Optic aphasia, optic apraxia, and loss of dreaming

A 47-year-old man with a left temporo-occipital infarct in the area of the posterior cerebral artery is presented. The neuropsychological examination did not reveal aphasia or gross mental deficits. The patient presented with alexia without agraphia, color agnosia, but few visual perceptual deficits. The main impairment was in confrontation naming; he was incapable of naming objects and pictures, not from lack of recognition (excluding visual agnosia) but from lack of access to the appropriate word (optic aphasia). The patient also exhibited a deficit in the evocation of gesture from the visual presentation of an object (optic apraxia) and a difficulty in "conjuring up" visual images of objects (impaired visual imagery) and loss of dreams. The fundamental deficit of this patient is tentatively explained in terms of visuoverbal and visuogestural disconnection and a deficit of mental imagery.     

The effect of standard, motivation, and strategy instructions on the facial processing accuracy of internal and external subjects

In the present study, it was hypothesized that poorer performance of externals in cognitive and interpersonal tasks also would be found in the processing of nonverbal information in the form of a facial affect recognition task. It was further hypothesized that the poorer nonverbal processing performance of externals was due to either their lower motivation or their use of less effective processing strategies. Subjects (N = 70) were divided into internal and external groups and then further subdivided into groups that received standard, motivational, or strategy instructions. Analysis of subjects' responses to the facial affect recognition task showed internals performed significantly better than externals under standard conditions. However, neither motivational nor strategy instructions improved the performance of externals. The implications for interpersonal functioning of the poorer nonverbal processing ability of extenrals was discussed from both theoretical and methodological perspectives.     

Sex roles and depression: A preliminary investigation of the direction of causality

The present study examined the direction of the relation between sex role self-concept and depression. A total of 23 males and 32 females were given the Personal Attributes Questionnaire and the Beck Depression Inventory at two times separated by a 3-month interval. Results of a cross-lagged panel correlational analysis found no evidence for sex role orientation as a cause of depression. Instead, the data suggested that emotional well being precedes self-perceived instrumentality, but the influence of third variables could not be overlooked. The implications of these data are discussed with particular reference to the need for more complex theoretical formulations of the relation between self-perceived instrumentality and adjustment.     

Subcortical aphasia with deep dyslexia: A case study of a Japanese patient

The reading performance of a Japanese Broca-type aphasic patient on a single-word reading test was investigated. The result indicated that the subject fits the symptom complex of deep dyslexia in more than one aspect. Unique characteristics of this subject included (1) the isolated subcortical site of the lesion, which apparently produced deep dyslexia, and (2) double dissociations between kanji and kana processing and between oral reading and reading comprehension. The performance of this subject was compared with that of another Japanese deep dyslexic subject in S. Sasanuma (1980, In M. Coltheart, K. Patterson, & J. C. Marshall (Eds.), Deep dyslexia, London: Routledge & Kegan Paul). A theoretical implication was attempted based on a dual coding process scheme by S. Sasanuma and O. Fujimura (1978, Cortex, 7, 1-18).     

Primary-school stutterers: Have attitudes changed?

How concerned are primary-school-aged stuttering children about their communication problem? What are the clinical implications of this concern?Fifteen years ago, Silverman (1970) suggested that primary-school-aged children who stuttered were not concerned about their disfluencies. A clinical implication of that report was that the interpreted lack of concern might negatively affect the children's motivation and desire for change in therapy. Scant research exists to support or refute this implication. While research is available on reactions to stuttering, pretherapeutic attitudes—especially those of children—have not been systematically reported. Guitar (1976) measured the pre-treatment attitudes of 38 adult stutterers and reported that, “those stutterers with more negative attitudes measured just prior to treatment, were most likely to have high levels of stuttering a year later, even though all subjects left therapy entirely fluent.” In related areas, research by Kolb, Winter, and Berlen (1968), McFall (1970), and McFall and Hammen (1971) has indicated that clients who are more motivated do better in behavior modification programs.Whether or not these findings may be generalized to children, in the midst of a developmental process, is purely speculative.     

Deep dyslexia in childhood?

Deep dyslexia is an acquired reading disorder in which semantic substitutions (e.g., city read as town) are made in reading single isolated words. In this paper, evidence for deep dyslexic-type errors is presented from the word-recognition responses of six children, aged 7 years and 0 month to 8 years and 9 months, with severe reading disorders. These semantic substitutions occur in the absence of phonological skills. Therefore, it appears that there exists a small subset of developmental dyslexics who at the beginning of acquisition of reading skills are able to engage in semantic processing, but who show severe impairment of phonological processing. The existence of these reading errors indicate that the use of a phonological code is not necessary to extract meaning from the printed word.     

On the Bradley hypothesis concerning agrammatism: the nonword-interference effect

In 1980, D. C. Bradley, M. F. Garrett, and E. B. Zurif (in D. Caplan (Ed.), Biological studies of mental processes, Cambridge, MA: MIT Press) have proposed a lexical hypothesis on agrammatism. The theoretical background of this hypothesis is described. Then two experiments are reported with normal speakers on the so-called nonword-interference effect that has been one of the two major sources of experimental evidence for this hypothesis. The first experiment replicates the original finding that the interference effect is found when the nonword starts with a content word but not when it starts with a function word. In the second experiment, it is shown that this contrast is due to an artifact of the composition of the word list. When this list contains both content and function words, rather than only content words--as in Bradley's experiments and our Experiment I--both content and function nonwords show an equally sized interference effect. The consequences for the lexical hypothesis are discussed.     

The word-superiority effect under conditions that approximate reading

Observers detected a briefly flashed target letter embedded in word, pronounceable nonword, and unpronounceable nonword contexts. The word context facilitated perception under both holistic and analytical processing strategies; the facilitative effect was enhanced when processing was analytical.     

Stuttering and the valsalva mechanism: A hypothesis in need of investigation

This note presents the hypothesis than the excessively forceful closure of the mouth of larynx associated with certain types of stuttering may involve a neurological confusion between speech and the human body's Valsalva mechanism, which is designed to increase pulmonary pressure by forceful closure of the upper airway to assist in many types of physical effort. It is suggested that such behavior may result from excessive neuromotor tuning of the Valsalva mechanism prior to speech, especially in situations where the stutterer anticipates the need to “try hard” to speak properly. Such tuning may both interfere with phonation and render the Valsalva mechanism overexcitable to triggering stimuli, such as the increase in subglottal pressure that accompanies the start of articulation.