A case study of mediated learning, delayed auditory feedback, and motor repatterning to reduce stuttering

A case study of DW, an 11-yr. old monolingual, English-speaking boy who exhibits stuttering, language delay, and ADHD is presented. DW experienced only limited improvement during stuttering therapy received in public schools, according to parents and the public school clinician. The purpose of this case study was to assess whether fluency treatment which incorporated Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning would enhance progress. Therapy was delivered in two treatments, with each treatment being 5 wk. of intense therapy, separated by one year. Treatment 1 of combined Mediated Learning and Delayed Auditory Feedback yielded improvement in fluency, judged by parents and the teacher to be clinically significant. The improved fluency was maintained for one year when DW was pretested for participation in Treatment 2, which combined Mediated Learning, Delayed Auditory Feedback, and Speech Motor Repatterning Exercises. As no conclusions are possible, further study is needed.     

Validity and reliability of the audit and CAGE-AID in Northern Plains American Indians

According to the Indian Health Service, substance abuse and Type 2 diabetes are serious problems among Native Americans. To assess substance use in a medical setting, valid screening tests are needed so the Alcohol Use Disorders Identification Test (AUDIT), a simple brief screen for excessive drinking, and the CAGE-adapted to Include Drugs (CAGE-AID) for identifying primary care patients with alcohol and drug disorders were given 50 Northern Plains American Indians with diabetes. Both are short, easy to administer, have good sensitivity and specificity, and can be easily incorporated into a medical history protocol or intake procedure. Reliability coefficients were above .90 and appeared to have sufficient concurrent and divergent validity indicated by moderate correlations with the General Well-being Schedule (rs=-.39 and -.36), the Family-Adaptation, Partnership, Growth, Affection, & Resolve (r =-.47 and -.36), and the Beck Depression Inventory-IT (r = .36 and .29).     

The Tourette's Disorder Scale (TODS): development, reliability, and validity

To address the lack of a simple and standardized instrument to assess overall illness severity of Tourette's disorder (TD), the authors developed and tested a 15-item scale to measure a broad range of common symptoms including tics, inattention, hyperactivity, obsessions, compulsions, aggression, and emotional symptoms. Independent investigators used the 15-item Tourette's Disorder Scale (TODS) to assess 60 TD patients who were taking part in a double-blind placebo-controlled multicenter 8-week treatment study. Interrater reliability, internal consistency, convergent and discriminant validity, and sensitivity to change were examined. The TODS was associated with good interrater reliability, excellent internal consistency, and favorable levels of validity and sensitivity to change. Individual TODS items showed good convergent and discriminant validity against other measures. The TODS is a simple, efficient way for clinicians and parents to rate the severity of multiple symptoms commonly found in patients with Tourette's disorder.     

The cocktail party effect in infants

Most speech research with infants occurs in quiet laboratory rooms with no outside distractions. However, in the real world, speech directed to infants often occurs in the presence of other competing acoustic signals. To learn language, infants need to attend to their caregiver’s speech even under less than ideal listening conditions. We examined 7.5-month-old infants’ abilities to selectively attend to a female talker’s voice when a male voice was talking simultaneously. In three experiments, infants heard a target voice repeating isolated words while a distractor voice spoke fluently at one of three different intensities. Subsequently, infants heard passages produced by the target voice containing either the familiar words or novel words. Infants listened longer to the familiar words when the target voice was 10 dB or 5 dB more intense than the distractor, but not when the two voices were equally intense. In a fourth experiment, the assignment of words and passages to the familiarization and testing phases was reversed so that the passages and distractors were presented simultaneously during familiarization, and the infants were tested on the familiar and unfamiliar isolated words. During familiarization, the passages were 10 dB more intense than the distractors. The results suggest that this may be at the limits of what infants at this age can do in separating two different streams of speech. In conclusion, infants have some capacity to extract information from speech even in the face of a competing acoustic voice.     

The Role of Masculinity/Femininity, Values, and Occupational Value Affordances in Shaping Young Men��s and Women��s Occupational Choices

Gender differences in occupational values have been well-established, yet little research has examined the predictive qualities of individual difference variables such as self-perceived masculinity/femininity on values and these constructs?? predictive role in the traditionality and perceived value affordances of future occupations??or the values persons expect a job to fulfill. Undergraduates (185 males, 401 females) from the Eastern, Southern, and Midwestern United States reported their occupational values, self-perceived masculinity/femininity, expected occupations, and the perceived value affordances of these jobs. Results indicated significant relationships among self-perceived masculinity/femininity, value endorsements, and the perceptions of value affordances. Results also indicated some differences among the three subsamples as well as gender differences across subsamples. Also, value endorsements mediated the relationships between self-perceived masculinity/femininity and traditionality and self-perceived masculinity/femininity and perceived value affordances. Thus, the values associated with jobs and personal value endorsements are important variables in career choice. The implications of these findings are discussed, and it is suggested that perceptions of occupational value affordances may be an entry point for intervention when trying to reduce occupational gender segregation.     

Effect of a means-end contingency on young children's food preferences.

This study showed that a means-end relationship between two snacks exerts a negative influence on preference for the means snack in the contingency. Two snacks ranked of approximately equal medium appeal were individually chosen from an array by each of 86 children (ages 4 years, 4 months to 7 years, 2 months). Children were then assigned to a means-end condition (where one snack was eaten as a means of gaining the other), a temporal order control group (where one snack was presented and eaten before the other), or a mere exposure control group (where the children chose the order in which they ate the two snacks). Post-treatment rankings of the snacks showed that children in the means-end group came to devalue the means snack relative to the reward snack, despite the demonstrably equal prior appeal of the two snacks. Children in the temporal order and mere exposure control groups did not come to prefer the two snacks preferentially. Implications of the finding that adults can affect children's preferences by relatively minor variations in the manner of presentation are discussed.     

Mapping Gray’s BIS and BAS constructs onto Factor 1 and Factor 2 of Hare’s Psychopathy Checklist – Revised

Reinforcement sensitivity theory (RST; Gray, 1987; Gray & McNaughton, 2000) has proven to be a valuable tool for understanding psychopathy (e.g., Fowles, 1980, 1988; Newman & Malterer, 2009; Poythress et al., 2008). Recent research has linked two RST constructs, the Behavioral Inhibition System (BIS) and the Behavioral Activation System (BAS), to individuals with primary psychopathy and secondary psychopathy (Lykken, 1995; Newman, MacCoon, Vaughn, & Sadeh, 2005): Primary psychopaths manifest low BIS reactivity and secondary psychopaths manifest high BAS reactivity. In the present study, we examine the relationships between the BIS/BAS constructs and Factors 1 and 2 of the Psychopathy Checklist – Revised (PCL-R) in a sample of 472 incarcerated male offenders. Paralleling their relationships with primary and secondary psychopathy, the BIS/BAS constructs were differentially related to the two PCL-R factors. Specifically, the influence of the BIS was found to be more prominent than the influence of the BAS for Factor 1, and the influence of the BAS was more prominent than that of the BIS for Factor 2.     

Effectiveness of school-based prevention and intervention programs for children and adolescents with emotional disturbance: A meta-analysis

The present study evaluated the effectiveness of school-based prevention and intervention programs for children and adolescents at-risk for and with emotional disturbance. Published outcome studies (k = 29) from December, 1988, to March, 2006, including 1405 children and adolescents were reviewed. Each investigation was coded on several variables describing the child, parent, and teacher samples, as well as reported outcome results. The overall mean weighted effect size was 1.00 at post-test and 1.35 at follow-up. Mean weighted ESs were 0.42 for between-subjects design studies, 0.87 for within-subjects design studies, and 1.87 for single-subject design studies. Prevention programs yielded a mean weighted ES of 0.54 and intervention programs produced a mean weighted ES of 1.35. Findings for specific outcome foci are presented and implications are discussed.