The Older Native American Indian With Disabilities: Implications for Providers of Health Care and Human Services

This article presents a review of the literature as regards the older Native American Indian, as well as a report of health care and human service needs based on a recent study of urban Native American Indians with disabilities in the Denver metropolitan area.     

The role of direct-care staff

This article examines the current role of direct-care staff, and their significance to individuals with disabilities living in the community. The role of staff will be redefined with respect to client normalization within the community. Finally, a framework for training staff is provided.     

Resetting the pitch-analysis system: 1. Effects of rise times of tones in noise backgrounds or of harmonics in a complex tone

The question of whether sudden increases in the amplitude of pure-tone components would perceptually isolate them from a more complex spectrum was investigated in two experiments. In Experiment 1, a 3.5-sec noise was played as a masker. During the noise, two pure-tone components of different frequencies appeared in succession. Subjects were asked to judge whether the pitch sequence went up or down. The rise time of these components had only a small and inconsistent effect on discrimination. In Experiment 2, the 3.5-sec background signal was a complex tone. The amplitudes of two of its components were incremented in succession. Again, subjects judged whether the pitch pattern went up or down. This time there was a sizable, monotonic effect of the rise time of the increments, with more rapid increments leading to better discrimination. The difference between the two results is interpreted in terms of the auditory system’s response to changing and unchanging signals and the role of its “sudden-change” responses in attracting perceptual processing to certain spectral regions.     

Marketing human organs: The autonomy paradox

The severe shortage of organs for transplantation and the continual reluctance of the public to voluntarily donate has prompted consideration of alternative strategies for organ procurement. This paper explores the development of market approaches for procuring human organs for transplantation and considers the social and moral implications of organ donation as both a “gift of life” and a “commodity exchange.” The problematic and paradoxical articulation of individual autonomy in relation to property rights and marketing human body parts is addressed. We argue that beliefs about proprietorship over human body parts and the capacity to provide consent for organ donation are culturally constructed. We contend that the political and economic framework of biomedicine, in western and non-western nations, influences access to transplantation technology and shapes the form and development of specific market approaches. Finally, we suggest that marketing approaches for organ procurement are and will be negotiated within cultural parameters constrained by several factors: beliefs about the physical body and personhood, religious traditions, economic conditions, and the availability of technological resources.     

Microprocessors in the laboratory: Dedicated computation and time-shared peripherals with REMOTE-11

This article describes a new solution to the dilemma faced by investigators who need dedicated computers but cannot afford the cost of expensive peripherals. An available software-hardware combination is described that permits users to timeshare expensive peripherals but to have a dedicated microprocessor at their disposal.     

Conceptual memory for picture and prose episodes

In two experiments, subjects decided whether probes were true or false of one of some previously studied picture and prose episodes. The results indicated that response times to probes depicting explicit events were faster when they were in the same modality (picture or prose) as their episodes than when they were in the opposite modality, but response times to probes depicting implicit events were as fast when they were in the opposite modality as when they were in the same modality. These results suggest that the conceptual representations of picture and prose episodes are identical in form. The second experiment indicated that probes could be evaluated as fast from long as from short episodes. This result is consistent with the notion that retrieving information from episodes is done, not by scanning all the events of an episode, but by restricting the search only to the relevant slot in the schema into which the episode is assimilated.     

Overt expression of experimenter expectancies,interaction with subject expectancies,and performance on a psychomotor task

Subsequent to success or failure experience, 48 subjects attempted a psychomotor task in order to escape or avoid an aversive stimulus (tone). Their attempts at solving the task over 24 trials were made in the presence of subject-experimenters each of whom had expectancies instilled regarding the solution to the task. The job of the subject-experimenters was to “offer information” on every third trials as the subjects attempted to solve the task. It was hypothesized that the expectancies of the subject-experimenters would be communicated to the subjects via periodic comments, that these expectancies would differentially affect the subjects' performance on the task, and that prior experience on a similar task would differentially affect subjects' performances on the task. The results demonstrated that the expectancies instilled in the subject-experimenters were communicated and influenced the performances of subjects as predicted. It appears that consistency with respect to the expectancies communicated played a major role in producing significant effects. Prior experience failed to produce significant differences on task performance, a finding conflicting with that of D.S. Hiroto (Journal of Experimental Psychology, 1974, 102, 187–193). The results are discussed from the perspective of using the overt, explicit communication of expectancies as a means for exploring the illusive phenomenon of the experimenter expectancy effect.     

AN ECOBEHAVIORAL EXAMINATION OF A SIMPLE STRATEGY FOR INCREASING MEALTIME LANGUAGE IN RESIDENTIAL FACILITIES

Typically in large residential facilities for retarded persons, meals are served in an institutional style that does not appear to encourage appropriate peer interactions. An ecological program alternative is serving meals in a family style. The present study was designed to examine both the feasibility of serving family style meals and the effects of family style meal service on mealtime language. Five retarded young adult male residents, who had some conversational skills and appropriate table manners, participated in this study. The experimental design involved a multiple baseline analysis across meals (dinner, lunch, and breakfast). Observers coded the youths' mealtime verbalizations according to the type, content, and direction of the verbalizations and they recorded the length of the meals. The analysis of the verbalization data indicated that during family style meals the participants spoke substantially more often than during institutional style meals. Increases in peer-directed conversation about the meals primarily accounted for the verbalization changes. Family style serving also resulted in the youths spending more time with their meals. In addition, social validation measures suggested that the family style procedures were preferred by the consumers (participants, staff, and concerned community members).     

THE UNIT PLAY MANAGER AS FACILITATOR OF PURPOSEFUL ACTIVITIES AMONG INSTITUTIONALIZED PROFOUNDLY AND SEVERELY RETARDED BOYS

Child care workers were trained in specified techniques (play manager routines) in an effort to increase purposeful activity among a group of profoundly and severely retarded institutionalized boys. A system of prompts, increasing the availability of toys and regular staff monitoring, were alternated with normal institutional routines in an ABA reversal design. On the average, activity level increased from 10% to a mean of 70% during treatment conditions. Correspondingly, stereotyped or harmful behaviors decreased from an average of 20% to 70% during treatment.