Crossed dextral aphasia: A clinical radiological correlation

Three lifelong right-handed patients with clinically and radiologically well-defined right-hemispheric infarctions became aphasic. Their language functions in the rehabilitative, subacute phase of their illness were characterized by fluent, literal paraphasic output, dyslexia, and dysgraphia. Auditory comprehension was fair for contextual conversation, and the combination of language abilities enabled them to reach a “functional communication” stage. This study was unable to determine why these three patients had crossed dextral aphasias resulting from their otherwise typical clinical and radiological right-hemispheric infarcts. Of interest, the radiologically well-defined lesions, aside from being ipsilateral, fitted well the “posterior” fluency localization in two of the three patients, but was more extensive in the third.     

Gestural impairment and gestural ability in aphasia: A review

Studies of gestural ability in aphasic subjects have found impairment of gestural expression and comprehension, with a close relationship between severity of aphasia and degree of gestural impairment. A few investigators have correlated gestural ability with specific language functions or subcategories of aphasia. Reading appears to correlate better with gestural recognition than does auditory comprehension. Despite the general findings of gestural impairment in aphasia, successes have been reported with gestural training including artificial language techniques, pantomime, Amerind, and American Sign Language. Future studies of gestural therapy in aphasia should examine specific language deficits in order to identify those aphasic individuals who can benefit from gestural training.     

Hyperlexia as a variant of developmental language disorder

Memory and associative reasoning skills of 10 hyperlexic children are examined. The results suggest superior visual and isolated auditory memory skills along with impaired associative language ability. The results are discussed in relation to various theories of hyperlexia.     

Alexia and agraphia with spared spelling and letter recognition abilities

A patient with alexia and agraphia had intact spelling and comprehension of spelled words and used a letter-naming strategy to read and write. We propose that there is a graphemic area important for distinguishing graphemic features and for programming movements used in writing. In this patient this area was not functioning or did not have access to the area of visual word imagés. Therefore, he used an ideographic letter-naming strategy to verbally circumvent his disability and gain access to the area of visual word images.     

A prospective naturalistic study of the impact of an intensive medical treatment on the social behavior of child and adolescent cancer patients

The impact of intensive chemotherapy and prolonged hospitalization on the social behavior of child and adolescent cancer patients was assessed. Twenty-three patients, aged 18 months to 21 years, were observed while they received chemotherapy in a protected environment or in a regular hospital room. Single-subject analyses were used to examine changes on six behaviors in relation to changes in physiological status. Fourteen patients showed significant change in the frequency of at least one behavior. Play and sleep were the behaviors most likely to change. The changes began to occur as patients experienced the systemic toxic effects of the drugs, although a dissipation of drug toxicity generally was not accompanied by a corresponding behavior change. The findings are discussed in relation to age-developmental and interindividual heterogeneity in response to treatment.     

Training strategic study time apportionment in educable retarded children

Two groups of educable retarded children differing in functioning level served as subjects. One group, the High group, consisted of 31 children drawn from the upper two classes of a five-class stream. The Low group consisted of 39 children drawn from the lowest two classes. During pretesting, on each trial but the first of a multitrial free recall procedure, subjects were allowed to select half of the to-be-remembered items to see if they would strategically select missed items for extra study. Following pretesting, subjects were divided for training into three groups for which the experimenter selected items for study: in the Standard group, missed items; in the Creeping group, recalled items plus one missed item; and in the Random group, half missed and half recalled items. Children in the High group improved in the Standard condition, and those in the Low group benefited from Creeping training. There was no evidence of maintenance of training in the Low group, but children in the High group given training in the standard strategy selected missed items for recall on the posttests. The results are discussed in terms of the stability of trained strategies in retardates, and the question of what constitutes an optimal strategy is considered.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

Behavior analysis/modification for everyone

This paper presents a very brief overview of people's attempt to understand and change behavior and shows how behavior analysis is different from these views. The importance of everyone knowing and using behavioral principles in their everyday life is stressed and the opposition to a behavioral approach is discussed. The aims of the organization called Behavior Analysis/Modification in the Regular Classroom is presented and some steps that this organization is following in an attempt to help to disseminate the knowledge and use of behavioral principles in the schools is presented.