Is Speech Arrest during Wada Testing a Valid Method for Determining Hemispheric Representation of Language?

Background and objective: The intracarotid amobarbital procedure, or Wada test, is the method of choice to determine hemispheric representation of language, and is routinely used in the presurgical evaluation for intractable epilepsy. Some investigators perform comprehensive language assessments, but others base language lateralization solely on speech arrest. This study sought to determine whether speech arrest alone during Wada testing provides valid data regarding language lateralization. Methods: The subjects (previously reported) were 21 patients evaluated for intractable epilepsy, who underwent language lateralization by Wada testing and functional MRI (FMRI). For each patient, language representation was determined by calculating: (1) a Wada laterality index based exclusively on speech arrest; (2) a Wada laterality index based on comprehensive language assessment; and (3) an FMRI laterality quotient. Correlation coefficients and categorical classifications were analyzed. Results: There was no significant correlation between the Wada laterality quotient derived from duration of speech arrest and either the comprehensive Wada language laterality score (r= .35,p= .12) or FMRI language laterality score (r= .32,p= .16). Categorical classification as left, right or bilateral language also showed marked discordance between speech arrest and the other two methods. Conclusion: Duration of speech arrest during Wada testing is not a valid measure of language dominance.     

Promoting Resilience in At-Risk Children

Intervening effectively with youths at risk from early deprivation, family dysfunction, poverty, abuse, and other factors is a major concern for educational and social service policymakers. Current research suggests that a majority of at-risk youths do not experience drastic outcomes, but many exhibit protective factors that buffer them from negative consequences. Longitudinal studies from Hawaii, the continental United States, and Great Britain have identified several personality, familial, and environmental variables that promote resiliency in youths at risk. This article discusses these variables and provides counselors with an assessment technique and strategies to promote a salutogenesis perspective.     

An investigation of the validity of the SPSI and SPSI-R in differentiating high-suicidal from depressed,low-suicidal college students

The present study examined the validity of the Social Problem-Solving Inventory (SPSI) and SPSI—Revised in differentiating 65 high-suicidal from 63 depressed, low-suicidal college students. Results from multivariate analyses indicated overall differences in problem-solving between these two groups as measured by the SPSI but not by the SPSI-R. Further examination of these differences revealed the high-suicidal group was different in problem-solving orientation, rather than problem-solving skills, compared to the depressed, low-suicidal group. However, when depression was statistically controlled in hierarchical regression analyses, none of the problem-solving measures predicted group membership. The superiority of the SPSI to the SPSI-R in differentiating these two groups appears to be accounted for by the elimination of 28 items in the revised version, many of which measure orientation to problem-solving. Also explored was the possibility that objective measures of problem-solving provide a better prediction of adjustment than do self-report measures.     

Case vignette: cybertherapy

Dr. Neuro Transmitter, a psychotherapist in Paramus, New Jersey, provides services through an online, real-time consultation service known as CyberShrink, Inc., of Dallas, Texas. He is paid by the hour for his consultation services to subscribers who are billed by credit card through CyberShrink. One afternoon he logs on and is connected via private "chat channel" to a new subscriber to the service. She is Ann Hedonia of Simi Valley, California. Ten minutes into the session, Dr Transmitter recognizes that Ms. Hedonia is seriously depressed with suicidal ideation and is feeling on the edge of her ability to cope. He gently suggests that perhaps she ought to think about hospitalization near her home. Ms. Hedonia replies, "Even you don't care about me! That's it. I'm going to do it!" and disconnects. Discussion questions: Is offering psychotherapy services online ethical? What are Dr. Transmitter's obligations in general and at this particular moment to Ms. Hedonia? Suppose Ms. Hedonia has a complaint about Dr. Transmitter. From whom can she seek a remedy? Which state's laws apply regarding professional practice, confidentiality, or licensing qualifications? Must Dr. Transmitter be licensed in any state to offer this service?     

A developmental study of children's preferences for paintings

In order to study the influence of style and subject matter on the development of children's art preferences, 60 randomly selected subjects from three grade levels, with an equal number of males and females, were shown ten color slides of paintings representing five categories of subject matter and two broad categories of style. Results indicated that style was the dominant variable at each grade level, and consistently accounted for more of the overall variance than subject matter. Unexpectedly, no appreciable developmental differences were evident in preference judgments across grade levels observed in this study.     

An ecological study of the reliability of clinical judgment in executive appraisal

This research was a study of the reliability of clinical judgment findings (multitrait) across three different information sources (psychometric tests, structured interview, and psychometric tests and interview). Subjects (N = 74) were middle and senior executives of Western Canadian technical companies; clinicians (N = 3) were trained and experienced industrial psychologists. The study investigated the similarity of clinical evaluation of personological characteristics (based on an 18-factor multitrait paradigm) across the three different information sources. Subjects were independently rated by a single clinician on 18 criterion factors in each of the three information source categories. Test information source categories required the administration of approximately 12 hrs of standardized psychological assessment questionnaires to each of the 74 subjects. Interview source category involved a 1.5-hr structured interview per subject. Combined condition pooled both test and interview conditions. Generalizability of the findings was maximized by the undertaking of the experiment in a natural situation thus increasing ecological validity. Statistical treatments used were designed to assess the similarity of a clinician's evaluation of a subject based on the different category of information available about that client. Convergence (intrarater reliability) indexes range from a high of .64 to a low of .05. Results indicate a varying degree of convergence of multitrait clinical ratings dependent on clinician and trait being rated. Results are discussed in terms of implications for practitioners involved in executive personnel selection.     

Training children's self-control: A field experiment in self-monitoring and goal-setting in the classroom

A field experiment investigated the effects of training in self-monitoring and goal-setting skills on classroom study behavior and academic achievement among elementary school students in an individualized mathematics program. In the Self-Monitoring Conditions, students were shown a simple system for observing and maintaining daily records of their own study behavior during their math classes; orthogonally, in the Goal-Setting Conditions, students were shown a simple method of setting and recording daily performance goals during their math classes. Exposure to self-monitoring procedures produced significant increases in both appropriate study behavior and in actual achievement in the mathematics program, while exposure to goal-setting procedures had no effect on either study behavior or academic achievement. Nor, contrary to expectation, did exposure to the goal-setting instructions enhance the effectiveness of the self-monitoring system. The implications of these results in terms of implicit and explicit models of self-reinforcement processes were discussed.     

Multiple-answer multiple-choice test items: Responding and scoring through bayes and minimax strategies

A multiple-answer multiple-choice test item has a certain number of alternatives,any number of which might be keyed. The examinee is also allowed to mark any number of alternatives. This increased flexibility over the one keyed alternative case is useful in practice but raises questions about appropriate scoring rules. In this article a certain class of item scoring rules called thebinary class is considered. The concepts ofstandard scoring rules and equivalence among these scoring rules are introduced in the misinformation model for which the traditional knowledge model is a special case. The examinee's strategy with respect to a scoring rule is examined. The critical role of a quantity called the scoring ratio is emphasized. In the case of examinee uncertainty about the number of correct alternatives on an item, a Bayes and a minimax strategy for the examinee are developed. Also an appropriate response for the examiner to the minimax strategy is outlined.Research partially supported under Grants N00014-67-A-0314-0022 from the Office of Naval Research and GS-32514 and MPS 75-07539 from the National Science Foundation.     

Selective attention and changes in clinical state

Thirty inpatients of a psychiatric unit were given the Mini-Mult and a series of auditory selective attention tasks in order to test the hypotheses that (1) impaired attention is related to degree of pathology, and (2) improvement in clinical state leads to improved ability to selectively attend. The results showed that the relationship between the Mini-Mult and the listening tasks is significant only when the subjects had to exclude irrelevant stimuli (interference condition). The results also indicated that the relationship between clinical changes and changes in attentional performance is significant. The findings were discussed in terms of a quantitative theory of attention.