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Clinical applications of a cognitive phonology.

It is noted that much previous work in phonology has attempted to provide economical theories of sound systems without explicitly attempting to provide theories that have psycholinguistic validity. The work of Bybee on a cognitive approach to phonology is described, and its possible application to disordered speech is considered. It is discussed that cognitive phonology, coupled with gestural phonology, provides descriptive as well as explanatory accounts of disordered speech, and has specific implications for approaches to therapy. The article concludes with a case study of child with severely unintelligible speech, where it seems that the insights of cognitive phonology provide both an explanation for and a description of her speech behaviors.

Articulation Disorders↗

Development of the pediatric test of brain injury.

OBJECTIVE: The Pediatric Test of Traumatic Brain Injury (PTBI) (currently in its research edition) is a tool for assessing the cognitive-linguistic skills of school-aged children and adolescents in acute care and rehabilitation settings after traumatic brain injury. Development of the PTBI was motivated by the fact that, to date, no standardized test has been available to assess the full range of cognitive-linguistic impairments associated with pediatric brain injury. In this article we describe how the research edition of the PTBI was developed, provide rationale for the areas of assessment, discuss a plan for standardization, and illustrate its use with three children with TBI. DESIGN: The PTBI was constructed to sample the attention, memory, language, reading, writing, metalinguistic, and metacognitive skills that are particularly at risk in pediatric brain injury and that are relevant to the general education curriculum. MATERIAL: The test material for the PTBI was selected on the basis of clinical and experimental evidence that children and adolescents with TBI demonstrate a wide range of cognitive and language deficits. These first appear in the early stages of recovery and often persist but change over time. CONCLUSION: Our goal is to standardize the PTBI so it can be used to establish baseline behaviors and track cognitive-linguistic recovery.

Accidents, Traffic↗

Phenomenological contributions to understanding hypnosis: review of the literature.

This article provides a summary of the available qualitative literature on hypnosis of importance to empirical study of hypnosis. The author advocates a link between phenomenological research and the qualitative research of perceptual theory to deepen an understanding of hypnosis previously missing in the research literature and in debates on the theoretical approaches to hypnosis. The author suggests linking Giorgi's and Wasicsko's research methodologies to advance qualitative research. Researchers could conduct more qualitative research on the experience of hypnosis to expand and explicate subjective experiencing and enhance exploration of individual differences that cannot be captured in artificially controlled environments.

Cognition↗

Neurolinguistic development in deaf children: the effect of early language experience.

Recent investigations have indicated a relationship between the development of cerebral lateralization for processing language and the level of development of linguistic skills in hearing children. The research on cerebral lateralization for language processing in deaf persons is compatible with this view. We have argued that the absence of appropriate input during a critical time window creates a risk for deaf children that the initial bias for left-hemisphere specialization will be distorted or disappear. Two experiments were conducted to test this hypothesis The results of these investigations showed that children educated early and intensively with cued speech or with sign language display more evidence of left-hemisphere specialization for the processing of their native language than do those who have been exposed later and less intensively to those languages.

Adult↗

Confidence tricks.

Explore the source record for details and available documents.

Attitude of Health Personnel↗

[Self-esteem of nursing undergraduate students].

UNLABELLED: This study evaluates the self-esteem of undergraduate students of nursing, that through a workshop developed mechanisms for improving their self-esteem, considering that this is the most propitious time for students to multiply health care actions. METHODOLOGY: the research was carried out with 156 undergraduate students of the third year. Socio-drama techniques of Neurolinguistics were used and the evaluation was done according to Minayo. It was possible to observe that students usually confuse self-esteem and self-image, and that both are stereotyped for for men and women. As nurses are always worried about the client/patient's life quality, they neglect themselves. In this case, the Workshops were essential for the students to rescue interior knowledge about themselves, and to realize that in order to take good care of clients/patients, they must be physically and psychologically healthy.

Adult↗

[Altered states of consciousness].

The review of modern ideas concerning the altered states of consciousness is presented in this article. Various methods of entry into the altered states of consciousness are looked over. It is shown that the altered states of consciousness are insufficiently known, but important aspects of human being existence. The role of investigation of the altered states of consciousness for the creation of integrative scientific conception base is discussed.

Autogenic Training↗

Dystypia: isolated typing impairment without aphasia, apraxia or visuospatial impairment.

We report a 60-year-old right-handed Japanese man who showed an isolated persistent typing impairment without aphasia, agraphia, apraxia or any other neuropsychological deficit. We coined the term 'dystypia' for this peculiar neuropsychological manifestation. The symptom was caused by an infarction in the left frontal lobe involving the foot of the second frontal convolution and the frontal operculum. The patient's typing impairment was not attributable to a disturbance of the linguistic process, since he had no aphasia or agraphia. The impairment was not attributable to the impairment of the motor execution process either, since he had no apraxia. Thus, his typing impairment was deduced to be based on a disturbance of the intermediate process where the linguistic phonological information is converted into the corresponding performance. We hypothesized that there is a specific process for typing which branches from the motor programming process presented in neurolinguistic models. The foot of the left second frontal convolution and the operculum may play an important role in the manifestation of 'dystypia'.

Agraphia↗

Response of an agrammatic patient to a syntax stimulation program for aphasia.

A Syntax Stimulation Program (SSP) based on the findings of neurolinguistic studies of agrammatic aphasic patients was used to treat one patient with a three year history of severe agrammatism. The SSP is designed to elicit eight different sentence constructions at two levels of difficulty using a story completion technique. The patient received pre-, mid- and post-treatment testing with the Northwestern Syntax Screening Test (NSST) and the cookie theft picture description of the Boston Diagnostic Aphasia Examination (BDAE). With 10 1/2 weeks of treatment, the patient's NSST expressive scores improved from 0 to 21, and his BDAE picture description showed increased phrase length and use of grammatical constructions. In addition, with this special treatment, the patient was able to produce grammatical speech in spontaneous conversation. Thus, the SSP appears to have therapeutic merit in training syntactic skills in presumably stable agrammatic patients.

Adult↗

Long-term stability of improved language functions in chronic aphasia after constraint-induced aphasia therapy.

BACKGROUND AND PURPOSE: In response to the established notion that improvement of language functions in chronic aphasia only can be achieved through long-term treatment, we examined the efficacy of a short-term, intensive language training, constraint-induced aphasia therapy (CIAT). This program is founded on the learning principles of prevention of compensatory communication (constraint), massed practice, and shaping (induced). METHODS: Twenty-seven patients with chronic aphasia received 30 hours of training over 10 days. Twelve patients were trained with the CIAT program. For 15 patients the training included a module of written language and an additional training in everyday communication, which involved the assistance of family members (CIATplus). Outcome measures included standardized neurolinguistic testing and ratings of the quality and the amount of daily communication. RESULTS: Language functions improved significantly after training for both groups and remained stable over a 6-month follow-up period. Single case analyses revealed statistically significant improvements in 85% of the patients. Patients and relatives of both groups rated the quality and amount of communication as improved after therapy. This increase was more pronounced for patients of the group CIATplus in the follow-up. CONCLUSIONS: Results confirm that a short-term intense language training, based on learning principles, can lead to substantial and lasting improvements in language functions in chronic aphasia. The use of family and friends in the training provides an additional valuable element. This effective intervention can be successfully used in the rehabilitation of chronic aphasia patients. Additionally, its short-term design makes it economically attractive for service providers.

Adult↗

Automated classification of phonological errors in aphasic language.

Using heuristically guided state space search, a prototype program has been developed to simulate and classify phonemic errors occurring in the speech of neurologically impaired patients. Simulations are based on an interchangeable rule/operator set of elementary errors which represent a theory of phonemic processing faults. This work is significant because it introduces and evaluates a novel approach to error simulation and classification, provides a prototype simulation tool for neurolinguistic research, and forms the initial phase of a larger research effort involving computer modelling of neurolinguistic processes.

Aphasia↗

Psycholinguistic and motor theories of apraxia of speech.

This article sketches the relationships between modern conceptions of apraxia of speech (AOS) and current models of neuromotor and neurolinguistic disorders. The first section is devoted to neurophysiological perspectives of AOS, and its relation to dysarthrias and to limb apraxia is discussed. The second section introduces the logogen model and considers AOS in relation to supramodal aspects of aphasia. In the third section, AOS with the background of psycholinguistic models of spoken language production, including the Levelt model and connectionist models, is discussed. In the fourth section, the view of AOS as a disorder of speech motor programming is discussed against the background of theories from experimental psychology. The final section considers two models of speech motor control and their relation to AOS. The article discusses the strengths and weaknesses of these approaches.

Apraxia, Ideomotor↗