Career adaptability,hope and life satisfaction in workers with intellectual disability

The unpredictable and unstable current work market is impacting in particular at-risk workers, such as individuals with disability. Based on Life Design approach, the present study focused on two variables, career adaptability and hope, relevant to coping with the current work context and their role in affecting life satisfaction. A partial mediational model between career adaptability and life satisfaction, through agency and pathway (hope), was tested. 120 (60 women and 60 men) adult workers with mild intellectual disability were involved. Results provided support for the model. Specifically, career adaptability indirectly, through agency and pathway, predicted life satisfaction. These results have important implications for practice and underscore the need to support workers with disability in their life design process.     

Maternal depression and developmental disability: research critique

Maternal depression in families having a child with a disability has been the subject of considerable research over the past 25 years. This review was designed to describe the literature on maternal depression, critique its research methodology, identify consensus findings across studies, and make recommendations for future research. A particular emphasis is on the distinction between exhibiting depressive symptoms and meeting clinical criteria for a depressive disorder, how or whether research studies made this distinction, and implications for our understanding of maternal adaptation to disability in a family member. Of the 42 articles reviewed, only eight were clinically diagnosed depression; most of them used a scale rating depressive symptoms. Across the studies, mothers of children with disabilities generally exhibited a higher than average rate of depressive symptoms and are more at risk for clinical depression, but the incidence may be lower than reported in previous literature. Child behavior problems, maternal stress, coping style, and support were consistently associated with depressive symptoms. We conclude that we know relatively little about clinical depression in mothers of children with disabilities. The distinction between clinical depression and depressive symptoms may be important in conceptualizing how a child with a disability can influence family members and the nature of support that may need to be provided. Future research should incorporate gold standard diagnostic tools and assess history, severity, and type of depression. Research is also needed to study treatments to reduce the occurrence of both depressive symptoms and clinical depression.     

Cognitive-behavior therapy and physical disability

This article attempts to assist the cognitive understanding of children and adults with significant physical disability. A discrimination is offered between disability and handicap. Common cognitive schemes and irrational beliefs of people with physical disabilities are explored. The development of belief systems from a social learning perspective and several cognitive assumptions of parents and families of children who have physical disabilities are presented. Finally, certain self evaluative beliefs specifically related to physical disability are examined in terms of how they relate to self image and, concomitantly, behavior. The article offers information arrived upon from the author's clinical practice as well as the author's personal experience as a person with a physical disability.Dr. John D. Sweetland, received his Ph.D. in Clinical and School Psychology from Hofstra University in 1979. His doctoral dissertation involved the application of a Rational Emotive Education program specifically for severely physically disabled children. He is a licensed psychologist in New York State, a school psychologist with the Port Washington Public Schools and in private practice with offices in Merrick and Massapequa, Long Island. Dr. Sweetland had polio and is semiambulatory. He was also a gymnast and a nationally ranked competitive acrobat.     

Jealousy: loss of relationship rewards, loss of self-esteem, depression, anxiety, and anger

White's (1981) theory of romantic jealousy states that the loss (or anticipated loss) of a romantic partner to a rival causes two kinds of suffering: loss (or anticipated loss) of relationship rewards and loss (or anticipated loss) of self-esteem. Elaborating this theory, we proposed that loss of relationship rewards causes depression, whereas loss of self-esteem causes anxiety and anger. General support was found for White's theory and the elaborations, but not for the hypothesis that the loss of self-esteem causes anxiety. Anxiety may be a product of both loss of self-esteem and loss of relationship rewards.     

Longitudinal effects of hope on depression and anxiety: a latent variable analysis

This study tested the prospective effects of hope on depression and anxiety using a longitudinal design. A sample of 522 college students completed self-report measures of hope, depression, and anxiety at three time points, with 1-month delays between administrations. Structural equation modeling was employed to test two cross-lagged panel models of the reciprocal effects of the Agency and Pathways components of hope on depression and anxiety. Results indicated statistically significant negative effects for the Agency component of hope on later depression but no unique effect of the Pathways component of hope on depression. Likewise, Agency showed a statistically significant negative effect on later anxiety, but again Pathways had no significant influence on anxiety. In both cases, neither depression nor anxiety demonstrated any longitudinal effects on either the Agency or Pathways components of hope. Implications of these findings are discussed, along with potential directions for future research.     

Long-term adjustment to physical disability: the role of social support, perceived control, and self-blame

One hundred middle-aged and elderly spinal-cord-injured persons were interviewed an average of 20 years after the disability occurred. Respondents answered questions concerning perceived control, attributions of blame, and the nature of the social comparisons they made. Three existing standardized instruments were used to measure adjustment: Index of Psychological Well-Being, Life Satisfaction Index, and the Center for Epidemiologic Studies Depression Scale. For all three outcome measures, respondents reported levels of well-being only slightly lower than population means of nondisabled persons of similar age. Controlling for health status and current income, we found that persons who have high levels of social support, who are satisfied with their social contacts, and who feel they have high levels of perceived control report high levels of well-being. Self-blame and the perceived avoidability of the cause of the disability correlated only moderately with the three measures of adjustment, suggesting that there are important differences between coping successfully immediately after a traumatic event has occurred and coping successfully many years later.     

Negotiating Interracial Interactions: Costs, Consequences, and Possibilities

ABSTRACT— The United States is becoming increasingly diverse, yet interracial contact continues to be awkward, if not stressful, for many. Indeed, recent research suggests that individuals often exit interracial interactions feeling drained both cognitively and emotionally. This article reviews research examining how interracial encounters give rise to these outcomes, zeroing in on the mediating role of self-regulation and the moderating influence of prejudice concerns. Given that interracial contact may be the most promising avenue to prejudice reduction, it is important to examine factors that undermine positive interracial contact experiences, as well as those that facilitate them.     

Placing hope in self and others: Exploring the relationships among self-construals,locus of hope,and adjustment

Traditional hope theory is dominated by an individualistic assumption wherein the self is considered as the focal agent of goal attainment. However, in collectivist cultures more relational dimensions of hope also need to be considered. The locus of hope dimension (internal vs. external locus) was added to the traditional hope theory in order to capture both individualistic and collectivist types of hope. Hope could either be anchored on oneself (internal locus) or on significant others (external locus). External locus could further be divided into family, friends, and spiritual hope. There is still a dearth of research on the external locus of hope, with most of the previous studies focusing on the internal locus. Therefore, the aim of this study was to examine how internal and external loci of hope could predict various indices of psychological adjustment. We also examined how individual differences in self-construals would predict locus of hope. Results among the Chinese university students indicated that independent self-construal was positively associated with the internal locus of hope, while interdependent self-construal was positively associated with the external locus of hope. Internal locus and external locus of hope related to family and friends were positively associated with adjustment, but spiritual hope was not. Implications and directions for future research are discussed.     

Effects of cancer rehabilitation on problem-solving, anxiety and depression: a RCT comparing physical and cognitive-behavioural training versus physical training

We tested the effects on problem-solving, anxiety and depression of 12-week group-based self-management cancer rehabilitation, combining comprehensive physical training (PT) and cognitive-behavioural problem-solving training (CBT), compared with PT. We expected that PT + CBT would outperform PT in improvements in problem-solving (Social Problem-Solving Inventory-Revised (SPSI-R)), anxiety and depression (Hospital Anxiety and Depression Scale (HADS)), and that more anxious and/or depressed participants would benefit most from adding CBT to PT. Cancer survivors (aged 48.8 ± 10.9 years, all cancer types, medical treatment completed) were randomly assigned to PT + CBT (n = 76) or PT (n = 71). Measurement occasions were: before and post-rehabilitation (12 weeks), 3- and 9-month follow-up. A non-randomised usual care comparison group (UCC) (n = 62) was measured at baseline and after 12 weeks. Longitudinal intention-to-treat analyses showed no differential pattern in change between PT + CBT and PT. Post-rehabilitation, participants in PT and PT + CBT reported within-group improvements in problem-solving (negative problem orientation; p < 0.01), anxiety (p < 0.001) and depression (p < 0.001), which were maintained at 3- and 9-month follow-up (p < 0.05). Compared with UCC post-rehabilitation, PT and PT + CBT only improved in anxiety (p < 0.05). CBT did not add to the effects of PT and had no extra benefits for higher distressed participants. PT was feasible and sufficient for durably reducing cancer survivors' anxiety.     

Schema congruence and depression: loss of objectivity in self- and other-inferences

Depressed and nondepressed students judged the plausibility of positive and negative inferences ostensibly made either by themselves or by others. Negative self-inferences were judged by depressed students as more plausible, and positive other-inferences as less plausible. The results were in accord with Beck's (1967) theory of schema-based distortion in depression, which proposes that persons vulnerable to the development of depression are prone to make erroneous negative inferences and to then regard those inferences as plausible and correct. The results also suggested that depressed persons responded differentially depending on whether they were instructed to consider the inferences as their own or another's, whereas nondepressed persons did not.     

Where there's life,There's hope,and where there is hope,there is...

Using the Hearth Hope Index, we describe the level of hopefulness among hospital patients and compare it to that reported by community persons and family members in a surgical waiting room. We also correlate these results with depression and self-esteem scores. As measured by these selected instruments, the results suggest that the level of hopefulness is not significantly different among the three samples, that it is positively correlated with self-esteem and negatively associated with depression, and that, among the demographic variables, only the respondent's age and frequency of attendance at worship significantly influence hope scores. The results suggest that pastoral caregivers can encourage hopefulness among those under their care by bolstering self-esteem and giving attention to depressive symptoms. They also suggest that those who need the most pastoral support are younger adults with limited education. Pastoral caregivers can use these results, we think, to inform their work in giving pastoral care.     

The sociology of physical disability: A review of literature and some conceptual perspectives

In this paper some of the most significant literature on the sociology of physical disability is examined. Special attention is paid to the labeling perspective because it has dominated thinking about the social and emotional adjustment of disabled individuals during recent years. Much of the empirical research, however, indicates that a key problem in the labeling theory is explaining why many disabled individuals do not passively accept the labels that are applied to them. Hence, two alternative conceptual perspectives, the negotiated outcome perspective and the compensatory perspective, are offered to account for the behavior and emotional adjustment of some physically disabled individuals. In addition, some possible conditioning variables are discussed in terms of their theoretical significance and implications for future research.     

Trust,hope and empowerment 1

Philosophers and social scientists have focussed a great deal of attention on our human capacity to trust, but relatively little on the capacity to hope. This is a significant oversight, as hope and trust are importantly interconnected. This paper argues that, even though trust can and does feed our hopes, it is our empowering capacity to hope that significantly underwrites—and makes rational—our capacity to trust.     

Subjective reality, objective reality, modes of relatedness, and therapeutic action

This paper describes a dialectic believed to be at the heart of therapeutic interaction within a relational model. The dialectic consists of the interrelationship of two modes: the dyadic and the triadic. In the dyadic mode, the analyst responds with aspects of his or her self that singularly reflect the patient's subjectivity. This mode of attunement is uniquely suited to bringing the patient's experience into a place where it can then be seen and known. In the triadic mode, realities are recognized that are important to, but still outside of, the subjectivity of the patient. The analyst invites the patient to see him- or herself not only from inside his or her own space, but also from a point outside, through the perspective of others. The analyst is charged with asymmetric but not exclusive responsibility for negotiating and sustaining a fluid and flexible relationship between these modes. Optimally, this occurs through spontaneous and authentic engagement informed by intuition, empathy, and clinical judgment. However, when this dialectic loses its robust and kinetic quality (as frequently occurs in approaches ranging from the classical to the postmodern), an impermeable dyad is formed by extruding potentially triangulating aspects of reality (and subjectivity). This can result in curiosity and the openness of uncertainty being replaced by closed-mindedness and proclamation.     

Transfer of therapeutic effects from institution to home: faith, hope, and behavior modification.

Effective transfer of therapeutic results from institutional to home settings is a demanding problem facing family therapists. The issues involved and one approach to their solution are examined through the case of a 10-year-old boy hospitalized for severe antisocial behavior. Once results were obtained in an institutional setting, the therapeutic program there was faded out and concurrently faded into the home. Three- and 12-month follow-ups revealed continued improvement.     

Health, wealth, and happiness: financial resources buffer subjective well-being after the onset of a disability

We examined the hypothesis that the relationship between financial status and subjective well-being, typically found to be very small in cross-sectional studies, is moderated by health status. Specifically, we predicted that wealth would buffer well-being after the onset of a disability. Using data from the Health and Retirement Study, a longitudinal study of people at and approaching retirement age, we employed within-subjects analyses to test whether wealth measured prior to the onset of a disability protected participants' well-being from some of the negative effects of a new disability. We found support for this hypothesis: Participants who were above the median in total net worth reported a much smaller decline in well-being after a new disability than did participants who were below the median. We also found some evidence that the buffering effect of wealth faded with time, as below-median participants recovered some of their well-being.