Stroke-associated acquired stuttering

In this case report, the syndrome of acquired stuttering is described including its etiology, common presenting features, and differences from developmental stuttering. A case is described in an elderly female patient with sudden acquired stuttering associated with ischemic infarct near the left basal ganglia.     

Assessing complex problem-solving skills with multiple complex systems

In this paper we propose the multiple complex systems (MCS) approach for assessing domain-general complex problem-solving (CPS) skills and its processes knowledge acquisition and knowledge application. After defining the construct and the formal frameworks for describing complex problems, we emphasise some of the measurement issues inherent in assessing CPS skills with single tasks (i.e., fixed item difficulty, low or unknown reliability, and a large impact of random errors). With examples of the MicroDYN test and the MicroFIN test (two instances of the MCS approach), we show how to adequately score problem-solving skills by using multiple tasks. We discuss implications for problem-solving research and the assessment of CPS skills in general.     

中国心理学会史百年新诠

经过文献查找,作者发现中华心理学会成立于1921年8月□日。中华心理学会成立之后,创办了亚洲第一份专业期刊《心理》杂志,在北京召开纪念会并留下合影,并陆续召开了几次学术演讲会。1927年学会停办。1937年1月中国心理学会在南京重新成立,半年后又再次停办。待到1949年之后中国心理学会才再次经过筹备,于1955年8月正式成立。1956 年 11 月《心理学报》创刊, 1966 年 5 月停刊。1977年11月,中国心理学会再次恢复活动,并走上正常发展的道路。作为学术共同体的中国心理学会,随着中国政治的动荡而起起伏伏。自1977年以来,中国心理学走上了健康而迅猛发展的道路,也必将成为国际心理学舞台上不可或缺的力量。     

Cluttering and stuttering exhibited in a young professional

S 18, a young adult professional, was self-referred for stuttering. Assessment indicated deficits consistent with both stuttering and cluttering, including prolongations, syllable repetitions, secondary escape behaviors, rapid speech rate, and poor expressive language. The client had no awareness of cluttering characteristics. Therapy goals included improved breath control, slowed rate, easier onset of articulation, and increased awareness of speech. Progress toward therapeutic goals was consistent. However, his motivation decreased as therapy progressed. He was discharged from direct treatment after 13 months, at which time he could employ therapeutic techniques to improve his fluency and intelligibility when speech was disordered.     

Evidence-based treatment of stuttering: II. Clinical significance of behavioral stuttering treatments

An evidence-based framework can be described as an empirically-driven, measurement-based, client-sensitive approach for selecting treatments. It is believed that using such a framework is more likely to result in a clinically significant outcome. For this paper, a clinically significant outcome was defined as a meaningful treatment change. It was suggested that there are at least three groups for whom a treatment's outcome is meaningful. These groups include clinicians/clinical researchers, the clients, and relevant others who have some interest in the outcome (e.g., parents of a child who stutters). The meaning and measurement of clinical significance was discussed for each of these three groups, based on research from the behavioral stuttering treatment literature. EDUCATIONAL OBJECTIVES: The reader will learn about and be able to (1) broadly define a clinically significant outcome and identify some of the groups who are interested in such an outcome and (2) describe how clinical significance has been evaluated in stuttering treatment within an evidence-based framework.     

Acquired stuttering

Working from a case of degeneration of the nervous system accompanied by stutterlike repetitions, this article raises the question whether patients should be said to have acquired stuttering when they evidence only one of the typical symptoms of the syndrome. On the other hand, it is shown that when acquired stuttering is polysymptomatic, it can hardly be distinguished from developmental stuttering on the basis of the patient's verbal behavior. This may have important medicolegal implications. When acquired stuttering occurs in the context of aphasia, both affections appear to be relatively independent of each other. Specifically, there seems to be no causal relationship between them.     

Child Protection Services caseworkers' assessment of child maltreatment severity

The goals of this research were to explore accuracy and consistency in the assessment of child maltreatment severity in Spanish Child Protection Services (CPS) and the influence of caseworker's service, gender, professional discipline, degree of dedication to CPS, and years of experience on the accuracy of the assessment of maltreatment severity. Two studies were conducted with 515 and 168 caseworkers from two Spanish CPSs. Case vignettes were used. Caseworkers of both groups were asked to rate severity of the assigned case vignettes, applying the criteria used in their daily work. Caseworkers in both studies obtained low levels of accurate ratings. None of the total vignettes obtained a percentage higher than 80% of inter-rater agreement. No significant relationships were found between accuracy of ratings and caseworkers' service, gender, professional discipline, degree of dedication to CPS, and years of experience.     

Subtyping stuttering I: a review

A reliable and practical subtype system of stuttering should enhance all related scientific work concerned with this disorder. Although a fair number of classification systems have been offered, to date, none has received wide recognition or has been routinely applied in research or clinical spheres. Whereas progress has been made in understanding and treating the disorder, for the most part stuttering continues to be viewed and addressed as a unitary problem. The objectives of the current article are to (a) highlight the motivation for identifying sub-types of stuttering, (b) outline the issues involved in researching subtypes, and (c) address the question of whether or not subtyping is plausible for this disorder. Toward these ends, a broad-based review of past concepts regarding subtypes of stuttering and stutterers is presented according to seven categories that reflect the various authors' conceptual or experimental approaches. Selected studies for each category are also presented to illustrate the research problems and challenges. It is concluded that islands of progress can be identified in subtype research, particularly in studies of children. It is recommended that future studies include multiple factors or domains in the data collection process, especially with young children during the formative years of the disorder, when substantial overlap in the development of several speech/language domains occurs. EDUCATIONAL OBJECTIVES: (a) Readers will be able to describe the theory and research concerning the numerous attempts to subtype stuttering, particularly during the past 50 years; (b) Readers will be able to explain the general issues that need to be resolved in order to identify subtypes as well as current and future research strategies aimed at achieving these goals.     

Genetic studies of stuttering in a founder population

Genome-wide linkage and association analyses were conducted to identify genetic determinants of stuttering in a founder population in which 48 individuals affected with stuttering are connected in a single 232-person genealogy. A novel approach was devised to account for all necessary relationships to enable multipoint linkage analysis. Regions with nominal evidence for linkage were found on chromosomes 3 (P=0.013, 208.8 centiMorgans (cM)), 13 (P=0.012, 52.6 cM), and 15 (P=0.02, 100 cM). Regions with nominal evidence for association with stuttering that overlapped with a linkage signal are located on chromosomes 3 (P=0.0047, 195 cM), 9 (P=0.0067, 46.5 cM), and 13 (P=0.0055, 52.6 cM). We also conducted the first meta-analysis for stuttering using results from linkage studies in the Hutterites and The Illinois International Genetics of Stuttering Project and identified regions with nominal evidence for linkage on chromosomes 2 (P=0.013, 180-195 cM) and 5 (P=0.0051, 105-120 cM; P=0.015, 120-135 cM). None of the linkage signals detected in the Hutterite sample alone, or in the meta-analysis, meet genome-wide criteria for significance, although some of the stronger signals overlap linkage mapping signals previously reported for other speech and language disorders. EDUCATIONAL OBJECTIVES: After reading this article, the reader will be able to: (1) summarize information about the background of common disorders and methodology of genetic studies; (2) evaluate the role of genetics in stuttering; (3) discuss the value of using founder populations in genetic studies; (4) articulate the importance of combining several studies in a meta-analysis; (5) discuss the overlap of genetic signals identified in stuttering with other speech and language disorders.     

His mother-tongue: from stuttering to separation, a case history

This paper delineates the transference and countertransference experiences in the analysis of a patient whose presenting symptom and main concern was his stutter. I suggest that oral-sadistic rather than anal-sadistic hostile elements may be identified in this patient's particular stutter. I focus on its significance in terms of object relationship: my patient's struggle to 'get born', to emerge as a separate other. I argue that early symbiotic fusion needs in conflict with the need to separate produce his stutter. Speech and language are seen as the vehicle for separation and the stutter as a flight from separateness back to an illusion of fusion with mother.     

Results of intensive stuttering therapy with adults who clutter and stutter

The purpose of this investigation was to report on the identification of adult clients who clutter and stutter, evaluate their response to a stuttering therapy program, and determine if speech measures typically used in evaluating therapy outcome are sufficiently sensitive indicators of change for clients who clutter and stutter. Results suggest that cluttering-stuttering subjects had a very positive response to stuttering therapy, but greater improvements may have been achieved with additional therapy time and expanded therapy goals. Results also indicate that pretreatment and posttreatment measures of articulatory rate may be a more sensitive measure of change for cluttering-stuttering clients.     

Students' complex problem-solving abilities: Their structure and relations to reasoning ability and educational success

Complex Problem Solving (CPS) is considered to be a promising candidate for capturing higher order thinking skills that are emphasized in new educational curricula but are not adequately measured by traditional intelligence tests. However, little is known about its psychometric structure and its exact relation to intelligence and educational success—especially in student populations. This study is among the first to use a large and representative sample of secondary school students (N = 563) to examine different measurement models of CPS—that conceptualize the construct as either faceted or hierarchical—and their implications for the construct's validity. Results showed that no matter which way it was conceptualized, CPS was substantially related to reasoning and to different indicators of educational success. Controlling for reasoning within a joint hierarchical measurement model, however, revealed that the impressive external validity was largely attributable to the variance that CPS shares with reasoning, suggesting that CPS has only negligible incremental validity over and above traditional intelligence scales. On the basis of these results, the value of assessing CPS within the educational context is discussed.     

Assessing Individual Family Members' Constructions of Family Problems

Much contemporary family therapy theory and practice takes into account clients' cognitive constructions of their family problems. Recent calls for therapists to elicit and work with clients' causal explanations and narratives parallel accumulating evidence in the social-clinical literature about the predictive importance of attributions in family relationships. In this article, we introduce the Constructions of Problems Scale (CPS), provide preliminary evidence of its reliability and validity, and suggest ways in which it can be used clinically to reveal new areas for questioning and to generate new ideas. The CPS is a brief questionnaire that can be used to create a profile of each individual family member's private constructions. To complete the CPS, each family member writes a free-form narrative of the presenting problem and then rates his or her perceptions of the contributing causes. The CPS profiles can be used to compare the perspectives of different family members and to assess cognitive constructions at different points in treatment. We discuss its potential for these and other clinical uses.     

Complex problem solving — More than reasoning?

This study investigates the internal structure and construct validity of Complex Problem Solving (CPS), which is measured by a Multiple-Item-Approach. It is tested, if (a) three facets of CPS - rule identification (adequateness of strategies), rule knowledge (generated knowledge) and rule application (ability to control a system) - can be empirically distinguished, how (b) reasoning is related to these CPS-facets and if (c) CPS shows incremental validity in predicting school grade point average (GPA) beyond reasoning. N = 222 university students completed MicroDYN, a computer-based CPS test and Ravens Advanced Progressive Matrices. Analysis including structural equation models showed that a 2-dimensionsal model of CPS including rule knowledge and rule application fitted the data best. Furthermore, reasoning predicted performance in rule application only indirectly through its influence on rule knowledge indicating that learning during system exploration is a prerequisite for controlling a system successfully. Finally, CPS explained variance in GPA even beyond reasoning, showing incremental validity of CPS. Thus, CPS measures important aspects of academic performance not assessed by reasoning and should be considered when predicting real life criteria such as GPA.     

Severe stuttering associated with right hemisphere lesion

Following a right hemisphere stroke, a right-handed, 50-year-old male experienced a permanent dysfluency characterized by phoneme and syllable reiterations and, to a lesser extent, word and phrase reiterations. The reiterations occurred in initial, medial, and final positions and for all sentence elements (e.g., subject nouns, object nouns, verbs, modifiers). There was a notable loss of verbal automatisms (poems, songs, etc.). The patient's symptoms conform to the acquired stuttering syndrome described by A. Helm, R. Butler, and D.F. Benson (1978, Neurology, 28, 1159-1165).     

Perspectives of stuttering treatment: Children,adolescents, and parents

PurposeResearchers investigated whether children who stutter (CWS), adolescents who stutter (ADWS), and their parents preferred treatment focused on changing speech or communicating regardless of stuttering.MethodsTwenty-four parents and their CWS (n = 11, ages 8;0–12;11) or ADWS (n = 13, ages 13;0–17;11) answered questions about their preferences for stuttering treatment via an internet-based survey; an additional 11 surveys were filled in only by parents without responses by their child/adolescent. The researchers compared responses of the parents and their children, as well as between the two age groups and years in treatment (less than five years versus five or more years).ResultsViews tended to be mixed without any clear trends based on age. Just over half of the CWS, ADWS, and parents of CWS indicated a general tendency for therapy satisfaction; however, less years of treatment were associated with more satisfaction. When presented with a specific scenario, a higher proportion of parents expressed focus on their child saying what they want to say, regardless of stuttering. Otherwise, preferences were mixed on therapy goals of speaking freely vs. speaking more fluently.ConclusionsPreferences for treatment goals do not predictably vary based on age or years in treatment; given the small sample size, these findings should be considered with caution. Given the variability in responses, it is evident that stuttering treatment for school-age children and adolescents should be individualized. These results also emphasize the importance of communication, education, and applying a person-centered approach when providing stuttering intervention to children, adolescents, and their parents.     

Evidence-based practice in stuttering: Some questions to consider

A recent forum in JFD (28/3, 2003) evaluated the status of evidence-based practice in fluency disorders, and offered recommendations for improvement. This article re-evaluates the level of support available for some popular approaches to stuttering therapy and questions the relative value placed on some types of programs endorsed by the forum. Evidence-based practice is discussed within the context of emerging concerns over its application to non-medical interventions and suggestions are made for grounding fluency interventions by reference to empirically supported principles of change. A popular, evidence-based intervention for stuttering in young children (the Lidcombe program) is evaluated within the suggested parameters. EDUCATIONAL OBJECTIVES: After reading this article, the reader will be able to: (1) evaluate the status of evidence-based practice in fluency disorders; (2) list concerns about the impact of narrow interpretation of EBP on research and practice in the field of fluency disorders and other non-medical domains; (3) articulate the role of theory and basic research in selecting among and evaluating therapy approach options.     

An instrumented method for assessment and remediation of stuttering: A single-subject case study

A single-subject experimental design was used to investigate the feasibility of applying non-invasive laboratory instrumentation for examining speech physiology to assessment and biofeedback-based remediation of stuttering. Physiologic assessment facilitated the development of behavioral goals directed at changing respiratory and phonatory behaviors for this subject. Visual biofeedback therapy produced reduction in respiratory discontinuities and increased phonatory continuity, concomitant with reduced perceivable molar dysfluency. Methods used in this case illustrate a variety of options and problems related to clinical use of instrumentation. Results suggest that signals which represent respiratory, phonatory, and articulatory physiologic events may be clinically practical for evaluating and altering perceivable dysfluency.     

Teacher attitudes toward stuttering

Attitudes of 100 elementary school teachers toward stuttering were studied using the Teacher Attitudes Toward Stuttering (TATS) Inventory. Teacher attitudes, as indicated by TATS Inventory scores, were compared with teacher knowledge of stuttering, age of teacher, number of years teaching experience, educational level, and whether the teacher had personal experience with a stutterer. Results indicated that significant positive correlations existed between teacher attitudes toward and knowledge of stuttering. Significant negative correlations were demonstrated between teacher attitudes/knowledge of stuttering and the presence of a stuttering child in the classroom. The applicability of the TATS Inventory as a clinical instrument in its current form and the research needed to enhance its flexibility are discussed.     

Culture and Thought (Book)

The Comrey Personality Scales (CPS) were used to examine the personality structure of 176 Mexican American college students. A majority of the eight factors maintained substantial loadings and corresponded closely with Comrey's normative sample as well as with Brazilian and New Zealand samples. Two factors, Conformity and Orderliness, showed the weakest fit across all four groups. Overall, the CPS shows adequate measurement properties for "normal" personality assessment among Mexican Americans and is preferable to instruments such as the Minnesota Multiphasic Personality Inventory (MMPI). However, the external validity of the CPS with clinical populations must first be determined prior to its use to assess psychopathology among Mexican Americans.