Word-finding as a function of stimulus context: Children compared with aphasic adults

A study of object naming in 202 children, aged 5–11 years, demonstrated that varying the stimulus context affected the level of response accuracy. From age 6 to 10, completing a sentence with a noun (auditory) yielded the lowest error scores, naming objects upon hearing a definition (also auditory) produced most errors, while responding with names to pictured objects was of intermediate difficulty. This is the same order of object naming difficulty found in adult aphasic patients. Children older than 10 do not appear to be affected by stimulus context in their object naming. Results are discussed in terms of the relative syntactic difficulty of the two auditory conditions, the unexpected sex differences, and the “aphaseoid” naming errors of children.     

The development of handedness and dichotic ear listening asymmetries in relation to school achievement: A longitudinal study

To assess the development of dichotic ear asymmetries and handedness, 208 male school children were evaluated in kindergarten and at Grades 2 and 5 (ages 66, 92, and 130 months of age, respectively) with a dichotic listening task and a hand preference test. The Wide Range Achievement Test (WRAT) also was administered at each of the three grade levels. There was significant variability in handedness scores over time only for those subjects whose scores at initial testing, that is, in kindergarten, identified them as non-right-handers. Both right and left handers had a significant increase in dichotic listening scores over time; however, only right handers had a significant right ear advantage at each evaluation. Regression analyses showed that combined hand preference scores and ear recall scores at each probe when combined accounted for almost 44% of the variance in WRAT achievement scores at Grade 5. Ear asymmetry scores, however, were not predictive of school achievement.     

Lesions of the basal ganglia, thalamus, and deep white matter: Differential effects on language functions

Forty-five patients with unilateral demarcated vascular lesions in the basal ganglia, the thalamus and the deep white matter were investigated with an "aphasia battery." Patients with basal ganglia lesions performed worse than both other groups in tests of articulation, syntax, and lexical functions. The deficit of patients with basal ganglia lesions on all expressive language modalities was lateralized to the left hemisphere. Patients with left thalamic lesions showed impairments of speech fluency and in the Token Test. Patients with white matter lesions alone showed no effect of laterality in tests of language functions. The results are discussed on the basis of a recent theory of the participation of the deep nuclei in language processing.     

Deep agraphia

A case of agraphia is documented which resembles in every respect the pattern of results obtained in deep dyslexia. Pronounceable pseudowords could not be written to dictation while concrete nouns were more accurately transcribed than abstract nouns. Verbs and functions words were written very poorly and oral spelling was impaired. In addition, semantic paragraphias were present. In contrast to the deficit observed in writing, no such impairment was found for reading. It is concluded that writing can occur without phoneme-grapheme conversion and that codes generated for reading are functionally distinct from codes generated for writing.     

New assessment systems for residential treatment,management, research,and evaluation: A symposium

An introduction and overview are presented to new observational assessment systems for ongoing assessment and monitoring of both staff and resident (client or patient) functioning in residential treatment programs for emotionally disturbed and mentally retarded adults.Preparation of articles and the research and development on which the articles are based was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from the Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.A symposium presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979.     

Systems use to objectify program evaluation,clinical, and management decisions

The utility of the observational assessment systems at different levels — from local clinical to systemwide management — is outlined. An overview is provided of TSBC information applied to individualized problem identification and programming/monitoring, discharge and competency determinations, and both absolute and comparative program evaluation. The utility of SRIC information for prgoramming/monitoring and for staff training and evaluation is outlined in addition to the applied uses of the information of the assessment systems in combination. Once implemented, the continuous data from the systems allow for empirically based self-corrective improvements in the quality of mental health services while automatically providing a basis for legal documentation and accurate cost/effectiveness comparisons of mental health programs.Preparation of this article and the research and development on which the article is based were supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from The Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Numerical taxonomy of aphasia

Two hundred consecutively seen aphasics, 142 of them with infarcts, were examined by tests of fluency, comprehension, repetition, naming, and information content. The language scores were subjected to a minimum variance clustering algorithm separately for the total and for the infarct groups. The latter generated 10 clusters on a dendrogram. Attribute analysis of each cluster provided a clinically meaningful profile of language performance for these groups. The degree of correlation of most computer generated clusters with clinically recognized groups was high, and the homogeneity of some of the clusters is striking. An exception appears to be “conduction aphasia,” which is bimodally distributed. One of these clusters, with high fluency and low comprehension scores, was renamed “afferent conduction” aphasia, and the other, with lower fluency and higher comprehension, was renamed “efferent conduction” aphasia. The Principal Components Analysis was used to evaluate the discriminatory value of language characteristics, and the Nearest Neighbor Network Analysis was used to evaluate the significance of clustering. The dendrogram for all aphasics showed a less specific and less homogenous six clusters.     

Generalization effects of social skills training in chronic schizophrenics: An experimental analysis

Social skills training was administered to three (one male and two female) chronic schizophrenic patients in a Partial Hospitalization Service. Treatment consisted of instructions. feedback and modeling, and was administered in 25. 26 and 31 sessions, respectively, for the three patients. Target behaviors were identified for each patient based on his/her responses to role-played interactions involving male and female partners in situations requiring commendatory or hostile assertion. Five to seven target behaviors were selected for each subject and were treated sequentially in a multiple baseline format. Skills training was highly successful for the two female patients but was only partially effective for the male patient. Two forms of generalization measures were included, indicating that the effects of training generalized from trained to untrained, and trained to novel role-played interactions. Follow-up assessments for the two female patients indicated that most of the effects persisted over 8–10-week post-treatment periods.