A study of language functioning in Alzheimer patients

Language functioning in Alzheimer's disease is reviewed and the performance of 25 Alzheimer patients on a standard battery is reported. All these hospitalized patients were aphasic to some degree. As a group, they differed from normals on all language variables, and from stroke patients in terms of higher fluency and lower comprehension. Spontaneous speech showed high incidence of circumlocutions and semantic jargon, but no phonemic paraphasias or target approximations. Syllabic perseverations, shouting, inappropriate laughter, and mutism were late-appearing features. Transcortical Sensory, and Wernicke's aphasias were frequent, but Broca's and Transcortical Motor aphasias notably absent. Extent of language impairment correlated with current length of hospitalization but not age. Reading, writing, and performance scores except praxis, were lower than oral language scores. Findings were discussed in relation to previous results, methodology, and language organization in the brain.     

Deep agraphia

A case of agraphia is documented which resembles in every respect the pattern of results obtained in deep dyslexia. Pronounceable pseudowords could not be written to dictation while concrete nouns were more accurately transcribed than abstract nouns. Verbs and functions words were written very poorly and oral spelling was impaired. In addition, semantic paragraphias were present. In contrast to the deficit observed in writing, no such impairment was found for reading. It is concluded that writing can occur without phoneme-grapheme conversion and that codes generated for reading are functionally distinct from codes generated for writing.     

The predictive efficiency of Holland's SDS summary codes in terms of career choice: A four-year follow-up

This study was designed to investigate the predictive efficiency of the primary and secondary summary codes of Holland's Self-Directed Search for Educational and Vocational Planning (SDS) in terms of expressed career choice 4 years later. In 1974, 126 voiationally undecided high school seniors were given the SDS, followed by a revision of Trow's Vocational Choice Inventory (VCI) in which they were asked to express a career choice or a state of indecision. In 1978, this same group was mailed a posttest VCI; the responses of 84 subjects were then analyzed. The subjects' expressed career choices on both the 1974 and 1978 VCI were compared to the primary and secondary summary codes on the SDS which they had taken in 1974. Inspection of the responses indicated that 21.4% of the subjects had made career choices predicted by their primary summary codes and 51.2% had made vocational choices found among their secondary summary codes. Only 27.4% chose a career area not predicted by their 1974 SDS results. The results of this study appear to lend support to the validity of using the SDS summary codes to predict eventual career decisions.     

Acknowledgement

Four experiments examined the effects of noise on semantic memory. The first was a replication of a study by Eysenck, in which subjects had to retrieve words beginning with particular letters which were also instances of specified categories (e.g. Fruit-A). Whereas Eysenck had found that both noise and activation level of the individual interacted with the dominance of the category instance possible, the present study failed to repeat the findings.The remaining experiments used a paper-and-pencil modification of Eysenck's technique; the second and third were successful in showing interactions of dominance and noise, but in opposite directions. The two experiments differed only in the previous experience of the subjects. In a fourth experiment, the same materials were presented in a different sequence, mixing dominant and non-dominant instances. The interaction then disappeared again.These experiments therefore suggest that the effect of noise on memory is not a uniform and mechanical exaggeration of dominance, but depends on the retrieval strategies being employed by the particular subject.     

BEHAVIORAL ASSESSMENT FOR PEDIATRIC INTENSIVE CARE UNITS1

Two studies were conducted to analyze behaviors of staff and patients on a Pediatric Intensive Care Unit (PICU). In the first study, behavioral observation procedures were employed to assess patient state, physical position, affect, verbal behaviors, visual attention and activity engagement, and staff verbal behavior. On the average, one-third of the patients were judged to be conscious and alert but markedly nonengaged with their environment. In the second study, a member of the hospital staff provided alert patients with individual activities to determine whether a simple environmental manipulation could positively affect behavior of children in intensive care. Employing a reversal design, the activity intervention was found to increase attention and engagement and positive affect, and to decrease inappropriate behavior. Both studies demonstrate that behavioral assessment procedures can provide an empirical basis for designing PICU routines affecting children's psychosocial status, and, thus, complement current procedures designed to provide quality medical care.     

USE OF A SELF-RECORDING AND SUPERVISION PROGRAM TO CHANGE INSTITUTIONAL STAFF BEHAVIOR

The use of a self-recording and supervision program to increase interactions between direct care staff and profoundly retarded persons in a state residential facility was investigated. Following baseline, staff were provided with instructions regarding what to self-record, criteria for how many interactions to record, and a prepared card on which to make the recordings. Throughout the study, the staff supervisor monitored intermittently staff-client interactions. Observations indicated that when the staff recorded their interactions with clients in a loosely structured dayroom setting, the rate of interactions increased noticeably for each staff person. Behavioral ecology measures indicated that other staff responsibilities, such as maintaining the cleanliness of residents and the physical area, were not affected detrimentally when social interactions increased and actually showed small improvements. Additionally, small decreases in resident self-stimulatory and disruptive/aggressive behaviors occurred when the rate of social interactions from staff persons increased. Follow-up measures indicated that the rate of staff self-recording was variable, but when staff did self-record, the increased rate of staff-client interactions maintained.     

Concurrent schedules: a quantitative relation between changeover behavior and its consequences

Data from several published experiments on concurrent variable-interval schedules were analyzed with respect to the effects of changeover delay on the time spent responding on a schedule before changing to an alternate schedule: i.e., the interchangeover time. Interchangeover time increases as the duration of the changeover delay increases, and the present analysis shows that a power function describes the relation. The power relation applied in spite of numerous differences in the experiments: different variable-interval schedules for the concurrent pairs; equal or unequal reinforcement rates for the schedules of the concurrent pairs; different durations of the changeover delay; response-dependent or response-independent reinforcers; pigeons or rats as subjects; different reinforcers. A power function also described the data in experiments where the changeover incurred a timeout, where a fixed ratio was required to changeover, and also when asymmetrical changeover delays were used.     

Vocational maturity and anxiety among vocationally undecided and indecisive students : The effectiveness of Holland's Self-Directed Search

This study was designed with two purposes in mind: (1) to measure the effectiveness of Holland's Self-Directed Search for Educational and Vocational Planning (SDS); and (2) to test the validity of Goodstein's (Theories of Counseling. B. Stefflure, Ed., 1965) hypothesis that career indecision and indecisiveness are differentially related to anxiety and vocational maturity. A total of 66 high school males and 60 high school females were randomly assigned to experimental and control groups and tested for anxiety and vocational maturity levels; the experimental subjects were given the SDS. Statistical analysis indicated that the SDS was an effective instrument in reducing career indecision; Goodstein's hypothesis was not supported by the results of the study.