Facilitated communication: Better education through applied ideology

Facilitated communication (FC), or the provision of graduated assistance by staff in the selection of keys on a communication device by people with developmental disabilities, has become a widely used training technique. Although widespread anecdotal accounts of substantial training benefits and unanticipated communicative competence have been reported, controlled experimental and single subject studies have disclosed little evidence of unexpected competencies. We review research on FC, identify cognitive factors that may stimulate acceptance of this as a training method, and suggest procedures to be employed in individual validation situations when critical communications occur.     

轻度智障学生心理健康教育干预的形式与方法

轻度智障学生具有学习焦虑、孤独感、好责备自己、缺乏主动性和积极性等心理健康方面的问题。产生这些问题的原因有个体因素、父母教养因素和学校教育因素等。针对这些问题,教育者使用多种辅导形式和方法进行干预,使轻度智障学生的心理健康水平得以提高与改善。本文最后提出了在进行教育干预时需注意的一些问题,为学校开展该方面工作提供参考。     

轻度弱智儿童工作记忆、加工速度的实验研究

选取轻度弱智、一般智力以及智力优秀三组共288名小学生作为被试,每个被试接受三种测验,即工作记忆测验、加工速度测验、韦氏儿童智力测验中国修订版,以考察轻度弱智儿童群体在与工作记忆和加工速度相关的认知任务上的反应特征,以及轻度弱智儿童与一般儿童在这些任务上的差异。通过方差分析、聚类分析等统计方法得到以下结果：1．轻度弱智儿童和智力一般儿童在工作记忆和加工速度上有显著差异。2．轻度弱智儿童群体在各基本认知能力中可能存在的缺陷并不平衡,工作记忆较稳定地反映了该群体在智力上的缺陷,但存在一部分在加工速度上体现为正常水平的亚类群体。     

Instructive feedback: Effects of number and type

We evaluated the effects of presenting two instructive feedback stimuli of the same and different types for each target behavior taught. Four elementary school students with mild mental retardation were taught to name photographs of places of interest in the local community using constant time delay and instructive feedback. Initially, the four students were taught one set of photographs with one instructive feedback stimulus (name of the street on which the place was located) for each target photograph. All students learned to name all photographs, and three learned to name the street on which the place was located. The three students who learned to name the street for the place in the photograph were then taught three sets of photographs. Each set included two instructive feedback stimuli for each target photograph: Set 2 had one street name and one activity that occurred in the place; Set 3 had two activities per photograph, and Set 4 had one street name and one activity. The three students learned to name the photographs, but only learned to name the activities and not the street names that were presented through instructive feedback. These finds are discussed in terms of the factors that may control acquisition of instructive feedback stimuli and the implications for practice and future research.     

Effects of a Motivational Interviewing–Based Counseling Program on Classroom Behavior of Children in a Disciplinary Alternative Education Program

A multiple single‐case research design was used to explore changes in teacher‐reported behaviors of 15 children who completed a motivational interviewing–based counseling program in a disciplinary alternative education school. Findings indicated that 7 children made a moderate to large improvement in their classroom behaviors while participating in the program. Students’ self‐motivational statements and self‐reported readiness to change were related to actual teacher‐rated behavioral changes. Implications for future research and counseling practice were discussed.     

Use of a self-regulated strategy intervention to improve word problem-solving skills of students with mild disabilities

We investigated the effects of self-regulated strategy instruction on the ability of four elementary-school students with mild handicaps (2 with learning disabilities [LD] and 2 with mild mental retardation [MMR]) to perform 4 types of addition and subtraction word problems. We used a multiple baseline design and a self-instructional strategy to address story problem solving. Results indicated that the strategy was effective in increasing the number of correctly solved word problems. Gains were maintained across a 6 and 8 week follow-up check. The study supports previous research indicating that cognitive strategies are effective for students with LD and suggests that cognitive strategies are appropriate for students with MMR.     

智力落后儿童适应行为发展特点的研究

本研究用儿童适应行为评定量表对4～12岁中、轻度智力落后儿童适应行为发展特点进行探讨,结果发现：他们的适应行为与智力有显著性相关;智力落后儿童适应行为发展落后,其中认知技能发展严重滞后是一个重要原因,但他们的适应行为仍有着相当的发展潜力。     

The Relationship of Functional Variables and Psychopathology to Aggressive Behavior in Persons With Severe and Profound Mental Retardation

A number of hypotheses have emerged regarding the etiology of physical aggression in persons with mental retardation. Although a multicomponent model is appropriate, results of functional analysis-based studies have yielded promising results in identifying instigating and maintaining factors of aggression. However, the relationship between functional variables and conditions such as psychiatric diagnosis to aggressive behavior has yet to be investigated in persons with mental retardation. We conducted a study examining the prevalence of environmental or physical factors in aggressive behavior in mentally retarded persons with and without psychiatric disturbance. One hundred and thirty-five individuals with mental retardation who exhibited physical aggression were assessed with the Questions About Behavior Function Scale (QABF) to identify environmental or physical contribution to aggressive behavior. One or more behavioral functions were identified for 75% of the participants. Additionally, of 66 of the participants scoring above the clinical cutoff on an assessment for dual diagnosis, 75% met criteria for an environmental or physical function for aggression. No significant differences in number of participants with an identifiable function of aggression were found between the no dual diagnosis and dual diagnosis groups. Our findings underscore the importance of identifying functions underlying aggressive behavior in persons with mental retardation, and the need to consider functional variables regardless of psychiatric condition in treatment planning efforts for such individuals.     

Evaluation of a sexual abuse prevention program for adults with mental retardation.

Programs to teach sexual abuse prevention skills to persons with mental retardation have rarely been evaluated empirically, and typical evaluations are limited to assessment of the participants' knowledge rather than their performance of specific skills. In the present study, 6 adult women with mental retardation were trained in sexual abuse prevention, and performance was assessed using four separate measures: pretests and posttests of knowledge, verbal report, role play, and naturalistic probes. All women learned the skills but failed to exhibit them to criterion during the probes. We discuss the implications for further training and assessment of sexual abuse prevention skills.     

Generalizability and Dependability of a Multi-Item Direct Behavior Rating Scale in a Kindergarten Classroom Setting

Accurate and rapid identification of students displaying behavioral problems requires instrumentation that is user friendly and reliable. The purpose of the study was to evaluate a multi-item direct behavior rating scale called the Direct Behavior Rating-Multiple Item Scale (DBR–MIS) for disruptive behavior to determine the number of administrations necessary to achieve a dependable result. In addition, a study was conducted to determine to what degree the DBR-MIS correlated with a brief rating scale of attention deficit hyperactivity disorder behaviors. Participants were Kindergarten students (n = 18) who were observed and rated over nine 5-min observation periods by 2 raters with minimal training. Results indicated that the DBR-MIS provided reliable estimates of disruptive behavior by the seventh or eighth rating occasion. Correlations between the DBR-MIS and the attention deficit hyperactivity disorder rating scale were weak to moderate. Overall, the DBR-MIS for disruptive behavior efficiently achieved dependable results when screening groups of Kindergarten students in a public school setting.     

A randomized controlled trial on the long-term effects of a 1-month behavioral weight control program assisted by computer tailored advice

OBJECTIVES: To examine the long-term effects of a new behavioral weight control program (Kenkou-tatsujin, KT program). The program consisted of twice-interactive letter communications including computer-tailored personal advice on treatment needs and behavioral modification. DESIGN: A randomized controlled trial comparing Group KM: KT program with 6-month weight and targeted behavior's self-monitoring, Group K: KT program only, Group BM: an untailored self-help booklet with 7-month self-monitoring of weight and walking, and Group B: the self-help booklet only. PARTICIPANTS: Two hundreds and five overweight Japanese females were recruited via a local newspaper. MEASUREMENTS: Weight loss (body weight, BMI, reduction quotient, etc.) and behavioral changes (daily eating, exercise and sleeping habits). FINDINGS: A significant weight loss was observed in all groups. At 1 month, Groups KM and K were superior, but at 7 months, the mean weight loss was significantly more in Group KM than the other 3 groups. At 7 months, 8 dietary habits and 4 physical activities were improved in all subjects. Habitual improvement was related to the weight loss in Groups KM and K at 1 month.     

The Effect of Differential Post-Weaning Environment on the Rigidity of an Animal's Behavior

Seventy-two first, second and third grade boys and girls were administered seriation problems involving different combinations of shape and color variation. Success rates and latency scores were influenced by shape variation, but not by color variation or grade level. The failure to obtain predicted interactions between the effects of grade level and stimulus variation was attributed to the clarity of the relevant stimulus dimension.     

The Siblings of Individuals with Mental Retardation: A Quantitative Integration of the Literature

The sibling relationship has recently become the focus of much research in developmental psychology. The family system perspective implies the presence of a sibling with mental retardation will impact on the psychological development and functioning of their typically developing siblings. Past reviews of the literature have found this impact to be negative but there is the suggestion of positive consequences to having a sibling with mental retardation. The present meta-analysis sought to quantitatively integrate 25 studies and 79 effect sizes from the literature on the siblings of individuals with mental retardation. A small negative effect for having a sibling with mental retardation was discovered that could not be attributed to a publication bias or some other artifact. This negative effect was greatest for direct observation measures, measures of psychological functioning, especially depression, and for children. Limitations to this meta-analysis and directions for future research are discussed.     

Well-being of mothers of children with mental retardation: An evaluation of the Double ABCX model in a cross-cultural context

The present study was designed to compare the psychological well-being of mothers of children with mental retardation in the USA and Korea. The Double ABCX model of stress proposed by McCubbin and Patterson (1983) was evaluated for the two national groups. Thirty-eight American and 40 Korean mothers participated in the home-visit interview. The path models in the present study partially supported the ABCX model, but different path models for the two national groups provided important explanations for the well-being of mothers from the two nations. The cause of stress for the American mothers was specific to the individual variables. For Korean mothers, cultural values that carry social influence were more strongly associated with their attitudes towards the child and their experience of stress.     

Scatter as an index of organicity: A comparison of mentally retarded individuals experiencing and not experiencing concomitant convulsive disorders

This study examined the validity of Wechsler subtest scatter as an index of organicity and convulsive disorders in a mentally retarded sample. Four different indices of scatter were studied. Only the Selz and Reitan (Journal of Consulting and Clinical Psychology, 1979, 47, 258–264) index was related to organicity. However, after the contribution of Full-Scale IQ was partialed out, no significant relationship remained. It was concluded that scatter has only minimal diagnostic utility in detecting organicity.Woodhaven Center is operated and funded under a contract between Temple University and the Pennsylvania Department of Public Welfare.     

Use of Logotherapy's Mountain Range Exercise with Male Adolescents with Mental Retardation/Developmental Disabilities and Sexual Behavior Problems

This article discusses the use of logotherapy's Mountain Range Exercise (MRE) with adolescent males with mild to moderate mental retardation/developmental disabilities and sexual behavior problems in a high-management group home setting. The activity was used in group therapy with nine patients to build rapport, clarify values, enhance attention and focus, and facilitate patient disclosure of sexual offense histories in subsequent sessions. The literature on youths with sexually aggressive behavior problems is reviewed, followed by the rationale for using the technique with this population. Future directions for research are offered.     

Draw Me Your Thoughts: The Use of Comic Strips as a Cognitive Behavioral Therapy Intervention

ABSTRACT

Creating comic strips can be a viable mechanism when utilizing cognitive behavioral interventions. Generating comic strips, which involves a process of constructing sequenced panels and a story-narrative through drawing, can reveal dysfunctional cognitions that can consequently be addressed. The authors of this article discuss a qualitative case study of a 14-year-old high school boy who came for psychotherapy due to severe anxiety during math tests. Creating comic strips was found to be beneficial in externalizing problematic thinking processes, which were then utilized for cognitive restructuring and behavioral modification. The use of comic strips provided a concrete medium for analyzing maladaptive thoughts and practices, leading the way for the emotional management of anxiety with math.     

The Pragmatic Press of Political Reality: Use of P.L. 94-142 Discretionary and Set-Aside Funds

Two major reports regarding the financing of special education and the use of P.L. 94-142 discretionary and set-aside funds are analyzed and interpreted with respect to the impact of these funds on state and local education agencies. The need for flexibility as required by the law, as well as the pragmatic press of political reality in the identification of needs and the distribution of resources, are recognized as key factors in the utilization of these monies. The impact of a change in the amount and/or allocation of these funds are discussed in the context of probable consequences at the state and local levels.     

Identification of special education students with mental retardation: Correlates of state child-count data

The number of children identified as mentally retarded by the special education system in the United States has declined dramatically over the past 15 years. Hypotheses regarding this decline have generally focused on changes in state definitions and social factors related to the stigma of the mental retardation classification. In the present study, we investigated differences in state definitions of mental retardation as well as demographic and economic variables as predictors of states' MR identification rates. Definition variables failed to relate significantly to identification rates while several race and per capita expenditure variables were significant predictors. Results are discussed in terms of the importance of investigating demographic and economic variables in understanding the variation in state MR identification rates.