DISPOSABLE BODIES,DISABLED MINDS,AND CHRISTIAN HOPE: RESURRECTION IN LIGHT OF TRANSHUMANISM AND INTELLECTUAL DISABILITY

This piece brings into critical conversation Christian resurrection hope, virtual versions of transhumanism, and intellectual disability and demonstrates that Christian resurrection provides a more cogent hope for people with severe intellectual disabilities than transhumanism. I argue that transhumanist virtual futures are theologically problematic, as bodily resurrection is neither required nor desirable. It is particularly problematic for people with severe intellectual disabilities given the way they would be excluded from these futures. Disability theology also raises issues with the traditional notions of “healing” in the resurrection and the implications for the value and identity of persons with intellectual disabilities. Starting with these problems, I explore the nature of Christian hope, noting the inadequacies of a virtual transhumanist future with respect to both resurrection faith and intellectual disability, and address how resurrection hope can account for issues raised in disability theology, and so properly include people with intellectual disabilities.     

L’expérience fraternelle confrontée à la déficience intellectuelle

IntroductionThe present study aims to evaluate the influence of intellectual deficiency on the lifestyle of brothers and sisters.ObjectiveThe objective is to determine whether or not a child's intellectual deficiency has an influence on the nature of the fraternal relationship. We studied the functionality of the familial typology, the feeling of social integration, and the degree of depression in brothers and sisters of children with intellectual disability.MethodThis research was carried out with 34 brothers and sisters of children faced with intellectual disabilities, aged between 6 and 12 years old, and the results were compared with those collected from a test group of 24 children.ResultsThe comparative study shows little differences between siblings and families confronted to intellectual disability and those who are not. The nature of the fraternal relationships differ however as the modality of proximity and conflicts are less expressed by siblings of children faced with intellectual disabilities. Furthermore the correlational study stresses the importance of siblings’ rivalry, the feeling of social integration, and the degree of depression.ConclusionWith these results now uncover risk and protection factors to children confronted to intellectual disabilities among their siblings     

Screening for intellectual disability in Dutch police suspects

The screener for mild intellectual disability (SCIL) was developed to screen for mild intellectual disability (IQ below 85). The aims of this study were (a) to examine the predictive validity of the SCIL in screening for intellectual disability among police suspects and (b) to explore the prevalence of cognitive intellectual disability among suspects in police custody in the Netherlands. An unselected sample of police suspects (N = 178) charged with a variety of offences was assessed with the SCIL, a Wechsler Adult Intelligence Scale (WAIS)‐III‐NL short form, and a malingering measure. The SCIL screened 50.0% of the sample as having mild intellectual disabilities, whereas the short WAIS classified 84.3% of the sample with an IQ below 85. A principal component analysis of the SCIL showed ambiguous results. Furthermore, the short WAIS classified 55.6% of our sample with a borderline IQ (IQ = 70–84), 84.3% with an IQ below 85 and 28.7% with an IQ below 70. The prevalence of intellectual disability in this sample of Dutch (police) suspects appears to be higher than prevalence rates found in previous international studies. More exhaustive research is needed to examine the prevalence of intellectual disabilities in police suspects, and the utility of the SCIL to screen for these disabilities.     

The next exclusion debate: assessing technology, ethics, and intellectual disability after the Human Genome Project

Recent scientific discoveries have made it much easier to test prenatally for various genetic disabilities, such as Down syndrome. However, while many observers have heralded such "advances" for their effectiveness in detecting certain conditions, others have argued that they perpetuate discrimination by preventing the birth of children with disabilities. This article examines the ethical and social implications of the Human Genome Project for individuals with intellectual disabilities and their families. It details the critique of prenatal testing articulated by many disability rights activists as well as scholarly and professional responses to that critique. A review of the pertinent research literature includes perspectives of genetic professionals, ethicists, disability studies scholars, parents of children with disabilities, and disabled individuals themselves. Finally, the article explores how future research endeavors, policies, and practices may more effectively integrate and respect the positions of these various stakeholders.     

The utility of the structured interview of reported symptoms in a sample of individuals with intellectual disabilities

The challenges of accurate forensic assessment are aggravated when evaluatees have intellectual disabilities. Few studies have addressed the efficacy of forensic assessment in samples diagnosed with an intellectual disability, and those that have typically focus on measures of cognitive effort rather than on feigned psychiatric symptoms. This study focuses on the applicability of the original and revised versions of the Structured Interview of Reported Symptoms (SIRS) in a sample of participants with genuine intellectual disabilities. The SIRS was administered to 43 individuals diagnosed with intellectual disabilities, all of whom were asked to respond honestly. A considerable proportion of these respondents were misclassified as feigning psychiatric symptoms. These misclassifications were most frequent when the respondents had comorbid psychiatric diagnoses. The updated scoring algorithm of the SIRS-2 generated a rate of misclassifications that was substantially lower but that still exceeded published normative data. The implications for forensic assessment are discussed.     

Emerging policy challenges in intellectual disabilities

The forces shaping intellectual disability policy-making are diverse; while many of the policy issues reviewed in this issue are specific to intellectual disabilities, there are others that transcend disability-specific concerns. Our review is organized around six emerging demographic and socio-cultural trends that may directly and profoundly impact the intellectual disability field: aging, changing labor markets, immigration, families, federalism, and culture. Each of these trends is discussed in terms of their relevance and potential impact on disability policy.     

Teacher reported types of sexual abuse of learners with intellectual disability in a South African school setting

This study investigated prevalent types of sexual abuse of learners with intellectual disability, as reported by teachers. Participants were 28 teachers from special educational needs schools in Gauteng Province, South Africa (females = 80%, age range = 30 to 55 years). The teachers participated in a focus group discussion on prevalent types of sexual abuse they were aware of that occurred to learners with intellectual disabilities. Thematic analysis of the data suggested five forms of sexual abuse of learners with intellectual disability: incest, rape by the members of the community, sexual harassment, child prostitution, and exposure to adult sexual encounters. Future research should focus on the ways to mitigate in-school sexual abuse of learners with intellectual disability; prioritising which forms of interventions would be effected.     

Utilizing physiological measures to facilitate phobia treatment with individuals with autism and intellectual disability: A case study

Despite the conceptualization of phobic fear as a multi‐factorial response, the measurement and treatment of phobias is often not comprehensive. The extant literature on the treatment of phobias for individuals with intellectual disabilities has exclusively focused on indices of behavioral avoidance. The present study demonstrates the treatment of behavioral avoidance and physiological reactivity in a child diagnosed with autism, intellectual disability, and a dog phobia. The results indicate that the individual often experienced physiological reactivity in the presence of the feared stimulus despite engaging in behavioral approach. Treatment of both behavioral avoidance and physiological reactivity resulted in successful generalization of treatment effects across three additional dogs and maintenance of treatment effects during a six‐month follow‐up assessment. Implications for examining multiple aspects of the anxious response when treating children with intellectual disabilities and severe language delays are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

How the Powerful Decide: Access to Research Participation by those at the Margins

How do those in power decide to include and exclude those at the margins from community life? We used simulated review of research vignettes to examine how researchers and members of Institutional Review Boards make decisions concerning the research participation of adults with and without intellectual disabilities. Results indicate that decision‐makers are influenced by the disability status of the sample, characteristics of the research in which they are engaged, and their attitudes toward the research participation of adults with intellectual disabilities as well as their own relationship to the research process. For example, decision‐makers may create situations that limit the self‐determination of adults with intellectual disabilities and adults without disabilities within the research context, particularly when the research poses some risk of harm to participants. Implications for theory, action and research are explored.     

Solidarity and Reciprocity Between People With and Without Disabilities

Governments of contemporary welfare states call upon citizens to care for people with psychiatric or intellectual disabilities. This is deemed sensible and morally just. However, social–psychological theory suggests that stereotyping may stand in the way of engaging into contact. Sociological theory suggests that the giving of help is based on either balanced or generalized reciprocity. Balanced reciprocity depends on one's ability to ‘pay back’, which people with disabilities may have trouble doing. Generalized reciprocity depends on close social bonds, while people with disabilities often have fewer social bonds than other citizens. The current study aimed to find out whether citizens—despite socio‐psychological and sociological theories expecting otherwise—enter into supporting relationships with people with intellectual or psychiatric disabilities. Although we found socio‐psychological and sociological theory to be largely correct, we also found people to be more creative than theory assumes. A smile can be experienced as a return gift, thus including people with intellectual disabilities in the web of balanced reciprocity. Some people create new social bonds to include people with disabilities: they feel close to them because they had a job in the healthcare sector or because they had a family member with a disability. In disadvantaged neighbourhoods, recognition of each other's problems can create feelings of similarity and concomitant reciprocity. Copyright © 2016 John Wiley & Sons, Ltd.     

残疾儿童家长亲职压力的特点及其与生活质量的关系:社会支持的中介作用

本研究旨在考查残疾儿童家长亲职压力的特点, 并探讨亲职压力、社会支持对生活质量的影响。使用《亲职压力指标简表》、《社会支持评定量表》和《世界卫生组织生活质量测定简表》(中文版)对孤独症、智力残疾、听力残疾、视力残疾以及脑瘫5种残疾类型儿童的369名家长进行问卷调查。结果发现:(1)残疾儿童家长亲职压力及其各维度在不同残疾儿童类型中差异显著, 孤独症儿童家长在总分及各维度中均最高, 听力残疾儿童家长均最低;(2)亲职压力各维度与社会支持各维度以及生活质量各维度均呈显著负相关, 社会支持各维度与生活质量各维度之间均呈显著正相关;(3)亲职压力与生活质量的典型相关分析表明两者的整体相关显著;(4)社会支持在亲职压力和生活质量间起部分中介作用。     

People with intellectual disabilities on probation: an initial study

The two studies in this paper aim to investigate the prevalence and characteristics of people with intellectual disabilities in the probation service in England. Study one screened the abilities of a sample of 70 probationers in one single probation service. Study two compares a sub‐set of these to an equal number of control participants in order to further investigate the characteristics of those with intellectual disability on probation. Nearly 6% of service users appeared to have an intellectual disability, and 11% fell into the bottom 5% of the general population in terms of their intellectual and social functioning. We conclude that a significant minority of those in the probation service have an intellectual disability or similar needs. Copyright © 2002 John Wiley & Sons, Ltd.     

Disability, race/ethnicity and gender: themes of cultural oppression, acts of individual resistance

Community psychologists have called for research on human diversity and interactions between individuals and society with a focus on oppression. This study examines learning disabilities as they co-occur with other sociopolitical minority statuses. We examined dominant cultural narratives of and individual responses to learning disability, race/ethnicity and gender identified by low-income men and women of color with learning disabilities. Our qualitative analysis identified cultural narratives that suggest that: (1a) individuals with learning disabilities are perceived as having an illegitimate impairment and being of lower intellectual ability and unworthy; (1b) having an invisible disability facilitates passing as nondisabled, thereby lessening disability discrimination from within racial/ethnic groups; (1c) having a learning disability detracts from positive gender expectations and exacerbates negative ones; and (1d) gender and racial/ethnic narratives are relevant for individuals with learning disabilities. Our analysis also identified two overarching individual acts of resistance used to thwart internalization of oppressive cultural narratives: (2a) removing self from oppressive environments and (2b) reframing dominant cultural narratives (including discounting the validity of negative messages, using negative narratives for motivation, and engaging in positive self-talk). We discuss findings in relation to extant research and theory and consider implications for research, theory, and practice.     

Assessment of intellectually disabled sexual offenders: The current position

Treatment relies on appropriate assessment, guided by the ‘What Works’ approach. As such, the assessment of sexual offenders with intellectual disabilities has three primary purposes: addressing the risk, needs, and responsivity principles. The aim of this paper is to examine different assessment methods for this population. Existing risk assessment protocols are discussed, as well as specific dynamic risk assessment tools for sexual offenders with an intellectual disability. The paper also investigates use of existing, adapted and new psychological tests to assess treatment needs. Assessment of responsivity specific to this population is discussed in terms of intellectual and adaptive functioning, as well as comprehension. Suggestions are made for moving towards a comprehensive assessment strategy for this population.     

INTELLECTUAL DISABILITY AND MYSTICAL UNKNOWING: CONTEMPORARY INSIGHTS FROM MEDIEVAL SOURCES

Intellectual disabilities make people vulnerable to marginalization in churches and social spaces, but theology has not sufficiently attended to the topic and promoted the flourishing of people who have cognitive impairments. This article responds to theology's inadequate attention to intellectual disability and historical resources for reflection on the topic by reading medieval sources with intellectual disability in mind. I argue that Bonaventure's Itinerarium Mentis in Deum provides a model for imagining intellectually disabled and nondisabled people sharing the journey into God and that Eckhart's view of intellect as the uncreated element in the soul includes people who are intellectually disabled among those who may be united with God.     

Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

The effect of physical fitness training on reaction time in youth with intellectual disabilities

The purpose of this study was to assess whether reaction time in persons with intellectual disabilities can be improved with an exercise program. 50 children and adolescents (M age = 14.7 yr., SD = 1.4, range = 11-18) with mild intellectual disability without Downs syndrome were randomly divided into control (20 boys, 5 girls) and experimental (19 boys, 6 girls) groups. The experimental group participated in a structured physical fitness program for 12 weeks. Reaction time was assessed at baseline and after 12 weeks. Significant improvements in reaction time were observed in the exercise group but not for the control group. Results indicated that reaction time can be improved with an exercise program in youth with intellectual disability.     

The Inclusion House: Where Pastors Learn to Minister to Individuals with Disabilities

The Inclusion House is a unique dorm in Holland, Michigan, where nondisabled students, studying to be leaders in the faith community as future pastors, live side-by-side same-aged individuals with intellectual disabilities. After one year, a qualitative study using semi-structured interviews was conducted with the nondisabled roommates. Findings showed overall positive feelings involving watching roommates with a disability become more independent, learning to balance roles as a friend vs. helper, as well as knowledge gleaned about working with these type of individuals as well as their families for their future occupations. These findings are important for the education of future leaders of the church and the manner by which they can include people with disabilities and their families in faith communities.