Neuropsychological rehabilitation after brain injury: Scientific and professional issues

Neuropsychological rehabilitation after acquired brain injury is an important contribution to our health-care system. Despite a growing database which supports its clinical utility, the insurance coverage for this form of care is now being threatened. This paper addresses some of the professional and scientific issues that psychologists need to face in order to continue to provide these services.Invited Address, President's Mini-Convention To Your Health: Psychology Through the Life Span, American Psychological Association Convention, New York, August 12, 1995.     

Charting the language of leadership: a methodological investigation of President Bush and the crisis of 9/11

In many ways, leadership is a phenomenon that is ideally suited for new and inventive research methods. For researchers who seek to reliably study and systematically compare linguistically based elements of the leadership relationship, computerized content analysis has the potential to supplement, extend, and qualify existing leadership theory and practice. Through an examination of President Bush's rhetoric and the media coverage before and after the crisis of 9/11. the authors explore how elements of the President's speeches changed in response to the post-crisis environment. Using this example, the authors illustrate the process of computerized content analysis and many of its strengths and limitations, with the hope of facilitating future leadership research that uses this approach to explore important contextual and symbolic elements of the leadership relationship.     

The Roosevelt years: crucial milieu for Carl Rogers' innovation

This study explores broad features of political culture and event of the 1930s and World War 2 years, viewed in relation to the emergence and rapid early growth of the new therapy of Carl Rogers. The paper traces Rogers' early professional life and examines distinctive emphases in sociopolitical thought and development during Franklin D. Roosevelt's leadership as President over the prolonged emergency of the Great Depression and the crisis of the War. The study includes a focus on the President's own outlook and style, pertinent New Deal innovations, and wartime needs. Twelve features of this larger context are discriminated as together having vital importance for the new therapy and its founder. The congruent courses of the macrocontext and of Rogers' innovation are followed to the ending of Roosevelt's life. Direct causation is not attributed, but the evidence adduced newly points to particular contours of a larger environment favorable for the expression of Rogers' values and rare ability. In sum, the author concludes that a synergy of highly conducive historical circumstance and individual exceptionality contributed to the philosophical underpinnings, attitudinal values and early momentum of Rogers' client-centered therapy.     

“Typical Clinton: Brazen It Out”

Ten excerpts of both President Clinton's Grand Jury Testimony of August 17, 1998 and of each of two interviews with Hillary Rodham Clinton (Today Show, January 27, 1998; Good Morning America, January 28, 1998) were analyzed. In all of them, the topic under discussion was the President's insistence on his innocence in the Lewinsky case. Comparisons between the President and First Lady revealed long and short within-speaker pauses, respectively. His replies to questions average more than twice the length of hers. Comparisons were also made with other speech genres, including modern presidential inaugural rhetoric. In particular, President Clinton's statement of his innocence at the conclusion of an educational press conference on January 26, 1998 and his prepared statement at the beginning of his Grand Jury Testimony were found to vary notably from all the other corpora. Both are characterized by several of Ekman's (1985, p. 286) behavioral cues for the detection of deception.     

The growth of school psychology in the last decade

With reference to the first question, it seems that school psychology as a profession is growing much more rapidly than membership in Division 16 of APA would indicate. While the Division is growing, it is not growing in proportion to the number of practitioners in the field.

Factors that seem to be positively related to the rapid expansion of school psychological services are: financial support from the state level; training programs in the colleges and universities; special certification requirements and the designation of school psychology as a specific profession; and increasing demand for services in rural as well as the urban areas. The school psychologist, by virtue of his training and professional competence, is apparently meeting an important need in the educational system. The general tenor of the response to this survey is that the growth of school psychological services will continue.     

Diversity and deliberation: bioethics commissions and moral reasoning

This article considers the sort of diversity in perspective appropriate for a presidential commission on bioethics, and by implication, high-level governmental commissions on ethics more generally. It takes as its point of comparison the respective reports on human cloning produced by the National Bioethics Advisory Commission, appointed by President Bill Clinton, and George W. Bush's President's Council on Bioethics, under the leadership of its original chair, Leon Kass. I argue that the Clinton Commission Report exemplifies forensic diversity (the type of diversity between contesting parties in a legal case), while the Kass Council Report exemplifies academic diversity (the diversity found in a medieval disputatio). Drawing upon Thomas Aquinas, I argue that the type of diversity most appropriate for such advisory bodies is deliberative diversity, which facilitates the President's process of taking counsel. After considering their respective charges, I suggest that neither the Clinton Commission nor the Kass Council possessed an adequate degree of deliberative diversity for their respective tasks.     

Poverty and people with intellectual disabilities

Epidemiological studies have consistently reported a significant association between poverty and the prevalence of intellectual disabilities. The available evidence suggests that this association reflects two distinct processes. First, poverty causes intellectual disabilities, an effect mediated through the association between poverty and exposure to a range of environmental and psychosocial hazards. Second, families supporting a child with intellectual disabilities and adults with intellectual disabilities are at increased risk of experiencing poverty due to the financial and social impact of caring and the exclusion of people with intellectual disabilities from the workforce. It is likely that the association between poverty and intellectual disabilities accounts in part for the health and social inequalities experienced by people with intellectual disabilities and their families. Implications for policy and practice are discussed in relation to the funding of services for people with intellectual disabilities and preventative approaches to addressing the health and social inequalities experienced by people with intellectual disabilities and their families.     

The Great Sustainability Challenge: How Visitor Studies Can Save Cultural Institutions in the 21st Century

ABSTRACT

Sustainability will be the great challenge for many cultural institutions in the first quarter of the 21st Century. Changing patterns of government, corporate, and individual support, new demographics, and new ways of creating, preserving, and sharing information are all challenging the sustainability of museums and other cultural institutions. In 2001 a meeting of science museum leaders in Bristol identified 3 distinct but interacting dimensions to sustainability: financial, intellectual, and social. Financial crises are the most obvious threats to the survival of institutions, but intellectual and social weaknesses can be equally dangerous and can make a temporary financial problem fatal. Visitor studies have the potential to provide crucial understandings that cultural institutions will need to build new, more sustainable models than the ones which served the previous century.     

Black women in the emerging services economy

In the current debate about low-wage work and poverty, little attention has been paid to causes of basic structural change in the economy with the shift from a manufacturing to a services economy. Black women, a key segment of the low-wage work force, have gained and lost in this change. As the lowest paid, lowest status work force in the economy, black women benefited by a move out of domestic services employment where they had been restricted for more than a century. But static wages, high rates of part-time work, and a continuing overconcentration in new but marginal services job systems have created a crisis for personal income and black family support. The growing feminization of poverty is the product of growth of a subculture of low-wage work. Only through serious attention to the use of collective bargaining and equal opportunity regulation on behalf of this work force are these trends likely to be reversed in the 1990s.Support for this research was provided by grants from the NAACP Legal Defense and Educational Fund, the William Monroe Trotter Institute, The Ford Foundation, and the Woman's Bureau of the U.S. Department of Labor.     

The direct support workforce in community supports to individuals with developmental disabilities: issues, implications, and promising practices

Difficulties in finding, keeping, and ensuring the competence of the direct support workforce in community developmental disability services has long been a challenge for individuals, families, providers, and policy makers. Direct support staff recruitment, retention, and competence are widely reported as one of the most significant barriers to the sustainability, growth, and quality of community services for people with developmental disabilities (ANCOR [2001] State of the states report. Alexandria, VA: ANCOR; Colorado Department of Human Services, [2000] Response to Footnote 106 of the FY 2001 appropriations long bill: Capacity of the community services systems for persons with developmental disabilities in Colorado; Hewitt [2000] Dynamics of the workforce crisis. Presentation at the NASDDDS Fall meeting. Alexandria, VA). While long in existence, these challenges are ones of growing concern because the number of people demanding community services is increasing and the population of people from which to recruit workers is declining (Office of the Assistant Secretary for Planning and Evaluation [2006] The supply of direct support professionals serving individuals with intellectual disabilities and other developmental disabilities: Report to Congress. Washington, DC: Office of Disability, Aging and Long-Term Care Policy, ASPE, U.S. Department of Health and Human Services). As the service system moves towards consumer direction, managed care, and more noncategorical service delivery systems, the difficulties of providing for an adequate and well-prepared workforce to support people with developmental disabilities becomes more complex and multifaceted. The solutions to those challenges are also more complex. This article reviews the literature regarding the complexity of the direct support workforce crisis, the effects of this crisis on various stakeholder groups, promising practices designed to address the challenges, and the related practice and policy implications.     

Are DIT scores empirically distinct from measures of political identification and intellectual ability? A test using post‐9/11 data

Emler, Renwick, and Malone (1983) argued against a developmental interpretation of the Defining Issues Test (DIT), suggesting instead that it actually measures a social psychological phenomenon – political identification. On the other hand, Sanders, Lubinski, and Benbow (1995) have argued that DIT scores measure intellectual ability. In this study, we pitted the DIT against measures of political identification and intellectual ability in order to test its ability to incrementally predict variation in post‐9/11 attitudes. We found that both DIT‐2 scores and political identification were significant predictors of attitudes toward restricting human rights/civil liberties, while our index of intellectual ability (i.e. ACT scores) was not. DIT‐2 scores, political identification and intellectual ability each accounted for significant variation in attitudes toward President George W. Bush in our undergraduate college sample during the spring of 2004.     

Respecting difference and moving beyond regulation: tasks for U.S. bioethics commissions in the twenty-first century

This article focuses on two possible missions for a national bioethics commission. The first is handling differences of worldview, political orientation, and discipline. Recent work in political philosophy emphasizes regard for the dignity of difference manifested in "conversation" that seeks understanding rather than agreement. The President's Council on Bioethics gets a mixed review in this area. The second is experimenting with prophetic bioethics. "Prophetic bioethics" is a term coined by Daniel Callahan to describe an alternative to compromise-seeking "regulatory bioethics." It involves a critique of modern medicine. In the contemporary context, the areas of biotechnology and access to health care cry out for prophetic attention. The Council has addressed biotechnology; unfortunately, that experience suggests that the kind of prophecy that it practices poses risks to conversation. With regard to access issues, the article proposes an effort that unites themes of human dignity, solidarity, and limits in support of reform, while highlighting, rather than papering over, differences.     

Where's the Religion? Distinguishing Faith‐Based from Secular Social Service Agencies

The charitable choice provision and President Bush's proposed Faith-Based and Community Initiative have spurred debates regarding government support of faith-based social service programs and their effectiveness. To address the issue of relative effectiveness, the logically prior question of what constitutes a faith-based agency and how they differ from secular providers must be answered. Utilizing data from a mailed survey, this study compares the organizational characteristics of faith-based and secular agencies that provide services to the homeless in Houston, Texas. Results indicate that the two agency types vary significantly across several dimensions including funding sources and preferences, decision-making tools, organizational culture, practices, leadership, and staffing characteristics. In addition, survey data and content analysis of mission statements reveal that 80 percent of faith-based agencies use religious imagery in some form of their "public face" to communicate their religiousness.     

Policy Frames, Metaphorical Reasoning, and Support for Public Policies

This article evaluates the predictive value of a new theory for understanding public support for alternative solutions to policy problems, which we call policy metaphors. A policy metaphor represents a particular form of cognitive framing that makes use of commonly understood social institutions and judgments about their effectiveness to form "archetypes" against which proposed solutions to new policy problems are compared. We test the extent to which both understanding of and preference for particular policy frames predicts the nature and strength of policy choices by a representative sample of the American public. After controlling for factors that past research has shown to be important in understanding public opinion, including general partisan and ideological attitudes, self-interest, political values, and emotions, the cognitive frames specified by the general theory of policy metaphors are shown to strongly predict public support for hypothetical solutions to three different policy problems. These frames also predict support for President Clinton's 1993–94 health care reforms after controlling for those same conventional predictors. Most importantly, we demonstrate that these cognitive frames help constrain the beliefs of even the least politically aware members of the general public. Discussion centers on the implications of this new approach for understanding public opinion.     

On a practitioner's need of further development of Wechsler scales. Adaptive Intelligence Diagnosticum (AID 2)

Wechsler's intelligence test-batteries are still popular yet suffer from psychometric shortcomings and lack a certain content improvement and enlargement. In this paper a new approach will be presented that suits traditional Wechsler-testing. The approach in question is the Adaptive Intelligence Diagnosticum (AID 2; Kubinger & Wurst, 2000). Due to it's "branched testing" design, AID 2 works out to be more economical and in this regard also offers other advantages, such as parallel tests and short forms. AID 2 offers a method of survey for identifying specific developmental disorders or learning disabilities. It includes an optional non-verbal instruction and a schedule for retrograde observation support of behavioral misfits. It also offers discriminative indicators for intellectual neglect vs. intellectual advancement.     

Ethical and Legal Considerations for Internet-Based Psychotherapy

The provision of mental health services over the Internet is becoming increasingly commonplace as new technologies continue to develop. Evidence in support of the efficacy of many such interventions is accumulating. Given the potential global reach of Internet-based psychological services, the authors examine ethical issues relating to this growing area of practice through the lens of the Universal Declaration of Ethical Principles for Psychologists (International Union of Psychological Science, 2008). They also raise issues relating to potential liability risks and offer recommendations intended to guide mental health practitioners who are considering involvement in the provision of Internet-based services.     

Presidents' wives and First Ladies: On achieving eminence within a traditional gender role

Women sometimes attain distinction through their relationships with highly successful men. This association may entail some combination of several individual and dyadic processes. Possible processes were explored in the lives of 48 wives and First Ladies associated with 39 U.S. Presidents. Three primary dimensions of the women's performance were used to determine the connection between their eminence and that of the President. Although a reflected-glory effect was apparent in the unreciprocated influence of the President's reputation on his First Lady's reputation, the woman's reputation was independently determined by (a) her performance as the President's political colleague and (b) her success at establishing her own distinct personality. On the other hand, her reputation was not influenced by her expertise in fulfilling more traditional gender role responsibilities. Some biographical antecedents of the women's performance were also identified.The following research assistants made this project possible: Bergen Achtel, Pamela Akins, Jill Allen, Gazelle Babaee, Paige Black, Nancy Bouffard, Pendra Boyd, Steve Castellón, David Clemons, Jennifer Cohen, Suzanne Dahnert, Ann del Forge, Stephanie Fisher, Fernanda Formel, John Gotelli, Janelle Gray, Kim Haralson, Erin Harrington, Miguel Herrera, Danny Herz, Michele Hill, Alexander Hughes, Elizabeth Judy, Jacques Koujoumajian, Anneliese Makely, Bettina Murphy, Monica Murray, Ryan Nguyen, Tereza Pena-Hibberd, Steven Sacks, Dan Samsky, Todd Sasano, Melissa Schneider, Brian Victor, and Henry Wong. I also thank Niels Waller for his advice and consultation.     

Medical Genetics and Genetic Counseling in Chile

In the South American Republic of Chile genetic counseling is not currently recognized as an independent clinical discipline, and in general is provided by physicians with training in clinical genetics. At present only one genetic counselor and 28 clinical geneticists practice in this country of over 16 million inhabitants. Pediatric dysmorphology constitutes the primary area of practice in clinical genetics. Although the country has a universal health care system and an adequate level of health care, genetic conditions are not considered a health care priority and there is a lack of clinical and laboratory resources designated for clinical genetics services. Multiple educational, cultural and financial barriers exist to the growth and development of genetic counseling services in Chile. However, during the last 10 years increased awareness of the importance of identifying individuals at risk for inherited cancer syndromes led to growing interest in the practice of cancer genetics.     

Religion and Charitable Financial Giving to Religious and Secular Causes: Does Political Ideology Matter?

Previous research on charitable giving has identified a significant relationship between political conservatism and greater financial giving to charitable causes. Yet that research has not adequately explored the important role of religion in that relationship, nor differences in financial giving targets (i.e., religious congregations, noncongregational religious organizations, and nonreligious organizations). Support for competing theories concerning political ideology, religious practice, and charitable financial giving is assessed using data from the Panel Study on American Ethnicity and Religion (PS‐ARE). For both religious and nonreligious giving, the effect of political ideology is completely mediated by participation in religious and civic practices. These findings support recent arguments on “practice theory” in cultural sociology and suggest that it is less the effect of ideology than of active participation in religious, political, and community organizations that explains Americans’ financial giving to religious and nonreligious organizations.     

THE ENTANGLEMENT OF RACE AND COGNITIVE DIS/ABILITY

Abstract: To consider blackness and cognitive disability together is paradoxical. On one hand, supposed black intellectual deficit has been used by white elites as a justification for antiblack oppression. On the other, both black children who are struggling in school and black adults labeled with developmental disabilities are less likely than their white counterparts to access the best support services available. These problems cut across a commonly drawn—but, I argue, erroneous—divide between the "judgment" categories of mild cognitive impairment into which black children are disproportionately placed and the "organic" categories of severe cognitive impairment. This division is itself part of the contemporary collective denial of the racialized history and construction of our notion of intellect that ends up harming black Americans.