Evidence-based practice in stuttering: Some questions to consider

A recent forum in JFD (28/3, 2003) evaluated the status of evidence-based practice in fluency disorders, and offered recommendations for improvement. This article re-evaluates the level of support available for some popular approaches to stuttering therapy and questions the relative value placed on some types of programs endorsed by the forum. Evidence-based practice is discussed within the context of emerging concerns over its application to non-medical interventions and suggestions are made for grounding fluency interventions by reference to empirically supported principles of change. A popular, evidence-based intervention for stuttering in young children (the Lidcombe program) is evaluated within the suggested parameters. EDUCATIONAL OBJECTIVES: After reading this article, the reader will be able to: (1) evaluate the status of evidence-based practice in fluency disorders; (2) list concerns about the impact of narrow interpretation of EBP on research and practice in the field of fluency disorders and other non-medical domains; (3) articulate the role of theory and basic research in selecting among and evaluating therapy approach options.     

The shifting sands of a professional identity

I decided while an undergraduate that I wanted to be a psychologist. Beyond that, I'm still not sure what I'll do when I grow up. This brief autobiography maps the shifting sands of my professional identity: from psychotherapist to developmental psychopathologist and then to primary concerns with education and training, from psychologist to academic administrator and then back again, to forensic psychologist and on to whatever may come next. Through all of these shifts in focus, however, there has been one recurring theme--the appeal of being an assessment psychologist. The events that kept bringing me back to assessment, whatever else my focus at the time, are recorded in the story that follows.     

Evaluation of two methods of prompting drivers to use specific exits on conflicts between vehicles at the critical exit

The Florida Department of Transportation used a series of changeable-message signs that functioned as freeway guide signs to divert traffic to Universal Theme Park via one of two eastbound exits based on traffic congestion at the first of the two exits. An examination of crashes along the entire route indicated a statistically significant increase in crashes at the first eastbound exit following the actuation of the system. Furthermore, all of the crashes occurred in close proximity to the exit gore (the crosshatched area at exits that drivers are not supposed to enter or traverse) at the first exit. In Experiment 1, behavioral data were collected using an alternating treatments design. These data revealed that reassigning the exit signs was effective in producing a change in the percentage of drivers using each of the two exits. These data also showed that the reassignment of the theme park exit was associated with an increase in the percentage of motor vehicle conflicts that consisted of vehicles cutting across the exit gore. An analysis revealed that the method used for switching the designated or active theme park exit on the series of changeable-message signs led to the presentation of conflicting messages to some motorists, thus resulting in erratic driving behavior (cutting across the exit gore). In Experiment 2, the treatment evaluated the use of a phased method of switching the designated theme park exit to eliminate the delivery of conflicting messages. The new method for switching the designated theme park exit was not associated with an increase in motorists cutting across the exit gore.     

Nonword repetition abilities of children who stutter: an exploratory study

Past research has suggested that children who stutter (CWS) may have less well-developed language skills than fluent children, and that such relative linguistic deficiencies may play a role in precipitating their disfluencies. However, data to support this position are primarily derived from results of standardized diagnostic inventories, which are originally designed to identify frank language impairment. Nonword repetition has emerged as a more sensitive measure of children's linguistic abilities. In this exploratory study, eight CWS (mean age 5:10, range 4:3-8:4) were compared to eight normally developing children (ND) (mean age 5:9, range 4:1-8:4) in their ability to repeat the nonwords of the Children's Test of Nonword Repetition. CWS performed more poorly than NS on measures of Number of Words Correct and Number of Phoneme Errors at all nonword lengths, although statistical differences were observed only for 3-syllable nonwords. When lexical stress of the nonwords was varied to a non-English stress pattern, all participants repeated the stimuli with less accuracy, and the CWS again exhibited more errors than NS. Fluency for the CWS group did not change systematically with increasing nonword length. These preliminary findings are interpreted in light of a number of extant theories of the underlying deficit in childhood stuttering. We conclude that children who stutter may have diminished ability to remember and/or reproduce novel phonological sequences, and that further investigation into this possibility may shed light on the emergence and characteristics of childhood stuttering. EDUCATIONAL OBJECTIVES: After completing this activity, the learner will: (1) be able to evaluate the research support for a linguistic component to stuttering; (2) describe the use of nonword repetition as an experimental and assessment device with children with SLI and children who stutter; (3) suggest future directions for research to further refine the potential role that linguistic encoding plays in the etiology and persistence of stuttering.     

Whom would you rather help: an acquaintance not responsible for her plight or a responsible sibling?

When 2 persons--an acquaintance who could not have avoided a problem and a close relative who is responsible for her own plight--ask for help, attribution theory and sociobiology conflict about who will receive help. Attribution theorists assume that the nonresponsible acquaintance will be supported, but sociobiologists argue that the responsible sibling will receive help. The authors tested the hypothesis that characteristics of the situation affect which theory better predicts help giving. The results confirmed that in situations that do not affect life and death, a nonresponsible acquaintance would receive more help than a responsible sibling. But in life-or-death situations, inasmuch as the reproductive fitness of the person in need is in danger, a responsible sibling would be supported more than a nonresponsible acquaintance.     

Friendships and Adaptation Across the Life Span

Friends foster self-esteem and a sense of well-being, socialize one another, and support one another in coping with developmental transitions and life stress. Friends engage in different activities with one another across the life span, but friendship is conceived similarly by children and adults. Friends and friendships, however, are not all alike. The developmental significance of having friends depends on the characteristics of the friends, especially whether the friends are antisocial or socially withdrawn. Outcomes also depend on whether friendships are supportive and intimate or fractious and unstable. Among both children and adults, friendships have clear-cut developmental benefits at times but are mixed blessings at other times.     

一日龄小鸡的记忆保持及其与脑内加压素（AVP）含量的相关研究

以一日龄小鸡为实验对象,进行一次性厌恶回避反应训练,并应用加压素的放射免疫测定法,分析比较记忆保持测验中,成绩优、劣及对照组动物与其脑内加压素含量的相关。实验结果表明,记忆保持良好的动物,脑内加压素含量明显低于对照组和记忆不良组,而记忆不良组与对照组之间则无明显差异。提示在正常生理状态下,加压素参与记忆过程的调制,并可能在这一过程中有一定的耗竭或合成减少,如适时得以补充,则对记忆的巩固和再现起易化作用。     

通过样例和问题求解学习物理──加强对条件的认知

这项研究支持了我们先前的研究结果,即知识可以表征为一组产生式规则,产生式规则的学习可以通过考察样例和通过问题求解的方式进行。这项研究特别探讨了加强对于产生式的条件认知加工活动的效果。结果表明了我们这一构思的有效性。此外,还讨论了这一学习模式的学习过程。     

Developments in research in personality assessment

Progress in personality research requires an adequate data analysis link between concepts of what people are like and observations of how they are likely to behave. Advances in computer technology have strengthened this link but also have made it necessary for investigators to be wary of lack of selectivity and trivialization in their research designs.     

Public Confession and Forgiveness

ABSTRACT In this article, we report investigations of four role-playing experiments and one laboratory manipulation that examine the effects of confession on forgiveness and other related judgments. The basic paradigm in the simulation studies was to reveal that a political figure or student in a class confessed either following or not following an accusation, or denied personal responsibility for the act. Among the variables manipulated were the attributions for the wrongdoing and the spontaneity of the confession. The dependent variables in one or more investigations included the perceived personal character of the trangressor, attributions of responsibility for the act, affective reactions of sympathy and anger, forgiveness, and behavioral judgments such as sanctioning and voting likelihood. In the laboratory manipulation study, a mixed-motive game setting was used in which a confederate confessed to having prior knowledge that resulted in his winning the game. We then examined whether this admission influenced subsequent cooperation and competition, as well as the other players' perceptions of the confederate's personality and character. Confession was found to have strong beneficial effects, particularly when given without a prior accusation and in ambiguous causal situations.