A long-term follow-up case study of crossed aphasia assessed by single-photon emission tomography (SPECT), language, and neuropsychological testing

A 65-year-old man with well-defined crossed aphasia secondary to right cerebral infarction 10 years previously was studied for current language and cognitive abilities and regional cerebral blood flow (rCBF) during cognitive activation measured by single-photon emission tomography (SPECT). Reversed hemispheric lateralization was demonstrated by qualitative aspects of the patient's constructional deficits, dominant parietal lobe signs, and absence of the neglect syndrome. Language activation procedures during SPECT produced focal increases in rCBF to both frontal lobes with a phoneme detection task and to right temporal and parietal lobes with a math task. The authors stress the complexities of assessing brain/language mechanisms in vivo and demonstrate variabilities in rCBF during language activation dependent on task selection.     

Psychological effects of prenatal diagnosis: The example of fetal echocardiography

This article presents two studies investigating the psychological effects of fetal echocar-diography (FE). The first compared the effects of FE in high risk and obstetrically normal women. High-risk women were more anxious beforehand and had more negative attitudes. Following a normal scan their attitudes and anxiety were equivalent to the controls but a large variation in postscan psychological changes was found. This variation was examined in the second study with a larger sample. Selected background variables predicted prescan anxiety and anxiety reduction following a normal scan. Quality of communication and feedback also determined postscan anxiety level and rated satisfaction in the two-week follow-up questionnaire. Some suggestions for routine medical practice are included.     

Explaining the adult careers of dyslexic boys: Variations in critical skills for high-level jobs

Several hundred boys who were diagnosed as dyslexic (specifically reading disabled) in adolescence and who attended a private college preparatory school for dyslexics were followed up in adulthood. The occupations of these men, who were above average in both intelligence and socioeconomic background, were compared to those of both a control group and the general white male population. As hypothesized, the dyslexic men had higher level jobs than the average man but they were much less likely than the controls to become professionals. They rarely entered jobs such as physician, lawyer, or college teacher which require higher degrees; instead most became managers or salesmen. The occupational differences between the dyslexic and control men were related to, but not completely accounted for, by their large differences in educational attainment. Data on the competencies rated as critical to good job performance in different occupations were consistent with the hypothesis that dyslexic men would establish themselves in relatively high-level jobs emphasizing nonacademic rather than academic on-the-job skills. Nondisabled professionals rated getting information through reading among the most critical of the skills required on their jobs. In contrast, managers and salesmen rated reading as less important than nonacademic competencies such as taking initiative and responsibility or being persuasive. The results illustrate the value of knowing more about the particular competencies required in different jobs in order to help members of special groups, particularly those such as dyslexies who have specific and enduring handicaps but who are otherwise intellectually normal.     

Lexical decision in sentences: Effects of syntactic structure

A lexical decision paradigm was used to examine syntactic influence on word recognition in sentences. Initial fragments of sentences were presented visually (CRT display) one word at a time (at reading speeds), from left to right. The string terminated with the appearance of a lexical decision target. The grammatical structure of the incomplete sentence affected lexical decision reaction time (RT). In Experiment 1, modal verb contexts followed by main verb targets and preposition contexts followed by noun targets produced lower RTs than did the opposite pairings (i.e., modal/noun and preposition/verb). In Experiment 2, transitive verb contexts followed by noun targets and subject noun phrase contexts followed by verb targets yielded lower RTs than did the opposite pairings. Similar contrasts for adjective targets did not yield comparable effects in Experiment 2, but did when the adjective was the head of a predictable phrase (Experiment 4). In Experiment 3, noun targets yielded lower RTs than did verb targets after contexts of a transitive verb followed by a prepositional phrase. An account of these effects is offered in terms of parsing constraints on phrasal categories.     

Improvement of retardates' mealtime behaviors by timeout procedures using multiple baseline techniques

Undesirable mealtime behaviors of a hospital cottage of retardates were reduced by contingent timeout procedures applied by ward personnel successively to one undesirable behavior after another, in a multiple baseline design. In some cases the timeout procedure was to remove the subject from the room until the meal was finished; in other cases (depending on the health of the child and the initial rate of the behavior to be reduced), timeout consisted of a 15-sec removal of the child's meal tray. Undesirable behaviors were defined as stealing, using fingers inappropriately, messy use of utensils, and pigging (eating directly with mouth or eating spilled food). Timeout was applied to these behaviors in that order, and in each case led to a marked and useful reduction in the behavior throughout the group. As these undesirable behaviors were reduced, more appropriate mealtime behaviors emerged: as inappropriate use of fingers declined (under contingent timeout), messy utensil behavior increased; later, as messy utensil behavior declined (under contingent timeout), a defined category of neat utensil behavior increased. Weights of the subjects were monitored steadily throughout the study and showed essentially no change.