Romina Angeleri

Communicative Impairment in Traumatic Brain Injury: A Complete Pragmatic Assessment.

The aim of the present study was to examine the communicative abilities of traumatic brain injury patients (TBI). We wish to provide a complete assessment of their communicative ability/disability using a new experimental protocol, the Assessment Battery of Communication, (ABaCo) comprising five scales--linguistic, extralinguistic, paralinguistic, context and conversational--which investigate all the main pragmatic elements involved in a communicative exchange. The ABaCo was administered to 21 TBI subjects and to a control group. The results showed that performance by TBI patients was worse than that of controls on all scales; moreover they showed a trend of increasing difficulty in understanding and producing different pragmatic phenomena, i.e., standard communication acts, deceits and ironies, whether such phenomena are expressed through the linguistic or extralinguistic modality.

The Evolution of Autistic-Like and Schizotypal Traits: A Sexual Selection Hypothesis

In this paper we present a new hypothesis on the evolution of autistic-like and schizotypal personality traits. We argue that autistic-like and schizotypal traits contribute in opposite ways to individual differences in reproductive and mating strategies, and have been maintained – at least in part – by sexual selection through mate choice. Whereas positive schizotypy can be seen as a psychological phenotype oriented to high-mating effort and good genes displays in both sexes, autistic-like traits in their non-pathological form contribute to a male-typical strategy geared toward high parental investment, low-mating effort, and long-term resource allocation. At the evolutionary-genetic level, this sexual selection hypothesis is consistent with Crespi and Badcocks “imprinted brain” theory of autism and psychosis; the effect of offspring mating behavior on resource flow within the family connects sexual selection with genomic imprinting in the context of human biparental care. We conclude by presenting the results of an empirical study testing one of the predictions derived from our hypothesis. In a sample of 199 college students, autistic-like traits predicted lower interest in short-term mating, higher partner-specific investment, and stronger commitment to long-term romantic relations, whereas positive schizotypy showed the opposite pattern of effects.

Understanding the communicative impairments in schizophrenia: A preliminary study

UNLABELLED The aim of the present study was to evaluate the pragmatic abilities of patients with schizophrenia in a variety of pragmatic phenomena expressed through different communicative means (language, gestures, and paralinguistic modality). For this purpose we used the Assessment Battery of Communication (ABaCo; Sacco et al., 2008). The ABaCo is a validated clinical tool for assessing pragmatic skills, which comprises five evaluation scales-linguistic, extralinguistic, paralinguistic, context, and conversational-investigating both comprehension and production of the main pragmatic phenomena involved in a communicative exchange, such as direct and indirect speech acts, irony, deceit, the violation of Grices maxims, topic management, and turn-taking. The battery was administered to a group of seventeen patients with schizophrenia, and matched healthy controls. We expected the clinical group to perform widely worse than the control group in the different pragmatic dimensions investigated. Results showed that patients with schizophrenia performed significantly worse than controls on all the five scales of the battery, both in comprehension and production tasks. Moreover, the results within each scale showed a differentiated performance in the clinical group among the pragmatic phenomena, with irony assessed as the most difficult task. The implications of these results for research and treatment in schizophrenia are discussed. LEARNING OUTCOMES After reading this article, the reader will be able to: (1) summarize thepreliminary assessment of pragmatic impairments in patients with schizophrenia; (2) describea variegated communicative profile regarding different pragmatic phenomena; and (3) discuss the planning and evaluating specific rehabilitation programs.

Assessment Battery for Communication: development of two equivalent forms.

UNLABELLED The aim of this paper was to develop and test two equivalent forms of the Assessment Battery for Communication (ABaCo), a tool for evaluating pragmatic abilities in patients with neuropsychological and psychiatric disorders. The equivalent forms were created using the data from a sample of 390 children, then tested in a sample of 30 patients with traumatic brain injury. Equivalent forms of the same test are useful in clinical practice and intervention research, when performance needs to be tested on two separate occasions, for example before and after a rehabilitation program. The present results provide additional evidence on the psychometric functioning of the equivalent forms of the ABaCo and their usability in a clinical context. LEARNING OUTCOMES The reader will be able to discuss the evidence of the psychometric propriety of the equivalent forms of the ABaCo and describe its potential usefulness.

Communicative abilities in children: An assessment through different phenomena and expressive means *

Previous studies on childrens pragmatic abilities have tended to focus on just one pragmatic phenomenon and one expressive means at a time, mainly concentrating on comprehension, and overlooking the production side. We assessed both comprehension and production in relation to several pragmatic phenomena (simple and complex standard communication acts, irony, and deceit) and several expressive means (linguistic, extralinguistic, paralinguistic). Our study involved 390 Italian-speaking children divided into three age groups: 5;0-5;6, 6;6-7;0, and 8;0-8;6. Childrens performance on all tasks improved with their age. Within each age group, children responded more accurately to tasks involving standard communication than to those involving deceit and irony, across all expressive means and for both comprehension and production. Within each pragmatic phenomenon, children responded more accurately to simple acts than to complex ones, regardless of age group and expressive means, i.e., linguistic or extralinguistic. Overall results fit well with the Cognitive Pragmatics theory (Bara, 2010).

The development of joke and irony understanding: a study with 3- to 6-year-old children.

Previous research suggests that comprehending ironic utterances is a relatively late-developing skill, emerging around 5-6 years of age. This study investigated whether younger children might show an earlier understanding when ironic utterances are performed in familiar communicative situations, and investigated the relationships among irony comprehension, language, and theory of mind (ToM) abilities. A group of 100 children aged 3.0-6.5 years was presented with 4 types of puppet scenarios depicting different communicative interactions: control, joke, contingent irony and background irony stories. Results suggested that (a) even younger children easily understand jokes, and may sometimes understand ironies; (b) childrens comprehension of irony continues to develop across early childhood; and (c) receptive vocabulary scores had simultaneous effects on irony comprehension and ToM performance.

A retrospective two-center study of antiepileptic prophylaxis in patients with surgically treated high-grade gliomas.

BACKGROUND The effectiveness of antiepileptic prophylaxis in patients with newly diagnosed high-grade glioma is debated. Craniotomy, surgical manipulation and bleeding are believed to favor the onset of seizures and, therefore, perioperative antiepileptic drugs (AEDs) are generally used. Nevertheless, evidence to initiate preoperative AED prophylaxis are weak. AIM Aim of this paper was to evaluate the need for AED prophylaxis in surgically-treated malignant glioma patients without history of seizures. MATERIALS AND METHODS We conducted a retrospective, two-center cohort study to assess the effectiveness of preoperative AED prophylaxis. Patients were divided in two groups: one with AED preoperative administration and the other without. Because of its non-hepatic metabolism, levetiracetam (LEV) was chosen. Logistic regression models were used to investigate the odds ratio for each group. The explanatory variables included the treatment received, sex, age, and site of lesion. The outcome measure of successful LEV prophylaxis was seizure vs. no seizure post-operatively, at three and six months after surgery. RESULTS Our results showed that LEV prophylaxis was not a significant predictor of seizure occurrence, although the regression coefficient indicated a slight reduction in seizure risk following LEV administration. Patients age was a significant predictor of seizure occurrence. Younger patients had a higher risk of seizure in the six months post-surgery. CONCLUSIONS We conclude that AEDs prophylaxis does not provide a substantial benefit to surgically treated high-grade glioma patients and should not be administered routinely. Further investigations are required to detect subgroups of patients at higher risk of developing seizures in order to selectively administer AED.

Situation‐sensitive use of insincerity: Pathways to communication in young children

The present research focused on the development of childrens ability to spontaneously suspend sincerity or tell a lie according to different communicative contexts. The issue of sincerity in communication is rather complex since in everyday interactions sincerity is expected, while there are specific communicative acts where sincerity is not prescribed or even banished. This study investigated how children (N= 80, ranging in age from 3 to 6.5 years) handled communications involving insincerity: fantasy stories, lies, and politeness situations. The results showed that the ability to deal with insincerity emerges gradually during the preschool years with an increasing trend of difficulty, from fantasy to politeness situations, and a notable amount of variability not equally distributed among the tasks.

Communicative Impairment After Traumatic Brain Injury: Evidence and Pathways to Recovery

Traumatic brain injury (TBI) patients show a series of communicative difficulties, loading on all the dimensions that characterize satisfying communicative interactions. This chapter has three aims: first, it reviews the current literature on this topic in order to provide a complete picture of the communicative impairment in TBI patients; second, it examines the relationship between cognitive functions i.e. executive functions and theory of mind and pragmatic deficits resulting as a consequence of traumatic brain injury; third, it reviews the current literature on treatment planning in rehabilitation therapy and provides suggestions for the clinical practice.