Hemiplegic writing in severe aphasia

Three patients with severe aphasia and right hemiplegia are described who could write to dictation with the right arm using a limb prosthesis though agraphic with the "intact" left hand. The phenomenon of "hemiplegic writing" is explained as an access to submerged or preprocessing levels in language and action structure, through the use of older proximal motor systems. This interpretation has implications for our understanding of language and brain function, as well as for approaches to the treatment of patients with severe language disorders.     

Inferential processing of context: Studies of cognitively impaired subjects

Language comprehension tasks involving pronoun coreference were administered to a group of demented patients, a group of patients with cardiac disease, and groups of normal elderly persons and young adults. Pronoun coreference was constrained by either lexical, syntactic, or contextual cues. No differences were found between old and young subjects for any task. While the demented patients were impaired on all tasks, the cardiac patients were specifically impaired in the inferential processing of context.     

Work-Home Role Conflict,Family Climate,and Domestic Responsibilities Among Men and Women in Dual-earner Families1

Correlates of work-home role conflict for dual-earner couples were examined. Respondents (N= 208) were an equal number of married, employed men and women with children. Data were collected in the northeastern U.S.A. through a survey which measured work-home role conflict, family climate, domestic responsibilities, and activities performed during one's free time. LISREL was used to determine if domestic responsibilities mediate the correlation between gender and work-home conflict. A regression analysis was used to determine the relative effects of domestic responsibilities and family climate on work-home conflict. Results indicate that (a) work-home role conflict is negatively related to family climate for men as well as for women, (b) gender differences in role conflict are partially attributable to gender differences in domestic responsibilities, and (c) domestic responsibilities and family climate each correlate significantly with work-home role conflict. Findings suggest that how one works hard (the conditions under which one lives) may be just as important as how hard one works (the number of tasks one performs).     

Assessment of incarcerated juvenile delinquents: Agreement across raters and approaches to psychopathology

The purpose of the current study was to examine the agreement across three informants (youth, teacher, caretaker) when rating behaviors of incarcerated juvenile delinquents. Furthermore, the agreement between a dimensional approach (Child Behavior Checklist) and a categorical approach (DSM-III-R) of assessing behavior was examined. Fifty-two delinquent youth were assessed with a structured interview. In addition, the youth, teacher, and caretaker completed the Child Behavior Checklist (CBCL). The results indicated significant correlations across the teacher and caretaker for externalizing types of problems. The youth report form of the CBCL did not correspond to either adult informant. However, the ratings by the teacher and caretaker were related to externalizing types of problems, primarily hyperactivity/inattention, derived from the structured interview with the delinquent. The results suggest that, in the psychological assessment of incarcerated juvenile delinquents, agreement across informants is dependent on multiple factors, including type of behavior assessed and the approach utilized in assessment.This work was supported, in part, by the Juvenile Justice Coordinating Council of Georgia, the Office of Juvenile Justice and Delinquency Prevention, and the University of Georgia's Institute for Behavioral Research.     

The linguistic organization of public controversy: A note on the pragmatics of political discourse

Conclusion This paper does not mean to imply that it is only public controversy that can meaningfully affect political outcomes, or even that it is the most important factor. Rather, we have attempted to indicate that public controversy constitutes a forum on which political actorsact; on which they attempt to implicate each other and the public in terms of some preferred view of the controversy at hand. It is certainly the case that the formal structure of the government and power relationships provides important constraints in terms of which controversy may take place. Yet within these constraints, actors can meaningfully construct various views of the structure of the controversy which differently construe the rights and obligations of participants. In this sense, the course of public controversy may in part be understood as a function of the language employed by these actors, both to the extent that particular expressions stand as documentary evidence of underlying discrepancies about the shape of the controversy and to the extent that the logic of certain speech-acts constrains the forms subsequent statements may take.     

Fibromyalgia: the role of sleep in affect and in negative event reactivity and recovery

OBJECTIVE: Fibromyalgia (FM) syndrome is a chronic pain condition characterized by diffuse muscle pain, increased negative mood, and sleep disturbance. Until recently, sleep disturbance in persons with FM has been modeled as the result of the disease process or its associated pain. The current study examined sleep disturbance (i.e., sleep duration and sleep quality) as a predictor of daily affect, stress reactivity, and stress recovery. DESIGN AND MEASURES: A hybrid of daily diary and ecological momentary assessment methodology was used to evaluate the psychosocial functioning of 89 women with FM. Participants recorded numeric ratings of pain, fatigue, and positive and negative affect 3 times throughout the day for 30 consecutive days. At the end of each day, participants completed daily diary records of positive and negative life events. In addition, participants reported on their sleep duration and sleep quality each morning. RESULTS: After accounting for the effects of positive events, negative events, and pain on daily affect scores, it was found that sleep duration and quality were prospectively related to affect and fatigue. Furthermore, the effects of inadequate sleep on negative affect were cumulative. In addition, an inadequate amount of sleep prevented affective recovery from days with a high number of negative events. CONCLUSIONS: These results lend support to the hypothesis that sleep is a component of allostatic load and has an upstream role in daily functioning.     

Psychiatric Hospital Treatment of Suicidal Children

ABSTRACT: Three phases of psychiatric hospital treatment of children, ages 6 to 12 years, admitted to the hospital because of suicidal threats or suicidal attempts are described. Suicidal behavior in young children must always be taken seriously. Although suicidal behavior usually ceases upon hospitalization, suicidal ideas may continue to be expressed in play and fantasy. In addition to individual and milieu therapy, treatment must also include concomitant assistance of the parents. The treatment procedures are illustrated by suicidal case examples of a depressed girl, an acting-out boy, and a psychotic boy.     

Interpersonal Psychotherapy—Adolescent Skills Training With Youth From Asian American and Immigrant Families: Cultural Considerations and Intervention Process

Although research has identified effective evidence-based depression prevention interventions for diverse youth, little is known about how the intervention process unfolds with immigrant family youth. This study utilized a qualitative approach to explore cultural and clinical differences in the implementation of Interpersonal Psychotherapy–Adolescent Skills Training (IPT-AST) in two schools, one serving youth from primarily immigrant, Asian American families and the second, youth from mostly nonimmigrant, non-Hispanic White families. A total of 131 IPT–AST sessions were audio recorded, transcribed, and coded for presence and patterns of cultural and clinical constructs. Results revealed that sessions with immigrant family youth were more likely to contain discussions of interpersonal problems characterized by estrangement, goals of spending time together with important others, mentions of emotion suppression and academic achievement expectations, conversations about acculturation, differences in value orientation, and discomfort with implementing new intervention skills. Dialogue from interventionist and youth exchanges is presented to illustrate how these themes emerged and were addressed by interventionists in a culturally responsive manner. The study highlights how IPT–AST with immigrant family and Asian American youth may unfold differently compared to youth from nonimmigrant families. Implications of findings for providers are discussed.