Sensitivity to grammatical structure in so-called agrammatic aphasics

Comprehension failures in agrammatic aphasics, as well as their difficulties in sentence construction, have been attributed to an underlying deficit involving the retrieval of syntactic structure. In this study we show that four agrammatic patients display a remarkable sensitivity to structural information, as indicated by their performance on a grammaticality judgment task. These results indicate significant sparing of syntactic knowledge in agrammatism, and suggest that the sentence comprehension disturbances in these patients do not reflect loss of the capacity to recover syntactic structure. In particular, accounts of the comprehension deficit in agrammatism that implicate a failure to exploit information carried by the closed class (function word) vocabulary are called seriously into question. Alternative explanations of the comprehension problem in agrammatism are explored.     

Grammatical Encoding in Aphasia: Evidence from a “Processing Prosthesis”

Agrammatic aphasia is characterized by severely reduced grammatical structure in spoken and written language, often accompanied by apparent insensitivity to grammatical structure in comprehension. Does agrammatism represent loss of linguistic competence or rather performance factors such as memory or resource limitations? A considerable body of evidence supports the latter hypothesis in the domain of comprehension. Here we present the first strong evidence for the performance hypothesis in the domain of production: an augmentative communication system that markedly increases the grammatical structure of agrammatic speech while providing no linguistic information, functioning merely to reduce on-line processing demands. Copyright 2000 Academic Press and Unisys Corporation.     

Screen media and language development in infants and toddlers: An ecological perspective

The abilities to understand and use language represent two of the most important developmental competencies that children must master during the first 3 years of life. Over the past decade, screen media content directed at infants and toddlers has dramatically increased. As a result, infants’ and toddlers’ time spent with media has also notably increased (i.e., 1–2 h per day). At present, there is limited empirical knowledge regarding how screen media influence infants’ and toddlers’ language development. In this review, we contend that infants and toddlers are capable of learning from screen media. This learning is dependent upon the confluence of three distinct but interrelated factors: attributes of the child; characteristics of the screen media stimuli; and the varied environmental contexts surrounding the child’s screen media use. To examine these interrelated factors, we have adopted an ecological framework in which a young child’s language skills develop from the reciprocal transactions between the child and the broader environmental contexts in which a child is situated or operates. Screen media effects are dependent on the degree to which media content resembles infants’ and toddlers’ real-life experiences including the use of simple stories and familiar objects or routines. Repeated exposure also helps infants and toddlers learn both the format and the content of screen media and can even ameliorate negative effects associated with viewing particular content. Finally, the presence of a competent co-viewer appears to boost babies’ language learning from screen media, much like the ways these processes facilitate learning in live scenarios.     

Widening the temporal window: processing support in the treatment of aphasic language production

Investigations of language processing in aphasia have increasingly implicated performance factors such as slowed activation and/or rapid decay of linguistic information. This approach is supported by studies utilizing a communication system (SentenceShaper) which functions as a "processing prosthesis." The system may reduce the impact of processing limitations by allowing repeated refreshing of working memory and by increasing the opportunity for aphasic subjects to monitor their own speech. Some aphasic subjects are able to produce markedly more structured speech on the system than they are able to produce spontaneously, and periods of largely independent home use of SentenceShaper have been linked to treatment effects, that is, to gains in speech produced without the use of the system. The purpose of the current study was to follow up on these studies with a new group of subjects. A second goal was to determine whether repeated, unassisted elicitations of the same narratives at baseline would give rise to practice effects, which could undermine claims for the efficacy of the system.     

Examining adversarial growth in illness: The factor structure of the silver lining questionnaire (SLQ-38)

The Silver Lining Questionnaire (SLQ-38) is purported to measure 10 aspects of adversarial growth in illness. To date however, no empirical evidence exists to support this claim. Hence the aim of this study was to investigate the factor structure of the SLQ-38 in a sample of 560 individuals with multiple sclerosis (MS), cancer, cardiac, and renal disease. The results demonstrate that 24 SLQ-38 items can be factored into five subscales: improved personal relationships, greater appreciation for life, positive influence on others, personal inner strength and changes in life philosophy, all of which are in accordance with the literature on adversarial growth. Individuals with MS experienced lower adversarial growth compared to other illness groups. Gender, age and time since diagnosis were unrelated to adversarial growth in illness. The utility of the revised SLQ-38 is discussed along with suggestions for future research on the convergent and divergent validity of this revised instrument.     

Family Therapy With Irish-Americans

This paper presents a paradigm for understanding the cultural values and family patterns of Irish-American families and offers suggestions for clinical intervention. Families' correspondence to the model described will depend upon their level of acculturation, socioeconomic status, and other contextual factors. The paradigm suggests a number of issues that may create difficulties for the therapist and for the family in therapy. In general, behavioral techniques, Bowen systems therapy, and strategic interventions may be more useful than techniques emphasizing expression of emotions in therapy or direct attempts to alter communication or family behavior in therapy sessions, as used in structural therapy.     

Grammatical encoding in aphasia: evidence from a "processing prosthesis"

Agrammatic aphasia is characterized by severely reduced grammatical structure in spoken and written language, often accompanied by apparent insensitivity to grammatical structure in comprehension. Does agrammatism represent loss of linguistic competence or rather performance factors such as memory or resource limitations? A considerable body of evidence supports the latter hypothesis in the domain of comprehension. Here we present the first strong evidence for the performance hypothesis in the domain of production: an augmentative communication system that markedly increases the grammatical structure of agrammatic speech while providing no linguistic information, functioning merely to reduce on-line processing demands.