Stuttering theory,research, and therapy: A five-year retrospective and look ahead

This article reviews events in stuttering theory, research, and therapy that have transpired during the past 5 years. After the retrospective review, current work in the area of stuttering is examined. This analysis of the past and present was conducted in an effort to give clearer direction to future efforts to understand the disorder, and to study and treat it more effectively.     

Rediscovering trust: Towards an alternative psychotherapy

The collapse of significant human relationships is a primary cause of psychosis. When basic trust is extinguished, a person can feel that his or her actual existence is threatened by genuine relationships. Yet, every human being has a powerful innate need for relationships. Such is the tragic paradox of psychosis: the person is, at the same time, in terror over the possibility of a relationship and in despair over the impossibility of a relationship. An alternative psychotherapy must emerge that allows the psychotherapist and the disturbed person to build a bond of mutual care. Each person unconditionally accepts and confirms the other for what he is, and for what he may become. The psychotherapist must enter the bizarre psychotic world as a partner in a journey to recover the lost wholeness of the psychotic person. This relationship can serve as a bridge which allows the psychotic person to creatively discover a way to rejoin the normal world.     

Depression,self-focus,and social interaction

The accuracy of depressed and nondepressed subjects' perceptions of their own and a social interactional partner's performance was investigated. Twenty depressed and twenty nondepressed college students participated in dyadic interactions and then rated their own and their partner's social behavior. The interactions were also rated by objective coders. Depressed subjects were differentiated from nondepressed subjects on several measures by both the coders and the subjects. Depressed subjects' self-ratings were correlated with the coders' ratings more often than were the nondepressives' ratings, suggesting depressives provided more accurate self-observations. Contrary to prediction, depressives were also more accurate in judging their partner's behavior. Depressives experienced heightened levels of self-focused attention, but this attentional focus did not mediate the relationship between depression level and self-accuracy. Finally, an analysis of the verbal statements suggests that performance differences between depressives and nondepressives may be a function of the quantity, rather than the quality, of the verbal production.     

A case report on the use of flooding in stuttering therapy

The last several years have seen the development and use of anxiety-reduction procedures in stuttering therapy. Among these types of methods, systematic desensitization and reciprocal inhibition have been employed almost exclusively. Emotional de-conditioning by means of flooding or implosive techniques has been attempted far less often. This article presents a case report on the utilization of the flooding tactic. Results are offered and discussed relative to the question of whether the elimination of anxiety is a realistic goal in therapy. The suggestion is offered that what many stutterers may really need to develop is the ability to generate fluency-enhancing behaviors in spite of the presence of heightened emotionality.     

Stutterers' voice initiation times during conditions of novel stimulation

The present experiment examined stutterers' voice initiation times (VITs) during conditions of novel stimulation. The experimenters were interested in determining how VITs varied as a function of pacing and masking. Stutterers were examined in control, pacing, and masking conditions. The results indicated that: (1) stutterers significantly improved their VITs in the pacing condition as compared with the control condition (p = 0.005), (2) stutterers had significantly faster VITs in the pacing condition as compared with the masking condition (p = 0.005), and (3) stutterers improved VITs in the masking condition as compared with the control condition (p = 0.075). These results are discussed in terms of the facilatory nature of novel stimulation in modifying speech-system functioning.     

Reliability of the Attitudes Toward Women Scale (AWS) and the Personal Attributes Questionnaire (PAQ)

The stability and internal consistency of Spence and Helmreich's Attitudes Toward Women Scale (AWS) and Personal Attributes Questionnaire (PAQ) are reported. An entire first-year class of 1,007 male and 78 female cadets at the U.S. Military Academy were given a battery of psychological tests before and after cadet basic training, a 2 1/2-month period. The AWS and PAQ proved to be highly reliable, comparable to other frequently used psychological tests. This psychometric information encourages researchers to make further use of these gender-related instruments.This research was conducted under research grants from the Army Research Institute (Alan G. Vitters and Jerome Adams, Principal Investigators). The views expressed herein are opinions of the authors and do not necessarily reflect the policy of the U.S. Army, the U.S. Military Academy, or the Army Research Institute. The authors appreciate the editorial comments of Dr. Brenda Major.     

The labours of Hercules: some good reasons why social workers should not try to be different, and practice family therapy

Family therapy, despite being an approach to problems in a social context, has, for the most part, been developed and refined in medical settings (Adams, 1979). Family therapy propounds a methodology based on social rather than medical techniques of intervention. It is logical to suggest that workers based in socially-orientated agencies, rather than medical settings, could be predicted to be better placed to utilize and develop this particular approach to human problems. How can it be explained that the main bulk of the innovations are still coming from practitioners who have trained primarily in medical approaches and settings? This article looks at some of the reasons why family therapy practice and development is not flourishing in Social Services Departments as it is in, for example, hospitals and clinics. The authors do not offer any positive conclusions at this stage, but will show, in a later publication, what has been achieved in some Social Services Departments, and how practice has been established despite the organizational and operational constraints implicit in the introduction of a family, or systems orientated method, to an agency traditionally and statutorily focused upon the individual.     

The consequences of failing to imitate

Infants were shown three modeled acts presented in sequence. Imitation of one, two, or three of the modeled acts or failure to imitate was then observed. Distress was assessed prior to and following modeling. Infants who failed to imitate at least one act displayed a high level of distress. As a control, the same infants on another day observed the random manipulation of the stimuli. Distress failed to occur when the infants failed to imitate the scattering procedure. These results are discussed in terms of the child's development of internal standards. That is, during the latter part of the second year of life, infants show considerable distress when they fail to imitate coherent modeled acts. Since distress did not occur when the model simply scattered the stimuli, we assumed that interruption of play was not an incentive for distress. Deferred imitation was noted for older but not the younger cohorts.     

Do cognitive factors in motor performance become nonfunctional with practice?

Cognitive factors in motor behavior were defined as verbal and imagery mediators for a discrete, sequential motor task. The question was asked whether these mediators become nonfunctional with extended practice. Non-motor interference training was given in inappropriate verbal and imagery mediation. If cognitive factors in the motor task involve verbal an/or imagery dimensions, and they dominate early in learning, then the non motor interference training should produce relatively large negative transfer effects in the motor performance early in learning and little or no such effects late in learning. The results did not conform to expectation; small negative transfer effects were found both early and late in learning. The discussion considered several possible reason for the outcome: the motor task was dominated by visual and proprioception factors rather than cognitive ones, the method of delivering knowledge of results may have minimized cognitive factors, or the hypothesis is wrong.