Central deafness and subcortical motor aphasia

Clinical and autopsy studies were made on a right-handed man who had central deafness and subcortical motor aphasia, and the literature on central deafness and on subcortical motor aphasia was analyzed. Central deafness is due to bilateral destruction of the primary auditory cortex. It is sometimes difficult to distinguish from word deafness and from auditory agnosia, which are due to pathology in other parts of the temporal lobes. There is almost always some preserved hearing in central deafness, possibly from some auditory pathway other than the classical pathway. In this patient the subcortical motor aphasia was due to bilateral destruction of the motor cortex for the mouth and throat. In some other cases subcortical motor aphasia was due to the same pathology that usually causes Broca's aphasia; in these cases the unexpected preservation of writing was perhaps related to some difference in how language functions were organized in the brain.     

Central auditory processing : III. The “cocktail party” effect and anterior temporal lobectomy

The capacity to selectively attend to only one of multiple, spatially separated, simultaneous sound sources—the “cocktail party” effect—was evaluated in normal subjects and in those with anterior temporal lobectomy using common environmental sounds. A significant deficit in this capacity was observed for those stimuli located on the side of space contralateral to the lobectomy, a finding consistent with the hypothesis that within each anterior temporal lobe is a mechanism that is normally capable of enhancing the perceptual salience of one acoustic stimulus on the opposite side of space, when other sound sources are present on that side. Damage to this mechanism also appears to be associated with a deficit of spatial localization for sounds contralateral to the lesion.     

Essential independence and likelihood-based ability estimation for polytomous items

A definition ofessential independence is proposed for sequences of polytomous items. For items satisfying the reasonable assumption that the expected amount of credit awarded increases with examinee ability, we develop a theory ofessential unidimensionality which closely parallels that of Stout. Essentially unidimensional item sequences can be shown to have a unique (up to change-of-scale) dominant underlying trait, which can be consistently estimated by a monotone transformation of the sum of the item scores. In more general polytomous-response latent trait models (with or without ordered responses), anM-estimator based upon maximum likelihood may be shown to be consistent for under essentially unidimensional violations of local independence and a variety of monotonicity/identifiability conditions. A rigorous proof of this fact is given, and the standard error of the estimator is explored. These results suggest that ability estimation methods that rely on the summation form of the log likelihood under local independence should generally be robust under essential independence, but standard errors may vary greatly from what is usually expected, depending on the degree of departure from local independence. An index of departure from local independence is also proposed.This work was supported in part by Office of Naval Research Grant N00014-87-K-0277 and National Science Foundation Grant NSF-DMS-88-02556. The author is grateful to William F. Stout for many helpful comments, and to an anonymous reviewer for raising the questions addressed in section 2. A preliminary version of section 6 appeared in the author's Ph.D. thesis.     

Decomposing the encoding of action events: A dual conception

Two experiments are reported in which we tested the hypothesis that encoding of verbal features of subject-performed tasks or SPTs (e.g., bounce the ball, lift the spoon) is attention-demanding and effortful, whereas physical features of this memory task (e.g., color, weight) are acquired with little effort, and without deliberate encoding strategies. In Experiment 1, subjects were asked to perform a series of SPTs and were examined on recall of verbal instructions and colors of objects involved under conditions of focused or divided attention. In Experiment 2, performance of a series of SPTs was followed by recall of verbal instructions and recall of weights of objects involved. Results of both experiments indicated that recall of the verbal task component was negatively affected by requirements of dual-task performance, whereas recall of both physical task features was equally good in both encoding conditions. The obtained pattern of outcome is interpreted as supportive of the dual conception hypothesis of the nature of the encoding of action events.     

Personality diagnostic questionnaire-revised (PDQ-R) personality disorder scores and negative life events independently predict changes in hopkins symptom checklist (SCL-90) Psychopathology Scores

The present study employed a prospective design to investigate whether Personality Diagnostic Questionnaire—Revised (PDQ-R) scores and/or Hassles Scale—Revised (HS-R) scores predict changes in Axis I psychopathology levels over 1 month, in a nonclinical sample of young adults. The PDQ-R, HS-R, and Hopkins Symptom Checklist (SCL-90) were administered to a mixed-sex sample of 100 undergraduate students on two occasions separated by 1 month. Hierarchical multiple regression analyses indicated that (1) time 1 PDQ-R composite scores predicted changes in scores on 11 SLC-90 scales; (2) time 1 PDQ-R impairment/distress index scores predicted changes in SCL-90 general symptom index scores; (3) only one of the individual PDQ-R personality disorder subscales—the schizotypal personality disorder subscale—predicted changes in SCL-90 general symptom index scores; (4) HS-R scores predicted changes in scores on 9 SCL-90 scales; and (5) in only 3 of the 27 analyses conducted did the statistical interaction between PDQ-R and HS-R scores predict changes in SCL-90 scores. These findings indicate that personality disorder symptomatology and negative life events may independently predict changes in Axis I psychopathology levels and, thus, support the continued inclusion of Axis II and Axis IV in future versions of the Diagnostic and Statistical Manual of Mental Disorders.     

Analysis of the elements of attention: A neuropsychological approach

A model for conceptualizing the components or elements of attention is presented. The model substitutes for the diffuse and global concept of attention a group of four processes and links them to a putative system of cerebral structures. Data in support of the model are presented; they are derived from neuropsychological test scores obtained from two samples, the first consisting of 203 adult neuropsychiatric patients and normal control subjects, and the second, an epidemiologically-based sample of 435 elementary school children. Principal components analyses of test scores from these two populations yielded similar results: a set of independent elements of attention that are assayed by different tests. This work presents a heuristic for clinical research in which the measurement of attention is essential.     

The life and times of PSI

This paper describes the essential features of the personalized system of instruction (PSI). Results from outcome research examining the effectiveness of PSI-based courses relative to traditional methods provide unequivocal support for the superiority of PSI. Parametric studies, or component analyses, show that the mastery requirement, immediate performance feedback, and review units are the key features underlying high quality student performances in PSI courses. The use of student proctors as peer-tutors, optional lectures, and selfpacing do not, in and of themselves, appear to be vital to student success in PSI courses. Despite its superiority, PSI has not supplanted traditional methods as the dominant pedagogical system in higher education. Difficulties inherent in overcoming the inertia of the lecture within our established instructional system, the implications of PSI for that system, and the Zeitgeist that permeates educational reform are the major obstacles to widespread adoption of PSI.     

Performance of humans in concurrent avoidance/positive-reinforcement schedules

Performance maintained under concurrent schedules consisting of a variable-interval avoidance component and a variable-interval positive-reinforcement component was studied in three human subjects using points exchangeable for money as the reinforcer. The rate of responding in the avoidance component increased, and the rate of responding in the positive-reinforcement component declined, as a function of the frequency of point-losses avoided in the avoidance component. The performance of all three subjects conformed to equations proposed by Herrnstein to describe behavior in concurrent schedules. The logarithms of the ratios of the response rates in the two components, and the logarithms of the ratios of the times spent in the two components, were linearly related to the logarithms of the ratios of the frequency of loss avoidance in the avoidance component to the frequency of reinforcement in the positive-reinforcement component. When a changeover delay of 5.0 sec was imposed, the slopes of the linear functions were close to 1.0 in the case of two subjects, whereas the third subject exhibited significant undermatching. For two subjects the changeover delay was then reduced to 2.0 sec; in both cases the slopes of the linear functions were lower than under the 5.0-sec condition. One subject participated in a third phase, in which no changeover delay was imposed; there was a further reduction in the slopes of the linear functions.     

Verbal self-correction behaviors of fluent and nonfluent aphasic subjects

This investigation examined the use of six explicitly defined verbal self-correction behaviors by fluent and nonfluent aphasic subjects of high and low verbal ability, and by subjects further classified into six groups according to type of aphasia (Broca's, Anomic, Wernicke's etc.). Aphasic groups, on the average, generated some type of verbal self-correction effort on more than half of their initially erroneous responses, and the proportions of these efforts did not differ between aphasic patient groups. Significant differences in self-correction success were found, however, between groups classified according to fluency and severity, as well as among the six groups based on type of aphasia. In the former case, distinctions in self-correction skill favored high-verbal-ability groups regardless of fluency classification. In the latter instance, the subgroups typically formed by less severely impaired patients (Anomic and Broca's) had significantly higher proportions of successful self-correction behaviors than those comprised of individuals with more severe involvement (Wernicke's and Broca's plus severely limiting apraxia of speech). Between-group differences for specific types of self-correction behaviors occurred rarely, but those which were found could be related to characteristics of the particular aphasic groups under consideration. Verbal self-correction behavior is discussed as a behavioral reaction to an erroneous response or dissatisfaction with the quality of an intended response. These behaviors are viewed as indicators of the intactness of an aphasic individual's self-monitoring system, and of his tolerance for responses that are qualitatively limited by his verbal deficits.