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PubMed1994

How mothers teach basic-level and situation-restricted count nouns.

Recent research suggests that young children assume, as a default, that a word applied ostensively to an unfamiliar object (e.g. a man riding in a car) is a basic-level count noun (e.g. person) rather than a situation-restricted count noun (e.g. passenger). In this experiment, 14 mothers and their children (mean age 3.7; range 3.0 to 4.6) participated in a story-book reading session in which the mothers taught their children both a basic-level count noun and a situation-restricted count noun for a series of object drawings. An analysis of mothers' spontaneous teaching strategies revealed that, for a given object, they typically taught a basic-level count noun before a situation-restricted count noun. Furthermore, they tended to teach basic-level count nouns exclusively through ostensive definition, especially when the objects were unfamiliar. Moreover, they were (1) more likely to use ostensive definitions and (2) less likely to provide additional information concerning the application of the word, when teaching basic-level count nouns than when teaching situation-restricted count nouns. The results provide new evidence that word teachers, like young word learners, assume that a basic-level count noun is the psychologically-privileged candidate for an ostensive definition involving an (unfamiliar) object.

Child, Preschool↗
PubMedDate not supplied

Physician-patient communication in the primary care office: a systematic review.

BACKGROUND: The physician-patient interview is the key component of all health care, particularly of primary medical care. This review sought to evaluate existing primary-care-based research studies to determine which verbal and nonverbal behaviors on the part of the physician during the medical encounter have been linked in empirical studies with favorable patient outcomes. METHODS: We reviewed the literature from 1975 to 2000 for studies of office interactions between primary care physicians and patients that evaluated these interactions empirically using neutral observers who coded observed encounters, videotapes, or audiotapes. Each study was reviewed for the quality of the methods and to find statistically significant relations between specific physician behaviors and patient outcomes. In examining nonverbal behaviors, because of a paucity of clinical outcome studies, outcomes were expanded to include associations with patient characteristics or subjective ratings of the interaction by observers. RESULTS: We found 14 studies of verbal communication and 8 studies of nonverbal communication that met inclusion criteria. Verbal behaviors positively associated with health outcomes included empathy, reassurance and support, various patient-centered questioning techniques, encounter length, history taking, explanations, both dominant and passive physician styles, positive reinforcement, humor, psychosocial talk, time in health education and information sharing, friendliness, courtesy, orienting the patient during examination, and summarization and clarification. Nonverbal behaviors positively associated with outcomes included head nodding, forward lean, direct body orientation, uncrossed legs and arms, arm symmetry, and less mutual gaze. CONCLUSION: Existing research is limited because of lack of consensus of what to measure, conflicting findings, and relative lack of empirical studies (especially of nonverbal behavior). Nonetheless, medical educators should focus on teaching and reinforcing behaviors known to be facilitative, and to continue to understand further how physician behavior can enhance favorable patient outcomes, such as understanding and adherence to medical regimens and overall satisfaction.

Humans↗
PubMed2006

Lexical processing in illiteracy: effect of literacy or education?

Difficulties in phonological processing in illiterates have been attributed to their limited phonological awareness, a consequence of their lack of literacy. We sought to explore the potential influence of education on auditory lexical processing above and beyond literacy per se. In order to achieve this goal, we compared a lexical decision making paradigm with a repetition paradigm using words and pseudo-words. We based this choice of tasks on previous research, which has shown that pseudo-word repetition is dependent on the phonological loop; such studies have thus demonstrated a literacy effect on repetition. Instead, lexical decision making is known to depend on the size of one's vocabulary, which is influenced by the level of education attained. Our sample comprised three groups: illiterate no education, literate/low education and literate/high education, individuals. The pattern of our findings confirmed that literacy has an effect on the capacity of the phonological loop, as our illiterate group alone had difficulty with repetition, as compared with both literate/educated groups. Also, our findings suggested an education effect on lexical decision making, as we found a gradation in the performance of the three groups. Therefore, we succeeded in dissecting the effect of literacy and education on auditory lexical processing through the application and comparison of two simple paradigms.

Aged↗
PubMed1993

An evaluation of two methods for increasing self-initiated verbalizations in autistic children.

Three children with autism and mental retardation were treated for deficits in self-initiated speech. A novel treatment package employing visual cue fading was compared with a graduated time-delay procedure previously shown to be effective for increasing self-initiated language. Both treatments included training multiple self-initiated verbalizations using multiple therapists and settings. Both treatments were effective, with no differences in measures of acquisition of target phrases, maintenance of behavioral gains, acquisition with additional therapists and settings, and social validity.

Autistic Disorder↗
PubMed1990

Dementia and agitation in nursing home residents: how are they related?

The link between agitated behaviors and cognitive functioning in 408 nursing home residents was examined. Results showed that cognitively impaired residents manifested aggressive behaviors (e.g., cursing, hitting) and physically nonaggressive behaviors (e.g., pacing). The highest levels of physically nonaggressive behaviors were manifested by those residents who presented intermediate levels of impairment in their performance of activities of daily living. Cognitively intact residents exhibited verbally agitated behaviors (e.g., complaining). These findings have important implications for caregivers of agitated nursing home residents.

Activities of Daily Living↗
PubMed1993

Surviving verbal abuse: a win-win game plan.

Verbal abuse, one of many tactics used when communication breaks down, aggressively manipulates others into competitive power struggles loaded with hidden agendas. A specific win-win game plan is given to survive these verbal abuse tactics.

Adaptation, Psychological↗