The communication disorder in dialysis dementia: A case report

The communication disorder in dialysis dementia is an integral feature of the syndrome. This report describes the communication disorder in a 67-year-old man over a period of 4 months from his admission to the hospital to his death. In the early stage of the syndrome, the most prominent feature was a speech problem, the characteristics of which may vary among cases. In the middle stage, it was difficult to distinguish among aphemia, aphasia, or a combination of dysarthria and confusional state. The severity of the problems in these stages was temporally related to the dialysis treatments. The final stage was characterized by constant mutism and was unrelated to the dialysis treatments. Death occurred 10 months after the communication problems emerged. Communication studies of dialysis dementia patients may offer a systematic method to monitor the course of the syndrome, its response to therapeutic trials, and a clinical model for the study of communication disorders in general.     

The effects of Familial Sinistrality and preferred hand on dichaptic and dichotic tasks

Processing asymmetries for tactile-spatial and auditory-verbal processing were investigated in two studies using the S. F. Witelson (1974, Cortex, 10, 3–17) dichaptic procedure. Experiment 1 used eight right-handed males in a free recall procedure. More shapes were correctly detected by the left hand but only with a right hand response. In Experiment 2, right and left handers with no Familial Sinistrality (FS) were compared with left handers with various types of FS, looking at pre- and postcued order of report and precuing the response hand. No group showed hand asymmetry with pre- or postcuing for either responding hand. Right handers showed no difference with order of report; however, left handers made fewer correct detections for items to be reported second. There were differences between the Parental FS and the Sibling FS groups both on the dichotic listening and the haptic tasks.     

The use of averaged electroencephalic response techniques in the study of auditory processing related to speech and language

This paper reviews a number of studies done by the authors and others, who have utilized various averaged electroencephalic response (AER) techniques to study speech and language processing. Pertinent studies are described in detail. A relatively new AER technique, auditory brainstem responses (ABR), is described and its usefulness in studying auditory processing activity related to speech and language is outlined. In addition, a series of ABR studies, that have demonstrated significant male—female differences in ABR auditory processing abilities, is presented and the relevance of these data to already established differences in male—female language, hearing, and cognitive abilities is discussed.     

Right-hemisphere speech representation and comprehension of syntax after left cerebral injury

Comprehension of language and visuo-spatial abilities were studied in 12 surgical patients with left cerebral lesions and right-hemisphere speech representation verified by sodium amobarbital tests. When left-hemisphere symptoms preceded the acquisition of speech, impaired understanding of syntactically complex sentences was associated with an early, but not late, onset of convulsive seizures. Other behavioral measures did not show a similar effect of age at seizure onset. Sparing or loss of comprehension could not be related to any aspects of the neurological histories in cases with right-hemisphere speech acquired before the onset of left-hemisphere symptoms. Factors which may have influenced the development of right-hemisphere language comprehension are discussed.     

Sex-role self-concept and attitudes related to occupational daydreams and future fantasies of college women

This study explored the relationship of sex-role self-concept and general attitudes toward women's roles to patterns of career preferences and to career salience among 50 undergraduate women. Sex-role self-concept was measured by the Bem Sex-Role Inventory, and attitudes by the Attitudes Toward Women Scale. Patterns in career preferences were determined by studying the degree of gender dominance in past occupational daydreams as well as in present college major and intended future occupation. Career salience was measured using a content analysis of written future fantasies. Sex-role self-concept was related to past occupational preferences, with masculine-typed women showing a pattern of nontraditional daydreams compared to those of feminine-typed women. Attitude variables were related to present career choices, with liberal women in more male-dominant fields than conservative women. Both self-concept and attitude variables were related to career salience, measured by the proportion of fantasies about the future devoted to work themes. Masculine women showed evidence of more career salience than androgynous or undifferentiated women, and liberal women more than conservative women.     

Volunteerism as an aspect of women's work lives

Results of a mail survey of 292 female volunteers, aged 23–44, indicate that the role of volunteer work may be that of consciously chosen primary work, a supplement to primary work, or a vehicle for entry or return to employment. The three roles are associated with differences in relationship to the labor market, satisfactions sought, nature and amount of volunteer work done, satisfaction, involvement, commitment, and plans for continued membership. The survey instrument incorporated the Organizational Commitment Questionnaire, which was evaluated for its applicability to a volunteer population.     

Individual and organizational correlates of promotion refusal

Individual and organizational correlates of employees who refuse seniority-based promotions in union lines of progression are examined. The sample consisted of 313 production employees of a large manufacturing complex. Correlational and discriminant analyses revealed that age, being female, and number of employees in the department related positively to promotion refusal, while years of education and pay showed a negative relationship. Of these variables, years of education was the strongest predictor. Potential explanations for the results relate to stress avoidance, perceived inabilities, and equity theory. Areas for future research are suggested.     

The treatment of tension headache—I. Muscular abnormality and biofeedback

The specificity and efficacy of a short EMG biofeedback treatment were assessed in a selected group of chronic tension-headache cases—those having significantly elevated levels of muscle tension. The effects of training patients to raise/maintain EMG levels were compared to those obtained from patients who were trained to lower tension levels. The results showed little evidence of increased self-control of the muscle despite successful EMG control during six bio-feedback sessions. A progressive and significant reduction in resting level was found only in the groups trained to reduce EMG levels. The treatment proved ineffectual in reducing headache. The implications of the dissociation of muscle tension and headache are discussed both with respect to current views of tension headaches and the role of biofeedback in their treatment.