Effects of Right- and Left-Hemisphere Damage on Understanding Conversational Implicatures

Processing of implicatures was examined in 27 right-brain-damaged (RBD) and 31 left-brain-damaged (LBD) stroke patients with focal lesions using a new implicatures battery (IB) as part of an exploration of the neural basis and modularity of natural language pragmatics. Following Grice, we sampled implicatures of Quantity, Quality, Relation, and Manner. Verbal implicatures consisted of two-sentence conversational vignettes which are literally problematic. Nonverbal implicatures consisted mostly of famous paintings that are literally problematic (e.g., Magritte's "Le Domain d'Arnheim"). The patient has to identify and solve the problem. To compare with performance on the IB, patients also received a Hebrew adaptation of Gardner and Brownell's Right Hemisphere Communication Battery, a new test of basic speech acts (verbal and nonverbal assertions, questions, requests, and commands), a Hebrew version of the Western Aphasia Battery, and standardized neuropsychological tests. Both LBD and RBD patients were significantly impaired in implicature processing relative to age-matched normal controls. In general, both patient groups showed weak correlations of implicatures with extents of lesions in left perisylvian language area or its right-hemisphere (RH) homolog. However, performance of LBD and RBD patients on the IB revealed different patterns of correlations with other pragmatic, language, and nonlanguage tests. In LBD patients, there was a greater association between performance on verbal and nonverbal implicatures and between performance on implicatures and basic speech acts than in RBD patients. Given the different modes in which right-and left-hemisphere (LH) damage affect the processing of conversational implicatures, it remains to be discovered how the two hemispheres interact to process natural language pragmatics in the normal brain in real time.     

The wounded male persona and the mysterious feminine in the poetry of James Wright: a study in the transformation of the self

James Wright's work is multilayered. Taken as a whole, which Annie Wright's beautiful compilation, Above the River, allows one to do, Wright's poems (as well as his masterful "prose poems") have a pattern akin to a mythic cycle. "Mythemes" (Lévi-Strauss, 1979) recur as dialectic opposites from one poem to another, whether the abandoned male and mysterious woman, humankind and nature, blindness and seeing, secrets and revelation. Suggestive and symbolic forms such as birds, horses, earth, sky, the destitute, rivers, and adolescence weave themselves throughout in inner and outer "landscapes" of images and experiential moments. There is a frequent shift of "gestalts" between the inner world and external reality. Such a "blooming, buzzing confusion" of internal and external referents might appear to be psychotic and imply a loss of "reality testing." Chassaguet-Smirgel (1988), citing Oscar Wilde's The Picture of Dorian Gray as an example, contended that the artist narrowly averts psychosis by transforming it into a work of art. Surrealists, for whom the psychoanalyst Jacques Lacan was an important figure (cf. Sarup, 1992, pp. 17-27), elevated psychosis to the status of art, and Wright has been considered to be a surrealistic poet, although he himself denied such an affiliation. Hall (Wright, 1990, Introduction, pp. xxiii-xxxvii) suggests that Wright, in addition to an extensive history of alcoholism, from which he seemed to recover towards the end of his life, suffered from a major mental illness, which included episodes of severe depression, hospitalizations, and at least one suicide attempt. The severity of the asceticism and the extreme damage to the self in some Wright's work suggests their roots in early traumatic experiences. (A terribly damaged yet heroic personage, whose disfigurement perhaps symbolizes the poet's trauma, is "Hook" [ATR, pp. 315-316], about a man who gives his last few cents to the poet with a hook replacing his amputated hand.) Not enough is known about Wright's childhood to attempt to reconstruct such a trauma, and a definitive biography is long overdue. (Wright died in 1980). However, the concept of "soul murder" as used by Shengold (1989) with respect to psychological trauma does seem pertinent. For example, Wright's powerful identification with the downtrodden, and especially with certain murderers (Doty, Judas) echoes the paranoiac Schreber's identification with his abusive father as "soul murderer": "I, myself, have been 'represented' as the one who had committed soul murder" (Shengold, 1989, p. 22, quoting Schreber). Certainly, the theme of damage to the self is prominent in Wright, and the poet's striving for reparation, restitution, and the restoration of lost goodness is not only characteristic of Melanie Klein's "depressive position" (Segal, 1980, pp. 76-89), which she saw as a normal developmental process, but also of the character structures of profoundly traumatized individuals. In addition, the rapid, "leaping" shifts of imagery in Wright's poems bear some resemblance to the shifts in mood and the dissociated and "autohypnotic" states (Shengold, 1989, pp. 138-154) of posttraumatic stress and related disorders. However much that may be the case, Wright's work moves toward healing and integration, and forces us to reconsider the psychoanalytic shibboleth that all that represents a lack of distinctiveness between self and other is pathological. This assumption denies the richness of that part of the psyche which originates in the symbiotic union of mother and infant. Wright's work does not so much force us to doubt our own perceptions of reality as it gently yet forthrightly guides us into other realms where feeling and thought are in dialogue, where the uniquely human and the universal mythos converge, and where--perhaps most importantly--possibility and transformation are imminent. The abandoned male persona and the mysterious feminine are part of that world, that cosmos, that Wright has cr     

ASYMMETRY IN MOUTH OPENING DURING DIFFERENT SPEECH TASKS

When a normal subject is speaking, the right side of the mouth typically opens more widely or moves over a greater total distance. This asymmetry is most consistent during purely verbal word list generation and verbal recall tasks, less consistent when emotional expression and/or visual imagery is involved, and reversed during smiling. Aphasic patients also show the right bias during word lists, repetition, and conversation, but not during serial speech, singing and smiling. Since observable mouth asymmetry is presumed to result from hemispheric asymmetry in motor control, these observations confirm the major role of a left hemisphere control system for pure verbal expression and provide evidence for involvement of the right hemisphere in mouth motor control during emotional and prosodic expression or visual imagery. Therapeutic possibilities are also suggested.     

Reliability of children's reports of depressive symptomatology

The use of self-report measures for the assessment of depression in children has gained wide popularity as a component in the evaluation of children's mental health and wellbeing. However, the extent to which children are reliable and consistent reporters of their depressive symptoms is sometimes called into question. This study examined the test-retest reliability of children's reports of depressive symptomatology on the Reynolds Child Depression Scale (RCDS;Reynolds, 1989a). The sample consisted of 220 children, in grades 3 through 6, representing a crosssection of ethnic groups. Children were tested twice, with a 4-week interval between testings. Results showed a high degree of stability in children's responses to the RCDS, with a test-retest reliability coefficient of 85 for the total sample, and a mean difference between testings of less than 2 points. Test-retest reliability coefficients were also computed for males and females, for each grade, and for white, black, Hispanic, and Asian children. Overall, the results lend strong support for the reliability and stability of children's self-reported depressive symptomatology as assessed by the RCDS.The authors wish to express their appreciation to Dr. Eleanor Chiang and Rovida Mott of the Sacramento Public Schools for their assistance in obtaining school and subject participation.     

The Ringelmann effect: Studies of group size and group performance

Ringelmann's classic finding—that the addition of co-workers in a rope-pulling task leads to a linear decrement in the individual group member's average performance—was reexamined experimentally. Study I attempted to replicate the effect, using groups of subjects ranging in size from 1 to 6. Performance dropped significantly as group size was increased from one individual to two or to three, but the addition of a fourth, fifth, or sixth member produced insignificant additional decrements; thus, the effect was not linear but curvilinear. Study II was designed to examine possible sources of performance loss, separating the factors of “coordination” and “motivation” loss (Steiner, 1972). The possibility of intermember incoordination was eliminated, while motivation loss remained free to vary: Each experimental subject pulled alone, and in “groups” where he believed there were from one to five other members. Once again, individual performance declined significantly with the addition of the first and second perceived co-worker, but then leveled off for perceived group sizes three to six. Some implications are discussed.     

The modification of racial bias in preschool children

In previous studies using the Preschool Racial Attitude Measure (PRAM) and other measurement procedures, preschool children have displayed a tendency to evaluate light-skinned (Euro-American) persons more positively than dark-skinned (Afro-American) persons. Both Euro- and Afro-American children demonstrate this pro-Euro/anti-Afro ($\text{E+}\text{A?}$) bias, though it is less pronounced among Afro children.Two experiments designed to modify this racial bias are reported. The first study involved 39 Euro- and Afro-American preschool children and employed operant learning principles to modify $\text{E+}\text{A?}$ bias via a teaching machine procedure which provided reinforcement for pro-Afro/anti-Euro responses. Following training, the children showed a reduction in $\text{E+}\text{A?}$ bias on a test procedure not associated with the training. Follow-up testing of 30 of the children approximately 1 yr after the posttest revealed a tendency for the pro-Euro bias to be partially reestablished. The second study involved 70 Euro-American kindergarten children and was concerned with the modification of $\text{E+}\text{A?}$ bias via a classroom curriculum procedure and the possible influence of the race of the teacher associated with the curriculum. The experimental curriculum, designed to develop positive associations to dark-skinned persons and to the colors black and brown, was shown to have no effect on $\text{E+}\text{A?}$ bias, nor was race of teacher a variable of significance. Possible explantations for the findings of both experiments were discussed.     

THE EMERGENCE OF TRANSCENDENTAL NORMS IN HUMAN SYSTEMS

Terrence Deacon has described three orders of emergence; Arthur Peacocke and others have suggested four levels of human systems and sciences; and Philip Clayton has postulated an additional, transcendent, level. Orders and levels describe distinct aspects of emergence, with orders characterizing topological complexity and levels characterizing theoretical knowledge and causal power. By using Deacon's orders to analyze and relate each of the four "lower" levels one can project that analysis on the transcendent level to gain insight into the teleodynamic emergence of transcendent-level systems. I argue that cross-cultural interactions among human cultural-level systems results in the emergence of the "universal" transcendental norms historically characterized as the Greek Good, Beauty, and Truth. These norms require a dynamic existence that I characterize as the emergence of Spirit, using Josiah Royce's community of interpretation, and that I suggest provides a pragmatic clarification of Clayton's transcendent level. An understanding of those emergent norms clarifies ethical systems, highlights the importance of aesthetics in understanding scientific systems, and suggests the necessity of community in fruitful science-and-religion dialogue on human systems.     

Age-related differences on a new test of temporal order memory for everyday events

We developed a new test to examine incidental temporal order memory for a self-generated sequence of tasks one might complete in everyday life. Young and older adults were given 10 cards, each listing a task one might accomplish in a typical day. Participants were asked to self-generate a “to do” list by placing the 10 cards in a sequence representing the order in which they would accomplish the tasks, but were not informed of a subsequent memory test. We assessed immediate free recall, delayed free recall, and delayed cued recall for the order of the tasks in the sequence. Older adults were significantly impaired relative to young adults on immediate free recall, delayed free recall, and delayed cued recall. Correlation analyses with standardized neuropsychological tests provide preliminary evidence for construct validity for our test, which is portable and can be rapidly administered in clinical or laboratory settings.     

Patient Perceptions of Telephone vs. In-Person <Emphasis Type="Italic">BRCA1/BRCA2</Emphasis> Genetic Counseling

Telephone genetic counseling (TC) for hereditary breast/ovarian cancer risk has been associated with positive outcomes in high risk women. However, little is known about how patients perceive TC. As part of a randomized trial of TC versus usual care (UC; in-person genetic counseling), we compared high risk women’s perceptions of: (1) overall satisfaction with genetic counseling; (2) convenience; (3) attentiveness during the session; (4) counselor effectiveness in providing support; and (5) counselor ability to recognize emotional responses during the session. Among the 554 participants (TC, N?=?272; UC, N?=?282), delivery mode was not associated with self-reported satisfaction. However, TC participants found counseling significantly more convenient than UC participants (OR?=?4.78, 95 % CI?=?3.32, 6.89) while also perceiving lower levels of support (OR?=?0.56, 95 % CI?=?0.40–0.80) and emotional recognition (OR?=?0.53, 95 % CI?=?0.37–0.76). In exploratory analyses, we found that non-Hispanic white participants reported higher counselor support in UC than in TC (69.4 % vs. 52.8 %; OR?=?3.06, 95 % CI?=?1.39–6.74), while minority women perceived less support in UC vs. TC (58.3 % vs. 38.7 %; OR?=?0.80, 95 % CI?=?0.39–1.65). We discuss potential research and practice implications of these findings which may further improve the effectiveness and utilization of TC.