~·· CALIFORNIA STATE UNIVERSITY, NORTHRIDGE SKIN CONDUCTANCE PATTERNS AMONG n LEARNING DISABLED STUDENTS A thesis submitted in partial satisfaction of the requirements for the degree of Master of Arts 111 Special Education by Gail Beth Werbach June, 1979 ~·· The Thesis of Gail Beth Werbach is ~pproved: Ruth \Forer, Ed.D. ~~a Wyeth, Ed.D. (__§r~ Lee, Ed. D. , Chairperson California State University, Northridge ii Dedication To My Husband, Hel vyn vJerbach, without whose love and guidance this would not have been possible. iii TABLE OF CON'rENTS ................................. ii Dedication . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . iii Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vl Approval page I INTRODUCTION Background of the Problem................. Statement of the Problem.................. Research Hypothesis....................... Purpose of the Study...................... Definition of Terms....................... II IV 3 3 3 4 REVIEW OF LITERATURE Activation Theory .. . ...... ...•........ ... Galvanic Skin Response.................... Attention and the Learning Disabled Child. III 2 7 9 20 METHODOLOGY Pilot Study. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 22 Statistical Design........................ Null Hypothesis. . . . . . . . . . . . . . . . . . . . . . . • . . . Subjects . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . Procedures . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . Instrumentation ........................ ·. . . Data Collection and Recording............. Data Processing and Analysis.............. Methodological Assumptions................ Limita·tions............................... 24 24 2425 26 31 34 37 37 ANALYSIS AND EVALUATION Findi11.gs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Discussion . . . . . . . . . . . . . . . . .-............... Interpretation............................ iv 40 42 44 Table of Contents (Continued) V SUMMARY, CONCLUSIONS, RECOMMENDATIONS ·, Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conclusions . . . . . . . . . . . . . . . . . . . . ·........... Recomrnendat ions . .... ·. . . . . . . . . . . . . . . . . . . . . . 47 48 48 References... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 v ABSTRACT SKIN CONDUCTANCE PATTERNS AMONG LEARNING DISABLED STUDENTS by Gail Beth Werbach Master of Arts in Special Education Learning-reading Disorders This study was designed to explore the relationship between activation and learning among the learning disabled by utilizing electrodermal patterns of response as the measure of activation and a paired-associates task as the measure of learning. A review of the literature yielded a number of studies relating activation to learning among normal achieving students, but few studies were found which explored this relationship among the learning disabled. The Research Hypothesis was: Is performance on a pairedassociates task for learning disabled childreri related t~ active.tion of electrodermal activity as measured by skin conductance levels? The subj~cts vi studied were forty-four children betv1een the ages of five and fifteen referred to the Department of Mental Health of Ross Loos Medical Group in Los A~geles for the evaluation and/or treatment of learn- ing problems. The statistical design used was a 2x2 Factorial Design. Measurements consisted of number correct on a paired-associates task as index of learning and skin conductance levels taken on a Toomin GSR instrument as index of activation. Levels of skin conductance immediately following presentation of the learning task were selected for statistical analysis. .05 level. The Chi Square analysis was significant at the Subjects with a moderate level of skin conduc~ tance (0.6-1.1 log micromhos) were more likely to perform better than subjects with either lower or higher levels of skin conductance. This study has identified a subgroup of the learning disabled population whose abnormally high or low levels of skin conduc·tance reflect their problems in learning . .. VI,- CHAPTER I Introduction In the last ten years, educators have shown increasing concern over the problems of learning disabled children. These children show a marked discrepancy between their potential for academic achievement and their actual school performance. Those educators and psychologists who study these children have difficulty formulating a concise definition of what constitutes learning disability. Clements (1966) found 38 terms 1n the literature for children with learning disabilities and associated symptoms. The follow- ing definition by the National Advisory Committee on Handicapped Children is probably the one most commonly used to identify pupils who are eligible for special education placement and related services: Children with special learning disabilities exhibit a disorder in one or more of the basic psychological processes involved in understanding or in using spoken or written languages. These may be manifested in disorders of listening, thinking, talking, reading, writing, spelling, or arithmetic. They include conditions which have been referred to as perceptual handicaps, brain injury, minimal brain dysfunction, dyslexia, developmental aphasia, etc. They do not include learning problems which are due primarily to visual, hearing or motor handicaps, to mental retardation, emotional disturbances or to environmental disadvantage. {Myers & Hammill, 1976, 3-4). 1 2 The reported prevalence of learning disability varies greatly depending upon the definition and the specific criteria employed, and ranges from one to thirty percent of school children in published studies (Myers & Hanunill,l976). Background of the Problem Observers of the learning disabled child in a classroom setting commonly note behavioral criteria by which these children can be separated from others with similar potential who perform adequately. These include hyperactivity, dis- tractibility, short attention span and perceptual motor deficits. Researchers have sought to relate these behavior- al symptoms to particular psychological or physiological deficits. Some of the studies assign a central role to attentional and motivational processes (Tarver & Hallahan, 1974). Others cite evidence that activation, as indicated by a number of physiological measures, is related to both intra- and inter-individual variations in performance (Berry 1962). Hhen the degree of activation is minimal, perform- . ance on any number of tasks is of mediocre quality. As activation increases to a moderate level, performance reaches an optimal point. When activation is very high, the quality of performance again deteriorates. Thus, when activation is plotted against performance, a curve develops which resembles an inverted "U". Of course, the degree of activation will be a function of both the characteristics 3 of the individual and the task being studied (Malmo, 1959). Statement of ·the P:l?oblem Do deviations from moderate activation levels of electrodermal activity correlate with difficulty in learning among the learning disabled? Research Hypothesis The research hypothesis was: Is performance on a paired-associates task for learning disabled children related to activation of electrodermal activity as measured by skin conductance levels? Purpose of the Study This study explores the relationship between activation and learning among the learning disabled by utilizing electrodermal patterns of response as the measure of activation and a paired-associates'task as the measure of learning. There are a number of studies in the literature concerning activation as related to learning among normal achieving students, while little has been published concerning this relationship among learning disabled. The paucity of such studies is unfortunate as they may assist in the identification of specific maladaptive activational patter•ns within a sub-group of the learning disabled, who could then benefit 4 from therapeutic procedures designed to correct such patterns. Definition of Terms ,..... Activation: A term used primarily to refer to the func- tions of the ascending reticular activating system (ARAS). This system regulates the level of general attention in relation to environmental stimuli on the one hand, and cerebral processes on the other. Th~ organism is continually in varying states of activation, or in an "activation con-'. tinuum," and reaches its highest activation level at an average stimulus intensity, whereas the level of activation via the ARAS remains low at very intense and very weak stimulation. 2. Defensive Response: According to Sokolov,(l960, 1963), the Defensive Response (DR) is evoked by intense or noxious stimulation and is extremely resistant to habituation. Its function is to protect the organism by attenuating the perceptual effects of .such stimulation. Using only measures of electrodermal activity, the occurrence of a DR is somewhat difficult to differentiate from an Orienting Response. Recently, Edelberg (1972) has suggested that measures of electrodermal recovery rate may distinguish DRs from goaldirected behavior. 3. Electrodermal Activity: Electrodermal activity is a physiologic measure which indicates changes in sweat gland 5 activity. Since the sweat glands are innervated by the sympathetic branch of the autonomic nervous system, measures of electrodermal activity also provide indications of sympathetic nervous system activity. These measures include skin conductance (or resistance) levels, skin conductance (or resistance) responses and skin potential level and response. They are often referred to as the "GSR" which stands for Galvanic Skin Response. 4. Learning: A change in response due to experience. English and English (1958) in their definition include under learning "the process or processes whereby such change is brought about." 5. Learning Disability: 6. Orienting Response: see page 1. Th~ concept of the orienting res- ponse (OR) was described originally by Pavlov (1927) as the ··investigatory or "what-is-it" reflex. Sokolov (1960, 1963) has extended this investigation and developed a detailed theory of receptivity to stimuli and information processing based upon the occurrence of ORs and Defensive Responses. He describes the OR as a generalized response to novel stimuli which are mild to moderate in intensity which habituates·upon repetition of the stimuli. That response is characterized by a complex pattern of skeletal and physiological changes and includes changes in skin conductance as well as other autonomic and electroencephalographic responses. Sokolov has taken the position ~··· 6 that the OR functions to produce heightened sensitivity to environmental stimulation causing increased intake and processing of information. 7. Paired-associates task: A rote method used in verbal learning and retention studies whereby a subject must learn stimulus-response paired items, and later, upon request, must reproduce the second item upon presentation of the first remembered item. The score is the number of successes or of retained members. Organization of the Remainder of the Thesis In Chapter 2 a review of the literature related to the study is presented. The review includes pertinent informa- tion on Activation Theory, Galvanic Skin Response and the Learning Disabled Child. of the study. Chapter 3 details the methodology Included is a descripti?n of the pilot study which preceeded the ·experimental study. This chapter also includes the experimental design, procedures and instrumentation. Chapter 4 contains an analysis and evaluation of the study and discussion of the results. Chapter 5 presents a summary, conclusions and recommendations for further study. CHAPTER II Review of Literature Activation Theory The terms "arousal," "energy mobilization," and "excitation" describe physiological processes which are currently subsumed under "activation." Research by physiologists on how the autonomic nervous system (ANS.) responds to lncreasing stimulation· and by electroencephalographer'S on the patterns of electrical activity of the brain's cortical cells under similar conditions has demonstrated that a continuum of EEG patterns existed which paralleled a continuum of behavior from an extreme of deep sleep to an extreme of great excitement. The electroencephalographers called the EEG responses to stimulation "activation." Since psychophysiologists use "activation" as 6ne of the terms describing autonomic responses to stimulation, the word is nmv in general use to refer to both EEG and autonomic responses (Sternbach, 1966). Activation may be influenced by stimuli. It occurs not only as a result of external stimulation; central phenomena, such as exciting thoughts~ can produce similar effects. Also it appears that stimuli acting through the classical sensory path~vays as well as changes in activity in various parts of the brain affect activiation through a common path- 7 8 way, the brain stem reticular formation. Fibers from each of the sensory systems, on their way to the cortex, send off branches to the reticular formation as they pass through the brain stem to produce a generalized cortical activation. This reticular system seems necessary for activation; when it is damaged by accident, disease, or experiment, the individual is difficult or impossible to arouse, and is in a coma .. The possibility of ever-increasing activity, due to stimulation of .the reticular formation which produces autonomic and muscular activity which then results in greater reticular activity, is prevented by built-in mechanisms for terminating the cycle. Homeostatic-like processes (negative feedback) operate in all such cortical-subcortical inter- ...... ac~.1ons. The cortex, hypothalamus, reticular formation, per1pheral autonomic, motor and sensory fibers and circulating hormones are all involved in activation. All continuously influence each other and modify each other's and their own input. The indices frequently used to measure changes in activation (short term fluctuation, or brief responses to some form of stimulation) have relatively little lag, are quantifiable and have good reliability. The electromyograph (EMG) records traces of muscle action potentials given off by contracting muscles. The electroencephalograph (EEG) 9 records the electrical activity of the cerebral cortex which reflects fluctuations in membrane potentials in the millions of cortical cells, an ongoing metabolic phenomenon, not action potentials resulting from specific stimulation. The Galvanic Skin Response (GSR), which is a measure of electrodermal activity (EDA) is another measure that is easily recorded and quantified, and is a sensitive responder to stimuli from both external and internal sources. Other measures of activation include heart rate, blood pressure and respiratory rate. Galvanic Skin Response (GSR) A. GSR As A Heasure of Activation The use of measures of electrodermal activity (EDA) in relation to the theoretical concepts of attention and arousal seems to have begun with the work of Fere (1888). He was interested in the effects of sensory and emotional stimuli on the development of "psychic·energy" and developed a very early statement of arousal theory.· Fere measured skin resistance res?onses and demonstrated that sensory or emotional stimulation was accompanied by a decrease in skin resistance. The report by Fere repre.sents what appears to be the first at-cempt to use EDA as an index of an important psychological construct (Prokasy, 1973). The early work of Fere led to what is knovm today as arousal or activation theory. Duffy took the position that 10 the general level of energy mobilization is a major aspect of what has been historically labeled as emotion. She pointed to skin conductance level as an indicator of the level of energy mobilization (Duffy & Lacey, 1946). The term "energy mobilization" was soon replaced by "activation" which was put forth by Lindsley (1951, 1960). Lindsley showed that activation or arousal is related to activity 1n the brain stem reticular formation and is manifested by in_creased frequency and decreased amplitude of EEG activity. Sharpless and Ja_sper (1956) pointed out that the lower portions of the reticular formation are responsible for the longer-lasting changes in the level of reactivity, whereas the upper portions of the reticular formation seem to subserve attentive processes which are of briefer duration. Malmo (1958) supported the position that tonic measures such as SCL are the best indices of activation or general arousal. A number of studies have shown that, when the degree of activation is minimal, performance on any number of tasks is of mediocre quality. As activation increases to a moderate level,·performance reaches an optimal point. When activa- tion is very great, the quality of performance deteriorates to alow point again. This sort of relationship is descri- bed as the inverted U from the appearanceof the graph when the degree of activation is plotted against level of performance. Schlossberg (1953) first noted the curvilinear relationship between activation and behavioral efficiency. 11 The concept has been further elaborated by Hebb (1955) and Malmo (1958). B. GSR Parameters in the Measurement of EDA There are a number of dependent variables which can be obtained from recordings of EDA. The different measures of EDA have been used for a variety of purposes including (1) the level of arousal, (2) the level of alertness or attentiveness, (3) the impact of different types and intensities of stimulation, (4) the rate and amount of habituation of responses as a function of different stimulus conditions, (5) a means of differentiating ORs and DRs, (6) assessing individual differences in responsiveness, attentiveness, conditioning and anxiety, and (7) the investigation of differences· among diagnostic categories. The use of tonic levels of skin resistance (SRL), skin conductance ( SCL), and skin potential (SPL) as indices of the general level of activation goes back to the work of Fere (1888). Recent studies are consistent with the hypo- thesis that SCL is a satisfactory indicator of the general level of activation (Duffy 1962, Malmo 1959, Raskin 1969). Liederman and Shapiro (1964) recorded SPL during different stimulus conditions. They reported that SPL was low during sleep, intermediate during a monotonous learning task, and high during the presentation of electric shock, noises, and during sensory deprivation. They concluded that SPL is a 12 simple, objective technique for measurlng various states of behavioral activation. In general, the amplitude of skin resistance responses (SRR), skin conductance responses (SCR), and skin potential responses (SPR) have been the most popular measures of EDA. Studies employing phasic EDA's as dependent variables include investigations of variations in parameters of simple stimuli (Davis 1955, Raskin 1969), measures of anxiety (Martin 1961), and individual differences in attention (Maltzman and Raskin 1965). Unfortunately, procedures for measuring changes in EDA have not been standardized. Authors may report, for example, any consecutive changes (Rugel 1971, Spencer 1973) or may report' the. measure only at certain pre-arranged intervals regardless of whether it has changes (Andreassi 1967, Hunter 1972, Johnson 1967). Because of the lack of stnadardization, it is often impossible to compare similar studies. C. GSR And Attention Historically, most approaches to the relationship bet- ween attention, arousal, and performance have ignored individual differences. However, in the past twenty years, there has been increased interest in exploring such differences in autonomic activity and their relation to performance in a variety of situations. 13 One major line of investigation was initiated by John Lacey and his co-workers. That approach focused on the re- lationships between individual differences in the rate of nonspecific EDRs, performance, and personality variables. ' Lacey and Lacey (1958) counted the number of non-specific SRRs during a rest period, the performance of different tasks and the presentation of electric shock. They found .high correlations across time and conditions, and they conc~uded that the rate of non-specific SRRs is a stable indi- vidual characteristic. A second approach to the study of individual differences in EDA was derived from Sokolov's (1963) model of ORs and DRs and is exemplified by the work of Maltzman and Raskin (1965). Their approach involves the use of an index of individual OR amplitude as a means of predicting performance in situations such as semantic conditioning and alization of SCRs (Raskin 1969), ve~bal gener~- learning (Belloni 1964), and verbal conditioning (Smith 1966). The general procedure is to obtain a measure of the OR for each S by measuring the amplitude of SCR to the first stimulus or first USC presented to the S and then assessing the degree of relationship between individual differences in the amplitude of ORs and performance. The data reported on the relationships between individual differences in electrodermal ORs and performance seem to indicate that individual differences in amplitude of 14 electrodermal ORs are related to individual differences in ~ttentional and learning capacities. Belloni (1964) divided her subjects into low-OR and high-OR groups and asked them to learn lists of paired associates (PA). She found that, for male Ss, high ORs were associated with faster response speed on difficult items and fewer trials required to reach the criterion of learning. obtained with female Ss. Significant results were not Thus, the results for male Ss indicated that amplitude of electrodermal ORs are related to performance in PA learning in a way which is predicted by the attentional-perceptual capacity interpretation of ORs. Similar results were obtained by Maltzman and Raskin (1965) and Raskin (1969). A number of studies have assessed the relationship between electrodermal lability and both psychological and behavioral characteristics. Lacey and Lacey (1958) showed that electrodermal "labiles" (Ss above the median number of nonspecific SRRs during rest) had faster reaction times and made more errors than did the "stabile'' Ss. Crider ( 19 7 2) demonstrated that electrodermal labiles (as measured by speed of habituation of SPRs to tones on tvTO different occasions) showed superior performance in an auditory vigilance task. Further analysis based on signal detection principles led Crider to conclude that electrodermal labiles do not differ from stabiles in any cognitive capacity but do show differences in levels of motivation and arousal. 15 In an attempt to answer directly the question of whether EDRs indicate emotion or attention, Flanagan (1967) obtained measures of amplitude of SCR and ratings of emotional reactions and "attention-getting" value to photographic stimuli. He found average correlations of -.64 between magnitude of SCR and attention scale values and average correlations of 0.32 between magnitude of SCR and emotion scale values. Since the correlations with attention were significantly higher, Flanagan concluded that an attention interpretation of SCR is preferable to one based upon emotion. D. GSR And Learning An early investigation of the relationship between GSR and learning used a standard serial verbal learning procedure (Brown, 1937). Larger SRRs were associated with the learning process rather than with vocalization of the correct verbal response. A subsequent study reported by Kintsch (1965) employing a PA learning task demonstrated that the amplitude of SRRs to a stimulus increases up to the point of the last error, and then declines after learning has been completed. The results obtained by Brown and Kintsch might be interpreted as indicating that ORs are evoked by the task demands placed upon the subject; when the level of performance reaches that required by the situation, the OR begins to habituate. 16 Germana (1968) pointed out that the above studies included no attempts ·to separate the activational responses which occur to the different components of a learning trial, since EDRs which occur to the stimulus member of a pair were combined with the EDRs associated with the overt response required of the S. Therefore, Germana (1964) employed a concept-formation task in which Ss were instructed to withhold their response to the stimulus until an interval of time had elapsed. Using that procedure, he reported that the SCRs to the stimulus showed the characteristic increase followed by a decrease in amplitude, whereas the SCRs concurrent with the overt responses did not show a similar pattern. Thus, the phenomenon which Germana describes as "activational peaking" occurs as a result of Ss preparation to respond, and the SCRs begin to diminish as learning enables the S to respond with little preparatory effort. An.dreassi and Whalen (1967) conducted two experiments to investigate physiological activity associated with original learning and overlearning of verbal materials. The results showed that there were increases in skin conductance with new learning, decreases with overlearning, and further decreases with double overlearning. It was concluded that the drop in physiological activity which occurred with overlearning was due to an habituation of physiological response when Ss were no longer required to assimilate novel materials and a reduction in apprehensiveness as 17 the experiment progressed. A number of experiments utilizing EDRs have validated the hypothesis that activation and performance follow an inverted U relationship. Berry (1962) presented Ss with a PA learning task and measured SCL during the course of learning and subsequent recall. He reported that inter- mediate levels of skin conductance during both the first minute of the learning session as well as the first minute of the recall period were associated.with better recall performance. Stennett (1957) compared the performance of 31 male _college students on an auditory tracking task under different conditions of incentive. Subjects performed better in the "optimal arousal" condition than they did 1n either the "low arousal" or "high arousal" condition. Spencer studied activational identification tasks. pe~king in two concept The results support the hypothesis that SCL is reflective of cognitive activity and that the spontaneous SCR reflects the psychological stress accompanying the successful utilization of information intake. Heasures of activation levels supported the inverted U hypothesis (1972). Simon reported negative findings on her investigation of the relationship between the OR and both learning and retention of verbal PA. An attempt was made to induce various levels of the OR by presenting PA lists containing different numbers of stimulus words in a changed format. 18 Results indicated no reliable performance differences between high and low OR subjects. The author suggests as a possible explanation of the results that college students are generally a highly select group, and are at an asymptotic level of attention (Simon 1970). E. GSR and the Learning Disabled Child A search of the relevant literat~re found only three studies of EDA in which the subjects could be considered to be learning disabled. One study was concerned with differences between readers and non-readers with respect to physiological OR patterns in the autonomic nervous system, particularly the electroder·mal and cardiovascular responses to repeated stimuli 1n series (Hunter 1972). Autonomic response patterns of twenty male non-readers ranging in age from 7 years 11 months to 11 years 4 months were compared with those of twenty matched controls. The authors found that the non-reader's most noticeable characteristic was his deficient or fluctuating attention which was reflected 1n hi~ lower basal skin.conductance levels over trials. Boydstun et al (1968) compared the patterns of skin resistance and heart rate of 26 children ages 6-12 with minimal brain dysfunction. with 26 control children during an auditory discrimination task. The authors postulated that relatively simple and standard laboratory tests 19 would discriminate this clinical group from a group of controls. They found that skin resistance gradients did sepa- rate the two groups of children as controls had steeper gradients than the clinical group. ·, The subjects who condi- tioned well gave evidence of generalization in SR and heart rate, whereas the subjects who conditioned poorly did not. The authors suggested that defective arousal structures or defective coupling of arousal structures and other perceptual and motor structures could explain the decreased autonomic reactivity, the longer reaction times, the short attention span and poor concentration of some children with learning disabilities. Arousal structures in the brain stem and limbic system are critical for attention and perception, and these same structures contain mechanisms 1mportant in autonomic and skeleto-motor functioning. Dureman and Palshammar (1970) combined psychophysic~ogical recording with a tracking task on seven children 9 to 10 years old rated by the'ir school teachers as Low Persistence (LP) and seven rated as High Persistence (HP). They hypothesized that the LP children are generally more prone to anticipate failure and, therefore, .tend to resign and give up earlier than the HP children. Such a tendency, if found 1n the tracking task, would be expected to be accompanied by evidence of lowered activation and alertness in the autonomic recordings. Results indicated that the LP children were significantly lower in initial skin conduc- 20 tance level than the HP children, and skin conductance level than the HP children,_and skin conductance levels on the LP children decreased further during the experiment. Rugel (1971) evaluated the potential usefulness of EDA as an indicator of anxiety in children with reading problems by investigating the relationship between arousal and levels of reading difficulty in normal students. were twenty second- and third-graders. Subjects The results of this investigation supported the hypothesis that a child's level of arousal increases as reading difficulty increases from independent to instructional to frustration levels. He concludes that, "the fact that the GSR response was sensltive to changes in reading difficulty with these children suggests that it is probably a useful diagnostic tool with problem readers whose degree of frustration in the reading situation is more intense." Attention and the Learning Disabled Child Attention deficits have long been associated with children with learning disabilities. Among the character- istics of learn{ng disabled children are hyperactivity, distractibility, short attention span, impulsivity, perseveration, perceptual-motor deficits, memory deficits, poor intersensory integration, and more specific deficits of auditory and visual perception. Researchers have sought to determine if there is a single, more basic psychological processing deficit which can account for these various be- ~··· ~·· 21 havioral symptoms. Cruickshank and Paul (1971) point out that the field of learning disabilities sprang from earlier work with brain damaged children. They state that the char- acteristics of learning disabled children mentioned above are due to the "child's distractibility, that is, his inability to filter out extraneous stimuli and focus selectively on a task"(p. 37-3). In addition, Dukman and his colleagues (1971) have developed a theory which postulates that organically based deficits in attention explain the core group of symptoms associated with the learning disabilities syndrome. Ross, in his book Learning Disability: The Unrealized Potential (1966) defines a.learning disabled child as: "a child of at least average intelligence whose academic performance is impaired by a developmental lag in the ability to sustain selective attention. Such a child requires specialized instruction in order to permit the use of his or her full intellectual potential." (p. 11). Tarver and Hallahan (1974) reviewed twenty-one experimental studies of attention deficits in children with learning disabilities. The following conclusions were drawn from their research. "1) Children with learning disabilities exhibit more distractibility than controls on tasks involving embedded contexts and on tests of incidental vs. central learning; 2) Hyperactivity of children with learning disabilities may be situational-specific, with higher levels of activity being exhibited in the structured situation; 3) Children with learning disabilities are more impulsive, i .. e., less reflective, than controls; 4) Children with learning disabilities are deficient in their ability to maintain attention over prolonged periods of time." (p. 36) -----~=--- ~---- ~·- CHAPTER III Methodology Pilot Study In early 1978 following a rev1ew of literature dealing with attention, learning, and activation, I had discussions with several authors who are prominent in the field of Biofeedback including Barbara B. Brown, Ph.D.,.author of New Mind, New Body (1974) and Stress and The Art of Biofeedback (1977), George D. Fuller, Ph.D., Associate Clinical Professor in the Department of Biological Dysfunction, U.C. Medical Center, San Francisco, author of Biofeedback Methods and Procedures in Clinical Practice (1977), David French, Ph.D., President of the Biofeedback Society of· California, and Melvyn Werbach, M.D., Director of Clinical Biofeedback, Pain Control Unit UCLA Hospital and Clinics. These discus- sions convinced me that the GSR may be a useful way of looking at the process of learning 1n the learning disabled. I first explored the methodology 1n a pilot study in July of 1978. Subjects consisted of seven children ages seven to thirteen who were then seeing me for Educational Therapy at Ross Loos Medical Group in Encino, California. These children were all referred for remediation of learning problems. ?? 23 They were of at least average intelligence as measured by a WISC-R. Achievement scores on the Wide Range Achievement Test placed them two to three years behind grade level in reading, math and spelling. ' A Toomin GSR instrument, model 505, was used. Measure- ments were taken from the palm of the dominant hand. The initial measurement was taken following attachment of the electrodes. A second measurement was made after the subject was instructed to take a deep breath and exhale slowly. The final measurement was taken following a loud noise made to startle the child. Results were consistent with the inverted U hypothesis. Five of the Subjects displayed skin conductance (SC) levels 1n a similar range. One Subject had very low readings which barely moved with either deep breathing or a startle. Subject was felt to be clinically depressed. This The seventh Subject had values much higher than all the others. This Subject was very anx1ous and seemed to be holding in feelings of anger. Since it appeared that children with either unusually low or high arousal, in contract to the chil.dren with moderate levels of SC, were experiencing emotions which could interfere with learning, it occured to me that sc levels might differentiate between high and low performance on a learning task. In other words, subjects with very high or very low levels of SC may perform less well due to inter- ference with the process of learning. Following the pilot study, I began the following research study of the SC patterns of learning disabled children. Statistical Design The statistical design used was a 2x2 Factorial Design (Sheridan 1971). In this design two or more variables (performance and activation) are manipulated simultaneously, showing modifications in functional relationship for a given independent variable as a function of changes in the other independent variable~ Null Hypothesis: Activation as measured by skin conductance levels is not related to performance on a Paired-Associates task for learning disabled children. Dependent Variables: Changes in skin conductance levels during performance and number correct on the test. Independent Variable: The Paired-Associates task. Subjects Subjects consisted of a total of forty~four children referred to the Department of Mental Health of Ross Loos Hedical Group for the evaluation and/or treatment of learning problems. Ross Loos is a large, private prepaid medical care plan operating in the greater Los Angeles area~ Members range in socioeconomic class from the upper end of the lower 25 class to the upper end of the middle class, each family having at least one person who is employed. Subjects were seen at the Ross Laos offices in Encino, Santa Ana, Torrance and downtown Los Angeles, California~ The subjects ranged in age from five years to fifteen years. They were of at least average intelligence as meas- ured by a \..JISC-R or Peabody Picture Vocabulary Test. Achievement scores on the Wide Range Achievement Test or the Peabody Individual Achievement Test placed them one to five years behind grade level in reading, ~ath and spelling. Procedures Subjects were introduced to me by their Educational Therapist who stated that I was to do a learning test with them. The therapist stayed in the room during the experi- ment. The subjects were seated opposite me at a desk. Subjects were first given a brief introduction of the task which included information about how the measurements would be taken. questions. They were given an opportunity to ask When they indicated they were ready to begin, the palm of the dominant hand was wiped clean, and silver/ silver chloride electrodes were filled with electrolyte and attached with a Velcro band .. Readings were taken at five points during the experlment. The first reading was taken thirty seconds after the subject was instructed to sit back and relax. The subject was then instructed to take a deep breath and exhale slowly ,,_ 26 and the second reading recorded the maximum SC immediately following the deep breath. The third reading was taken immediately after presentation of the final Paired-Associates item; the fourth was taken immediately after presentation of the first test item. The final reading was taken immediately after presentation of the last test item. Instrumentation Ten pairs of geometric designs were designed by me for this experiment. (Figures land 2, pp. 27, 28). drawn on 3"x5" white cards with black ink. They were I decided to use simple geometric designs rather than meaningful words in the Paired-Associates task because of the following: the subjects in the study included ages five through fifteen with different degrees of academic achievement; learning disabled children often have difficulty with reading words (Myers and Hammill, 1976). Measurements were taken on a Toomin GSR instrument, model 505. (Figures 3 and 4, pp. 29, 30). has six selectable scalei: The Toomin 505 0-10, 10-2G, 20-30, 40-50, and 0-50 micromhos for recording skin conductance levels. The students received no audio or visual feedback during the testing. I monitored only the visual feedback on the machine. Batteries were checked daily. 27 Flrur·~ 1 ·-Task • Car~s • • ·• • • • ~ I I j _ _ __ _ _ _ , / 28 F1yurt'! 2 Task Carrls X 29 .. - _._;.':-.:· ~~-~: ---~ ....--~-~ ~--' -.:••-."7:".-.-.;:_ --:---:-~~·-'"::-- ~-=::£::Z...:..::..::.~: . . < ·' .. ::~ • ·:0; . Since 1972, the Toomim 505 GSA has been in daily use in our Psychotherapy Center, and has been developed and refined principally lor use by psychotheraoists. Since its clinical introduction, and the pioneering clinical research here by Majorie Toomim, Ph.D., Director of Psychological Services, the Toomim 505 GSR has become the most widely used professional GSR in the U.S. The T oomim 505 measures changes in skin conductance-on the palmar surfaces in micromhos, providing rapid, sensitive audio and visual fpedback on Sympathetic Ner>~ous System activity. Palmar electrodes produce less movement artifact than linger electrodes, and the T oomim silver-silver chloride electrodes preclude interfering interface potentials and insure accurate, repeatable measurement. Dr. Toomim has found that GSR feedback represMts a guide lo both there.oist and client as to u-~e value of the content in a ther-a.pcuiic transa.:::tion. The therapist is less likely to be led into blind alleys and trapped by defensive maneuvers. Most clit:nts appreciate this objective ~vidence of re!cvance. It cuts down tneir time in therapy and deepens the level at which they work. The client's resistance to threatening material is reduced, thus smoothing the flow of the therapeutic expenence fur both therapist anJ clier.t. GSA biofeedback is a useful aid in dynamic psychothera;>y and behavior modificatiOn approaches. I! mcree>ses the efJP.~tiver1ess of lhc theraoist throuah providtng immediate awareness of bodv-minc re;ationshiPS and S•;mpa:he!ic Nervous Sy!:>te.m reactiVIty pat. terns. It furlrw: prov1oes the cltenl W!lh a full awareness of himself. encourages the cooperation of the client, and r£>duces the hit or m1ss quality of \he therapeutic - ;,c..~ :_.c._{. ci.' ., .. . . . ,. .. -~~-- -.u.:...-:.--'--~_.;,: .... ._.·.:._,'-•-e.:.•..._......_,...,_. -~-- ...;.0..... process. It adds a naw dimension to the pr.3.ctlce o' psychother~py the- direc! training ct aysfun-:t1ona· Sympathetic Nervous System reactivity patterns an:: some of the attitudes that maintain the stress response. The introduction of continuous monitoring of 1nterr.a! processes within the lherapeutic setting reducc!i thebody-mind dichotomy.lt is pa,..ticularlv valuable to the primarily verbal therapist who wants d~rect access to the body. The Toomim 505 has six selectable scales: Q-10, 10--2C. 20-30. 30..40, 4()..50 and 0..50 m•cromhos. For the occaSIOnal subject who requires greater sensitnrity, any 2 micromho interval on any of the micromho scales ca.be selected and expallded over felt scate with the Sca}e Expansion Switch. Changes of 0.02 micromhos are then apparent. The fu!l range 0-50 scale is specifically destgned tor thf psychotherapist. Wi1h the Expanded Scate on, ampt ... tied mte of change information is aoded to the stablfread:ng so that 2 mic.-rc-mhos per second rate of chan~ c2uses full scale meter deflection and large ton~ change that calls aneiltion to small resoonses. Tt·oo! needle and tone qwckly return to the newiy estabiishee value en the 0-50 s-cale. In this mode. the 505, anoras full "HANDS OFF" operat1on with maximum sensitlvi:)·Precision averaged GSR readinps, percent time rea.:JJnps. and thres:-Jold measurements from 10 to 18): seconds may be obta;;""lr:d by using the Toomim 505 I!"• conJunction wnh th-e- Toornim 507 Dtgital lntFgraLor Tr1is orov1des a research Qual tty system and a leccoa:s sconng systemy in addition to session to scsSIOI"' records. BIOFEEDBACK RE.S~ARCH INSTITUTE, Inc. 6325 Wil~hire Boulevard. Los Angetss~ California r«1413 (213) 933-9451 30 MODEL 505 - TOOK!I4 PROFESSIONAL GSR/E!P SPECIFICATIONS GSR Electrode Polarizing Potential: EDP Input Resistance: 10 megohm. 0.170 volts. FEEDBACK Variable pitch flute-like tone 50 to 1000Hz. Internal loud speaker with controllable volume. 3 1/2" linear conductance meter. SCALES 0-10; 10-20; 20-30; 30-40; 40-50 micromho, overlap 2 micromho. Above scales are expnndable, any 2 micromho Interval to full scale. 0-50 mlcromho with 10 rnicror.-.ho extension. Expansion cwitch cdr.s rate of chanoe indication to 0-50 scale. Full ~cale dof lection with 2 ;;.;cromho per second, and comparable tone variation. CONTROI_S Vol ume/Po.1er on-off. Function: GSR, Battery, EDP. Scale Selector, 6 scales. Scala Expansk,~/~leter position. Polarity + or - for EO? function only. PANEL COtU~ECTORS Electrode Input; 4 pin Din. External '"eter; 1/4" stereo phone jack 0-1 rna, and for Digital Integrator. Phones; 1/4" stereo phone jack, 8-16 ohm. PHYSICAL Operatlr.g ranoe: 50 to 110• F. PowP.r: 2-'J v;lt ~INI604 Mallory alkaline transistor batteries. Battery life: 25 hr. continuous 30 days typical clinical use. Size: 4 5/~" high, 3" deep, 10" wide. ~Ieight: 2.5 lbs • .STANDARD ACCESSORIES One 5' 5et of 3 sl lver-si lv~r chloride electrodes, Velcro backed. 15" Velcro band for holdino electroe<>s on hand. ~" electrorJr, placement bar: Velcro s;.:rfaces. I 1/4 oz. electrode cream. 31 Data Collection and Recording For the purposes of data collection and recording a one page sheet was designed. On it the subject's name,_ .. date, dominant hand, therapist's name, and the five readings were recorded. This page also included all verbal instruc- tions to insure that the same instructions were given to each subject. (Figure 5, p. 32). Data was transferred from the individual data collection sheets to one page which had the following column headings: Name, Age, Preferred Hand, Baseline, After Deep Breath, After Presentation of PA Task, After Test Item #1, After Last Test Item, Number Correct On Test. p. 33 ). (Figure 6, Of the data collected only Number Correct On Test and the level of SC as recorded immediately after presentation of PA Task were selected for analysis. 32 ,-~-~-··----~ .. - .- -- ';····~- "?I,!.'?.E 5 .OubJec':; Date: _ _ _ _ _ _ _ _ _ __ 1ntro: ~!y nan~ ts Gall '..J~rtach :~r.i'. I al'l an Zclucatlon:'ll 'rher:1pist at !l-L and I work with • I an here t;o do a 8l.L"Itle lean:i!"l~ t::tsk with you. i. am ~olng to te givlr..~ you a series of r-~irs c~ cn~d5 to 1~~~. A~ the sa8e time I am goin~ to ~ ta~ln~ ~e~surB~e~ts from a ~achi~e. Thl3 ~3c~tr.e won 1 t do .!lnyf:hinz "!:a y·Ju~ ::1ll it dces L-1 .:sl•te us me::1sure~ents which h~l? us unr..et"st·o1wl how 'fC'l lea!'!1. After cur c.ee':tn~ I will r~view r.ry f!.n'lin~s .,.,it:h .:rc11r therapist who woul:j_ ::e ha~p:r to dlSC!.lSS them further with y0u or your ~~nts if you wish. Ar~ questions? ?rep: ~ow I am goinp; to te hocki!'ll," you up. This Machin~ dcesn 1 t do anythinv, to you, 1 t Just me.asures responses. ~ihich ha:J.d do you ;n•i te with? This cream just helps ;.rith the measurer.~ents. Sit back, nake yours~lf cor.~fortable while I take my first reading. It is ir.mortant to ~eep stl.ll as !!lover.~P.nts affect the readl.n~. ',.'ait )0 sec. ?irst reading: Nm1 take as deep Second readin~: Peak a breath as you can and let i t out. readin~ durir~ deep breath: _____________________ I am now ~oin~ to show you ten pairs or oar1s. Sach of the cards belona:s with the oth"r in its ~air. ;1emorize each pair. Later I sho·.• yo•.1 one picture f!"Or! e;:.ch pair and ask you to select the other picture which o;o-:i.s · >~Uh it. Do you un1c~sta~1 thf~ instructions: ~/ertal s3.!!1plo&;s !;1 ven. ·,o~ill Ar~ ~ask: JOtl r~l'l-iy? Present each ;;-air for 10 seconds each. chird reading: ~ow I am ~oi~g to ask you to ~atch the carrl I hold uo with the number of the ce.r~ which is its oair. 'dhen I hold up a caM, don't point just say the nu::~~er of the· correct pair. If you -:l.on't know-guess Are yo'J. re-9.rly'? S~~ow Ans•,o~er Shml _ ~· A~s1-1er :est: . ·- ~~~-1~----~~'-----~------J.. -:l· Lt ~ --- 0 L\. ?'1fth readin»: I s /0 R c7_ 9 l_ /-----;/ 0 3 1 (:, NAME AGE PREFERRED HAND . .I ' BASELINE AFTER DEEP BREATH : ... .. . . . I ·i I .. . . . . . .. . . . .. AFTER PRESENTATION OF PA TASK AFTER TEST ITEM #l AFTER LAST TEST ITEM NUMBER CORRECT ON TEST w (.&.) 34 . Da·ta Processing and Analysis A total of forty-four subjects were tested as described in Chapter 3. After testing twenty-nine subjects a prelimi- nary data analysis was performed. A list was made of the subjects' age and number of correct responses. (Table 1, p. 35). On the basis of the preliminary data it was decided that the Paired-associates task (PA) resulted in a fairly even distribution of correct responses of subjects between ages five and thirteen. The task, however, appeared too simple for children aged fourteen and above since four out of seven of the latter received ten out of ten correct and non~ ~f the children ages five to thirteen received that score. Thus a decision was made to modify the original design of the study by limiting the maximum age of subjects to age thirteen. Data on the seven older subjects were excluded from further analysis. Levels of skin conductance of the thirty-seven subjects as measured immediately following presentation of the last of the PA cards were selected for statistical analysis. Log skin conductance ranged from 0 to 1. 8 micromhos, with a mean of 0.86 micromhos and Standard Deviation of 0.44 micromhos. Number of correct responses varied from 0 to 9, with a mean of 5.08 and Standard Deviation of 2.29. Table 2, (p. 36) • . Subjects who displayed a moderate level of skin conductance ranging from 0.6 to 1.1 log micromhos were compared with subjects ~ith levels of skin conductance beiow 35 TABLE 1 Preliminary Data: Name Ranked By Age Age L.W. B.B. R.C. D.P. K.H. F.C. A. 15 15 14 14 14 14 14 M.B. J.R. D.R. 13 12 12 11 11 11 10 10 10 10 c.w. L.U. R.H. P.F. s.s. M.S. D. F.. D.D. K.T. D.D. C.K. M. M.M. T.Q. B. G. K.G. 9 9 9 Number Correct 10 8 10 10 10 7 5 3 5 4 6 5 5 8 8 7 6 5 5 0 4 1 B. 8 8 8 8 8 8 8 6 P. 5 3 J. 9 6 6 7 5 6 36 TABLE 2 Final Data: Name Ranked by Log Skin Conductance Log Skin Conductance Number Correct ·, T. Q •. c.w. T.T. J. D.D. J. J. D.R. s.s. P. A. E. K.G. C.K. P.F. K.T. D.D. T.M. T. L.U. D.R. J.R. M.B. D. M. M. R.H. M.S. M. D.D. B. G.C. D.H. M.M. M. B.G. w. 0 0 0 0.3 0.3 0.3 0.4 0.5 0.6 0.6 0.7 0.7 0.7 0.7 0.8 0.8 0.8 0.8 0.9 0.9 1.0 1.0 1.0 1.0 1.1 1.1 1.1 1.1 1.2 1.2 1.3 1.4 1.4 1.4 1.4 l. 6 1.8 4 6 6 5 5 3 2 4 8 3 7 7 7 9 8 5 5 5 6 5 6 5 3 7 8 3 5 7 8 0 6 0 6 6 6 l l 37 or above those limits. The sample was also subdivided according to the number of correct responses. One group achieved 0-4 correct responses; the other group achieved five or more correct responses. A Chi Square analysis was done by compar1ng the observed frequencies in each of the resultant 4 cells against the expected frequencies.(Table 3, p. 38). found to equal 4.69. Chi Square was For one degree of freedom these results are significant at the .G5 level. The null hypo- thesis was rejected; performance on the paired-associates task for. learning disabled children was found to be related to activation as measured by skin conductance levels. Methodological Assumptions For the purposes of the study the following methodological assumptions are made. Measures of SC are valid. Measures of SC are reliable. The performance of learning disabled children on the PA task will be evenly distributed over a bell shaped curve. Levels of log SC will follow a bell shaped curve. Limitations Possible limitations of the study include (1) the sample comprised a specific population which may limit the generalizability of the findings to other populations, (2) skin conductance levels do not necessarily correlate with other activation measure, (3) a paired-associates task need not correlate with academic performance, (4) the 38 'TABLE 3 Observed Versus Expected Frequencies Log Skin Conductance Levels Moderate Cl) 0-'+ Q) Cl) Expected Frequency 14 Expected Frequency 12 Observed Frequency Observed Frequency 17 ~ Extreme ITotal 26 9 0 p. Cl) Q) Expected Frequency p::; 6 -j-l 0 Q)? HH 0 (.) 5 Observed Frequency 3 Expected Frequency 5 Observed Frequency 8 11 39 wide range in age and degree of learning disability between subjects may have masked findings which would have emerged had the study been limited to a more narrow age range, (5) artifact in GSR measurement technique may have distorted the data. CHAPTER IV Analysis and Evaluation Findings In finding the research hypothesis tenable, that is, performance on the paired-associates (PA) task for learning disabled children was related to activation of electrodermaL activity as measured by skin conductance levels, the results confirm and extend those reported by Berry (1962) in his study relating skin conductance to performance on a PA task for college students. Since an exhaustive review of the literature failed to reveal any other studies investigating the relationship between skin conductance and performance in a learning task (see Chapter 2), a detailed analysis of the comparisons between the present study and Berry's study is pertinent. Highlights of these comparisons between the two studies are summarized in Table 4 (p. 41). 40 Table 4 BSRRY <~ERBACH SXP. 1 SXP. 2 18 Males SAl!.;' IE (Paid) Colle~~;e 25 Males and 12 Females 32 Males {Unnairl.) (Ur.paid) Children with Learning Problems Students ; Not stated JO LEAP.NING Pairs Of Meanin~ful Ae;es: 5-13 r-:-- Words Pairs Of Geometric Designs I TASK I ··-· ------~·-·-~~--· -~-------r--·----------· ELECT::! ODE PLACEMEJ:.IT I I ' --~----l---· SK!~ PR::7PA!U'l'!C!1 II Left Palm _liE_"'_S_:""_:.._T_S_ _ _ Alcohol Rub Before Slectrorl.e Placement I- ,,;ribod Palm Wi?Sd Clean I D"":~~~on,-, ::-~:cut, ~--~::~:-~~~~:~:~:~e~~~o:~~- 50;··--· . A• in Ap:paratus for recordin.(!' 11utonom1o states a~d chanll;es. Amer.J. Psychol., 1954,6?, 343-352. I r -i--M~~-:-;:~:·-:~~~~- of--~~~ -o~~~uc:~nce -:~--:he- --~~ode rate . ANAL!SIS ..... I end of the first minute of the "learnin~~; session were related to better recall. STAT:STICAL -··------~ Ir·. -· Palm of Dominant Hand . SQ.UI?'SNT . . . . --·-··· -····· ___ _.,_, --- ,___ ·-·-· -· I Fisher's exact test ····-·· i c·o:~=t~~~-~ levels of skinat the end of presentation of learning task were related to better recall, ·,--. \ ··-·-----------·------ ... ·----···- .... Chi Square I I 42 Discussion Berry conducted two experiments. There were eighteen subjects in Experiment 1 and thirty-two subjects in Experiment 2. Subjects were m~le college student volunteers. Subjects were paid in Experiment 1, but not in Experiment 2. The current study analyzed the data from thirty-seven subjects, twenty-five males and twelve females between the ages of five and thirteen years. These students participated in the experiment during their regular educational therapy session. In the Berry study, the data were continuously recorded in a recording room separated from the experimental room by a sound-reducing partition. There was an experimenter 1n the room with the subject and another in the recording room .. In the current study, the data were recorded at fixed points by the experimenter in the room with the subject. In Berry's study, palmar skin conductance was recorded from an electrode placed on the left palm, after the area was rubbed with alcohol. In the current study, electrode placement was on the palm of the dominant hand (the one the subject used for writing which was first wiped with a tissue. In both experiments, the task consisted of the presentation of paired-associates to be memorized and recalled. Berry used 30 paired items (meaningful words) from a list by Melton and Safier, published by Hilgard (1951). The 43 current study used ten paired items (geometric designs) which I designed. In both experiments the pairs were shown on 3 "x5" car·ds which had been shuffled before the experiment was begun; each subject was presented with this same order. Berry's subjects were presented with sample cards; in the current study the sample was presented verbally. In both cases the subject was told that he or she would be required to recall the right-hand (response) item of each of the pairs when presented with the left-hand (stimulus) item. The latter was presented on another set of 3"x5" cards which also had been shuffled previous to the experiment. In the Berry study the subject received ten seconds to study each pair and a ten second intercard interval. There was a six minute interval between the learning and the recall session, and ten seconds to respond to each card in the recall period. a All cards were presented manually on small table in front of the subject. In the current study the subject had ten seconds to study each pair and a five second intercard interval. There was a three minute interval between the learning and the recall session and ten seconds to respond to each card in the recall period. All cards were presented in the same manner. Berry plotted the log conductance level of the first minute of the ten minute learning session against recall score. In the current study, the log conductance level immediately following presentation of the paired-associates 44 cards was plotted against recall score. Berry used Fisher's exact test for data analysis; by contract this study used a Chi Square analysis which is a more powerful statistical measure. Interpretation Because of these differences in methodology, this study cannot be considered an exact replication of the Berry study. However, since results of this study replicate Berry's results, it would appear that skin conductance levels may relate to performance for learning disabled children in the same manner as for adults without learning problems. Taken together, the results of the two studies would suggest that optimal performance on a learning task is related to moderate levels of activation regardless of age or academic achievement. In interpreting the data from the current study, I might suggest that children who demonstrated low levels of skin conductance were not actively engaged in the task. This is consistent with studies done by Hunter et al (1972),Dureman (1970), and Boydstun (1969). Hunter compared autonomic response patterns of twenty male non-readers ranging in age from seven years to eleven years with those of twenty matched contr•ols. Results showed that non-readers had lower mean skin conductance levels across trials. The authors interpreted the data to suggest that non-readers were physiologically less mature and unable to maintain a 45 constant attention level, their most noticeable characteristic being deficient or fluctuating attention. When the disabled reader was specifically instructed to attend to a simple reaction time task, he and his control had approximately equal skin conductance levels. However, mean skin Conductance level-for disabled readers dropped off rapidly over the four subsequent trials while controls appeared to remain alert, with little decrease in basal level. The authors commented that the reading disabled child seemed unable to "stay with it". Dure~an and Palsarnrnar found that children who were rated low in 'persistence' also bad significantly lower skin conductance levels than their matched controls. Boyd- stun et al found that, although children with learning disabilities did not differ from their matched controls 1n resting physiological levels, they were less reactive physiologically to "meaningful" stimuli. It can be further inferred that children 1n the present study demonstrating high levels of skin conductance were overly anxious. High levels of anxie·ty may have inhibited performance by shortening attention span.. tent with results reported by Rugel (1971). This is consisHe evaluated the potential usefulness of the SSR responses as an indicator of anxiety in children with reading problems. . He found that the level of a:rousal increased as the level of reading difficulty increased. Children used in his study were 46 average, not retarded, readers. Rugel reviews studies by Phillips (1967) and Sarason (1966) who have found that anxiety is negatively related to reading achievement in the elementary school grades. Summary of Chapter In finding performance on the paired-associates task to be related to activation as measured by skin conductance,. levels the results supported the Researcb Hypothesis and extended the results reported by Berry in his study relating skin conductance to performance on a PA task for college students. A detailed analysis of the comparisons between the present study and Berry's was presented. It was suggested that learning disabled children with low levels of skin conductance were not actively engaged in the task. studies. This finding was consistent with several reported Furthermore, children in the present study demon- strating high levels of skin conductance were seen to be overly anxious. g1ven. Evidence supporting this finding was also '*''· CHAPTER V Summary, Conclusions, Recommendations Summary In recent years, educators have shown increasing concern over the problems of learning disabled children. This study explores the relationship between activation and learning among the learning disabled by·utilizing electrodermal patterns of response as the measure of activation and a paired-associates task as the measure of learning. A review of the relevant literature concerned with activation theory and electrodermal activity is presented. Studies involving the learning disabled child and measures of activation and attention are revi.ewed. The Research Hypothesis was: Is performance on a pairedassociates task for learning disabled children related to activation of electrodermal activity as measured by skin conductance levels? Forty-four children were tested and levels of skin conductance immediately following presentation of the learning task were selected for statistical analysis. level. Chi Square analysis was significant at the .05 Subjects with a moderate level. of skin conductance (0.6-1.1 log micromhos) were more likely to perform better than subjects v.Jith either lower conductance. 47 or higher levels of skin 48 Conclusions This study has identified a subgroup of the learning disabled population whose performance may well be hampered by abnormally high or low levels of skin conductance. However, the findings do not substantiate the existence of the inverted U hypothesis, even though they are consistent with such a model. Recommendations It is recommended, therefore, that learning disabled children be trained to achieve moderate levels of skin conductance with trainirig procedures designed to alter their level of activation. Such methods might include the direct feedback of information derived from skin conductance readings as well as other techniques such as meditation, breathing techniques, autogenic training,, hypnosis, and progressive muscle· relaxation. 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