Multidisciplinary assessment and diagnosis of conversion disorder in a patient with foreign accent syndrome

Multiple reports have described patients with disordered articulation and prosody, often following acute aphasia, dysarthria, or apraxia of speech, which results in the perception by listeners of a foreign-like accent. These features led to the term foreign accent syndrome (FAS), a speech disorder with perceptual features that suggest an indistinct, non-native speaking accent. Also correctly known as psuedoforeign accent, the speech does not typically match a specific foreign accent, but is rather a constellation of speech features that result in the perception of a foreign accent by listeners. The primary etiologies of FAS are cerebrovascular accidents or traumatic brain injuries which affect cortical and subcortical regions critical to expressive speech and language production. Far fewer cases of FAS associated with psychiatric conditions have been reported. We will present the clinical history, neurological examination, neuropsychological assessment, cognitive-behavioral and biofeedback assessments, and motor speech examination of a patient with FAS without a known vascular, traumatic, or infectious precipitant. Repeated multidisciplinary examinations of this patient provided convergent evidence in support of FAS secondary to conversion disorder. We discuss these findings and their implications for evaluation and treatment of rare neurological and psychiatric conditions.     

Centrality and charisma: comparing how leader networks and attributions affect team performance

When leaders interact in teams with their subordinates, they build social capital that can have positive effects on team performance. Does this social capital affect team performance because subordinates come to see the leader as charismatic? We answered this question by examining 2 models. First, we tested the charisma-to-centrality model according to which the leader's charisma facilitates the occupation of a central position in the informal advice network. From this central position, the leader positively influences team performance. Second, we examined the centrality-to-charisma model according to which charisma is attributed to those leaders who are socially active in terms of giving and receiving advice. Attributed charisma facilitates increased team performance. We tested these 2 models in 2 different studies. In the first study, based on time-separated, multisource data emanating from members of 56 work teams, we found support for the centrality-to-charisma model. Formal leaders who were central within team advice networks were seen as charismatic by subordinates, and this charisma was associated with high team performance. To clarify how leader network centrality affected the emergence of charismatic leadership, we designed Study 2 in which, for 79 student teams, we measured leader networking activity and leader charisma at 2 different points in time and related these variables to team performance measured at a third point in time. On the basis of this temporally separated data set, we again found support for the centrality-to-charisma model.     

Who takes driving licence point recovery courses in France? Comparison between course-takers and ordinary drivers

A self-administered questionnaire was answered by 2014 drivers, 853 of whom were taking a course. The data were analyzed aiming to identify the factors that are linked to taking the course, i.e. to recurrent reoffending.The course-takers, of whom 89% were male, admitted committing more violations than the control group. They had more accidents. More male course-takers than controls reported not being happy, and they more frequently had high extroversion scores.The multivariate analysis showed that, among men, taking the course was associated with the mileage, the feeling of being almost certain to be charged for an offence and having a high risk of losing one’s licence, in addition to being young, having a large number of brothers and sisters, higher socio-occupational category and smoking. Among women, in spite of the small number of them on the course, the mileage, the feeling of having a high risk of losing one’s licence, driving alone, the mental representation of their own vehicle as an extension of their office, and defining themselves as liking to take risks during leisure activities were significantly linked to taking a points recovery course.Those taking the course were not therefore doing so by chance; they differed from the general population of drivers, which was also precisely described with regard to driving habits and representations.Recommendations are then made in order to redirect the content of courses more towards introspection than technical matters.     

Odorization of a novel object can influence infant's exploratory behavior in unexpected ways

Although much is known about the development of object exploration during infancy, it remains to be understood whether and how olfaction can influence infants' interactions with novel objects. To address these issues, sixteen infants aged 7-15 months were videotaped during two consecutive 5-min free play sessions with a scented or an unscented version of visually similar objects. Results indicate that adding an odor to a novel object influenced the infants' behavior: the infants exhibited more and longer manipulations and mouthing of the unscented object than of the scented object. The differential responsiveness to the scented, relative to the unscented, object was noted after a 2-min delay following test onset, suggesting that in the present conditions infants do not immediately detect or react to the added odor. It may be concluded that infants do detect an odorant added on a novel object, show odor-based discrimination of visually similar objects, and express withdrawal of the scented, relative to the unscented, object. The implications of these findings for understanding how infants use their senses, namely their olfactory sense, in early exploratory behavior are discussed.     

Sympathetic arousal to a vestibular stressor in high and low hostile men

The aim of the present experiment was to extend the literature on hostility and a cerebral systems based model of sympathetic arousal to a vestibular-based stress. Several authors have concluded that autonomic stress reactivity in high hostile individuals must be interpersonally based, whereas healthy vestibular system functioning does not depend on interpersonal features. Utilizing a vestibular activation paradigm, skin conductance levels of 15 high hostile and 15 low hostile men were recorded after brief passive rotation about the vertical neuroaxis. It was expected that hostile individuals would exhibit higher skin conductance levels after rotation compared with low hostile individuals. The results confirmed expectations of heightened sympathetic tone among high hostiles subsequent to vestibular stress. Overall, the findings are interpreted to support a cerebral model of frontal region capacity limitation for regulation of vestibular stress that is independent of psychosocial mechanisms.     

Effects of Ingroup Bias and Gender Role Violations on Acquaintance Rape Attributions

Two studies of ethnically diverse US college students from northern California examined whether ingroup bias and gender norm violations influence acquaintance rape attributions (Study 1, N?=?118; Study 2, N?=?140). Participants read vignettes depicting acquaintance rape and completed questionnaires. Victims were part of participants’ ingroup or outgroup. Study 1 manipulated the victim’s sexual history (chaste or promiscuous). Study 2 manipulated the victim’s alcohol use (sober or intoxicated). Ingroup victims were perceived more positively than outgroup victims if the victims were promiscuous or intoxicated. More guilt was attributed to rapists of ingroup victims than outgroup victims if the victims were promiscuous or intoxicated. Findings are examined in relation to ingroup bias and gender norm violations.     

Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients’ QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and four patients undergoing tilt-table testing (TTT) for recurrent syncope were interviewed one month before TTT, using questionnaires. Data were analysed using ANCOVAs, a-priori Helmert contrasts for illness representations, and regressions. Patients with US had a poor QoL compared to those with VVS [F(1, 91) = 10.46; p < 0.01], particularly in men (p < 0.01). Patients with higher perceived syncope severity showed an impoverished QoL relative to those with less severe perceptions [F(1, 91) = 5.47; p < 0.05]. A hierarchical regression revealed that illness representations mediate the impact of lifetime number of syncope on QoL. In conclusion, QoL is reduced in these patients, and is influenced by illness representations. Helping patients change their perceptions about their syncope may be an efficient way to promote QoL.     

From landlines to cell phones: negotiating identity positions in new career contexts

This article uses metaphors to explore how changes in technology and the world of work affect the lives and identities of workers today. The author integrates theory from vocational psychology and cultural studies with personal narrative in order to consider positive and negative aspects of the shift from traditional linear careers to postmodern, boundaryless, protean careers. Career is framed as a dialogical construct that is mutually shaped by individual and social practices. Career counselors are invited to consider ways they might adapt their practice to better accommodate clients' lived experiences of evolving career contexts.     

Facets of psychopathy, Axis II traits, and behavioral dysregulation among jail detainees

Forensic evaluations of offender populations often consider psychopathy as an integral component of these consultations. Vexing issues remain of whether psychopathic traits should be evaluated consistently irrespective of demographic characteristics (e.g. gender), comorbidity (e.g. other Axis II pathology), or setting (e.g. jail or community). The current study examined gender differences for psychopathy and Axis II traits in a nonreferred jail sample of predominantly nonviolent offenders. Participants with moderate to high levels of psychopathy evidenced substantial comorbidity, especially with Cluster B personality disorders. Facets of psychopathy and Axis II traits varied substantially across both genders. In addition, the research evaluated Lynam's Hyperactivity, Impulsivity, and Attention difficulties (HIA) model of psychopathy. These initial data found little support for the HIA model in this jail sample. In testing competing hypotheses, the HIA model was substantially better at predicting Cluster B traits than psychopathy per se.     

Blushing during social interactions in people with a fear of blushing

Changes in facial blood flow were investigated during an introductory conversation, delivering a speech, and listening to the speech afterwards in 16 people with a fear of blushing and 16 controls. It was hypothesized that fear of blushing would be associated with high ratings of self-reported blushing intensity and embarrassment during the tasks, and with persistence of the blushing reaction between tasks. Embarrassment and self-reported blushing intensity were greater in the fear-of-blushing group than in controls throughout the experiment. Increases in facial blood flow were similar in the two groups during each of the tasks. However, blushing dissipated more slowly after each task in the fear-of-blushing group than in controls, resulting in an incremental increase in facial blood flow over the course of the experiment. The slow recovery after an episode of blushing might result in physiological or social cues that help to maintain a fear of blushing.