Acquired surface alexia in Spanish: a case report

This paper reports a case study of acquired surface alexia in Spanish and discusses the most suitable tests to detect this syndrome in a writing system that is very regular for reading at the segmental and supra-segmental levels. Patient MM has surface alexia characterized by quantitatively good performance in reading words and pseudowords; accurate but slow and syllabic reading of words, nonwords and sentences; good performance in lexical decision tasks including words and nonwords; errors in lexical decision with pseudohomophones; and homophone confusions. This pattern of reading can be interpreted as a disorder in the lexical reading route and overdependence on the non-lexical route. We discuss nonlexical impairments and the interpretation of alexia and suggest tasks to identify surface alexia in a shallow orthography.     

An initial investigation of validation of the Matrix Analogies Test-Expanded Form in Ecuador

This is a first preliminary study of the validity and reliability of the Matrix Analogies Test--Expanded Form in South America. Participants were 104 Spanish-speaking children between the ages of 5 and 17 years living in Ecuador. Values of Cronbach alpha ranged from .87 to .92 for the 4 groups of items and was .95 for the total score. Raw scores on the MAT increased across ages. Scores of boys did not differ significantly from those of girls. Total test scores correlated significantly with scores on the Raven Standard Progressive Matrices (r = .62, p < .005; r = .82 before controlling for age). A principal factor analysis conducted to provide evidence of the test's construct validity indicated that all four sets of items loaded substantially on one unrotated factor, presumed to be g. In sum, these results suggest that the test is a valid and reliable nonverbal measure of general cognitive ability in this population.     

Parent Satisfaction with Case Managed Systems of Care for Children and Youth with Severe Emotional Disturbance

Case management has emerged as an integral component of current efforts to reform the delivery of mental health services to children and youth with Severe Emotional Disturbance (SED). We examined parental satisfaction with one program's case management system for SED children. In order to validly address parental satisfaction, the program first turned to a group of its parents to develop a satisfaction measure, the Family Satisfaction Survey (FSS). Of the 51 parents who returned an FSS, 74% of the parents were generally satisfied while 26% indicated that they were dissatisfied with their families' case management services. Multivariate regression analyses were employed to examine the role played by client, service, and outcome variables in predicting parental satisfaction. After controlling for child diagnoses, severity of impairment, and levels of psychosocial stress, parent satisfaction with case management services was best predicted by the frequency of monthly contact and fewer days is a psychiatric hospital proportional to length of service. Our results suggest that parent satisfaction is based not only on what case managers do but on how this service impacts SED children's ability to remain at home and in their communities.     

Activation of premotor vocal areas during musical discrimination

Two same/different discrimination tasks were performed by amateur-musician subjects in this functional magnetic resonance imaging study: Melody Discrimination and Harmony Discrimination. Both tasks led to activations not only in classic working memory areas--such as the cingulate gyrus and dorsolateral prefrontal cortex--but in a series of premotor areas involved in vocal-motor planning and production, namely the somatotopic mouth region of the primary and lateral premotor cortices, Broca's area, the supplementary motor area, and the anterior insula. A perceptual control task involving passive listening alone to monophonic melodies led to activations exclusively in temporal-lobe auditory areas. These results show that, compared to passive listening tasks, discrimination tasks elicit activation in vocal-motor planning areas.     

Research Participants’ Preferences for Hypothetical Secondary Results from Genomic Research

Secondary or incidental results can be identified in genomic research that increasingly uses whole exome/genome sequencing. Understanding research participants’ preferences for secondary results and what influences these decisions is important for patient education, counseling, and consent, and for the development of policies regarding return of secondary results. Two hundred nineteen research participants enrolled in genomic studies were surveyed regarding hypothetical preferences for specific types of secondary results, and these preferences were correlated with demographic information and psychosocial data. The majority of research participants (73%) indicated a preference to learn about all results offered, with no clear pattern regarding which results were not desired by the remaining participants. Participants who reported greater interest in genetic privacy were less likely to indicate a preference to learn all results, as were individuals who self-identified as Jewish. Although most research participants preferred to receive all secondary results offered, a significant subset preferred to exclude some results, suggesting that an all-or-none policy would not be ideal for all participants. The correlations between preferences to receive secondary results, religious identification, and privacy concerns demonstrate the need for culturally sensitive counseling and educational materials accessible to all education levels to allow participants to make the best choices for themselves.     

Moderately dysphoric mothers behave more positively with their infants after completing the BDI

To determine whether mildly and moderately dysphoric adolescent mothers display infantized facial and vocal behaviors, 21 nondysphoric mothers and 32 dysphoric (16 mildly and 16 moderately/severely dysphoric) mothers were videotaped during face-to-face interactions with their 4-month-old infants. Mildly dysphoric mothers showed less positive facial expressions and less animated/exaggerated vocal expressions. The moderately/severely dysphoric mothers, however, did not differ from nondysphoric mothers in their display of facial and vocal behaviors. These mothers with higher Beck Depression Inventory (BDI) scores may have become concerned about their many symptoms affecting their interactions and tried to compensate for this during their interactions. A second study was conducted to determine whether completing the BDI before interactions positively affected the moderately/severely dysphoric mothers' behavior. Moderately/severely dysphoric mothers (N=24) and mildly dysphoric mothers (N=24) were given the Beck Depression Inventory either before or after their face-to-face interactions with their 4-month-old infants. Moderately/severely dysphoric mothers who were given the BDI before their interactions showed more positive behavior than mothers given the BDI after their interactions. © 1997 Michigan Association for Infant Mental Health