Disability and employment – overview and highlights

Due to the expected decline in the working-age population, especially in European countries, people with disabilities are now more often recognized as a valuable resource in the workforce and research into disability and employment is more important than ever. This paper outlines the state of affairs of research on disability and employment. We thereby focus on one particular group of people with disabilities, that is to say people with mental disabilities. We define disability according to the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization, by that recognizing that disability results from the interaction of person and environment. Key issues, including the complexity of defining disability, the legal situation in Europe and North America concerning disability at work, and barriers and enablers to employment, are discussed. For each of the topics we show important findings in the existing literature and indicate where more in-depth research is needed. We finalize with a concrete research agenda on disability and employment and provide recommendations for practice.     

Successful aging: Social theory,scripture, church teaching

ABSTRACT

Thanks to medical progress and better overall living conditions, a greater number of people are living well into old age, many more than in previous generations. However, we feel instinctively that there must be more to life than longevity and merely living longer. Religious communities and social scientists are both interested in what makes for “successful aging.” The dialogue between them can be enriched by fostering a mutual appreciation for biblical norms and stories, and a better working knowledge of the models and methods of the social sciences. To that end, I offer a sketch of four models of aging: disengagement, activity, continuity, and Tornstam’s theory of gerotranscendence. This sketch serves as a prelude to a discussion of three biblical stories: (1) the story of Barzillai and King David in 2 Samuel, which shows how the elderly can make a positive contribution to the common good, in spite of their limitations; (2) the intertwined stories of Jacob and Joseph in Genesis, which can help us understand the theological significance of life review, forgiveness, reconciliation, and life review in the aging process; and (3) the third phase of the encounter considers John Paul II’s Letter to the Elderly, and builds on several suggestions he makes concerning the life of Moses and successful aging.     

Maternal Reports of Play Dates of Clinic Referred and Community Children

Recent interventions have focused upon play dates as a means to improve friendships. However, no measures have been published which quantify play date quality. An important characteristic of play dates in this regard may be the amount of conflict. We present the development of such a measure. We compare maternal reports of play dates for 112 community subjects with 48 subjects referred for peer problems (mean age = 8.7 years). We found that clinic–referred subjects had significantly fewer hosted and invited play dates than the community subjects. The mean conflict on play dates was significantly lower for the community subjects than for the clinic-referred subjects. We obtained significant correlations between conflict on play dates and measures of problem behaviors. Our results support the position that conflict on play dates is an important area to target in social skills training programs. The scale may prove useful to clinicians and researchers by facilitating screening and assessing interventions directed towards improving play dates.     

The Efficacy of Toddler-Parent Psychotherapy for Fostering Cognitive Development in Offspring of Depressed Mothers

The efficacy of Toddler-Parent Psychotherapy (TPP) as a preventive intervention for fostering cognitive development in the offspring of depressed mothers was evaluated. Mothers with major depressive disorder and their toddlers were randomly assigned to TPP (n = 43) or to a nonintervention group (n = 54) and compared to a control group (n = 61) of women with no current or past mental disorder. At baseline (age 20 months), the groups did not differ on the Bayley Mental Development Index. At post-intervention follow-up (age 3 years), a relative decline in IQ was found in the depressed nonintervention group, whereas the depressed intervention and the normal control groups continued to be equivalent, with higher WPPSI-R Full Scale and Verbal IQs. The worst outcome was found among nonintervention children whose mothers had subsequent depressive episodes. The results confirm the developmental risks faced by offspring of depressed mothers and support the efficacy of the preventive intervention in safeguarding successful cognitive development in at-risk youngsters.     

Effects of spatial and symbolic precues on localization performance

One of the fundamental properties of spatial vision is the ability to localize objects in space. According to a recent proposal, accurate localization performance involves the operation of two systems: the attention system and the eye movement system. Upon stimulus presentation, attention is shifted to the target area: this provides coarse location information. Subsequently, a saccadic eye movement is executed: this provides fine location information. In this study we tested predictions derived from this model concerning the effects of precue information on localization performance. In a series of five experiments we manipulated duration of precue (71, 400, and 1,000 ms) and type of precue (spatial versus symbolic). Results showed that very short duration (i.e., 71 ms) spatial precues improved localization performance whereas very short duration symbolic precues did not. In contrast, the 1,000 ms duration precue condition showed similar amounts of precuing benefit for the spatial and symbolic precues. This pattern of differential precuing effects corroborated the two-process model of localization performance. Received: 24 June 1999 / Accepted: 28 January 2000     

How can we know what we need to know? Reflections on clinical judgment formation

What distinguishes a psychoanalyst from any other psychologically minded, empathic human being? This seemingly simple question goes to the heart of our profession, the way we see ourselves as competent clinicians. To understand a patient's material beyond ordinary empathy--that is, to come to a clinical judgment--we need to step out of the dyadic, countertransference situation and reflect what we've experienced in reference to our clinical theories. An analytic vignette shows how a theoretical background can be used to understand and interpret to a patient in a way that is deeply meaningful.