Retention of Implicit Sequence Learning in Persons Who Stutter and Persons With Parkinson's Disease

ABSTRACT. The authors investigated the retention of implicit sequence learning in 14 persons with Parkinson's disease (PPD), 14 persons who stutter (PWS), and 14 control participants. Participants completed a nonsense syllable serial reaction time task in a 120-min session. Participants named aloud 4 syllables in response to 4 visual stimuli. The syllables formed a repeating 8-item sequence not made known to participants. After 1 week, participants completed a 60-min retention session that included an explicit learning questionnaire and a sequence generation task. PPD showed retention of general learning equivalent to controls but PWS's reaction times were significantly slower on early trials of the retention test relative to other groups. Controls showed implicit learning during the initial session that was retained on the retention test. In contrast, PPD and PWS did not demonstrate significant implicit learning until the retention test suggesting intact, but delayed, learning and retention of implicit sequencing skills. All groups demonstrated similar limited explicit sequence knowledge. Performance differences between PWS and PPD relative to controls during the initial session and on early retention trials indicated possible dysfunction of the cortico-striato-thalamo-cortical loop. The etiological implications for stuttering, and clinical implications for both populations, of this dysfunction are discussed.     

The Efficiency of Skilled Performance

The observed ease or effort of performance has traditionally been considered an integral part of any definition of skill (e.g., Guthrie, 1935). Empirical investigations of skill learning and performance have, however, largely ignored the effort or efficiency with which the movement is performed. This situation has arisen despite the fact that in many skills, particularly athletic endurance events or industrial work tasks, efficiency of performance may be essential to the goal of the task. This paper focuses on the energy demand of various skills and its relationship to issues of learning, performance, and individual differences in preferred rhythm. It is shown that across a variety of tasks the individual’s freely chosen work-rate is the most efficient. The significance of preferred rhythm to theoretical perspectives on rhythmic activity is discussed.     

MOURNING,DREAMING, AND THE DISCOVERY OF THE OEDIPUS COMPLEX

The author argues that the structure of mourning and the structure of the Oedipus complex are triadic, the latter being obvious and easy to conceptualize, while the former is quite subtle. When it is the father who is mourned, the son must repeatedly invoke the dead object so that libidinal cathexis can be reinvested in living objects. Such was the situation in which Freud found himself in 1896 when his father died—the triadic nature of the Oedipus complex ironically not yet discovered by him. In the author's belief, Freud's mourning and his attendant rich dream life occurring between 1896 and 1897 gave him access to the unconscious raw material that would eventually help him conceptualize the triadic structure at the instinctual core of the Oedipus complex.     

PATIENT‐ANALYST “WITHNESS”: ON ANALYTIC “PRESENCING,” PASSION,AND COMPASSION IN STATES OF BREAKDOWN,DESPAIR, AND DEADNESS

This paper focuses on the analyst's “presencing” (being there) within the patient's experiential world and within the grip of the psychoanalytic process, and the ensuing deep patient–analyst interconnectedness, as a fundamental dimension of analytic work. It engenders new possibilities for extending the reach of psychoanalytic treatment to more disturbed patients. Here patient and analyst forge an emergent new entity of interconnectedness or “withness” that goes beyond the confines of their separate subjectivities and the simple summation of the two. Using a detailed clinical illustration of a difficult analysis with a severely fetishistic‐masochistic patient, the author describes the kind of knowledge, experience, and powerful effects that come into being when the analyst interconnects psychically with the patient in living through the process, and that relate specifically to the analyst's compassion.     

Méta-analyse et efficacité des psychothérapies : faits et fictions

In a political environment increasingly concerned with the problem of escalating health care costs, the issue of psychotherapy efficacy evaluation is still debated. Historically, this debate started after Eysenck (1952) published a famous article suggesting that average improvement from pre- to post-therapy has nothing to do with psychotherapy participation, but something that would tend to happen anyway (“spontaneous remission”). Wanting to prove that psychotherapy was effective (Glass, 2000), Smith and Glass (1977) published the first meta-analysis of the psychotherapy efficacy, combining the results of several controlled clinical trials, and found that psychotherapy was remarkably efficacious. Following a brief historical introduction, the objectives of this paper is to define the principles of meta-analysis, to discuss of epistemological contextualization of this methodological approach, and finally to examine the interest and limits of the application of this method in the field of evaluation of psychotherapy.     

Personality features and cognitive level in patients at an early stage of Alzheimer’s disease

In this cross-sectional study, we explored the relationship between premorbid personality and its changes over 5 years, and cognitive deterioration in patients with mild Alzheimer’s disease. The cognitive level of 54 patients was compared with that of 64 control subjects using the Mini Mental State (MMSE). Family members completed the NEO-PI-R (form R) twice, once to evaluate the participants’ current personality and again to assess personality traits as they were remembered to be 5 years earlier. Furthermore, the family filled in the Informant Questionnaire on Cognitive Decline (IQCODE), the Activities of Daily Living (ADL), and the Instrumental Activities of Daily Living (IADL) scales to assess their proxies’ cognitive level and daily living functioning. Regarding the relationship between personality characteristics and cognitive status, we observed trends for premorbid personality and significant links for personality changes in the clinical group. Thus, changes in neuroticism and conscientiousness were associated with cognitive deterioration, whereas decreased openness to experience and conscientiousness over time predicted loss of independence in daily functioning in the clinical group. Our study suggests that premorbid features can be considered as latent traits linked to the neuropathology underlying the disease process, while personality changes are probably the consequences of the pathological process.     

Examining the Role of Similarity Coefficients and the Value of Behavioural Themes in Attempts to Link Serial Arson Offences

When relying on crime scene behaviours to link serial crimes, linking accuracy may be influenced by the measure used to assess across‐crime similarity and the types of behaviours included in the analysis. To examine these issues, the present study compared the level of linking accuracy achieved by using the simple matching index (S) to that of the commonly used Jaccard's coefficient (J) across themes of arson behaviour. The data consisted of 42 crime scene behaviours, separated into three behavioural themes, which were exhibited by 37 offenders across 114 solved arsons. The results of logistic regression and receiver operating characteristic analysis indicate that, with the exception of one theme where S was more effective than J at discriminating between linked and unlinked crimes, no significant differences emerged between the two similarity measures. In addition, our results suggest that thematically unrelated behaviours can be used to link crimes with the same degree of accuracy as thematically related behaviours, potentially calling into the question the importance of theme‐based approaches to behavioural linkage analysis. Copyright © 2012 John Wiley & Sons, Ltd.     

Non-Speech Based Pastoral Care: A Pastoral Care Program for Aged Care Residents with Little or No Ability to Speak

SUMMARY

Pastoral care depends on the ability to communicate, most commonly through the medium of speech. The aged person who has suffered illness or accident that has adversely affected their speech, is in great need of pastoral care. Yet chaplains and pastoral carers can feel helpless in the face of such a significant deficit and may not know what to do. At Tregenza Avenue Aged Care Service, the Chaplaincy service has developed helpful individual programs for non-speech based pastoral care. Using visual and tactile symbols, pictures, touch, and music, we have been able to minister to people with a variety of speech problems, with promising results.     

Chapter 6: Biblical Foundations for a Practical Theology of Aging

SUMMARY

This article reviews Biblical sources pertaining to the elderly, particularly the frail elderly. Founded on these sources, implications for elderly with Alzheimer's Disease and other forms of dementia are addressed through a personal perspective informed by writings of Christian mystics.     

Filial Piety: Buddhists' Way in East Asia

ABSTRACT

This article introduces the Buddhist way of practicing filial piety–repaying mothers' kindness–along with a Buddhist sutra, the Sutra about the Deep Kindness of Parents and the Difficulty of Repaying it. This sutra has been widely recited, upheld, and is endeared by East Asian people for centuries. The sutra became a vehicle that helped Buddhism assimilate with the indigenous cultural tradition of China. It contains discourses about the ten types of the kindness of a mother bestows on her child, difficulties of repaying kindness, the grave consequences of being unfilial toward parents, and how to repay kindness. The historical background of Buddhists' assimilation with the Chinese cultural system, emphasis given to the mother's kindness, and certain differences and similarities between Confucians and Buddhists in the practice of filial piety are discussed.