The communication disorder in dialysis dementia: A case report

The communication disorder in dialysis dementia is an integral feature of the syndrome. This report describes the communication disorder in a 67-year-old man over a period of 4 months from his admission to the hospital to his death. In the early stage of the syndrome, the most prominent feature was a speech problem, the characteristics of which may vary among cases. In the middle stage, it was difficult to distinguish among aphemia, aphasia, or a combination of dysarthria and confusional state. The severity of the problems in these stages was temporally related to the dialysis treatments. The final stage was characterized by constant mutism and was unrelated to the dialysis treatments. Death occurred 10 months after the communication problems emerged. Communication studies of dialysis dementia patients may offer a systematic method to monitor the course of the syndrome, its response to therapeutic trials, and a clinical model for the study of communication disorders in general.     

Follow-up on welfare benefits received by Job Club clients

A follow-up was made of the welfare payments received by AFDC clients who had received job-finding counseling. At the 6th-month follow-up, welfare payments had been reduced by about one-half for the Job Club clients vs 15% for the control group.     

The syntagmatic-paradigmatic shift in dichotic listening

Children at two age levels, 6 to 7 years and 9 to 10 years, listened to pairs of words presented dichotically to the left and right ear either simultaneously or in immediate succession. Their task was to report what they heard after each pair. The experimental pairs involved either syntagmatic relations (e.g., bird-fly) or paradigmatic relations (table-chair). The younger children correctly identified more syntagmatic than paradigmatic pairs (using control pairs as a base) while the older children correctly identified more paradigmatic pairs. There was no difference between associated and nonassociated pairs. The results are taken to mean that pragmatic, serial relations dominate the semantic organization of younger children and that logical, hierarchical relations make their impact later in the course of development.     

Attention to important versus trivial tasks and salience of fatigue-related symptoms for coronary prone individuals

The present study tested the hypothesis that individuals with the Type A coronary prone behavior pattern focus their attention more on important tasks, and less on trivial tasks than do Type B's. The study used a paradigm in which some subjects worked on math problems (important task) and rated intervening mood items (trivial task), whereas others rated mood items they were to memorize (important task) and worked on intervening math problems (trivial task). All subjects were later tested on recall of mood items. Results indicated that Type A's performed better on math problems and recalled more fatigue-related mood items when the task was important than when it was trivial; for Type B subjects, there was no difference in the number of math problems solved correctly or number of mood items recalled between important and trivial task conditions. Moreover, Type A's reported greater fatigue when mood recall was the important task than when math was the important task, whereas fatigue ratings of Type B's did not differ across these conditions. The findings suggest that Type A's suppress their attention to fatigue-related symptoms only when symptoms are not the objects of focus.     

Are there constraints on childhood disfluency?

Analysis of the spontaneous speech of eight stuttering and eight normally fluent children reveals that (a) the location of both stuttering and normal disfluent moments is constrained by sentential constituent structure, and (b) stuttering children experience fluency breakdown with a particular type of constituent (verb phrase) not usually disfluently produced by normals. A view of early stuttering as a sentence planning and integration disorder is present.     

Retention of verbal information by rehearsal in relation to the fluency of verbal output in aphasia

The purpose of the present study was to determine if aphasic subject groups differentiated by the fluency of their verbal output employed rehearsal as a strategy for maintaining verbally coded information in primary memory. A task based upon the Brown-Peterson paradigm was administered to 10 fluent aphasic patients, 10 nonfluent aphasic patients, 10 right-brain-damaged patients, and 10 nonneurological patients. The findings indicate that the nonfluent aphasic patients did not rehearse the verbal information while the fluent aphasic, right-brain-damaged, and nonneurological patients did rehearse. In addition, both fluent and nonfluent aphasic patients encoded significantly less information into the memory system initially and performed worse on the task overall than right-brain-damaged and nonneurological patients.     

Conditioned inhibition of fear: Evidence for a competing response mechanism

In two experiments, inhibitory conditioning was attempted by presenting a discrete CS in a neutral stimulus environment shortly following the termination of either shock (Experiment 1) or a second discrete CS which had been paired in a forward manner with shock (Experiment 2). Evidence of successful inhibitory conditioning was mixed in Experiment 1, where the properties of the CS were assessed within an escape-from-fear procedure. Postresponse presentations of the CS enhanced performance, whereas the presentation of the CS prior to responding did not have the expected degrading effect on performance. In Experiment 2, the inhibitory properties of the CS were assessed by combining this stimulus with an excitatory CS and presenting the compound to rats engaged in a water-reinforced licking response. Less response suppression was found in reaction to this compound relative to three separate comparison conditions, thus witnessing the success of the inhibitory-conditioning procedure used. The common assumption that inhibitory conditioning results from the nonreinforcement of a CS in a situation where reinforcement is expected, i.e., one which contains previously reinforced cues, is not supported by these data, for no previously reinforced cues were simultaneously presented with the CS during inhibitory training. The data are in agreement with a conditioned antagonistic-response interpretation of inhibitory conditioning.     

A biased random walk model for two choice reaction times

This paper generalizes Stone's (1960, Psychometrika 25, 251–260) random walk model of two choice response times (RTs) that is based on the sequential probability ratio test (SPRT) and that predicts equal correct and incorrect RTs to the same response. The generalized version allows a bias of the type found in signal detection theory to enter directly into the accumulation process so that ambivalent evidence may be seen as slightly favoring one alternative. The resulting biased SPRT model can predict any relation between correct and incorrect mean RTs. In particular, unlike the special symmetric case of Link and Heath's (1975, Psychometrika 40, 77–105) relative judgment theory (RJT), the biased SPRT model can predict that correct mean RTs are faster for one response but slower for the other. The biased SPRT model, the classical SPRT model, and the symmetric RJT model are all fit to the data of an RT deadline experiment reported by Green and Luce (1973, Attention and performance, New York: Academic Press) and it is shown that, of the three, the biased SPRT model provides the best account. Finally, a method for incorporating the same sort of bias into RJT models is sketched out.     

Young children's understanding of displaced aggression

According to previous research, young children do not understand displaced aggression. The present study examines the early phases of the understanding of the causes of moderately and extremely displaced aggression. Preschool and kindergarten children (3 to 5 years of age) viewed eight videotaped episodes of displaced aggression. Their comprehension of this aggression was assessed by means of open ended questions and forced choice picture selections. By age 5 most children had some understanding of displaced aggression, but this understanding was not complete. The early understanding revealed in the present study may be due to the use of short, simple realistic videotaped episodes appropriate for the limited processing abilities of young children. Extreme displacement was not more difficult to understand than moderate displacement.