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C M Braun

Publications and source records attributed to C M Braun.

At least 37 records · Page 2Linked to original sources
PubMed1995

Neurological soft signs in schizophrenia: are they related to negative or positive symptoms, neuropsychological performance, and violence?

This investigation was carried out on 31 unemployed schizophrenic outpatient men. The general purpose was to explore new aspects of neurological soft signs in schizophrenia. A 108-item version of the Nathan Kline Institute scale of soft signs, the Schedule for Affective Disorders and Schizophrenia psychiatric interview, the negative and positive symptom scale (PANSS), a comprehensive scale of life-time history of violence, and a large set of neuropsychological tests were administered. It was found that "motor" soft signs were significantly more prevalent than "sensory-perceptual" signs, but that each body side manifested equal numbers of neurological signs. Before and after statistical correction for age, education, alcoholism, drug abuse disorder, and daily and cumulative neuroleptic dosage, orbitofrontal-type neuropsychological tasks measuring "impulsivity" related very robustly to the soft signs. Furthermore, before and after the same statistical corrections, right body-side signs correlated significantly with the same neuropsychological tests, whereas left body-side signs did not. The PANSS scores and levels of lifetime violence generally did not correlate significantly with neurological soft signs. The latter negative findings, we think relate to the fact that these were relatively high-functioning (i.e., outpatient) schizophrenics. Overall, the results support notions of frontal lobe and left hemisphere involvement in schizophrenia, these two dysfunctional systems being apparently linked at the level of the orbitofrontal area of the brain.

Journal Article↗
PubMed1995

[Vocal and respiratory diadochokinesia in Friedreich's ataxia. Neuropathological correlations].

Acoustic analysis of unvoiced diadochokinetic respiratory cycles helped identify two kinds of impairments in ten Friedreich's ataxia patients. Four patients manifested moderate problems maintaining regularity in the repetition of unvoiced respiratory cycles, and also showed moderate articulatory dysarthric problems in a syllabic repetition task. Six patients had severe respiratory insufficiency in the inspiration/expiration repetition task, and exhibited very important amplitude and fundamental frequency disturbances and a much slower rate of syllabic utterances. This respiratory insufficiency and aggravated speech disorders were linked to presence of pontine and medullary atrophy, sites comprising the respiratory centers of the brain stem.

Adult↗
PubMed1995

Does so-called interhemispheric transfer time depend on attention?

To our knowledge none of many past attempts to experimentally modulate the crossed-uncrossed differential (CUD) or so-called "interhemispheric transfer time" derived from appropriate visual reaction time experiments has ever succeeded. The present 4 experiments were designed to establish that (a) under normal attentional constraints, significant CUDs would be obtained, but that (b) lateral mobilization of attention by probabilistic (valid and invalid) cuing as to target location would significantly and systematically alter the CUDs. In a baseline experiment, a significant CUD was obtained. In Experiments 2-4, CUDs were rendered nonsignificant by probabilistic cuing. Specific experimental conditions generally did not significantly influence the CUD in a systematic direction. In only one of many analyses of those results did an experimental effect on the CUD reach significance: In Experiment 3 intrasubject mean reaction times yielded a significant complex dissociation of CUDs as a function of type of cuing (valid or invalid) and stimulus onset asynchrony. It was concluded that the CUD can be significantly modulated by target location cuing, but only under very specific conditions. The direction of the trends in all the experiments, and in the significant finding, suggests that the CUD component that is most markedly influenced by such cues is a postcallosal, motor component.

Adult↗
PubMed1994

Zaidel's model of interhemispheric dynamics: empirical tests, a critical appraisal, and a proposed revision.

Zaidel has proposed a model of intra- and interhemispheric dynamics which attempts to explain field and hand effects in visual reaction time experiments. The model includes prototypes of two extreme cases: a "callosal relay" pattern, in which interhemispheric transfer is inferred, and a "direct access" pattern, in which each hemisphere is inferred to execute the task independently. Five visual reaction time experiments were carried out to test six predictions which Zaidel has made within the framework of his model. Some of these predictions were supported but others were rejected. These findings, in conjunction with findings of other researchers, were critically analyzed in view of determining the extent to which Zaidel's model can be revised in order to fit the ensemble of relevant findings. It was concluded that the model can indeed be revised but that this requires a redefinition of conditions indicative of presence or absence of interhemispheric relay. A new model is proposed assuming exclusively excitatory callosal relay and focussing on magnitude and valence of field effects obtained at each hand, considered in their interrelation.

Adult↗
PubMed1994

Discrimination of facial identity and facial affect by temporal and frontal lobectomy patients.

The purpose of this study was to determine the extent to which lobectomy affects ability to discriminate facial identity or facial expression. Fifteen right temporal, 15 left temporal, 5 right frontal, and 4 left frontal lobectomy patients, pair-matched for age, sex, and education to normal control subjects, participated in this study. Tasks included a Facial Identity Matching Task and a Facial Affect Matching task. The lobectomized patients as a whole were significantly impaired on both tasks (22% decrement in performance). The patients made twice as many errors resulting from perseveration of response-set of the first condition (identity or emotion matching) into the second condition. The site of lobectomy did not influence general performance on any one task or selective performance on any subset of affective categories. It was concluded that all four brain regions play a significant and equal role in face processing, and that circuits more specifically dedicated to visual face processing, which are responsible for hemispheric dominance affects and affect/identity dissociations, are probably located more posteriorly in the brain. Finally, it was concluded that perseveration of acquired habit may, under specific conditions, characterize temporal lobe dysfunction just as much as frontal lobe dysfunction.

Adult↗
PubMed1994

Comments on immune aspects of the Geschwind-Behan-Galaburda model and of the article of Bryden, McManus, and Bulman-Fleming.

The goal of this article is to reconsider the links among immune disorders, testosterone, and left-handedness made originally by Geschwind and Behan (1982) and by Geschwind and Galaburda (1985). We demonstrate that an excess of testosterone in utero is not a prerequisite for immune disorders, because of its destructive action on thymus, and that allergy and autoimmune disorders are not primarily thymo-dependent but B-lymphocyte-dependent. We furthermore study the HLA proposed by Yeo and Gangestad (1993) and retained by Bryden, McManus, and Bulman-Fleming as a possible variable that could explain, in replacement of testosterone, the link among allergy, asthma, and ulcerative colitis. We conclude that the HLA of lefthanders and the meta-analysis of Bryden et al. do not fit together as well as hoped for.

Dominance, Cerebral↗
PubMed1994

Effects of memory load on interhemispheric relay.

Experimentation with unilateral and bilateral tachistoscopic stimulation (the Dimond paradigm) increasingly suggests that interhemispheric cooperation (bilateral advantage) occurs or increases as a function of task complexity in general and memory load in particular. However, tachistoscopic experimentation with ipsilateral and contralateral field/hand relation conditions (the Poffenberger paradigm) has failed to provide any conclusive supporting evidence. The present investigation comprised a Sternberg "high speed memory scanning" task, modified as a go/no-go task, and formatted into the Poffenberger paradigm. Sets of items to be scanned (memory load) varied in size from one to four. A highly significant effect of load and a significant field/hand interaction were found, but the field/hand/load interaction did not reach significance. We concluded that the interhemispheric transfer time (ITT) metric drawn from this paradigm is not reliably sensitive to increasing memory load. However, our finding of significantly longer ITT in women than in men suggests that commissural anatomy and physiology may be sexually dimorphic.

Adult↗
PubMed1993

A meta-analysis of the relative sensitivity of neuropsychological screening tests.

The National Institute of Mental Health recently formed a committee of experts which published a proposal for a lengthy neuropsychological test battery judged most apt to detect diffuse brain damage while covering a wide range of cognitive abilities. The purposes of the present study were (1) to assemble empirical evidence of the existence of statistically significantly sensitive screening tests across an equivalently wide range of functional domains, and (2) to present this evidence systematically, in such a manner as to help clinicians select subsets of screening tests manifesting greatest sensitivity to diffuse brain damage. It was found that in certain functional domains (speed of processing, problem solving, executive functions), marked differences in sensitivity occurred. Brief tests just as sensitive as time-consuming tests were also identified. The reader is cautioned about possible extraneous sources of the differences obtained (test and group selection bias, test reliability, test difficulty, procedural effects, Type I error). Nevertheless, it was concluded that a brief highly sensitive and functionally wide-ranging neuropsychological test battery for screening cases of putative diffuse brain dysfunction can be assembled.

Attention↗
PubMed1993

Working memory and the Self-Ordered Pointing Task: further evidence of early prefrontal decline in normal aging.

Two major lines of investigation are currently clarifying the nature of the impairment of working memory associated with normal aging. Cognitive psychology has formulated the problem in terms such as the balance of impairment of encoding, retrieval, storage and/or attention, whereas neuropsychology has formulated the problem in terms such as the balance of frontal (executive) versus temporal (mnemonic) degeneration. The findings of this study support the contention that the primary impairment of working memory in early normal aging is an active attentional executive processing deficit. Specifically, on the Self-Ordered Pointing Task, there is significantly ineffective exploitation of top-down clustering strategy as a function of aging. On this task, self-organization of encoding and retrieval must occur simultaneously with ongoing responding. The finding cannot be explained as an impairment of encoding, retrieval, storage, or build-up and/or release of proactive interference, since indexes of these did not discriminate young-adult from middle-aged samples.

Adult↗
PubMed1993

A comparison of functional indexes, derived from screening tests, of chronic alcoholic neurotoxicity in the cerebral cortex, retina and peripheral nervous system.

Thirty abstinent alcoholics and 30 age-, education- and occupation-matched normal control subjects were tested with the Category test, the Lanthony-15 test of color discrimination and the Biothesiometer test of vibration detection threshold. Multivariate analysis of covariance revealed significant impairment of the alcoholics on these tasks (p < .007), but univariate analysis revealed that only the Category test yielded a significant difference (p < .001). Canonical correlation analysis, with age and education partialed out, was calculated on the alcoholics' data to determine whether duration, mean and maximum alcohol consumption, age of onset of alcoholism and duration of abstinence predicted performance on the tasks. The prediction was significant (p < .001). Multiple regression analysis revealed that vibration threshold, color preception and Category test performance were decreasingly predicted by the alcohol-related variables (p < .001, .006, .051, respectively). There was no higher incidence of hereditary dyschromatopsia in the alcoholic group than the control group. It was therefore concluded that all three functions (Category test performance, color discrimination, vibrotactile sensitivity) were impaired as a result of alcohol consumption.

Adult↗
PubMed1992

Estimation of interhemispheric dynamics from simple unimanual reaction time to extrafoveal stimuli.

This essay reviews research on interhemispheric transfer time derived from simple unimanual reaction time to hemitachistoscopically presented visual stimuli. Part 1 reviews major theoretical themes including (a) the significance of the eccentricity effect on interhemispheric transfer time in the context of proposed underlying neurohistological constraints; (b) the significance of gender differences in interhemispheric transfer time and findings in dyslexics and left-handers in the context of a fetal brain testosterone model; and (c) the significance of complexity effects on interhemispheric transfer time in a context of "dynamic" vs. "hard-wired" concepts of the underlying interhemispheric communication systems. Part 2 consists of a meta-analysis of 49 published behavioral experiments, in view of drawing a portrait of the best set of experimental conditions apt to produce salient, reliable, and statistically significant measures of interhemispheric transfer time, namely (a) index rather than thumb response, (b) low rather than high target luminance, (c) short rather than prolonged target display, and (d) very eccentric rather than near-foveal stimulus location. Part 3 proposes a theoretical model of interhemispheric transfer time, postulating the measurable existence of fast and slow interhemispheric channels. The proposed mechanism's evolutionary adaptive value, the neurophysiological evidence in its support, and favorable functional evidence from studies of callosotomized patients are then presented followed by proposals for critical experimental tests of the model.

Brain↗
PubMed1992

Is anorexia nervosa a neuropsychological disease?

Evidence for central nervous system, and more particularly cortical, etiology of anorexia nervosa is reviewed. Topics covered are neuropsychiatric comorbidity, inheritance patterns, the neurobiology of body-image disturbance and of the eating function, perinatal and alcoholic insult to the brain, neurochemical and neuroelectric disturbance, anatomic and metabolic brain imaging, and neuropsychological impairment. It is concluded that there is indeed an important neuropsychological etiological dimension to anorexia nervosa. The profile most frequently associated with anorexia nervosa is right posterior hypometabolism, followed by right anterior hypermetabolism, both associated with right-sided abnormal electroencephalogram spiking. It is also proposed that bulimia consists of a "positive" neurological subtype and that restricting anorexia represents a "negative" neurological subtype. Priorities for further research into anorexia nervosa are specified to include twin adoption studies, brain electrical topography studies, postmortem histological studies, and experimentally inspired neuropsychological studies.

Anorexia Nervosa↗
PubMed1992

Effects of right and left hemisphere cerebrovascular lesions on discrimination of prosodic and semantic aspects of affect in sentences.

Ten nonaphasic left cerebrovascular accident (CVA) patients, 12 right CVA patients, and 16 normals were matched for age, education, lesion sizes, and postonset intervals; all were right handed. One task consisted of 36 sentences connoting one of six primary emotions (joy, sadness, fear, surprise, disgust, anger) presented binaurally with a neutral emotional tone. Subjects were required to point to the appropriate emotion name on a vertically arranged list. A second task consisted of the same 36 sentences voiced emotionally by humming with a closed mouth, presented binaurally, and requiring the same response as for the preceding task. A third task consisted of 18 of the sentences spoken with concordant emotional tone and the remaining 18 sentences spoken with discordant emotional tone, presented binaurally and requiring pointing to the word "SAME" or "DIFFERENT" arrayed vertically. The right hemisphere (RH) patients were significantly impaired, relative to the left hemisphere (LH) patients and normals, on the pure prosody task (2) and on the emotional concordance task (3), the latter effect being significant only for mismatch categorization. The LH patients performed (nonsignificantly) less well than the RH patients and normals on the verbal contextual task (1). Performances on the three tasks were not significantly correlated in the patient groups. It was concluded that the RH probably dominates for phonetic discrimination of vowel trains (fundamental frequency and/or single vowel or multivowel contour) and that the RH probably dominates for certain forms of selective attention in the verbal domain perhaps involving simultaneous mismatch treatment of ongoing sentence-level, distracting, complementary, verbal processes. Comparison of similar right and left, cortical (frontoparietal), and subcortical (capsule and basal ganglia) lesions suggested, but did not prove, that the RH pure prosody impairment is cortical whereas the RH tonal-semantic mismatch categorization impairment involves subcortical as well as cortical contributions.

Adult↗
PubMed1989

Color discrimination testing reveals early printshop solvent neurotoxicity better than a neuropsychological test battery.

Twenty standardized neuropsychological tests were compared to the Lanthony D-15 desaturated panel test of chromotopsia to determine which measures would most effectively discriminate solvent-exposed print workers from controls. All the workers of the printing services of Université du Québec a Montréal (N = 29) were assessed excepted one who refused to participate. Twenty-nine workers (employed on a full time basis) matched for occupation, age, sex, education, vocabulary, and written arithmetic (p >.13) with the print workers served as controls. Air samples revealed exposure to ethanol, perchloroethylene, methyl chloride, xylene, toluene, and stoddard solvent in the print shop. None of the 20 neuropsychological measures yielded a statistically significant decrement in the print workers. On the other hand, the Lanthony D-15 test revealed a significant group difference (p <.01) and a highly significant interaction between job category within the print shop and dyschromatopsia (p <.001) - the graphists, photocopiers, and printers/binders manifesting increasing severity of impairment as a function of increasing magnitude, and/or type, of dose. The results were interpreted to mean that in a cohort of printers with low seniority (10.42 years) such as this one, neuro-opthalmotoxic effects can be observed earlier than putative neuropsychotoxic effects with the tools at hand.

Journal Article↗
PubMed1988

Emotional facial expressive and discriminative performance and lateralization in normal young adults.

Studies of cerebral dominance for posed emotional facial expression using free-viewing of hemicomposites have produced inconclusive findings, and the concordance of facial emotion identification (discrimination) and the expression of the same facial emotion remains unknown. Expressive and discriminative (14 men, 14 women) facial emotion performances of undergraduates and the lateralization of full-face and lower-face hemicomposite photographic montages of the expressions of six transcultural emotions (joy, sadness, fear, surprise, disgust, anger) as ascertained by 15 male and 15 female undergraduate judges were analyzed. All groups were matched for age and education. The lower face was non-significantly left-face dominant, sadness was strongly significantly right-face dominant and fear was non-significantly left face dominant. Both sexes were equally lateralized overall and demonstrated the same pattern as described above, though slight (apparently trivial) differences appeared in multivariate analysis, and in univariate interactions. Results were interpreted as non-supportive of a simple right hemisphere dominance model of facial affect, nor of a left-hemisphere-negative/right-hemisphere-positive model. It was concluded that facial affect dominance results are coherent only within, and not between, methods such as free viewing hemicomposite and tachistoscopic methods, and tasks, such as expressive and discriminative tasks.

Adult↗
PubMed1986

Adolescents and microcomputers: sex differences, proxemics, task and stimulus variables.

Questionnaires concerning attitudes toward use of microcomputers at home, in school, and at video arcades were administered to 879 high school students. Direct observations of adolescent proxemics and sex differences, and of various parameters of video games in 18 video arcades were made. A thorough and representative content analysis of sex bias of microcomputer software advertising brochures was carried out. Results supported previous findings of overrepresentation of masculine culture in the adolescent world of microcomputers, particularly regarding video games. Various types of computer-related activity were not related to socioeconomic class of the parents or to academic grades except for use of home microcomputers, which was mildly positively related to socioeconomic class (r = .124, p less than .001). Nearly half the activity in the arcades was strictly solitary. None of the arcade video games allowed for cooperative play. Most allowed only for sequential competition (86%) or simultaneous competition (7%); as many as 7% did not provide a display of the scores for a second player.

Adolescent↗