Stuttering treatment for a school-age child with Down syndrome: A descriptive case report

BackgroundLittle is known about optimal treatment approaches and stuttering treatment outcomes for children with Down syndrome.Aims and methodThe purpose of this study was to investigate outcomes for a child with Down syndrome who received a combination of fluency shaping therapy and parent delivered contingencies for normally fluent speech, prolonged speech, and stuttered speech.ResultsIn-clinic speech measures obtained at post-treatment and at 4 months follow-up reflected improvements in fluency of 89.0% and 98.6%, respectively. The participant's beyond-clinic follow-up sample reflected an improvement of 95.5%. Following treatment, the participant demonstrated improved self-confidence, self-esteem, and improved participation and functioning at school.ConclusionsFindings suggest that fluency shaping with parental contingencies may be a viable treatment approach to reduce stuttering in children with Down syndrome. Future research using an experimental research design is warranted.Educational objectives: Readers will be able to describe (a) prevalence estimates of stuttering in individuals with Down syndrome, (b) the main components of a fluency shaping program for a child with Down syndrome who stutters and has co-occurring speech and language delays, and (c) speech and parent-, teacher-, and self-report treatment outcomes.     

Dysphorics can control depressive mood’s informational impact on effort mobilization

Individuals?? level of depression has been shown to systematically determine their amount of effort-related cardiovascular reactivity (see Brinkmann and Gendolla in Motiv Emot, 31:71?C82, 2007; J Pers Soc Psychol, 94:146?C157, 2008). By means of a mood cue manipulation the present study aimed at providing a conclusive test whether this is due to the informational impact of depressed mood. After habituation, students with low versus high depression scores worked on a memory task under ??do-your-best?? instructions. Half of them received a cue before the task, suggesting that their current mood may have an impact during task performance. As expected, dysphoric participants showed higher systolic blood pressure reactivity during task performance than nondysphorics when no cue was given. This pattern was reversed in the cue condition, indicating that dysphorics effectively managed to reduce the depressive mood impact on their task demand appraisals and effort mobilization.     

Development of categorization in infancy: advancing forward to the animate/inanimate level

Three experiments are reported on the development of object categorization skills during the second year of life. Experiment 1 examined whether 14- and 18-month-old infants were capable of performing categorization at the animate/inanimate (A/I) level using a sequential touching task. The 18-month-olds were significantly above chance and the 14-month-olds were also approaching above-chance significance, which is the highest level of inclusiveness ever tested in infancy. In Experiments 2 and 3, 14-month-old infants participated in a sequential touching task in which the part features of animate and inanimate objects were modified, allowing for a test of partonomic (i.e., legs and wheels) vs. taxonomic (i.e., animates and inanimates) categorization. Infants did not favor partonomic categorization, suggesting that A/I categories are not formed solely based on object parts such as legs and wheels.     

Gratitude and depressive symptoms: the role of positive reframing and positive emotion

Eight studies (N=2,973) tested the theory that gratitude is related to fewer depressive symptoms through positive reframing and positive emotion. Study 1 found a direct path between gratitude and depressive symptoms. Studies 2-5 demonstrated that positive reframing mediated the relationship between gratitude and depressive symptoms. Studies 6-7 showed that positive emotion mediated the relationship between gratitude and depressive symptoms. Study 8 found that positive reframing and positive emotion simultaneously mediated the relationship between gratitude and depressive symptoms. In sum, these eight studies demonstrate that gratitude is related to fewer depressive symptoms, with positive reframing and positive emotion serving as mechanisms that account for this relationship.     

Relation of occupational knowledge to career interests and competence perceptions in Italian children

The relations of differential occupational knowledge with interests and competence perceptions in children as well as how these relations were moderated by gender and grade were examined in this study using an Italian sample. Data were collected from samples of elementary school and middle school children (N = 539). The Inventory of Children's Activities—Revised (ICA-R; Tracey & Ward, 1998) was used to assess children's interest and competency perceptions in various activities associated with the Holland's RIASEC types. The Occupational Knowledge Scale (OKS) was created for this study, and consisted of a representative sampling of occupational titles to which children indicated their knowledge. Hierarchical regression results indicated a relationship between knowledge, interests, and competence perceptions in children. With regard to overall knowledge, no relationship was found between general knowledge and either grade or gender. More specific examination of the type of knowledge as it varied across the dimensions of People–Things, and Data–Ideas demonstrated that there appeared to be a specific pattern relating interest, gender, and grade to knowledge of occupations. For knowledge of people relative to things occupations, higher interest, higher grade level, and being female predicts stronger knowledge of people occupations. It was also found that interest in ideas predicts stronger knowledge of ideas occupations, and being male predicts stronger knowledge of high prestige occupations. Generally, competence perceptions did not have a unique relation with one's knowledge of People–Things, Ideas–Data, or Prestige; however, girls who reported higher competence had greater knowledge of ideas occupations.     

Toward making progress feedback an effective common factor in couple therapy

Systematic monitoring of individual therapy progress, coupled with feedback to the therapist, reliably enhances therapy outcome by alerting therapists to individual clients who are off track to benefit by the end of therapy. The current paper reviews the possibility of using similar systematic monitoring and feedback of therapy progress as a means to enhance couple therapy outcome, including what measures of therapy progress are most likely to be useful, how to structure feedback to be most useful to therapists, and the likely mediators of the effects of therapy progress feedback. One implicit assumption of therapy progress feedback is that clients unlikely to benefit from therapy can be detected early enough in the course of therapy for corrective action to be taken. As a test of this assumption, midtherapy progress was examined as a predictor of final couple therapy outcome in a sample of 134 distressed couples. Either a brief 7- or 32-item assessment of couple therapy progress at midtherapy detected a substantial proportion (46%) of couples who failed to benefit by the end of therapy. Given that failure to benefit from couple therapy is somewhat predictable across the course of therapy, future research should test whether systematic monitoring and feedback of progress could enhance therapy outcome.     

Individuation experience predicts other-race effects in holistic processing for both Caucasian and Black participants

Same-race (SR) faces are recognized better than other-race (OR) faces, and this other-race effect (ORE) is correlated with experience. SR faces are also processed more holistically than OR faces, suggesting one possible mechanism for poorer performance on OR faces. Studies of object expertise have shown that individuating experiences are necessary for holistic processing to develop; yet thus far no studies have investigated the role of quality of experience and the ORE for holistic processing. In the present study, we found a strong negative correlation between a self-report of individuating experience and the ORE in holistic processing in both Caucasian and Black participants, indicating that the more individuating experience a person has, the less ORE in holistic processing. This confirms the critical role of individuating experience in development of holistic processing for faces and suggests that quality of experience is a key determinant of the manner in which OR faces are processed.     

The informational constraints of behavioral distraction by unexpected sounds: The role of event information

Sounds deviating from an otherwise repeated stream of task-irrelevant auditory stimuli (deviant sounds among standard sounds) are known to capture attention and impact negatively on ongoing behavioral performance (behavioral oddball distraction). Traditional views consider such distraction as the ineluctable consequence of the deviant sounds' low probability of occurrence relative to that of the standard. Contrary to this contention, recent evidence demonstrates that distraction by deviant sounds is not obligatory and occurs only when sounds (standards and deviants), though to be ignored, act as useful warning cues by providing information as to whether and when a target stimulus is to be presented (Parmentier, Elsley, & Ljungberg, 2010). The present study aimed to extend this finding by disentangling the roles of event information (target's probability of occurrence) and temporal information (target's time of occurrence). Comparing performance in a cross-modal oddball task where standard and deviant sounds provided temporal information, event information, both, or none, we found that distraction by deviant sounds emerged when sounds conveyed event information. These results suggest that unexpected changes in a stream of sounds yield behavioral distraction to the extent that standards and deviants carry relevant goal-directed information, specifically, the likelihood of occurrence of an upcoming target. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Postural asymmetries in response to holding evenly and unevenly distributed loads during self-selected stance

The authors examined postural asymmetries during quiet stance and while holding evenly or unevenly distributed loads. Right-hand dominant subjects preferentially loaded their right lower limb when holding no load or a load evenly distributed in both hands, but no differences in center of pressure (CoP) were observed between the left and right limbs. However, longer CoP displacement was observed under the preferentially loaded limb, which may reflect a functional asymmetry that allows quick movement of one limb in response to a potential perturbation. When a load was held only in the nondominant hand, sample entropy decreased in the left (loaded) limb but increased in the right (unloaded) limb, suggesting the unloaded foot compensated for a loss of control flexibility in the loaded foot.