Health and human services for persons who stutter and education of logopedists in East-European countries

The International Association of Logopedics and Phoniatrics (IALP) assessed the therapy status of fluency disorders, service opportunities, and education of logopedists (speech-language pathologists) with a mail survey in Eastern Europe. Information was collected on the following aspects: incidence, prevalence, availability of information, non-therapeutic support for persons who stutter (PWS), providers of diagnostics and therapy, cooperating professionals, therapy approaches, forms, goals, financing, early detection and prevention, training of professionals, specialization in stuttering therapy, needs for improving the situation of PWS, and problems which hinder better care. Stuttering therapy for children is available in many countries and is frequently provided by the educational system. Therapy for adults is provided best by the health services but is not satisfactorily available everywhere. Modern therapeutic approaches coexist with obsolete ones. Lack of resources, awareness, entitlement, and assessment of therapy effectiveness are pervasive problems.

Educational objectives: Readers will be able to describe and evaluate: (1) the therapy status of fluency disorders and service opportunities in various East-European countries; (2) the training of logopedists (speech-language pathologists); (3) specialization in stuttering therapy; and (4) the organizational services for PWS within the health and human service systems.     

Preteaching unknown key words with incremental rehearsal to improve reading fluency and comprehension with children identified as reading disabled

Research has consistently demonstrated that strategic preteaching activities led to improved reading fluency, but lacked studies examining the effect on reading comprehension. The current study investigated the effect of teaching unknown key words as a preteaching strategy with 20 students identified as learning disabled in basic reading skills and reading comprehension. This strategy led to improvement in reading fluency and comprehension with effect sizes of .38 and 1.76, respectively. Future research is needed to examine the effect of preteaching frequently occurring words, using additional control and experimental passages, using a time delay between administrations, and the role this strategy could play in a consultative model. Limitations of the current study are discussed.     

糖尿病专科护士在2型糖尿病防治中的作用与地位

当前我们对糖尿病防治措施和手段可以说是无所不先进,但患者血糖、血脂、血压达标情况仍旧令人担忧。防治领域的相关人员都在竭尽全力探讨其原因,结果令人失望。但是糖尿病作为慢性终生性习惯性疾病,当前几乎所有的有意义的研究均指向良好的生活习惯（饮食控制、增加体育锻炼）有利于减少糖尿病发病。糖尿病专科医生作为疾病防治的三级层面,很...     

Fluency disorders in genetic syndromes

The characteristics of various genetic syndromes have included “stuttering” as a primary symptom associated with that syndrome. Specifically, Down syndrome, fragile X syndrome, Prader-Willi syndrome, Tourette syndrome, Neurofibromatosis type I, and Turner syndrome all list “stuttering” as a characteristic of that syndrome. An extensive review of these syndromes indicated clients diagnosed with these syndromes do show evidence of nonfluency patterns, but not all would be considered stuttering. Many of the syndromes are marked by degrees of mental retardation that probably contribute to a higher than average prevalence of stuttering, as well as a higher than average prevalence of other fluency disorders (when compared to the population at large).

An in-depth analysis of the available data indicates that some of these genetic syndromes show patterns of stuttering that may be indicative of only that syndrome (or similar syndromes) that can be differentially diagnosed from developmental stuttering. Among these patterns are the word-final nonfluencies noted in Prader-Willi syndrome; the presence of stuttering in the absence of secondary behaviors noted in Prader-Willi syndrome and; the presence of palilalia, word-final and word-medial nonfluencies, and word-medial and word-final nonfluencies in Tourette syndrome. Implications for future research are discussed in light of these findings.

Educational objectives: The reader will be able to: (1) describe the various different genetic syndromes that are associated with fluency disorders; (2) describe the types of nonfluencies that are associated with the major types of genetic syndromes that have fluency disorders; (3) describe the behaviors that may assist in differentially diagnosing different types of speech characteristics associated with various genetic syndromes.     

Interspersing easy math problems among challenging problems: detection of interspersal effects in whole-class applications

Interspersing easy problems among challenging problems has been shown to both increase students’ preference for completing math worksheets and the fluency with which they complete challenging problems. Although early research examining the interspersal procedure in mathematics was conducted with college-age students, there are a growing number of studies utilizing the interspersal procedure in elementary and secondary school settings. A particular concern with existing research however is whether the beneficial effects are maintained across multiple sessions and whether effects generalize when implemented with large groups of students. The current study addressed this concern by administering both control and interspersal math worksheets consisting of instructionally relevant problems to 75 fourth grade students across four sessions. Because students’ instructional levels differed, analyses were conducted separately for students identified as fluent and less fluent based upon student performance on the control worksheet administered during session 1. Dependent measures included digits correct and problems correct as well as students’ responses to four preference questions following each session. Although results differ from previous research in that students completed significantly more digits correct on control worksheets, explanations of these differences are examined and implications are discussed.     

The influence of working memory on reading growth in subgroups of children with reading disabilities

This 3-year longitudinal study determined whether (a) subgroups of children with reading disabilities (RD) (children with RD only, children with both reading and arithmetic deficits, and low verbal IQ readers) and skilled readers varied in working memory (WM) and short-term memory (STM) growth and (b) whether growth in an executive system and/or a phonological storage system mediated growth in reading performance. A battery of memory and reading measures was administered to 84 children (11-17 years of age) across three testing waves spaced 1 year apart. The results showed that skilled readers yielded higher WM growth estimates than did the RD groups. No significant differentiation among subgroups of children with RD on growth measures emerged. Hierarchical linear modeling showed that WM (controlled attention), rather than STM (phonological loop), was related to growth in reading comprehension and reading fluency. The results support the notion that deficient growth in the executive component of WM underlies RD.     

Mix me a list: Context moderates the truth effect and the mere-exposure effect

When participants are repeatedly presented with an unfamiliar stimulus, this stimulus is rated as more likable (mere-exposure effect) or more valid (truth effect) as compared with a similar non-repeated stimulus. Both effects have been discussed as effects of fluency. Typical research designs on these effects involve a test phase in which ratings of both repeated and non-repeated stimuli are required. Based on research on moderators of fluency effects, we propose that the procedure of assessing the effects with mixed lists of repeated and non-repeated stimuli contributes strongly to the emergence of both effects. Two experiments found that the truth effect and the mere-exposure effect were strongly moderated by whether mixed lists or only repeated items were used at the test phase: whereas strong effects occurred in a context of repeated and non-repeated stimuli, the effects vanished with only repeated stimuli. Methodological and theoretical implications are discussed.     

Behavior Analysts to the Front! A 15-Step Tutorial on Public Speaking

Mainstream prominence was Skinner’s vision for behavior analysis. Unfortunately, it remains elusive, even as we approach the 110th anniversary of his birth. It can be achieved, however, and there are many routes. One that seems overlooked in many (most?) behavior analytic training programs is what I call the front of the room. The front of the room is a very powerful locus for influencing people. Mastering it can turn a commoner into a king; a middling man into a mayor; or a group of disorganized, dispirited people into an energized force marching into battle. The most powerful members of our species had their most memorable moments at the front of the room. If so much is available there, why is mastery of it in such short supply, not just in behavior analysts but in the population at large? In this paper, I address why, argue that the primary reason can be overcome, and supply 15 behaviorally based steps to take in pursuit of front of the room mastery.     

Mixed matters: fluency impacts trust ratings when faces range on valence but not on motivational implications

Facial features that resemble emotional expressions influence key social evaluations, including trust. Here, we present four experiments testing how the impact of such expressive features is qualified by their processing difficulty. We show that faces with mixed expressive features are relatively devalued, and faces with pure expressive features are relatively valued. This is especially true when participants first engage in a categorisation task that makes processing of mixed expressions difficult and pure expressions easy. Critically, we also demonstrate that the impact of categorisation fluency depends on the specific nature of the expressive features. When faces vary on valence (i.e. sad to happy), trust judgments increase with their positivity, but also depend on fluency. When faces vary on social motivation (i.e. angry to sad), trust judgments increase with their approachability, but remain impervious to disfluency. This suggests that people intelligently use fluency to make judgments on valence-relevant judgment dimensions – but not when faces can be judged using other relevant criteria, such as motivation. Overall, the findings highlight that key social impressions (like trust) are flexibly constructed from inputs related to stimulus features and processing experience.