Recovery from hemialexia

Hemialexia is believed to be caused by the lesion of the splenium of the corpus callosum. However, no previous reports conclusively demonstrated that the hemialexic had the splenial lesion. A right-handed male with hemialexia who was presumed to have the splenium sectioned for a partial removal of a pineal tumor was examined with magnetic resonance imaging. The sagittal and coronal imagings clearly showed that his splenium was not present. The hemialexic had partially recovered at 9 years after the onset. The patient was 76% correct in Japanese phonogram words and 92% correct in ideogram words in an interfield same-different judgment, that is, judging whether 2 one-letter words, one in the left hemifield and the other in the right, were the same or different. Consequently, the possible mechanism for the recovery is that the transfer of visual word information from the right hemisphere to the left has been partially achieved by commissural fibers other than those of the splenium. Information from phonogram words in the right hemisphere is probably less transferred to the left hemisphere than that from ideogram words. The results also suggested that when the transfer of word information in the right hemisphere to the left is interfered with, the left hemisphere tends to mistake the same pair of words for the different pair.     

Substantive differences in the assertiveness of low-income African American, Hispanic, and Caucasian women

A sample of 115 low-income African American, Hispanic, and Caucasian women participated in 6 assertiveness role plays. A content analysis of their responses indicated that there are substantive differences in terms of what constitutes passive, assertive, and aggressive responses. The findings suggest that there are basic conceptual differences across the groups regarding connections and obligations to others. Differences in perceptions of assertiveness point to the culturally specific nature of assertiveness. Functionally, each group of women was able to stand up for themselves, yet boundaries between appropriate and inappropriate responding were placed somewhat differently across groups, depending on the situation.     

Clinical assessment applications of ambulatory biosensors

Ambulatory biosensor assessment includes a diverse set of rapidly developing and increasingly technologically sophisticated strategies to acquire minimally disruptive measures of physiological and motor variables of persons in their natural environments. Numerous studies have measured cardiovascular variables, physical activity, and biochemicals such as cortisol in psychopathology and treatment research. The physiological concomitants of many behavior and medical disorders and the benefits of a multimethod assessment strategy provide strong rationales for clinical applications of ambulatory biosensor measurement. A number of psychometric dimensions of evaluation are important in clinical applications of biosensor measurement, including accuracy and validity, reliability and consistency, clinical utility, incremental validity and utility, sensitivity to change, generalizability, cost benefits, and the conditional nature of dimensions of biomeasure evaluation. The authors review ambulatory biosensor methods and make recommendations for use of the technology.     

Cognitive-behavioural therapy for adolescents with bulimic symptomatology: The acceptability and effectiveness of internet-based delivery

Background

The evidence base for the treatment of adolescents with bulimia nervosa (BN) is limited.

Aims

To assess the feasibility, acceptability, and clinical outcomes of a web-based cognitive-behavioural (CBT) intervention for adolescents with bulimic symptomatology.

Method

101 participants were recruited from eating disorders clinics or from beat, a UK-wide eating disorders charity. The programme consisted of online CBT sessions (‘Overcoming Bulimia Online’), peer support via message boards, and email support from a clinician. Participants' bulimic symptomatology and service utilisation were assessed by interview at baseline and at three and six months. Participants' views of the treatment package were also determined.

Results

There were significant improvements in eating disorder symptoms and service contacts from baseline to three months, which were maintained at six months. Participants' views of the intervention were positive.

Conclusions

The intervention has the potential for use as a first step in the treatment of adolescents with bulimic symptomatology.     

Unilateral agraphia after section of the posterior half of the truncus of the corpus callosum

A Japanese patient who had undergone section of the posterior half of the truncus of the corpus callosum in the process of removing an arteriovenous malformation was examined with a battery of special tests. He showed agraphia only with the left hand (unilateral agraphia). The agraphia was more prominent for the words written in Kana characters (phonograms) than for the words written in Kanji characters (ideograms). The patient showed neither unilateral apraxia, nor tactile alexia, nor tactile anomia.     

Abnormal articulatory dynamics in a patient with apraxia of speech: X-ray microbeam observation

The temporal organization of articulatory movements in a patient diagnosed as having apraxia of speech was explored by means of pellet tracking techniques using an X-ray microbeam system. The results indicated that the temporal organization among different articulators of the patient was sometimes disturbed in his production of a meaningful Japanese word /deenee/. It was also observed that the pattern and velocity of the articulatory movements of the patient in repetitions of monosyllables were different from those of typical dysarthric patients.     

Influence of vision and static stretch of the calf muscles on postural sway during quiet standing

The purpose of this experimental study was to evaluate the effects of vision and stretching of the calf muscles on postural sway during quiet standing. Under pre-stretch conditions, participants stood on a force plate for 30s and the sway of the ground reaction force center of pressure was recorded. The following postural sway variables were calculated off-line: sweep speed, sway speed, standard deviation, maximal mediolateral range, maximal anteroposterior range, mean mediolateral position and mean anteroposterior position. For post-stretch conditions, participants stood quietly on a device that was utilized to impose a static 3 min ankle joint dorsiflexion stretch. Immediately thereafter, participants moved onto the force platform where postural sway parameters were again recorded. Randomized eyes-open and eyes-closed conditions were tested in both cases. Results showed that postural sway significantly increased due to stretch (sweep speed, sway speed, standard deviation, maximal anteroposterior range, mean anteroposterior position), as well as eye closure (sweep speed, sway speed, standard deviation, maximal mediolateral range, maximal anteroposterior range). The interaction between stretch and eye closure was also significant (sweep speed, sway speed, standard deviation, maximal mediolateral range), suggesting that there were only minor increases in postural sway after stretch under the eyes-open condition. It was suggested that stretching of the calf muscles has the effect of increasing postural sway, although this effect can be greatly compensated for when vision is included.     

Type-based associations in grapheme-color synaesthesia revealed by response time distribution analyses

Determining the nature of binding in grapheme-color synaesthesia has consequences for understanding the neural basis of synaesthesia and visual awareness in general. We evaluated type- and token-based letter-color binding using a synaesthetic version of the object-reviewing paradigm. Although mean response times failed to reveal any significant differences between synaesthetes and control participants, RT analyses with ex-Gaussian distributions revealed that the response facilitation in the synaesthesia group reflected type representations exclusively, while response facilitation in the control group, who learned letter-color associations, was dominated by token representations. Thus, letter-color associations in associator synaesthetes are type-based, and do not involve binding to object tokens, consistent with their subjective reports. Contrary to recent studies that failed to find differences between synaesthetes and non-synaesthetes with behavioral measures, response time distribution analyses indicate that color sensations in synaesthetes are not simply the extreme form of normal letter-color associations, and cannot be attributed to demand characteristics.