The impact of Parkinson's disease on vocal-prosodic communication from the perspective of listeners

An expressive disturbance of speech prosody has long been associated with idiopathic Parkinson's disease (PD), but little is known about the impact of dysprosody on vocal-prosodic communication from the perspective of listeners. Recordings of healthy adults (n=12) and adults with mild to moderate PD (n=21) were elicited in four speech contexts in which prosody serves a primary function in linguistic or emotive communication (phonemic stress, contrastive stress, sentence mode, and emotional prosody). Twenty independent listeners naive to the disease status of individual speakers then judged the intended meanings conveyed by prosody for tokens recorded in each condition. Findings indicated that PD speakers were less successful at communicating stress distinctions, especially words produced with contrastive stress, which were identifiable to listeners. Listeners were also significantly less able to detect intended emotional qualities of Parkinsonian speech, especially for anger and disgust. Emotional expressions that were correctly recognized by listeners were consistently rated as less intense for the PD group. Utterances produced by PD speakers were frequently characterized as sounding sad or devoid of emotion entirely (neutral). Results argue that motor limitations on the vocal apparatus in PD produce serious and early negative repercussions on communication through prosody, which diminish the social-linguistic competence of Parkinsonian adults as judged by listeners.     

I had a hammer: reflections on ministry in an acute schizophrenia ward

This essay details the challenges of ministry in a psychiatric hospital. Using a narrative approach through the use of three case studies, the article suggests that commonly used pastoral techniques are ineffectual with people who have severe schizophrenia. The author explores the theological implications of ministry with few tools, as well as reflecting on the presence of God with those who suffer.     

A sex difference in visual influence on heard speech

Reports of sex differences in language processing are inconsistent and are thought to vary by task type and difficulty. In two experiments, we investigated a sex difference in visual influence onheard speech (the McGurk effect). First, incongruent consonant-vowel stimuli were presented where the visual portion of the signal was brief (100 msec) or full (temporally equivalent to the auditory). Second, to determine whether men and women differed in their ability to extract visual speech information from these brief stimuli, the same stimuli were presented to new participants with an additional visual-only (lipread) condition. In both experiments, women showed a significantly greater visual influence on heard speech than did men for the brief visual stimuli. No sex differences for the full stimuli or in the ability to lipread were found. These findings indicate that the more challenging brief visual stimuli elicit sex differences in the processing of audiovisual speech.     

Toward Mapping Daily Challenges of Living with ADHD: Maternal and Child Perspectives Using Electronic Diaries

Attention-deficit/hyperactivity disorder (ADHD) has an impact on the family as well as the affected child. This study developed and tested an electronic diary for mapping the challenges of everyday family life in a sample of children with ADHD being treated with pharmacotherapy. Across 7 days, mothers and children (27 ADHD; 25 non-ADHD) independently reported their moods, behaviors, and social contexts every 30 min during nonschool hours. Symptomatic behaviors and negative moods were elevated in the ADHD group, combined with maternal perceptions of lower parenting effectiveness and quality of life. Differences in the contexts of maternal anger were salient, with mothers in the ADHD group more often angry when with their children and comparison mothers more often angry when not. Although mothers' diaries were more informative, children's diaries also distinguished the two groups, especially during mornings and weekends. The need for family-wide interventions, the utility of child self-reports, and the promise of electronic diaries are discussed.     

Getting by with a little help from self and others: self-esteem and social support as resources during early adolescence

Influences of social support and self-esteem on adjustment in early adolescence were investigated in a 2-year longitudinal study (N = 350). Multi-informant data (youth and parent) were used to assess both overall levels and balance in peer- versus adult-oriented sources for social support and self-esteem. Findings obtained using latent growth-curve modeling were consistent with self-esteem mediating effects of social support on both emotional and behavioral adjustment. Lack of balance in social support and self-esteem in the direction of stronger support and esteem from peer-oriented sources predicted greater levels and rates of growth in behavioral problems. Results indicate a need for process-oriented models of social support and self-esteem and sensitivity to patterning of sources for each resource relative to adaptive demands of early adolescence.     

Comparison of group climate in an eating disorders partial hospital group and a psychiatric partial hospital group

Women in an eating disorders partial hospital program and a psychiatric partial hospital program were compared on a self-report measure of group climate following a psychodynamic-interpersonal therapy group. Those with eating disorders experienced their groups as more engaged and as more avoiding than those in the psychiatric partial hospital group. Therapists may be able to use initial heightened engagement in eating disorder groups to counteract the tendency to avoid content.     

Second thoughts versus second looks: an age-related deficit in reflectively refreshing just-activated information

Age-related deficits in memory are greater as encoding and retrieval tasks require more reflective (self-generated or executive) processing. One problem in developing more specific models of age-related changes in cognition is that the tasks studied tend to be complex and vary in the combinations of component cognitive processes they recruit. Here we report an age-related deficit in one of the most elementary, but critical, components of reflection: refreshing a just-activated representation. Impairment in such a process potentially has a wide-ranging impact on all higher-order cognition.     

Short-interval test-retest interrater reliability of the Dutch version of the Structured Clinical Interview for DSM-IV personality disorders (SCID-II)

This study examined the short-interval test-retest reliability of the Structured Clinical Interview (SCID-II: First, Spitzer, Gibbon, & Williams, 1995) for DSM-IV personality disorders (PDs). The SCID-II was administered to 69 in- and outpatients on two occasions separated by 1 to 6 weeks. The interviews were conducted at three sites by ten raters. Each rater acted as first and as second rater and equal number of times. The test-retest interrater reliability for the presence or absence of any PD was fair to good (kappa = .63) and was higher than values found in previous short-interval test-retest studies with the SCID-II for DSM-III-R. Test-retest reliability coefficients for trait and sumscores were sufficient, except for dependent PD. Values for single criteria were variable, ranging from poor to good agreement. Further large-scale test-retest research is needed to test the interrater reliability of more categorical diagnoses and single traits.     

Science and Human Behavior at fifty

The golden anniversary of Science and Human Behavior is cause for celebration. Toward that end, the present paper is largely an historical consideration of the book, its inception and reception, both at the time of its publication and in subsequent years. The range and intensity of reactions to S&HB mark its impact and show it to be among Skinner's most important works, if not the most important. S&HB was written as an introductory psychology text--a vigorous use of the book in our teaching could do much to benefit the dissemination of behavior analysis.