Influence of linguistic complexity,rate of presentation,and interphrase pause time on auditory-verbal comprehension of adult aphasic patients

Among the variables affecting comprehension of linguistic stimuli by aphasic subjects are syntactic complexity and processing time. Comprehension performance of 15 aphasic adults was studied while altering the rate of speech presentation and varying the pause time between the major phrases within sentences of increasing grammatical complexity.Simple Active Affirmative Declarative Sentences, Negative, and Passive sentences were presented (1) at the rate of 150 words per minute (wpm) with 1-sec interphrase pause time (IPT); (2) 150 wpm with no pauses; (3) 120 wpm with 1-sec IPT; (4) 120 wpm with no pauses added.Performance was seen to vary with increasing syntactical complexity and as a function of processing time. Greater comprehension was seen with active affirmative than negative; greater with passive affirmative than with active negative. Clinical implications are discussed. Subjects demonstrated greater comprehension when sentences were presented at slower than normal rate; addition of interphrase pause time intervals aided comprehension. Combining slower rate of presentation and IPT intervals provided greatest increase in auditory processing time and showed concomitant increase in comprehension performance.     

The impact of aging and hearing status on verbal short-term memory

The aim of this study is to assess the impact of hearing status on age-related decrease in verbal short-term memory (STM) performance. This was done by administering a battery of verbal STM tasks to elderly and young adult participants matched for hearing thresholds, as well as to young normal-hearing control participants. The matching procedure allowed us to assess the importance of hearing loss as an explanatory factor of age-related STM decline. We observed that elderly participants and hearing-matched young participants showed equal levels of performance in all verbal STM tasks, and performed overall lower than the normal-hearing young control participants. This study provides evidence for recent theoretical accounts considering reduced hearing level as an important explanatory factor of poor auditory-verbal STM performance in older adults.     

The mathematical abilities of children with cochlear implants

Research has shown that cochlear implants give rise to improvements in speech recognition and production in children with profound hearing loss but very few studies have explored mathematical abilities in these children. The current study compared the mathematical abilities of 24 children with cochlear implants (mean age 10 years 1 month) to a control group of 22 hearing children (mean age 9 years 8 months). The math questions were categorized into questions that tapped into arithmetic or geometrical reasoning. It was predicted that the cochlear implant group would perform below the hearing group on the arithmetic questions but not the geometrical reasoning questions. Unexpectedly, the results showed that the cochlear implant group performed significantly below the hearing group on both types of math questions, but that this difference was mediated by language skill as assessed by vocabulary knowledge. The clinical implications of these results and possible future research results are considered.     

Recognition of Affective Speech Prosody and Facial Affect in Deaf Children with Unilateral Right Cochlear Implants

Cochlear implant (CI) devices provide the opportunity for children who are deaf to perceive sound by electrical stimulation of the auditory nerve, with the goal of optimizing oral communication. One part of oral communication concerns meaning, while another part concerns emotion: affective speech prosody, in the auditory domain, and facial affect, in the visual domain. It is not known whether childhood CI users can identify emotion in speech and faces, so we investigated speech prosody and facial affect in children who had been deaf from infancy and experienced CI users. METHOD: Study participants were 18 CI users (ages 7–13 years) who received right unilateral CIs and 18 age- and gender-matched controls. Emotion recognition in speech prosody and faces was measured by the Diagnostic Analysis of Nonverbal Accuracy. RESULTS: Compared to controls, children with right CIs could identify facial affect but not affective speech prosody. Age at test and time since CI activation were uncorrelated with overall outcome measures. CONCLUSION: Children with right CIs recognize emotion in faces but have limited perception of affective speech prosody.     

Following Inspiration: A Conversation With Former First Lady Rosalynn Carter

Our distinguished guest for the 3rd installment in this inaugural Hearing our Elders series is former First Lady Rosalynn Carter. Mrs. Carter is arguably among the most active former First Ladies since she and her husband, the 39th President of the United States, James Earl “Jimmy” Carter, left the White House in 1981. The zeitgeist of the mid‐1950s through the 1970s provides the context that frames Mrs. Carter's responses to questions about her involvement in the mental health movement that continues to the present day. The historical as well as contemporary social and political environments relative to understanding and appreciating mental health and wellness in the United States, then and now, are explored and illuminated in portions of the interview with Mrs. Carter. The interview revealed 6 critical themes: really listening with an empathic ear, resilience/persistence, commitment across time, thinking like a global citizen, a quiet‐storm leadership style, and self‐discovery in service to others. Nuestra distinguida invitada en la 3ª entrega de esta serie inaugural de Escuchar a Nuestros Mayores es la ex Primera Dama Rosalynn Carter. La señora Carter es sin duda una de las ex primeras damas más activas desde que en 1981 dejó la Casa Blanca junto con su marido, el 39° Presidente de los Estados Unidos James Earl “Jimmy” Carter. El espíritu cultural del periodo entre la mitad de la década de los años 50 hasta los 70 proporciona el contexto en el que se enmarcan las respuestas de la señora Carter a preguntas sobre su implicación en el movimiento para la salud mental que continúa hasta hoy. Los entornos social y político de ayer y hoy, tanto en su perspectiva histórica como contemporánea, y cómo estos se relacionan con la comprensión y valoración de la salud y bienestar mental en los Estados Unidos se exploran e ilustran en varios segmentos de la entrevista con la señora Carter. Esta entrevista reveló 6 temas críticos: la escucha con atención y empatía, la resiliencia/persistencia, el compromiso a lo largo del tiempo, el pensamiento como ciudadanos globales, un estilo de liderazgo firme pero calmado, y el autodescubrimiento a través del servicio a otros.     

Bilateral tachistoscopic word perception of stutterers and normal subjects

Bilateral tachistoscopic procedures were utilized to investigate the visual half-field preferences of 15 stutterers and a group of 15 normal controls. Statistical analyses indicated a right visual half-field preference for the control group. In contrast, a significant visual half-field preference was not revealed for the stuttering group. However, further analysis revealed that a significantly larger proportion of stutterers, compared to controls, demonstrated a left visual half-field preference. Results indicated reversed cerebral processing for the stuttering group as compared with the control group.     

How school-aged students define stuttering and stammering

Fifty students from each of the grades 2, 4, 6, 8, 10, and 12 were asked to complete a questionnaire containing the following three questions: 1) What is stuttering? 2) What is stammering? 3) How did you know that? Analysis of their responses indicated students were more familiar with stuttering as opposed to the term stammering. From grade 6 onward, we can expect at least three-fourths of the students to define stuttering as a disruption of speech consisting chiefly of sound or syllable repetitions. Only about one-fourth of students in grade 6 and above defined stammering as a speech disruption. This disruption was characterized chiefly by repetitions, injections, and pauses. Most of the students were unable to specify how they learned the definitions. The few who did identified family and friends as their chief source of knowledge.     

Clinical notes: Masking devices and The Edinburgh Masker—Clinical applications within a prison setting

This paper outlines portions of the writer's therapeutics in the field of stuttering with emphasis upon use of masking the hearing of stutterers as a part of a total therapeutic approach. Commencing with devices providing continuous noise to override the voice of the stutterer so that he cannot hear himself and, thus, eliciting fluency. Described is the use of the voice actuated Edinburgh Auditory Masker within an intensive stuttering program in a prison setting since September 1978. It is concluded that the use of masking and the Edinburgh device has been helpful and productive with severe stutterers.