Treatment of psychological distress following mastectomy: an initial report

A behavioural programme to treat psychological distress following mastectomy for breast cancer is described. The first 10 patients to be treated were randomly allocated to two treatment groups: Behavioural Programme Only or Behavioural Programme + Drugs (antidepressant medication). Both groups showed improvement over treatment, but the Behavioural Programme + Drugs group appeared to maintain their improvement better.     

Measuring the activity of severely and profoundly mentally-handicapped adults in ordinary housing

Earlier work on the quality of care in settings for severely and profoundly mentally-handicapped adults raised the question whether any useful purpose is served by promoting the extensive use of simple recreational materials to occupy people. Data were collected by direct observation on the activity of 6 adults living in a staffed house organized to promote engagement in household activities. Observations were taken over 5 weekdays from 07.00 to 10.00 and 15.00 to 23.00hr. The results showed that Ss spent between 22 and 67% of available time in purposeful activity. Between 27 and 65% of purposeful activity was engagement in domestic or housework tasks. Even the most handicapped people spent more time engaged in housework than in leisure and recreational tasks. The implications of these data are commented on and measurement issues which arise in ordinary housing as opposed to institutional settings are discussed.     

Effects of simulated stuttering on listener recall

In an investigation of the effects of simulated stuttering on listener recall, a presentation was varied on two factors: degree of stuttering (mild or severe) and information value of stuttered words (low or high). A control presentation featuring non-stuttered speech also was prepared. Five groups of 16 subjects were randomly assigned to, and participated in, one of the five listening conditions. Then they completed a 20-item recall test. A one-way analysis of variance revealed sognificant differences among the five conditions. Two-way analysis of variance disclosed no main effects. However, a significant interaction showed that recall was lowest in the severe stuttering-high information condition. The results are discussed in terms of attention to critical information.     

Attitude and personality characteristics of older stutterers

Attitude and personality characteristics of 29 stutterers (19 male, 10 female) aged 52–82 yr were assessed using five questionnaires. Results indicate that, while the older stutterers score approximately the same as young adult stutterers on scales assessing approach and performance behaviors, the large majority of older stutterers perceive their stuttering as less handicapping than when they were young adults. Self-perceived personality characteristics of the older stutterers were similar to a group of older nonstutterers. While a few of the subjects had experienced some degree of success as a result of treatment later in life, the majority of the subjects did not currently desire treatment.     

Henry Freund: 1896–1982

Dr. Henry Freund was one of the foremost authorities on stuttering in Europe, and his contributions on the psychology of the disorder continued after emigrating to this country. He was a neurologist and psychiatrist, as well as a speech pathologist. He died in 1982, and in this posthumous paper he describes his career and personal experiences, while undergoing therapy from the most famous European speech pathologists of his time. He also offers some cogent comments about current therapies and future needs.     

Message therapy: Language approach to stuttering therapy with children

Message therapy is a clinical procedure designed to be used as a carry-over technique with school-age stutterers or as a sole technique with the preschooler. The focus of therapy is on a unit of communication rather than on the moment or place of stuttering. One of the basic assumptions of the procedure is that the child is beginning to monitor how he/she is speaking rather than what is being communicated (i.e., the “message”)—each task requiring a different cognitive process. The emphasis of the therapy is to redirect the child's attention to “what he/she is saying.” The clinical procedures are discussed as they relate to the specific population.     

The recurrence ratio

The rationale for and method of computing a measure of stuttering recurrence that is superior to methods previously developed is presented. This measure, the recurrence ratio, contrasts especially with the traditional measure of “consistency,” the percentage measure, which yields misleading values.     

On the relationship of hardiness to the Type A behavior pattern: Perception of life events versus coping with life events

A correlational study examined the relationship between perceptions of life events and psychological distress with regard to the moderating effects of personality. Subjects assessed for both hardiness (S. C. Kobasa, 1979, Journal of Personality and Social Psychology, 37, 1–11) and Type A behavior (M. Friedman & R. Rosenman, 1974, Type A Behavior and Your Heart, New York: Knopf) completed the Langner psychiatric symptom inventory, reported life events for the previous year, and rated each event for its desirability, controllability, and foreseeability. Results indicated that an accumulation of events perceived as undesirable was associated with distress for subjects low in hardiness. In contrast, events perceived as moderately controllable or uncontrollable, regardless of their desirability, were associated with increased distress for Type A's. The likelihood of experiencing any given event was not related to any personality type. However, hardy individuals differed from their low hardy counterparts in that, on average, they were more likely to perceive an event as desirable and controllable. No such perceptual biases were observed between Type A and B subjects. The discussion focuses on the combination of personality variables and the moderating effects of perceiving events versus coping with events in the stress-health relationship.     

Performance differences following exposure to predictable and unpredictable noncontingent outcomes in high and low achievers

Two experiments are described in which subjects rated as high or low in achievement motivation were exposed to uncontrollable outcomes on a cognitive task. Effects on subsequent performance on a different cognitive task were shown to depend on level of achievement motivation, on whether the uncontrollable outcomes were predictable or unpredictable, and on whether the uncontrollable outcomes were positive or negative. These findings have important theoretical implications which are discussed.     

Intelligence and age as predictors of motor performance

The Yule-Oseretsky test of motor performance was administered to 10 ‘undifferentiated’ mentally-retarded adults, 10 normal children and 10 normal adults. In accordance with Denny's (1964) 3-group design, the children were matched on mental age with the retardates, the normal adults were matched on chronological age with the retardates, and the children and normal adults were matched on intelligence quotient. The results showed that mental age predicted performance on both fine and gross motor tasks, with the children and retarded adults both obtaining similar relatively-low scores.