Making choice a routine part of mealtimes for persons with profound mental retardation

Despite increased recognition of the importance of providing routine choice opportunities for persons with severe handicaps, this population continues to experience a typical lack of such opportunities. We evaluated a program for increasing the amount of choices made during routine mealtimes by persons with profound mental retardation and minimal communication skills. The choice provision program, involving systematic presentation of alternative food and drink items in a step-wise fashion during the course of the meal, was implemented with three persons in a residential facility. Results indicated that after implementation of the choice program, all three participants made consistently more choices concerning the foods and beverages they consumed relative to baseline. The choice provision program was conducted without extending the amount of time typically allotted to mealtime within the residential setting. Results are discussed in regard to additional research needed to continue developing means of assisting persons with profound mental retardation to exert control over meaningful events in their lives.     

A comparison of the predictive validity of typical and maximal personality measures

Most personality tests are based on concepts assessing typical performance, and tests of this sort have not been generally successful in predicting criterion behaviors with useful levels of efficiency. Ability tests, which call for maximal performance, have been much more successful as predictors of criterion outcomes. Following a model derived from ability tests, predictors requiring separate typical and maximal self-reports of emotional expressivity were compared to measures of typical and maximal emotional expression in the laboratory. For angry expression, self-reports of maximal expressivity tended to outpredict self-reports of typical expressivity for both typical and maximal laboratory measures of angry expression. Although similar trends were observed for elation, the advantage of maximal self-report measures over typical self-report measures was negligible. Results were discussed in terms of both experimental and clinical implications.     

A dualistic model for group treatment of alcohol problems: abstinence-based treatment for alcoholics, moderation training for problem drinkers

This article provides a clinical framework for a dualistic group treatment model: abstinence-based treatment for alcohol dependent individuals and moderation training for problem drinkers. The major premises of these models are set forth, compared, and contrasted. An integrated approach for synthesizing these models is then detailed along with suggestions for clinical implementation and management of countertransference.     

Email, voicemail, and privacy: What policy is ethical?

Business people repeatedly asked Computer Professionals for Social Responsibility (CPSR) to recommend a policy to deal with email and voicemail. After many such requests to our organization, we attempted to construct guidelines that we could endorse. This paper outlines the guidelines that we proposed and the public reaction to them. The paper discusses the tensions inherent in a business environment, and the means of identifying ethical behavior for both companies and their employees. A version of this paper was presented at ETHICOMP98, the Fourth International Conference on Ethical Issues of Information Technology, March 25–27, 1998. Erasmus University, the Netherlands. Dr. Woodbury is the former Chair of CPRS. Computer Professionals for Social Responsibility. She is also a curriculum developer and faculty member of the Information Group of the Women’s International University (ifu) in Germany in 2000.     

An outcome management program for extending advances in choice research into choice opportunities for supported workers with severe multiple disabilities

We evaluated an outcome management program for increasing choice opportunities provided by 2 job coaches for 5 supported workers with severe multiple disabilities in a community job. The program involved specifying and monitoring behavioral outcomes among workers and staff, training staff, and supportive and corrective feedback. Increased choice provision occurred for both job coaches across a 1-year period. Results indicate how outcome management can help translate advances in choice research into routine practice.     

Stereoscopic depth cues can segment motion information

Can the motion system selectively process elements at a particular depth? We attempted to answer this question using global coherence tasks in which signal and noise elements could be given different disparities. In experiment 1 we found that, if all the signal elements had a disparity different from that of the noise elements, performance was far better than when they had the same disparity (at least for stereo-normal observers). In a second experiment we found that adding additional noise elements to the motion task had no effect if they had a different disparity (however, they had a marked effect for stereo-blind observers). We conclude that stereo disparity can be used as a segmentation cue by the motion system.     

Assessing and Managing Risk With Suicidal Individuals

The University of Washington Risk Assessment Protocol (UWRAP) and Risk Assessment and Management Protocol (UWRAMP) have been used in numerous clinical trials treating high-risk suicidal individuals over several years. These protocols structure assessors and treatment providers to provide a thorough suicide risk assessment, review standards of care recommendations for action, and allow for subsequent documentation of information gathered and actions taken. As such, it is a resource for providers treating high-risk populations across multiple contexts (e.g., primary care, outpatient psychotherapy, emergency department). This article describes both the UWRAP and UWRAMP. Taken together, these assessment and risk management tools include (a) assessment questions for gathering information to determine the level of risk, (b) action steps that can be taken to ensure safety, and (c) a companion therapist note where providers document their assessment and actions.     

Spirituality and Loss: Approaches for Counseling Grieving Adolescents

The death of a loved one has serious implications for adolescent growth and development. The authors review relevant research on the grief process and spirituality in adolescence, and they give a rationale for integrating spirituality into adolescent grief work. By way of a case illustration, they draw implications for counselors’ use of spirituality in addressing adolescent grief.