The relationship between anxiety and stuttering: a multidimensional approach

The relationship between anxiety and stuttering is equivocal from both clinical and empirical perspectives. This study examined the relationship within the framework of the multidimensional interaction model of anxiety that includes an approach to general anxiety in specific situations [J. Pers. Soc. Psychol. 60 (1991) 919]. Ninety-four males aged 18-43, half disfluent speakers and half fluent speakers completed two questionnaires: The Trait Anxiety Inventory [C.D. Spielberger, R.L. Gorsuch, R.E. Lushene, Manual for the State-Trait Anxiety Inventory (Self Evaluation Questionnaire), Consulting Psychologists Press, Palo Alto, CA, 1970] and the Speech Situation Checklist [G.J. Brutten, Neurolinguistic Approaches to Stuttering, Mouton, The Hague; G.J. Brutten, Stuttering: A Second Symposium, Harper and Row, New York, 1973; G.J. Brutten, P. Janssen, Proceedings 18th Congress of the International Association of Logopedics and Phoniatrists, Washington, DC, 1975; M. Vanryckeghem, Proceedings of the XXIVth Congress of the International Association of Logopedists and Phoniatrists, Nijmegen University Press, Nijmegen, 1981]. In addition, after performing speech and non-speech tasks, participants evaluated their level of anxiety on a subjective scale, labeled Task-Related Anxiety--TRA. The stuttering group also evaluated the level of severity of their stuttering. Findings indicate that trait anxiety is higher among people who stutter compared to fluent speakers, thus indicating that anxiety is a personality trait of people who stutter. State anxiety in social communication is higher among severe stutterers as compared to mild stutterers and fluent speakers. Thus, state anxiety is related to stuttering severity. The results are discussed in the frame of the multidimensional model of anxiety. EDUCATIONAL OBJECTIVES: The reader will be able to: (1) describe the multidimensional anxiety model; (2) extend the model to the relations between stuttering and anxiety; (3) describe stuttering severity in relation to the levels of anxiety within the model.     

The sociology of the sacred: A conversation with Jeffrey Alexander

Over the past 20 years, Jeffrey C. Alexander has been a leading social theorist and a pioneer of the ‘strong program’ in cultural sociology, which emphasises the significance of cultural structures of meaning for social life. Following an introductory overview of his work, this article records a public conversation with Alexander about the role and significance of the concept of the sacred in his sociological work. Issues addressed in this conversation include situating Alexander's interest in the sacred in his intellectual biography (including his significant intellectual influences), the mistrust of the concept of the sacred within the wider sociological community, the universality of cultural structures of sacred meaning, the limitations of sociological analysis focused on sacred meaning and methodological approaches to the study of the sacred.     

Instructional Practices in Fifth-through Eighth-grade Science Classrooms of a Selected Seventh-day Adventist Conference

This investigation focused on instructional practices within fifth- through eighth-grade science classes of selected Seventh-day Adventist schools. Teachers reported regular use of discussion, student projects, and tests or quizzes. Most respondents said they did not feel prepared or had “never heard of” inquiry, the learning cycle, or constructivism. Over half the respondents felt discussion, student-projects, and hands-on laboratory work were effective instructional practices in science classrooms. Learning cycle and constructivism were described by most respondents as “not at all” effective; many respondents had “never heard of” these same two instructional approaches.     

Real Men Don't Look Down: Direction of Gaze Affects Sex Decisions on Faces

Classifying a face as male or female was shown to be reliably affected by the direction in which the face was looking—a variable apparently unrelated to reported features of the face that show sexual dimorphism. Decisions were slower when gaze was averted downwards. Furthermore, masculinity ratings were lower for men's faces looking down than for the same faces looking ahead. One high-level (configurational) face feature that varies with the sex of the face and with direction of gaze was identified. The vertical upper-lid-to-brow distance is smaller in men than in women and becomes less salient when eyes are averted down. This display feature may have evolved to signal gender quickly and reliably, especially in alert male faces.     

A model point of view

This paper reports a study of planning processes in the five-disc Tower of London (TOL) task in 20 younger and 20 older adult participants. A concurrent direct “think-aloud” method was used to obtain data on planning processes prior to moving discs in the TOL. A check was made of the effects of verbalising by comparing performance data from the experimental groups with data from control groups who did not verbalise during planning or moving. Verbalising slowed down planning and moving but did not appear to distort the participants' approaches to the task. Older and younger participants did not differ in average moves taken to solve the tasks. However, older participants' planning was less complete and more error-prone than that of younger participants. The planning processes were characterised as showing a means-ends “goal selection” strategy. In this strategy participants (1) identify a single active goal disc at the start, (2) select moves and move sequences to enable the placing of the current goal disc in its target position, and (3) continue in this way until all discs are in their target positions. Age differences were found in the planning stage, during which there was no stimulus support and hence a substantial working memory load. During the move phase there was stimulus support and hence little loading of working memory. Age differences in moves required were not found in the move phase. As older participants tend to have depleted working memory capacity the present results suggest that working memory is heavily loaded in TOL planning but less so in the move phase of TOL.     

Gait and risk of falls associated with frontal cognitive functions at different stages of Alzheimer's disease

ABSTRACT

The decline in frontal cognitive functions contributes to alterations of gait and increases the risk of falls in patients with dementia, a category which included Alzheimer's disease (AD). The objective of the present study was to compare the gait parameters and the risk of falls among patients at different stages of AD, and to relate these variables with cognitive functions. This is a cross-sectional study with 23 patients with mild and moderate AD. The Clinical Dementia Rating was used to classify the dementia severity. The kinematic parameters of gait (cadence, stride length, and stride speed) were analyzed under two conditions: (a) single task (free gait) and (b) dual task (walking and counting down). The risk of falls was evaluated using the Timed Up-and-Go test. The frontal cognitive functions were evaluated using the Frontal Assessment Battery (FAB), the Clock Drawing Test (CDT) and the Symbol Search Subtest. The patients who were at the moderate stage suffered reduced performance in their stride length and stride speed in the single task and had made more counting errors in the dual task and still had a higher fall risk. Both the mild and the moderate patients exhibited significant decreases in stride length, stride speed and cadence in the dual task. Was detected a significant correlation between CDT, FAB, and stride speed in the dual task condition. We also found a significant correlation between subtest Similarities, FAB and cadence in the dual task condition. The dual task produced changes in the kinematic parameters of gait for the mild and moderate AD patients and the gait alterations are related to frontal cognitive functions, particularly executive functions.     

Assessing mindfulness in children and adolescents: development and validation of the Child and Adolescent Mindfulness Measure (CAMM)

This article presents 4 studies (N = 1,413) describing the development and validation of the Child and Adolescent Mindfulness Measure (CAMM). In Study 1 (n = 428), the authors determined procedures for item development and examined comprehensibility of the initial 25 items. In Study 2 (n = 334), they reduced the initial item pool from 25 to 10 items through exploratory factor analysis. Study 3 (n = 332) evaluated the final 10-item measure in a cross-validation sample, and Study 4 (n = 319) determined validity coefficients for the CAMM using bivariate and partial correlations with relevant variables. Results suggest that the CAMM is a developmentally appropriate measure with adequate internal consistency. As expected, CAMM scores were positively correlated with quality of life, academic competence, and social skills and negatively correlated with somatic complaints, internalizing symptoms, and externalizing behavior problems. Correlations were reduced but generally still significant after controlling for the effects of 2 overlapping processes (thought suppression and psychological inflexibility). Overall, results suggest that the CAMM may be a useful measure of mindfulness skills for school-aged children and adolescents.     

Black Boxing Restraints: The Need for Full Disclosure and Consent

In this article we discuss the necessity of fully informing patients and their families of what constitutes physical interventions and their attendant risks under the established principles and obligations of informed consent. After a brief review of the elements of informed consent and the nature of the duty to advise patients and their families of treatment risks, we argue that physical interventions are an unvalidated treatment for aggressive and violent behavior and should be used only as a safety intervention. We focus our discussion on the informed consent issues for school aged children, adolescents, and emancipated minors and contend that if restraints are used they must pose less risk than the behavior they are trying to alleviate. We also opine that if restraints are misused by mental health or child welfare treatment settings, then their misuse may be considered a subject of a patient maltreatment, abuse, criminal or civil action. A central thesis of the article is that informed consent must be seen as an integral and dynamic process of treatment. We recommend strategies that gain parental permission and child assent, that view informed consent as a dynamic and individualized process that aids and supports the therapeutic relationship, and that stress the importance of simplicity and clarity.