Counselling after Stroke: An Unmet Need?

Information was gathered by means of a questionnaire survey and interviews from a group of patients (N = 17) and health professionals (N=13) working within a stroke unit, concerning the emotional needs of patients and and their relatives and how staff responded to these needs. Although most of the staff had received some training or information about counselling and felt that their interactions with patients often involved an element of counselling, there was strong support for separate specialised counselling services to deal with psychological problems suffered by both patients and their relatives. Patients rated assistance with personal and emotional worries and advice about physical problems as equally useful. A strong need for a counselling service in some form or other was expressed by patients. Neither the level of the patients' social support nor the presence or absence of aphasia, however, predicted the strength of interest expressed. It is concluded that specialised psychological help could be useful in various ways for both in- and out-patients and for their families.     

Parent characteristics and parent-child interactions in families of nonproblem children and ADHD children with higher and lower levels of oppositional-defiant behavior

This study examined parent-child interactions and parent characteristics in families of nonproblem children and attention deficit hyperactivity disorder (ADHD) children with lower (ADHD-LOD) and higher (ADHD-HOD) levels of oppositional-defiant behavior. Families of ADHD children were recruited from a parent training program. Observed and parent-reported child behavior problems were highest in the ADHD-HOD group. Observed parent behavior revealed few differences, but daily reports indicated that parents in both ADHD groups used more negative-reactive and fewer positive parenting strategies than control parents. Maternal psychological functioning differed between the ADHD and nonproblem groups, but not between the two ADHD groups. Fathers of ADHD-HOD children reported more psychological disturbance than controls. Parenting self-esteem was lowest in the ADHD-HOD group and highest in the nonproblem group. The results support the LOD and HOD distinction, but also suggest that, although certain difficulties are more common in the families of ADHD-HOD children, families of ADHD-LOD children also differ from controls on a number of dimensions.This research was supported by grants from the Medical Research Council of Canada and the British Columbia Health Research Foundation. Appreciation is extended to Josie Geller, Kim Behrenz, Susan Greaves, and Sonia Pietzsch who assisted with data collection and coding, and to the families who generously gave their time to participate in the research. Thanks also to two anonymous reviewers for their comments.     

Reception of Morse code through motional, vibrotactile, and auditory stimulation

The potential for communication through the kinesthetic aspect of the tactual sense was examined in a series of experiments employing Morse code signals. Experienced and inexperienced Morse code operators were trained to identify Morse code signals that were delivered as sequences of motional stimulation through up-down displacements (roughly 10 mm) of the fingertip. Performance on this task was compared with that obtained for both vibrotactile and acoustic presentation of Morse code using a 200-Hz tone delivered either to the fingertip through a minishaker or diotically to the two ears under headphones. For all three modalities, the ability to receive Morse code was examined as a function of presentation rate for tasks including identification of single letters, random three-letter sequences, common words, and sentences. Equivalent word-rate measures (i.e., product of percent correct scores and stimulus presentation rate) were nearly twice as high for auditory presentation as for vibrotactile stimulation, which in turn was about 1.3 times that for motional stimulation. The experienced subjects outperformed the inexperienced subjects by amounts that increased with task complexity. For example, the former were able to receive sentences at 18 words/min with motional stimulation, whereas the latter, following 75 h of training, were unable to perform this task. The present results and those of other research with tactual communication systems are compared, particularly regarding estimates of information-transfer rates.     

Maternal characteristics,ratings of child behavior,and mother-child interactions in families of children with externalizing disorders

Relationships among maternal characteristics, ratings of child behavior, and observed mother-child interactions were examined in a sample of 40 4- to 12-year-old children with externalizing disorders. Mothers and children were observed in a task interaction and mothers provided self-reports of depressed mood, parenting self-esteem, marital satisfaction, social support, and life stress. Child behavior was rated by both mothers and teachers. Several significant correlations were found among observed mother and child behaviors and among maternal self-report measures. However, few significant relationships were found between maternal characteristics and observed mother or child behavior. Although life stress predicted increased child negativity, maternal depressed mood was related to more appropriate child behavior. Mother and teacher ratings of child behavior demonstrated few significant relationships with other measures. These results suggest that, in samples comprised primarily of children with attention deficit disorder from socially advantaged families, few relationships exist between maternal characteristics, parenting behavior, and child behavior.This study was part of a doctoral dissertation conducted by the first author at Florida State University, under the direction of the second author, and supported by the Social Sciences and Humanities Research Council of Canada. Portions of the data also appear in a chapter by Johnston titled A behavioral-family systems approach to assessment: Maternal characteristics associated with externalizing behavior in children. In R. Prinz (Ed.),Behavioral assessment of children and families (Vol. 4, pp. 163–189). Greenwich, CT: JAI Press. The authors express appreciation to Alan Lang, Barbara Licht, and Richard Tate, for their thoughtful comments. We are grateful to Beverley Atkeson and a dedicated group of coders and to Dr. C. E. Cunningham and the staff of the Chedoke Child and Family Center for their support. Finally, our thanks to the families who participated.     

Individual differences in components of slow cortical potentials: implications for models of information processing

Individual differences in the effects of pharmacological and behavioural manipulations on slow cortical potentials (SCP), may reflect personality differences in type of informational control under attentional stress. Two experiments were conducted to examine SCP component differences in extraverts and introverts under different attentional tasks and with and without nicotine smoking ‘stressor’ conditions. In an initial experiment a decrease in late negativity for introverts and an increase in late negativity for extraverts suggested that smoking enhanced introverts' stimulus set and extraverts' motor set. In a second experiment, personality differences in SCP were examined again, but within a signal-detection paradigm, which allows separate assessment of the contribution of sensory sensitivity and response bias factors to performance. Smoking increased sensitivity in both personality groups, but response bias (caution) increased in introverts only. Extraverts showed an increase in central negativity during smoking whilst introverts showed a decrease in negativity and a decrease in positive wave components. The results are explained in terms of a motor model of attentional control whereby smoking regulates inhibitory controlled actions in introverts, but activates general motor processes for extraverts.     

Modality-specific spatial coordinates

The development of spatial coordinates may depend on the integration of information from different modalities, or may be based on modality-specific coding. On the first assumption, the blind would be handicapped in deriving adequate spatial concepts, and on the other, no such handicap need exist. When spatial orientation is the salient feature of the task, subjects appear to profit from the integration of information from two or more modalities. When shape is salient, subjects adopt modality-specific coding strategies.     

Seeing and hearing and space and space and time

A previous experiment had shown spatial location to be judged in terms of the framework provided by the modality in which stimuli were presented. In the present study, digits were either auditorally or visually presented, and in either form the three digits appeared successivly to the left, in the center, and to the right of the S. The digit which occurred temporally in the middle of the sequence was never central from the spatial viewpoint. The S was asked to indicate which digit was the middle one. Ss were blind, deaf, or normal. The deaf and two control groups saw visual displays, and the blind and their controls heard auditory displays. The former groups predominantly chose the spatially middle digit and the latter groups the temporally middle. It was concluded that modality of presentation was the trigger which switched in the coding dimension of time or space.     

Facilitating referential communication among children: The listener as teacher

This study was designed to test the hypothesis that systematic variations in listener behavior can have an important influence on both speaker behavior and communicative success among children. In particular, we investigated the idea that systematic variations in listener behavior might have not only within-trial effects on the adequacy of speakers' messages and the accuracy of communication among children, but also cumulative effects on speakers' initial messages across trials. Effects of stimulus complexity were also examined. Pairs of 7- and 9-year-old children participated in a referential communication game, with the younger child serving as speaker and the older one as listener. Half of the listeners were given a plan for effective listening which emphasized the importance of asking questions if the speakers' messages were ambiguous. Replicating earlier findings, the plan manipulation was successful in encouraging listeners to ask questions when necessary. The major result was that listener questions not only had the expected trial-by-trial effect on message adequacy and communicative accuracy, but also showed a cumulative effect on speaker performance. When exposed to systematic listener feedback, speakers improved their initial messages over trials. Stimulus complexity was not a major determinant of performances. These findings suggest that provision of systematic listener feedback may be an effective method for teaching speaker skills to young children.