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[Verbal communication disorders and language disorders in cortical dementias (I). The current state of the art in research].

INTRODUCTION: This is the first part of a research work into primary and secondary language disorders (LD) in the stages of minimum to mild pathological deterioration in the degenerative process of cortical dementias. AIMS. In this first part, in the light of recent models of symbolic computation of language processing, we review the most significant publications on the subject matter. DEVELOPMENT: We begin with an introduction to the historical development of the approaches used to deal with the subject. Following that, we briefly describe the components of the language processing system (LPS) in the light of symbolic computation models. We then analyse the publications dealing with those models. Our aim was to determine whether the LD reported in those publications are the result of a primary involvement of any of the LPS components, or whether they are only the result of disorders affecting other components of the cognitive system. In this case, the supposed LD would be secondary and thus a communication, but not language, disorder. CONCLUSIONS: Despite the important variations from one individual to another that have been systematically observed by different authors, it seems that only LD belonging to so called primary progressive aphasia are actually cases of this disorder. In all the other dementias in the above mentioned stages of the development process these disorders are secondary to the involvement of other subsystems of the LPS.

Aged↗

Semantic errors in naming, repetition, spelling and drawing from memory: a new Italian case.

Semantic errors in aphasic patients are frequent and their study has helped understanding the structure and processing of the lexical/semantic system. Most of the patients with semantic errors in reading and writing are English-speaking and it has been argued that this depends on the type of the orthographic systems: in opaque orthographies semantic errors are more frequent than in transparent orthographies. The paper reports the case of an Italian patient, AM, with semantic damage and semantic errors in comprehension and production tasks, except reading aloud. AM was also impaired in non-word repetition and writing but his reading of non-words was only mildly impaired. The absence of semantic errors in reading and the co-occurring absence of severe damage to the non-lexical reading route is consistent with interaction between lexical and non-lexical processing. The discussion addresses the question of the relative frequency of semantic errors in reading and writing tasks in languages with different types of orthographies.

Aphasia↗

[Psychopathology of expression in the German language, countries. Attempt at a summary].

The foundations of the modern psychopathology of pictorial expression were laid more than a half-century ago by a Frenchman, Marcel Réja (1907), à Swiss, Morgenthaler (1921), and a German, Prinzhorn (1922). In the early days, this was a matter of marginal interest for a handful of psychiatrists and it attracted little official attention. Since the last war however, and especially since the establishment of the S.I.P.E., this special branch of psychopathology has won the recognition to which it is entitled. In French-speaking and other Latin language countries, Volmat's book (1956) provided a powerful stimulus to research. Numerous studies were also undertaken in German-speaking countries. A Swiss psychiatrist, living in a polyglot country, surrounded by some of the world's major linguistic zones, is especially well situated to follow the evolution of ideas. He soon comes to realize that these language areas are sharply separated by very real barriers. In the past few years, the lack of communication between French and German-speaking investigators has become increasingly apparent. Within the limits of a single report, it is impossible to cover all of the work that has been published in German since the time of Prinzhorn. The author has restricted himself to a selection of studies which he personally regards as important. He has sought to retrace and bring into view a line of thought which has proved to be productive and which has not received the attention it deserves in the French-language literature.

Art↗

Pictorial illustrations enhance memory for sentences in younger and older adults.

In these studies, the authors examined the effects of verbal and pictorial illustrations on younger and older adults' recall of the content of short sentences. During acquisition, base and elaborated sentences were presented under one of three encoding conditions: (a) sentences only; (b) sentences with matching pictures; (c) incomplete sentences with matching pictures. At test, participants recalled the main action of the sentences. Base sentences were recalled more often than elaborated sentences when strict scoring criteria were used. However, older adults showed a recall advantage for elaborated sentences compared to base sentences when lenient scoring criteria were applied. Positive effects of pictorial illustrations occurred for both age groups. Implications for the design of instructional formats to improve older adults' retention of textual material are discussed.

Adult↗

Medical linguistics: automated indexing into SNOMED.

This paper reviews the state of the art in processing medical language data. The area is divided into the topics: (1) morphologic analysis, (2) syntactic analysis, (3) semantic analysis, and (4) pragmatics. Additional attention is given to medical nomenclatures and classifications as the bases of (automated) indexing procedures which are required whenever medical information is formalized. These topics are completed by an evaluation of related data structures and methods used to organize language-based medical knowledge.

Abstracting and Indexing↗

Communicating health risks in the Pacific: scientific construct and cultural reality.

Health workers often communicate to people from a position of power rather than focusing on the needs of the receivers. This is usually clouded with jargon and the so-called principles of scientific accuracy. Often the use of science is to justify the health worker's position rather than to precipitate actions to promote health and achieve people's control over their lives. Communication involves a tripartite reciprocal interaction between the sender, receiver and the medium. This involves both science and art specific to the message, language, values and participants. If the ultimate purpose of communication is healthful action and community control, then scientificness of the explanations must be secondary. Therefore the art of getting the message across must be the priority rather than it being scientifically sound. This conflict is discussed in relation to experiences in the Pacific Islands. The communication of health risks in the Pacific involves the multi-tiered translation of scientific concepts and language into those of the target populations. The scientific concepts are usually occidental and need to be translated into vernacular worldviews and languages. Experiences in and examples from the Pacific have challenged the primacy of scientific explanations over the need to minimise health risks and increase of community control. For health promotion to succeed in multicultural and multilingual Pacific, New Zealand and Australia, the art and science of communicating health risks must be titrated against scientific explanations to appropriately and primarily promote health.

Communication↗

Death, poetry, psychotherapy and clinical supervision (the contribution of psychodynamic psychotherapy to palliative care nursing).

This paper explores one facet of a therapeutic relationship with a woman suffering from inoperable cervical cancer. The psychotherapy sessions were conducted in both hospital and the family home and continued on a weekly basis until final termination immediately prior to the woman's death. Through a "suspense structure' case study narrative, the writer, a nurse psychotherapist, describes the way in which the humanities, art and poetry can provide a means through which to understand seemingly incomprehensible feelings related to reviewing past events as a preparation for death. While no explicit critique is made of the twin psychoanalytical concepts of transference and countertransference, the occurrence is woven into the text. The essential nature of clinical supervision is illustrated in context. The author proposes that engagement in a therapeutic relationship with a dying person presents the worker with parallel struggles manifesting in elementary feelings which require discernment. The central recommendation of this paper is that the rich symbolic language and metaphors, redolent in art and poetry, be harnessed as a potent therapeutic tool. Throughout the discussion, the terms counselling and psychotherapy are used interchangeably.

Death↗

A set of 400 pictures standardized for French: norms for name agreement, image agreement, familiarity, visual complexity, image variability, and age of acquisition.

The present article provides French normative measures for 400 line drawings taken from Cycowicz, Friedman, Rothstein, and Snodgrass (1997), including the 260 line drawings that were normed by Snodgrass and Vanderwart (1980). The pictures have been standardized on the following variables: name agreement, image agreement, familiarity, visual complexity, image variability, and age of acquisition. These normative data also include word frequency values and the first verbal associate (taken from Ferrand & Alario, 1998). The six variables obtained are important because of their potential effect in many fields of psychology, especially the study of cognitive processes such as visual perception, language, and memory.

Art↗

[School type, school stress and health problems in 17-year-old Zurich middle school students].

In the present study a sample of 661 seventeen-year-old students of different undergraduate colleges of the Canton of Zurich were investigated by questionnaire. They were asked about various psychosocial variables, their consumer behavior, school-life and their physical and mental health. The aim of the study was to investigate whether students of different college types differ in regard to their psychosocial and morbidity characteristics: Out of the sample two subgroups were formed: Students of the traditional college type B (classical/modern languages) and C (mathematics and sciences) on the one hand, and students of the modern college type D (modern languages) and L (modern languages/fine arts) on the other. Regarding sociodemographic variables and social contact there were no differences for both sexes between the two college types. Female students of the modern colleges reported to drink alcohol more regularly. There was a significant difference, however, taking college type into account in regard to eating behavior, body image, and physical and mental complaints. Girls of the modern colleges showed more symptoms and disturbances on all applied check lists. Regardless the college type, the results indicated that low academic grades and stressfully assessed school life were accompanied with significantly higher symptom scores in female students. The findings of the study indicate that targeted concepts for prevention and health promotion should be advanced especially in the classes of the modern colleges.

Adolescent↗

The Baron Doctor Cornelius Ver Heyden De Lancey (1889-1984): dental surgeon, doctor and lawyer.

The Baron Doctor Cornelius Ver Heyden De Lancey is one of the few persons to qualify in dental surgery, medicine and the law. He was an author and art historian and spoke five languages and he was an important benefactor for students and practitioners of the three professions and for others through the De Lancey and De La Hanty Foundation Limited, which he established in 1971. This paper follows the Baron's professional progress from his birth in Holland to his death in Jersey. He gained a plethora of qualifications. His professional activities explain why certain organizations gained from his philanthropy.

Foundations↗

Continuing education in later adulthood: implications for program development for elderly guest students.

While more and more institutions of higher education are offering cost-free continuing education programs to older men and women, the enrollment of this target population is quite low. This study was conducted to identify factors that would positively influence the decisions of individuals over sixty years of age to participate in such programs. Sixty-five white predominantly upper middle-class, highly educated (means = 16.92 years of schooling) women aged sixty years and over (means = 68.80) were given a questionnaire concerning attitudes toward continuing education. The majority (86%) indicated a high level of interest in taking geology, political science, world and art history, music, literature, and language courses. In addition, 85 percent preferred to participate in learning situations that included younger and older individuals; 58 percent reported interest in having a companion enroll with them; 48 percent preferred no specific learning environments (i.e., lecture, discussion, or workshop); and 75 percent reported that family members did not suggest that they enroll in continuing education classes. It is suggested that the high level of interest in taking courses offered by institutions of higher education displayed by the women surveyed is because of personal experience with university level education in young adulthood.

Aged↗