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.     

Contributions of a supportive work environment to parents' well-being and orientation to work

Examined the joint and unique contributions of informal social support in the workplace and formal, family-responsive benefits and policies provided by employers to the job-related attitudes and personal well-being of employed parents with a young child. Eighty married men, 169 married women, and 72 single women with a preschool child completed a survey concerning social support from co-workers and supervisor, utilization of family-responsive benefits and policies, readiness to leave the employer for additional benefits, job satisfaction, organizational commitment, role strain, and health symptoms. Among the findings: (a) Fathers and mothers expressed equal levels of job satisfaction and organizational commitment, but mothers reported more role strain and health symptoms; (b) nearly 48% of married women's organizational commitment was accounted for by measures of support in the workplace; (c) informal social support at work was significantly more important to men's well-being than that of women; and (d) formal, family-responsive policies appeared more consequential for the prediction of women's role strain, perhaps because of women's greater responsibility for adjusting work life to meet the demands of family roles.     

The division of labor within the home: Have gender roles changed?

The purpose of this paper was to examine more recent time-use data regarding the division of labor in the home and compare those findings with that of previously reported data. A 1981 national sample of married Canadian men and women's time use was examined. Generalized least squares regression was employed to examine and predict time use by married men and women as a function of spouse's labor force status, number of children, age of youngest child, and day of the week data were collected. As compared to previous studies, results indicate that over time married women have reduced the amount of time spent in meal preparation while increasing time spent with children. Men increased the amount of time spent in food preparation and child care, although their participation appeared limited primarily to weekend days and invariant to wife's labor force participation.

     

Inferring Emotions From Multiple Cues: Revealing Age-Related Differences in "How" Without Differences in "Can"

This study examined differences in children's use of social cues to make emotional inferences. Children ages 4, 5, and 8 years were presented with stimuli that depicted another child in affectively congruous and affectively incongruous expression/situation combinations. The intensity of positive and negative facial expressions was varied across situations. Subjects judged the target's feelings and selected among the alternative facial expressions or situations the one they had just seen. No significant age-related differences were found in the extent to which children registered and used both the expressive and situational information when making emotional inferences. The main experimental measure asked children to explain their judgments. In explaining their judgments, subjects' rationales indicated that they: (a) used both the situational and expressive cues; and (b) were sensitive to congruous versus incongruous cues, and even to mild versus strong incongruous cues. Children's rationales also reflected a sensitivity to expressive and situational negativity. For each age group, the rationales were more elaborate when the cues were problematic. Characteristic strategies, however, were also found for each age group. These distinct strategies may reflect social-life changes in children's social "theories" of emotion.     

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.     

Nonprofessional counselors: Revisiting selection and impact issues

This study examined two issues related to the use of nonprofessional counselors (n = 159) within the context of a diversion program for juvenile offenders. First, the relationship of the nonprofessionals' personality traits and general attitudes to client outcome was examined. No statistically significant correlations were observed. Second, the differential impact of various training and supervision factors was examined in terms of nonprofessional satisfaction, attitudes, and locus of control. Results suggested that training intensity, training content, and supervision setting may influence nonprofessionals' attitudes towards various social groups and their satisfaction with the nonprofessional experience.     

Stability and Change in Type A Components and Cardiovascular Reactivity in Medical Students During Periods of Academic Stress1

This study examined the effects of academic stress upon components of Type A behavior and cardiovascular reactivity. In a longitudinal design, heart rate and blood pressure responses to the Type A Structured Interview (SI) and additional laboratory challenges were measured in medical students at three points during an academic semester. Sessions 1 and 3 were scheduled during vacation periods; Session 2 took place during an intensive examination week. Results indicated that three “stylistic” components of Pattern A derived from the SI—loud and explosive speech, short response latency, and potential for hostility—increased significantly during the exam period. Similar increases achieved marginal significance for another stylistic component, rapid and accelerated speech. By contrast, global Type A assessments did not increase with academic demands. Cardiovascular reactivity was significantly but only moderately stable across the three sessions, showing less consistency than has been reported in previous research. In addition, there was little evidence in this study that cardiovascular reactivity was potentiated by academic stress or by Type A behavior. These results demonstrate the influence of naturalistic environmental factors on overt behavioral components that have recently been suggested as coronary risk factors. Therefore, it is advisable for future experimental and epidemiological research to examine the social and environmental context in which these behaviors occur.     

Type a behavior,field dependence,and hypervigilance: Toward increased Type A specificity

Field dependence and hypervigilance are two modes of sensory information processing that have been related to cardiovascular functioning. Two studies examined the relationship between these variables and Type A behavior. In both studies, Jenkins Activity Survey-defined Type A and B subjects were assessed for field dependence by the Embedded Figures Test (EFT) and then performed a size estimation task—the measure of hypervigilance. Results indicated that field-dependent Type A's were most hypervigilant. The possible contribution that perceptual style might make to the greater predictive specificity of Type A measures was discussed.Portions of this research were presented at the meeting of the American Psychological Association, Toronto, Canada, August 1984. The authors express their appreciation to Lois Haggard for the design of materials for Study II, and to Rick Smith and Kathy Connell for assistance in conducting Study II.