A case of literal alexia: evidence for a disconnection syndrome

We describe a patient with literal alexia, agraphia, and only minimal aphasia, resulting from a left occipito-parietal ischemic infarction. Neither impaired visual processing nor impaired oral output could explain the patient's letter reading deficit, since he retained the ability to match letters of mixed case, and remained able to spell aloud and to pronounce and comprehend orally spelled words. His residual word reading was characterized by better performance for nouns and highly imageable words than for functors , poorly imageable words, and nonwords. We propose that this patient's letter reading deficit was due to a partial disconnection of his visual from his linguistic systems, with residual word reading accomplished by a semantically mediated compensatory mechanism. We suggest, further, that the dissociations between word and letter reading observed in some alexic individuals may be attributed, in part, to a difference in the relative contributions of dorsal and ventral occipital structures to the reading process.     

Reconstructive retrieval deficits in Broca's aphasia

Anterior aphasic patients' ability to utilize the phonemic and/or semantic features of verbal material for retention purposes was investigated. In the first experiment, patients were asked to either detect word repetitions, phoneme repetitions, or rhymes in a list of items. The aphasics performed well on word and phoneme repetition detection but below both normals and amnesic Korsakoffs on rhyme detection. In the second experiment the patients were instructed to analyze either the physical, phonemic, or semantic features of words they were later asked to recognize. Aphasics were differentially affected (as were normals) by these instructions: semantic feature analysis resulted in the best performance, followed by phonemic feature analysis. It was concluded that anterior aphasics can analyze, recirculate, and even store the phonemic features of words, but find difficulty in reconstructing the originally presented item from these features.     

Do birds of a feather flock together? A test of the similarities within and the differences between five occupations

Two sets of samples of 40 women from each of five different occupations were subjected to J. H. Ward's (Journal of the American Statistical Association, 1963, 58, 236–244) hierarchical cluster analysis, using an index of similarity from Kuder, 1977, Kuder, 1980, 40, 1–8). The five-group solution in neither case adequately recaptured the occupational membership of the original groups. This finding was interpreted to mean that there may be important differences in the interests of person in the same occupation, which in turn has implications for occupational scaling on interest inventories and theories of career development and counseling.     

Encoding specificity in the alcoholic Korsakoff patient

A previous attempt to improve amnesic Korsakoff patients' retention of individual words resulted in only moderate improvement and, then, only under restricted conditions. It appeared that this occurred because the patients “forget” the instructed analysis of the word as well as the word itself. Consequently, the two experiments reported here sought to provide feature (Experiment 1) or associated (Experiment 2) cues at both input and output. In this manner relatively good performance was obtained, but only when semantic cues were “strongly” associated to the target words. Implications for an encoding specificity interpretation are drawn from these results.     

Vocational behavior and career development, 1977: A review

This review covers several books and selections from several journals published in 1977 on topics in vocational behavior and career development. Coverage includes theoretical contributions in vocational choice, development and correlates of choice, decision and indecision, assessment of career skills and interests, self-estimates, and sex bias. Material relating to the vocational behavior of adults contains sections on theory, satisfaction, performance, career development, and mid-career change. A final section is devoted to a review of studies of interventions.     

Career development and career choice in pioneer and traditional women

Two groups of college seniors were compared in an attempt to elucidate those factors affecting feminine career choice and career development. The sample consisted of 106 female Caucasian students enrolled at a large Southwestern university. Sixty-three of the subjects were majoring in traditional female fields, while the remaining 43 were majoring in male-dominated areas. Five instruments were administered to the subjects. Seven factors were found to distinguish significantly between the two groups of women. Of the seven, three factors pertained to feminine role perception. The remaining four were concerned with sex-role stereotyping and various aspects of family background.     

Alcoholic Korsakoff patients' retrieval from semantic memory

Alcoholic Korsakoff patients' rate of retrieval from semantic memory was investigated. It was found that their rate of retrieval from “lexical” semantic memory was nearly normal, but their rate of retrieval from “conceptual” semantic memory was impaired. In addition, an attempt to “prime” their lexical semantic memory by requesting the same category to be searched on adjacent trials met with failure. It was concluded that Korsakoff patients' lexical storage is probably organized normally, but their conceptual organization is not. Parallels with these patients' episodic memory impairments are discussed and possible interactions between episodic and semantic memory are proposed.     

Media exposure and language for toddlers from low-income homes

In the current study, we examined whether the quantity of toddlers’ exposure to media was related to language skills and whether meeting the American Association of Pediatrics (AAP) recommendations of limiting media exposure to one hour or less per day was related to language skills. We examined these associations in a sample of toddlers (N = 157) living in low-income homes. Toddlers were about two years of age (M = 28.44 months, SD = 1.48 months) during the first visit when parents reported on toddlers’ exposure to media in the home. Toddlers were about three years of age (M = 33.61 months, SD = 1.06 months) during the second visit when direct measures of toddlers’ expressive and receptive language and receptive vocabulary skills were completed. Controls were child gender, race, mothers’ education, marital status, work status, and center-based child care. Results indicated that more frequent exposure to media was related to lower expressive language, but not receptive language or receptive vocabulary. The predictor of AAP recommendation was not significantly related to any child language outcomes. These results suggest that media exposure may be related to the displacement of language-enhancing activities during a critical time for toddlers’ language development. However, the AAP media recommendation of one hour may not be related to language development.     

The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service

This article analyzes the contribution Christian ethics mightbe able to make to the ethical debate on policy and caregivingin health and social care in the United Kingdom. The articledeals particularly with the concepts of solidarity and subsidiaritywhich are essential in Christian social ethics and health careethics, and which may be relevant for the ethical debate onhealth and social caregiving in the United Kingdom. An importantargument in the article is that utilitarian and market-drivenpolicies in the National Health Service (NHS) and the socialcare system have marginalized the position of the elderly andhave seriously impoverished the quality of care for the elderly.The neglect of the elderly and other vulnerable groups is alsothe result of widespread consumerist attitudes among patientsand of libertarian models of noninterference which are affirmedby a public ethos of self-sufficiency and counter-dependency.Those who need care dare not make their need known to othersand ask for help, while simultaneously those who could helpare so intimidated by the public affirmation of privacy andnegative rights that they do not dare to offer help except ifthis is explicitly demanded. This distant and standoffish attitudeis in an important way responsible for the fact that the voiceof those in need is altogether lost to the public forum. Christianethics puts much emphasis on responsibility and solidarity withthe needy other but is not able to have much impact on the deliveryof care in a secularized society and health care system likethe NHS. Nonetheless, Christianity still has a powerful andrespected voice, by speaking up for those who cannot speak forthemselves, such as the elderly and the handicapped. Christianscan find allies in the ethics of care and other relational approachesin health care ethics in order to combat libertarianism, consumerism,and utilitarianism.