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Results of speech perception and speech production training for three prelingually deaf patients using a multiple-electrode cochlear implant.

Five studies were conducted to measure changes in the perception and production of selected speech targets, with training, in three prelingually deaf patients. The two adults and one adolescent were implanted with the Cochlear (Nucleus) multiple-electrode prosthesis. The studies were perception and production of nasal consonants; perception of syllable-final consonants; perception and production of alveolar consonants; auditory-visual perception of alveolar consonants; and perception and production of vowels. Perceptual data were collected in the audition (implant)-alone condition, except for the auditory-visual perception of alveolar consonants where the audition-alone, vision-alone, and auditory-visual conditions were used. Speech perception data in the audition-alone condition were also collected from four postlingually deaf adult implant patients, without training, to indicate differences between the two classes of patients. The three prelingually deaf patients generally showed some improvements in speech production. In perception, improvements were recorded only for individual patients in some studies. The performance of the adolescent was better than that of the two adults in all cases. The perceptual performance of the postlingually deaf patients was superior to that of the prelingually deaf patients in all cases.

Adolescent

Associations of Illness Perception, Resignation Coping, and Social Support With Self-Regulatory Fatigue in Patients With Type 2 Diabetes: A Cross-Sectional Study.

AIMS: To examine the associations among illness perception, resignation coping, social support, and self-regulatory fatigue (SRF) in patients with Type 2 diabetes mellitus. The study specifically explores whether resignation coping and social support exhibit indirect associations with SRF in the context of illness perception. DESIGN: A cross-sectional study. METHODS: From November 2024 to October 2025, a convenience sample of 302 adult patients with T2DM was recruited from a tertiary general hospital in China. Participants completed validated instruments with established psychometric properties, namely the Brief Illness Perception Questionnaire, the Medical Coping Modes Questionnaire, the Perceived Social Support Scale, and the Self-Regulatory Fatigue Scale. Statistical analyses included Spearman correlation and serial mediation analysis using the PROCESS Macro (Model 6) with bias-corrected bootstrapping. RESULTS: SRF was positively correlated with negative illness perception (r&#x2009;=&#x2009;0.579, p&#x2009;<&#x2009;0.01) and resignation coping (r&#x2009;=&#x2009;0.612, p&#x2009;<&#x2009;0.01), and negatively correlated with social support (r&#x2009;=&#x2009;-0.598, p&#x2009;<&#x2009;0.01). Serial mediation analysis revealed that illness perception was associated with SRF through indirect pathways involving resignation coping and social support. Resignation coping and social support mediated the association between illness perception and self-regulatory fatigue, both individually and sequentially. CONCLUSIONS: Negative illness perception correlates with higher SRF. This observed correlation is additionally linked to indirect pathways involving resignation coping and lower social support. Collectively, these findings highlight a pattern of interrelated cognitive (illness perception), behavioural (resignation coping), and resource (social support) factors that are associated with self-regulatory fatigue in this cross-sectional study. IMPLICATIONS FOR THE PROFESSION: The findings offer a clear, evidence-based framework for nursing practice. They highlight the potential value of integrated assessment and intervention that simultaneously addresses patients' illness beliefs, maladaptive coping strategies, and social support systems, which are associated with lower SRF and better diabetes self-management. REPORTING METHOD: This study adheres to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION: Patients participated solely as research participants by providing survey data. They were not involved in the study design, implementation, data analysis, interpretation, or manuscript preparation. All patients provided written informed consent prior to questionnaire completion.

Humans

Some thoughts on the perception of ultrasonics by man.

After a short specification of the ultrasonic transmitter device by which the test frequencies of 20,40,60 and 100 kHz could be emitted by means of a transmitter fixed to the forehead of the subject with constant pressure, the mean perception threshold for ultrasonics is described, which had been recorded by using the wide-band noise of the audiometer MA 30. Both curves do not differ considerably so that ultrasonic investigations can be carried out in the presence of working noise without producing wrong measurement results. A comparison of perception between ultrasonic frequencies and audio frequencies in the hearing range showed that ultrasonics produce, independent of the stimulation frequency, the same sensory impression as a sound at a frequency of about 12 or 13 kHz. Applying this method to hard of hearing subjects with noise induced hearing damages and deaf subjects had the following results: 1. Subjects with noise induced hearing damages very early have a raised perception threshold for ultrasonics. There was no correlation between the extent of the auditory threshold (the shift of the threshold) and the perception threshold of ultrasonics. 2. Deaf people almost without exception are not able to perceive ultrasonics. 3. With hard of hearing of the inner ear of different genesis ultrasonic perception is varying. There was no particular raise of the ultrasonic perception threshold with hereditary hard of hearing of the inner ear. 4. On the basis of the results the question is discussed in which section of the auditory system ultrasonic perception occurs. In the opinion of the authors the origin of perception might be in the organ of Corti itself. An unambiguous proof, however, could not be found so far. At present the procedure of investigation does not yet allow an application in practical diagnostics of ear specialists.

Adolescent

Strengthening physical self-perceptions through exercise.

Two studies examined the effects of physical activity/exercise on physical self-perceptions, self-efficacy, body satisfaction, fitness and relationships among these variables. In study 1, 34 female undergraduates participated in a 10-week exercise/activity program. Participants were selected from existing classes forming a weight training, aerobic exercise and activity control group. Results revealed changes in physical self-perceptions, strength, and body composition over the 10-weeks. Improvements in physical self-perceptions and fitness occurred independent of exercise/activity group. Groups differed in the perceived importance attached to physical self-perceptions. Correlations among the measures revealed relationships among physical self-perceptions, body satisfaction, global self-esteem, and fitness. In study 2, we hypothesized that weight training would have a greater effect on physical self-perceptions and body image perceptions than physical education activity classes. Thirty-seven males and 28 females were selected from existing classes forming a weight training and activity group. Results revealed no significant changes in physical self-perceptions, body image, or global self-esteem over the 10-week program, while strength and physical self-efficacy improved. Correlations among measures from both studies offer preliminary support for Sonstroem and Morgan's model for the examination of self-esteem in exercise settings.

Adolescent

Perception of forearm angles in 3-dimensional space.

The purpose of this study was to determine a preferred coordinate system for representation of forearm orientation in 3-dimensional space. In one experiment, the ability of human subjects to perceive angles of the forearm in 3-dimensional space (forearm elevation and yaw--extrinsic coordinate system) was compared to their ability to perceive elbow joint angle (intrinsic coordinate system). While blindfolded, subjects performed an angle reproduction task in which the experimenter first positioned the upper limb in a reference trial. This was followed, after movement of the subject's entire upper limb to a different position, by an attempt to reproduce or match a criterior angle of the reference trial by motion of the forearm in elbow flexion or extension only. Note that matching of the criterion forearm angle in the new upper limb position could not be accomplished by reproducing the entire reference upper limb position, but only by angular motion at the elbow. Matching of all 3 criterion angles was accomplished with about equal accuracy in terms of absolute constant errors and variable errors. Correlation analysis of the perceptual errors showed that forearm elevation and elbow angle perception errors were not biased but that forearm yaw angle matching showed a bias toward elbow angle matching in 7 of 9 subjects. That is errors in forearm yaw perception were attributed to a tendency toward a preferred intrinsic coordinate system for perception of forearm orientation. These results show that subjects can accurately perceive angles in both extrinsic and intrinsic coordinate systems in 3-dimensional space. Thus, these data conflict with previous reports of highly inaccurate perception of elbow joint angles in comparison to perception of forearm elevation. In an attempt to resolve this conflict with previous results, a second experiment was carried out in which perception of forearm elevation and elbow joint angles with the forearm motion constrained to a vertical plane. Results of this experiment showed that during a two-limb elbow angle matching task, four of five subjects exhibited a clear bias toward forearm elevation angle. During a one-limb angle reproduction task only two of five subjects exhibited such a bias. Perception of elevation angles show little bias toward elbow angle matching.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult

Neural mechanisms of tactual form and texture perception.

In the last decade or so, there has been rapid movement toward the use of more complex stimuli in the study of perceptual function related to the hand. This review has focused on the neural mechanisms of form and texture perception. Evidence from neurophysiological and psychophysical studies in which static touch, scanning touch, and the Optacon were used indicate that the spatial acuity of the RA system may be as much as three times poorer than the SAI system, evidence that suggests that form perception is dominated by the SAI system. Pattern recognition behavior in a tactual letter recognition task appears to be directly related to the response properties of SAI afferent fibers. Psychophysical studies of roughness perception show that roughness magnitude is related to surface structure in an orderly manner. Because roughness varies along an intensive continuum, mean impulse rate in one or more of the afferent systems is the most obvious coding possibility. No satisfactory relationship between mean impulse rate and roughness has been observed, however. The strongest hypothesis is that tactual roughness perception is based on spatial variation in the SAI population response. The combined evidence from studies reviewed here suggests complementary roles for each of the afferent systems, which are presented as working hypotheses: The SAI system is the primary spatial system and is responsible for tactual form and roughness perception when the fingers contact a surface directly and for the perception of external events through the distribution of forces across the skin surface. The PC system is responsible for the perception of external events that are manifested through transmitted high-frequency vibrations of the kind that are critical in the use of objects as tools. The RA system is responsible for the detection and representation of localized movement between skin and a surface as well as for surface form and texture when surface variation is too small to activate the SAI afferents effectively.

Animals

Characterizing the influence of native language experience on adult speech perception.

Previous cross-language research has indicated that some speech contrasts present greater perceptual difficulty for adult non-native listeners than others do. It has been hypothesized that phonemic, phonetic, and acoustic factors contribute to this variability. Two experiments were conducted to evaluate systematically the role of phonemic status and phonetic familiarity in the perception of non-native speech contrasts and to test predictions derived from a model proposed by Best, McRoberts, and Sithole (1988). Experiment 1 showed that perception of an unfamiliar phonetic contrast was not less difficult for subjects who had experience with an analogous phonemic distinction in their native language than for subjects without such analogous experience. These results suggest that substantive phonetic experience influences the perception of non-native contrasts, and thus should contribute to a conceptualization of native language-processing skills. In Experiment 2, English listeners' perception of two related nonphonemic place contrasts was not consistently different as had been expected on the basis of phonetic familiarity. A clear order effect in the perceptual data suggests that interactions between different perceptual assimilation patterns or acoustic properties of the two contrasts, or interactions involving both of these factors, underlie the perception of the two contrasts in this experiment. It was concluded that both phonetic familiarity and acoustic factors are potentially important to the explanation of variability in perception of nonphonemic contrasts. The explanation of how linguistic experience shapes speech perception will require characterizing the relative contribution of these factors, as well as other factors, including individual differences and variables that influence a listener's orientation to speech stimuli.

Adolescent

[Perception of 2-dimensional space coordinates during prolonged experimental hypokinesia].

The effect of a 30-day hypokinesia on the perception of the subjective optic vertical (SOV) was studied. The test subjects who were in the antiorthostatic position (at an angle of 96 degrees to the vertical) showed the greatest changes in the SOV perception and illusive perception of the spatial position of the body. During the first two days of the experiment and ten days after it they displayed a 1.5-fold increase in the error of the SOV perception. In addition, they exhibited an asymmetrical perception of the SOV on the right and left side. In all cases the direction of the SOV displacement from the true line coincided with the body position. The test subjects who were kept at an angle of 84 degrees to the vertical (orthostatic hypokinesia) demonstrated only illusions of the body position during the first hypokinetic day and a unilateral increase in the error of the SOV perception after the experiment. The test subjects who underwent preventive treatment following antiorthostatic hypokinesia (at an angle of 94 degrees to the vertical) exhibited no asymmetry and an insignificant error in the SOV perception. These findings are discussed with regards to the changes in the function of pressuretension receptors and disorders in the skeletal tone during hypokinesia.

Adult

Suppression of cutaneous perception by magnetic pulse stimulation of the human brain.

We have demonstrated that magnetic pulse stimulation of the sensorimotor cortex suppresses perception of threshold electrical stimuli to the fingers of the contralateral hand. Maximum suppression of perception occurs when the fingers are stimulated 30-90 msec after the magnetic pulse. Thereafter, errors in perception of the cutaneous stimulus decrease to control levels by 300-400 msec after the magnetic pulse. The period of maximum suppression of perception coincides with the period during which cortically generated somatosensory evoked potentials (SEPs) are enhanced following magnetic pulse stimulation of the brain. The duration of suppression of perception, however, outlasts the duration of SEP enhancement. When the magnetic pulse is delivered after finger stimulation there is also suppression of perception. The suppression of perception is maximal when the magnetic pulse occurs 20-30 msec after finger stimulation. This interval coincides with the arrival of the afferent volley at the primary sensory cortex.

Electric Stimulation

[Perception of your body. A psychoanalytical approach].

This paper discusses body-perception from a psychoanalytic point of view. Ia attempts a "totalizing" view of human behavior which integrates the whole of perception-thought-action-perception as a single process of organism-environment interaction. The underlying episthemological framework implies the rejection of lineal causal deterministic explanations in favor of a dynamic conception, in terms of feed-back mechanisms. Thus it discards the various false oppositions between "body-perception" and "object-perception"; and between cognition, affectivity and connation. The former is resolved through the recognition of the fact that perception is always a comparative process, which results from the organism-environment interaction. The comparative element for body-perception is the dynamic unconsious body scheme. The latter opposition is resolved through the application of the basic psychoanalytic model, which integrates the primary models for cognition, affectivity and connation.

Body Image

Individual differences in the perception of bodily sensations: the role of trait anxiety and coping style.

Thirty young women participated in an experiment in which heart rate, blood pressure, respiration rate, skin conductance level and palmar sweat index were monitored at rest and during the administration of mental arithmetic, mirror drawing and cold pressor tasks. The accuracy of perception of somatic states was estimated by calculating within-subject correlations between four bodily sensations (racing heart, high blood pressure, shortness of breath and sweaty hands) and corresponding physiological parameters, assessed on eight occasions during the experiment. The accuracy of heart rate perception was highest, with a mean correlation between actual heart rate and ratings of racing heart of 0.76 and 66% of participants showing significant within-subject effects. The mean accuracy was 0.55 for systolic blood pressure, 0.48 for respiration rate, 0.47 for skin conductance level, and 0.64 for palmar sweat index. Accurate perception across physiological parameters did not cluster within individuals, and was not dependent on the range either of physiological changes or sensation ratings. Trait anxiety was not significantly associated with accuracy of somatic perception. Subjects with high trait anxiety reported larger increases in shortness of breath during tasks than did low anxious subjects, but this was not reflected in objective physiological measures. Information-seeking coping style, indexed by the monitoring scale of the Miller Behavioral Style Scale, was related to the accuracy of perception of skin conductance level and heart rate. The use of within-subject correlational strategies for assessing individual differences in perception of bodily states is discussed.

Adaptation, Psychological

Interaction of vestibular and proprioceptive inputs for human self-motion perception.

Human perception of horizontal self(body)-motion in space was studied during various combinations of vestibular and leg-proprioceptive stimuli in the dark. During sinusoidal rotations of the trunk relative to the stationary feet (functionally synergistic combination) the perception was almost veridical over the frequency range tested (0.025-0.4 Hz). This finding suggested a dominance of the proprioceptive over the vestibular input, since the quantitative aspects of the perception (gain, phase, and detection threshold): (a) closely resembled those of the proprioceptive foot-to-trunk perception, and (b) clearly differed from those of the vestibular self-motion perception. However, when using other combinations, the self-motion perception changed in a monotonous way as a function of the two inputs, indicating that the two inputs do interact in a linear way. In a model of these findings the interaction occurs in two stages: (1) summation of a vestibular trunk-in-space signal and a (dynamically matched) proprioceptive foot-to-trunk signal yields an internal representation of foot support motion in space; (2) superposition of the latter by an almost ideal proprioceptive trunk-to-foot signal results in a representation of trunk-in-space motion (essentially proprioception-dependent and ideal when the feet are stationary).

Foot

The impact of routine traffic encounters that include procedural justice on police perceptions.

OBJECTIVES: Despite procedural justice in police-citizen interactions being widely studied, there is limited research regarding police perceptions of these interactions. This study addresses this by exploring police perceptions of two different types of random breath test (RBT) - standard and procedurally just - in an experimental trial. Officers were asked to report on whether they believe that their RBT interaction with drivers and riders changed behaviour, developed more positive perceptions of police and resulted in slower travel. Additionally, they were asked if they thought that the RBT interaction took too long. METHODS: This study was a six month randomised control trial with two operational conditions: a control condition with a standard (n&#xa0;=&#xa0;18&#xa0;days) and an experimental condition with a procedurally just (n&#xa0;=&#xa0;17&#xa0;days) RBT. Police officers completed post-operation surveys (n&#xa0;=&#xa0;80). RESULTS: Police officers incorporating the principles of procedural justice into RBT had limited impact on officer perceptions. However, those officers who were more open to innovation believed that the interaction would result in more positive perceptions of police. Police officers who believed that their RBTs with motorcycle riders would make a difference perceived that the riders would both change their behaviour and travel more slowly after the interaction. There were no differences in perceived interaction length by police officers across both conditions. CONCLUSIONS: This study has shown that police officer openness to innovation has an important role to play in police officers having more positive perceptions regarding the outcomes of RBT interactions. As such police organisations should undertake activities, such as training, to improve innovation. The lack of perceived differences in RBT length between standard and procedurally just interactions suggests that these enhanced interactions can be implemented without concerns that police officers believe that they 'take too long'.

Humans

Eye movements and scene perception.

Research on eye movements and scene perception is reviewed. Following an initial discussion of some basic facts about eye movements and perception, the following topics are discussed: (I) the span of effective vision during scene perception, (2) the role of eye movements in scene perception, (3) integration of information across saccades, (4) scene context, object identification and eye movements, and (5) the control of eye movements. The relationship of eye movements during reading to eye movements during scene perception is considered. A preliminary model of eye movement control in scene perception is described and directions for future research are suggested.

Attention

Context effects in a double-weak theory of speech perception.

The present study provides an elaboration of the "double-weak" theory of speech perception proposed by Nearey (1990, 1991). In this framework, the objects of speech perception (and production) are viewed as neither primarily auditory nor primarily gestural; rather, they are abstract, symbolic elements lawfully constrained to map onto relatively simple (but not entirely transparent) patterns in both domains. Speech cannot be understood unless both articulation and acoustics are considered: Many production strategies appear to be directed at achieving acoustically-oriented goals, yet most context effects in speech perception seem to be motivated by the consequences of gestural overlap. The double-weak framework suggests that speech perception and speech production are less-than-perfect inverses of each other. Despite long-term accommodation of each for the demands of the other, real-time production and perception may operate as autonomous subsystems. A family of perceptual models is discussed that provides varying degrees of approximation to "ideal solutions" (in the sense of minimizing error rate) to classifying production data exhibiting contextual interactions. Members of this family that provide substantial, yet incomplete, compensation for the consequences of gestural overlap appear to be adequate to account for the results of many speech perception experiments. Such partial perceptual compensation allows, in principle, for the kind of imperfect "error correction" discussed by Ohala (1981, 1990) in conjunction with hypo- and hypercorrection phenomena.

Female

Auditory-visual perception of speech with reduced optical clarity.

Optical cues for visual and auditory-visual (A-V) perception of speech were varied by placing a sheet of rough-surfaced Plexiglas between talker and lipreader and systematically changing the distance between Plexiglas and talker. This distorts the optical environment in a way that is analogous to masking or filtering in the acoustic domain. In studies with normal-hearing adults and with hearing-impaired children, speech (words, sentences) was presented live under different degrees of optical distortion, and observers attempted to identify the stimuli. Visual-along (lipreading) scores dropped abruptly to the chance level as Plexiglas distance (blurring) was increased. A-V scores were relatively high for clear conditions but diminished gradually as Plexiglas distance (blurring) was increased. Under extremely poor optical conditions, A-V scores reached a plateau. This represents essentially auditory perception without meaningful optical cues for speech. Results parallel those of previous acoustic studies that compared auditory with A-V perception of speech as a function of S/N ratio or sensation level, demonstrating a reciprocal aspect of optical and acoustic cues for speech perception. Optical distortion seems to have potential as an auditory training technique to shift attention of hearing-impaired observers to non-dominant acoustic cues during A-V perception of speech.

Adolescent

Women's perceptions of cesarean and vaginal delivery: another look.

Perception of the birth experience was examined in a sample of 106 women who had unplanned cesarean deliveries, 113 who had planned cesarean deliveries, and 254 who had vaginal deliveries. Vaginally delivered women had more positive perceptions than their unplanned cesarean counterparts (p < .001). There were no differences in perceptions between the unplanned and planned cesarean groups, or between the planned cesarean and vaginal groups. General anesthesia for cesarean delivery was associated with more negative perceptions than regional anesthesia, and regional anesthesia for vaginal delivery was associated with more negative perceptions than no or local anesthesia. Pain intensity and physical distress were negatively correlated with perceptions.

Anesthesia, Obstetrical

Parent and adolescent perceptions of family functioning: a comparison of clinic and non-clinic families.

In this paper two studies are reported which compare (a) the perceptions of family functioning held by clinic and non-clinic adolescents, and (b) the perceptions of family functioning held by adolescents and their mothers in clinic and non-clinic families. In Study 1, matched group of clinic and non-clinic adolescents were compared on their responses to a 30-item scale (ICPS) designed to measure three factors of family functioning: Intimacy (high vs. low), Parenting Style (democratic vs. controlled) and Conflict (high vs. low). Clinic and non-clinic adolescents were also compared on their responses to a multi-dimensional measure of adolescent self-concept. Although there was little difference between the two groups of adolescents in terms of their perceptions of family functioning, there were strong relationships between the self-concept variables and the family functioning variables. In Study 2, comparisons were made between the perceptions of family functioning held by mothers and adolescents for both clinical and non-clinic families. There were no differences between the two groups of adolescents in terms of their perceptions of family functioning, although there were clear differences between the two groups of mothers. In addition, clinic adolescents and their mothers did not differ in their perceptions of the family, whereas adolescents in the non-clinic group saw their families significantly as less intimate and more conflicted than did their mothers.

Adolescent