Sudden onset of excessive repetitions in the speech of a patient with multiple sclerosis: A case report

This report provides a detailed analysis of excessive part- and whole-word repetitions in the speech of a 36-year-old male patient hospitalized for treatment of multiple sclerosis (MS) who also exhibited concurrent language and prosodic disturbances. Shortly following his hospitalization, a magnetic resonance imaging examination revealed plaques in the white matter of the medulla, cerebellum, basal ganglion, and periventricular white matter. His speech strongly resembled apractic speech patterns, chiefly syllable segregation. The source of data collected for this study was seven tape-recorded speech samples containing 2536 words spoken in 32.75 min, diagnostic reports, and clinical notes of 27 biweekly speech therapy sessions across a 5-month period. This report focused on an analysis of variables associated with the patient's part- and whole-word repetitions, and it was concluded that they were used as a compensatory device to procure additional time to articulate complex syllables. A brief critique of the therapeutic procedures used for treating his speech problem is also presented.

Educational objectives: The reader will learn about and be able to describe (1) the effects of MS on speech and language; (2) the kinds of data that were gathered to account for this patient's sudden onset of speech and language disorders; and (3) the findings that led them to conclude that his excessive repetitions were compensatory behaviors.     

Evaluating the evidence for multiple realization

Consider what the brain-state theorist has to do to make good his claims. He has to specify a physical–chemical state such that any organism (not just a mammal) is in pain if and only if (a) it possesses a brain of suitable physical–chemical structure; and (b) its brain is in that physical–chemical state. This means that the physical–chemical state in question must be a possible state of a mammalian brain, a reptilian brain, a mollusc’s brain (octopuses are mollusca, and certainly feel pain), etc. At the same time, it must not be a possible (physically possible) state of the brain of any physically possible creature that cannot feel pain. Even if such a state can be found, it must be nomologically certain that it will also be a state of the brain of any extraterrestrial life that may be found that will be capable of feeling pain before we can even entertain the supposition that it may be pain. It is not altogether impossible that such a state will be found... . But this is certainly an ambitious hypothesis. (Putnam 1967/1975, p. 436)

The belief that mental states are multiply realized is now nearly universal among philosophers, as is the belief that this fact decisively refutes the identity theory. I argue that the empirical support for multiple realization does not justify the confidence that has been placed in it. In order for multiple realization of mental states to be an objection to the identity theory, the neurological differences among pains, for example, must be such as to guarantee that they are of distinct neurological kinds. But the phenomena traditionally cited do not provide evidence of that sort of variation. In particular, examples of neural plasticity do not provide such evidence.     

Women’s Experiences of Female Ejaculation

Thirteen women responded to an open-ended questionnaire about their female ejaculation experiences. Responses are described from a phenomenological perspective. The major themes of responses include feelings of humiliation and shame or feelings of exploration and wonder, moving towards acceptance or acceptance tinged with resignation. Women explain their relationships to their bodies as well as their relationship to the ejaculation fluids and how this affects their sexual identities. The origins of their sexual fluids are mysterious. The stimulation needed for ejaculation differed among respondents, and was also found to occur separately from orgasm for some women. Ejaculation began at one of two distinct time points in the life course. This study supports the existence of female ejaculation as a common experience for some women, and proposes new areas for further exploration.     

Stepwise contouring of efficient criterion vectors for large-scale MOLP

In this paper a new method of presenting the overall (focused) structure of the efficient criterion vectors (N) for large-scale MOLP is proposed. The proposed algorithm ASEOV (approximation of the set of efficient objective vectors) determines the representative subset of N and ensures full coverage of N , with corresponding coverage precision indicated. ASEOV works in objective space directly and eliminates unnecessary computational effort at the collapsing extreme points of X , which are transformed to non-extreme points in objective space. The Tchebycheff metric is employed to measure the coverage precision. ASEOV allows a decision maker (DM) to control the determination procedure by assessing the coverage allowance for each criterion. When the DM's preference is available, ASEOV can focus contouring on the subset of N which fits with the extracted preference. Combined with proper interactive methods, this focused contour over N can reduce the DM's burden, inconsistency or cognitive bias in assessing his preference from which to derive the final best-compromise solution. An illustrative example is presented.     

Driving environments that influence on-road outcomes in persons with Multiple Sclerosis

IntroductionDrivers with Multiple Sclerosis (MS) who demonstrate adjustment to stimuli and gap acceptance errors may be prone to fail a standardized on-road assessment. However, the complexity (e.g., traffic speed, volume of road users, flow of traffic, spaced interchanges) of driving environments, and their relationship to driving errors critical for failing, is not fully understood. This prospective research study determines the predictive validity of the total number of adjustment to stimuli and gap acceptance errors (modelled as one variable) in residential, suburban, city, or highway environments on drivers with MS failing (vs. passing) a standardized on-road assessment.MethodsCommunity-dwelling participants with MS (N = 35) completed a comprehensive driving evaluation consisting of clinical and on-road assessments, adhering to the regulations for assessing fitness to drive in Ontario, Canada.ResultsLogistic regression models indicated that, as sole predictors, the total number of adjustment to stimuli and gap acceptance errors made in suburban (OR = 0.43, 95% CI = [0.23, 0.83], p = .012) and city environments (OR = 0.34, 95% CI = [0.13, 0.89], p = .028) significantly increased the odds of participants failing the on-road assessment. Also, the total number of adjustment to stimuli and gap acceptance errors made in suburban (AUC = 0.84, SE = 0.11, p = .006, 95% CI = [0.63, 1.00]) and city environments (AUC = 0.74, SE = 0.12, p = .05, 95% CI = [0.51, 0.98]) predicted on-road outcomes. A cut-point of 4 or more adjustment to stimuli and gap acceptance errors made in suburban environments optimally predicted on-road outcomes with 71.4% sensitivity, 92.9% specificity, and 4 misclassifications; while a cut-point of 2 or more adjustment to stimuli and gap acceptance errors made in city environments optimally predicted on-road outcomes with 57.1% sensitivity, 92.9% specificity, and 5 misclassifications.ConclusionThe total number of adjustment to stimuli and gap acceptance errors made in suburban and city environments predict drivers with MS failing a standardized on-road assessment. Assessing adjustment to stimuli and gap acceptance errors in these environments are critical for informing fitness to drive decisions.     

从郭靖习武管窥中国人的教育心理观

郭靖习武的过程蕴涵着许多教育学和心理学的深刻道理。本文从郭靖习武的四个阶段来管窥我国传统文化下浓厚的教育心理学思想,由此得出了在学习中的一个理论：多元智力理论,两个误区：学生先天缺陷观和重德轻才观,三点建议：激发学生兴趣、摒弃“齐步走”的做法和学以致用。     

Treatment Efficacy of Multiple Family Therapy for Chinese Families of Children with Attention Deficit Hyperactivity Disorder

The treatment efficacy of multiple family therapy (MFT) for Chinese families of children with attention deficit hyperactivity disorder (ADHD) has not been studied in the past. In this paper, the effect of MFT on different aspects of the lives of the parents in the experimental group (n = 61) was compared with the effect of only the psychoeducational talks on parents in the control group (n = 53). The results of a MANOVA have shown that by the time they reached the posttreatment phase, the parents who had completed the full 42 hours of the MFT program perceived their children's ADHD symptoms as being less serious and less pathological than they had originally thought compared to the parents in the control group. The effect of MFT on parent–child relationships, parenting stress, parental efficacy, hope, and perceived social support was statistically insignificant. Contributions and limitations of our study are discussed.     

The multiplicity of belonging: Pushing identity research beyond binary thinking

Abstract

To date, research has primarily used a singular identity framework for investigating how social identity shapes behavior. Thus, research has also largely ignored the role that having multiple, simultaneous identities may play in our lives. This paper reviews work that pushes that singular identity framework beyond either/or binary constructs of identity. Specifically, through exploring racial identity flexibility for biracial populations and activating a flexible, multiple identity mindset more broadly outside of racial domains, these results demonstrate the potential impact of multifaceted self-views on flexible behaviors. Related work concerning other multiply belonging individuals are also discussed in line with a call for needed research to pinpoint new models and mechanisms for understanding the multiplicity of belonging.     

Évaluation-Cognition-Polyhandicap (ECP) : apports d’une approche qualitative dans l’élaboration et la validation d’un outil

BackgroundSetting up a personalised project for any person with profound intellectual and multiple disabilities (PIMD) requires an evaluation of their cognitive skills. Nevertheless an international literature review highlights: a lack of adequate tools for evaluation of the cognitive skills of people with PIMD; the need to create standardised protocols. In 2009, Scelles et al. proposed the P2CJP–Profil de Compétences Cognitives du Jeune Polyhandicapé. This tool was designed for children up to 14 years of age. In 2017, this scale has been revised and extended to the adults, and called ECP (Evaluation-Cognition-PIMD).MethodTo elaborate and validate this tool, a statistical methodology has been combined with a qualitative process close to professionals and parents. The aim was to assess the relevance and the ergonomic of the ECP, the comprehension of items, the facility of use, the guideline and at least the effects regarding the practice.ResultsThe qualitative analyse of user backgrounds, at all validation stages, let adapt the ECP as well on the content as on the form. This work reveals the necessity to continue to adapt the ECP through interactions between users and searchers.