Alarm Signals and Prompts to Eliminate Large Urinary Accidents in a Woman with Multiple Disabilities

Urine-triggered alarm signals and prompts were used to help a woman with multiple disabilities halt wetting episodes and walk to the toilet (thus avoiding large urinary accidents). Data indicated that the woman had a mean frequency of 1 large accident nearly every 2 days during the baseline phases and every 20 days during the intervention phases. During the latter phases, large accidents were replaced by small accidents (i.e. only a disposable tissue inside the underwear was wet), which did not cause environmental disruptions and did not require changes of clothes. Implications of the findings are discussed.     

Technological Resources to Support Adaptive Responding with Persons with Multiple Disabilities

This study assessed technological resources for supporting adaptive responses in 2 men with profound multiple disabilities. The technological resources (an electronic control device connected to optic sensors and pleasant stimuli) ensured the activation of those stimuli contingent on adaptive responses. The responses consisted of putting various objects in a container fitted to a desk. Data showed that both participants reached satisfactory levels of adaptive responses in the intervention and generalization settings. Procedural issues, practical implications of the findings and measures for promoting response maintenance were discussed.     

Cognitive-Behavioural Treatment Package for Teaching Grooming Skills to a Man with an Intellectual Disability

A combination of health education, use of picture cues based on task analyses, a system of least prompts and social reinforcement was applied to teach various grooming skills to a man with a moderate intellectual disability. A multiple baseline design across behaviours was employed to show the effects. The results indicated rapid learning of lacking skills such as tooth brushing, shaving, showering and washing of arms and face.     

Mission and People with Disabilities

This article begins with a few thoughts and some historical and canonical encounters about how lay and ordained people with disabilities have been involved in Orthodox mission work in the past. It then presents two concrete contemporary situations in which people with disabilities are involved in Orthodox ordained ministry work despite the persisting tradition that disabled people not be ordained. The first example is taken from the Eritrean Orthodox Tewahedo Church, where the involvement of people with disabilities in both ordained and lay ministry provides significant support for a church that lives in a delicate situation. The second example is taken from the Romanian Orthodox Church and presents the case of Father Theophilus P?r?ian, one of the most prominent contemporary Romanian Orthodox monastic figures, who served as an ordained priest despite his disability. This article pleads for a deeper involvement of disabled people in both ordained and lay ministry in Orthodox churches.     

Work,Disability, and the Future: Promoting Employment for People with Disabilities

The problems experienced by people with disabilities in seeking work are evident in statistical data on unemployment. Although future economic prospects are brighter, people with disabilities will not have a share of the resulting prosperity unless there are changes in public policies, rehabilitation practices, and employer benefits.     

学习困难和优秀学生延迟满足能力的跨情境比较实验研究

探讨学习困难学生(学困生)和学习优秀学生(学优生)在三种不同情境下——独自操作、单一团体操作和混合团体操作,延迟满足能力的差异.结果表明:(1)在延迟满足实验中,被试变量(学优生、学困生)与情境变量(独自、单一团体、混合团体)的交互作用显著;(2)在独自操作和单一团体情境下,学优生延迟满足能力显著高于学困生,混合团体则不存在这种差异;(3)学优生的延迟满足能力在独自操作和单一团体时水平较高,而混合团体的成绩则显著的低于单一团体,学困生的延迟满足能力在单一团体和混合团体时水平较高,而单独操作成绩则显著低于混合团体.本研究一方面拓展了对延迟满足能力的群体比较研究,同时,对学困生的心理教育实践也有指导意义.     

A Longitudinal Study of Coping Strategies and Quality of Life Among People with Multiple Sclerosis

The current study was designed to examine the role of coping strategies on quality of life (QOL) of people with multiple sclerosis (MS) over a period of 12 months. Respondents were 321 people with MS and 239 people from the general population who completed measures of QOL on two occasions, 12 months apart. People with MS also completed measures of how they coped with their illness. The results demonstrated that people with MS experienced lower levels of QOL at both points in time. For people with MS, QOL domains strongly predicted other QOL domains at both time 1 and time 2. The coping strategies of social support, focusing on the positive and wishful thinking were consistent predictors of physical QOL, psychological QOL, social QOL and environmental QOL. These findings indicate that coping strategies play an important role in predicting the QOL of people with MS.     

Quality of Life and Multiple Sclerosis: Comparison Between People with Multiple Sclerosis and People from the General Population

This paper evaluated the quality of life (QOL) of people with multiple sclerosis (MS) and people from the general population. Gender differences between the 2 groups of respondents and the influence of coping style on adjustment were also evaluated. The participants were 381 (144 males, 237 females) people with MS, and 291 (101 males, 190 females) people from the general population. The results demonstrated that people with MS experienced lower levels of QOL than people from the general population for both the objective and subjective dimensions of all domains (physical health, psychological adjustment, social relationships, environmental adjustment). All coping strategies (problem-focused, focusing on the positive, detachment, wishful thinking, seeking social support) were important predictors of QOL for both males and females with MS, with wishful thinking being the strongest predictor of poor QOL. These results are discussed in terms of the various factors that impact on QOL among people with MS, and the types of coping strategies that are most adaptive in improving the QOL of people with this illness.     

The Mission of the Church to People with Disabilities in Southern and Central Africa

Disability has, in recent years, become a focal point of discussion in many parts of the world with the increasing awareness that people with disabilities (PWDs) are disadvantaged because of their condition. Throughout history, PWDs have been relegated to the status of second‐class citizens and in some instances treated inhumanly. In many cultures, particularly in Africa, issues of disability are surrounded by fear because of the strong belief that they are caused by sin, witchcraft, or evil spirits. People with mental challenges are demonized. This has led to a negative attitude toward PWDs in the world generally and in Southern and Central Africa in particular. This paper discusses the mission of the church in this context. It argues that the church must act as a catalyst for change by generating a positive attitude toward PWDs so that they can enjoy fullness of life. This can be achieved by mainstreaming issues of disability in the social, economic, political, and spiritual life of society as a whole.     

Negative and Positive Disability-related Events and Adjustment of Parents with Acquired Physical Disabilities and of their Adolescent Children

This study merged stress-and-coping research with the social model of disability to describe the most frequently experienced disability-related events experienced by 19 parents with acquired physical disabilities and their adolescent children, and examined the relations between these events, severity of disability, and psychological adjustment. Parents and adolescents reported many more positive than negative disability-related events, although parents reported significantly more negative events than did their children. Frequency of parents’ experienced negative disability-related events correlated significantly with self-reported anxiety, depression, and weaker feelings of parental self-efficacy, with their reports of adolescents’ internalizing and externalizing problems, and with adolescents’ self-reports of depression, anxiety, and lower self-esteem. Frequency of adolescents’ negative disability-related events correlated significantly with self-reported depression and lower self-esteem, and approached significance with self-reported anxiety. There were no significant associations between parents’ positive events and self-reported or adolescent adjustment. Total frequency of adolescents’ positive events correlated significantly with less parent-reported anxiety. There were several significant associations between parental rating of severity of disability and number of physical limitations with their and their children’s adjustment. Implications for understanding the daily effects of parental physical disability on parents and their adolescent children are discussed, and recommendations are suggested for prevention interventions.     

Experiences of Support Staff with Expanding and Strengthening Social Networks of People with Mild Intellectual Disabilities

A supportive social network is crucial for facilitating social inclusion. The social networks of people with intellectual disabilities (ID) are often small and typically include very little contact with friends and acquaintances who do not have ID. Professionals can play an important role in strengthening and expanding the social networks of clients. In this study, experiences with interventions aimed at doing this were examined. Six group interviews were held with a total of 27 professionals. The results showed interventions to strengthen social networks (e.g. attention to the maintenance of contact with network members) and interventions to expand social networks (e.g. participation in leisure time activities and working with volunteers). However, a large number of impeding factors was mentioned, such as the limited size of the social networks, characteristics of the client, different perceptions and clients falling between the cracks when it comes to leisure time. The large number of impeding factors shows the strengthening and expansion of social networks to be complicated in actual practice. Recommendations are thus made to strengthen and expand the social networks of clients in an innovative manner which also takes these impeding factors into account. Copyright © 2013 John Wiley & Sons, Ltd.     

Functional Analysis and Treatment of Mealtime Problem Behavior for a Person with Developmental Disabilities

We conducted a functional analysis of problem behaviors (spitting and whining) during meals and tested an intervention based on that analysis. The participant was a 13-year-old young woman with severe mental retardation and cerebral palsy. She ate all food presented to her, and the hypotheses were tested that the problem behaviors were maintained either by contingent access to trainer attention or the pace of eating. An attention analysis examined the relationship between problem behavior and trainer attention during the meal. The effect of attention following problem behavior versus ignoring was inconclusive. An analysis of the effects of teacher paced eating, student paced eating (reinforce spoon grasping) and food presented for problem behavior was conducted next. Problem behavior rates were highest when access to food was made contingent on the performance of problem behavior and lowest when spoon grasping resulted in a bite of food. Following analysis, an intervention was designed to reduce the frequency of targeted problem behaviors during mealtime. Reinforcing spoon grasping and a 10s removal of food following problem behavior dramatically reduced spitting and whining during meals. The study provides a demonstration of an extended functional analysis and treatment of a complex behavior pattern.     

Occupational Choices for People with Psychiatric Disabilities: Comparing Attendees and Non-Attendees at Community-Based Day Centers

Research has shown that people with psychiatric disabilities who attend a day center rate their satisfaction with daily occupations equally in comparison with non-attendees. The current study investigates which occupations the target group performs and also differences in occupational choices between attendees and non-attendees. Reported occupations were analyzed with content analysis. Day center attendees reported more productive occupations, while non-attendees reported more recreational occupations and a greater breadth of occupations. This implies that non-attendees might compensate a lack of work-like occupations at a day center with satisfying recreational occupations. The results can guide development of psychiatric occupational-based rehabilitation.     

Postural Control Complexity and Fatigue in Minimally Affected Individuals with Multiple Sclerosis

This study investigated changes in postural control complexity in people with multiple sclerosis (PwMS) before and after a fatigue protocol. Thirteen minimally affected PwMS (1.53 ± 1.03- Expanded Disability Status Scale) and 12 non-MS controls. Postural test included quiet stance on a force platform under two visual conditions (saccades and fixation) before and after a fatigue protocol. Postural complexity was assessed through the multiscale entropy. A three-way ANOVA showed a main effect of fatigue in the medial-lateral direction (p <0.007), with fatigue protocol reducing postural complexity in both groups. No differences were found between groups or visual conditions. Minimally affected PwMS demonstrated similar postural complexity compared with non-MS controls under both visual tasks and showed similar decrements in postural complexity as a result of fatigue.     

Adapting the Unique Minds Program: Exploring the Feasibility of a Multiple Family Intervention for Children with Learning Disabilities in the Context of Spain

The Unique Minds Program (Stern, Unique Minds Program, 1999) addresses the socio‐emotional needs of children with learning disabilities (LD) and their families. Children and their parents work together in a multiple family group to learn more about LD and themselves as people with the capacity to solve problems in a collaborative way, including problems in family school relationships. This article reports the cultural adaptation of the program for use in Spain and findings from a feasibility study involving three multiple family groups and a total of 15 children and 15 mothers, using a pre‐post design. This Spanish adaptation of the program is called “Mentes Únicas”. Standardized outcome measures indicated an overall statistically significant decrease in children's self‐rated maladjustment and relationship difficulties by the end of the program. Improvements were endorsed by most mothers, although they were not always recognized by the children's teachers. The program had a high level of acceptability: Mothers and children felt safe, understood, and helped throughout the sessions. The efficacy of the adapted intervention for the context of Spain remains to be tested in a more rigorous study.     

Self‐Disclosure Characteristics and Motivations in Social Media: Extending the Functional Model to Multiple Social Network Sites

The purpose of this study was to examine differences in self‐disclosure goals, privacy concerns, and self‐disclosure characteristics between Facebook and Twitter. These sites were compared in terms of audience representations, based on structural cues that suggest potential audiences for a user. We conceptualized audience representations in 2 ways: based on privacy boundaries that imply bounded versus unbounded audiences, and on network characteristics such as size and diversity for audiences within the boundary. Results revealed that self‐disclosure goals, privacy concerns, and self‐disclosure intimacy were different depending on the privacy boundary. Network characteristics were also important, but effects were moderated by the privacy boundary type, suggesting a complex interplay between the 2 types of audience representations in shaping self‐disclosure in social media.     

Paul’s “Thorn in the Flesh” and Christian Mission to People with Disabilities

This article attempts a holistic theological analysis of what the mission of the church to people living with disabilities (PLWDs) should be. The article pays attention to Paul’s reference to a “thorn in his flesh” using the theory of complex embodiment. It counters the emphasis in some churches on healing as the proper response to the needs of PLWDs. Rather, the article seek to present a theology that gives PLWDs greater knowledge of and control over their bodies to live meaningful lives even with their disabilities. The article argues that Paul lived with a disability and that although he sought to have it healed, he later accepted it and lived fully and meaningfully with it. It concludes that, from the example of Paul, the church’s mission to PLWDs should not necessarily be the healing of disabilities but their empowerment and integration in our societies.