Exposure and response prevention in the natural environment: A comparison with obsessive-compulsive patients

Thirteen obsessive-compulsive clients were treated with different methods of response prevention. Four experimental conditions were obtained through a 2 × 2 factorial design, in which the two main variables were varied: (1) gradual treatment vs flooding; and (2) modeling vs no-modeling. Clients were treated at their homes, three times weekly. Each session lasted 2 hr. Results at the post-test revealed, that modeling was superior to no-modeling (p < 0.05) on avoidance-other compulsions, therapist-rating only. On anxiety-main compulsions, clients rating the gradual method of treatment had been superior to flooding (p < 0.05). No other significant differences were found.     

The influence of symbolic and motor rehearsal in observational learning

The experiment investigated the effects of the mode and patterning of rehearsal on the acquisition and retention of modeled activities varying in organizational complexity. Subjects observed a filmed model construct two configurations, containing high or low organizational requirements. Immediately after exposure they rehearsed the modeled activities either mentally, motorically, mentally and then motorically, motorically and then mentally, or engaged in a distracting activity that prevented rehearsal of what they had see. Performance tests were conducted immediately after the rehearsal phase and again 1 week later. Subjects who rehearsed the modeled behaviors symbolically, whether singly or in conjunction with motor practice, reproduced both configurations more accurately than those who rehearsed motorically or not at all. Motor rehearsal increased speed on the organizationally simple task, but did not enhance response acquisition over and above observation alone. The overall results are interpreted as supporting the social learning view that modeled behaviors are best acquired when demonstrated activities are first organized symbolically and then refined on the basis of performance feedback.     

Crossed aphasia in an illiterate dextral

An 83 year old illiterate, right-handed woman developed a persistent nonfluent aphasia following a right cerebral infarction (crossed aphasia). Computerized axial tomography localized the lesion to the right posterior frontal lobe.It is suggested that the neural mechanisms involved in learning to read and write may be critical for the complete establishment and maintenance of language dominance in the left hemisphere, and that, in this case, the patient's failure to acquire reading and writing skills altered the normal evolution of language lateralization and resulted in the right hemisphere assuming the dominant role.     

Cue exposure and response prevention with alcoholics: a controlled trial

Ten severely alcohol-dependent subjects were divided into two groups, one of which received only 6 sessions of in-vivo cue exposure and response prevention and the other of which received 6 sessions of imaginal cue exposure, followed by 6 sessions of in-vivo cue exposure and response prevention. The in-vivo cue exposure produced significant decrements on behavioural and subjective measures for both experimental groups on Desire to Drink and Difficulty to Resist Alcohol. Imaginal cue exposure produced trivial changes on these measures. The implications for both theory and practice are discussed.     

Enhancing children's attitudes toward disabled peers using a multi-media intervention

Interventions are being developed to enhance children's attitudes toward disabled peers and thereby facilitate mainstreaming in schools. This study evaluates the impact of Feeling Free, a multi-media program of disability-related films, activities, discussions, and books. Participants were children from 16 classrooms, grades 3 through 6. Two classes at each grade level (N = 8) were randomly assigned to the six-session program and were compared on five outcome measures to the eight remaining classrooms. Treatment children demonstrated increased knowledge about disabilities, more positive perceptions of disabled persons, and greater awareness of appropriate behavioral responses to disabled peers. There were no long-lasting treatment effects on two measures of children's acknowledged willingness to interact with disabled peers, although treatment girls demonstrated short-term gains on one measure. Suggestions are made for increasing program impact and providing services to other participants in the mainstreaming process.     

Language and speech recovery in a case of viral encephalitis

The speech and language recovery course of a 47-year-old man with viral encephalitis is described. Over a 3-month period, the patient was evaluated six times using the same selected battery of tests. Results show that viral encephalitis can deleteriously affect communicative performance and that improvement in medical status is accompanied by rapid and dramatic gains on most standard speech and language measures. For this case changes appeared related to improved auditory attention and retention, increased efficiency in word retrieval, and improved mental status.     

Written language acquisition after left or right hemidecortication in infancy

When written language is acquired in only one hemisphere because of hemidecortication in infancy, the left hemisphere is superior to the right at using morphophonemic rules to read and spell unfamiliar words, and at exploiting the structure of sentence units to achieve rapid reading of meaning in prose. The ability to learn names for logographs, however, is better in the right hemisphere than in the left. The greater mastery of written language in the left hemisphere is a result, not of an enhanced facility for making cross-modal associations between sounds and signs, but of a superior access to the morphophonemic rule system and the higher-order textual constraints of English.     

Predictions of X-linked inheritance for human characteristics

The conclusion reached by H. Thomas and W. Jamison (Developmental Review, 1981, 1, 274–283) that an observed sex-related difference in water-level task performance is due to an X-linked major gene raises the question of whether available data would be consistent with X-linkage predictions other than the one tested. Several predictions of X-linked inheritance for human characteristics are presented and discussed. It was concluded that although water-level task performance may involve a heritable component, the available data from seven independent studies reviewed by Thomas and Jamison are insufficient for determining the specific mode of genetic transmission.