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The relation of length of institutionalization to the intellectual functioning of the profoundly retarded.

The effect of institutionalization was measured in relation to performance on the Cattell Infant Intelligence Scale by 103 profoundly retarded residents with a mean CA of 20.3 years, a mean MA of 18.1 months, a mean IQ of 12.7, and a mean number of years in the institution of 10.6. After partialing out CA and MA, years in the institution was negatively correlated with success in visually directed object manipulation (Cattell items below an MA of 9 months), social imitation (9-12 months), and purposeful, constructive activities (over 20 months). The findings were compared with previous studies on retarded and nonretarded infants and children.

Adult↗

Social reinforcement and the naturally occurring social responses of severely and profoundly retarded adolescents.

This study was designed to determine if the deficits in social behavior of retarded persons might be due, in part, to the failure of their environment to maintain that behavior. Using an ABAB design, we systematically ignored severely and profoundly retarded, institutionalized adolescents and gave them social reinforcement for appropriate social behavior. Social behavior decreased during nonreinforcement conditions and increased during reinforcement conditions. The data suggest that deficits in social behavior of retarded persons may be due to failure of their environment to maintain such behavior. Implications of these findings for staff behavior and the utility of the present procedure for increasing social behavior of institutionalized retarded persons were discussed.

Adolescent↗

Characteristics of the initial medical interview associated with patient satisfaction and understanding.

This study examines the relationship between selected interview characteristics, particularly physicians' verbal behaviors, and levels of patient satisfaction and understanding. Twenty-nine initial patient interviews by 11 physicians at the University of Washington Hospital Family Medical Center were videotaped and rated using a modified Bales' technique. Questionnaires provided measures of patient satisfaction and understanding. Results of correlation analysis indicate that higher patient satisfaction was associated with greater interview length, increases in the proportional time spent by the physician in presenting information and discussing prevention, and shorter chart review times. Increased patient understanding was associated with increases in the proportional time spent presenting both information and opinions, close physical proximity, and reduced chart review time. Implications of the results are discussed as well as methodological issues relating to further research.

Adolescent↗

A dyadic remediation program for care recipients with dementia.

A cognitive remediation intervention was tested for its effect on functional outcomes of older care recipients with the diagnosis of dementia of the Alzheimer's type. The 78 community-dwelling care recipients were assessed on cognitive and behavioral functioning and randomly assigned to one of three conditions. Care recipients were expected to benefit most from active cognitive stimulation training as compared to placebo (passive) activity or wait-list control conditions. Following each weekly instruction session, the intervention was executed in the home by the family caregiver. Care recipients in the experimental group improved in cognitive and behavioral performance with treatment, but returned to former level of functioning by the 9th month. In contrast, the control group declined, while the placebo group remained static on these variables. These findings support the viability of remediation interventions in dementia despite the trajectory of cognitive decline.

Adult↗

Caregiving behaviors and early cognitive development as related to ordinal position in preterm infants.

Naturalistic home observations of 54 preterm infants and their caregivers were made when the infants were 1, 3 and 8 months of age. Differences were found in the kinds of everyday transactions which occur with preterm infants raised with and without siblings. At 1 month of age the care of firstborn and later-born infants was similar in most ways. At 3 months and 8 months firstborn infants clearly received more responsive care and more stimulation from their mothers than later-born infants. Furthermore, the firstborn infant received more social transactions from anybody. Firstborn preterm infants obtained higher Gesell developmental scores than later-born infants, replicating results reported with infant test performance of full-term infants.

Age Factors↗

Freud's speech apparatus and spontaneous speech.

Freud's first book published in 1891 was a monograph entitled On Aphasia. In it he challenges the main authorities of the time by asserting that their manner of understanding aphasias is no longer tenable. Freud proves their theories wrong and presents his own conception of a speech apparatus. The apparatus is the foundation of his clinical and theoretical explanations about the speech function and its pathological manifestations. He built the model of an apparatus capable of explaining spontaneous speech, a function that the competing models of his contemporaries could not fully integrate. Freud's speech apparatus is the first of several models he created to facilitate the understanding of psychic functions. This paper is part of a series dedicated to an in-depth study of the earliest model which would provide the foundations for the understanding of its reappearance in Freud's later theories, and in particular in his analytic technique.

Aphasia↗

Language development in 2-year-old normal and risk infants.

A variety of language measures was obtained on two groups of 2-year-old infants matched for social class but differing in terms of birth conditions. One group, a high risk group, contained infants who suffered from RDS, birth asphyxia, hypercalcemia, and hyperglycemia while another group consisted of normal infants. The results of the language tests revealed that the high risk group showed poorer performance than the normal subjects. Other tests of perceptual-cognitive development revealed little difference between the groups. The data suggest that the assessment of early trauma needs to employ a variety of measures, especially those which are related to the unfolding skills appropriate for the particular age group studied. Pediatrics, 59:982-986, 1977, LANGUAGE DEVELOPMENT HIGH RISK, BIRTH ASPHYXIA, RESPIRATORY DISTRESS SYNDROME (RDS).

Child Development↗