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PubMed2001

Cultural and linguistic considerations in psychodiagnosis with Hispanics: the need for an empirically informed process model.

It is estimated that in the next century nearly half of the clientele seeking mental health services will be members of ethnic minority groups. Hispanics are the most rapidly growing population in the United States, and epidemiological evidence suggests that they present higher levels of psychiatric symptomatology and prevalence rates of disorder compared with other ethnic groups. Despite the unprecedented recognition of cultural considerations found in DSM-IV for rendering a psychiatric diagnosis, there is still surprisingly little empirical research examining cultural and linguistic factors influencing the diagnostic process. This article critically reviews this research and considers process variables that can inform social workers' culturally sensitive diagnosis of Hispanics.

Communication Barriers↗
PubMed1986

Intellectual, behavioral, and linguistic characteristics of three children with 18p- syndrome.

Developmental characteristics of three girls with 18p- syndrome are described, with detailed history and results of psychological and speech/language evaluations completed at various ages. Results suggest that some children with 18p- syndrome have average abilities in selected areas, despite previous reports that these children have mild to severe mental retardation. Two of the three girls had more severe deficits in linguistic, as opposed to nonlinguistic, abilities. All had similar difficulties with speech articulation. It is suggested that children with speech/language delays who have physical features associated with this syndrome have chromosome analysis performed. It is also recommended that children identified as having 18p- syndrome be referred for comprehensive developmental assessments and remedial special education programming before a specific prognosis is determined.

Articulation Disorders↗
PubMed1998

Infant screening: the usefulness of the Bayley Infant Neurodevelopmental Screener and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale.

We assessed the usefulness of the Bayley Infant Neurodevelopmental Screener (BINS) and the Clinical Adaptive Test/Clinical Linguistic Auditory Milestone Scale (CAT/CLAMS) for screening high-risk infant populations in a sample of 78 infants followed after premature birth and/or perinatal insults. Both measures were highly correlated with the Bayley Scales of Infant Development-II, but sensitivity and specificity analyses revealed disparities related to the tests administered and the cutoffs used. The BINS had optimal sensitivity (true positives) of 90% when referral was made for a BINS score of high or moderate. The CAT/CLAMS had excellent specificity (true negatives) of 95% to 98% but poor sensitivity (5%-36%). Until the cutoff issue can be clarified, clinicians should be cautious in using the CAT/CLAMS as the primary screening instrument in settings in which early identification of infants with developmental problems is the main goal.

Chi-Square Distribution↗
PubMed2005

Validity of the Clinical Adaptive Test (CAT)/Clinical Linguistic and Auditory Milestone Scale (CLAMS) as a screening instrument for very low birth weight infants in Taiwan.

The authors investigated the validity of the Clinical Adaptive Test (CAT)/Clinical Linguistic and Auditory Milestone Scale (CLAMS) for developmental screening and early prediction in very low birth weight (VLBW) infants, using the Bayley Scales of Infant Development II (BSID-II) as a reference standard. A total of 808 VLBW infants discharged from neonatal intensive care units in Taiwan from January 1995 to December 1997 were enrolled and followed up at the corrected ages of 6, 12, 18, and 24 months. The CAT/CLAMS and BSID-II were performed separately during each visit. The CAT/CLAMS showed strong concurrent correlations (r = 0.51-0.86, p < .0001) with BSID-II mental developmental index (MDI), and had high conegativity scores (96.7%-100%) but low copositivity scores (30.0%-45.3%) for detecting developmental delay. At 24 months of age, the CAT/CLAMS had better predictive validity for significant (MDI <70) rather than borderline (MDI = 70-84) developmental delay. The authors conclude that the CAT/CLAMS is not an appropriate developmental instrument for screening and early prediction in VLBW infants in Taiwan.

Case-Control Studies↗
PubMed1980

The effects of antipsychotic medication on the linguistic ability of schizophrenics.

Twenty-two chronic schizophrenic patients were tested on medication, and then again in a drug-free period, and matched with a group of patients that remained on medication. The subjects' speech, in response to interview questions and Thematic Apperception Test cards, was then analyzed through a series of linguistic measures in an effort to assess the effects of neuroleptic medication on the communication ability of schizophrenics. Results indicated that the medicated patients were more verbally communicative and showed an increase in the complexity and coherence of their speech and a decrease in pathological utterances. The findings suggest that drug treatment can enhance such patients' capacity to utilize verbally oriented psychotherapy.

Adult↗
PubMed2004

Linguistic and gait disturbance in a child with Laurence-Moon-Biedl syndrome: left temporal and parietal lobe hypoplasia.

Laurence-Moon-Biedl syndrome is an autosomal recessive disorder characterized by retinitis pigmentosa, obesity, polydactyly, hypogenitalism, mental retardation, and renal abnormalities. We report the linguistic and gait disorders in a child with Laurence-Moon-Biedl syndrome associated with left temporal and parietal hypoplasia as determined by magnetic resonance imaging. Our patient was mildly mentally retarded, scoring better on the performance subtest than on the verbal subtest. He received serial assessments for developmental, language, speech, and gait functions, before and after rehabilitation, at age 4.5 and 6 yr, respectively. After comprehensive rehabilitation, the boy achieved improvement in speech, language, fine motor, and gait functions. Early comprehensive rehabilitation programs seem beneficial for improving functional development for children with Laurence-Moon-Biedl syndrome.

Child, Preschool↗
PubMed2005

Neighbour-nets portray the Chinese dialect continuum and the linguistic legacy of China's demic history.

As with species studied by evolutionary biologists, languages are evolving entities. They can evolve in tree-like patterns, possibly blurred by borrowing, but they can also develop in non-tree-like schemes. For instance, diglossia, as in the case of Chinese, can counterbalance the hierarchical pattern expected from differentiation by internal change associated with isolation by distance of speech communities. Using two lexical datasets, either the basic lexicon supposedly more immune to borrowing or a representative sample of the whole lexicon, we investigate the development pattern of Chinese dialects using a neighbour-net approach, which is an unprejudiced technique for representing object relationships. The resulting graphs are consistent with a dialect continuum shaped by counterbalanced effects of homogenizing diglossia and borrowing versus differentiating spread of speech communities. Historical events and linguistic claims can be mapped on these graphs.

China↗
PubMed2006

Literacy achievement of children with intellectual disabilities and differing linguistic backgrounds.

BACKGROUND: The aim of the present study was to examine the literacy achievement of 10- to 12-year-old native and non-native children with intellectual disabilities (ID) living in the Netherlands. An intriguing question within this context was whether the second language learning non-native children with ID would show a double disadvantage when compared with their monolingual Dutch peers with no ID. METHODS: Dutch literacy scores in the domains of word decoding, vocabulary, syntax and text were therefore compared for: (1) intellectually disabled native Dutch children; (2) intellectually disabled non-native children; (3) normally developing native Dutch children; and (4) normally developing non-native children. The interrelations between literacy subskills were also compared for native vs. non-native children with ID. RESULTS: The native and non-native students diagnosed as intellectually disabled produced substantially lower literacy scores than their non-disabled peers. The differences between the native (L1) and non-native (L2) children in regular vs. special education were found to depend on the aspect of literacy considered. Word decoding and language skills turned out to significantly predict the children's reading comprehension, although some differences in the strength of relationships could also be evidenced. CONCLUSIONS: The literacy achievement of intellectually disabled children with differing linguistic backgrounds generally falls behind that of their non-disabled peers. For word decoding, the non-native children in regular and special education were generally able to keep up with their native peers. For higher-order literacy abilities closely related to the mental lexicon, sentence processing and text processing, however, significant differences in the performances of the native (L1) and non-native (L2) children in regular vs. special education were found, suggesting a double disadvantage for the non-native children in special education.

Achievement↗
PubMed2005

Patterns of home and community care service delivery to culturally and linguistically diverse residents of rural Victoria.

OBJECTIVE: To describe and compare patterns of Home and Community Care (HACC) utilisation among culturally and linguistically diverse (CALD) people and Australian-born residents of rural Victoria. DESIGN: The HACC Minimum Data Set provides information regarding levels of service provision and coverage in Victoria. Data from January to June 2002 were analysed to provide a profile of client characteristics and service usage in rural Victoria. Patterns of service utilisation were compared with the profile of the CALD population in the 2001 Census. RESULTS: The proportion of CALD residents who are HACC clients is consistent with demographic profiles. However, their extent of service usage is not consistent with patterns of use by Australian-born residents. HACC clients born in non-English-speaking countries, receive 35% less hours of HACC service than their Australian-born counterparts. HACC clients born overseas in English-speaking countries receive nine per cent less hours of HACC service than the Australian-born group (F = 8.9, P = 0.00). Both groups of overseas-born clients use a smaller range of HACC services (F = 1.9, P = 0.16). CONCLUSION: Planners and service providers need to monitor levels of HACC service delivery among population groups to ensure that CALD population groups receive equitable levels of HACC services. The HACC Minimum Data Set is one source of data that can assist in this process.

Adolescent↗
PubMed1994

What types of linguistic information do children use in spelling? The case of flaps.

We sought to determine what types of linguistic information children represent in their spelling by examining their performance on the flaps of words such as city and lady. In 4 experiments, children often misspelled flaps as d. This d bias was common until at least second grade, with few children showing a bias toward t. We found no evidence that children have an underlying representation of city as containing /t/, for children said such words with /d/ when speaking very slowly. Even kindergartners were more accurate at spelling the flaps of words such as dirty, which have a stem ending with /t/, than the flaps of words such as city. Thus, children use meaning relations among words to aid their spelling before they have formally been taught to do so. The results show that young children are not purely phonetic spellers as they are often portrayed. The results further suggest that phonology and orthography are closely related systems that interact during development.

Age Factors↗
PubMed1993

Linguistic characteristics of neurotic, borderline and psychotic personality organization.

Thirty patients were subjected to a Structural Interview by means of which 10 of them received the diagnosis NPO (Neurotic Personality Organization), 10 BPO (Borderline Personality Organization) and 10 PPO (Psychotic Personality Organization). About 2500 words and groups of words were extracted from the patients' utterances for analysis. The word-frequencies thus found were analyzed by a PLS discriminant analysis which yielded two significant principal components (main dimensions) explaining 57% of the variance. This analysis showed that the three groups of patients are well separated from one another and that there is a definite correlation between personality organization and linguistic variables. The main features of the BPO-patients in this study seem to be that they refer to positions outside themselves and their language is impersonal; we see this as an example of a vacillating identity. The NPO-group is characterized by an intense and rich language, signs of a more advanced symbolizing ability, deixis and high level defenses. The language of the PPO-patients is poor and its predominant feature is a lack of words; in our interpretation this indicates foreclosure and a lack of identity.

Adult↗
PubMed2006

Paternal and maternal lineages in the Balkans show a homogeneous landscape over linguistic barriers, except for the isolated Aromuns.

The Balkan Peninsula is a complex cultural mosaic comprising populations speaking languages from several branches of the Indo-European family and Altaic, as well as culturally-defined minorities such as the Aromuns who speak a Romance language. The current cultural and linguistic landscape is a palimpsest in which different peoples have contributed their cultures in a historical succession. We have sought to find any evidence of genetic stratification related to those cultural layers by typing both mtDNA and Y chromosomes, in Albanians, Romanians, Macedonians, Greeks, and five Aromun populations. We have paid special attention to the Aromuns, and sought to test genetically various hypotheses on their origins. MtDNA and Y-chromosome haplogroup frequencies in the Balkans were found to be similar to those elsewhere in Europe. MtDNA sequences and Y-chromosome STR haplotypes revealed decreased variation in some Aromun populations. Variation within Aromun populations was the primary source of genetic differentiation. Y-chromosome haplotypes tended to be shared across Aromuns, but not across non-Aromun populations. These results point to a possible common origin of the Aromuns, with drift acting to differentiate the separate Aromun communities. The homogeneity of Balkan populations prevented testing for the origin of the Aromuns, although a significant Roman contribution can be ruled out.

Chromosomes, Human, Y↗
PubMed2006

"Oh! She doesn't speak English!" Assessing resident competence in managing linguistic and cultural barriers.

BACKGROUND: Residents must master complex skills to care for culturally and linguistically diverse patients. METHODS: As part of an annual 10-station, standardized patient (SP) examination, medical residents interacted with a 50-year-old reserved, Bengali-speaking woman (SP) with a positive fecal occult blood accompanied by her bilingual brother (standardized interpreter (SI)). While the resident addressed the need for a colonoscopy, the SI did not translate word for word unless directed to, questioned medical terms, and was reluctant to tell the SP frightening information. The SP/SI, faculty observers, and the resident assessed the performance. RESULTS: Seventy-six residents participated. Mean faculty ratings (9-point scale) were as follows: overall 6.0, communication 6.0, knowledge 6.3. Mean SP/SI ratings (3.1, range 1.9 to 3.9) correlated with faculty ratings (overall r=.719, communication r=.639, knowledge r=.457, all P<.01). Internal reliability as measured by Cronbach's alpha coefficients for the 20 item instrument was 0.91. Poor performance on this station was associated with poor performance on other stations. Eighty-nine percent of residents stated that the educational value was moderate to high. CONCLUSION: We reliably assessed residents communication skills conducting a common clinical task across a significant language barrier. This medical education innovation provides the first steps to measuring interpreter facilitated skills in residency training.

Attitude of Health Personnel↗
PubMed2000

The internalist stance. A linguistic practice enclosing dynamics

Natural dynamics, as manifested in evolutionary processes, refer to material bodies in movement in the present progressive mode. Any interacting material body in the present progressive mode must be sentient to others because there can be no global agency coordinating it to others in a globally synchronous manner. The internalist perspective, or the worm's eye view, referring primarily to the present progressive mode, renders local material bodies, large or small, subject to an inevitable inconsistency among local representations of neighborhood events registered in the local present perfect tense. Any sentient material body experiencing this inconsistency subsequently transforms itself into an inconsistency-free representation. The descriptive scheme unique to the internalist stance is internal and dynamic in the sense that it constantly strives to update constituent local representations, attempting to eliminate any inconsistencies residing within antecedent local representations. Compared to external descriptions of invariable universals grounded upon the Cartesian epistemic split, which are complementary to dynamics, internal description serves as a linguistic means of embodying natural dynamics even without recourse to the notion called forces. This makes our language powerful enough to enclose natural dynamics of material bodies in the empirical domain.

Journal Article↗
PubMed1991

Social judgements of sex and blame in the context of AIDS: gender and linguistic frame.

A questionnaire study (N = 318) examined social judgements of sexually active males and females on positive and negative evaluative dimensions, as a function of the perceiver's gender, and the linguistic frame of judgement. This frame was manipulated by requiring respondents to rate themselves on a number of descriptive dimensions which evaluatively favoured either a 'liberal' or a 'conservative' approach to sex and personal relationships, before making their judgements. Female targets were rated more negatively than males on both evaluative dimensions. There were also significant interactions between the framing manipulation and both subject and target gender for the evaluatively positive measure. There was some evidence of females being perceived more positively in the liberal than the conservative frame and within the conservative frame they were judged less positively than male targets. Male subjects tended to rate targets more positively in the liberal frame whereas females did not. Judgements of blame and personal responsibility in the context of AIDS were examined as a function of the independent variables and also revealed gender differences. These factors, and particularly the importance of language in framing the context of self-perception and social judgement, are discussed.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Acoustic measures for linguistic features distinguishing the semivowels/wjrl/in American English.

Acoustic properties related to the linguistic features which characterize the semivowels in American English were quantified and analyzed statistically. The features can be divided into those which separate the semivowels from other sounds and those which distinguish among the semivowels. The features of interest are sonorant, syllabic, consonantal, high, back, front, and retroflex. Acoustic correlates of these features were investigated in this study of the semivowels. The acoustic correlates, which are based on relative measures, were tested on a corpus of 233 polysyllabic words, each of which was spoken once by two males and two females. For the most part, the appropriate distinctions are made by the chosen acoustic properties for features. However, for each property, there was some overlap in the acoustic correlates of features for the sounds being distinguished. An examination of the sounds in the overlap regions reveals that their surface manifestation varies substantially from the canonical form. In large part, the observed variability can be explained in terms of changes due to feature spreading and lenition.

Humans↗
PubMed1996

Spectral balance as an acoustic correlate of linguistic stress.

Although intensity has been reported as a reliable acoustical correlate of stress, it is generally considered a weak cue in the perception of linguistic stress. In natural speech stressed syllables are produced with more vocal effort. It is known that, if a speaker produces more vocal effort, higher frequencies increase more than lower frequencies. In this study, the effects of lexical stress on intensity are examined in the abstraction from the confounding accent variation. A production study was carried out in which ten speakers produced Dutch lexical and reiterant disyllabic minimal stress pairs spoken with and without an accent in a fixed carrier sentence. Duration, overall intensity, formant frequencies, and spectral levels in four contiguous frequency bands were measured. Results revealed that intensity differences as a function of stress are mainly located above 0.5 kHz, i.e., a change in spectral balance emphasizing higher frequencies for stressed vowels. Furthermore, we showed that the intensity differences in the higher regions are caused by an increase in physiological effort rather than by shifting formant frequencies due to stress. The potential of each acoustic correlate of stress to differentiate between initial- and final-stressed words was examined by linear discriminant analysis. Duration proved the most reliable correlate of stress. Overall intensity and vowel quality are the poorest cues. Spectral balance, however, turned out to be a reliable cue, close in strength to duration.

Humans↗
PubMed1997

Spectral balance as a cue in the perception of linguistic stress.

In this study, the claim that intensity, as an acoustic operationalization of loudness, is a weak cue in the perception of linguistic stress is reconsidered. This claim is based on perception experiments in which loudness was varied in a naive way: All parts of the spectrum were amplified uniformly, i.e., loudness was implemented as intensity or gain. In an earlier study it was found that if a speaker produces stressed syllables in natural speech, higher frequencies increase more than lower frequencies. Varying loudness in this way would therefore be more realistic, and should bring its true cue value to the surface. Results of a perception experiment bear out that realistic intensity level manipulations (i.e., concentrated in the higher frequency bands) provide stronger stress cues than uniformly distributed intensity differences, and are close in strength to duration differences.

Female↗