Dysarthric symptomatology of Friedreich's ataxia

Subjective judgments of 16 speech dimensions were used to rate the speech of 22 Friedreich's ataxics. The study attempted to determine what groupings of speech dimensions describe the ataxic speech and if the subjects could be grouped by their speech symptoms. The results indicated that two speech factors were present, a general dysarthric factor and a phonatory stenosis factor. Subject groupings revealed three groups, the first characterized by a general dysarthria without vocal stenosis, the second characterized by phonatory stenosis and mild general dysarthric symptoms, and the third characterized by mild symptoms on both speech factors. Evidence was presented to show that more than one pattern of dysarthria could occur in one family.     

A case of cortical deafness: Clinical and electrophysiological data

A patient suffering from a primary myocardiopathy is suddenly no longer able to recognize speech and environmental sounds, in spite of good peripheral hearing; he remains able to speak, read, and write. The C.T. scan shows lesions involving both supratemporal planes. The cortical sensory deficit documented by the absence of late acoustic evoked potentials leads to a diagnosis of cortical deafness rather than of auditory agnosia.     

Development of visuomanual tracking in 5- to 9-year-old boys

Visuomanual sinusoidal tracking is investigated in 5- to 9-year-old children. The proportion of successful performances steadily increases with age, but adult proficiency is never attained even by those who can perform the task. Moreover, the progress in proficiency—as measured by systems analysis techniques—is not monotonic and suggests the presence of distinct stages in the development of visuomotor coordination. Qualitative analysis of unsuccessful performance demonstrates that failures cannot be ascribed only to insufficient motor coordination and emphasizes the role of cognitive and representational factors even in such a simple task.     

IS REFLECTIVE SUPERVISION ENOUGH? AN EXPLORATION OF WORKFORCE PERSPECTIVES

Infant mental health practice requires the performance of intense emotional labor. Professionals comprising the infant mental health (IMH) field are largely women at seminal points in adult life‐span development. The purpose of this article is to explore the day‐to‐day challenges faced by clinical infant mental health professionals and their perspectives on the supports available for effective job performance. We review reflective supervision as a long‐cherished professional support in the IMH field designed to hold the practitioner's fears, worries, and ambivalence, so that she may return to the work fortified to remain in therapeutic alliance with families despite unsolvable problems and an unknowable future (Weatherston, D., 2009). Yet, we propose that reflective supervision alone may not be an adequate protective measure for a workforce performing intensive emotional labor for extended periods and therefore at potentially increased risk for burnout and high turnover (Hochschild, A.R. 1983 ; C. Maslach, 1982 , C.M. Brotheridge & A.A. Grandey, 2009; A.S. Wharton, 2009 ). We suggest that structural factors concerning organizational culture, flexibility in scheduling, and professional growth and versatility bear deeper examination for their merits in supporting the IMH workforce. Finally, we contend that the overrepresentation of women in practitioner positions in IMH leaves an empirical gap where little is known about the experience of male IMH practitioners and the ramifications of their performance of emotional labor.     

MEDIATING ROLE OF MATERNAL SENSITIVITY: ENHANCING LANGUAGE DEVELOPMENT IN AT‐RISK FAMILIES

Home‐visiting programs have gained increasing importance in family‐centered prevention and intervention. However, few studies have examined the mechanisms underlying early intervention treatment effects. The goal of this study is to analyze the mediating role of maternal sensitivity in enhancing language development with the home‐visiting program Parents as Teachers (PAT). Data were collected and analyzed within the ongoing, long‐term ZEPPELIN study, a randomized controlled trial with 251 participating at‐risk families. Via longitudinal mediation analysis, we examined whether effects of the PAT on receptive and expressive language outcomes at 24 and 36 months were mediated by maternal sensitivity at 12 months. Within a moderated mediation framework, we investigated whether the level of family psychosocial stress affects this mediation. Results showed that intervention effects on language outcomes are mediated by maternal sensitivity—weakly and through specific pathways. Moderation and moderated mediation analyses indicated that effects of the PAT and also specific mediation effects increase with the level of psychosocial stress. Implications of the results for practice are discussed.     

Image du corps chez l’enfant sourd. Perception et vécu à travers le dessin et le TSEA

The body is as a living entity with three interrelated aspects: the physical motor skills, development processes, social and emotional interaction. The young child, regardless of his mental or physical condition, appropriates this entity when he is in contact with the surrounding world. Thus, the self-image will depend, in large part, on the person he is, the situation in which he lives (society, family), the nature and frequency of surrounding stimuli. A child carrying a handicap is likely to have a poor representation of his own self-image (disproportionate or deformed body) and an altered self-image, as far as he lives in a rejecting environment. In this paper, we have focused our research on how deaf children sees their self-image, based on our nineteen years of experience as a psychologist with hearing impaired children, in special schools. The various observations and assessments in this research, in addition to groups support offered to parents during all these years, give us today enough elements to show what kind of self-image the deaf child has of himself. Our assessment material was essentially thematic projective test of socialization –TSEA– and the drawing of the person.     

Les apprenti-e-s face aux contraintes en formation professionnelle en alternance : entre souffrance et plaisir

This paper focuses on the Swiss dual system of vocational education and training (VET), on the basis of the results of a study on VET dropouts. The adopted theoretical framework and method of analysis is the psychodynamic of work, which makes it possible to stress the specific constraints of a system that is closely related to the world of work. The various forms of suffering evoked by apprentices, as well as the strategies implemented to cope with it, are highlighted. The analyses also stress the pleasure young people can experience in VET. Between pleasure and suffering, these elements make it possible to consider both the assets and the shortcomings of this education system.     

Newborn behavioral observations system in rural Pakistan: A feasibility and acceptability study

The Newborn Behavioral Observations (NBO) system is a relationship-based tool that helps parents recognize their infant's competencies and learn their behavioral cues, with the goals of enhancing parental responsiveness and satisfaction in the infant-parent relationship. In our study, a pediatrician integrated the NBO into 44 pediatric health care visits of infants in rural Pakistan villages, under the remote guidance of two U.S.-based child psychiatrists. A clinician then gave the mothers a survey about their experience of the NBO and found that the mothers were highly satisfied, reporting greater appreciation of their infant's strengths, greater understanding of their infant's behavioral cues, stronger attachment to their infant, and greater self-confidence as a mother. In their consideration of these results, the authors explore cultural reasons for the mothers’ responses and generate hypotheses to inform an outcome study of a similar intervention. This was a feasibility and acceptability study and was not randomized, had no control group, and did not use objective measures of outcome.