The relationship between locus of control and long-term stuttering treatment outcome in adult stutterers

The present study was designed to investigate the extent to which adult stutterers' scores on the Locus of Control of Behaviour (LCB) scale are predictive of their ability to maintain speech fluency immediately following intensive treatment and approximately 2 years later. Twenty-one subjects participated in a 3-week intensive treatment program based on the Precision Fluency Shaping Program. Thirteen subjects could be contacted again 2 years later to participate in a follow-up evaluation. While most subjects showed a significant long-term improvement in fluency, no predictive relationship was found between scores on the LCB scale and the level of fluency, measured in percentage of words stuttered, post-treatment or at follow-up. However, LCB scores were found to be predictive of the subjects' fluency self-evaluation measured post-treatment and at follow-up. Overall, the present study suggests that while the LCB scale may contribute to the prediction of long-term treatment outcome, particularly as perceived by the client, other client and process variables will need to be considered as well.     

Separating sensitivity from response bias: implications of comparisons of yes-no and forced-choice tests for models and measures of recognition memory

A fundamental challenge to psychological research is the measurement of cognitive processes uncontaminated by response strategies resulting from different testing procedures. Test-free estimates of ability are vital when comparing the performance of different groups or different conditions. The current study applied several sets of measurement models to both forced-choice and yes-no recognition memory tests and concluded that the traditional signal-detection model resulted in distorted estimates of accuracy. Two-factor models were necessary to separate memory sensitivity from response bias. These models indicated that (a) memory accuracy did not differ across the tests and (b) the tests relied on the same underlying memory processes. The results illustrate the pitfalls of using a single-component model to measure accuracy in tasks that reflect 2 or more underlying processes.     

Recognition memory for source and occurrence: The importance of recollection

Previous recognition memory studies indicate that when both recollection and familiarity are expected to contribute to recognition performance (e.g., discriminating studied items from nonstudied items) the dual-process and the unequal-variance signal detection models provide comparable accounts of performance. When familiarity is not expected to be useful (e.g., when items from two equally familiar sources are discriminated between), the dual-process model provides a significantly better account of performance. In the present study, source recognition was tested under conditions in which familiarity could have been used to perform a list-discrimination task; participants were required to discriminate between strong studied items, weak studied items, and new items. The dual-process model provided a better account of performance than did the unequal-variance model. Moreover, the results indicated that the unequal-variance assumption in a single-process signal detection model was not a valid substitution for recollection and that recollection was used to make recognition judgments even when assessments of familiarity were useful.     

Predicting individual false alarm rates and signal detection theory: A role for remembering

The relationships between hit, remember, and false alarm rates were examined across individual subjects in three remember-know experiments in order to determine whether signal detection theory would be consistent with the observed data. The experimental data differed from signal detection predictions in two critical ways. First, remember reports were unrelated, or slightly negatively related, to the commission of false alarms. Second, both response types (remembers and false alarms) were uniquely related to hit rates, which demonstrated that the hit rate cannot be viewed as the result of a single underlying strength process. These results are consistent with the dual-process signal detection model of Yonelinas (1994), in which performance is determined by two independent processes--retrieval of categorical context information (remembering) and discriminations based on continuous item strength. Remember and false alarm rates selectively tap these processes, whereas the hit rate is jointly determined. Monte Carlo simulations in which the dual-process model was used successfully reproduced the pattern in the experimental data, whereas simulations in which a signal detection model, with separate "old" and "remember" criteria, was used, did not. The results demonstrate the utility of examining individual differences in response types when one is evaluating memory models.     

Mild hypoxia disrupts recollection,not familiarity

Yonelinas et al. (2002) found that hypoxic patients exhibited deficits in recollection that left familiarity relatively unaffected. In contrast, Manns, Hopkins, Reed, Kitchener, and Squire (2003) studied a group of hypoxic patients who suffered severe and equivalent deficits in recollection and familiarity. We reexamine those studies and argue that the discrepancy in results is likely due to differences in the hypoxic groups that were tested (i.e., differences in amnestic severity, subject sampling methods, and patient etiology). Yonelinas et al. examined memory in 56 cardiac arrest patients who suffered a brief hypoxic event, whereas Manns et al. examined a group of severely amnesic patients that consisted of 2 cardiac arrest patients, 2 heroin overdose patients, 1 carbon monoxide poisoning patient, and 2 patients with unknown etiologies. We also consider an alternative explanation proposed by Wixted and Squire (2004), who argued that the two patient groups suffered similar deficits, but that statistical or methodological artifacts distorted the results of each of Yonelinas et al.'s experiments. A consideration of those results, however, indicates that such an explanation does not account for the existing data. All of the existing evidence indicates that recollection, but not familiarity, is disrupted in mild hypoxic patients. In more severe cases of hypoxia, or those with more complex etiologies such as heroin overdose, more profound deficits may be observed.     

The congruency effect: just what is being learned?

G. H. Bower, S. Thompson-Schill, and E. Tulving (1994) found that when stimulus-response sets in A-B, A-C learning belong to unique categories (congruent-triads), learning appropriate responses appear rapid and memory performance on a modified modified free recall (MMFR) test is enhanced. Bower et al. assumed that category cues protect associations from interpair interference, allowing more rapid learning. However, unlike arbitrary pairs, congruent pairs also allow a reliance on preexperimental associations. As a result, MMFR test performance may not be an unbiased test of what was learned. In the present experiment, free recall (FR) demonstrated that responses were learned approximately equally in all conditions and that the pattern of clustering was compatible with the hypothesis that preexperimental associations continue to play a major role in FR test performance.     

Responding to the Psychological Needs of Health-Care Workers During the COVID-19 Pandemic: Case Study from the Medical College of Wisconsin

With the advent of the novel coronavirus (COVID-19) pandemic, health-care workers have been faced with an inordinately high level of trauma as frontline providers. The Medical College of Wisconsin (MCW) partnered with affiliate hospitals and community partners to mobilize a matrix of available support and interventions to deliver psychological services to reach all levels of health-care providers in timely, accessible formats. While virtual peer support groups were the most utilized resource among the support group options, other opportunities also provided unique benefits to learners whose education had been disrupted by the pandemic. Mental health must be prioritized for health-care workers in the event of future public health crises. Lessons learned from this pandemic indicate that it is critical to involve learners early on in the process in order to meet their educational needs and to increase access to evidence-based care.