Speech treatment and support group experiences of people who participate in the National Stuttering Association

Support groups are rapidly becoming an important part of the recovery process for many people who stutter, and a growing number of speech-language pathologists (SLPs) are encouraging their clients to participate in support groups. At present, however, little is known about the individuals who join stuttering support groups and the benefits they derive from their participation. This study surveyed members of the National Stuttering Association (NSA) to learn about their experiences in support groups, as well as their experiences in speech therapy. Respondents were 71 people who attended the 1999 NSA conference in Tacoma, WA. The majority of respondents had participated in treatment several times during their lives, using a variety of techniques. Respondents who had participated in fluency-shaping treatments were more likely to report that they had experienced a relapse than those who had participated in stuttering modification or combined treatments. Also, there was a strong positive correlation between respondents' satisfaction with treatment and their judgments of clinicians' competence, suggesting that improved training for SLPs should lead to improved treatment for people who stutter. Results will be used to provide a foundation for further evaluations of the benefits of support group participation for people who stutter. EDUCATIONAL OBJECTIVES: The reader will learn (a) that many people who participate in the NSA have had numerous and varied experiences with speech treatment throughout their lives, (b) which aspects of treatment and support group participation are seen as most beneficial for people who participate in the NSA.     

Invariant recognition of natural objects in the presence of shadows

Shadows are frequently present when we recognize natural objects, but it is unclear whether they help or hinder recognition. Shadows could improve recognition by providing information about illumination and 3-D surface shape, or impair recognition by introducing spurious contours that are confused with object boundaries. In three experiments, we explored the effect of shadows on recognition of natural objects. The stimuli were digitized photographs of fruits and vegetables displayed with or without shadows. In experiment 1, we evaluated the effects of shadows, color, and image resolution on naming latency and accuracy. Performance was not affected by the presence of shadows, even for gray-scale, blurry images, where shadows are difficult to identify. In experiment 2, we explored recognition of two-tone images of the same objects. In these images, shadow edges are difficult to distinguish from object and surface edges because all edges are defined by a luminance boundary. Shadows impaired performance, but only in the early trials. In experiment 3, we examined whether shadows have a stronger impact when exposure time is limited, allowing little time for processing shadows; no effect of shadows was found. These studies show that recognition of natural objects is highly invariant to the complex luminance patterns caused by shadows.     

Clinical conversations between psychoanalysis and imaginative literature

A literary form created by an imaginative writer captures something of the way the author shapes emotional experience and psychologically engages with it. The manner in which experience is created and contained in an imaginative literary text has much in common with the way experience is generated and worked with in the psychoanalytic situation. The author describes a clinical experience in which there was a collapse of the analytic (imaginative) space. He then discusses how he made use of a "conversation" he created with a short story and his own analytic experience to restore his imaginative capacities and to resume psychological work with the patient.