In its early stages, Parkinson's disease (P.D.) may be difficult to distinguish from major depression (M.D.) leading to inappropriate management. Both illnesses are characterized by psychomotor retardation. The neurovegetative symptoms used to diagnose M.D. are not specific and in P.D. may be due to the physical illness itself. Currently, differentiation of the two disorders relies on subjective clinical observation. Improved diagnostic accuracy based on more objective data is needed. To this end, this study used computerized acoustic analysis to contrast speech patterns in P.D. and M.D. The sample consisted of 30 P.D. patients without depression or dementia, 30 patients with uncomplicated M.D., and 31 normal controls, each 60 years of age or over. Of the acoustic variables studied, M.D. patients had significantly reduced rates of speech compared with P.D. patients. The data suggest that this temporal measure of speech may be useful in the differentiation of P.D. and M.D. 相似文献
Three experiments addressed the distinction between automatic and attentional mechanisms underlying semantic priming effects by factorially crossing prime-target relatedness, expectancy, and SOA in a task (pronunciation) that minimized postlexical checking processes. Also, possible age-related (young vs. older adults) differences in the automatic and attentional mechanisms were addressed. Across all experiments there was evidence of a Relatedness x Expectancy x SOA interaction, which is inconsistent with the notion of independent automatic and attentional mechanisms in semantic priming and the notion of a self-encapsulated modular lexicon. The results also indicated age-related differences in the build-up of the expectancy effect across SOAs when the prime was visually available for only 200 ms, independently of the prime-target SOA (Experiments 1 and 3), but not when the prime was visually available throughout the SOA (Experiment 2). 相似文献
Two left-handed siblings with developmental stuttering are comprehensively described. The methods of study included speech and language evaluation, neurological and neuropsychological examinations, dichotic listening, auditory evoked responses, electroencephalogram, and CT scan asymmetry measurements. The data from each sibling showed evidence of anomalous cerebral dominance on many of the variables investigated. The CT scan measurements showed atypical asymmetries, especially in the occipital regions. These findings support the theory that stuttering may be related to anomalous cerebral dominance, both on functional as well as structural bases. Implications of anomalous dominance and the resultant effect of hemispheric rivalry on speech fluency are discussed. 相似文献
This article summarizes the results of an evaluation of mediation services in three court-based programs. Among the issues considered are client evaluations of the mediation experience and their assessments of immediate and long-term effects. Two comparison groups are utilized: parents who contested custody without the offer of court-based mediation and parents who divorced but did not contest custody. Results of the research indicate that mediation provides a valuable compliment to the existing domestic relations court processes. Mediation enjoys high user satisfaction and helps promote compliance with the agreement, a sense of equity, and continued cooperation. Thus, while the expectations of the process should not be overstated, it appears that even a brief mediation with a troubled population can produce modest but positive benefits. 相似文献
A factorial between subjects experiment was conducted with sex of respondent, level of success, sex of stimulus parent, and sex of stimulus child as the independent variables. Two hundred seventy-two undergraduates without parenting experience constituted the sample. The attributions made to explain parenting success/failure and the ratings made both of the child and the parent on the same 60 personality item were the dependent variables. Female respondents were not only especially success-oriented, but evidenced a view of parenting emphasizing deliberation and skill, whereas their male counterparts were comparatively more inclined to explain failure in terms of it being the child's fault and to overstate a child's meanness.This investigation was completed on the first author's NIMH traineeship (5 T01 MH-14473) for doctoral study. The authors are appreciative of the contributions of Professors Donn Byrne, Kay Deaux, and William Martin to the development of this study. 相似文献
This paper presents the results of an in-depth study of parameters characterizing sequenced saccadic eye movements for a group of dyslexic children and a comparative normal control group with ages in the range greater than 8.0 yr. and less than 13.0 yr. No parameters were statistically different for the two groups, which supports the findings of Brown, et al. and contradicts the findings of Pavlidis. Our results indicate that sequenced saccadic eye movements are not diagnostically useful for early detection of dyslexia. 相似文献
One of the most serious psychosocial problems worldwide is substance abuse because of its repercussions not only on the physical and psychological health of the abuser but also on their relational functioning. Among the well-established therapeutic approaches for the treatment of substance abuse is family therapy, which, in addition to influencing personal variables, promotes changes in family dynamics. The main objective of this study is to review the scientific literature published from 2010 to the present on the efficacy and effectiveness shown by family-based treatment approaches for substance use problems both in adolescent and adult samples. In addition, the effect on secondary variables such as family functioning and behavioral problems is evaluated. The empirical evidence accumulated in the last decade and reviewed in the present study indicates that the incorporation of family members in the treatment of substance abuse produces benefits by diminishing consumption and improving family functioning. Limitations of this study and of the research reviewed are discussed and directions for future research are provided. 相似文献
In this paper, I will explore the role of art-making, the experience of trauma and dissociation, and the process of working with self-states from an analytic and creative frame. Relevant literature on dissociation, trauma, and the use of art will be discussed. A case involving my work with an adolescent girl who had experienced sexual abuse from a family member will be shared, with an emphasis on the meaningful role images played during the therapeutic process. Both Jungian and psychoanalytic models of conceptualizing and working with dissociation are included, following Donald Kalsched’s (2013) recommendation for a “binocular stance” to treatment, including both a focus on the inner, intrapsychic world and the interpersonal, relational realm, and how art images both illuminated and expressed these realms. Within the therapeutic process, art images allowed the therapist a view into the client’s unconscious process, and created a meeting ground for dissociative barriers to be gradually seen, felt and known, by both therapist and client. The experience of dissociation, in images and in session, provided a reference point for myself and my client, Taylor, to develop a shared understanding and a framework for growth. 相似文献
From the perspective of mathematical practice, I examine positions claiming that mathematical objects are introduced by human agents. I consider in particular mathematical fictionalism and a recent position on social ontology formulated by Cole (2013, 2015). These positions are able to solve some of the challenges that non-realist positions face. I argue, however, that mathematical entities have features other than fictional characters and social institutions. I emphasise that the way mathematical objects are introduced is different and point to the multifaceted role that relations and interconnections play in this context. Finally, I argue that mathematical entities can be considered to be pragmatically real.