Aphasia in left-handers. Comparison of aphasia profiles and language recovery in non-right-handed and matched right-handed patients.

The present retrospective analysis reports two studies. In Study 1, clinical aspects of aphasia are compared in right-handed (RH) and non-right-handed (NRH) patients; in Study 2, recovery from aphasia is compared in RH and NRH aphasic patients with a minimum of 5 months of daily language rehabilitation. From a continuous series of 1200 brain-damaged subjects, 24 NRH patients with a vascular lesion documented by computerized tomography were selected. In 19 cases the lesion was in the left hemisphere and in 5 cases in the right hemisphere. For 14 NRH patients, a RH subject with similar lesion, matched for age, education, length of illness, etiology (ischemic vs. hemorrhagic), and, when possible, sex was found. Presence and type of aphasia were compared in the two patients of the same pair and were found similar except for Pair 14; the RH subject had global aphasia and the NRH had conduction-like aphasia. Fifteen NRH patients were rehabilitated and reexamined at least 5 months after the first examination. Recovery of the 12 patients with a left-hemisphere lesion was compared with recovery of a group of RH subjects and no significant differences were found. Recovery of the three patients with right-hemisphere lesions is described. It is concluded that differences in type of aphasia and recovery between RHs and NRHs have been overemphasized in the past and must be reconsidered.     

Changes in information as a function of a culturally appropriate smoking cessation community intervention for Hispanics

Tested a 7-month, media-based, community intervention among Hispanics in San Francisco designed to change levels of information on the damaging effects of cigarette smoking and on the availability of culturally appropriate cessation services. Three community-wide surveys of Hispanics were conducted with independent random samples, two as baselines (n = 1,660 and 2,053) and one postintervention (n = 1,965). Results showed that changes in the level of awareness of cessation services had taken place after implementation of the intervention. Furthermore, those changes took place primarily among the less acculturated Spanish-speaking Hispanics who were the target of the intervention. The changes in information reported here demonstrate that a culturally appropriate information dissemination campaign that utilizes multiple channels can produce changes in a community's level of information even when the campaign is implemented for a relatively short period.     

AIDS prevention for intravenous drug users in the community: Street-based education and risk behavior

Conducted a study of behavior change associated with a street-based AIDS education project targeted to intravenous (IV) drug users in San Francisco. Two cross-sections were sampled from drug detoxification clinics and street locations in 1986 (n = 438) and 1987 (n = 623). Significant increases were reported in the percentage of IV drug users who used bleach to decontaminate syringes, who did not share needles in past year, and in condom use. A significant reduction in an index of the number of needle-sharing partners was reported. Respondents ranked treatment program as most important source of AIDS information prior to implementation of the program, and ranked outreach workers as most important after implementation. Findings suggest that this community-based outreach program had at least some impact on knowledge about AIDS and may have led to reductions in behaviors known to transmit HIV.     

The moral reasoning of juvenile delinquents: A meta-analysis

To test the hypothesized immaturity of juvenile delinquents' moral reasoning, the results of 15 studies of the moral reasoning of juvenile delinquents were integrated quantitatively using meta-analysis. Hedges and Olkin (1985) methods were used to (a) compute effect sizes, (b) test the homogeneity of the obtained effect sizes, and (c) test the statistical significance of the pooled mean effect size. The results supported the hypothesis that the moral reasoning of juvenile delinquents is immature. It was concluded that several other issues are in need of investigation.     

The predictive validity of teacher nominations: A five-year followup of at-risk youth

The purpose of this study was to examine the predictive validity of a teacher nomination procedure for identifying at- risk children. Two hundred and twenty-five children were nominated by their teachers as well- adjusted (n= 75), socially withdrawn (n=76), or socially aggressive (n=74) during the fourth grade. Five years later, 198 of these children (88%) were located and their adjustment evaluated. Significant differences among the nominated children were found on a variety of measures, including academic grades, sociometric status, and social behavior. In addition, differences in school dropout and delinquent offenses were noted. Results are discussed in terms of the validity of teacher nomination procedures and their utility in identifying at- risk youth.     

The impact of methodological factors on child psychotherapy outcome research: A meta-analysis for researchers

Two recent meta-analyses have generated evidence for child and adolescent psychotherapy effects. However, critics note that such meta-analyses often include studies with methodological shortcomings which might invalidate their results. In the present study, we explored whether the results of the most extensive child/adolescent meta-analysis might have been influenced by such methodological variables, focusing on internal validity and external validity factors. Together, these factors accounted for two-thirds as much variance as the substantive factors (e.g., type of therapy, age) in the original metaanalysis. This suggests that relative to these therapy and child-characteristic variables, methodological factors have a substantial, though smaller, impact on metaanalysis results. In general, increased experimental rigor was related to larger effect sizes; this argues against the hypothesis that methodologically weak studies have led to an overestimate of therapy effects. No significant interactive relations were found between validity factors and predictors of outcome; this suggests that the relations noted in previous metaanalyses between outcome and various variables were notdistorted by the validity factors tested here.The research described here was supported in part by grants from the North Carolina Department of Human Resources, Division of Mental Health, Mental Retardation, and Substance Abuse Services (41626), and from the National Institute of Mental Health (1 RO3 MH38450). The authors gratefully acknowledge the assistance of Todd Morton, who provided reliability coding.     

An examination of the differential relationship of marital discord to parents' discipline strategies for boys and girls

Previous research has tentatively indicated that coercive, ineffective parenting might have a mediating role in the differential impact of marital discord on boys and girls. To further explore this role, we examined the relationship between children's perceptions of marital discord and their evaluations of parental discipline techniques. Ninety-one children aged 8 to 13 years (mean age: 11 years 4 months) were split into high, moderate, and low perceived marital discord on the basis of their responses to the Children's Perceptions Questionnaire (Emery & O'Leary, 1982). The children rated how coercive they believed both mothers and fathers would and should be in three discipline situations. Children with high marital discord indicated that both mothers and fathers would and should use more coercive behavior than did children with low marital discord. The effects of marital discord were stronger for boys than for girls. All children also believed that fathers would and should be more coercive than mothers. Results are discussed in relation to the effects of marital discord on children's social development with regard to sex of the child.Thanks are due to Mike Siegal and Pat Noller for their helpful comments on previous drafts.     

Similarity neighborhoods of spoken two-syllable words: retroactive effects on multiple activation

This research examines the recognition of two-syllable spoken words and the means by which the auditory word recognition process deals with ambiguous stimulus information. The experiments reported here investigate the influence of individual syllables within two-syllable words on the recognition of each other. Specifically, perceptual identification of two-syllable words comprised of two monosyllabic words (spondees) was examined. Individual syllables within a spondee were characterized as either "easy" or "hard" depending on the syllable's neighborhood characteristics; an easy syllable was defined as a high-frequency word in a sparse neighborhood of low-frequency words, and a hard syllable as a low-frequency word in a high-density, high-frequency neighborhood. In Experiment 1, stimuli were created by splicing together recordings of the component syllables of the spondee, thus equating for syllable stress. Additional experiments tested the perceptual identification of naturally produced spondees, spliced nonwords, and monosyllables alone. Neighborhood structure had a strong effect on identification in all experiments. In addition, identification performance for spondees with a hard-easy syllable pattern was higher than for spondees with an easy-hard syllable pattern, indicating a primarily retroactive pattern of influence in spoken word recognition. Results strongly suggest that word recognition involves multiple activation and delayed commitment, thus ensuring accurate and efficient recognition.     

A componential analysis of pacemaker-counter timing systems

Why does counting improve the accuracy of temporal judgments? Killeen and Weiss (1987) provided a formal answer to this question, and this article provides tests of their analysis. In Experiments 1 and 2, subjects responded on a telegraph key as they reproduced different intervals. Individual response rates remained constant for different target times, as predicted. The variance of reproductions was recovered from the weighted sum of the first and second moments of the component timing and counting processes. Variance in timing long intervals was mainly due to counting error, as predicted. In Experiments 3-5, unconstrained response rate was measured and subjects responded at (a) their unconstrained rate, (b) faster, or (c) slower. When subjects responded at the preferred rate, the accuracy of time judgment improved. Deviations in rates tended to increase the variability of temporal estimates. Implications for pacemaker-counter models of timing are discussed.     

The ontogeny of hemispheric specialization: some old hypotheses revisited

This paper re-examines two hypotheses on the ontogeny of hemispheric specialization that long ago fell into disfavor in neuropsychology. It is argued that these hypotheses, equipotentiality and progressive lateralization, may have suffered from misinterpretation that fostered premature acceptance of the developmental invariance view of hemispheric specialization. An alternative view is presented that incorporates both hypotheses within a neurodevelopmental context using anatomical (postmortem) and childhood aphasia data.