Cerebral Anesthetization for Localization of Speech: The Contribution of W. James Gardner

In 1949, the neurologist Juhn Wada reported the first use of a new procedure for determining the localization of speech and language in neurological patients: examination of the effects on speech and language after injecting a barbiturate, sodium amytal, into the internal carotid artery of each hemisphere in succession. By the 1960s, Wada'sIntracarotid Amobarbital Procedure,orIAP,had become the method of choice for identifying the speech-dominant side in one kind of neurological patient, persons with epilepsy who are candidates for surgical resection, and it remains so today. In 1941, however, an American neurosurgeon, W. James Gardner, reported his use of a different anesthetization procedure for speech localization in neurological patients. Instead of injecting sodium amytal through the blood supply, as in the IAP, Gardner injected procaine hydrochloride directly into cortical tissue. In this paper, we provide a brief biography of Gardner. We then discuss his method of cortical anesthetization, the theoretical and empirical background guiding his use of this method and his choice of patients, and, finally, the fate of Gardner's method within the scientific community.     

On the naming of color words and color patches

Subjects can name color words faster than they can name color patches. To account for that effect, a generic model of naming is described which assumes that words access the mental lexicon directly, whereas color patches do so only indirectly via an initial imaginal or semantic representation. However, Lund (1927) reported that the naming advantage for words disappeared when all the items to be named on a page were the same (i.e., they were blocked). In the present study, three experiments are reported that were designed to provide a clearer empirical definition of Lund’s blocking effect and to ascertain the extent to which it requires a modification of the generic model. The blocked lists had 50 items arranged into 10 blocks, with each block homogeneous with respect to color. The block lengths were either all a predictable length of 5 items or they varied randomly from 1 to 9 items. The data indicated the following: (1) The blocking effect occurred even when the task required a full identification of each item, and (2) the blocking effect was confined to within-block transitions. Blocking seemed to eliminate the word advantage by allowing the subject to re-use the lexical entry used for the immediately prior item, which is consistent with the generic model.     

Forgoing treatment in an adult with no apparent treatment preferences: A case report

This article reports in detail an ethics case consultation involving a decision to forgo life-sustaining treatment for a middle-aged man following a “massive” cerebral bleed resulting in profound brain damage, but not unconsciousness. An unusual feature of this case is that, despite normal intelligence, caring family relationships and a history of life-threatening cardiac disease, vigorous and sustained inquiry could not elicitany indications of this patient's values, perceptions or preferences regarding end of life care. Other than a deliberately autobiographical methodological prologue and a few brief comments at the end, the case is presented straightforwardly and without intercurrent analysis.     

Gender-role adoption and sex as academic and psychological risk factors

Five hundred and ten first-year junior high school students were administered a battery of psychological tests. On the basis of their scores from two gender-role adoption measures, three smaller groups were extracted within each biological sex: masculine, feminine, and undifferentiated individuals. Feminine students reported a greater amount of discomfort (vulnerability). A battery of tests administered toward the end of that school year revealed that females attained greater neuroticism and alienation scores than did their male peers. Possible explanations for this pubescent self-report of maladjustment are the more masculine orientation of the junior high school in comparison to the elementary school and the menarche.The authors wish to thank Ms. S. Chesterman, Regional Director of the Montreal Catholic School Commission, and Mr. K. Quinn, Principal of Sir Wilfred Laurier Junior High School, for granting us permission to disrupt school activities in order to test their students. We also wish to acknowledge the assistance of the following members of Sir Wilfred Laurier: Mr. O. Hruby, Vice-Principal; Sr. G. Larocque, Vice-Principal; Mr. S. Radeschi, key teacher; and members of the administrative and teaching staff.     

Sex of leader,leader behavior,and subordinate satisfaction

A 2×2×2 factorial design was employed to examine the influence of instructed leadership style, sex of leader, and sex of followers on leader behavior, subordinate satisfaction, and productivity in a simple task. In general, male and female leaders were equally able and equally willing to display autocratic and democratic leadership styles if so instructed. Similarly, leader sex did not have a significant influence on subordinate satisfaction or productivity either by itself or in interaction with leadership style or follower sex.