Diaphragmatic spasm: A neglected cause of dyspnoea and chest pain

The study included 17 patients, 12 women and 5 men, with a recurrent symptom complex involving chest pain and dyspnoea characterized by inability to get a full breath. Some attacks had subsided spontaneously. Others had lasted hours or days. When examined by fluoroscopy during an attack, each subject was found to have a nearly maximally contracted (flat) diaphragm. In some of them the attack was promptly interrupted by a small intravenous injection of sodium amytal. In others it could be aborted by a conscious effort at full expiration. The syndrome associated with diaphragmatic spasm is discussed in comparison with other noncardiac sources of chest pain and dyspnoea.     

The WISC-III: A reality check

Although the Wechsler Intelligence Scale for Children-Third Edition (WISC-III) is arguably the best instrument currently available for assessing students' intelligence, its use will present practitioners, especially school psychologists, with some unique challenges. Recent research suggests that significant reductions in special education students' WISC-III Verbal, Performance, and Full Scale IQ scores will be found, compared with their previous WISC-R results. This finding will have a profound impact on special education placement decisions. Specifically, students who were previously found eligible for learning disability programs may now no longer evidence the significant discrepancies necessary in order to receive continued services. Conversely, students earlier identified as “slow learners” may now be eligible to receive services for those classified under the category of educably mentally handicapped. In addition, the notion that the WISC-III may underestimate the ability of certain populations of students requires further exploration. This article will address these issues as well as implications for practitioners presently administering the WISC-III.     

The gap effect for eye and hand movements

A temporal gap between fixation point offset and stimulus onset typically yields shorter saccadic latencies to the stimulus than if the fixation stimulus remained on. Several researchers have explored the extent to which this gap also reduces latencies of other responses but have failed to find a gap effect isolated from general warning effects. Experiment 1, however, showed a robust gap effect for aimed hand movements (which required determination of a precise spatial location), regardless of whether the hand moved alone or was accompanied by a saccadic eye movement. Experiment 2 replicated this aimed hand gap effect and also showed a smaller effect for choice manual keypress responses (which required determination of the direction of response only). Experiment 3 showed no gap effect for simple manual keypress responses (which required no spatial determination). The results are consistent with an interpretation of the gap effect in terms of facilitation of spatially oriented responses.     

Laterally induced impedance effects in vision

A linear integral equation for a system of mutually impeding points is developed and solved explicitly. Particular solutions are shown to be subharmonic functions for a large class of stimuli. Specialized forms of the general equation presented in this paper occur within a number of mathematical models of Mach bands. In addition to these known spatial properties, our results also show that the time course of this basic equation may be useful in developing models of transient neural activity as well as of temporal psychophysical phenomena, such as the Broca-Sulzer effect. Further, a spatial transfer function much like the low-frequency cutoff of empirically derived modulation transfer functions follows directly from our basic integral equation if the additional assumption of spatial homogeneity is imposed.     

The Evolution of Empathy

Therapeutic empathy has been an often-used construct by counseling professionals. Through that usage, the term has evolved in meaning and significance from its original presentation by Carl Rogers. This article traces that evolution by identifying its users and contributors over the past 20 years. These include counselor-practitioners, counselor educators, researchers, and increasingly, the public. The resulting changes have implications for future research directions, counselor training, and the practice of counseling.     

Pyramid Power in Career Development

Stewart and Nejedlo discuss the use of the Career Development Pyramid as a model for career development and as a practical aid in career counseling. The model graphically depicts the synergistic relations of career choice factors, life-style, self-concept, and the specific job. The authors discuss the relationship between the quadrihedral model and current career development theories. They suggest applied uses of the pyramid and provide a working plan for copy and use by career development counselors.     

Right hemisphere comprehension of verbs in patients with complete forebrain commissurotomy: Use of the dichotic method and manual performance

The paradigm of dichotic listening was used to investigate verbal comprehension in the right, so-called “nonverbal,” hemisphere. Verbal commands were presented to the right and left ears in the simultaneous (dichotic) paradigm. There were striking instances, especially when the left hemisphere was occupied with some extraneous task, in which the right hemisphere understood the verbal command and executed the appropriate motor responses. In those instances the left hemisphere gave no overt response. Although the left hemisphere was usually dominant, it can be nevertheless concluded that not only can the right hemisphere understand verbal commands but can also express itself manually by executing actions more complex than object retrieval or pointing. As has been known for some time, the blockage of the ipsilateral pathway seems so complete during dichotic listening in the commissurotomy patient that there is no report of the words in the left ear—only of those presented to the right. At the same time there is normal report when words are presented to the left ear alone. It was found in the present study, however, that this model is too simple and only applies to the verbal response paradigm of dichotic listening. Under circumstances of dichotic presentation where the stimulus in the left ear (ipsilateral pathway) is necessary or important to the left hemisphere for completing a task, words from both pathways are reported. One may conclude that there exists a gating mechanism in each hemisphere that controls the monitoring of each auditory pathway and the degree of ipsilateral suppression.     

Production deficits in aphasia: A voice-onset time analysis

An experimental study was conducted to examine phonetic and phonemic deficits in the speech production of aphasics. Subjects included four Broca's aphasics, four Conduction aphasics, five Wernicke's aphasics, one nonaphasic dysarthric patient, and four normal controls. The subjects read a list of words containing word-initial stop consonants which were subsequently measured acoustically for voice-onset time. The results showed that Broca's aphasics exhibit a more severe production disorder than Conduction aphasics who in turn exhibit a more severe disorder than Wernicke's aphasics, in accord with clinical observations. In addition, although Broca's aphasics produced both phonetic and phonemic errors, the results showed that they have a pervasive phonetic disorder which affects their correct target productions as well as the total number of phonetic errors produced. This deficit however seems to be a speech deficit rather than a low-level motor control problem. In contrast, the Wernicke's aphasics show a deficit characterized by isolated phonemic mistargeting errors. Finally, the pattern of productions for the Conduction aphasics indicates that some patients show a predominantly phonetic disorder similar to the Broca's aphasics and others show predominantly a phonemic disorder similar to the Wernicke's aphasics.