Bilateral language: Is the left hemisphere still dominant?

A 13-year-old left-handed boy with a left fronto-parietal vascular malformation evidenced bilateral symmetrical language representation at intracarotid amytal testing. Surgical resection of the parietal motor and frontal premotor area (sparing classical perisylvian language regions) for seizure control resulted in an acute aphasia. Language deficits were still apparent 3 months and to a lesser degree 1 year after surgery. This suggests that when language is bilateral and symmetrical, the left hemisphere may still be dominant or both hemispheres may be necessary to sustain full language competence. Explanations for atypical language localization within the left hemisphere are also discussed.     

Sex and marital status in relation to the treatment and outcome of alcoholic patients

This article focuses on gender and marital status differences in the treatment process, posttreatment experiences, and outcome of 332 alcoholic patients and explores the utility of several sex-role models in explaining the observed findings. Among men patients, being married is related to better treatment outcome, but the marital status difference is negligible among women patients. Participation in group therapy is related to better outcome for men relative to women; exposure to educational materials on alcoholism is associated with better outcome of women relative to men. Men and women patients also differ in the way in which their perceptions of the treatment environment are related to outcome. After discharge, unmarried women and married men are most likely to receive aftercare outpatient treatment, which is also related to better outcome among men patients. The findings underscore the importance of gender and marital status factors and of patient-program congruence effects in the treatment outcome of alcoholic patients.This research was supported in part by NIAAA Grant AAO2863 and by Vetrans Administration Medical Research Funds. The authors wish to thank Ruth Lederman for her valuable assistance with data analyses, and John Finney and Deborah Shields for helpful comments on earlier drafts.     

Improving visual acuity in a myopic child: Assessing compliance and effectiveness

Improvements in visual acuity following vision training were evaluated for an 11$\text{1}\text{2}$-yr-old myopic male. Initial increases in the distance at which the S could discriminate letters were found. However, performance began to deteriorate as training progressed. A negative-reinforcement procedure was employed in order to rule out motivational factors potentially related to this decreased performance. Using a changing criterion within an ABCBC reversal design, the distance at which the S correctly discriminated letters increased by more than $\text{4}\text{1}\text{2}$ times and was clearly related to the reinforcement procedure.     

Hearing by eye

Recent work on integration of auditory and visual information during speech perception has indicated that adults are surprisingly good at, and rely extensively on, lip reading. The conceptual status of lip read information is of interest: such information is at the same time both visual and phonological. Three experiments investigated the nature of short term coding of lip read information in hearing subjects. The first experiment used asynchronous visual and auditory information and showed that a subject's ability to repeat words, when heard speech lagged lip movements, was unaffected by the lag duration, both quantitatively and qualitatively. This suggests that lip read information is immediately recoded into a durable code. An experiment on serial recall of lip read items showed a serial position curve containing a recency effect (characteristic of auditory but not visual input). It was then shown that an auditory suffix diminishes the recency effect obtained with lip read stimuli. These results are consistent with the hypothesis that seen speech, that is not heard, is encoded into a durable code which has some shared properties with heard speech. The results of the serial recall experiments are inconsistent with interpretations of the recency and suffix effects in terms of precategorical acoustic storage, for they demonstrate that recency and suffix effects can be supra-modal.     

Instrumental conditioning of scratching in the laboratory rat

Experiment 1 demonstrates that scratching in the laboratory rat can be instrumentally conditioned with food reinforcement. However, the asymptotic rate of performance of this response is shown to be low, as compared with an instrumental lever press response. It is suggested that one reason for this low rate of responding is that the scratch response can only be performed in the presence of an infrequently occurring itch stimulus. In support of this account the remaining experiments demonstrate that the rate of instrumental scratching can be increased relative to that shown by control groups by using a technique which might be supposed to increase the frequency at which an itch stimulus occurs.     

Autonomic learning

Academic achievement was resolved into its intellectual and motivational components. IQ, personality variables, and parameters of operant and classical conditioning of autonomic nervous system controlled variables were examined in 99 black inner-city high school seniors. Six physiological variables(respiration, heart rate, finger plethysmogram, frontalis muscle potential, palmar skin conductance, and palmar skin potential) were analyzed by computer using analog-to-digital conversion and a Points of Interest (PI) program. Psychological measures were full WAIS IQ, Edwards Personality Inventory(EPI), Cattell Sixteen Personality Factor Questionnaire(16PF), McClelland need Achievement test(n Ach), Object Sorting test, Minnesota Counseling Inventory(MCI), Level of Aspiration Board, and Rotter—Miller Locus of Control. Achievement(Ach) was defined as the residuals of total grade point average(GPA) regressed on IQ. Each of 19 variables which discriminated significantly between high and low achievers was employed in step-wise regression analyses for GPA and Ach separately. In a regression analysis of variance of GPA, IQ=20.44%, EPI=9.08%, and physiological measures =21.37%(operant conditioning =18.70%; classical conditioning =2.67%). Combined measures of motivation(psychological and physiological) =30.45% of the variance in GPA. The entire psychological and physiological test battery, including IQ, contributed a total of 50.89% of the variance in GPA. In a regression analysis of variance in achievement, psychological measures, other than IQ(six EPI and one 16PF), =11.0% and physiological measures =30.3%. As a replication, this study demonstrated significant correlation between autonomic conditioning and school achievement.     

Philosophical conceptions of rationality and psychiatric notions of competency

Psychiatrists are frequently called upon to make assessments of the rationality or irrationality of persons for a variety of medical-legal purposes. A key category is that of evaluations of a patient's capacity to grant informed consent for a medical procedure. A diagnosis of mental illness is neither a necessary nor a sufficient condition for a finding of incompetence. The notion of competency to grant consent, which is a mixed psychiatric-legal concept, shares some features with philosophical conceptions of rationality, but differs from them in a number of important respects. This article describes the actual practice of psychiatrists when making such judgments, along with the standards of competency they employ. A comparison is made between those notions of competency and predominant philosophical conceptions of rationality.