patience to constantly build the capacity for change among organizational members throughout the various stages of the change effort.     

Ethnotherapeutic empathy (EthE)—Part II: Techniques in interpersonal cognition and vicarious experiencing across cultures

Too much of what happens between patient and therapist in cross-cultural therapy is left to chance. No wonder so many experienced cross-cultural therapists are searching for answers to therapeutic failures with their ethnic patients. This article sets out to eliminate some of the guess work, and to leave less of the initial psychotherapeutic process to chance. As one way to actualize latent theory into practical application, the techniques of ethnotherapeutic empathy involve experience-near interactions that offer opportunities for patients to feel they share in shaping the therapeutic venture. Through knowledge of relevant real-life experiences about their therapists, patients learn to feel at ease and empathize with their therapists in cementing the ethnocultural alliance. Though seeming to be unusual and for some, even radical, the complexities of intercultural treatment requires another close look at the therapeutic interface, and the development of strategies to overcome the early profound sense of ethnocultural alienation between patient and therapist. The position here is that bicultural dynamics can be positively influenced by systematic insertion of specific exercises into the fabric of ongoing psychotherapy to hopefully bring about a better gluing interface between patient and therapist.     

Training Japanese listeners to identify English /r/ and /l/: long-term retention of learning in perception and production.

Previous work from our laboratories has shown that monolingual Japanese adults who were given intensive high-variability perceptual training improved in both perception and production of English /r/-/l/ minimal pairs. In this study, we extended those findings by investigating the long-term retention of learning in both perception and production of this difficult non-native contrast. Results showed that 3 months after completion of the perceptual training procedure, the Japanese trainees maintained their improved levels of performance of the perceptual identification task. Furthermore, perceptual evaluations by native American English listeners of the Japanese trainees' pretest, posttest, and 3-month follow-up speech productions showed that the trainees retained their long-term improvements in the general quality, identifiability, and overall intelligibility of their English/r/-/l/ word productions. Taken together, the results provide further support for the efficacy of high-variability laboratory speech sound training procedures, and suggest an optimistic outlook for the application of such procedures for a wide range of "special populations."     

Impact of Parkinson’s disease and dopaminergic medication on adaptation to explicit and implicit visuomotor perturbations

The capacity to learn new visuomotor associations is fundamental to adaptive motor behavior. Evidence suggests visuomotor learning deficits in Parkinson’s disease (PD). However, the exact nature of these deficits and the ability of dopamine medication to improve them are under-explored. Previous studies suggested that learning driven by large and small movement errors engaged distinct neural mechanisms. Here, we investigated whether PD patients have a generalized impairment in visuomotor learning or selective deficits in learning from large explicit errors which engages cognitive strategies or small imperceptible movement errors involving primarily implicit learning processes. Visuomotor learning skills of non-medicated and medicated patients were assessed in two reaching tasks in which the size of visuospatial errors experienced during learning was manipulated using a novel three-dimensional virtual reality environment. In the explicit perturbation task, the visuomotor perturbation was applied suddenly resulting in large consciously detected initial spatial errors, whereas in the implicit perturbation task, the perturbation was gradually introduced in small undetectable steps such that subjects never experienced large movement errors. A major finding of this study was that PD patients in non-medicated and medicated conditions displayed slower learning rates and smaller adaptation magnitudes than healthy subjects in the explicit perturbation task, but performance similar to healthy controls in the implicit perturbation task. Also, non-medicated patients showed an average reduced deadaptation relative to healthy controls when exposed to the large errors produced by the sudden removal of the perturbation in both the explicit and implicit perturbation tasks. Although dopaminergic medication consistently improved motor signs, it produced a variable impact on learning the explicit perturbation and deadaptation and unexpectedly worsened performance in some patients. Considered together, these results indicate that PD selectively impairs the ability to learn from large consciously detected visuospatial errors. This finding suggests that basal ganglia-related circuits are important neural structures for adaptation to sudden perturbations requiring awareness and high-cost action selection. Dopaminergic treatment may selectively compromise the ability to learn from large explicit movement errors for reasons that remain to be elucidated.     

Autistic traits in mentalization-based treatment for concurrent borderline personality disorder and substance use disorder: Secondary analyses of a randomized controlled feasibility study

Autism is suggested to be a dimensional construct and often represents a comorbid state. However, research on the clinical implications of the presence of autistic traits is scarce. This study aimed to investigate the impact of subclinical autistic traits in mentalization-based treatment (MBT) for concurrent borderline personality disorder (BPD) and substance use disorder (SUD). Based on the data of a randomized controlled feasibility study by Philips, Wennberg, Konradsson, and Franck (2018), secondary analyses were conducted. It was tested, if patients’ (N = 46) levels of autistic traits were associated with treatment outcome measured in the course of and after treatment using interviews and self-report measures. Participants’ autistic traits were not associated with the change in the severity of BPD throughout and at the end of the treatment. However, results showed associations between autistic traits and the change in patients’ consumption of alcohol in the course of MBT. Furthermore, there was an association between autistic traits and the change in mentalizing capacity at the end of MBT, indicating that elevated autistic traits were associated with an improvement in mentalizing capacity. Autistic traits on a subclinical level do not appear to be a complicating factor in MBT for concurrent BPD and SUD. On the contrary, in terms of mentalizing capacity autistic traits might be associated with a larger potential for improvement or facilitate treatment outcome. Further research is needed to explore the role of higher autistic traits in treatment of this special patient group.