Teaching young adults with developmental disabilities and visual impairments to use tape-recorded recipes: Acquisition,generalization, and maintenance of cooking skills

Three young adults with developmental disabilities and visual impairments were taught to prepare three different recipes using tape-recorded instructions. Following instruction on each trained recipe, generality probes to untrained recipes were conducted. A multiple baseline across behaviors (recipes) design was used to determine the extent to which each student's preparation of untrained recipes improved as a function of being trained to prepare related recipes by using a self-operated audio prompting system. Results showed that students' cooking skills acquired through instruction on the trained recipes generalized (a) to untrained recipes requiring similar skills (simple generality) and (b) to more complex untrained recipes requiring a combination of skills learned during the instruction of two trained recipes (complex generality).     

Associations between financial strain and the diurnal salivary cortisol secretion of long-term unemployed individuals

Objective: The study investigated the associations between self-rated financial strain and overall diurnal salivary cortisol levels, as well as secretory patterns among long-term unemployed individuals.Methods: Psychosocial and life-style variables were assessed by means of questionnaires among 85 participants (mean age 42±9 years; 56% females). Salivary cortisol was sampled on four occasions during a 24-hour period and data was analysed separately for men and women.Results: Among females, high financial strain was related to higher overall cortisol levels, and to elevated levels in the evening. These associations did not reach significance among men. Multivariate analyses showed that evening levels of cortisol were positively associated with financial strain, but largely unrelated to life-style variables and psychological distress.Conclusions: The results suggest that high financial strain influences the diurnal cortisol secretion of unemployed individuals in terms of elevated cortisol levels in the evening. The mediating mechanisms are in need of further investigation.     

Autobiographical recall training in elderly adults with subjective memory complaint: a pilot study

Subjective memory complaint is a self-reported memory impairment which affects elderly people. This problem does not interfere with daily living activities but could decrease quality of life. This study's purpose was to verify whether a specific, newly developed, autobiographical recall training could modify self-perception of memory of subjects with subjective memory complaint. Seven elderly subjects (4 women and 3 men; mean age 65.5 yr., SD=11) with such complaint, evidenced through a specific questionnaire, attended the training course and were prospectively assessed on standard neuropsychological tests, depressive symptomatology, and self-perception of memory. Self-perception of memory, as assessed by scores on a formalized questionnaire, improved significantly after the training, while depressive symptoms did not change. Neuropsychological performances were normal before and after the training, but a statistically significant improvement was observed only on the phonological fluency test. Thus the present pilot study suggested that the training may be effective in improving self-perception of memory and metamnestic capacity in elderly people with subjective memory complaints but not in changing subjects' depressive symptoms. This requires replication of this work with a much larger sample so statistical power is adequate.     

Lateralized Hand Gesture during Speech

A group of individuals conversing in natural dyads and a group of lecturers were observed for lateral hand movement patterns during speech. Right-handed individuals in both groups displayed a significant right hand bias for gesture movements but no lateral bias for self-touching movements. The study provides external validity for previous laboratory studies of lateralized hand gesture. The results were interpreted as evidence of a central processor for both spoken and gestural communication.     

On the Ethics of Facial Transplantation Research

Transplantation continues to push the frontiers of medicine into domains that summon forth troublesome ethical questions. Looming on the frontier today is human facial transplantation. We develop criteria that, we maintain, must be satisfied in order to ethically undertake this as-yet-untried transplant procedure. We draw on the criteria advanced by Dr. Francis Moore in the late 1980s for introducing innovative procedures in transplant surgery. In addition to these we also insist that human face transplantation must meet all the ethical requirements usually applied to health care research. We summarize the achievements of transplant surgery to date, focusing in particular on the safety and efficacy of immunosuppressive medications. We also emphasize the importance of risk/benefit assessments that take into account the physical, aesthetic, psychological, and social dimensions of facial disfiguration, reconstruction, and transplantation. Finally, we maintain that the time has come to move facial transplantation research into the clinical phase.     

Short-term memory and verbal learning with auditory phonological coding defect: a neuropsychological case study.

A patient is described with a rarely reported linguistic syndrome: he could repeat words but not nonwords. The patient produced semantic paraphasias in repetition and could read both words and nonwords flawlessly. His basic difficulties were localized in auditory phonological coding, identifying a clinical picture called "phonemic deafness." Short-term memory and verbal learning results suggested that a standard, selective short-term memory defect can be induced by auditory phonological coding deficits as well as by "pure" short-term memory capacity limitation and other phonological deficits. Findings also provided evidence that lexical-semantic code can allow normal verbal learning.     

Immediate memory spans in dementia

Spatial span (Corsi's block-tapping test) and verbal spans for digits (Wechsler Digits Forward Test) and for words were measured in 30 normal subjects and in 51 demented patients, divided into two groups (mildly demented and severely demented) according to selective clinical and neuropsychological criteria. Statistical analysis showed significant differences among the three groups for spatial span. By contrast, controls' and mildly demented patients' performances on both verbal spans were not significantly different. These findings are discussed in the light of theory about working memory.     

Lateralized hand gesture during speech

A group of individuals conversing in natural dyads and a group of lecturers were observed for lateral hand movement patterns during speech. Right-handed individuals in both groups displayed a significant right hand bias for gesture movements but no lateral bias for self-touching movements. The study provides external validity for previous laboratory studies of lateralized hand gesture. The results were interpreted as evidence of a central processor for both spoken and gestural communication.     

On the Nature of Nonverbal Working Memory Fractionation: A Case of Selective Spatial Short-Term Memory Deficit in a Child

Several lines of research on adult subjects demonstrate a visual/spatial fractionation of nonverbal working memory (WM), while behavioral studies on normal children support the idea of a static/dynamic distinction. In the present paper, we report a child (Z.M.) who failed on nonverbal WM tasks. To verify the nature of his defect, we carried out two experiments: in Experiment 1, Z.M. failed on spatial WM tasks but not on visual WM tasks and was not affected by the static/dynamic format of stimulus presentation; in Experiment 2, this visual/spatial dissociation was extended to the imagery domain. These results are best accounted for within the visual/spatial fractionation of WM and confirmed the role of WM in mental imagery. Clinical and rehabilitative implications of the present findings are also discussed.