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PubMed1995

Importance of auditory-verbal education and parents' participation after cochlear implantation of very young children.

Congenitally deaf children who receive a cochlear implant at a young age have the potential to achieve nearly normal language development. However, parents and rehabilitation therapists must realize that intensive and long-duration auditory-verbal education is required postoperatively to achieve this goal. Furthermore, the success of the therapeutic treatment is best realized if the parents themselves are trained to engage in linguistic interactions with the child within the natural context of the family. This is especially true if the parents are able to creatively guide auditory-verbal training on a daily basis. At the Cochlear Implant Center in Hannover, parents receive training and guidance on the following aspects of postimplant rehabilitation: basic components of auditory-verbal education; significance of collaborative efforts between parents and therapists; importance of exercising linguistic interactions on a daily basis; importance of the parents as communication partners; milestones and developmental stages of listening, speech, and language; interpretation of the child's first auditory and communication efforts after implantation; and future integration of the child into school and society.

Child↗
PubMed1993

A videotape analysis procedure for assessing conversational fluency in hearing-impaired adults.

This article describes a method for analyzing conversational difficulties and communication breakdown management in hearing-impaired adults and their communicative partners. The focus of the analysis is placed on the examination of conversational floor control, the proportion of repaired and nonrepaired communication breakdowns, and the strategies used by each member of the dyad to repair breakdowns. A case study illustrating the application of the procedure for aural rehabilitation is presented.

Communication Disorders↗
PubMed1988

Effects of SV40 transformation on intercellular gap junctional communication in human fibroblasts.

The effect of SV40 viral transformation of human fibroblasts on intercellular gap junctional communication (IJC) was investigated using a short-term quantitative assay. IJC was measured using metabolic cooperation in a coculture system of argininosuccinate synthetase- and argininosuccinate lyase-deficient human fibroblasts. These cell lines were transformed with origin-defective adenovirus/SV40 recombinant virions, and IJC was determined both between transformed cells (homologous IJC) and between transformed and untransformed cells (heterologous IJC). At equivalent cell densities, homologous IJC between transformed cells was reduced to 25-55% of the level between untransformed cells. Intermediate levels of IJC (50-70% of normal) were observed in heterologous cocultures of transformed with untransformed cells. Transformed and untransformed cells were equally sensitive to inhibition of IJC by phorbol esters and by glycyrrhetinic acid, and also did not differ in the degree of upregulation of IJC by forskolin. We conclude that SV40 transformation of human fibroblasts leads to a partial impairment of IJC which is additive when both communicating partners are transformed.

Cell Communication↗
PubMed1994

Peer-directed communicative interactions of augmented language learners with mental retardation.

Naturally occurring peer-directed communicative interactions of 13 youth with mental retardation and little or no functional speech who used the System for Augmenting Language (SAL) as their primary means of communication were described. Findings suggest that this system was an integral component of both successful and effective conversations and may be one important means of enhancing social interactions with peer communicative partners who have and do not have mental retardation.

Adolescent↗
PubMed1994

Conversation as therapy for older adults in residential care: the case for intervention.

Social isolation resulting from sensory loss tends to reduce life satisfaction in older adults. Residence in a long-term care facility such as a nursing home does little to alleviate their communication needs. Potenial communication partners are available (e.g. other residents, family and friends, nursing staff, volunteers, health-care workers), but many need instruction, counselling and feedback to become therapeutically effective. The speech pathologist's experience as both communication therapist and social facilitator can enhance consultation and staff training in this area.

Aged↗
PubMedDate not supplied

Initiating requests during community-based vocational training by students with mental retardation and sensory impairments.

Students with mental retardation and deafness or deaf-blindness often need some type of communication system to communicate effectively with communication partners during community-based vocational training. However, students may need specific training to learn how to initiate requests for items or assistance, a skill identified as critical for job success. Students were taught to initiate requests using dual communication boards and gestures. Data were recorded on student performance using a multiple-baseline probe design in which data were collected during baseline, intervention, and generalization phases. Students were able to initiate requests with 80% to 100% accuracy with the communication system at vocational sites. Training students to initiate requests may need to be targeted when students are first learning a job, as this is when most naturally occurring opportunities exist.

Adolescent↗
PubMed1996

Substance use, coping, and safer sex practices among adolescents with hemophilia and human immunodeficiency virus. The Hemophilia Behavioral Intervention Evaluative Project Committee.

PURPOSE: To examine the use of alcohol and other drugs (AOD) to cope with the human immunodeficiency virus (HIV), the use of AOD before or during sex by 306 adolescent males with HIV and hemophilia, and its association with safer sex practices. METHODS: A survey instrument was administered to adolescents at 11 sites of the Hemophilia Behavioral Intervention Evaluative Project. Survey questions focused on knowledge of sexual activity, safer sex practices, AOD use, attitudinal and behavioral influences of parents, peers and sex partners, communication patterns, and perceived facilitators and barriers to practicing safer sex. RESULTS: A total of 68% of all respondents reported using condoms every time they had heterosexual sex. Respondents who did not use AOD to cope were more likely than AOD copers to report that they disclose their HIV status to all sex partners, talk to all of their sex partners about safer sex, find the use of condoms more enjoyable, and have sex partners who approved of their use of condoms. Condom use was not related to the use of AOD to cope or the use of AOD with the most recent female sex partner. CONCLUSIONS: The use of AOD to cope with HIV and its use before or during sex was negatively associated with certain safer sex attitudes and practices. AOD use may help facilitate HIV transmission among adolescents with HIV and/or hemophilia.

Adaptation, Psychological↗
PubMed1995

Augmentative and alternative communication: treatment principles and strategies.

This article has attempted to clarify the principles of AAC evaluation and intervention, in part by dispelling myths that have persisted for too long. To the list of general guidelines for deciding when to consider AAC and how to begin breaking down the barriers to full participation by children with severe impairments, we need to add some warning signs that we have learned to heed in our work with these children. These signs are listed in Table 6 and are indicators that aspects of an approach to AAC must be altered or the child may fail to benefit from an intervention. Each sign conflicts in one way or another with current principles of augmentative and alternative communication. We give you these signs along with some possible ways to eliminate or prevent these errors in the future. Providing the best possible set of strategies for communication for a child with severe communication impairments is an enormously complex task. Whether a child can or cannot be assessed with standard procedures or whether he or she has unitary or multiple disabilities, the barriers to communication are many and intricately constructed. Sorting out strategies and how to apply them ordinarily requires input from the consumers of AAC (i.e., the family, child, and primary communication partners), the core team of professionals, as well as a team of specialists in AAC. Conducting evaluations and intervention is challenging because of institutional, bureaucratic, and professional barriers that each member of the team faces. Few, if any, teams can provide services that meet all of the established principles of best practice for every child that it serves. Yet, attempts to identify weaknesses within AAC programs and work to strengthen them must be given high priority in order to provide the best possible AAC services for such children. Only then will it be possible for children with severe communication impairments to overcome their own barriers and begin to participate in their choice of life's activities. That is, after all, the ultimate goal.

Child↗
PubMed1992

Cell-to-cell communication competence in simian virus 40-transfected rat ovarian cells is reduced following tumor selection.

A pSV3neo-transfected rat ovarian cell line (SV-GC) was developed from a primary granulosa culture (GC) to study gap junctional intercellular communication (GJIC) during Simian virus 40 (SV40) transformation. SV-GC expressed SV40 large T-antigen (T-ag), grew indefinitely in culture without luteinization, was anchorage independent, and formed tumors in nude mice. Ultrastructural analysis identified abundant gap junctional membrane and suggested that SV-GC was arrested at an early stage of differentiation. Functional GJIC, measured by a dye transfer technique (gap FRAP), was comparable to that observed in normal granulosa cells, suggesting that the expression of T-ag alone was insufficient to reduce GJIC. However, there was approximately a 50% loss in the rate of GJIC in the nude mouse SV-GC-tumor derived and G418 selected cell line (T-SV-GC). SV-GC----T-SV-GC also resulted in a transition from migration of cells as an epithelial sheet to the dissociation of individual fibroblastoid cells. Tumor cell detachment was also seen in migrating malignant human (A2780 and 547) and rat (DC3) ovarian cell lines. Co-culture combinations of normal (GC)----transformed (SV-GC)----tumor-derived (T-SV-GC) cells indicated that the rate of heterologous GJIC was characteristic of the least communicating partner. Taken together, these data suggested that SV-GC----T-SV-GC represented progression toward metastasis with concomitant reduction of GJIC and adhesiveness. These sequentially derived cell lines may be a useful in vitro model system for studies focusing on the mechanism involved in the detachment of cells during the progression of ovarian cancer.

Animals↗
PubMed1994

Deaf children's spoken language output with a hearing peer and with a hearing mother.

Knowledge of how deaf children use speech outside the classroom or therapy room many enhance our ability to improve their speech in a variety of situations and with a variety of communication partners. Past research has shown that deaf children's interactions in informal settings with their mothers and hearing peers create situations that can foster improved linguistic skills. In the current study, the amount and intelligibility of spoken language output in 15 deaf children ages 4-5 to 9-8 years during 15 minutes of free play with their mothers was compared with output and intelligibility during a similar session with a self-selected hearing peer. The results, which indicated that significantly more speech was produced during the children's interaction with their mothers, are discussed in terms of future research.

Child↗
PubMed1991

[Speech intelligibility and psychosocial adaptation in various voice rehabilitation methods following laryngectomy].

Intelligibility and psychosocial adjustment are measured by the PLTT (Post-Laryngectomy-Telephone-Test) and a newly developed questionnaire (FPAL). 110 male patients with total or partial laryngectomies are tested. Three different groups are compared with each other: laryngectomees with voice prostheses, laryngectomees with oesophageal voice or artificial larynx, and patients with partial laryngectomies. As was to be expected, intelligibility (single words and sentences) was best in patients with partial laryngectomies. The intelligibility of the laryngectomees with voice prostheses is significantly higher than the intelligibility of patients with oesophageal voice or artificial larynx. There was no difference between the groups with regard to the subjective assessment of intelligibility in relation to various communication partners. Partial laryngectomies have the lowest negative impact on the social and psychological situation of the patients. Laryngectomees, however, are more lonely, indicate more psychological stress in social interactions, and have a less positive evaluation of their life. Statistical analyses reveal no difference in psychosocial adjustment between laryngectomees with voice prostheses, oesophageal voice and artificial larynges.

Adaptation, Psychological↗
PubMed1990

[Subjective and objective voice assessment following partial resection of the larynx].

There is no generally accepted, standardized approach for evaluation of voice quality and of intelligibility after partial laryngectomy. A voice evaluation which considers some aspects of voice quality is possible by assessing physical and acoustic voice parameters. But this approach does not consider how the patient subjectively assesses his postoperatively altered voice and how the patient believes he is understood by various communication partners. In this study objective and subjective variables of the voice quality of 32 patients with partial laryngectomies were measured. First, selected physical and acoustic variables of voice quality were quantified. Second, subjective criteria of voice quality and of intelligibility were assessed by a questionnaire. A significant correlation between variables of objective and subjective voice quality was found. The maximum vocal intensity, the maximum pitch, and the intensity range correlated significantly with the subjective assessment of intelligibility. No relationship was found between the acoustic variables and the subjectively perceived degree of vocal disability.

Humans↗
PubMed1984

[Features of perception of interpersonal relations by schizophrenic patients].

In an experimental psychological study, the author examined the perception of interpersonality interactions in schizophrenic patients characterized by autistic behaviour (n = 70). A series of four techniques was designed especially for this study, which was aimed at establishing characteristics of the perception of interactions between people, of the perception of one's own interactions and of the perception of interactions in a group and in formal role situations. The patients displayed a tendency toward evading interpersonality interactions, formalization of communication and a desire to restrict the perception of the emotional characteristics of the communication partner.

Adolescent↗
PubMed1996

A nonverbal signal in voices of interview partners effectively predicts communication accommodation and social status perceptions.

Derivations from nonverbal communications accommodation theory are tested, and this knowledge is extended both theoretically and methodologically. Fast fourier transform and statistical analysis of a low-frequency nonverbal signal-in voices from 25 dyadic interviews between a talk show host and his guests revealed voice convergence between partners. Correlation coefficients from comparisons of partners' voice spectra and factor analysis of the correlation matrix showed that lower status partners accommodated their voices to higher status partners via the nonverbal signal. Student ratings of the social status of the same talk show host and guests were correlated with factor loadings, thereby providing convergent validity of the nonverbal signal as a predictor of social status perceptions and accommodation.

Dominance-Subordination↗
PubMed1995

The partner relationship in psychological response to breast cancer.

The social support literature has demonstrated that interpersonal relationships play an important role in adaptation to serious illness. However, researchers have recently emphasized the limitations of the social support construct and have urged a focus of attention away from global measures of perceived support and towards specific processes that occur in close relationships. The present study examined the role of one such process--informal helping from the partner--in women's psychological response to breast cancer. Structured interviews were conducted with 113 women who had received a diagnosis of breast cancer within the previous year. We found that satisfaction with the partner helping relationship was associated with psychological well-being. Even though most women had a good helping relationship with another person, this did not compensate for a problematic helping relationship with the partner. Good communication with the partner was characterized by high empathy and low withdrawal. The findings suggest that the partner plays an important role in breast cancer patients' adaptation, and that interventions aimed at couples may be an effective way of reducing psychological distress.

Adaptation, Psychological↗
PubMed1985

Emotional communication in close relationships.

Emotional communication patterns characterizing interactions between partners in close relationships were investigated by asking 29 couples who were married or living together to engage in a videotaped discussion of a problem they were having in their relationship. In a later experimental session, partners identified specific communications that they believed had an important influence on the discussion and then rated the communications in terms of the feelings the communicator intended to convey and the recipient's reactions. Partners attempted to reciprocate both the positive and negative feelings that they perceived their partner to express toward them. However, only negative feelings were actually reciprocated. This was because subjects were sensitive to differences in the negative feelings their partners reported expressing and interpreted those feelings correctly, but they were inaccurate in perceiving their partners' expressions of positive feelings. Men (but not women) interpreted their partners' failures to express love as an indication of hostility, whereas women (but not men) interpreted their partners' lack of hostility as an indication of love. These and other results were conceptualized in terms of a general model of emotional communication. Parameters of the model pertaining to the hostility of partners' communications were often related to women's satisfaction with their relationship and their beliefs about relationships in general. However, they were unrelated to men's satisfaction and general beliefs. This suggested that women are generally more adversely affected by overt expression of hostility than are men.

Adolescent↗
PubMed1995

Factors associated with Hispanic women's HIV-related communication and condom use with male partners.

To determine factors influencing Hispanic women's HIV-related communication and condom use with their primary male partner, 189 Dominican, Puerto Rican, and Mexican women were interviewed regarding sexual behaviour and condom use, relationship characteristics, perceived risk for HIV, and HIV-related communication with the primary male partner. Level of HIV-related communication with the primary male partner was associated with the woman's perceived risk for HIV and her rating of the openness with which she could communicate with her primary partner. Mexican women were less likely than Puerto Rican or Dominican women and women with multiple partners were less likely than those with one partner to communicate about HIV-related issues with their primary partner. Women reporting more condom use with their primary partner were younger, had discussed HIV-related issues more with the primary partner, and were less likely to expect negative reactions to requests for condom use than those reporting less condom use. These results suggest that prevention programmes that increase both general and HIV-specific communication between members of a couple may facilitate safer sex practices by the couple. Prevention programmes that encourage women to insist on condom use should consider the woman's expectations about her partner's reaction as a potential barrier to the initiation of safer sex practices.

Acculturation↗
PubMedDate not supplied

Does choice make a difference to contraceptive use? Evidence from east Java.

This study investigates sustained use of contraceptives among women in East Java, Indonesia. Interest is focused on the effect of whether the client's choice of contraceptive method was granted or denied, and the interaction between whether choice was granted or denied and husband-wife concurrence concerning method choice. Data were collected twice in a panel survey. The first round was conducted in family planning clinics among women initiating contraceptive use; the second was a follow-up household survey carried out 12 months later. Whether the user was granted her choice of method was found to be a very important determinant of sustained use of contraceptives. The interaction between whether choice was granted and whether there was husband-wife concurrence on method choice was also important. The highest rate of discontinuation occurred when method choice was denied in the presence of husband-wife agreement on method choice, and the lowest rate occurred when method choice was granted in the presence of such concurrence. The results imply that contraceptive continuation can be enhanced either when family planning workers pay more attention to the stated desires of their clients, or when policy is instituted allowing clients to use their method of choice.

Choice Behavior↗