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Clinical Research in
Communication
Disorders
Principles and Strategies

Fourth Edition
Clinical Research in
Communication
Disorders
Principles and Strategies

Fourth Edition

M. N. Hegde, PhD
Anthony P. Salvatore, PhD
5521 Ruffin Road
San Diego, CA 92123

e-mail: information@pluralpublishing.com
Website: http://www.pluralpublishing.com

Copyright © 2021 by Plural Publishing, Inc.

This book was previously published by: PRO-ED, Inc.

Typeset in 10.5/13 Garamond by Flanagan’s Publishing Services, Inc.


Printed in the United States of America by McNaughton & Gunn, Inc.

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Library of Congress Cataloging-in-Publication Data:


Names: Hegde, M. N. (Mahabalagiri N.), 1941- author. | Salvatore, Anthony P., author.
Title: Clinical research in communication disorders: principles and strategies / M.N.
Hegde, Anthony P. Salvatore.
Other titles: Clinical research in communicative disorders
Description: Fourth edition. | San Diego, CA : Plural Publishing, [2021] | Preceded by
Clinical research in communicative disorders : principles and strategies / M.N. Hegde.
3rd ed. c2003. | Includes bibliographical references and index.
Identifiers: LCCN 2019000565| ISBN 9781635501872 (alk. paper) | ISBN 1635501873
(alk. paper)
Subjects: | MESH: Communication Disorders | Research Design | Medical Writing
Classification: LCC RC428 | NLM WM 475 | DDC 616.85/50072--dc23
LC record available at https://lccn.loc.gov/2019000565
Contents

Preface to the First Edition xi


Preface to the Fourth Edition xiii

Part I. Science and the Scientific Methods 1


1 Why Study Science and Research Methods? 3
Evaluation of Research 4
The Need to Study Scientific Methods 5
The Need to Produce In-House Knowledge 8
Why Research by Clinicians Is Limited 9
Problems Associated With Certain Research Practices 10
Problems Associated With the Education and Training Models 13
Summary 16
References 16
Study Guide 16

2 An Introduction to Research: The Formal and 19


Formative Approaches
What Is Research? 21
Why Do Scientists Do Research? 21
How Is Research Done? 28
Serendipity in Research 34
Planning Is Still Important 37
Summary 37
References 38
Study Guide 38

3 Science and Its Basic Concepts 39


What Is Science? 40
Outcome of Scientific Activity 44
Variables and Their Types 45
Causality and Functional Analysis 50
Experiment and Experimental Control 53
Hypotheses in Scientific Research 54
Theories and Hypotheses 57
Inductive and Deductive Reasoning 58
Theories and Scientific Laws 61
Data and Evidence 62

v
vi  Clinical Research in Communication Disorders

Summary 63
References 64
Study Guide 65

4 Treatment Research 67
Evidence-Based Practice 68
What Is Treatment Research? 68
Consequences of Treatment 69
Treatment Research: Logical and Empirical Constraints 74
Group Treatment Research: Randomized Clinical Trials 77
Single-Subject Treatment Research: Multiple Control Conditions 87
Randomized Clinical Trials Versus Single-Subject Treatment Research 106
Classification of Treatment Research 113
Summary 119
References 120
Study Guide 122

5 Other Types of Research 123


Ex Post Facto Research 124
Normative Research 127
Standard-Group Comparisons 131
Experimental Research 133
Clinical and Applied Research 138
Translational Research 142
Sample Surveys 144
Qualitative Research 146
Mixed-Methods Research 150
The Relation Between Research Types and Questions 151
Summary 152
References 153
Study Guide 154

6 Observation and Measurement 157


Observation and Measurement 158
Philosophies of Measurement 158
Scales of Measurement 160
Measures of Communicative Behaviors 162
Client-Assisted Measurement 169
Indirect Measures: Self-Reports 170
The Observer in the Measurement Process 171
Mechanically Assisted Observation and Measurement 174
Reliability of Measurement 175
Summary 178
References 179
Study Guide 180
Contents   vii

Part II. Clinical Research Designs 183

7 Research Designs: An Introduction 185


What Are Research Designs? 186
The Structure and Logic of Experimental Designs 187
Variability: Philosophical Considerations 188
Experimental Designs: Means of Controlling Variability 192
Validity of Experimental Operations 193
Generality (External Validity) 201
Factors That Affect Generality 210
Concluding Remarks 212
Summary 213
References 214
Study Guide 215

8 The Group Design Strategy 217


Common Characteristics of Group Designs 218
Preexperimental Designs 219
True Experimental Designs 223
Designs to Evaluate Multiple Treatments 228
Factorial Designs 231
Quasi-Experimental Designs 236
Time-Series Designs 240
Counterbalanced Within-Subjects Designs 246
Correlational Analysis 253
Group Designs in Clinical Research 255
Summary 259
References 261
Study Guide 262

9 Single-Subject Designs 265


Historical Background to Single-Subject Designs 266
Characteristics of Single-Subject Designs 270
Experimental Control in Single-Subject Designs 274
Preexperimental Single-Subject Design 275
Designs for Single Treatment Evaluation 276
Designs for Multiple Treatment Comparison 290
Designs for Interactional Studies 299
N-of-1 Randomized Clinical Trials 302
Single-Subject Designs in Clinical Research 303
Summary 304
References 306
Study Guide 308
viii  Clinical Research in Communication Disorders

10 Statistical Analysis of Research Data 311


Historical Introduction to Statistical Analysis of Research Data 312
Statistical Significance 316
Hypothesis Testing 317
Statistical Analysis of Group Design Data 318
Systematic Reviews and Meta-Analyses 323
Visual Analysis of Single-Subject Data 326
Statistical Analysis of Single-Subject Data 328
Statistical Significance Versus Clinical Significance 333
Summary 338
References 339
Study Guide 342

11 Generality Through Replications 343


Direct Replication 344
Systematic Replication 347
Sample Size and Generality 351
Failed Replications: Sources of Treatment Modifications 353
Homogeneity and Heterogeneity of Participants 355
Summary 357
References 358
Study Guide 359

12 Comparative Evaluation of Design Strategies 361


Research Questions and Investigative Strategies 362
Advantages and Disadvantages of Design Strategies 369
Problems Common to Design Strategies 371
Philosophical Considerations in Evaluation 372
The Investigator in Design Selection 373
The Final Criterion: Soundness of Data 373
Summary 374
References 377
Study Guide 377

13 Designs Versus Paradigms in Research 379


Limitations of Exclusively Methodological Approaches 380
Research Methods and Subject Matters 380
Philosophy as Methodology 382
Philosophy of Subject Matters 382
Philosophy of the Science of Speech and Language 384
Philosophical Ways of Handling Methodological Problems 393
The Interplay Between Philosophy and Methodology 396
Summary 397
References 397
Study Guide 398
Contents   ix

Part III. Doing, Reporting, and Evaluating Research 399


14 How to Formulate Research Questions 401
How to Formulate Research Questions 402
Preparation of Theses and Dissertations 413
Summary 414
References 415
Study Guide 415

15 How to Write Research Reports 417


General Format of Scientific Reports 418
Structure and Content of Research Papers 419
Writing Without Bias 427
Good Writing: Some Principles 428
Writing Style 446
Writing and Revising 447
Summary 448
References 448
Study Guide 449

16 How to Evaluate Research Reports 451


Professionals as Consumers of Research 452
Understanding and Evaluating Research 452
Evaluation of Research 453
Evaluation of Research Reports: An Outline 458
A Hierarchy of Treatment Research Evidence 463
Evaluation and Appreciation of Research 467
Summary 468
References 468
Study Guide 469

17 Ethics of Research 471


Fraud in Scientific Research 472
Ethical Justification for Treatment Evaluation 476
The Protection of Human Participants in Research 479
Ethical Issues With Treatment Research 485
Consequences of Ethical Constraints 492
Protection of Animal Subjects 495
Dissemination of Research Findings 496
Summary 497
References 497
Study Guide 500

Index 503
Preface to the First Edition

I am a student and an instructor of phi- mental designs. A book on designs should


losophy and methodology of science and present experimental designs, not meth-
research. In my teaching of science and ods of data analysis under the guise of
research, I have found it necessary to research designs. Furthermore, the book
supplement information from a variety of should address both group and single-
sources. I knew that several of my col- subject designs. Generally speaking, most
leagues who taught courses on research books that offer information on research
and science were doing the same to make designs focus almost exclusively on group
their courses more relevant and useful to designs. Clinically more relevant single-
graduate students. To me, this meant that subject designs are not well represented
we did not have a comprehensive text- in those books. On the other hand, there
book on science and research. This book are some books that focus exclusively
is an effort to fulfill that need. on single-subject designs. There are not
My own teaching experience and many books that present adequate infor-
discussions with many of my colleagues mation on both design strategies. Regard-
suggested that a book on science and less of one’s own methodologic prefer-
research should address the following ence and practice, a critical user and
concerns. The first deals with the basic producer of research must have a knowl-
concepts of science and scientific meth- edge of group as well as single-subject
ods. That is, the book should point out the design approaches. It was thought that
need to study science and research meth- a single source that offered descriptions
ods and summarize the basic concepts of and comparative evaluations of both strat-
science and research. It should describe egies would be useful to students and
the true and lively process of research, researchers alike.
not an idealized and frighteningly formal- The third concern is the discussion
ized process that typically discourages the of some important philosophic issues
beginning student from a further study of that are an inexorable part of science and
science and research. The book should research. Research is based on method-
give an adequate description of the differ- ology as well as philosophy. There is a
ent kinds of research that are conducted tremendous lack of appreciation of the
in communication disorders. A discussion philosophic bases of research. Therefore,
of observation and measurement, which it was thought that this book should at
are the basic tools of science, must be least raise the issue of philosophy of
provided. research to stimulate further discussion
The second concern is clinical re- in the discipline.
search designs. Most books on research The fourth concern is the practical
designs tend to be statistically oriented. The aspect of performing, writing, reporting,
enormously prestigious analysis of vari- and evaluating research. Students need
ance is constantly confused with experi- suggestions on where to find research

xi
xii  Clinical Research in Communication Disorders

questions, how to find current research tion disorders and write it in a less formal,
trends, how to search the literature, how and I would hope, more readable style.
to refine research questions, and how It is thought that such a style would also
to select designs that help answer those reflect the process of research more accu-
questions. They also need information on rately than the typical style that formalizes
how to get started on theses and disser- research to an unnatural extent.
tations. A major problem instructors and My wife Prema and my son Manu
students alike face is writing style and have been a part of all of my writings.
writing skills. It was thought that this This book, which I began to write soon
book should offer basic information on after completing Treatment Procedures
principles of good writing. in Communicative Disorders, would not
The fifth concern is the ethics of have been finished without their full
research. Science and research are an support.
ethical activity. From the beginning, sci- I thank all of my former students at
ence and research must be taught with both the undergraduate and graduate
due regard for the ethical principles that levels who have been generous in their
restrain research. A textbook on research support and encouragement. My students
should summarize ethical principles that have always tolerated and often appreci-
govern research activities. ated my unlimited passion to teach sci-
I have written this book with those ence and research anytime and anywhere.
five concerns as the guiding principles. Many students in my graduate seminar on
An overall concern was to make a book research methods have offered excellent
on science and research especially rel- comments on earlier versions of several
evant to clinical research in communica- chapters in this book.
Preface to the Fourth Edition

Since its first publication in 1987, many of both group- and single-subject study
instructors have adopted this book as the results. We have outlined both paramet-
main text in various courses on research ric and nonparametric tests for analyzing
methods and designs in communication research data. In addition, the chapter
disorders. Most of these instructors have covers such contemporary topics as nar-
offered their gracious and positive com- rative reviews, systematic reviews, and
ments on the book. The instructors have meta-analyses of both group- and single-
suggested that the comprehensive treat- subject design data.
ment of issues and methods of research The sections on single-subject research
is a strength of this book. The new fourth analysis includes guidelines on visual anal-
edition retains that strength. ysis and assessment of quality indicators.
I am glad to have Dr. Anthony Sal- We have reviewed the effect size statistics
vatore of the University of Louisiana at for single-subject data and have included
Lafayette as my coauthor of this fourth nonoverlap techniques and d-statics.
edition, published after 30 years of its Finally, the new chapter contains a dis-
first edition. Together we have exten- cussion of statistical versus clinical signifi-
sively revised and updated each chapter. cance of treatment research evidence. We
In the chapter on research ethics, we have have given an overview of quantitative and
included web-based sources that monitor qualitative measures of clinical significance.
research fraud and recalled studies. The widespread use of this book as a
The chapter on writing and report- text in classrooms over 30 years across the
ing research papers includes the report- country and beyond has strengthened our
ing standards for experimental studies, belief that instructors of research designs
qualitative research, and meta-analyses in communication disorders would wel-
published by various organizations. come a text that represents both the
The chapter on types of research single-subject and group design strate-
includes new sections on translational gies along with issues of measurement;
research, qualitative research, and mixed- philosophy of science; ethics of research;
methods research. A critical and compara- and planning, conducting, and reporting
tive analysis of these types of research has research. We wish to express our appre-
been included. ciation to all those instructors who have
The new edition contains a new chap- found this book an effective teaching
ter on statistical analysis of research data. device and have taken time to offer their
This chapter covers quantitative analysis thoughtful comments.

— M. N. H.

xiii
Part I
Science and the
Scientific Methods
1
Why Study Science
and Research
Methods?

Chapter Outline

◆ Evaluation of Research

◆ The Need to Study Scientific Methods

◆ The Need to Produce In-House Knowledge

◆ Why Research by Clinicians Is Limited

◆ Problems Associated With Certain Research


Practices
◆ Problems Associated With the Education and
Training Models
◆ Summary

◆ References

◆ Study Guide
4  Clinical Research in Communication Disorders

Communication disorders is both an aca- ing that of communication disorders, is


demic discipline and a clinical profession. that clinical services can continue to be
As an academic discipline, communication offered without a strong experimental
disorders seeks to study and understand database. Such services may be supported
normal and disordered communication. by subjectively solidified clinical experi-
As a clinical profession, it is concerned ence, uncontrolled observations, anec-
with the methods of assessing and treat- dotes widely circulated by “authorities” in
ing various disorders of hearing, speech, the field, descriptive research, and specu-
language, voice, and fluency. An academic lative theories. Systematic experimental
discipline can research practical problems evaluation of treatment techniques may
without applying the information it gen- be lacking. As a result, clinical services
erates. For example, a biochemist who the profession offers may not be based on
develops a new drug that can be used in controlled research evidence. However,
treating a particular disease may not treat this may not deter a profession from offer-
patients with that disease. In communica- ing services, partly because of practical
tion disorders, researchers who develop exigencies and partly because something
new information or technology also may better is not available.
apply that information in the treatment of The problem with such a history is
disordered communication. In this sense, that the clinical practice does not change
communication disorders is simultane- quickly when experimental research
ously concerned with both scientific and information begins to flow. The clinical
professional matters. practice of established clinicians may con-
As the discipline of communication tinue to be based on old and unverified
disorders emerged and developed, the assumptions. Typically, it takes several
professional aspects, rather than the sci- years to affect clinical practice on a wide
entific bases, received greater attention. scale because the research information
This is understandable because the start- must be incorporated into the training of
ing point of the discipline was a profes- new clinicians.
sional concern to understand and treat
speech problems, especially stuttering
and speech sound disorders. The profes- Evaluation of Research
sion had to begin providing clinical ser-
vices without the benefit of a history of
controlled experimental research to sup- Evaluation of old and new research is
port clinical practice. Borrowing from about as important as the creation of
several basic and applied disciplines, new in-house knowledge. Profession-
the speech-language pathologist of ear- als who cannot evaluate research data
lier days began to treat communication and theories also cannot make effective
disorders. Historically, the emphasis has use of information. Critical evaluation
been on expanding clinical services rather of research should be a part of the clini-
than conducting experimental research to cian’s repertoire, and such an evaluation
produce a scientific basis for those clini- requires the same knowledge needed to
cal services. do meaningful research.
An unfortunate historical lesson of The process of evaluating research
many human service professions, includ- data follows the same logical steps as
1. Why Study Science and Research Methods?   5

the process of designing experiments. It is thus clear that clinicians who do


Therefore, evaluation of research is pos- not do research still need to understand
sible only when clinicians understand science and research methods. Even if
how research is done. Clinicians who are there is much research that cannot be
not knowledgeable in science and meth- applied, clinicians will have to keep read-
ods of investigation in their field of study ing and evaluating research because that
are likely to have difficulty in judging is the only way they can find out what is
the relevance of the questions their col- useful and what is not. Those who avoid
leagues research, the validity and reliabil- reading the research literature because
ity of observations, the relation between some of it is irrelevant to clinical prac-
results and conclusions, the transition tice are sure also to miss what is rele-
from evidence to theory, and the distinc- vant to them. Meanwhile, when research
tion between theory and speculation. practices improve, and clinically relevant
Furthermore, clinicians who are not studies begin to be routinely published,
sophisticated in the philosophy of sci- clinicians will be unaware of them and
ence may not see logical and empirical unprepared to apply them in their prac-
mistakes in study designs. In such cases, tice. For detailed information on evaluat-
clinicians who read research uncritically ing research, see Chapter 15.
accept the author’s interpretations. How-
ever, bad interpretations are about as
prevalent as bad designs, and clinicians The Need to Study
who cannot detect inconsistent relations Scientific Methods
between interpretations and results can-
not separate data from conclusions. Data
that are based on sound methods are It is now widely recognized that commu-
always more valuable and durable than nication disorders needs to strengthen
the author’s interpretations imposed on the scientific bases of its clinical practice.
them. Future clinicians and researchers The need to place our clinical practice
may keep the sound data while rejecting on an experimental foundation is grow-
faulty interpretations. ing because of many legal, social, profes-
Even when many practitioners do sional, and scientific reasons.
treatment-related research, a majority of
clinicians will read research papers mostly
to improve their practice. The popu- Legal and Social
lar phrase “clinicians are consumers of Considerations
research” has a ring of validity in that most
clinicians will be users, not producers, of An increasing number of federal and state
research. It is well known that naive con- laws influence professional practices in
sumers are victims of bad products. Simi- communication disorders. A major source
larly, clinicians who are naive in the meth- of influence is a set of federal laws related
ods and philosophy of science are likely to the education of children with disabili-
victims of bad research; unfortunately, in ties. The original Education for all Handi-
a clinical science such as communicative capped Children Act of 1977 (P.L. 94-142)
disorders, individuals who receive ser- had a significant effect on public school
vices also become victims. special education services, including those
6  Clinical Research in Communication Disorders

of communication disorders. The law was public awareness of speech and language
amended in 1986, retitled Individuals problems and the services that are avail-
With Disabilities Education Act (P.L. 101- able to individuals with those problems.
476) in 1990 and reauthorized periodi- Consequently, an increasing number of
cally. The latest reauthorization was in individuals and families are seeking and
2004 and ammended in 2015. (Many fed- paying for services in private clinics and
eral laws are periodically reauthorized hospitals. At the same time, many people
and amended to address new concerns; who are seeking services are also inclined
therefore, the reader should consult the to question the effectiveness of those ser-
latest versions of the laws of interest.) vices. Inevitably, widespread social aware-
Some of the most significant require- ness of speech, language, and hearing
ments under these laws are that special problems combined with higher demands
education services must be oriented to for services and increasing cost of service
the individual child and his or her fam- delivery will result in a thorough scrutiny
ily and the service programs must have of professional practices.
specific procedures, objectives, and eval-
uative criteria. The laws place consider-
able emphasis on clinician accountability Professional and Scientific
in that the effects of treatment programs Considerations
must be documented objectively so that
they can be verified by independent Regardless of the legal and social require-
observers. Such documentation requires ments, there are professional reasons for
that changes in student (client) behaviors developing a scientifically sound clinical
be measured systematically and continu- discipline. Much concern surrounds the
ously. As we shall see shortly, these and professional standing of communication
other mandates of the laws are in har- disorders in the community of clinical pro-
mony with the principles of scientific fessions and scientific disciplines. There is
clinical practice. a growing concern that the profession of
Other kinds of legal concerns necessi- communication disorders does not have
tate a more objective and scientific clinical high social visibility. The profession may
practice. Third-party payment for clinical not be well recognized by other estab-
speech, language, and hearing services lished or recently developed professions,
is common now. Various government such as medicine or clinical psychology.
agencies and private insurance firms that A profession can try to draw atten-
pay for the services demand more and tion to itself by various means. It may
more systematic documentation of the seek better legal recognition and protec-
need, the procedures, and the outcome tion by more effective lobbying efforts.
of such services. Uniform and objective Extensive public relations and public
means of evaluating treatment effects are awareness campaigns may be launched.
being encouraged by agencies that pay Services may be more aggressively pub-
for services. licized through advertisements in local
Many social concerns are also lead- and national media. Since all professions
ing us in the direction of clinical practice have a business side, most of these efforts
based on scientific methods. The profes- are fiscally necessary. Indeed, all profes-
sion continues to take steps to increase sions find it necessary to market their
1. Why Study Science and Research Methods?   7

services ethically. Such efforts may yield ous. Clinicians who by training and prac-
somewhat quick results; however, to build tice follow the methods of science do not
a lasting and more solid reputation, the need a push from public laws to write
profession, in addition to taking all those treatment targets in measurable terms.
steps, must put its practice on a scientific For such clinicians, the requirement that
footing. In the long run, no amount of changes in client behaviors must be docu-
public relations campaign can compen- mented objectively will not come as news
sate for questionable and subjectively or as a legal nuisance. Their personal his-
evaluated clinical practice. In fact, public tory of training and education will suf-
awareness — which is generally benefi- fice for such purposes. Surely, social and
cial ​— can expose the inherent and wide- legal demands can force clinicians to be
spread weaknesses of a profession. systematic and objective in their clinical
Scientifically based and technologi- work, but those with a strong scientific
cally competent professions enjoy good background are inclined to be so regard-
reputations and higher visibility. A profes- less of such demands. Concerns regarding
sion can make significant progress when bad professional image may not necessar-
its concepts are scientific and its meth- ily drive clinicians to conduct or evalu-
ods are evaluated objectively. The ideal to ate controlled treatment research. Well-
strive for is a solid scientific discipline and trained clinicians have better reasons,
a clinical profession with a single iden- including science itself. Scientifically com-
tity. This ideal, when achieved, will help petent clinicians are unlikely to be overly
ensure the quality of speech and hearing concerned with image; nevertheless, they
services offered to persons with commu- are probably better for the profession’s
nication disorders. image than those who are concerned with
The typical argument supporting a public reactions but continue to offer
more scientific orientation is made on questionable services.
the basis of the legal, social, and pro- These comments should not be con-
fessional requirements described so far. strued as a negative evaluation of legal,
Such requirements are compelling, and social, and professional reasons to be
anything that forces a more scientific ori- more scientific. In fact, governments,
entation is welcome. However, a profes- social groups, and professional bodies
sion need not be driven entirely by such have an obligation to protect the rights
requirements. Professionals need not face of people who seek and then financially
legal, social, and professional image-ori- support professional services. Societal
ented reasons and requirements to strive and regulatory forces are necessary for
to be more scientific. Although the state- smooth and socially beneficial operations
ment may sound tautological, science of professions as well as sciences. Such
itself is a good reason to be scientific. The regulatory forces have helped all pro-
logical beauty, methodological elegance, fessions and sciences move in the right
and practical benefits of science antecede direction, as we shall see in Chapter 17.
legal, social, and professional pressures. The comments are meant to underscore
Had the profession heeded the call an additional and often neglected rea-
of science from its inception, it is pos- son to be more systematic, responsible,
sible that most of the legal and social and objective in clinical work: the phi-
pressures would have become superflu- losophy and methodology of science that
8  Clinical Research in Communication Disorders

are capable of providing unsurpassed fessions can begin to generate their own
safeguards for both the profession and databases is to train their practitioners to
the public. Besides, science provides an do research. Professions such as medi-
unlimited and exciting opportunity to cine have the luxury of receiving a large
make significant advances in all areas of and varied amount of custom-produced
professional endeavor. research information from outside their
professions. Medicine has chemists, bio-
chemists, physiologists, anatomists, biolo-
The Need to Produce gists, geneticists, bioengineers, and a vari-
In-House Knowledge ety of technologists and technical product
manufacturers (including global pharma-
During the time when service delivery, ceutical companies) who do research
not scientific research, is the urgent busi- dedicated to medicine and supply theo-
ness, the profession is dependent on retical information and practical technol-
other disciplines for a knowledge base. ogy. There are not comparable bands of
Communication disorders historically researchers and technicians supplying
has depended on some nonclinical dis- information and technology to communi-
ciplines such as linguistics, experimental cation disorders. Much of the information
psychology, and child psychology. It also and technology the discipline borrows
has depended on clinical professions such is not produced for it; its relevance may
as medicine and basic sciences such as be incidental and, in some unfortunate
physiology and physics. cases, mistaken.
Communication disorders has been Specialists in communication disor-
a borrower for a long time, perhaps too ders should produce their own knowl-
much of a borrower and too little of an edge base and technology, but this does
innovator. It borrowed not only basic or not mean that they should not selectively
applied information but also conceptual borrow from other disciplines. Like other
frameworks, theories, paradigms, models, professions, communication disorders
and methods of investigation and data will continue to borrow what is relevant
analysis. Therefore, the slowly develop- and useful. Many fields of knowledge are
ing traditions of research in communi- interrelated. Therefore, the fields benefit
cation disorders have been extensively from each other’s research. Nonetheless,
influenced by other disciplines that have what is urgently needed is a systematic
offered methods and theories of varying effort to increase the in-house knowledge
degrees of validity, reliability, relevancy, base and technology. A discipline cannot
and applicability. always expect other specialists to produce
It is true that certain scientific ap- the basic scientific information necessary
proaches, concepts, and methods are com- to understand its subject matter. A profes-
mon to many scientific disciplines and sion cannot always expect others to pro-
professions. Nonetheless, unless a disci- duce a relevant and effective technology.
pline quickly begins to produce its own The most significant problem with
experimental database, it will continue to increasing the amount of in-house knowl-
borrow theories and methods that may or edge is the scarcity of research institu-
may not be appropriate for studying its tions and sustained research programs in
subject matter. The only way some pro- communication disorders. Many univer-
1. Why Study Science and Research Methods?   9

sity programs in communication disorders is thought of as something unrelated to


are not research oriented, and large insti- clinical service, the clinicians obviously
tutions that specialize in research are few cannot do research. Also, the client sched-
or nonexistent. Producing a systematic uling may be good for clinical work but
body of reliable and valid scientific infor- bad for research; when clients are seen
mation is a slow process even under the twice weekly for a few minutes each time,
best possible conditions. Therefore, under collecting in-depth data may be difficult.
the existing conditions, the accumulation Most clinical settings do not support or
of valid knowledge in communication dis- encourage research. Many public schools
orders will be a prolonged process. There and hospitals do not require research
seems to be no easy or quick solution from clinicians and may not encourage
to this problem. Several steps are neces- it. Much research, both good and bad, is
sary to increase the amount of research; done when research is required or valued
for example, the discipline can seek more in a given setting. It also may be noted
government and private research funds, that bad research can be done even when
increase the number of theses produced someone “wanted” to do research while it
by master’s degree candidates, accelerate was not required to achieve promotions
research efforts at existing research and or pay raises. In many settings, research
teaching institutions, and establish new often is done over and above one’s regular
programmatic research. duties. When it is not required for profes-
Another tactic is to recruit practition- sional advancement, the administration is
ers into the kind of research that does unlikely to support research to any great
not detract from clinical activities. That extent.
is, the field can make an effort to increase It also is possible that clinicians them-
research by practicing clinicians. Since the selves assume that: (a) they are not well
majority of persons in the field are clini- prepared to do research and (b) research
cians, even a slight increase in the num- does not necessarily help them, their col-
ber of clinicians doing research may have leagues, or their clients. Both of these
an appreciable effect. This is the kind of assumptions may be valid to a degree.
in-house knowledge base that can have The first assumption may be due to many
immediate and simultaneous clinical and practitioners’ limited training and experi-
theoretical significance. ence in research methods. To do research,
one should also maintain currency in
the slowly-but-surely changing field of
Why Research by knowledge in the discipline. The pres-
Clinicians Is Limited sures of day-to-day professional practice
may not be conducive to spending the
needed amount of time and energy on
It is well known that a majority of clini- reading the literature. Though significant
cians do not do research. After all, they advances in communication disorders
are busy serving their clients. There are have been few and far between, there has
many reasons why clinicians typically do been an information explosion in recent
not engage in research. For example, most years. It takes time just to keep up with
clinicians do not have the needed extra published research. Because they do not
time for research. Besides, when research have this time, many clinicians may think
10  Clinical Research in Communication Disorders

that they lack the technical knowledge of cal research does not affect clinical prac-
scientific procedures and current informa- tice to the extent it should.
tion needed to do research. The belief that research does not nec-
The second assumption—that research essarily help clinical practice is partially
does not necessarily help clinical practice ​ true. We are not just referring to basic
— may be based on experience. There is research, which is not expected to give
some question regarding the extent to immediate solutions to practical prob-
which research affects day- to-day clinical lems; we are referring to the kinds of
practice. Douglas, Campbell, and Hinck- research that are expected to solve clinical
ley (2015) stated that a treatment proce- problems. Purported clinical research on
dure that has support based on 20 years assessment or treatment of communica-
of research may still remain unused by the tion disorders also may frustrate clinicians.
clinicians. With all the emphasis on evi- Clinicians who read and evaluate such
dence-based practice, there is no evidence research to sharpen their clinical skills
to support that a majority of clinicians use may be disillusioned about the usefulness
treatment procedures that are known to of all kinds of clinical research. In essence,
be effective. In treating clients, clinicians certain research practices may generate a
are likely to depend upon their past train- justifiable skepticism regarding the rele-
ing and clinical experience. Practition- vance of research to clinical practice.
ers across professional settings do not
automatically apply experimentally but
unsupported theories, and recent trends Problems Associated With
without substance have a greater influ- Certain Research Practices
ence on clinical practice than do technical
research reports.
Workshops, presentations, discus- There are multiple modes of clinical
sions with colleagues, and lectures on the research, and not all of them are equally
“latest” techniques and “hot topics” may helpful to the clinician in solving current
affect clinical practice more than experi- practical problems. In Chapters 4 and 5,
mental evidence does. However, even we will describe different types of research
those who give frequent workshops often in some detail. Here it may be noted that
think that clinicians rarely apply exactly clinical-experimental research is likely to
what the workshops offered. For example, produce results that help solve immediate
some individuals who frequently attend practical problems clinicians face. Many
workshops agree equally well with totally other types of research, although essen-
contradictory approaches, and clinicians tial, may lead to solutions to practical
assimilate what they hear (or read) with problems but only in the future.
their past experience and apply new tech- Clinical usefulness is not the only
niques in modified ways. Such modifica- criterion by which the value of research
tions are not necessarily bad. The only is determined. Basic research often does
problem is that unspecified and varied not have immediate practical significance.
modifications of published techniques However, it is valuable because it might
make it difficult to identify successful help explain a phenomenon, put unre-
techniques. In any case, the disturbing lated observations in a single perspective,
situation remains: Controlled and techni- suggest new lines of experimental analy-
1. Why Study Science and Research Methods?   11

sis, or produce a discovery with power- scientists and clinicians must address the
ful applied potential. Thus, in the long third. To assess these problems, we must
run, basic research may produce data that consider the type and quality of clinical
can help solve practical problems. Every research and the education and training
discipline needs basic research: Commu- of clinicians.
nication disorders simply does not have Possibly, clinicians who can evaluate
enough of it. current clinical research find very little
The main problem with current research that is applicable. This is because much
practices is that much of the research is research in the field is not concerned
neither basic nor experimentally clinical. with experimental evaluation and devel-
Basic research can help secure the future opment of treatment procedures. Even
of a discipline while experimental-clinical clinical journals, expected to publish treat-
research can help solve current practical ment research, may disappoint clinicians.
problems. Basic research creates a strong A majority of papers published in journals
scientific base for a profession and exper- in speech and hearing relate to disorder
imental-clinical research helps develop description, normative comparison, and
treatment techniques. When these two assessment, not treatment. There is plenty
kinds of research are sparse, the profes- of speculative theoretical writing in the
sion can neither solve its clinical prob- discipline, and much of the research is con-
lems nor generate confidence that the cerned with finding differences between
problems will be solved in the near future. normal and disordered groups of sub-
In such a situation, skepticism regarding jects. For example, many studies attempt
research is inevitable. to establish norms of various communi-
The clinical irrelevancy of clinical cative behaviors. In addition, classifying
research is not the only reason why some speech and language behaviors with no
clinicians have a negative approach to regard to their causal variables (structural
research in general; other factors contrib- analysis of language and speech) is very
ute. First, if clinicians do not appreciate popular. This kind of research is typically
basic research, they may have received justified because of its presumed clinical
inadequate education and training in the implications, but the research does not
philosophy and methodology of science. necessarily provide for more effective
Second, if clinicians do not appreciate treatment procedures. Some clinicians
experimental-clinical research that shows who begin to read research reports of this
better methods of treating disorders of kind may eventually stop reading them.
communication, their education, again, Such clinicians decide to wait until the
may be to blame. A majority of clinicians presumed implications are translated into
neither use experimentally verified tech- procedures they can use.
niques nor demand such techniques from A dominant research trend in com-
researchers. Third, if clinicians do not find munication disorders is that many who
a significant body of clinical research that suggest clinical implications of their non-
can be applied in clinical work, then the clinical research do not take time to test
research practices within the field must those implications with individuals with
take the blame. disorders. Many research specialists in
Education and training programs must communication disorders seem to imply
address the first two factors, and research that to hypothesize is their job, but to
12  Clinical Research in Communication Disorders

verify is someone else’s. Many researchers The type of research in which the rel-
betray a striking lack of curiosity about evance of alternate target communicative
the clinical validity of their own hypoth- behaviors and the techniques of teaching
eses. Consequently, they have created a them are evaluated under controlled con-
new division of labor: Some researchers ditions will help illustrate how research
generate hypotheses and other research- and clinical practice may be integrated.
ers verify them. Unfortunately, this divi- Research on the relevance of targeted
sion of labor has not worked well because behaviors for clinical intervention is barely
many researchers are more interested in begun. This is the question of dependent
generating hypotheses than in verifying variables; it often is thought that the only
their own or anybody else’s. significant question is that of the indepen-
If studies of a different kind were dent variable. In other words, profession-
to be frequently published in journals als may think that they know what the
devoted to clinical practice, clinicians may targets are, but they do not know how
find research to be valuable. This kind to teach them. Both are important ques-
of research is experimental and clinical. tions, however. For example, the follow-
Applied behavior analysis offers a clear ing terms relative to language disorders
model for this kind of research. Most of are not operational in nature and thus
the articles published in the Journal of they do not refer to measurable behav-
Applied Behaivor Analysis are both ex- iors, which is necessay to change them:
perimental and clinical in that they report communicative competence, knowledge
on behavioral treatment efects. Research of the universal transformational gram-
of this kind addresses issues of immedi- mar, grammatical features, grammatical
ate practical significance. The strategy rules, semantic notions, semantic rules,
involves current clinical action, not a pragmatic notions, or pragmatic rules.
promise of some future clinical possibil- Empirical response classes, on the other
ity. For example, research may be con- hand, are observable, measurable, and
cerned with topics such as different tar- experimentally manipulable. Similarly,
get behaviors and their clinical relevance, what is (are) the dependent variable(s)
experimental evaluation of treatment in the treatment of stuttering: self-con-
techniques, relative effects of multiple fidence, self-image, approach-avoidance
treatments, interaction between different conflict, anxiety reduction, correction
treatment procedures, generality of treat- of feedback problems, appropriate air-
ment effects to clients of different ethno- flow, correct phonatory behaviors, fluent
cultural backgrounds, different tactics of stuttering, negative attitudes, excessive
response maintenance after treatment, parental concern for fluency, reduction
issues in the measurement or assessment in speech rate, or reduction in the dysflu-
of disorders and behaviors, and indepen- ency rates? Again, what are the depen-
dent variables that may maintain normal dent variables in the treatment of speech
as well as disordered speech and language sound disorders: phonological processes
behaviors, just to sample a few. These or patterns, phonological knowledge, or
kinds of research topics generate data phonemic awareness? These terms do not
of immediate clinical significance. More describe the behavior that index speech
important, efforts to investigate these top- sound production or the potential con-
ics are identical with clinical services. trolling variables. A more transparent
1. Why Study Science and Research Methods?   13

term, speech sound production, describes science is a waste of time. Contrary to


empirical treatment targets. this notion, research and clinical activities
Specification of a valid dependent are more similar than different. Although
variable is crucial to the development of done under routine conditions, each suc-
a science. If biologists were as confused cessful clinical session involves a manipu-
about their dependent variables as com- lation of an independent variable (treat-
munication disorders specialists are about ment) just like it is done in an experiment.
theirs, biology’s progress to date would be Basically, treatments are a manipulation of
unthinkable. Because communication dis- cause-effect relations. In treating clients,
orders is a clinical science, it needs clearly clinicians produce changes in communi-
defined dependent variables (communi- cative behaviors by rearranging certain
cative behaviors) that may be changed variables (Hegde, 1998).
through manipulation of independent What is suggested here is that treatment-
variables (treatment techniques). There- related research should make research
fore, it is essential to conduct research immediately attractive to the practitioners,
on the valid dependent variables that can so that the practitioners may more likely
be successfully taught to individuals with read, evaluate, and appreciate research.
communication problems. Besides, in the It is not suggested that basic research
course of this kind of research, the cli- unrelated to immediate clinical concerns
nician simultaneously provides clinical is less valuable or that there is no rea-
services. son for clinicians to study basic research
Research on the effects of various reports. Clinicians who do not understand
treatment strategies also is synchronous or appreciate treatment research are less
with clinical service. The value of treat- likely to understand or appreciate basic
ment research in communication disorders laboratory research. Therefore, one way
is obvious but often is taken for granted. of attracting clinicians to research of all
When a clinical researcher evaluates a kinds is to offer them treatment-related
given treatment in a controlled experi- research that can make a difference in
ment, the clients who serve as subjects their day-to-day professional activities.
are exposed to one possible treatment. Skills necessary to understand and evalu-
If the treatment is not effective, the clini- ate treatment-related research, once mas-
cian may evaluate another technique that tered by clinicians, can help them under-
may prove to be more successful. In more stand basic research as well. In any case,
advanced stages of research, the clinician the task of attracting clinicians to research
may evaluate the relative and interactive is that of the clinical researcher, not that
effects of more than one treatment tech- of the basic researcher.
nique or component. The participants of
treatment research studies are the clients
who receive treatment during the course Problems Associated
of research. With the Education and
The paucity of treatment-related re- Training Models
search in communication disorders sup-
ports the notion that research and clinical
services are unrelated and that training As noted before, if at least a certain num-
in research methods and philosophy of ber of clinicians are involved in research,
14  Clinical Research in Communication Disorders

the amount of in-house knowledge can be and contribute new information to their
increased in a fairly short time. However, chosen discipline. Such a training model
when other conditions are favorable, cli- ensures scientific status and professional
nicians can do research only if they are strength.
trained to do research that is synchronous It is sometimes thought that education
with clinical services. It is impractical to in the philosophy and methods of science
expect a majority of clinicians to do basic takes time away from clinical training.
research. It also is impractical for clini- Some may argue that training of profes-
cians to engage in clinical research that sionals requires spending all the avail-
does not involve direct assessment, treat- able time on clinical methods and service
ment, or maintenance strategies. Even the delivery models. That students in clinical
clinical research of implications cannot programs should receive the best possible
fulfill the service requirements; that is, training in clinical methods is not con-
clinicians must investigate questions that troversial. Indeed, during their education
can be answered while providing ser- and training, future clinicians should not
vices to their clients. To accomplish this, spend time studying science and research
communication disorders must adopt an if that study is not expected to be use-
integrated model of education, training, ful. However, time spent on science and
and research. research in the training of practitioners is
If specialists in communication disor- a waste only if clinical service and scien-
ders see their field as a clinical profes- tific work are conceptually and method-
sion based on scientific knowledge and ologically divorced (Sidman, 2011). The
research, several much-debated pseudo- argument that the study of science and
issues ​— such as “Do we need to know research is a waste is irrelevant when
scientific methods?” or “Are courses on communication disorders is viewed as a
research methods necessary for practi- scientific discipline and a clinical profes-
tioners?”— dissipate. The education of sion that adopts an integrated model of
clinicians must include an understanding research and clinical service.
of existing knowledge and technology, Unless clinicians are educated within
methods of producing new knowledge an integrated model of research and
and technology, and methods of evaluat- clinical service, time spent training clini-
ing all knowledge and technology. cians in research may not be as produc-
An educational program cannot be tive as it could be. Again, applied behav-
limited to just imparting existing knowl- ior analysis has been practicing such an
edge and training in extant technology integrated model of training clinicians for
to future practitioners. Future clinicians decades. Without the integrated model,
also need to know how new knowledge even researchers are not likely to make
is produced and how any knowledge is a significant effect on the clinical issues
critically evaluated before it is accepted of the profession. Therefore, the existing
or rejected. The methods of science and models of research in communication
research are the methods of producing and disorders may need to be revised. If the
evaluating empirical knowledge. There- same model is used to give more informa-
fore, imparting knowledge of science and tion on research at the master’s level or at
research is a part of training future prac- the doctoral level, there is no assurance
titioners who evaluate new information that in-house treatment-related knowl-
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fully four inches above its roots. It was entirely composed of withered
and rotten weeds, the former being circularly arranged over the
latter, producing a well-rounded cavity, six inches in diameter, by two
and a half in depth. The borders of this inner cup were lined with the
down of the bird, in the same manner as the Eider Duck’s nest, and
in it lay five eggs, the smallest number I have ever found in any
duck’s nest. They were two inches and two and a half eighths in
length, by one inch and five-eighths in their greatest breadth; more
equally rounded at both ends than usual; the shell perfectly smooth,
and of a uniform pale yellowish or cream colour. I took them on
board, along with the female bird, which was shot as she rose from
her nest. We saw no male bird near the spot; but in the course of the
same day, met with several males by themselves, about four miles
distant from the marsh, as we were returning to the harbour. This
induced me to believe that, like the Eider and other ducks that breed
in Labrador, the males abandon the females as soon as incubation
commences. I regret that, notwithstanding all my further exertions, I
did not succeed in discovering more nests or young birds.
In the States of Maine and Massachusetts, this species is best
known by the name of “Butter-boat-billed Coot.” The gunners of Long
Island and New Jersey call it the Black Sea Duck. It is often seen
along the coast of South Carolina, where my friend John Bachman
Has met with it. The Surf Duck is a powerful swimmer and an expert
diver. It is frequently observed fishing at the depth of several
fathoms, and it floats buoyantly among the surf or the raging billows,
where it seems as unconcerned as if it were on the most tranquil
waters. It rises on wing, however, with considerable difficulty, and in
this respect resembles the Velvet Duck; but when once fairly under
way, it flies with rapidity and to a great distance, passing close to the
water during heavy gales, but at the height of forty or fifty yards in
calm and pleasant weather. It is an uncommonly shy bird, and
therefore difficult to be obtained, unless shot at while on wing, or
when asleep, and as it were at anchor on our bays, or near the
shore, for it dives as suddenly as the Velvet and Scoter Ducks,
eluding even the best percussion-locked guns. The female, which
was killed as she flew off from the nest, uttered a rough uncouth
guttural cry, somewhat resembling that of the Goosander on similar
occasions; and I have never heard any other sound from either sex.
The migration of the Surf Ducks eastward from our Southern coast,
begins at a very early season, as in the beginning of March none are
to be seen in the New Orleans markets. When I was at Eastport in
Maine, on the 7th of May 1833, they were all proceeding eastward.
How far up the St Lawrence they advance in winter I have not
learned, but they must give a decided preference to the waters of
that noble stream, if I may judge by the vast numbers which I saw
apparently coming from them as we approached the Labrador coast.
I have never seen this species on any fresh-water lake or river, in
any part of the interior, and therefore consider it as truly a marine
duck.
During their stay with us, they are always seen in considerable
numbers together, and, unless perhaps during the breeding season,
they seem to be gregarious; for even during their travels northward
they always move in large and compact bodies. When I was at
Newfoundland, I was assured that they breed there in considerable
numbers on the lakes of the interior. My friend Professor
Macculloch, of Pictou, however informs me that none are seen in
Nova Scotia in summer. A gentleman of Boston, with whom I once
crossed the Atlantic, assured me that the species is extremely
abundant on the northern shores of the Pacific Ocean, and about the
mouth of Mackenzie’s River. Doctor Townsend mentions it as being
also found on the Columbia. It appears that a single specimen of the
Surf Duck has been procured on the shores of Great Britain; and this
has induced the ornithologists of that country to introduce it as a
constituent of its Fauna.
In all the individuals which I have examined, I have found the
stomach to contain fish of different kinds, several species of shell-
fish, and quantities of gravel and sand, some of the fragments being
of large size. Their flesh is tough, rank, and fishy, so as to be
scarcely fit for food.
In the young males, in the month of September, the whole upper
plumage is mottled with darkish-brown and greyish-white, the latter
colour margining most of the feathers. The neck has a considerable
extent of dull greyish-white, spread over two or three inches, and
approaching toward the cheeks and throat. This colour disappears
about the beginning of January, when they become of a more
uniform dark tint, the upper part of the head brownish-black, without
any white spot; there is a patch of brownish-white at the base of the
upper mandible on each side; another of an oblong form over the
ear, and on the nape are elongated greyish-white marks; the bill and
feet dusky green, the iris brown.

Anas perspicillata, Linn. Syst. Nat. vol. i. p. 201.—Lath. Ind. Ornith. vol. ii.
p. 847.
Black or Surf Duck, Wils. Amer. Ornith. vol. viii. p. 49, pl. 67, fig. 2.
Fuligula perspicillata, Ch. Bonaparte, Synopsis of Birds of the United
States, p. 389.
Oidemia perspicillata, Richards. and Swains. Faun. Bor. Amer. vol. ii. p.
449.
Black or Surf Duck, Nuttall, Manual, vol. ii. p. 416.

Adult Male. Plate CCCXVII. Fig. 1.


Bill about the length of the head, very broad, as deep as broad at the
base, depressed towards the end, which is rounded. Upper mandible
with the dorsal outline convex and descending, before the nostrils
concave, on the unguis convex and declinate; the ridge broad and
convex at the base; the sides at the base erect, bulging, and very
broad, towards the end convex, the edges soft, with about 30
internal lamellæ, for two-thirds from the base they are nearly parallel
and straight, but towards the end ascending, the unguis very large,
somewhat triangular and rounded. Lower mandible flattened, with
the angle long and rather narrow, the dorsal line slightly convex, the
edges with about 35 lamellæ. Nostrils submedial, elliptical, large,
pervious, near the ridge.
Head large, oblong, flattened above. Eyes of moderate size. Neck
short and thick. Body large and much depressed. Feet short, placed
rather far behind; tarsus very short, compressed, having anteriorly in
its whole length a series of small scutella, and above the outer toe a
partial series, the rest covered with reticular angular scales. Hind toe
small, with a free membrane beneath; anterior toes nearly double the
length of the tarsus, connected by reticulated membranes having a
sinus on their free margins, the inner with a lobed marginal
membrane, the outer with a thick margin, the third and fourth about
equal and longest. Claws small, that of the first toe very small and
curved, of the middle toe largest, with a dilated inner edge, of the
rest slender, all rather obtuse.
Plumage soft, dense, blended, and glossy. Feathers on the head and
neck of a velvety texture. Wings rather short, narrow, and pointed;
primary quills curved, strong, tapering, and pointed, the first longest,
the second little shorter, the rest rapidly graduated; secondaries
broad and rounded, the inner elongated and tapering. Tail very short,
narrow, wedge-shaped, of fourteen stiff, narrow, pointed feathers.
Upper mandible with a nearly square black patch at the base,
margined with orange, unless in front, where there is a patch of
bluish-white extending to near the nostrils, prominent part over the
nostrils deep reddish-orange, becoming lighter towards the unguis,
and shaded into rich yellow towards the margins; the unguis dingy
greyish-yellow; lower mandible flesh-coloured, unguis darker. Iris
bright yellowish-white. Tarsi and toes orange-red, the webs dusky
tinged with green; claws black. The plumage is of a deep black,
glossed with blue. On the top of the head, between the eyes, is a
roundish patch of white, and on the nape a larger patch of an
elongated form.
Length to end of tail 20 inches, to end of wings 18, to end of claws
22; extent of wings 33 1/2; bill from the angle in front 1 1/2; from the
prominence at the base 2 1/2; along the edge of lower mandible
2 5/12; wing from flexure 9 3/4; tail 3 3/4; tarsus 1 7/12; first toe and
1/
claw 11/12; outer toe, and claw 2 1/4; middle, toe and claw, /12
2

longer. Weight 2 lb. 7 oz.


Adult Female. Plate CCCXVII. Fig. 2.
Bill greenish-black; iris as in the male; feet yellowish-orange, webs
greyish-dusky, claws black. The general colour of the plumage is
brownish-black; darker on the top of the head, the back, wings, and
tail; on the breast and sides the feathers edged with dull greyish-
white.
Length to end of tail 19 inches, to end of wings 15 3/4, to end of
claws 18; extent of wings 31 1/2; wing from flexure 8 3/4; tarsus 1 5/8;
middle toe 2 3/4, hind toe 9/12. Weight 2 lb. 2 oz.

In an adult Male, the tongue is 1 inch 9 twelfths long, has numerous


conical papillæ at the base, is deeply grooved along the middle, has
two lateral series of bristles, and terminates in a thin rounded lobe, 2
twelfths long. On the middle line of the upper mandible are about ten
short conical papillæ, and on each of its margins about 35 lamellæ;
on the lower an equal number. The heart is 1 inch 8 twelfths long, 1
inch 2 twelfths broad. The œsophagus, 8 1/2 inches long, is wide, its
diameter at the upper part being 1 inch, towards the middle of the
neck 1 inch and a quarter. The proventriculus is 1 1/2 inch long; its
glandules cylindrical, 1 1/2 twelfths in length, and, as in all other
ducks, arranged so as to form a complete belt. The stomach is a
powerful gizzard of a roundish form, 1 inch 10 twelfths long, 1 inch
10 twelfths broad, its lateral muscles very large, the right 10 twelfths
thick, the left 9 twelfths. In the stomach were various small bivalve
shells and much gravel. The cuticular lining longitudinally rugous; the
grinding plates 3/4 inch in diameter. The intestine, 5 feet 7 inches in
length, has an average diameter of 6 twelfths. The rectum is 7 1/2
inches long, 8 twelfths in diameter. Of the cœca one is 3 inches 4
twelfths long, cylindrical, obtuse, 2 1/2 twelfths in diameter, the other
4 1/2 inches long.

The aperture of the glottis is 8 twelfths long, with numerous minute


papillæ behind. The trachea presents the same structure as that of
the Velvet Duck. Its upper rings, to the number of 9, are very narrow,
and continuous with a large bony expansion, 7 twelfths long, and 8
twelfths broad. Beyond this part its diameter is 5 twelfths, gradually
diminishes to 3 twelfths about the middle, then enlarges to 5 twelfths.
In this part the number of rings is 78. Then comes a roundish or
transversely elliptical enlargement, 1 inch 2 twelfths in breadth, 9
twelfths in length, convex before, slightly concave behind, and
composed of about 12 united rings. The trachea then contracts to 4
twelfths and presently enlarges to form the inferior larynx, which is
large, ossified, but symmetrical. In this space there are 6 distinct
rings, and 10 united. The entire length of the trachea is 7 1/2 inches,
its rings are all osseous and strong. The contractor muscles are very
strong, pass along the sides of the lower dilatation, on which are
given off the cleido-tracheals, then continue to the commencement
of the inferior larynx, where the sterno-tracheals come off. The
bronchial half-rings 25, unossified.
The cavity of the nose is very large, being 2 inches long, 1/2 inch in
diameter at the lower part, continued narrow in front over the
dilatation causing the external protuberance of the base of the bill.
The olfactory nerves are of moderate size; the maxillary branches of
the fifth pair very large.
AMERICAN AVOSET.

Recurvirostra Americana, Gmel.


PLATE CCCXVIII. Adult Male, and Young in Winter.

The fact of this curious bird’s breeding in the interior of our country
accidentally became known to me in June 1814. I was at the time
travelling on horseback from Henderson to Vincennes in the State of
Indiana. As I approached a large shallow pond in the neighbourhood
of the latter town, I was struck by the sight of several Avosets
hovering over the margins and islets of the pond, and although it was
late, and I was both fatigued and hungry, I could not resist the
temptation of endeavouring to find the cause of their being so far
from the sea. Leaving my horse at liberty, I walked toward the pond,
when, on being at once assailed by four of the birds, I felt confident
that they had nests, and that their mates were either sitting or
tending their young. The pond, which was about two hundred yards
in length, and half as wide, was surrounded by tall bulrushes
extending to some distance from the margin. Near its centre were
several islets, eight or ten yards in length, and disposed in a line.
Having made my way through the rushes, I found the water only a
few inches deep; but the mud reached above my knees, as I
carefully advanced towards the nearest island. The four birds kept
up a constant noise, remained on wing, and at times dived through
the air until close to me, evincing their displeasure at my intrusion.
My desire to shoot them however was restrained by my anxiety to
study their habits as closely as possible; and as soon as I had
searched the different inlets, and found three nests with eggs, and a
female with her brood, I returned to my horse, and proceeded to
Vincennes, about two miles distant. Next morning at sunrise I was
snugly concealed amongst the rushes, with a fair view of the whole
pond. In about an hour the male birds ceased to fly over me, and
betook themselves to their ordinary occupations, when I noted the
following particulars.
On alighting, whether on the water or on the ground, the American
Avoset keeps its wings raised until it has fairly settled. If in the water,
it stands a few minutes balancing its head and neck, somewhat in
the manner of the Tell-tale Godwit. After this it stalks about searching
for food, or runs after it, sometimes swimming for a yard or so while
passing from one shallow to another, or wading up to its body, with
the wings partially raised. Sometimes they would enter among the
rushes, and disappear for several minutes. They kept apart, but
crossed each other’s path in hundreds of ways, all perfectly silent,
and without shewing the least symptom of enmity towards each
other, although whenever a Sandpiper came near, they would
instantly give chase to it. On several occasions, when I purposely
sent forth a loud shrill whistle without stirring, they would suddenly
cease from their rambling, raise up their body and neck, emit each
two or three notes, and remain several minutes on the alert, after
which they would fly to their nests, and then return. They search for
food precisely in the manner of the Roseate Spoonbill, moving their
heads to and fro sideways, while their bill is passing through the soft
mud; and in many instances, when the water was deeper, they would
immerse their whole head and a portion of the neck, as the Spoonbill
and Red-breasted Snipe are wont to do. When, on the contrary, they
pursued aquatic insects, such as swim on the surface, they ran after
them, and on getting up to them, suddenly seized them by thrusting
the lower mandible beneath them, while the other was raised a good
way above the surface, much in the manner of the Black Shear-
water, which however performs this act on wing. They were also
expert at catching flying insects, after which they ran with partially
expanded wings.
I watched them as they were thus engaged about an hour, when
they all flew to the islets where the females were, emitting louder
notes than usual. The different pairs seemed to congratulate each
other, using various curious gestures; and presently those which had
been sitting left the task to their mates and betook themselves to the
water, when they washed, shook their wings and tail, as if either
heated or tormented by insects, and then proceeded to search for
food in the manner above described. Now, Reader, wait a few
moments until I eat my humble breakfast.
About eleven o’clock the heat had become intense, and the Avosets
gave up their search, each retiring to a different part of the pond,
where, after pluming themselves, they drew their heads close to their
shoulders, and remained perfectly still, as if asleep, for about an
hour, when they shook themselves simultaneously, took to wing, and
rising to the height of thirty or forty yards, flew off towards the waters
of the Wabash River.
I was now desirous of seeing one of the sitting birds on its nest, and
leaving my hiding place, slowly, and as silently as possible,
proceeded toward the nearest islet on which I knew a nest to be,
having the evening before, to mark the precise spot, broken some of
the weeds, which were now withered by the heat of the sun. You,
good Reader, will not, I am sure, think me prolix; but as some less
considerate persons may allege that I am tediously so, I must tell
them here that no student of Nature ever was, or ever can be, too
particular while thus marking the precise situation of a bird’s nest.
Indeed, I myself have lost many nests by being less attentive. After
this short but valuable lecture, you and I will do our best to approach
the sitting bird unseen by it. Although a person can advance but
slowly when wading through mud and water knee-deep, it does not
take much time to get over forty or fifty yards, and thus I was soon
on the small island where the Avoset was comfortably seated on her
nest. Softly and on all four I crawled toward the spot, panting with
heat and anxiety. Now, Reader, I am actually within three feet of the
unheeding creature, peeping at her through the tall grasses. Lovely
bird! how innocent, how unsuspecting, and yet how near to thine
enemy, albeit he be an admirer of thy race! There she sits on her
eggs, her head almost mournfully sunk among the plumage, and her
eyes, unanimated by the sight of her mate, half closed, as if she
dreamed of future scenes. Her legs are bent beneath her in the
usual manner. I have seen this, and I am content. Now she observes
me, poor thing, and off she scrambles,—running, tumbling, and at
last rising on wing, emitting her clicking notes of grief and anxiety,
which none but an inconsiderate or callous-hearted person could
hear without sympathizing with her.
The alarm is sounded, the disturbed bird is floundering hither and
thither over the pool, now lying on the surface as if ready to die, now
limping to induce me to pursue her and abandon her eggs. Alas,
poor bird! Until that day I was not aware that gregarious birds, on
emitting cries of alarm, after having been scared from their nest,
could induce other incubating individuals to leave their eggs also,
and join in attempting to save the colony. But so it was with the
Avosets, and the other two sitters immediately rose on wing and flew
directly at me, while the one with the four younglings betook herself
to the water, and waded quickly off, followed by her brood, which
paddled along swimming, to my astonishment, as well as ducklings
of the same size.
How far such cries as those of the Avoset may be heard by birds of
the same species I cannot tell; but this I know, that the individuals
which had gone toward the Wabash reappeared in a few minutes
after I had disturbed the first bird, and hovered over me. But now,
having, as I thought, obtained all desirable knowledge of these birds,
I shot down five of them, among which I unfortunately found three
females.
The nests were placed among the tallest grasses, and were entirely
composed of the same materials, but dried, and apparently of a
former year’s growth. There was not a twig of any kind about them.
The inner nest was about five inches in diameter, and lined with fine
prairie grass, different from that found on the islets of the pond, and
about two inches in depth, over a bed having a thickness of an inch
and a half. The islets did not seem to be liable to inundation, and
none of the nests exhibited any appearance of having been
increased in elevation since the commencement of incubation, as
was the case with those described by Wilson. Like those of most
waders, the eggs were four in number, and placed with the small
ends together. They measured two inches in length, one inch and
three-eighths in their greatest breadth, and were, exactly as Wilson
tells us, “of a dull olive colour, marked with large irregular blotches of
black, and with others of a fainter tint.” To this I have to add, that they
are pear-shaped and smooth. As to the time of hatching, I know
nothing.
Having made my notes, and picked up the dead birds, I carefully
waded through the rushes three times around the whole pond, but,
being without my dog, failed in discovering the young brood or their
mother. I visited the place twice the following day, again waded
round the pond, and searched all the islets, but without success: not
a single Avoset was to be seen; and I am persuaded that the mother
of the four younglings had removed them elsewhere.
Since that time my opportunities of meeting with the American
Avoset have been few. On the 7th of November 1819, while
searching for rare birds a few miles from New Orleans, I shot one
which I found by itself on the margin of Bayou St John. It was a
young male, of which I merely took the measurements and
description. It was very thin, and had probably been unable to
proceed farther south. Its stomach contained only two small fresh-
water snails and a bit of stone. In May 1829, I saw three of these
birds at Great Egg Harbour, but found no nests, although those of
the Long-legged Avoset of Wilson were not uncommon. My friend
John Bachman considers them as rare in South Carolina, where,
however, he has occasionally seen some on the gravelly shores of
the sea islands.
On the 16th of April 1837, my good friend Captain Napoleon
Coste, of the United States Revenue Cutter the Campbell, on board
of which I then was, shot three individuals of this species on an
immense sand-bar, intersected by pools, about twelve miles from
Derniere Island on the Gulf of Mexico, and brought them to me in
perfect order. They were larger, and perhaps handsomer, than any
that I have seen; and had been killed out of a flock of five while
feeding. He saw several large flocks on the same grounds, and
assured me that the only note they emitted was a single whistle. He
also observed their manner of feeding, which he represented as
similar to that described above.
My friend Thomas Nuttall says in a note, that he “found this
species breeding on the islands of shallow ponds throughout the
Rocky Mountains about midsummer. They exhibited great fear and
clamour at the approach of the party, but no nests were found, they
being then under march.” Dr Richardson states, that it is abundant
on the Saskatchewan Plains, where it frequents shallow lakes, and
feeds on insects and small fresh water crustacea.
The flight of the American Avoset resembles that of the Himantopus
nigricollis. Both these birds pass through the air as if bent on
removing to a great distance, much in the manner of the Tell-tale
Godwit, or with an easy, rather swift and continued flight, the legs
and neck fully extended. When plunging towards an intruder, it at
times comes downwards, and passes by you, with the speed of an
arrow from a bow, but usually in moving off again, it suffers its legs to
hang considerably. I have never seen one of them exhibit the
bending and tremulous motions of the legs spoken of by writers,
even when raised suddenly from the nest; and I think that I am
equally safe in saying, that the bill has never been drawn from a
fresh specimen, or before it has undergone a curvature, which it
does not shew when the bird is alive. The notes of this bird resemble
the syllable click, sometimes repeated in a very hurried manner,
especially under alarm.

Recurvirostra Americana, Lath. Ind. Ornith. vol. ii. p. 787.—Ch. Bonaparte,


Synopsis of Birds of United States, p. 394.
American Avoset, Recurvirostra Americana, Wils. Amer. Ornith. vol. vii.
p. 126, pl. 63, fig. 2.
Recurvirostra Americana, Richards. and Swains., Fauna Bor.-Amer. vol. ii.
p. 375.
American Avoset, Nuttall, Manual, vol. ii. p. 74.

Adult Male. Plate CCCXVIII. Fig. 1.


Bill more than twice the length of the head, very slender, much
depressed, tapering to a point, and slightly recurved. Upper
mandible, with the dorsal line straight for half its length, then a little
curved upwards, and at the tip slightly decurved, the ridge broad and
flattened, the edges rather thick, the nasal groove rather long and
very narrow. Nostrils linear, basal, pervious. Lower mandible with the
angle long and very narrow, the dorsal line slightly curved upwards,
the point very slender, extremely thin and a little curved upwards.
Head small, rounded above, rather compressed. Neck long. Body
compact, ovate. Legs very long, slender; tibia elongated, bare for
half its length, and reticulated; tarsus very long, compressed,
reticulated with hexagonal scales; toes rather short, the first
extremely small; outer toe a little longer than inner; the anterior toes
connected by webs of which the anterior margin is deeply concave,
the lateral toes thickly margined. Claws very small, compressed,
rather blunt.
Plumage soft and blended. Wings long, of moderate breadth,
pointed; primaries straightish, tapering, the first longest, the rest
rapidly graduated; secondaries broad, incurved, the outer rounded,
the rest becoming pointed, the inner elongated and tapering. Tail
short, even, of twelve rather narrow, rounded feathers.
Bill black. Iris bright carmine. Feet light blue, webs flesh-coloured
towards their edges, claws black. Head, neck, and fore part of
breast, reddish-buff, the parts around the base of the bill and the
eye, nearly white. The back is white; but on its fore part is a
longitudinal band of brownish-black elongated feathers on each side,
and the inner scapulars are of the same colour, the outer and the
anterior edge of the wing being white. The wing brownish-black, with
a broad band of white formed by the tips of the secondary coverts,
four of the inner secondaries, and the basal part, with the inner webs
and outer edges of the rest. The under parts white, excepting some
of the primary quills and some of their coverts, which are greyish-
brown.
Length to end of tail 18 inches, to end of wings 18 1/2, to end of
claws 23 1/2 extent of wings 30 5/8; wing from flexure 9 1/2; tail 3 1/2;
bill along the ridge 3 3/4; bare part of the tibia 2 3/12; tarsus 3 5/8; hind
toe and claw 3/12; middle toe and claw 1 10/12; breadth of foot
extended 2 5/8. Weight 16 3/4 oz.
The Female is similar to the male, but somewhat smaller.
Young in winter. Plate CCCXVIII. Fig. 2.
The young in winter is similar to the adult, but with the head and
neck white, the dark colours of a browner tint.
Length to end of tail 18 inches, to end of wings 18 1/2; extent of
wings 30 1/2. Weight 13 oz.

In structure the Avosets are similar to the Numenii and Totani. In an


adult female the tongue is very short in proportion to the length of the
bill, being only 1 3/4 inch long, slightly emarginate at the base with a
few conical papillæ, slender, tapering to a point, horny on the back,
and flattened above. On the palate are two longitudinal series of
blunt papillæ. The posterior aperture of the nares is linear, 10
twelfths long, papillate on the edges. The œsophagus is 7 inches
and 9 twelfths long, inclines to the right side, and when the neck is
bent becomes posterior at the middle, as in the Herons and other
long-necked birds; its diameter 5 twelfths at the upper part, dilated to
8 twelfths previous to its entrance into the thorax. The proventriculus
is 1 inch long and 7 twelfths in diameter; its glandules cylindrical, 1
twelfth long. The stomach is a gizzard of moderate strength, oblong,
1 1/2 inch in length, 10 twelfths in breadth, its right lateral muscle 4
twelfths thick. Its contents were remains of small shells. Its inner
membrane of moderate thickness, hard, longitudinally rugous, and
deeply tinged with red. The intestine is 3 feet long, and 4 twelfths in
diameter; the rectum 2 inches long; of the cœca one is 2 3/4 inches
long, the other 2 1/4, their diameter 2 twelfths.

In another individual the intestine is 3 feet 9 inches long; one of the


cœca 2 3/4 inches, the other 3; the stomach 1 1/2 by 1 1/12. Its
contents small shell-fish and fragments of quartz.

The trachea is 6 1/2 inches long; its rings extremely thin and
unossified, 140 in number, its diameter 3 1/4 twelfths, nearly uniform
throughout, but rather narrower in the middle. The lateral muscles
are very thin. The bronchi are short, of about 10 rings.
LEAST TERN.

Sterna minuta, Linn.


PLATE CCCXIX. Adult and Young.

Sylph-like bird of the waters, how delightful has it been to me to gaze


on thy gliding movements, on the fannings of thy gentle wings, on
the delicate silvery glance of thy soft and sattiny bosom, as thou
camest from distant and unknown shores, when the winter had
passed away, and the mild breezes of early summer blew around
thee, and thou soughtest a place of safety in which to sojourn for a
time. That frail frame of thine must have suffered many a hardship.
Fronting that last damp and chilling blast, I have seen thee gathering
up all thy little strength to force thy way; and when the fury of the
tempest assailed thee, wert thou not glad to seek for refuge under
yon bold headland! Ah, deny it not, for I have seen the delight
expressed by thee, when after awhile, returning calm and sunshine
revived thee, and thou spreadest thy wings anew, to ramble gaily
over the still turbulent waters. Well knowest thou, heaven-taught,
each bar and shallow along the desolate shore which thou skirtest
pilotless; soon shalt thou reach the haven where last summer smiled
on thee and thy brood; and there shalt thou gracefully alight by the
side of one whose love is all to thee.
As no account of this species exists in the Fauna Boreali-Americana,
it is to be supposed that it is not met with beyond the western shores
of Labrador, where however I found it in abundance and breeding, in
the beginning of June 1833. On the 14th of August following I
observed them at Newfoundland, moving southward in detached
parties of old and young, against a strong breeze, and uttering their
clamorous cries. Again, in the end of April 1837, hundreds of pairs
were breeding on the islands of Galveston Bay in Texas, the
numerous specimens which I then examined exhibiting no difference
from those obtained in Labrador and in our Middle Districts. Nay,
once, in the middle of June, while wading through the quick-sands of
Bayou Sara in Louisiana, I came to a high and dry sand-bar where I
picked up several eggs belonging to three pairs of birds of this
species, although the distance was about two hundred miles from
the sea in a direct line. I have at various times observed this Tern on
the waters of the Ohio in autumn, and now and then in spring, at the
latter period in company with the Short-tailed Tern, Sterna nigra, and
have again met with it on the shores of Lake Erie. I have also found
it in winter on the eastern coast of the Floridas, but in small numbers.
Few birds indeed seem to me to be so irregular in their migratory
movements, for they appear to stop at any convenient breeding
place from Texas to Labrador.
This species in some of its habits resembles the Marsh Tern, of
Wilson, which I feel certain is the Sterna anglica of Montagu. The
resemblance is especially manifest in the peculiar manner in which it
seizes insects while on wing over the pools of salt marshes and
elsewhere, where it is fond of rambling whenever the weather is at
all fine or pleasantly warm. It then plunges toward the ground or the
water, and, like a true Flycatcher, snatches its prey unawares from
the tops of the grasses, or whilst flying over the shallow green-
mantled pools.
Few birds are more gentle than this delicate species is at times; for,
apparently unaware of danger from the vicinity of man, it allows him
to approach within a few yards, whether it be on wing or on the
ground. Indeed, in the latter case, I have seen it when gorged so
reluctant to fly off that I have more than once thought it was asleep,
although on coming up I was always disappointed in my attempts to
catch it. Nothing can exceed the lightness of the flight of this bird,
which seems to me to be among water-fowls, the analogue of the
Humming-bird. They move with great swiftness at times, at others
balance themselves like hawks over their prey, then dart with the
velocity of thought to procure the tiny fry beneath the surface of the
waters. When you invade their breeding place, they will sometimes
sweep far away, and suddenly return, coming so near as almost to
strike you. While travelling, their light but firm flight is wonderfully
sustained; and on hearing and seeing them on such occasions, one
is tempted to believe them to be the happiest of the happy. They
seem as if marshalled and proceeding to a merry-making, so gaily
do they dance along, as if to the music of their own lively cries. Now
you see the whole group suddenly check their onward speed, hover
over a deep eddy supplied with numberless shrimps, and dash
headlong on their prey. Up rises the little thing with the shrimp in its
bill, and again down it plunges; and its movements are so light and
graceful that you look on with pleasure, and are in no haste to
depart. Should this scene be enacted while they have young in their
company, the latter await in the air the rise of their parents, meet
them, and receive the food from them. When all are satiated, they
proceed on their journey, stopping at another similar but distant
place.
Although along our Southern and Middle Districts, the Least Tern
merely scoops a very slight hollow in which to deposit its eggs, doing
this from the first of April to the first of June, according to the latitude
of the place, those which I found breeding on the coast of Labrador
had formed very snug nests, composed of short fragments of dry
moss, well matted together, and nearly of the size of that of the
American Robin, Turdus migratorius; while those met with on the
islands near the Bay of Galveston, were observed to have laid their
eggs upon the dry drifted weeds which appeared to have been
gathered by them for the purpose. The nests are generally placed
out of reach of the tides, but on some occasions I have known the
hopes of a whole colony destroyed by the sudden overflow of their
selected places caused by a severe gale, and have observed that,
on such occasions, their clamour was as great as if they had been
robbed of their eggs by man.
The number of eggs deposited by this species is more frequently
three than four. Like those of most other Terns, they differ somewhat
in size and markings, although I never found any so large as those
described by Wilson, who states that they measure nearly an inch
and three quarters in length, which would better agree with the eggs
of the Common Tern. The average of a basketful was found to be
one inch and two and a half eighths in length, by seven and a half
eighths in breadth. They are rather pointed at the smaller end, and
their ground colour is pale yellowish-white, blotched with irregular
dark brown spots, intermixed with others of a dull purplish tint.
I have found this Tern breeding among Shearwaters along the
Florida coast; and my friend the Reverend John Bachman has
observed the same circumstance on the “Bird’s Banks,” on the
coasts of South Carolina, where it is abundant, as well as on Sullivan
Island.
The common note of our Least Tern resembles that of the Barn
Swallow when disturbed about its nest, being as smartly and rapidly
repeated at times. When it proves convenient for it to alight on the
ground or on a sand-beach, after it has secured a prawn or small
fish, it does so, and there devours its prey piecemeal, but it more
usually swallows it on wing. On the ground it walks prettily, with short
steps, keeping its tail somewhat raised.

Sterna minuta, Linn. Syst. Nat. vol. i. p. 228.—Lath. Ind. Ornith. vol. ii. p.
809.—Ch. Bonaparte, Synopsis of Birds of United States, p. 355.

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