A case report on the use of flooding in stuttering therapy

The last several years have seen the development and use of anxiety-reduction procedures in stuttering therapy. Among these types of methods, systematic desensitization and reciprocal inhibition have been employed almost exclusively. Emotional de-conditioning by means of flooding or implosive techniques has been attempted far less often. This article presents a case report on the utilization of the flooding tactic. Results are offered and discussed relative to the question of whether the elimination of anxiety is a realistic goal in therapy. The suggestion is offered that what many stutterers may really need to develop is the ability to generate fluency-enhancing behaviors in spite of the presence of heightened emotionality.     

Filling gaps: Decision principles and structure in sentence comprehension

The correct grammatical characterization of sentences containing filler-gap dependencies is a topic of considerable theoretical interest in linguistics. In some grammatical frameworks, these dependencies are representef in terms of conditions on the permissible indexing of structures (or alternative structure evaluation conditions) which a representation must adhere to in order to be well-formed. In other frameworks, constraints on permissible filler-gap dependencies are simply inherent in the set of phrase structure rules contained in the grammar of a language.The processing of sentences with multiple (potential) filler-gap dependencies was investigated in two experiments. The first experiment provided evidence for three claims. First, the human sentence processor abides by a strategy of assigning the most recent potential filler to a gap. Hence, ‘recent filler’ sentences where this assignment proves to be correct takes less time to comprehend than ‘distant filler’ sentences where this decision turns out to be incorrect. Second, the recent filler strategy is itself just a special case of a more general strategy of assigning the most salient potential filler to a gap. Third, unambiguous sentences in which a filler-gap assignment is disambiguated by ‘control’ information specified by individual verbs gives rise to the same recent filler errors as ambiguous sentences. This suggests that tentative filler-gap assignments are made by the processor before all of the relevant constraints on permissible filler-gap dependencies are consulted by the processor.The second experiment tested an alternative hypothesis that the more complex ‘distant filler’ sentences took longer to comprehend in the first experiment only because these sentences often contained verbs which license two adjacent gaps. The experiment showed that there was a significant recent filler effect in sentences that did not contain adjacent gaps and that this effect did not interact with verb class.The finding that the processor delays use of verb-control information is extremely surprising. It may be explained by the fact that this information is only relevant to one type of gap (‘equi-gaps’) and what type of gap the processor is dealing with often can not be determined unambiguously at the time when it initially encounters a gap in its left-to-right processing of a sentence.If our interpretation of these findings is correct, they argue for a considerable amount of structure in the sentence comprehension system. Further, they favor a view of sentence processing in which processing operations involving constraints on the permissible indexing (or evaluation) of structures lag behind the processor's structure building operations. Hence, the results favor those grammatical theories which preserve this distinction over grammatical theories which provide a uniform characterization of all syntactic well-formedness conditions.     

Enhancing the social skills of an unpopular girl: A social learning intervention

The use of a social learning approach to reduce the unpopularity of an 11-year-old girl, Rene, at a summer camp was studied. Two social skill deficiencies were suggested to be the cause of Rene's unpopularity by her bunk house counselors: her lack of contact with bunkhouse members during free choice times, and her negative, interfering conversational style. A multiple baseline design was used by the counselors to successively implement reinforcement contingencies on each class of social skill. Substantial improvements in performance were noted concurrent with the application of each contingency. These outcomes were maintained after reinforcement contingencies were withdrawn. Sociometric ratings of Rene's popularity by her bunkhouse mates improved after intervention. These outcomes are discussed from a social learning perspective.     

Characteristics of consultants and consultees and success in mental health consultation

Selected attitudinal and value characteristics of high and low successful consultants were considered. Twelve consultants and 15 consultees completed six measures. Consultants were categorized as high or low success consultants based on the coding of consultants' logs. Results indicate high and low success consultants do not differ on the selected characteristics. Also, the results indicate that more successful consultants have consultees who are more authoritarian and dogmatic and are more dissimilar to their consultees in level of dogmatism and reported need for assistance. Future investigations will indicate whether the results can be replicated on a more representative consultee sample.     

A component model for diagnosing and treating children who stutter

Nine components of stuttering and their distribution among 54 children who stutter are described. The components are arranged into a model that includes four neurologic components (attending disorder, auditory-processing disorder, sentence-formulation disorder, and oral-motor disorder) and five traditional components (high self-expectations, manipulative stuttering, disruptive communication environment, unrealistic parental expectations, and abnormal parental need for the child to stutter). Diagnostic and treatment usefulness of the model are discussed. Thirty-two of the children have been followed through component-based treatment and 12 mo post termination. Results indicate that treatment was successful with 27 (84%) of the 32 children. Only one child regressed during the 12 mo after treatment ended. These results suggest that treating the neurologic and traditional factors which disrupt fluency improves maintenance and carry-over.     

Effects on weight reduction of strong monetary contracts for calorie restriction or weight loss

Thirty-one severely obese adults participated in behavioral weight control groups. In three groups utilizing powerful monetary contracts, subjects deposited substantial sums of money which were returned contingent on either attendance, calorie restriction, or weight loss. Subjects in a fourth no-contract control condition made no monetary deposits. Weight and calorie contract groups lost an average of nearly 20 lb in 10 weeks. They did not differ from each other, but both produced significantly more weight loss than the attendance contract group. High dropout rates in the no-contract condition precluded statistical evaluation of this group. Results are discussed in terms of the potential clinical value of contracting procedures.