ASSESSING FOOD PREFERENCES AMONG PERSONS WITH PROFOUND MENTAL RETARDATION: PROVIDING OPPORTUNITIES TO MAKE CHOICES

Increased attention has been directed recently to assisting persons with severe handicaps to express preferences concerning events in their lives. We evaluated a program for assessing choice-making skills to provide opportunities for persons with profound mental retardation to express food and drink preferences. In Experiment 1, the assessment procedure involving repeated, paired-item presentations resulted in active choice making and the identification of preferences for all 5 participants. Results also indicated that caregiver opinion was not predictive of participant food and drink preferences. A survey of service providers supported the importance of meal-related choices in this population. In Experiment 2, the practicality of the assessment procedure was supported by demonstrating that (a) routine caregivers could apply the procedure with appropriate supervision to provide choice opportunities, and (b) results of the procedure were predictive of participant choices when a less structured and more normal opportunity to express a preference was provided during regular mealtimes. Results are discussed in terms of extending the developing technology of preference and reinforcer identification to other important areas for persons with severe disabilities.     

EFFECTS OF CHOSEN VERSUS ASSIGNED JOBS ON THE WORK PERFORMANCE OF PERSONS WITH SEVERE HANDICAPS

We evaluated the effects of several choice-related variables on the work performance of adults with severe handicaps. After assessing client work preferences, three choice-related situations were presented: (a) providing clients with the opportunity to choose a work task, (b) assigning a preferred task, and (c) assigning a nonpreferred task. Results indicated that clients attended to work tasks almost twice as much when they chose their tasks and when assigned to work on preferred tasks versus when assigned to work on nonpreferred tasks. Results are discussed regarding the need to assess systematically the effects of choice-related variables.     

Psychometric Properties and Clinical Utility of the Scale for Suicide Ideation with Inpatient Children

The purpose of the current study was to examine the psychometric properties and clinical utility of the Scale for Suicide Ideation (SSI) for children. The SSI was administered to 100 children who were hospitalized. Data were not used from 13 subjects due to the presence of a psychotic disorder or IQ less than 70, leaving 87 participants. The SSI was examined regarding its internal consistency, concurrent validity, construct validity, and factor structure when used with children. Based on the findings, the SSI appears to have adequate psychometric properties and can be used by clinicians and researchers examining children in an inpatient setting. Recommendations for clinicians are included to help make the SSI more functional in use for children.     

Ethnic and Racial Differences in Life Stress Among High School Adolescents

L. A. Slavin, K. L. Rainer, M. L. McCreary, and K. K. Gowda's (1991) Multicultural Model of the Stress Process was used as the basis for exploring ethnic and racial differences in the life stress process among 103 Black, 129 Hispanic, and 105 White high school students from a multiethnic, predominantly minority, large urban school district. Cross-group comparisons were made on life stress exposure, appraisal of negative event impact, social support, and psychological symptomatology. White adolescents reported more negatively impactful stressful life events and lower levels of received social support than did Black or Hispanic adolescents. Minority status predicted ethnic and racial differences independent of socioeconomic status.     

ANALYZING ALERTNESS AMONG PEOPLE WITH PROFOUND MULTIPLE DISABILITIES: IMPLICATIONS FOR PROVISION OF TRAINING

We investigated whether variations in alertness among individuals with profound multiple disabilities affected subsequent responsiveness to training programs. Three experiments were conducted involving 5 people. In Experiment 1, results indicated that alertness of 3 individuals increased with provision of skill-acquisition training programs. Results also indicated no predictive relationship between alertness levels prior to training and subsequent responsiveness to training. Experiment 2 replicated results of Experiment 1 with 2 participants from Experiment 1 and an additional participant. Results of Experiment 2 also indicated that the increased alertness levels accompanying provision of training were not a function of the participants simply being in an inactive environment prior to training. Results of Experiment 3 indicated that alertness of an additional participant increased through provision of another training intervention, involving a systematic preference assessment. Responses during the preference assessment appeared to be unrelated to previously existing alertness levels. These findings suggest the need for caution when considering the withholding of scheduled training because an individual appears to be nonalert.     

EFFECTS OF A VOICE OUTPUT COMMUNICATION AID ON INTERACTIONS BETWEEN SUPPORT PERSONNEL AND AN INDIVIDUAL WITH MULTIPLE DISABILITIES

We evaluated a means of increasing staff members' interactions with an individual with multiple disabilities through use of a voice output communication aid (VOCA). When activated, the VOCA allowed the individual to communicate through synthesized speech. Results indicated that staff members interacted with the individual more frequently when she had access to the VOCA, suggesting that VOCAs may represent an alternative to more traditional staff management programs for increasing interactions.     

Judgments and definitions of sexual harassment by high school students

This study considers how high school students perceive incidents of possible sexual harassment toward students and how they define sexual harassment. Thirty-five male and 38 female high school seniors (44% Asian-American; 40% white, non-Hispanic; 6% Indian-American; 4% African-American; 3% Hispanic; and 3% other ethnic groups) evaluated scenarios that varied the type of sexual harassment, the status of the initiator (either teacher or student), and the gender composition of the dyad (either male toward female or female toward male). As predicted, type of harassment influenced ratings of severity. Compared to male respondents, female respondents rated the scenarios as more severe. Teachers were judged more critically than students. Differences in status were more apparent at less severe levels of harassment. In defining harassment, students relied on four factors: the behavior itself, the target's reaction to the behavior, the perpetrator's intentions, and the relationship that existed between the two people. Overall, the findings underline the importance of examining high schools as a locale for harassment.This study was originally conducted by the first author as a Westinghouse Science project at Stuyvesant High School, with the guidance of the second and third authors.     

Rising from the ashes: Recovery from physical trauma

A counsellor describes her trauma accompanying an accidental physical injury, and the course of psychological recovery during the following 6 weeks. The style of self-analysis which was used during this period reflects the transpersonal approach, using imagery and the intuitive function to increase self-awareness, with moments of therapeutic insight ('release' experiences) at the landmarks en route to a healthy state of re-integration. The implications of the whole experience are discussed in terms both of post-traumatic stress and of personal growth.