A dialogue among various cultures and its manifestation in stuttering therapy

This paper presents a historical retrospective of the evolution of the clinical aspects of stuttering, and refers to social, cultural, political, and economic variables that might have exerted an influence on this evolution, particularly in relation to the authors’ experience in Israel. The retrospective commences in the early decades of the 20th century, when speech and language pathology did not exist as a profession, and presents the major approaches to therapy in children and adults employed by clinicians throughout the century. We focused on the impact of the change that occurred in religious society vis-à-vis stuttering on the various aspects of stuttering therapy and research. The Israeli Stuttering Organization - AMBI - is discussed in order to explore the possible influence of social, cultural, and political variables. In addition, we devoted special attention to the changes that occurred in the therapist-client relationship since they are indicative of the change in the nature of the treatment. We elaborated on the need for dialogue as a major component in the therapy and as an important contributor to a successful outcome. The dialogue is also discussed in terms of Eastern philosophy. Future developments in the understanding of stuttering and its implications for therapy are presented and discussed.Educational objectives: The reader will be able to: (1) summarize the history of the clinical development of stuttering and explore the possible influence of social, cultural, political, and economic variables particularly in relation to Israel; (2) provide a new definition of stuttering; and (3) contrast the model of a dialogue as opposed to a monologue and explain its use in the therapist-client relationship.     

A fugue in four voices: sounding themes and variations on the reflecting team

In this account of an on-going reflecting team, a group of 4 therapists describe how they preserve multiple perspectives, yet join their voices to create coherent, meaningful reflections. This reflecting approach emphasizes developing a theme and creating variations on this theme, in a manner resembling a musical fugue. In addition, the practicalities of creating and sustaining a reflecting team in a private practice context are described.     

Sex differences in brain volume are related to specific skills, not to general intelligence

It has been proposed that males would show higher mean scores than females in general intelligence (g) because (1) men have, on average, larger brains than women, and (2) brain volume correlates with g. Here we report a failure to support the conclusion derived from these premises. High resolution MRIs were acquired in a sample of one hundred healthy young participants for estimating total, gray, and white matter volumes. Participants also completed an intelligence battery - comprising tests measuring abstract, verbal, and spatial abilities - that allowed the extraction of g scores. Results showed consistent relations between sex differences in brain volumes and non-g spatial and verbal skills but not for g.     

Speaking of privilege: family therapy educators' journeys toward awareness and compassionate action

This study explores how family therapy educators from privileged social locations understand issues of privilege and the process by which they integrate their personal and professional journeys to create and model equity in family therapy training and professional development. These educators developed awareness about issues of privilege and oppression and owned their privilege. Increased awareness involved personal struggles with guilt and managing internalized voices of prejudice that are constantly reinforced in society. These educators adopted a stance of action and accountability for equity. We hypothesize that the process leading to owning one's privilege involves the ability to be compassionate for others' suffering and one's own limitations.     

Processing speed in normal aging: Effects of white matter hyperintensities and hippocampal volume loss

Changes in cognitive functioning are said to be part of normal aging. Quantitative MRI has made it possible to measure structural brain changes during aging which may underlie these decrements which include slowed information processing and memory loss. Much has been written on white matter hyperintensities (WMH), which are associated with cognitive deficits on tasks requiring processing speed and executive functioning, and hippocampal volume loss, which is associated with memory decline. Here we examine volumetric MRI measures of WMH and hippocampal volume loss together in relation to neuropsychological tests considered to be measures of executive functioning and processing speed in 81 non-demented elderly individuals, aged 75–90. Correlational analysis showed that when controlling for age, both greater WMH volume and smaller hippocampal volume were correlated with slower performances on most tests with the exception of a battery of continuous performance tests in which only WMH was correlated with slower reaction time (RT). We then performed a series of hierarchical multiple regression analyses to examine the independent contributions of greater WMH volume and reduced hippocampal volume to executive functioning and processing speed. The results showed that for the four measures requiring executive functioning and speed of processing, WMH volume and hippocampal volume combined predicted between 21.4% and 37% of the explained variance. These results suggest that WM integrity and hippocampal volume influence cognitive decline independently on tasks involving processing speed and executive function independent of age.     

The Role of Attitudes Toward White Privilege and Religious Beliefs in Predicting Social Justice Interest and Commitment

The current study examines links among attitudes toward White privilege, religious beliefs, and social justice interest and commitment for White Christian students. Two distinct patterns of results emerged from a path analysis of 500 White Christian students. First, a willingness to confront White privilege was positively associated with the sanctification of social justice (i.e., attributing spiritual significance to working for social justice) and both were positively associated with social justice interest and commitment. Second, awareness of White privilege was negatively associated with religious conservatism, and religious conservatism was negatively associated with social justice interest. These patterns show that White privilege attitudes directly (i.e., willingness to confront White privilege) and indirectly (i.e., awareness of White privilege through religious conservatism) predicted social justice interest and commitment. Moreover, religious beliefs demonstrated opposite patterns of association with social justice interest and commitment such that the sanctification of social justice positively predicted social justice interest and commitment whereas religious conservatism negatively predicted social justice interest. Overall, findings demonstrate direct and indirect links between White privilege attitudes, religious beliefs, and social justice interest and commitment. Limitations and implications for future community psychology research and collaboration also are discussed.     

Reading Ability and the Use of Context in Orthographic Information Processing

Reading ability and context use in orthographic processing during silent reading were investigated. Poor readers and reading-level matched controls were presented target words containing a letter substitution in two contrasting context conditions. The hypothesis was that presenting a word in a highly predictable context would induce readers to proceed through the text without completely processing orthographic units at lower processing levels in the hierarchy (e.g., constituent letters). This general context effect was found. Normal and poor readers did not differ in context dependency. Poor readers more often missed substitutions, regardless of context. Poor readers also processed orthographic information less accurately. Target letters located in final word position were missed most often. Substitutions located in high bigram-frequency letter clusters were more often missed, and this effect was independent of intraword location. The implications of these results for understanding poor readers' basic reading problems are discussed.     

History at the Table: Conflict in Planning in a Community in the Rural American South

This article is a case study of problems that emerged during the planning of an anti-poverty program in a community in the rural American South in the early 1990s. Issues of racism, sexism, and classism in the planning process are discussed as they are informed by the national welfare reform rhetoric of the time, a local context of historical and current White racism, and the historical and current identity positions of the local Black planners. The author argues that understanding local history is a vital component in planning and implementing social programs. The article offers an analysis of the deployment of power in the planning of social change projects that can be used to develop inclusive planning processes that are responsive to the needs of economically and socially oppressed populations.     

Using uh and um in spontaneous speaking

The proposal examined here is that speakers use uh and um to announce that they are initiating what they expect to be a minor (uh), or major (um), delay in speaking. Speakers can use these announcements in turn to implicate, for example, that they are searching for a word, are deciding what to say next, want to keep the floor, or want to cede the floor. Evidence for the proposal comes from several large corpora of spontaneous speech. The evidence shows that speakers monitor their speech plans for upcoming delays worthy of comment. When they discover such a delay, they formulate where and how to suspend speaking, which item to produce (uh or um), whether to attach it as a clitic onto the previous word (as in "and-uh"), and whether to prolong it. The argument is that uh and um are conventional English words, and speakers plan for, formulate, and produce them just as they would any word.     

Healing elements of therapeutic conversation: dialogue as an embodiment of love

From our Bakhtinian perspective, understanding requires an active process of talking and listening. Dialogue is a precondition for positive change in any form of therapy. Using the perspectives of dialogism and neurobiological development, we analyze the basic elements of dialogue, seeking to understand why dialogue becomes a healing experience in a network meeting. From the perspective of therapist as dialogical partner, we examine actions that support dialogue in conversation, shared emotional experience, creation of community, and creation of new shared language. We describe how feelings of love, manifesting powerful mutual emotional attunement in the conversation, signal moments of therapeutic change.