Pattern of language impairment is different in Alzheimer's disease and multi-infarct dementia.

Language impairment was assessed in 33 patients with Alzheimer's disease (AD), in 52 patients with multi-infarct dementia (MID), and in 86 elderly community residents. The investigation included the D-Test Battery based on the Luria's Neuropsychological Investigation for all subjects. An extended battery of Luria's language items was used for 30 demented patients (11 AD and 19 MID patients) and 86 controls. The changes in language functions in normal subjects could be clearly differentiated from those seen in patients with mild dementia. The patients with different degrees of dementia differed also significantly from each other in regard to language impairment. Moreover, patients with AD and MID appeared to have different patterns of language impairment although the severity of dementia and the levels of orientation, mnestic, and conceptual functions were equal. AD was associated especially with a defect in understanding of grammatical structures and MID with disorders in recognition of words, naming, and repetition. The differential diagnostic capacity of 23 selected language items proved to be 97% between AD, MID, and control subjects. The results indicate that the examination of language functions is valuable in the differential diagnosis of dementia.     

The predictive validity of teacher nominations: A five-year followup of at-risk youth

The purpose of this study was to examine the predictive validity of a teacher nomination procedure for identifying at- risk children. Two hundred and twenty-five children were nominated by their teachers as well- adjusted (n= 75), socially withdrawn (n=76), or socially aggressive (n=74) during the fourth grade. Five years later, 198 of these children (88%) were located and their adjustment evaluated. Significant differences among the nominated children were found on a variety of measures, including academic grades, sociometric status, and social behavior. In addition, differences in school dropout and delinquent offenses were noted. Results are discussed in terms of the validity of teacher nomination procedures and their utility in identifying at- risk youth.     

The impact of methodological factors on child psychotherapy outcome research: A meta-analysis for researchers

Two recent meta-analyses have generated evidence for child and adolescent psychotherapy effects. However, critics note that such meta-analyses often include studies with methodological shortcomings which might invalidate their results. In the present study, we explored whether the results of the most extensive child/adolescent meta-analysis might have been influenced by such methodological variables, focusing on internal validity and external validity factors. Together, these factors accounted for two-thirds as much variance as the substantive factors (e.g., type of therapy, age) in the original metaanalysis. This suggests that relative to these therapy and child-characteristic variables, methodological factors have a substantial, though smaller, impact on metaanalysis results. In general, increased experimental rigor was related to larger effect sizes; this argues against the hypothesis that methodologically weak studies have led to an overestimate of therapy effects. No significant interactive relations were found between validity factors and predictors of outcome; this suggests that the relations noted in previous metaanalyses between outcome and various variables were notdistorted by the validity factors tested here.The research described here was supported in part by grants from the North Carolina Department of Human Resources, Division of Mental Health, Mental Retardation, and Substance Abuse Services (41626), and from the National Institute of Mental Health (1 RO3 MH38450). The authors gratefully acknowledge the assistance of Todd Morton, who provided reliability coding.     

Pretrial EEG coherence as a predictor of semantic priming effects

Twenty subjects were presented 240 randomized trials of a lexical decision task (LDT) while connected to a 16-electrode EEG montage. EEG data were acquired for 2 sec prior to the onset of each LDT trial. Alpha (9-13 Hz) coherence, alpha power, and 3- to 30-Hz power from five different combinations of EEG electrodes were used to predict semantic effects in the LDT trials. High pretrial coherence in the Right Hemisphere and Left Posterior-Parietal regions was associated with greater semantic facilitation (faster reaction times) in related-prime trials and greater semantic inhibition (slower reaction times) in unrelated-prime trials, relative to neutral-prime trials. No power variables were associated with semantic effects. Results support an information flow model of the functional significance of EEG coherence to cognitive processing.     

Temporal dimensions of consonant and vowel production: an acoustic and CT scan analysis of aphasic speech

This study explored a number of temporal (durational) parameters of consonant and vowel production in order to determine whether the speech production impairments of aphasics are the result of the same or different underlying mechanisms and in particular whether they implicate deficits that are primarily phonetic or phonological in nature. Detailed analyses of CT scan lesion data were also conducted to explore whether more specific neuroanatomical correlations could be made with speech production deficits. A series of acoustic analyses were conducted including voice-onset time, intrinsic and contrastive fricative duration, and intrinsic and contrastive vowel duration as produced by Broca's aphasics with anterior lesions (A patients), nonfluent aphasics with anterior and posterior lesions (AP patients), and fluent aphasics with posterior lesions (P patients). The constellation of impairments for the anterior aphasics including both the A and AP patients suggests that their disorder primarily reflects an inability to implement particular types of articulatory gestures or articulatory parameters rather than an inability to implement particular phonetic features. They display impairments in the implementation of laryngeal gestures for both consonant and vowel production. These patterns seem to relate to particular anatomical sites involving Broca's area, the anterior limb of the internal capsule, and the lowest motor cortex areas for larynx and tongue. The posterior patients also show evidence of subtle phonetic impairments suggesting that the neural instantiation of speech may require more extensive involvement, including the perisylvian area, than previously suggested.     

Hemispheric involvement in shadowing vs. interpretation: a time-sharing study of simultaneous interpreters with matched bilingual and monolingual controls

A time-sharing study used shadowing and interpretation/paraphrasing tasks to evaluate lateralization in professional interpreters individually matched to bilingual and monolingual controls. A two-step multivariate general linear model procedure was used to determine lateralized effects and extent of disruption produced by the tasks. Results revealed the monolingual group to be left lateralized for both tasks, but the two bilingual groups were lateralized in the LH only for shadowing. The monolingual group was significantly different from the bilingual groups in the pattern of hand asymmetry for interpretation/paraphrasing. The findings replicate outcomes of prior repeated measures analysis of variance procedures on percentage of change scores. However, new information is added by the more refined analysis. The findings are also discussed in terms of previous laterality studies using similar tasks and subject samples.     

Maladjustment in statistical minorities within ethnically unbalanced classrooms

Ascertained if being a member of a statistical minority influences children's adjustment in school, as measured by the AML, a teacher-administered adjustment rating scale. Teachers from a southwest school district evaluated elementary students on aggressive, acting-out behaviors, moody-internalized behaviors, and learning difficulties. Analyses conducted on 376 students revealed significant effects of statistical minority status on certain dimensions of adjustment ratings for both Hispanic and Anglo students. Hispanic students in the statistical minority received poorer ratings on the moodiness dimension of the AML than nonminority Hispanic students. Anglo students in the statistical minority received poorer ratings on the aggression dimension of the AML than nonminority Anglo students. These results were interpreted in terms of cultural differences in coping with statistical minority status. Traits commonly exhibited within a culture may intensify and be perceived as maladaptive when stress resulting from being a minority occurs. Implications of the finding that statistical minority status within the school environment influences adjustment are discussed.     

The analysis of one-way between effects in fluency research

In fluency research, the potential for extreme variance heterogeneity exists when comparing stutterers to other disordered or control populations. There is now a growing concern on the part of statisticians that the F statistic is not nearly so robust to violations of the homogeneity of variance assumption as was once thought. Together, these two circumstances represent potential for compromise on the statistical conclusion validity of fluency research. In this first of two papers, alternatives to the usual analysis of variance are described for the research design involving a single between effect. A second paper will be a similar treatment of the two-way between effects design.     

Image statistics and the perception of apparent motion

The short- and long-range apparent motion processes are discussed in terms of the statistical properties of images. It is argued that the short-range process, exemplified by the random-dot kinematogram, is primarily sensitive to the dipole statistics, whereas the long-range process, exemplified by illusory occlusion, is treated by the visual system primarily in terms of the tripole and higher statistical correlation functions. The studies incorporate the balanced dot, which is a unique stimulus element that permits high pass filtering while preserving detailed positional information. Low spatial frequencies are shown to be critical for texture segregation in random-dot kinematograms, independent of the grain size or number density of texture elements. Illusory path perception in the long-range process is shown not to require low spatial frequencies, but is sensitive rather to global temporal phase coherency. These results are interpreted in terms of the respective roles of the power and phase spectra in perceptual organization. The construction of balanced dots is discussed in detail.     

A componential analysis of pacemaker-counter timing systems

Why does counting improve the accuracy of temporal judgments? Killeen and Weiss (1987) provided a formal answer to this question, and this article provides tests of their analysis. In Experiments 1 and 2, subjects responded on a telegraph key as they reproduced different intervals. Individual response rates remained constant for different target times, as predicted. The variance of reproductions was recovered from the weighted sum of the first and second moments of the component timing and counting processes. Variance in timing long intervals was mainly due to counting error, as predicted. In Experiments 3-5, unconstrained response rate was measured and subjects responded at (a) their unconstrained rate, (b) faster, or (c) slower. When subjects responded at the preferred rate, the accuracy of time judgment improved. Deviations in rates tended to increase the variability of temporal estimates. Implications for pacemaker-counter models of timing are discussed.