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左手习惯的矫正与口吃病因:一个有趣理论的兴衰。

Retraining left-handers and the aetiology of stuttering: the rise and fall of an intriguing theory.

机构信息

Program in Neuroscience and Behavioral Biology & Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.

出版信息

Laterality. 2012;17(6):673-93. doi: 10.1080/1357650X.2011.615127. Epub 2011 Dec 19.

Abstract

Many twentieth-century British and American educators, psychologists, and psychiatrists advocated forcing left-handed children to write with their right hands. These experts asserted that a child's decision to rely on his or her left hand was a reflection of a defiant personality that could best be corrected by forcible switching. The methods used to retrain left-handers were often tortuous, including restraining a resistant child's left hand. In contrast, those who saw left-handedness as inherited, but natural, not only disapproved of forced switching, but also often warned of its putative negative consequences, especially stuttering. These claims were given credence in the 1930s by influential University of Iowa researchers, including psychiatrist S. T. Orton, psychologist L. E. Travis, and their students. From the late 1920s until the 1950s, the Iowa researchers published articles and books connecting the etiology of stuttering to forcing natural left-handers to write and perform other tasks with their right hand. Based on their clinical studies these practitioners concluded that stutterers displayed weak laterality. The Iowa group also published detailed case studies of patients whose stuttering was putatively cured by the restoration of their left-handedness. By the late-1940s, the connection between stuttering and retraining evaporated, due in large part to the growing dominance of psychoanalytic psychiatry. Despite robust statistical and clinical evidence, the connection between forced hand switching and stuttering has largely been forgotten. Recent imaging studies of stutterers, however, have suggested that stuttering is tied to disturbed signal transmission between the hemispheres. Similar to the Iowa researchers of the 1930s, current investigators have found connections between stuttering and weak laterality.

摘要

许多 20 世纪的英国和美国教育家、心理学家和精神病学家提倡强迫左撇子儿童用右手写字。这些专家断言,孩子决定依赖左手是一种反抗性格的反映,可以通过强制转换来最好地纠正。用于重新训练左撇子的方法通常很繁琐,包括限制抗拒的孩子的左手。相比之下,那些将左撇子视为遗传但自然的人,不仅不赞成强制转换,而且经常警告其所谓的负面后果,尤其是口吃。这些说法在 20 世纪 30 年代得到了爱荷华大学有影响力的研究人员的认可,包括精神病学家 S.T.奥顿、心理学家 L.E.特拉维斯及其学生。从 20 世纪 20 年代末到 50 年代,爱荷华州的研究人员发表了多篇文章和书籍,将口吃的病因与强迫天生的左撇子用右手写作和执行其他任务联系起来。基于他们的临床研究,这些从业者得出结论,口吃者表现出较弱的侧化。爱荷华州的研究小组还发表了详细的案例研究,其中一些患者的口吃据称通过恢复他们的左撇子而得到治愈。到 20 世纪 40 年代末,口吃和再训练之间的联系由于精神分析精神病学的日益主导地位而消失。尽管有强大的统计和临床证据,但强制手转换和口吃之间的联系在很大程度上被遗忘了。然而,最近对口吃者的成像研究表明,口吃与大脑半球之间信号传输紊乱有关。与 20 世纪 30 年代的爱荷华州研究人员类似,当前的研究人员发现口吃与较弱的侧化之间存在联系。

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