Aphasia following a right thalamic hemorrhage

A left-handed patient with a right thalamic hemorrhage and disordered speech is described. Sequential examinations and aphasia testing were done during a 1-year follow-up period and the results are reported. This case supports those authors who have described characteristics they feel are helpful in diagnosing disordered speech associated with thalamic lesions. Paucity of speech, reduced voice volume, anomia, some paraphasia, and severe dysgraphia were present, but comprehension and repetition were relatively preserved. She showed modest improvement with time. This case also confirms that thalamic involvement in speech is a dominant, rather than a specifically left hemispheric function.     

Nontraditional careers for women: A prototypical example

A nationwide survey of a stratified sample of 461 Army ROTC college cadets and 470 of their non-ROTC schoolmates was conducted in order to investigate sex and racial differences in military-related perceptions and attitudes. This article focuses on survey findings dealing with sex differences in respondents' military socialization, knowledge of ROTC and the Army, attitudes toward ROTC and the Army, and behavioral intentions with respect to a military career. Female cadets had (1) fewer military socializing influences, (2) less accurate knowledge about ROTC and the Army, (3) more favorable attitudes toward ROTC and the Army, and (4) less favorable intentions regarding military service than male cadets. Findings 2, 3, and 4 were also obtained in the noncadet schoolmate group; however, in this group, there were no significant sex differences in military socializing influences. A model based on these findings is developed as a starting point for attempts to account for the higher attrition rates of women in the military.     

Late onset of alcoholism among older midwestern men in treatment

60 men were administered a questionnaire to assess whether the prevalence of alcoholism in men over 60 years of age in alcoholism treatment centers parallels the reported rates of late-onset for one-third or more alcoholics. Analysis showed 11% of the subjects were of late onset while 33% were quasilate onset. There were no significant differences in the life stress between alcoholics of early and later onset.     

Rhythmic motor behavior of preambulatory motor impaired,down syndrome and nondisabled children: A comparative analysis

The developmental course of rhythmic motor behavior was followed longitudinally for three groups of preambulatory children — normally developing, Down syndrome, and those with profound motor impairment. The groups differed in chronological age but were comparable with respect to motor age. The motor impaired subjects displayed significantly less rhythmic motor behavior than the nondisabled and Down syndrome groups. In comparing particular subtypes of rhythmic motor behavior, differences were found in both the average number of bouts and duration of subtypes among the groups. Longitudinal analyses of the data over the entire observation period revealed that the rhythmic motor behavior of the children with Down syndrome was more similar to that exhibited by the nondisabled children than was the rhythmic motor behavior of the children with motor impairment. However, there was considerable variability among the groups in several particular subtypes.This research was supported by grants from the National Institute of Child Health and Human Development (HD 17650 and HD 07226).The authors acknowledge the assistance of Robert E. Arendt, Grant Youngquist, Michael Hohn, and Charles Lowitzer in obtaining the observational data and thank the families of the subjects for their enthusiasm and dedication to the project.This study was presented at the 23rd Annual Gatlinburg Conference on Research and Theory in Mental Retardation and Developmental Disabilities, April 21, 1990.     

Vocal changes in stutterers and nonstutterers when speaking to children

Within the last few years, considerable attention has been devoted to the possibility that the amelioration of stuttering in many novel speaking conditions is a function of vocal changes with or without accompanying modifications in prosodic expression. These formulations have made reference primarily to conditions in which stutterers were induced into one or another novel speech pattern by an external stimulus such as masking noise, a rhythmic cue, or by instructions to sing, or read in unison with another speaker. In contrast, far less attention has been paid to other ameliorative conditions that lack a novel external stimulus or special instructions that direct the stutterer to speak in some unique manner. Speaking or reading to a child is an example of this latter type of condition. The present study was conducted to see if nine adult stutterers and a matched group of nonstutterers would evince vocal changes as they read aloud to another adult, a child, and a child and adult together. There was also a fourth control condition wherein the subjects read to one of the experimenters. Dependent measures of disfluency and stuttering, fundamental frequency, fundamental frequency deviation, fluent reading rate, and peak vocal sound pressure level were made and treated statistically. The major findings of this study indicated that, relative to the control condition, both subject groups exhibited several vocal changes when reading to a child alone and to a child and adult together. In addition, the stutterers experienced a reduction in disfluency, but only when reading to the child alone. The normal speakers exhibited too few disfluencies in the control condition for any meaningful change to occur in that dependent variable. The fact that the stutterers evinced vocal changes in both experimental conditions but a significant drop in disfluency in just one bears importantly on hypotheses that emphasize vocal changes in conditions that ameliorate stuttering.     

Some comments on the role of cotherapists in group psychotherapy with borderline patients

This paper points out examples of patients in a psychotherapy group who meet DSM-III criteria for the diagnosis of borderline personality disorder and who are treated by cotherapists utilizing object relations theory. Interpretations of phenomena shown by borderline patients—splitting, projective identification and denial—are illustrated. How cotherapy lends itself to the recognition and management of the problems these patients bring to group psychotherapy is illustrated.Hope Aspell assisted in the editing of this paper.     

Models of word recognition

Major hypotheses about the processes involved in word recognition are reviewed and then assessed through four experiments. The purpose of the first experiment was to examine some basic aspects of the processing of words, pseudowords, and nonwords, and beyond that, to discover basic differences in their processing that might underlie the word advantage. The second experiment was designed to assess the contribution of whole-word and letter cluster cues to the word advantage. Finally, Experiments III and IV were focused on the question of whether the word advantage can be wholly explained in terms of response bias or sophisticated guessing. Taken together, the results of these experiments were most compatible with criterion bias models. A version of the criterion bias model is suggested wherein the word advantage is attributed to interfacilitation among single letter and lexical units in memory.     

The role of the church in the community based care of the chronically mentally disabled: Reclaiming an historic ministry

The perplexing circumstance of the chronically mentally disabled in the community poses both a challenging ministry and significant learning opportunity for the church. Historically the church once served as a primary resource in their community life. When care shifted to the hospital in the nineteenth century, chaplains then ministered on behalf of the church. The institutional setting later spawned the clinical training and pastoral care movement, the mental patient an essential teacher and beneficiary. With the locus of care having recently returned to the community, the church can now provide social, pastoral and spiritual resources, collaborate in deinstitutionalization with the mental health delivery system, and return to a ministry of learning with the less resourceful.The Reverend Anderson serves as Chaplain Supervisor, Connecticut Mental Health Center, Box 1842, New Haven, Connecticut 06508, and as a Lecturer in Pastoral Theology at Yale Divinity School. The author wishes to thank Dr. Donald H. Williams and Fr. Henri Nouwen for their advice and encouragement during the preparation of this article.