Comparison of hemispheric activation during mental word and rhyme generation using transcranial Doppler sonography

The Wada test is at present the method of choice for preoperative assessment of patients who require surgery close to cortical language areas. It is, however, an invasive test with an attached morbidity risk. By now, an alternative to the Wada test is to combine a lexical word generation paradigm with non-invasive imaging techniques. However, results of this approach are still not in complete agreement with the findings of the Wada test (r = .92; Knecht, Deppe, Ebner et al., 1998). We attempted to obtain a more distinct language lateralization with the development of a phonological rhyme generation paradigm based on pseudoword stimuli. To examine the predictive value of both paradigms we performed simultaneous bilateral functional transcranial Doppler ultrasonography on 19 right-handed male native German subjects. The rhyme generation condition produced a significantly stronger lateralization to the supposed hemisphere of language dominance than the classical word generation condition. The observed differences suggest that the rhyme generation paradigm is more robust in detecting hemispheric language dominance than other neuropsychological paradigms and might be most valuable for preoperative assessment of cortical language areas.     

Contents of Volume 67

Volume Contents

Contents of Volume 67     

Behandlungskrisen ambulanter Psychotherapien aus der Sicht einer Krisenstation

The purpose of the following study is to identify characteristics of the clinical treatment of patients who came into a crisis during an out-patient psychotherapy and were admitted to a crisis intervention ward. Most of the patients particularly reacted to a disruption of the treatment process as a result of conflicts in their relationship with their therapists. By means of a psychodynamic short diagnostics these conflicts were elucidated although they were often hidden and had to be traced back to their origins in the therapeutic relationship. Moreover, the authors describe their therapeutic focus on the conflict-solution-oriented short-term psychotherapy of the disruption of the therapeutic bond between patient and therapist which leads to a fixation of the setting. The in-patient crisis intervention aims at preparing the patients to continue the out-patient psychotherapy.     

The Relation Between Anger Coping Strategies,Anger Mood and Somatic Complaints in Children and Adolescents

Attempts to explain the experience of somatic complaints among children and adolescents suggest that they may in part result from the influence of particular strategies for coping with anger on the longevity of negative emotions. To explore these relationships British (n = 393) and Dutch (n = 299) children completed a modified version of the Behavioral Anger Response Questionnaire (BARQ), and two additional questionnaires assessing anger mood and somatic complaints. A hierarchical regression analysis showed that for both the UK and Dutch samples two coping styles, Social support-seeking and Rumination, made a significant contribution to somatic complaints, over and above the variance explained by anger mood. A tendency to repeatedly think or talk about an angering event as a way of coping seems to underlie the observed negative health effects. In addition, tentative support is given for a broader range of strategies to cope with anger than just the traditionally studied anger-out and anger-in styles.     

Standards der sozialmedizinischen Leistungsbegutachtung in der Psychosomatischen Medizin und Psychotherapie

Sociomedical problems are playing an increasingly important role in both psychosomatic medicine and psychotherapy and in psychiatry. The present article examines the standards relating to content and method in sociomedical assessments, primarily in the discipline of psychosomatic medicine and psychotherapy. The focus is on the assessment of performance, highlighting the fact that performance and performance deficits cannot primarily be derived from the medical diagnosis; instead, psychosocial variables that influence the processes of dealing with disease in particular affect the actual performance status. The article pays particular attention to aspects that aggravate or dissimulate performance competence. Finally, the principles of integrating the various findings and results that are incorporated into the assessment report are outlined.     

Asymptotically distribution-free (ADF) interval estimation of coefficient alpha

The point estimate of sample coefficient alpha may provide a misleading impression of the reliability of the test score. Because sample coefficient alpha is consistently biased downward, it is more likely to yield a misleading impression of poor reliability. The magnitude of the bias is greatest precisely when the variability of sample alpha is greatest (small population reliability and small sample size). Taking into account the variability of sample alpha with an interval estimator may lead to retaining reliable tests that would be otherwise rejected. Here, the authors performed simulation studies to investigate the behavior of asymptotically distribution-free (ADF) versus normal-theory interval estimators of coefficient alpha under varied conditions. Normal-theory intervals were found to be less accurate when item skewness >1 or excess kurtosis >1. For sample sizes over 100 observations, ADF intervals are preferable, regardless of item skewness and kurtosis. A formula for computing ADF confidence intervals for coefficient alpha for tests of any size is provided, along with its implementation as an SAS macro.     

Two modes of sensorimotor integration in intention-based and stimulus-based actions

Human actions may be driven endogenously (to produce desired environmental effects) or exogenously (to accommodate to environmental demands). There is a large body of evidence indicating that these two kinds of action are controlled by different neural substrates. However, only little is known about what happens—in functional terms—on these different “routes to action”. Ideomotor approaches claim that actions are selected with respect to their perceptual consequences. We report experiments that support the validity of the ideomotor principle and that, at the same time, show that it is subject to a far-reaching constraint: It holds for endogenously driven actions only! Our results suggest that the activity of the two “routes to action” is based on different types of learning: The activity of the system guiding stimulus-based actions is accompanied by stimulus-response (sensorimotor) learning, whereas the activity of the system controlling intention-based actions results in action-effect (ideomotor) learning.     

Instrument specificity in experienced musicians

Previous studies have shown that experienced pianists have acquired integrated action-effect (A-E) associations. In the present study, we were interested in how specific these associations are for the own instrument by investigating pianists and guitarists. A-E associations were examined by testing whether the perception of a “potential” action-effect has an influence on actions. Participants played chords on their instrument in response to visual stimuli, while they were presented task-irrelevant auditory distractors (congruent or incongruent) in varying instrument timbre. In Experiment 1, pianists exhibited an interference effect with timbres of their own instrument category (keyboard instruments: piano and organ). In Experiment 2 guitarists showed an interference effect only with guitar timbre. Thus, integrated A-E associations primarily seem to consist of a specific component on a sensory-motor level involving the own instrument. Additionally, categorical knowledge about how an instrument is played seems to be involved.