Assessing compliance to home relaxation: A simple technology for a critical problem

A simple, low-cost, and reliable technology for assessing compliance with relaxation practice in the natural environment is presented. Brief, audible cue tones are overdubbed onto selected client relaxation tapes, which are ordered by the therapist and then played in sequence by the client. The presence/absence or number of cue tones on each tape in the sequence is self-monitored, thereby providing the therapist with a record for objectively assessing whether or not the tapes were used as instructed. A clinical case example is presented to illustrate use of the procedure. Finally, advantages and limitations of the procedure are discussed.A portion of this paper (clinical case study) was presented at the meeting of the Association for Advancement of Behavior Therapy, November 1980, New York. This research was partly supported by the Medical Research Service of the Veterans Administration. The authors wish to express their appreciation to Leonard H. Epstein for his support and stimulation in the early development of this and related projects.     

Longitudinal neuropsychological report of aphasia following left-subcortical hemorrhage

The neuropsychological assessments of a patient with language disturbance following left thalamic-putaminal hemorrhage over a $\text{2}\text{1}\text{2}\text{-}\text{year}$ period are presented together with premorbid measures of performance. Findings indicate that behavioral deficits which are both linguistic and nonlinguistic in nature differ from cortical aphasic syndromes in symptomatology and recovery course. The deficit pattern is also unlike that in other reported cases of left-subcortical lesions. Persistent dysarthria with fluent speech, limitation of verbal span and repetition, agraphia and anomia, and disturbances in self-regulation of behavior were noted, in addition to recovery of an initially severe auditory comprehension deficit. A distinguishing feature of this case was the relative preservation of reading comprehension in all four assessments.     

Maternal perception of maladjustment in clinic-referred children: An extension of earlier research

The purpose of the present study was to extend earlier research examining predictors of maternal perceptions of maladjustment in clinic-referred children. Forty-five mothers and their clinic-referred children served as subjects. Maternal perceptions of child maladjustment were measured by the Parent Attitude Test. Maternal depression, marital adjustment, and family socioeconomic status were determined by the Beck Depression Inventory, Locke Marital Adjustment Test, and Myers and Bean index of social status, respectively. Child compliance and child deviant behavior (other than noncompliance) were obtained in home observations collected by independent observers. The results indicated that maternal depression was the best predictor of maternal perception of children. The remaining variables failed to contribute to the multiple regression analyses. Separate analyses also were performed on males and females and different predictor variables emerged for the two groups.The research reported in this study was supported by NIMH Grant 34193.     

Reading and listening comprehension in Broca's aphasia: Lexical versus syntactical errors

Ten agrammatic Broca's aphasics were presented with a series of four picture plates together with a spoken or written sentence stimulus. All sentence stimuli were of the structure, the + N + is/are + V + ing + the + N. The four pictures on each stimulus plate represented (a) the correct response, (b) a reversal of the stimulus sentence subject and object, (c) a change in the number of the subject of the stimulus sentence, and (d) a change in one of the major lexical items of the stimulus sentence. Subjects selected the correct picture most often. When they erred, they usually selected a subject-object reversal. Number errors were less frequent, and the patients seldom selected a change in major lexical item. This pattern occurred with both written and spoken sentences. These results were interpreted as reflecting the dependence of agrammatic Broca's aphasics on the semantic interpretation of the lexicon for decoding sentences in the face of deficits in syntactical-grammatical interpretation, irrespective of comprehension modality.     

Cued recall in anterograde amnesia

After a single presentation of a word list, normal subjects exhibited better retention when prompted with semantic cues than with rhyme or letter cues. Alcoholic Korsakoff patients, patients receiving electroconvulsive therapy (ECT), and the patient N.A. exhibited impaired retention and, unlike control subjects, did not exhibit an advantage of semantic cues over letter and rhyme cues. Two experimental manipulations designed to equate the level of performance of amnesics and controls indicated that these amnesias could be understood as a reflection of weak memory strength that results from deficiencies in initial learning and retention. In addition, alcoholic Korsakoff patients appeared to have greater difficulty utilizing semantic cues than patients receiving ECT or patient N.A.     

A comparison of dichotic and visuo-acoustic competition in hemispherectomized patients

Following hemispherectomy, patients performing dichotic listening tasks have great difficulty reporting items presented to the ear ipsilateral to their intact hemisphere. One possible cause is an attentional imbalance which, when competing inputs are received from both sides of space, restricts the patient's attention to the stimulus contralateral to his remaining hemisphere. If this explanation is true, then a similar ipsilateral ear decrement should occur when a competing visual stimulus is presented in the contralateral field. In the present study, however, hemispherectomy patients easily reported a digit presented to the ear ipsilateral to their intact hemisphere despite the concurrent presentation of a visual digit to their contralateral field.     

Cerebral excitation profiles in language processing: The photic probe paradigm

A photic probe paradigm was developed in order to assess the cerebral excitation patterns corresponding to acoustic and linguistic operations independently of specific signal parameters. Average Evoked Potentials (AEPs) to a photic stimulus were recorded at the anterior temporal and posterior regions of both hemispheres of subjects engaged in acoustic, phonetic, and semantic processing of verbal material. Patterns of attenuation and enhancement of the probe AEP amplitudes were observed over the left and right hemispheres, respectively, with the magnitude of change varying reliably as a function of processing task. The implications of these findings for models of cerebral specialization for language are discussed.     

Temporal ordering deficits following anterior temporal lobectomy

Subjects were required to report the pitch sequence of two 10-msec tones of different frequency presented monaurally while the stimulus onset asynchrony (SOA) between the two tones was varied. The value of the SOA at which the subjects achieved an 80% correct sequence report was determined by an adaptive procedure without feedback. This measure was compared in the right and left ears, on subjects with a right or left anterior temporal lobectomy and on a normal control group. The results reveal an elevated threshold for performing temporal order judgments in the ear contralateral to the surgical lesion.