Relation of motor,linguistic and temperament factors in epidemiologic subtypes of persistent and recovered stuttering: Initial findings

PurposeThe purpose of this study was to determine the presence of any patterns reflecting underlying subtypes of persistence and recovery across epidemiologic, motor, language, and temperament domains in the same group of children beginning to stutter and followed for several years.MethodsParticipants were 58 2–4-year-old CWS and 40 age and gender matched NFC from four different sites in the Midwest. At the end of the multi-year study, stuttering children were classified as Persistent or Recovered. The same protocol obtaining data to measure stuttering, motor, language and temperament characteristics was used at each site. They have not been included in previous reports.ResultsThe Persistent group performed consistently differently from the Recovered and Control groups. They performed lower on standardized language tests and in phonological accuracy, had greater kinematic variability, and were judged by their parents to be more negative in temperament.ConclusionsThe present study provides data supporting the hypothesis that subtypes of stuttering can be identified along persistency/recovery lines, but results were not definitive.Educational Objectives: Readers will be able to (a) describe the current state of subtypes of stuttering research; (b) summarize possible contributions of epidemiologic, motoric, linguistic and temperament to such subtyping with regard to persistency and recovery.     

Grief and Recovery: The Prevalence of Grief and Loss in Substance Abuse Treatment

Grief from various losses can underlie the process of recovery from substance abuse disorders. This study identified losses that clients encountered prior to abusing substances, losses that occurred as a result of addiction, and losses that occurred upon entering treatment.     

Sensitivity of Smoothness Measures to Movement Duration,Amplitude, and Arrests

ABSTRACT

Studies of sensory-motor performance, including those concerned with changes because of age, disease, or therapeutic intervention, often use measures based on jerk, the time derivative of acceleration, to quantify smoothness and coordination. However, results have been mixed: some researchers report sensitive discrimination of subtle differences, whereas others fail to find significant differences even when they are obviously present. One reason for this is that different measures have been used with different scaling factors. These measures are sensitive to movement amplitude or duration to different degrees. The authors show that jerk-based measures with dimensions vary counterintuitively with movement smoothness, whereas a dimensionless jerk-based measure properly quantifies common deviations from smooth, coordinated movement.     

Brightening His Days: A Reflective Single Case-Study of Social Integration and Recovery

Having been persuaded to change from an older to a newer generation antipsychotic, a gentleman with bipolar depression then had the potential to “recover his life,” which he did by utilizing occupational therapy interventions offered to him by occupational therapists in the UK National Health Service (NHS). This reflective case study illustrates how the combination of medical outpatient clinic and occupational therapy intervention together made a big difference in a person's life. Eleven key ingredients were reflected on as intentional strategies for helping him achieve his life goals.     

Unique Eyes and Different Windows of Opportunity

Abstract

The writer discusses her personal experiences of being a consumer of mental health services and, at the same time, working as a mental health professional. She includes the challenges and benefits of this experience, as well as the “sparks, pushes, and bumps” of this dual role. Also included are current and future trends of mental health recovery, suggested to be the key to wellness for consumers.     

Life Experience Is Not a Disease or Why Medicalizing Madness Is Counterproductive to Recovery

Abstract

The author draws on her personal experience as the family member of an individual with mental illness, on her anthropological research and on that of others to argue that medicalizing madness can be counterproductive to recovery. The medical model is sometimes used in a way that strips away the meaning of the illness experience. Analogies drawn to diseases do not help the understanding of mental illness. Psychiatry is a social practice embedded in a social milieu and that renders it less than objective. It is useful to recognize that the experiences called symptoms have meaning and may have positive and pleasurable aspects.     

Eating Disorder Recovery

Abstract

Qualitative studies addressing the eating disorder recovery process from the client's point of view are notably absent in the literature. For this case study, we conducted a retrospective examination of the recovery process, as recounted by a 37-year-old female who was diagnosed with anorexia nervosa, binge eating/purging subtype at the age of 30. Two in-person interview sessions provided insight into coping skills, multidisciplinary intervention strategies, and long-term treatment challenges. In sum, the client's perspective can add new information to the understanding of eating disorder recovery from feminist and other theoretical frameworks.     

Deformation twinning and plastic recovery in Cu/Ag nanolayers under uniaxial tensile straining

Molecular dynamics simulations of nanoscale multilayered Cu/Ag metals have been conducted under uniaxial tensile straining to elucidate the out-of-plane deformation behaviour relevant to tensile spallation experiments. In nanolayers with pristine architectures, plastic dissipation prior to crack nucleation is suppressed owing to the high hydrostatic tensile stress state. The presence of sources for micro-twinning partials, such as micro-cracks or columnar grain boundaries, result in abundant deformation twin lamellae across multiple Cu/Ag interlayers. Plastic recovery is observed during unloading of the nanolayers.     

Crystallization behaviour of Al-based amorphous alloy and nanocomposites by rapid quenching

The microstructure and crystallization behaviour of melt-spun Al₈₈Ni₉Ce₂Fe₁ amorphous alloy and nanophase composites have been studied by means of X-ray diffraction, transmission electron microscopy and scanning and isothermal calorimetry. The diffraction patterns from Al₈₈Ni₉Ce₂Fe₁ amorphous alloys are diffuse, indicating a basically amorphous structure but contain two rings presumed to be associated with quenched-in nuclei. In the cases of Al₈₈Ni₉Ce₂Fe₁ nanophase composites, nanoscale precipitated particles are homogeneously dispersed in an amorphous matrix, and the crystallite diameter and volume fraction are sensitive to quenching conditions. During thermal crystallization, a two-step phase transformation occurs in the amorphous alloy and nanocomposites, which is characterized by a diffusion-controlled precipitation of nanoscale Al particles and the growth of a Al₃(Ni, Fe) nanophase prior to a Al₁₁Ce₃ nanophase. This study gives insight into structure-control for obtaining nanophases dispersed in an amorphous matrix by rapid quenching.     

Therapeutic Implications of Religious-Related Emotional Abuse

Religion can play a positive role in preventing all types of abuse. Consequently, it is often difficult to believe that religion or a particular manner of religious awareness can also be conducive to the degradation and humiliation of individuals, and that it can be maneuvered to justify abusive behavior. In this article we discuss the emotional repercussions of religious-related abuse in the family, an aspect that is rarely documented in the field of psychotherapy, but has many negative consequences. Religious-oriented emotional abuse is traceable to several levels of human functioning: the individual's internal level of experiencing themselves, the interpersonal and systemic levels, where the individual enters relationships, as well as within the framework of the individual's relationship with God.