Pathological laughter as a symptom of midbrain infarction

Pathological laughter is an uncommon symptom usually caused by bilateral, diffuse cerebral lesions. It has rarely been reported in association with isolated cerebral lesions. Midbrain involvement causing pathological laughter is extremely unusual. We describe three patients who developed pathological laughter after midbrain and pontine-midbrain infarction. In two patients a small infarction in the left paramedian midbrain was detected, whereas the third one sustained a massive bilateral pontine infarction extending to the midbrain. Laughter heralded stroke by one day in one patient and occurred as a delayed phenomenon three months after stroke in another. Pathological laughter ceased within a few days in two patients and was still present at a two year follow-up in the patient with delayed-onset laughter. Pathological laughter can herald midbrain infarction or follow stroke either shortly after onset of symptoms or as a delayed phenomenon. Furthermore, small unilateral midbrain infarctions can cause this rare complication.     

FMRI of two measures of phonological processing in visual word recognition: ecological validity matters

Previous functional magnetic resonance imaging (fMRI) studies have investigated the role of phonological processing by utilizing nonword rhyming decision tasks (e.g., Pugh et al., 1996). Although such tasks clearly engage phonological components of visual word recognition, it is clear that decision tasks are more cognitively involved than the simple overt naming tasks, which more closely map onto normal reading behavior. Our research aim for this study was to examine the advantages of overt naming tasks for fMRI studies of word recognition processes. Process models are presented to highlight the similarities and differences between two cognitive tasks that are used in the word recognition literature, pseudohomophone naming (e.g., pronounce BRANE) and rhyming decision (e.g., do LEAT and JEAT rhyme?). An fMRI study identified several differences in cortical activation associated with the differences observed in the process models. Specifically, the results show that the overt naming task involved the insular cortex and inferior frontal gyrus, whereas the rhyming decision task engaged the temporal-parietal regions. It is argued that future fMRI research examining the neuroanatomical components of basic visual word recognition utilize overt naming tasks.     

An analysis of aversive stimuli in classroom demand contexts

Although recent research has identified numerous variables that can affect behavior maintained by negative reinforcement, questions remain concerning the potential aspects of the demand context that evoke problem behavior. To date, few studies have examined these questions within general education classrooms. The current study assessed the influence of social and task-difficulty variables on problem behavior maintained by negative reinforcement. Teachers in general education classrooms implemented three analyses to determine the influence of these variables on the problem behavior of 4 boys. Results are discussed in terms of response covariation within the demand context.     

Distractor interference in selective reaching: dissociating distance and grouping effects

In the present experiment, the authors sought to differentiate between a distance and a grouping explanation for the symmetric versus asymmetric patterns of distractor interference in selective reaching. Participants (N = 16) pointed to a green target that appeared either with or without a red distractor. Target-distractor separation was manipulated within an array of 5 closely grouped stimulus boxes, and distractor interference (difference in performance between trials with and trials without a distractor) was measured in reaction time, movement time, percentage errors, and movement endpoints. Small distances (5 mm) between target and distractor yielded a symmetric pattern of interference, whereas large distances (20 mm) yielded an asymmetric pattern, with more interference from near than from far distractors. Those findings support the distance account of distractor interference and refute the grouping account.     

Hierarchical model of generalized and specific vulnerabilities in anxiety

This study evaluated a theoretical hierarchical relationship among the general anxiety vulnerability variable of neuroticism, the specific vulnerability variables of anxiety sensitivity and intolerance of uncertainty, and variables reflecting specific anxiety foci including panic symptoms, health anxiety, obsessive-compulsive symptoms and generalized anxiety/worry. Questionnaires assessing these variables were administered to a non-clinical sample of 91 first-year psychology students (64.8% women). Path analysis results were highly consistent with the hypothesized hierarchical model. Neuroticism was found to have a significant direct effect on both anxiety sensitivity and intolerance of uncertainty. Both neuroticism and anxiety sensitivity had direct significant effects on panic symptoms, neuroticism and intolerance of uncertainty both made significant direct contributions to the prediction of worry, and neuroticism made a significant direct contribution to the prediction of obsessive-compulsive symptoms. Contrary to the hypothesized model, anxiety sensitivity but not neuroticism uniquely predicted health anxiety. The results of this study provide initial empirical evidence for a hierarchical relationship among general and specific vulnerabilities, and specific anxiety manifestations.     

Psychophysiological Identification of Depression Subtypes in Older Adults: Problematic Diagnostic Heterogeneity in the DSM-III-R and DSM-IV

The DSM-IV does not subclassify patients with depression on the basis of anxiety level. Hence a significant confound may exist in all outcome studies that employ DSM definitions of depression. To establish that objectively identifiable anxious and nonanxious subtypes of depression do indeed exist, a psychophysiological assessment battery was used with 114 treatment-seeking older adults. Dichotomous criterion categorization as either Nonanxious Depressed or Anxious Depressed was based on (a) DSM-III-R/DSM-IV diagnosis, and (b) standardized questionnaires of psychopathology. Multivariate analyses revealed no differences between groups when DSM criteria were used to classify participants. However, identical analyses using phenomenological diagnostic criteria indicated that anxious and nonanxious depressed participants differed in their psychophysiological response to negative imagery. Although anxious and nonanxious depressed participants evince different psychophysiological response patterns, these differences unfortunately are obscured by the DSM. Consequently, a phenomenological classification system may be more appropriate with affective disorders.     

The modification of intelligence through early experience

Infants judged to be at risk for subnormal intellectual growth were randomly assigned to an Experimental (N = 27) or a Control (N = 25) group. Infants in both groups received medical care and dietary supplements; their families received social work services on a request basis. Experimental children participated in an educational daycare program beginning before the third month of life. The daycare program was composed, in part, of curriculum activities designed to stimulate intellectual growth. Between 6 and 36 months of age, Experimental children maintained normal intellectual growth; Control children declined in IQ beginning between 12 and 18 months of age and remained significantly lower than Experimental children at 24 and 36 months. The mother-child IQ correlation for Control dyads was 43; for Experimental dyads the correlation was ?.05. These two types of evidence are interpreted as support for the importance of early environments in the development of intelligence.     

SIDE EFFECTS OF THERAPEUTIC PUNISHMENT ON ACADEMIC PERFORMANCE AND EYE CONTACT

The effects of therapeutic punishment delivered following inappropriate behavior on the academic responding and eye-to-face contact of 2 persons with developmental handicaps was examined using a counterbalanced alternating treatment design. Each subject was sequentially taught by two therapists each day. While one of the therapists taught the subject, the second therapist stood in close proximity directly behind the subject. During baseline, neither therapist delivered punishment following inappropriate behavior. During the treatment condition, one of the therapists delivered all punishment regardless of whether she was teaching or standing behind the subject. The therapist who delivered all punishment for 1 subject did not deliver any punishment for the other subject. During the last condition, the therapist delivering all punishment was reversed for 1 of the subjects. The results indicated that the task being taught was mastered by each subject only when the therapist delivering punishment was teaching. Data collected also indicated that each subject made more eye-to-face contact when the therapist delivering all punishment was teaching. Although neither therapist had to deliver punishers often, punishment had to be administered less often when the therapist teaching the subject was also the therapist delivering punishment.