The efficacy of progressive relaxation in systematic desensitization and a proposal for an alternative competitive response--the relaxation response.

The theoretical basis of systematic desensitization is reciprocal inhibition in which an alternative, competitive response to anxiety is conditioned to arousal-producing, phobic stimuli. Abbreviated training in progressive relaxation is believed to serve as a competitive response to anxiety by decreasing autonomic nervous system activity. However, physiologic studies of progressive relaxation have not substantiated that its practice is associated with such decreased autonomic activity. Consequently, the use of progressive relaxation has been a confounding factor in the determination of the function of reciprocal inhibition in systematic desensitization. To confirm and refine the theoretical constructs of reciprocal inhibition, it is necessary to test the effects of a response which is competitive to the anxiety response. Such a response may be the relaxation response which is characterized by physiologic changes consistent with decreased autonomic nervous system activity. Derived from meditational practices, techniques which ehcit the relaxation response incorporate the element of focused attention which has been implicated as a critical factor in systematic desensitization. Thus, the use of the relaxation response should be a more appropriate method than progressive relaxation if the therapeutic usefulness of systematic desensitization is indeed due to reciprocal inhibition.     

Predicting state anxiety: A comparison of multidimensional and unidimensional trait approaches

Endler has proposed that trait anxiety is multidimensional, with individual differences varying across several dimensions of stressing situations. Despite empirical support for the independence of some dimensions, some researchers have employed a single score on a multidimensional measure of trait anxiety, summed from the dimension scale scores, as a singular measure of generalized trait anxiety. This violates the theoretical underpinnings of the approach. This study examined whether a total score on a multidimensional measure of trait anxiety could supplement the ability of individual dimension scale scores in predicting state anxiety responses to dimension-congruent stress. Thirty-two female college students who scored at differing levels of dimensional and general anxiety were required to perform two laboratory stress tasks under conditions of stress representing different dimensions of trait anxiety. The results provide support for a multidimensional approach to general trait anxiety but indicate some value of a total score in supplementing predictions based on individual scale scores. The data provide a cautionary note that a total score on a multidimensional measure is of little value unless full consideration is given to the profile of dimension scale scores.     

The use of self-efficacy scaling in training student clinicians: Implications for working with stutterers

A scaling technique developed by Bandura for determining an individual's personal performance expectations (self efficacy) was applied to student clinicians working with stutterers. The self-efficacy scores of clinicians conducting treatment increased significantly while the scores of clinicians without treatment experience showed no significant change. As the student clinicians gained clinical experience there appeared to be a corresponding reduction in fear and avoidance of the treatment situation. Clinician fear concerning stuttering treatment appeared to have little relation to performance in treatment as rated by supervisors. The results indicate that self-efficacy scaling may be used to indicate clinician avoidance of working with stuttering clients.     

Dichotic speech perception: A comparison between stuttering and nonstuttering children

A stop consonant-vowel dichotic listening task was administered to 90 right- handed boys, 30 in each age group of 5, 7, and 9 yr. Half in each group were stutterers, half nonstutterers. Two and a half times as many stutterers as nonstutterers were found to display either a left-ear advantage (LEA) or no ear advantage (NEA). This finding suggested a greater tendency on the part of stutterers, as opposed to nonstutterers, for reversed or bilateral representation of the auditory speech areas of the brain. In addition, both stutterers and nonstutterers displayed significant developmental increases in the number of times they were able to identify both dichotic speech stimuli, thereby supporting the hypothesis of an age-related increase in children's total information processing capacity. The results are discussed in terms of the differences between stutterers and nonstutterers with respect to the issues of motor representation, cognitive modes, and higher-order linguistic processes.     

Learning from negative outcomes in stuttering therapy: II. An epiphany of failures

Proceeding on the premise that learning advances on the feet of failure, a litany of therapeutic failures with stutterers across 3 decades is recounted. The basis for these failures included the assumptions that stuttering is a neurotic symptom; that “lucky fluency” can be maintained permanently; that a fluent drone is preferable to stuttering; that controlled fluency, once established, can be maintained permanently; that a proper task for clinicians is to motivate clients to achieve and preserve fluency; that the clinician has the responsibility for marching clients through their therapeutic paces; and that stuttering is punishing to the stutterer, so it is not preserved by reinforcement. Unfortunately, more has probably been learned about what does not work than what does.     

Visual Field asymmetries for verbal and dot localization tasks in monolingual and bilingual subjects

Visual Field asymmetries for verbal and dot localization tasks were examined in monolingual and bilingual subjects. Consistent right-visual-field advantages were found for verbal material in all groups, although bilingual subjects showed a reduced laterality for their second language in comparison with their native language, Monolingual subjects displayed left-visual-field advantages on the dot localization task, but no consistent asymmetries were shown by the bilingual subjects. The overall pattern of results is consistent with left-hemisphere involvement for the processing of verbal material, but the heterogeneity of performance on the dot localization task suggests that processing of such a task may be influenced by subjects' linguistic backgrounds.     

The stutterer's reaction to the telephone as a speaking situation

A review of the literature indicates that one of the most commonly feared talking situations among stutterers is speaking on the telephone. One hundred-thirty stutterers who feared speaking on the telephone were interviewed regarding their fear of telephone calling and answering, the age at which they began to fear calling and answering, and their fear reactions to eight specific telephone calling situations.Data was analyzed for all subjects, male/female, black/white, and mild/moderate/ severe stuttering groups. Analysis indicated that telephone calling was judged to be more feared than telephone answering with the exception of the black stutterers. Acquisition of fear of the telephone occured earlier for telephone answering than for calling within most subgroups. When general reactions to the eight telephone situations were considered, the black stutterers had the most severe fear reactions while the male and moderate stutterers had the least severe reactions.     

A comparison of the Probe technique and conventional therapy for young stutterers

This study contrasted the gains made in speech theraphy by 39 stutterers, 15 of whom were treated by conventional methods and 24 by the Probe technique. It was found that the Probe technique yielded substantially greater gains in fluency than did the conventional method, having more influence on final performance than factors such as initial fluency, time since onset of stuttering, or the presence of other unacceptable behaviors.     

Ideogram writing in a disconnection syndrome

A case of disconnection-type agraphia coupled with alexia was reported. The patient showed several asymmetrical manual capacities between the two hands, i.e., dissociated difficulty of Kanji (ideogram) writing between the two hands, left unilateral difficulty of Kana (phonogram) writing, right unilateral dyscopia of letters as well as geometrical figures, and right unilateral difficulty in drawing without a model. Anatomically, lesions involved most of the corpus callosum in its posterior portion including the splenium and the left medial occipital lobe. From these data, a possible liguistic capacity of the right hemisphere was suggested.