Counseling and screening for cystic fibrosis in patients with congenital bilateral absence of the vas deferens: Patient perceptions

Congenital bilateral absence of the vas deferens (CBAVD) occurs in approximately 1.3% of infertile males and is thought to be, in most cases, a primarily genital form of cystic fibrosis (CF). Fourteen males with CBAVD considering microsurgical sperm aspiration from the epididymis (MESA) and in vitro fertilization were seen for genetic counseling and screening for CF. To retrospectively evaluate these patients' perceptions of the counseling and screening information, we conducted structured telephone interviews to assess their recall of information about CF and its impact on their health concerns and reproductive plans. We found that, as the health implications of CF are abstract and not as important to patients as the diagnosis of CBAVD itself, patients tend to view their CF status primarily in terms of their reproductive potential. Retrospective analysis afforded us an opportunity to identify the psychosocial issues of most concern to this unique patient population.     

Parameters for vowel substitutions in Broca''s aphasia

Most phonological investigations of aphasic speech have focused on consonants. In this study, the vowel substitutions of five English-speaking Broca's aphasics were investigated with respect to several major explanatory hypotheses. An important possible motivating factor for aphasic substitutions, phonological environment, is an unlikely origin for these errors, since most substitutions occur along the paradigmatic axis. Another prominent hypothesis, markedness, also has no predictive power for the data of this sample. However, an analysis of the five Chomsky and Halle (1968, (The Sound Pattern of English), New York: Harper and Row) vowel features indicates that the two features for vowel height are selectively impaired: There is a strong tendency for lower vowels to replace higher targets. Moreover, the substitution sounds tend to be close to their target sounds along the height axis. Four possible hypotheses are advanced to account for this consistent lowering tendency.     

An investigation into the relationships between gender and language

The present investigation focused upon the impact of gender and various powerful and less powerful linguistic features on the communication of unfamiliar male and female college students. Same-sex and mixed-sex dyads were recorded as they engaged in discussions regarding suggestions for a bogus freshman orientation booklet. Although few gender differences were found, the result of a factor analysis yielded three factors: questions, suggestions, and process variables. These factors are consistent with a power perspective in the use of various linguistic features. However, the present findings suggest that gender and power alone cannot explain differences in communication styles. Rather, the results suggest the need to consider other aspects of the speaker to explain differences that occur in the use of language.     

Vocational maturity in adulthood: Toward turning a model into a measure

It is postulated that adult vocational maturity needs to be assessed because of the changing developmental tasks encountered during the course of a career. Vocational maturity having been found to be multidimensional, existing undimensional inventories of adult vocational maturity are considered of limited although demonstrated validity. Relevant theories of adult vocational development and adjustment are reviewed. Super's proposed adult vocational maturity model is examined for the promise that it offers and for the problems that arise in developing a multidimensional measure of vocational maturity. A way of surmounting these problems is proposed as a basis for work now being undertaken.     

USE OF A SELF-RECORDING AND SUPERVISION PROGRAM TO CHANGE INSTITUTIONAL STAFF BEHAVIOR

The use of a self-recording and supervision program to increase interactions between direct care staff and profoundly retarded persons in a state residential facility was investigated. Following baseline, staff were provided with instructions regarding what to self-record, criteria for how many interactions to record, and a prepared card on which to make the recordings. Throughout the study, the staff supervisor monitored intermittently staff-client interactions. Observations indicated that when the staff recorded their interactions with clients in a loosely structured dayroom setting, the rate of interactions increased noticeably for each staff person. Behavioral ecology measures indicated that other staff responsibilities, such as maintaining the cleanliness of residents and the physical area, were not affected detrimentally when social interactions increased and actually showed small improvements. Additionally, small decreases in resident self-stimulatory and disruptive/aggressive behaviors occurred when the rate of social interactions from staff persons increased. Follow-up measures indicated that the rate of staff self-recording was variable, but when staff did self-record, the increased rate of staff-client interactions maintained.     

Duration and rate of reinforcement as determinants of concurrent responding

The duration and frequency of food presentation were varied in concurrent variable-interval variable-interval schedules of reinforcement. In the first experiment, in which pigeons were exposed to a succession of eight different schedules, neither relative duration nor relative frequency of reinforcement had as great an effect on response distribution as they have when they are manipulated separately. These results supported those previously reported by Todorov (1973) and Schneider (1973). In a second experiment, each of seven pigeons was exposed to only one concurrent schedule in which the frequency and/or duration of reinforcement differed on the two keys. Under these conditions, each pigeon's relative rate of response closely matched the relative total access to food that each schedule provided. This result suggests that previous failures to obtain matching may be due to factors such as an insufficient length of exposure to each schedule or to the pigeons' repeated exposure to different concurrent schedules.     

The stages of acquisition in stimulus fading

Pigeons were exposed to a stimulus fading procedure in which control of responding was transferred from red and black stimuli to lines of different angular orientation. After superimposing one line on the red stimulus and the other line on the black stimulus, the intensity of the lines was gradually increased and that of the red stimulus was gradually reduced. Probes consisting of red and line stimuli presented separately were used during the course of fading to assess control exerted by each element of the compound. As the lines were faded in, they did not acquire control of responding. As red was faded out, control of responding was acquired first by the lower intensity red stimuli in combination with the line stimulus, and finally by the angular orientation of the lines. Probes also determined the point at which the line stimuli, presented alone, would maintain a high degree of stimulus control. The results demonstrated that new stimuli in fading acquire dimensional control of responding in two sequential stages. Acquisition of stimulus control in fading was explained in terms of attenuation of stimulus blocking.