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Objectives This study aimed to characterize the use and impact of assessments of understanding in parent-clinician communication for critically ill infants. Methods We enrolled parents and clinicians participating in family conferences for infants with neurologic conditions. Family conferences were audio recorded as they occurred. We used a directed content analysis approach to identify clinician assessments of understanding and parent responses to those assessments. Assessments were classified based on an adapted framework; responses were characterized as “absent,” “yes/no,” or “elaborated.” Results Fifty conferences involving the care of 25 infants were analyzed; these contained 374 distinct assessments of understanding. Most (n = 209/374, 56%) assessments were partial (i.e. okay?); a minority (n = 60/374, 16%) were open-ended. When clinicians asked open-ended questions, parents elaborated in their answers most of the time (n = 55/60, 92%). Approximately three-quarter of partial assessments yielded no verbal response from parents. No conferences included a teach-back. Conclusions Although common, most clinician assessments of understanding were partial or close-ended and rarely resulted in elaborated responses from parents. Open-ended assessments are an effective, underutilized strategy to increase parent engagement and clinician awareness of information needs. Practice implications Clinicians hoping to facilitate parent engagement and question-asking should rely on open-ended statements to assess understanding.

Purpose Adults who stutter (AWS) often attempt, with varying degrees of success, to suppress their stuttered speech. The ability to effectively suppress motoric behavior after initiation relies on executive functions such as nonselective inhibition. Although previous studies found that AWS were slower to inhibit manual, button-press response than adults who do not stutter (AWNS), research has yet to confirm a consistent relationship between manual and verbal inhibition. No study has examined verbal inhibition ability in AWS. The purpose of this study, therefore, is to compare verbal response inhibition between AWS and AWNS, and compare verbal response inhibition to both the overt stuttering and the lived experience of stuttering. Method Thirty-four adults (17 AWNS, 17 AWS) completed one manual and three verbal stop-signal tasks. AWS were assessed for stuttering severity (Stuttering Severity Instrument–Fourth Edition: SSI-4) and experience with stuttering (Overall Assessment of the Speaker's Experience With Stuttering [OASES]). Results Results indicate no correlation between manual and verbal inhibition for either group. Generalized linear mixed-model analyses suggested no significant group differences in manual or verbal inhibition. Manual and verbal inhibition did not predict SSI-4 in AWS. However, verbal inhibition was uniquely associated with OASES scores. Conclusion Although underlying manual and verbal inhibition was comparable between AWS and AWNS, verbal inhibition may be linked to the adverse experience of stuttering rather than the overt symptoms of stuttering severity. Supplemental Material https://doi.org/10.23641/asha.15145185

Objectives Children with limited hearing unilaterally might experience more listening effort than children with normal hearing, yet previous studies have not confirmed this. This study compared listening effort in school-age children with normal hearing and children with limited hearing unilaterally using behavioral and subjective listening effort measures. Design Two groups of school-age children (aged 7–12 years) participated: 19 with limited hearing unilaterally and 18 with normal hearing bilaterally. Participants completed digit triplet recognition tasks in quiet and in noise (−12 dB SNR) in three loudspeaker conditions: midline, direct, and indirect. Verbal response times during the recognition task were interpreted as behavioral listening effort. Subjective ratings of “task difficulty” and “hard to think” were interpreted as subjective listening effort. Participant age was included as a covariate in analysis of behavioral data. Results Noise negatively affected digit triplet recognition for both groups in the midline loudspeaker condition and for participants with limited hearing unilaterally in the direct and indirect conditions. Relative to their peers with normal hearing, children with limited hearing unilaterally exhibited significantly longer response times and higher ratings of effort only in the noisy, indirect condition. Differences between groups were evident even when age differences were controlled for statistically. Conclusions Using behavioral and subjective indices of listening effort, children with limited unilateral hearing demonstrated significantly more listening effort relative to their peers with normal hearing during the difficult indirect listening condition. Implications include classroom accommodations to limit indirect listening situations for children with limited useable hearing unilaterally and consideration of intervention options.

Este trabajo se centra en el lamento de Pleberio con el objetivo de examinar cómo el dolor de este personaje, tal y como lo articula Rojas, inicia una narrativa personal que surge de una aparente paradoja: la fallecida es el catalizador de este lamento y, a pesar de ello, es desplazada en beneficio de su padre que se convierte en el protagonista de su propia expresión de dolor por la pérdida de su hija. Desde esta perspectiva, el lamento de Pleberio es una narrativa en la que este padre profundiza en su propia experiencia como víctima de la muerte de Melibea en vez de centrarse en la memoria de su hija, lo cual refleja el cambio de una actitud colectiva hacia la muerte a otra mucho más individual e introspectiva. Así mismo, esta expresión de dolor paterno nos ayuda a entender cómo Rojas propone un modelo de luto que no sólo cuestiona las manifestaciones genéricas del lamento sino que además revela un giro conceptual: el dolor medieval se transforma en sufrimiento pre-moderno a través de la reestructuración de la relación tradicional entre el dolor por la muerte de un ser querido, la soledad y el lenguaje.

The concept of cultural survival is fundamental when describing the selection processes involved in cultural evolution. However, its application by Skinner was inconsistent. As a result, distinct and sometimes contradictory interpretations regarding what it means for a culture to survive occasionally emerge in the behavior-analytic literature. In this article, we aim to identify the stimuli that prompted Skinner to emit the verbal response “cultural survival.” Our analysis suggests two problems: (a) the concept of cultural survival is used by Skinner to identify both the effects of cultural practices on the physical survival ofmembers of the culture and their effects on the survival of specific sets of social reinforcement contingencies via operant reinforcement, and (b) the concept is applied to two different phenomena—namely, first, the relation between the complete range of social reinforcement contingencies maintained by the human species and the physical survival of humankind, and, second, the relation between specific sets of these contingencies and the physical survival of particular groups. Finally, we argue for the importance of the precise identification of the groups and social contingencies that compose any “culture” submitted to a behavioral analysis. Supplementary Information The online version contains supplementary material available at 10.1007/s42822-020-00044-w.

Infants’ prelinguistic vocalizations have measurable influence on parents’ responsiveness, yet the efficacy of babbling for eliciting caregiver responses in childcare settings is unexamined. This study used a microanalytic experimental design to investigate the real-time influences of infant babbling on 32 non-lead infant teachers’ responses. Teachers provided a verbal response to prerecorded stimuli manipulated for acoustic quality and vocal directedness. While teachers could perceptually differentiate vocalizations of varying acoustic quality, the maturity of the vocalization did not impact the rates or content of teachers’ responses. Object-directed vocalizations elicited more contingent and sensitive responses than undirected vocalizations. Hours per week spent with infants did not predict responding. Understanding the effects of infants’ behaviors on non-lead infant teachers can guide professional development programs to improve language learning opportunities in childcare settings.

In the course of a 21-day Dry Immersion (DI), we studied the strength of Ponzo and Muller–Lyer visual illusions with the help of verbal response and two variants of the motor response by means of “tracking” (with the presence and absence of visual feedback). The studies were performed with the participation of ten subjects before the start of DI, on the 3rd, 10th, and 20th day of DI, as well as at the end of it. It was shown that DI mainly affects the motor response. Changes in reducing the strength of visual illusions were more pronounced for a more complex motor task performed in the absence of visual feedback. The results are in agreement with the data that we previously obtained under the conditions of a 5-day DI. One of the possible mechanisms of the observed changes in the illusions estimates may be hyperactivation of the dorsal visual pathway due to gravitational unloading.

Purpose: To examine the concurrent and construct validity of numerically blinded ratings of perceived exertion (RPEs). Methods: A total of 30 elite male youth soccer players (age 16.7 [0.5] y) were monitored during training and matches over a 17-wk in-season period. The players’ external loads were determined via raw 10-Hz global positioning system. Heart rate (HR) was collected continuously and expressed as Bannister and Edwards training impulses, and minutes >80% of the players predetermined the maximum HR by the Yo-Yo Intermittent Recovery Test Level 1. RPE was collected confidentially 10 to 15 min after training/matches using 2 methods: (1) a traditional verbal response to the 0 to 100 category-ratio “centiMax” scale (RPE) and (2) numerically blinded RPE centiMax scale (RPEblind) with the response selected manually via a 5 × 7-in tablet “slider.” The RPE and RPEblind were divided by 10 and multiplied by the duration to derive the sessional RPE. Linear mixed models compared ratings, and within-subject repeated-measures correlations assessed the sessional RPE versus HR and external load associations. Results: There were no differences between the RPE and RPEblind (0.19; 95% confidence intervals, −0.59 to 0.20 au, P = .326) or their session values (13.5; 95% confidence intervals, −17.0 to 44.0 au, P = .386), and the ratings were nearly perfectly correlated (r = .96). The associations between the sessional RPE versus HR and external load metrics were large to very large (r = .65–.81), with no differences between the RPE methods (P ≥ .50). The RPEblind also reduced verbal anchor clustering and integer bias by 11% and 50%, respectively. Conclusions: RPEblind demonstrated concurrent and construct validity versus the traditional method, and may be used in situations where practitioners have concerns regarding the authenticity of athlete ratings.

The Patient-Specific Functional Scale (PSFS) is a routinely used measure of physical function with a 0–10 response scale. We aimed to develop verbal response options for the PSFS, pre-test it for use in a multilingual, low-literacy country— Nepal, and compare preference and error rates between numeric and verbal scale. We hypothesized that a verbal scale would be preferred by respondents and yield fewer errors. We interviewed 42 individuals with musculoskeletal, neurological, and cardiopulmonary conditions to understand how people describe varying levels of physical ability. Transcripts were thematically analyzed, and through consensus, we developed two sets of verbal responses for the PSFS. Next, we pre-tested the scales on an additional 119 respondents following which participants were asked to specify their preferred scale. Error rates were analyzed retrospectively using pre-specified criteria. Participants described their ability in terms of the quality (95%) and the quantity of task performance (88%). Although the verbal scales were preferred over the numeric scale (50% versus 12%), there was no significant difference in error rates between numeric (34%) and verbal scales (32% and 36%). Higher error rates were associated with greater age, fewer years of education, and inexperience with numeric scales. Despite a higher preference for verbal scale, 1 out of 3 patients made errors in using the PSFS, even with an interview format. The error rates were higher among participants with low literacy. The findings raise questions about the utility of PROMs in countries with low literacy rates.

Immunization is a cost-effective approach aimed at improving child survival. Coverage is an indicator to monitor the progress towards achieving child survival and the strategy to reduce childhood morbidity and mortality. The study was a descriptive cross-sectional study among 300 mothers /caregivers attending a tertiary institution clinic for immunization of the children using immunization card and verbal response of the mother. Findings from the study showed that 220 (73.3%) of the index children were fully vaccinated for age while 80 (26.7%) were not. BCG was the commonest vaccine received by the respondents as 280 (93.3%) received it, followed by OPV, 261 (87.0%) and Pentavalent vaccine, 246 (82.0%). Majority of the index children were vaccinated for age with high BCG, OPV and Pentavalent vaccine coverage rates. Socio-demographic factors that influenced the utilization of immunization included the mothers’ level of education, occupation, reception of antenatal care. A better understanding of the immunization schedule is important in the design and implementation of immunization programmes. Educating mothers about vaccines and vaccine preventable diseases are recommended. Keywords: determinants, vaccination, tertiary hospital, childhood

This research is aimed at finding the illocutionary act types performed by Niana Guerrero in her YouTube videos and the perlocutionary effects performed by the hearers in Niana Guerrero’s YouTube videos. This research employed a qualitative descriptive research. The subjects of this research were two of the most viewed videos uploaded from May 2019-August 2019. After listing, selecting, and collecting the videos, the videos were watched several times to ease the researcher in transcribing them. In analyzing the data, the researcher only took the interactional conversations which enabled Niana to deliver her intentions to the hearers directly and enabled the hearers to fulfill Niana’s intentions directly as well. The illocutionary act data performed by Niana Guerrero were classified using an instrument following Searle’s theory and the perlocutionary effect data performed by the hearers were classified using an instrument following Gu’s theory. The first finding showed four illocutionary act types performed by Niana Guerrero namely representative, directive, commisive, and expressive. The second finding showed all of the six perlocutionary effect types performed by the hearers namely motor reflexive response, emotive response, cognitive response, negative response, verbal response, and physical response. By performing four types of illocutionary acts, Niana Guerrero may have various ways to express her intentions to the hearers. Meanwhile, the hearers may have various ways to fulfill Niana Guerrero’s intention by performing six types of perlocutionary effects. These speech acts create the communicative effects that cause Niana Guerrero having many subscribers and viewers in her YouTube channel by establishing highly interactive, joyful, and interesting situation.

It is crucial to establish the validity of existing measures of children’s subjective well-being (SWB) for use within specific contexts. Two important measurement issues that implicate the validly of SWB scales are ‘question framing’ and ‘response options’. Fundamental to the latter is the concept of scale granularity, which refers to the number of response options imposed on a scale. However, the majority of studies on the topic have used adult and not child samples. The overarching aim of the study was to explore how children from three different contexts (Catalonia, Cape Town and North-Western Romania) perceive, understand, and make sense of SWB instruments, using focus group interviews and thematic analysis. A key finding of the study was the similarities in children’s understandings of the response options across these contexts. While this does not represent a claim for a ‘universal understanding’ of measurement scale response formats, it is suggesting that there are similar cognitive processes that children across the contexts apply when making sense of and deciding on which response option to endorse (for both verbal and numerical formats). Another key finding is the unique perspective on the process of how children make sense of the scale declarative statement in relation to these response options, and the life aspects they draw on for the final endorsement. Future studies should endeavour to focus on a range of different contexts and cohorts of children and include various types of measurement scales and response options.

Background Children with Williams syndrome (WS) show a marked interest in music, a characteristic often explored in clinical settings. However, the actual musical abilities of patients with WS remain debatable due to some of the relevant data being derived from experimental tasks that require a verbal response, despite the known language impairments in WS. The present study aimed to examine musical ability in children with WS using a newly invented pitch discrimination task with minimal involvement of language and clarify its relationship with language skill. Methods Eleven children with WS participated in the study. We used a novel pitch discrimination task that required minimal language use. Two piano tones were presented sequentially, and children were asked to give a non-verbal response as to whether the second tone was higher than, lower than, or the same as the first tone. Results Pitch discrimination performance in children with WS was lower than the level predicted for their chronological age (CA), even in the non-verbal task. Pitch discrimination ability and verbal mental age (VMA) were shown to be dissociated, such that children with WS with a lower skill level for language showed an unexpectedly higher level of pitch discrimination ability and vice versa. Conclusions Our results indicated reduced musical ability with respect to CA in children with WS. The dissociation between musical ability and language skills may indicate unique developmental relationships that differ from those in normal children. These findings provide new evidence to support the importance of assessing actual musical ability in WS prior to implementing interventional music therapy.

Alzheimer's disease (AD) is a disorder in which individuals experience a difficulty in maintaining event memory for when, where, who, and what. However, verbal deficiency, one of the other symptoms of AD, may prevent a precise diagnosis of event memory because existing tests are based on verbal instructions by the tester and verbal response from patient. Therefore, non-verbal methods are essential to evaluate event memory in AD. The present study, using eye tracking, investigated whether AD patients deployed anticipatory looking to target acts related to future events based on previous experience when an identical video was presented to them twice. The results revealed the presence of anticipatory looking, although AD patients were unable to verbally report the content of the video. Our results illustrate that AD patients have a one-time event memory better than previously thought.

Creutzfeldt‐Jakob disease, though rare, should be considered in the clinical picture of rapidly progressive dementia and absence of verbal response as evident in our case despite the absence of typical radiological picture.

The purpose of this study is to find out the effect of the implementation of verbal response learning model to the speaking ability students of Class X Madrasah Aliyah PP DDI As-Salman Allakuang Sidenreng Rappang Regency. This research was conducted in Madrasah Aliyah PP DDI As-Salman Allakuang Sidenreng Rappang Regency. The research method used quantitative method. The subject of the research is the students of class X Madrasah Aliyah PP DDI As-Salman Allakuang Sidenreng Rappang Regency academic year 2016/2017. The data collection technique used a test with two stages of data retrieval, the first test to determine the speaking ability before the students were given treatment (pretest) and the second stage to determine students' speaking ability after being given treatment (posttest). Results based on db of 52 converted to t-table at the 5% significance level obtained the price of 1.671. Criteria of submission are if t-test ≥ t-tabel then Ha accepted and Ho rejected, otherwise if t-test ≤ t-table then Ha rejected and Ho accepted. It turns out that t-test is magnitude 2.33 more than t-table, hence alternative hypothesis accepted and null hypothesis rejected. Based on these results it can be concluded that the application of verbal response learning model significantly affects the speaking ability of grade X Madrasah Aliyah PP DDI As-Salman Allakuang of Sidenreng Rappang Regency.

Objectives: After being a solid method of measuring consciousness for decades,the Glasgow Coma Scale (GCS) was offered to bereplaced with a better option: The Full Outline of Unresponsiveness (FOUR) score, which several studies later confirmed to besuperior due to its independence from verbal response and ability to consider brain stem reflexes. In this study, we decided to comparethe two scales in the prognosis of stroke, which has never been conducted before.Patients and Methods: We conducted both methods on 150 stroke patients during admission to the emergency service and assessedthem during a 3-month follow-up after discharge.Results: The type of stroke was 80% ischemic and 20% hemorrhagic. 55.3% survived after a 3-month follow-up. The FOUR score hada significant converse relation with hospitalization, a relation with the GCS lacked. The FOUR score also had a stronger correlationwith the outcome of stroke than the GCS. Additionally, the receiver operating characteristic (ROC) curve showed greater sensitivityand specificity in the FOUR score in the prognoses of stroke patients.Conclusion: We recommend using the FOUR score as the first priority.

Objective To contribute to the limited body of eye movement (EM) studies of children and family members with congenital prosopagnosia (CP), a task requiring a verbal response for the identification of personally familiar faces was used for the 1st time. Method EMs were recorded in a father and his son (both diagnosed with CP) and controls (N = 2). In the identification tasks they watched personally familiar faces and distracters and responded by saying the names of the familiar faces or saying "I don't know." Two discrimination tasks were added to distinguish the specificity of the EM pattern for the recognition tasks. In all tasks, faces were presented 1 by 1 until the response onset; thus, the EM pattern was not saturated by overexposure to the stimulus. The 1st fixation position was examined to localize the 1st area of the face attended to. The spatial-temporal fixation pattern was examined to evaluate the attention devoted to specific regions. Results Both family members were inaccurate and slower than controls in the identification but not the discrimination tasks. In all tasks, they made a number of fixations comparable to those of controls but showed longer fixation durations than controls did. In the identification tasks, they showed poor spatial-temporal distribution of fixations on the eyes and rare 1st fixations on the eyes. Conclusions Consistent with the literature, both family members showed the typical reduced sampling of the eyes. Nevertheless, our protocol based on explicit verbal responses (which included EM only until response onset) showed that they did not increase the spatial sampling overall by making more fixations than controls did. Instead, they showed longer fixation durations across tasks; this was interpreted as a generalized problem with face processing in affording a more robust sampling of information. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Causes of Ironic Verbal Response to Positive Manipulation This article analyses verbal expressions of ironic reaction to the manipulative use of compliments and speech markers of favourable attitude to the addressee. It is based on Ukrainian-language material. The study focuses on one particular type of response to the manipulative tactic of increasing the interlocutor’s significance, a glaring example of positive manipulation strategy. The tactic under consideration essentially consists in communicating information which is favourable to the interlocutor by means of compliments, praises and utterances conveying a positive attitude, employed with a view to changing the interlocutor’s behaviour or their mental state in the manipulator’s interest. The article considers verbal irony as a reaction to positive manipulation in formal and informal settings, taking into account differences in the degree of familiarity between the interlocutors, their age, gender, status, social roles and the type of relations between them. The study identifies the main reasons of ironic reactions to positive manipulation: exaggerated positive evaluation or excessively positive attitude to the addressee; unsuccessful choice of the subject of positive evaluation or the form of the compliment; marking the compliment with surprise or doubt that the addressee has certain positive qualities; the nature of the communicative situation or the content of utterances which accompany positive manipulation; requests which contradict values, norms of social conduct or intentions of the addressee; violation of distance during the conversation, in particular ignoring the level of familiarity, status and age hierarchy; negative experience of previous communicative encounters with the manipulator. The study also identifies the subjects of evaluation and the topics of manipulative compliments which provoke ironic reaction on the part of the addressee. It pinpoints the content of utterances with covert ironic reaction to manipulative praise or manipulative expression of favourable attitude. As established, the dominant semantic type of manipulative utterances which cause ironic reactions in situations of inter-gender interaction are the compliments which characterise the interlocutor’s appearance. Przyczyny ironicznej reakcji werbalnej na manipulacje pozytywną Niniejszy artykul analizuje ironiczną reakcje werbalną adresata na manipulacyjne uzycie komplementow i elementow wyrazających przychylne nastawienie. Opierając sie na materiale w jezyku ukrainskim, skupia sie na określonym typie reakcji na taktyke manipulacji polegającą na podnoszeniu znaczenia rozmowcy i stanowiącą jaskrawy przyklad strategii pozytywnej manipulacji. Istota rozwazanej taktyki polega na przekazywaniu informacji, ktore stawiają rozmowce w korzystnym świetle: zastosowanie komplementow, pochwal i wypowiedzi wyrazających pozytywne nastawienie ma na celu zmiane zachowania rozmowcy lub jego stanu psychicznego w interesie manipulatora. Artykul omawia ironie slowną jako reakcje na manipulacje pozytywną w sytuacjach formalnych i nieformalnych, biorąc pod uwage roznice w stopniu wzajemnej znajomości oraz wieku, plci, statusie, rolach spolecznych i rodzaju relacji pomiedzy rozmowcami. Analiza materialu pozwolila na ustalenie glownych przyczyn ironicznych reakcji na manipulacje pozytywną: przesadnie pozytywna ocena lub przesadnie pozytywne podejście do adresata; nieudany wybor przedmiotu pozytywnej oceny lub formy komplementu; obecnośc elementu zaskoczenia, ze adresat ma określone pozytywne cechy, lub wątpliwości, czy je ma; charakter sytuacji komunikacyjnej lub treśc wypowiedzi towarzyszących manipulacji; wyrazenie przez manipulatora oczekiwan sprzecznych z wartościami, spolecznymi normami postepowania lub intencjami adresata; naruszenie dystansu podczas rozmowy, w szczegolności ignorowanie stopnia zazylości, statusu i hierarchii wiekowej; negatywne doświadczenia z poprzednich interakcji z manipulatorem. Omawiany material pozwolil takze wskazac przedmioty oceny i tematy komplementow, ktore wywolują ironiczną reakcje adresata, oraz scharakteryzowac treśc wypowiedzi, ktore zawierają zawoalowaną ironiczną reakcje na manipulacyjne pochwaly lub elementy wyrazające przychylne nastawienie. Jak ustalono, dominującym elementem semantycznym wypowiedzi manipulacyjnych, ktore wywolują ironiczne reakcje w interakcji miedzy rozmowcami przeciwnej plci, są komplementy odnoszące sie do wyglądu rozmowcy.

Research on risk factors of suicide attempt has yielded little improvement in imminent risk detection for clinicians, due in part to the inherent limitations of self-report methodologies. Therefore, objective behavioral indicators of suicide risk that can be implemented practically with little cost in clinical settings are needed.The current study examined verbal response latency, measured as the length of time to answer a question asking about reasons for living (i.e.,Verbal response latency was significantly correlated with diminished wish to live at the participant level but was not significantly correlated with wish to die or overall severity of suicidal ideation.Verbal response latency may serve as an objective indicator of suicide risk. HighlightsResponse latency to a life construct may be an objective indicator of suicide riskDelayed response latency is indicative of diminished wish to livePathological mechanisms may manifest within dyadic interactions via verbal behaviors.

Smile recognition plays a vital role in human-human and human-computer interactions. This paper demonstrates a system to recognize the genuine and posed smiles by sensing observers’ galvanic skin response (GSR), while watching sets of images and videos. The smiles were shown either in ‘paired’ or in ‘single’ forms. Here, ‘paired’ means that the same smiler was seen in both genuine and posed smile forms, otherwise the condition is referred to as ‘single’. The GSR signals were recorded and processed, and several time-domain and frequency-domain features were extracted from the processed GSR signals. Classification accuracies were found to be as high as 93.6% and 91.4% from paired and single conditions respectively. In comparison, observers were verbally 59.8% and 56.2% correct. Our results demonstrate that human subconscious responses (i.e. GSR signals) is better than their own verbal response, where the paired condition is slightly better than the single condition.

Purpose The Lidcombe Program is an efficacious and effective intervention for early stuttering. The treatment is based on parent verbal response contingent stimulation procedures, which are assumed to be responsible for treatment effect. The present trial tested this assumption. Method The design was a parallel, open plan, noninferiority randomized controlled trial. In the experimental arm, the five Lidcombe Program verbal contingencies were removed from parent instruction. The primary outcome was beyond-clinic percentage syllables stuttered at 18-month follow-up. Seventy-four children and their parents were randomized to one of the two treatment arms. Results Findings of noninferiority were inconclusive for the primary outcome of stuttering severity, based on a margin of 1.0 percentage syllables stuttered. Conclusions The inconclusive finding of noninferiority means it is possible that verbal contingencies make some contribution to the Lidcombe Program treatment effect. However, considering all primary and secondary outcomes, an overriding impression from the trial is a similarity of outcomes between the control and experimental arms. The clinical applications of the trial are discussed, along with further research that is needed.

Passengers have the opportunity to influence the driver’s situation awareness and promote safer performance. This paper reports an investigation into the influence of passengers on driver situation awareness. 40 two-person teams performed an interactive verbal task, while one team member also undertook a simulated driving task. Half of the drivers were paired with driving-experienced passengers; the others took part with driving-novice passengers. Dependent variables were Verbal Response Time (conversation modulation) and Situation Awareness. Results indicated that driving-novice passengers engaged in relatively more conversation than the driving-experienced passengers. Significant differences were found for total Situational Awareness between driving-experienced and driving-novice groups. Further analysis suggested that both experienced drivers and passengers had significantly better Situational Awareness of perceptual factors than driving-novices. Further, Verbal Response Times were found to be significantly predictive of Situational Awareness. Findings provide some support for the notion that passengers may have a positive effect on driver’s attention in spite of their verbal interactions.

BACKGROUND: Dentin hypersensitivity (DH) is a condition characterized by short and sharp episodes of pain which will arise in response to tactile, chemical, thermal, evaporative or osmotic stimuli. The painful symptoms cause discomfort in patients and reduce their quality of life. Recently, the novel zinc-containing desensitizer CAREDYNE Shield has been developed as a new type of desensitizer that acts by inducing chemical occlusion of dentinal tubules, and releasing zinc ion for root caries prevention. However, the clinical effectiveness of CAREDYNE Shield on DH remains unclear. Therefore, the aim of this study is to evaluate the effectiveness of CAREDYNE Shield on DH by comparing with that of another desensitizer, Nanoseal, commonly used in Japan. METHODS/DESIGN: This study protocol is a two-arm, parallel, pilot randomized controlled trial. Forty DH patients will be randomly allocated to two groups. Participants in the intervention group will be treated with CAREDYNE Shield, while those in the control group will be treated with Nanoseal. The primary outcome is the reduction of pain intensity in response to air stimuli measured with a 5-point verbal response scale from baseline to 4 weeks after the intervention, and Fisher's exact test will be used for analyses. DISCUSSION: CAREDYNE Shield can be casually applied to subgingival areas and proximal surfaces because it reacts with only tooth substance. Furthermore, zinc has been reported to reduce the demineralization of enamel and dentin and inhibit biofilm formation, plaque growth and dentin-collagen degradation. Therefore, CAREDYNE Shield may be expected to be a useful novel desensitizer that acts not only as a desensitizer but also as a root caries inhibitor. TRIAL REGISTRATION: UMIN Clinical Trials Registry (UMIN-CTR), ID: UMIN000038072. Registered on 21 September 2019. TRIAL STATUS: This study (protocol version number: version 1.4.0; approved on 22 October 2019) is ongoing. The recruitment of participants began in December 2019 and will be continued until November 2020 (Hanke, Am Dent Assoc 27:1379-1393, 1940)., Trials, 21(1), art.no.464; 2020

Visual attention guides the integration of two streams: the global, that rapidly processes the scene; and the local, that processes details. For people with autism, the integration of these two streams can be disrupted by the tendency to privilege details (local processing) instead of seeing the big picture (global processing). Consequently, people with autism may struggle with typical visual attention, evidenced by their verbal description of local features when asked to describe overall scenes. This paper aims to explore how one adult with autism see and understand the global filter of natural scenes.

Objective The System for Improving and Measuring Procedural Learning (SIMPL) smartphone application allows physicians to provide dictated feedback to surgical residents. The impact of this novel feedback medium on the quality of feedback is unknown. Our objective was to compare the delivery and quality of best-case operative performance feedback given via SIMPL to feedback given in-person. Design We collected operative performance feedback given both in-person and via SIMPL from surgeons to residents over 6 weeks. Feedback transcripts were coded using Verbal Response Modes speech acts taxonomy to compare the delivery of feedback. We evaluated quality of feedback using a validated resident survey and third-party assessment form. Setting University of Wisconsin School of Medicine and Public Health, a large academic medical institution. Participants Four surgical attendings and 9 general surgery residents. Results Nineteen SIMPL and 18 in-person feedback encounters were evaluated. Feedback via SIMPL was more directive (containing thoughts, perceptions, evaluations of resident behavior, or advice) and contained more presumptuous utterances (in which the physician reflected on and assessed resident performance or offered suggestions for improvement) than in-person feedback (p = 0.01). The resident survey showed no significant difference between the quality of feedback given via SIMPL and in-person (p = 0.07). The mean score was 47.74 (SD = 3.00) for SIMPL feedback and 45.33 (SD = 4.77) for in-person feedback, with a total possible score of 50. Third-party assessment showed no significant difference between the quality of feedback given via SIMPL and in-person (p = 0.486). The mean score was 23.40 (SD = 3.75) for SIMPL feedback and 22.25 (SD = 5.94) for in-person feedback, with a total possible score of 30. Conclusions Although feedback given via SIMPL was more direct and based on the attendings’ perspectives, the quality of the feedback did not differ significantly. Use of the dictation feature of SIMPL to deliver resident operative performance feedback is a reasonable alternative to in-person feedback.

Therapist verbal response rating systems are subjective and not universally applicable. Two systems that evolved in the course of studying Carl Rogers transcripts are compared in terms of method, a...

Though I regard Germain Lietaer and Monica Gundrum’s article (His master’s voice: Carl Rogers’ verbal response modes in therapy and demonstration sessions throughout his career) as a very valuable ...

This paper is a commentary on Germain Lietaer and Monica Gundrum’s article entitled His master’s voice: Carl Rogers’ verbal response modes in therapy and demonstration sessions throughout his caree...

We present an empirical analysis of session transcripts we have from the different phases of Carl Rogers’ career: Ohio 1940–41; Chicago 1945–1957; Wisconsin 1958–1960; La Jolla 1965–77 and Workshop...

This study explores how a spokesperson’s facial expressions and verbal response strategies affect participants’ evaluations of an organization’s crisis communication responses. Using a between-subjects experiment with Taiwanese participants, the study investigates the effects of congruence and incongruence between an organization’s emotional and verbal responses on participants’ perceptions of the acceptability of its crisis response. The findings suggest that an organization’s emotional response should be congruent with its verbal response strategy in order to enhance the audience’s acceptance of its crisis response and in turn protect its reputation.

Much research in flirtation has been approached from a socio-cognitive perspective and has overemphasized subjective self-reports rather than overt behavior. Existing work pertinent to flirtation is reviewed here in addition to proposing a behavior-analytic perspective on the topic with a conception that includes both rule-governed and contingency-shaped behavior. Of particular interest within a verbal behavior conception of flirtation is the importance of autoclitics—features of a verbal response that affect the listener’s reaction to the rest of the verbal response. Applications of a behavior analytic conception of flirtation and future directions relevant to research on interpersonal relationships are discussed.

Background Epistemic Network Analysis (ENA) is a technique for modeling and comparing the structure of connections between elements in coded data. We hypothesized that connections among team discourse elements as modeled by ENA would predict the quality of team performance in trauma simulation. Methods The Modified Non-technical Skills Scale for Trauma (T-NOTECHS) was used to score a simulation-based trauma team resuscitation. Sixteen teams of 5 trainees participated. Dialogue was coded using Verbal Response Modes (VRM), a speech classification system. ENA was used to model the connections between VRM codes. ENA models of teams with lesser T-NOTECHS scores ( n = 9, mean = 16.98, standard deviation [SD] = 1.45) were compared with models of teams with greater T-NOTECHS scores ( n = 7, mean = 21.02, SD = 1.09). Results Teams had different patterns of connections among VRM speech form codes with regard to connections among questions and edifications (meanHIGH = 0.115, meanLOW = −0.089; t = 2.21; P = .046, Cohen d = 1.021). Greater-scoring groups had stronger connections between stating information and providing acknowledgments, confirmation, or advising. Lesser-scoring groups had a stronger connection between asking questions and stating information. Discourse data suggest that this pattern reflected increased uncertainty. Lesser-scoring groups also had stronger connections from edifications to disclosures (revealing thoughts, feelings, and intentions) and interpretations (explaining, judging, and evaluating the behavior of others). Conclusion ENA is a novel and valid method to assess communication among trauma teams. Differences in communication among higher- and lower-performing teams appear to result from the ways teams use questions. ENA allowed us to identify targets for improvement related to the use of questions and stating information by team members.

Objective To describe holistic, empathic, and person-centered approaches to communication and apply these to the context of oncology nurse-provided responses to patients’ expressions of spiritual concern. Data Sources Conceptual, empirical, and practice literature about communication, primarily from the disciplines of psychology and communication sciences, is resourced to inform this practice-oriented discussion. Conclusion Holistic, empathetic, and person-centered models for communication are complementary, and although there is overlap, there is also distinct value added from each. Implications for Nursing Practice Each model offers excellent guidance for nurses seeking to provide a therapeutic verbal response during spiritual care for people affected by cancer.