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PubMed1997

Non-verbal behavioral interactions of depressed patients with partners and strangers: the role of behavioral social support and involvement in depression persistence.

Excessive support seeking and lack of receiving social support have been associated with depression onset and unfavorable course of depression. It has been assumed that social support is effected by observable behaviors that express involvement. Twenty-five patients with major depression were studied during a social interaction with their partner and a similar interaction, with a stranger, matched on the sex and age of the partner. We anticipated that (1) partners would display less involvement behaviors to the depressed patients than would strangers and that (2) lack of involvement would predict an unfavorable course of depression, as assessed for depression remission within 6 months of admission. The social interactions, conducted at admission, were videotaped and the behaviors were assessed by ethological methods. The frequency and duration of behavioral elements were associated on the basis of statistical criteria into behavioral factors. Certain factors were supposed to express (lack of) involvement during an interaction. In the patient-partner interaction it was found that both participants displayed lower levels of involvement as compared to the patient-stranger interaction. The patients' low involvement was reflected by less Speech, less Eagerness (yes-nodding and no-shaking), less Speaking Effort (head movements, looking and gesturing during speech) and more Active Listening (intense touching of one's own body and head movements during listening). The partners' low involvement was also expressed by less Speech and more Active Listening, together with less Encouragement (yes-nodding and 'um-hum'-ing during listening). In addition, the partners displayed less Speech to patients who did not remit within 6 months, whereas patients and strangers behaviors were not related to depression remission. These findings supported our anticipations and the findings are related back to data on social support, involvement and to previous human ethological studies on depression.

Adult↗
PubMed2004

Perseveration and other repetitive verbal behaviors: functional dissociations.

This article will review types of perseveration from a neurolinguistic perspective. During the course of the article, continuous, stuck-in-set, and recurrent perseveration will be placed in contradistinction to several other types of repetitive behaviors commonly associated with neurogenic communication disorders. These include echolalia in mixed transcortical aphasia; conduite d'approche and conduite d'ecart in fluent aphasias; lexical and nonlexical automatisms in nonfluent aphasias; palilalia in neuromotor disorders, such as Parkinson's disease (PD); and sound, syllable, word, and phrase repetitions in neurogenic stuttering. When differentiating these phenomena from perseveration, it is helpful to consider the salient factors that condition observed behaviors in individual patients, such as overall speech fluency, inventory of available utterances, nature of eliciting tasks, and propositionality of responses. Information such as communication disorder diagnosis, underlying etiology, and known sites of lesion from each patient's total clinical profile may also assist with differentiation.

Aphasia↗
PubMed1979

Verbal behavior and schizophrenia. The semantic dimension.

Through the use of computer analysis, the content of the speech of schizophrenics is shown to be distinct from that of the speech of nonschizophrenic psychiatric patients. The data shed light on qualities that delineate some aspects of "bizarreness" in speech of schizophrenics, provide some insight into the diversity of postulated "defects" in schizophrenic thinking, and provide further understanding of the diagnostic process in schizophrenia.

Adult↗
PubMed1995

[Alexithymic verbal behavior in patients with Crohn disease].

This study investigates the language of Morbus Crohn patients using a quantitative, objective linguistic method which was developed by M. v. Rad (1983). Significant results were: The language of Morbus Crohn patients is more generalized and includes not only fewer emotional terms but also fewer differential emotional terms than the language of neurotic patients. This result supports the hypotheses that the language of Morbus Crohn patients is alexithyme and that the Morbus Crohn disease belongs to psychosomatic disorders.

Adult↗
PubMed1983

Neuropsychological deficit in chronic alcoholism: early detection and prediction by analysis of verbal behavior.

The content analysis of five-minute speech samples obtained from detoxified chronic alcoholic patients is a valid test for measuring cognitive impairment during the course of treatment. Such cognitive impairment scores six months after hospital discharge can be predicted using the variables of age, educational level, certain drinking patterns and cognitive impairment scores at the time of hospital admission. Patients who abstain for six months following hospital discharge have less cognitive impairment than those patients who resume drinking.

Adult↗
PubMed1992

Relations between verbal behavior of the orthodontist and communicative cooperation of the patient in regular orthodontic visits.

A study of interrelationships between orthodontist and patient communication characteristics on the basis of audiotape recordings is reported. The subjects were 66 patients from an orthodontic outpatient clinic who were treated by seven orthodontists. Strong relationships (partial correlations) were found between clinicians encouraging behavior (listener signals and symmetrical answering) and patient communicative cooperation (speech volume, detailed answering, questions, initiatives); whereas orthodontists guiding behavior showed lower correlations, only the clinicians' direct questions were significantly related to patient participation. For communication content, relations to patient activity depended on how strongly orthodontists discussed social or therapy topics. Discussion characteristics of both parties were not related to the patient's age, sex, and duration of therapy. However, patient communication differed with the personality of the dentist. Results are discussed with reference to literature, orthodontic consulting practice, and future research.

Adolescent↗
PubMed1968

Response cost and the control of verbal behavior under free-operant avoidance schedules.

Human subjects were tested in a free-operant avoidance procedure. Shock could be avoided by the emission of a verbal response of adequate intensity and duration. These schedules were found to control the emission of verbal operants in the same way they control motor operants. Some subjects showed conventional control by this schedule with or without response-produced feedback. Other subjects verbalized at a high rate under both these conditions until the addition of response cost brought this behavior under conventional schedule control.

Avoidance Learning↗
PubMed1986

[Reflections on the alexithymia concept: psychological conflict and verbal behavior. A contribution to phenomenology].

The concept of alexithymy, which is controversial in literature, is used in psychoanalytic discussion to identify a manifestation of character which is distinguished by distress and deficiency in the areas of interpersonal interaction, emotionality, and phantasy life. The definition of alexithymy demonstrates some inconsistencies; the quality of alexithymic thinking should show, for instance, both features; the attributes of the primary process and a pragmatic-instrumentalist orientation, which does not go together. In this article, we try to describe the style of interaction to which the concept of alexithymy refers as the strategy of "Versachlichung". "Strategy of Versachlichung" means a structure of defense and compensation relating to archaic fears that the primary object on whom one depends is in danger to be destroyed.

Adaptation, Psychological↗
PubMed1988

[Type A personality and its relations: the significance of hostility, neuroticism and verbal behavior for coronary heart diseases].

Despite the growing body of evidence against Type-A behavior pattern as a risk factor for coronary heart disease, there remains much interest in the relationship between some of the Type-A components, especially hostility, and coronary heart disease. However, the construct of hostility too needs further refinement into overt-expressive hostility which correlated positively with the severity of coronary occlusion and the covert experience of hostility, or neurotic hostility, which is negatively correlated. Loud speech and the frequency of simultaneous interruptive speech are other attributes associated with coronary disease. The paper concludes with a biobehavioral model that assumes a synergistic interaction between hostility, speech style and cardiovascular reactivity.

Arousal↗
PubMed1986

Team care: an analysis of verbal behavior during patient rounds in a rehabilitation hospital.

Patient rounds are an important aspect of multidisciplinary team care. Team perceptions of ideally functioning rounds were compared with the actual communication patterns in rounds in a physical rehabilitation hospital. Perceptions of the patients' needs in the content areas of physical, psychosocial, and support systems were also compared with the actual distribution of content in rounds. Physicians spoke more (41%) and made more authoritative statements (62%) than did staff from any other discipline. The physicians participated far more than was perceived as ideal in all areas but the physical. Patients contributed only 9% of the discussion and less than 1% of authoritative statements. The physical content area was overemphasized (65%) and the psychosocial area was underemphasized (14%) when compared with the perceived needs of the patients. Interpretations of these findings and implications for investigation of the impact of team care are discussed.

Authoritarianism↗
PubMed2005

Derived manding in children with autism: synthesizing Skinner's verbal behavior with relational frame theory.

Mand functions for two stimuli (A1 and A2) were trained for 3 children with autism and were then incorporated into two related conditional discriminations (A1-B1/A2 -B2 and B1-C1/B2-C2). Tests were conducted to probe for a derived transfer of mand response functions from A1 and A2 to C1 and C2, respectively. When 1 participant failed to demonstrate derived transfer of mand response functions, transfer training using exemplars was conducted. When participants had demonstrated derived transfer of mand functions, the X1 and X2 tokens that were employed as reinforcers for mand responses were incorporated into two conditional discriminations (X1-Y1/X2-Y2 and Y1-Z1/Y2-Z2). Tests were conducted for derived transfer of reinforcing functions. Finally, tests were conducted to determine if the participants would demonstrate derived manding for the derived reinforcers (present C1 and C2 to mand for Z1 and Z2, respectively). Derived transfer of functions was observed when the sequence of training and testing was reversed (i.e., training and testing reinforcing functions before mand response functions) and when only minimal instructions were provided.

Adolescent↗
PubMedDate not supplied

[Verbal behavior and communication experience of psychosomatic patients in the first psychoanalytic interview in connection with the concept of "pensée opératoire'].

This pilot-study was concerned with differences in speech behaviour and communication as experienced in psychoanalytically oriented initial interviews. In line with the ideas of Marty, Fain, de M'Uzan, David and Sami-Ali, 38 patients were divided into 3 diagnostic groups according to the extent of "pensée opératoire" and the level of functioning of the psychic sphere in each case. The communication experienced was recorded with the help of a communication questionnaire developed in Giessen. The speech behaviour for the interview as a whole and in its development over time was registered automatically and record in 29 categories by the Giessen Speech Analyzer. The following results are reported: --The two groups with more extensive "pensée opératoire" (A1, A2) differed from the character-neurotic patients in 13 of the 29 speech categories registered. The differences between groups A1 and A2 were not significant. --The communication as experienced by the patients did not differ between groups, but the therapist experienced the patients from the 3 diagnostic groups differently. The information gathered from the therapist in the communication questionnaire agreed by and large with the data collected automatically. --For the development of the interview over time, characteristic changes in the frequency of various speech categories were found but these were in the main unrelated to the diagnostic groupings.

Adult↗
PubMed1984

A comparison of the effect of music therapy and medical play therapy on the verbalization behavior of pediatric patients.

Therapeutic play activities are designed to help children verbalize their hospital experiences so they can cope with the trauma of hospitalization. The purpose of the study was to determine whether a music therapy session was more effective than a medical play therapy session in facilitating this verbalization. Forty school-aged subjects were randomly selected to receive an individual music therapy or play therapy session. The two groups were equated on the following variables: sex, age, socioeconomic status, length of present hospitalization, session interruptions, type of illness and related number of prior hospitalizations, and prior Child Life involvement. The last two variables were thought to influence verbalization. The dependent variable was comprised of each patient's response to four critical incidence questions about hospitalization. Content analysis was employed to code each response as a three-digit number with numbers increasing as the verbalization became more involved. The chi square statistic revealed that music therapy elicited significantly more involved verbalization about hospitalization than did the play therapy session for each of the seven variables. Verbalization was unrelated to the patient's diagnosis and prior hospitalizations. Patients without prior Child Life involvement had more involved verbalization than patients with prior involvement.

California↗
PubMed2000

[Differences in non-verbal behavior in individuals with various types of aphasia].

The aim of this research was to investigate if there were differences in non-verbal behaviour at persons with different forms of aphasia while resolving certain problems, and time spent for finding solutions to them. The research involved 30 patients with motoric, sensory and senso-motoric aphasia, in the area of 7 non-verbal variables. Using the statistical method (discriminatory analysis) we came up with the results confirming that there is a difference in the quality of problem solution at patients with different forms of aphasia, but the time frame for problem solving does not differ significantly with the same patients.

Adult↗
PubMed1992

[Atypical verbal behavior in a 30 year follow-up of an acquired aphasia-epilepsy syndrome].

Detailed study of the communication of one of the patients followed-up by Deonna et al. (1989) who has been suffering since age seven of an atypical acquired aphasia-epilepsia syndrome. Seizures as well as peculiar verbal productions persist at adult age. After a thirty year follow-up, only a small lexicon has been acquired, mostly made of onomatopeia and idiosyncrasies. We describe this lexicon and discuss the quality of the communication in a real-life ecological situation. We then compare it to the jargon and the aphasic productions of the standard neuropsychological examination.

Adult↗
PubMed1977

Altering student responses through changes in teacher verbal behavior.

Two experiments were conducted in a junior-high special-education class of eight pupils in an inner-city school. In the first experiment, the teacher doubled the number of words used by the pupils in answering questions by altering the type of questions asked. In the second experiment, the number of words used by students and the percentage of answers given in complete sentences, increased from less than 5% to approximately 90% when the teacher instructed the pupils to answer in complete sentences and asked another pupil to answer using a sentence if the first one did not do so. In both experiments, a brief return to baseline conditions brought a return to low levels of verbal responding. An analysis of which pupils were called on by the teacher, teacher praise, and in the second experiment the types of questions asked, indicated that these variables were not responsible for the increases in verbal responding.

Journal Article↗