Selective impairment of phonation: A case study

A 47-year-old right-handed man underwent craniotomy for clipping of an aneurism at the trifurcation of the left middle cerebral artery. Subsequently, he suffered a left hemisphere CVA after which his speech and language resembled that of Broca's aphasia with accompanying apraxia of speech. Medical, behavioral, and acoustical data amassed over a period of several months indicated numerous contraindications to traditional diagnoses of Broca's aphasia, apraxia of speech, and dysarthria. Ultimately, it was determined that the patient had a selective impairement of phonation or laryngeal apraxia. This was illustrated dramatically when he was taught to use an electrolarynx which allowed him to bypass his disrupted phonatory system. Speaking with the electrolarynx, the patient communicated normally. Any semblance of Broca's aphasia disappeared. Supralaryngeal articulation was normal; apraxia of speech behaviors were absent. This case report indicates that dissociation of oral and laryngeal gestures due to brain injury is possible. Mechanisms underlying such a dissociation for this case are reviewed. The possibility of discrete center lesions in the frontal motor association area causing different types of apraxia of speech is discussed.     

The rhetorical foundation of philosophical argumentation

The rejection of rhetoric has been a constant theme in Western thought since Plato. The presupposition of such a debasement lies at the foundation of a certain view of Reason that I have called propositionalism, and which is analyzed in this article. The basic tenets of propositionalism are that truth is exclusive, i.e. it does not allow for any alternative, and that there is always only one proposition which must be true, the opposite one being false. Necessity and uniqueness are the ideals of propositionalism. But the question of the necessity of such a necessity is bound to arise. Foundationalism and propositionalism are intrinsically related. Since necessity excludes alternatives, rhetoric, which is based on the possibility of opposite standpoints, is unavoidably devalued as the crippled child of Reason, identical to sophistry or eristic. But propositionalism cannot justify itself and provide a justification for its own foundation without circle or contraditction. Since it responds to the problem of eradicating problems and alternatives through propositional entities, propositionalism is ultimately based on questioning to which it replies in the mode of denial. The unavowed foundation of Reason is therefore the question of questioning, even though this very question is suppressed as propositionalism. The trace of such a question is not only historical, but can also be seen, for instance, in the role played by the principle of contradiction in the constitution of propositional Reason (Artitotle): opposite propositions are not the expression of a problematic situation, they are either possible or successively unique propositions.We want to replace propositionalism by problematology which allows for the conceptualization of alternatives, thereby rendering a true rhetoric possible. Argumentation cannot then be equated with eristic any more, as propositionalism maintained.Rationality must be seen as having questioning as its true starting-point. Reason must be rhetorical if it is to survive the death of propositionalism which took place after the radical criticisms of Marx, Nietzsche and Freud. Even if it is still hard ffor philosophers and rhetoricians to think within another framework and even though they prefer endlessly to deconstauct the old one instead of changing it, problematology is bound to impose itself as the new voice for rationality, because Reason has always endeavored to solve problems. Propositionalism has been only one way of conceiving problems, based on the view that solutions could be but the suppression of questioning.     

On the transmission of partial information: inferences from movement-related brain potentials.

Results are reported from a new paradigm that uses movement-related brain potentials to detect response preparation based on partial information. The paradigm uses a hybrid choice-reaction go/nogo procedure in which decisions about response hand and whether to respond are based on separate stimulus attributes. A lateral asymmetry in the movement-related brain potential was found on nogo trials without overt movement. The direction of this asymmetry depended primarily on the signaled response hand rather than on properties of the stimulus. When the asymmetry first appeared was influenced by the time required to select the signaled hand, and when it began to differ on go and nogo trials was influenced by the time to decide whether to respond. These findings indicate that both stimulus attributes were processed in parallel and that the asymmetry reflected preparation of the response hand that began before the go/nogo decision was completed.     

The wilderness therapy program: An empirical study of its effects with adolescents in an outpatient setting

The results of a study of the Wilderness Therapy Program involving 23 adolescents in outpatient counseling are presented. Data were collected before and after four trips on measures of locus of control, behavioral symptoms, self-efficacy, self-esteem, and a number of measures designed specifically for this program. Following a one and one-half to two week backpacking trip that included daily therapy, significant change was found for locus of control, self-esteem and symptom reduction. Positive changes were noted on the other measures as well. Future directions and social work implications were discussed.     

Effects of test anxiety, tests, and sleep on children''s performance

This study examined the interrelationship between children's test anxiety, sleep, and performance. The subjects, 239 sixth and seventh graders, responded to questionnaires examining sleep behavior and test anxiety on a day when they had a major exam in school, and on a day when they did not. They also completed a vigilance task on both days. The results showed that partial sleep loss (i.e., under 3 hr) did not adversely influence subjects' performance on the vigilance task or on the actual class exam. However, the results did reveal that test anxiety was negatively related to performance on the class exam.     

The inequivalence of self-reports of Type A behavior: Differential relationships of the Jenkins Activity Survey and the Framingham cale with affect,stress, and control

The Jenkins Activity Survey (JAS) and the Framingham Type A Scale (FTAS) have been found to have different psychological correlates. The JAS is typically unrelated to anxiety, while the FTAS is consistently correlated with trait anxiety. The present study of 200 male and female college students clarifies further the psychological heterogeneity of these measures. Enhanced motivation to control the environment has been suggested as an underlying psychological component of Type A behavior (Glass, 1977). Dysphoric emotions and the perception of more environmental stresses, on the other hand, are typical of neuroticism or negative affectivity (Watson & Clark, 1984). Although the results indicate that the JAS and FTAS are highly correlated, the JAS is more closely related to control motivation than is the FTAS. Further, compared to the JAS, the FTAS is more closely correlated with dysphoric emotions and perceived daily stresses. Thus, the results indicate that the JAS is closely correlated with core psychological components of the Type A pattern, while the FTAS has a relatively unique association with general emotional distress. Such differences may account for the fact that these measures are related to different disease end points.     

Development and evaluation of an inventory to assess adult stutterers'' communication attitudes

The purpose of this study was to develop and evaluate a procedure to assess adult stutterers' communication attitudes. To this end, the investigation was divided into two phases. In Phase I, an assessment inventory based on a tripartite attitudinal model was developed and administered to 107 adult stutterers. Reliability and validity of these procedures were examined, and the inventory was refined. In Phase II, reliability and validity of the attitude assessment procedures were reassessed, and the attitudes of 26 stutterers and 56 nonstutterers were examined. Assessment procedures involved a self-report inventory, which obtained ratings of items in 13 situational subscales representing different speaking situations. These situations were rated using four response scales reflecting behavioral, affective, and cognitive aspects of attitude. Situational responding, response scale scores, and response scale interrelationships are examined. Findings are discussed in terms of the potential value of the inventory and future investigations.     

Structure and process in semantic memory: new evidence based on speed-accuracy decomposition

Reaction-time and accuracy data obtained from studies of sentence verification have not been rich enough to answer certain important theoretical questions about structures and processes in human semantic memory. However, a new technique called speed-accuracy decomposition (Meyer, Irwin, Osman, & Kounios, 1986) may help solve this problem. The technique allows intermediate products of sentence verification to be analyzed more precisely. Three experiments with speed-accuracy decomposition indicate that verification processes produce useful partial information before they are completed. Such information appears to accumulate continuously at a rate whose magnitude depends on the degree of relatedness between semantic categories. This outcome is consistent with continuous computational (e.g., semantic-feature comparison) models of semantic memory. An analysis of reaction-time minima suggests that a discrete all-or-none search process may also contribute at least occasionally to sentence verification. Further details regarding the nature of these processes and the memory structures on which they operate can be inferred from additional results obtained through speed-accuracy decomposition.