Common features of fluency-evoking conditions studied in stuttering subjects and controls: an H2O PET study

We used H₂¹⁵O PET to characterize the common features of two successful but markedly different fluency-evoking conditions — paced speech and singing — in order to identify brain mechanisms that enable fluent speech in people who stutter. To do so, we compared responses under fluency-evoking conditions with responses elicited by tasks that typically elicit dysfluent speech (quantifying the degree of stuttering and using this measure as a confounding covariate in our analyses). We evaluated task-related activations in both stuttering subjects and age- and gender-matched controls.

Areas that were either uniquely activated during fluency-evoking conditions, or in which the magnitude of activation was significantly greater during fluency-evoking than dysfluency-evoking tasks included auditory association areas that process speech and voice and motor regions related to control of the larynx and oral articulators. This suggests that a common fluency-evoking mechanism might relate to more effective coupling of auditory and motor systems — that is, more efficient self-monitoring, allowing motor areas to more effectively modify speech.

These effects were seen in both PWS and controls, suggesting that they are due to the sensorimotor or cognitive demands of the fluency-evoking tasks themselves. While responses seen in both groups were bilateral, however, the fluency-evoking tasks elicited more robust activation of auditory and motor regions within the left hemisphere of stuttering subjects, suggesting a role for the left hemisphere in compensatory processes that enable fluency.

Educational objectives: The reader will learn about and be able to: (1) compare brain activation patterns under fluency- and dysfluency-evoking conditions in stuttering and control subjects; (2) appraise the common features, both central and peripheral, of fluency-evoking conditions; and (3) discuss ways in which neuroimaging methods can be used to understand the pathophysiology of stuttering.     

Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: psychometric properties and normative ratings from a school district sample

To examine Swanson, Nolan, and Pelham-IV (SNAP-IV) psychometric properties, parent (N = 1,613) and teacher (N = 1,205) data were collected from a random elementary school student sample in a longitudinal attention deficit hyperactivity disorder (ADHD) detection study. SNAP-IV reliability was acceptable. Factor structure indicated two ADHD factors and an oppositional defiant disorder (ODD) factor. Parent and teacher scores varied by gender and poverty status (d = .49-.56) but not age; only teacher scores varied by race (d = .25-.55). Screening and diagnostic utility was evaluated with likelihood ratios (LRs) and posttest probabilities. Parent SNAP-IV scores above 1.2 increased probability of concern (LR > 10) and above 1.8, of ADHD diagnosis (LR > 3). Teacher hyperactivity/impulsivity scores above 1.2 and inattention scores above 1.8 increased probabilities of concern only (LR = 4.2 and >5, respectively). Higher teacher scores for African American children and race differences in measurement models require future study.     

The Implementation of Modified Parent-Child Interaction Therapy for Youth with Separation Anxiety Disorder

Separation Anxiety Disorder (SAD) is the most prevalent anxiety disorder experienced by children, and yet empirical treatment studies of SAD in young children are virtually nonexistent. This paper will describe the development and implementation of an innovative treatment for SAD in young children. First, we will highlight the rationale for developing interventions specifically for SAD in young children. Second, we will describe an existing empirically supported treatment, Parent-Child Interaction Therapy (PCIT; Brinkmeyer, M. Y., & Eyberg, S.M., (2003)), that may have particular applicability to very young children with SAD and their parents. We present how results from 10 pilot participants were utilized to modify PCIT to better address the needs of children with SAD and their families. The benefits and challenges of implementing this modified version of PCIT are reviewed, along with potential directions for future research in this area.     

Church-based health behavior programs: Using social cognitive theory to formulate interventions for at-risk populations

Epidemiological analyses conclude that the major contributors to all-cause premature mortality and morbidity are smoking, alcohol abuse, inappropriate diet, and a sedentary lifestyle. Efforts to modify these health behaviors in populations with community and worksite interventions, although initially promising, have had difficulty in sustaining health-behavior changes. More intensive, theoretically based interventions targeted to at-risk groups and delivered in smaller social units, such as churches and other religious organizations, have been recommended. An intervention based on social cognitive theory that entails integrating self-regulatory procedures with social and environmental supports in rural churches serving people from lower socioeconomic groups is described in detail.     

Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments

Experiment 1 compared the cognitive processes involved in blame and forgiveness judgments under identical experimental conditions. Experiment 2 was a replication of Experiment 1 with 4 judgment scales: willingness to prosecute, willingness to avenge, resentment level, and willingness to make up. Participants were presented with 32 scenarios in which a doctor made a medical error. These situations contained 5 items: the degree of proximity with the doctor (e.g., a family doctor known since childhood), the degree of negligence, the severity of consequences, apologies or contrition, and cancellation of consequences. Functional cognitive analysis grouped judgments into 2 categories: blame-like judgments (blame, prosecution, and revenge) and forgiveness-like judgments (resentment, forgiveness, and reconciliation). Blame-like judgments were characterized by additive integration rules, with negligence followed by apologies as the 2 main cues. Forgiveness-like judgments were characterized by an interactive integration rule, with apologies followed by negligence as the 2 main cues.     

Nasal consonant production in Broca's and Wernicke's aphasics: speech deficits and neuroanatomical correlates

The present study investigated the articulatory implementation deficits of Broca's and Wernicke's aphasics and their potential neuroanatomical correlates. Five Broca's aphasics, two Wernicke's aphasics, and four age-matched normal speakers produced consonant-vowel-(consonant) real word tokens consisting of [m, n] followed by [i, e, a, o, u]. Three acoustic measures were analyzed corresponding to different properties of articulatory implementation: murmur duration (a measure of timing), amplitude of the first harmonic at consonantal release (a measure of articulatory coordination), and murmur amplitude over time (a measure of laryngeal control). Results showed that Broca's aphasics displayed impairments in all of these parameters, whereas Wernicke's aphasics only exhibited greater variability in the production of two of the parameters. The lesion extent data showed that damage in either Broca's area or the insula cortex was not predictive of the severity of the speech output impairment. Instead, lesions in the upper and lower motor face areas and the supplementary motor area resulted in the most severe implementation impairments. For the Wernicke's aphasics, the posterior areas (superior marginal gyrus, parietal, and sensory) appear to be involved in the retrieval and encoding of lexical forms for speech production, resulting in increased variability in speech production.     

Validation of a Standardized Multiple‐Choice Multicultural Competence Test: Implications for Training,Assessment, and Practice

The Multicultural Counseling and Psychotherapy Test (MCPT), a measure of multicultural counseling competence (MCC), was validated in 2 phases. In Phase 1, the authors administered 451 test items derived from multicultural guidelines in counseling and psychology to 32 multicultural experts and 30 nonexperts. In Phase 2, the authors administered the top 50 discriminative items to licensed mental health professionals (N = 227) and compared MCPT scores to external indicators of MCC. Evidence was found for the construct validity and internal consistency reliability of the MCPT. El Test de Consejería Multicultural y Psicoterapia (MCPT, por sus siglas en inglés), una medida de la competencia en consejería multicultural (MCC, por sus siglas en inglés) fue validado en dos fases. En la Fase 1, los autores administraron 451 elementos del test derivados de las pautas multiculturales en consejería y psicología a 32 expertos multiculturales y 30 no expertos. En la Fase 2, los autores administraron los 50 elementos más discriminativos a profesionales licenciados de la salud mental (N = 227) y compararon los puntajes del MCPT con indicadores externos de MCC. Se hallaron evidencias de la validez del constructo y la fiabilidad de la consistencia interna del MCPT.     

Far from “Anything Goes”: Ethics as Communally Constructed

Constructivist and constructionist stances have long been critiqued for inviting “anything goes,” otherwise referred to as “rampant relativism.” As Raskin and Debany (this issue Raskin, J. D., &; Debany, A. E. (this issue). The inescapability of ethics and the impossibility of “anything goes”: A constructivist model of ethical meaning making. Journal of Constructivist Psychology. (Reprinted from Ethics in action: Dialogue between knowledge and practice, pp. 13–32, by S. Cipolletta &; E. Gius (Eds.), 2012, Milan, Italy: LED) [Google Scholar]) argue, there could be nothing further from the case. In my response to their article, I take up three issues: (a) the distinction between constructivism and social construction, (b) the critique of rampant relativism, and (c) the case for an ethic of relational responsibility that emerges within a constructionist philosophical stance.