The otolaryngologist's role in management of hearing loss in infancy and childhood

This article reviews the role of the otolaryngologist-head and neck surgeon-in the diagnosis and treatment of hearing loss in infants and young children. The otolaryngologist is well-versed in the anatomy, physiology, and pathophysiology of the auditory system, as well as the craniofacial syndromes that can involve the head and neck in combination with deafness. In this paper, the various causes of congenital hearing loss are described, as well as the steps required for proper diagnosis. Finally, surgeries used by otolaryngologists to treat childhood hearing loss, their indications, and outcomes, are discussed.     

Assessment Centre Observation Procedures: An Experimental Comparison of Traditional,Checklist and Coding Methods

Concern about the construct validity of assessment centre judgements has led to calls for research into observers’ cognitive processes. In an experiment comparing the Traditional observation procedure against use of a Behavioural Checklist and of Behavioural Coding, six outcome variables were examined. The methods were found to yield similar outcomes in terms of accuracy of judgement, accuracy of written evidence, correlation between dimension ratings, and attitude toward the method employed. However, significant between-method differences were observed in variability between observers and in their willingness to recommend a procedure. It is argued that Behavioural Coding has special merit in assessment centres; the method reduces the cognitive demands placed on assessors, and valuably structures their information-processing. Traditional objections to simultaneous observation and classification are shown to be inappropriate.     

Psychological Adjustment and Coping Styles of Urban African American High School Students

In a study of African American (n = 208) urban high school students, grade point average (GPA) and specific strategies for coping with day-to-day stressors were found to be significantly related to psychological adjustment. Students who had higher GPAs tended to use family members as a means of solving problems, minimized problems by the use of humor, and used relaxation activities less often were found to have the most positive psychological adjustment, as measured by the index score of the Affects Balance Scale (ABS). Reported negative affect was not found to be significantly influenced by coping style, whereas positive affect was.     

Hand-movement profiles in a tactual—tactual matching task: Effects of spatial factors and laterality

We examined the effect of spatial factors and hemispheric lateralization upon hand-scanning strategies in 14 right-handed men tested in a tactual—tactual matching task. The experiment involved comparisons (judgments of same or different) between two objects sequentially touched by the fingertips of the left or right hand. Stimuli were made of smoothly joined cubes whose junctions were not haptically discernible. Exploratory strategies were inferred from the durations and locations of hand contacts with any of the cubes composing the stimuli. Accuracy was greater when the same stimulus was touched twice by the same hand than when different hands were used to feel it. With regard to strategies, both hands touched the upper parts of the object longer than the lower parts. Subjects also inspected more portions of the objects ipsilateral to the hand used. Overall differences in time spent touching cubes were greater for the right hand than for the left hand, showing that touch times were less evenly distributed on object parts for the former than for the latter. In this study, the process of information gathering by touch appears to be determined by the intertwining integration of contextual factors (e.g., stimulus position in space), biomechanical constraints on hand movements, and such cognitive factors as hemispheric differences on the ability to encode spatial pattern information.     

MODIFICATION OF ACTIVITY LEVEL THROUGH BIOFEEDBACK AND OPERANT CONDITIONING1

The biomotometer, an electronic device that simultaneously measures activity and provides auditory feedback to the subject, was used in combination with material reinforcers in two experiments attempting to modify activity level in children. In the first study the activity level of an 11-year-old highly active boy was decreased below mean baseline during conditioning in a classroom setting. His level of activity returned to baseline when feedback was withdrawn. In the second study, activity level of a 10-year-old hypoactive boy was increased over mean baseline level during conditioning in a free-play setting, and returned to slightly below baseline during five extinction trials. Results of these studies indicate that the biomotometer is a useful instrument for modification of activity level.     

Activity level: A comparison between actometer scores and observer ratings

Activity level of 13 boys (aged 9–13) from a day hospital program was measured using actometers in classroom, gym, woodshop, and group therapy settings. Ratings of Ss' activity were obtained from mothers using the Werry scale, and from six clinical staff familiar with the Ss using the Davids scale. It was predicted that activity ratings would have situationally specific relationships with actometermeasured activity level according to the rater's opportunities for observation. Comparisons between measures indicated that all clinical staff ratings correlated significantly with actometer activity in the classroom (r=.49 to r=.73), while mothers' ratings correlated significantly with actometer activity in gym (r=.67), and woodshop (r=.77), and with overall activity (r=.65), a combined measure derived from actometer scores in the four conditions tested. Five of six clinical staff raters showed significant interrater reliability (r=.58 to r=.83). Results are discussed in terms of their implications for solution of current problems in assessment of activity level and hyperactivity.     

Interactions among levels of processing

This article examines associations among representations of physical, name, and category information by determining effects of category repetition on and following physical, name, and category match trials. Subjects decided whether two letters were from the same half of the alphabet. Category repetition effects were evidenced by faster ~nd more accurate responses when letters from the same half of the alphabet were used on successive trials. Although physical matches showed no effect of category repetition, name and category matches did. Trials following physical matches were less affected by category repetition than were trials following name or category matches. The results suggested that these category repetition effects were mediated by interletter associations: Reaction time increased with the alphabetic distance between preceding and current letters. However, these distance effects held only for forward (A → B) and not backward (B → A) alphabetic sequences, suggesting that the alphabetic representation is ordinal and unidirectional.     

Faith development and Teresa'sInterior Castle

James Fowler's model of faith development is compared with the course of development described by St. Teresa of Avila in her classic work,Interior Castle. Both Teresa and Fowler drew their models from the study of individual lives. The paper first presents a brief summary of Fowler's model, then goes through the different levels of development described by St. Teresa, comparing each of them with corresponding stages in Fowler's model. The paper concludes that, though these models were developed in different cultures, centuries apart, they appear to describe a similar course of religious or spiritual unfolding.This paper is a revised version of one originally delivered to Division 36, Psychologists Interested in Religious Issues, at the annual meeting of the American Psychological Association.References to Teresa'sInterior Castle in this paper are given by section (Mansions) and chapter within section so that the passages can be found in any translation.