“There is soccer but we have to watch”: the embodied consequences of rhetorics of inclusion for South African children with cerebral palsy

Twenty years after the advent of democracy in South Africa (SA), there have been some successes in the achievement of greater equality, access and inclusion for many persons with disabilities. The move towards inclusive education may, however, have had unanticipated embodied consequences for people positioned discursively as included, but who in fact may in some respects be further marginalised than they had been under apartheid. We describe ethnographic research conducted in a special needs school in SA to explore the lived experiences of children with cerebral palsy and their involvement in physical activity. Our study shows how inclusive educational practices in SA have impeded involvement in sport for some children with motor impairments because of resource limitations and other historic reasons. This paper raises important questions about the role of community psychology in recognising, naming and contributing to action around injustices, which may be hard to see but which can have profound effects on the lives and bodies of those who experience exclusion. Copyright © 2015 John Wiley & Sons, Ltd.     

A Fuzzy Topsis Method for Prioritized Aggregation in Multi‐Criteria Decision Making Problems

Aggregation in a decision making environment requires the fusion of opinions of a group of decision makers. The group of decision makers are required to analyse a set of interrelated criteria that are usually measured on a linguistic scale. This process requires, in many instances, to capture experts experience, intuition and thinking that are traditionally expressed in a linguistic fashion rather than a numerical fashion. Furthermore, the necessity of considering the relationship between the criteria to the overall decision must be considered by the group of decision makers. This paper extends the application of fuzzy numbers, fuzzy relative importance scores (FRIS), fuzzy relative weights (FRW) and the fuzzy technique of order preference by similarity to ideal solution (TOPSIS) in prioritized aggregation. This extension provides a mean to systematically aggregate a group of decision makers' views for a set of interrelated criteria that are measured on a linguistic scale. First, an overview of the application of fuzzy numbers and the characteristics of aggregating fuzzy numbers in multi‐criteria decision making problems are presented. Then, the application of TOPSIS in fuzzy environments is presented. Next, past research is highlighted to present prioritized aggregation and the different aggregation operators' classes. Subsequently, a new prioritized aggregation method is presented. This method utilizes fuzzy TOPSIS with prioritized aggregation in fuzzy environments. Finally, the fuzzy prioritized aggregation method presented in this paper is applied on an actual case study. According to the results, the method presented in this paper provides a systematic approach to capture the uncertainty and imprecision associated with quantifying linguistic measurements in multi‐criteria decision making problems. Furthermore, it considers the relationship between the set of linguistically measured criteria undergoing prioritized aggregation in a fuzzy environment. Lastly, findings, conclusions and future work are presented. Copyright © 2016 John Wiley & Sons, Ltd.     

Correction to: Quality of Life among Caregivers of Children with Autism Spectrum Disorders,Intellectual Disability,and Typical Development

Applied Research in Quality of Life - A Correction to this paper has been published: https://doi.org/10.1007/s11482-020-09896-1     

Response: Clinical wisdom and evidence-based medicine are complementary

A long-debated question in the philosophy of health, and contingent disciplines, is the extent to which wise clinical practice ("clinical wisdom") is, or could be, compatible with empirically validated medicine ("evidence-based medicine"--EBM). Here we respond to Baum-Baicker and Sisti, who not only suggest that these two types of knowledge are divided due to their differing sources, but also that EBM can sometimes even hurt wise clinical practice. We argue that the distinction between EBM and clinical wisdom is poorly defined, unsupported by the methodology employed, and ultimately incorrect; crucial differences exist, we argue, not in the source of a particular piece of clinical knowledge, but in its dependability. In light of this subtle but fundamental revision, we explain how clinical wisdom and EBM are--by necessity--complementary, rather than in conflict. We elaborate on how recognizing this relationship can have far-reaching implications for the domains of clinical practice, medical education, and health policy.     

Navigating the Relational Psychic Economy of Disability: The Case of M

This paper presents a theoretically-informed psychosocial analysis of the case of M, a physically disabled man from South Africa. We use M’s account as a platform from which to consider projection, melancholic suspension and grief, as these are played out in the negotiation of dependency in relationships for disabled people. Making use of a case study methodology, we examine the various strategies through which M manages those disability stereotypes which are ascribed to him, creating a picture of how identity is negotiated in the face of interpersonal dependency as well as disablist prejudice. A central proposition is that, for M, upholding relationships which bring much-needed assistance means caring for the emotional lives of his carers, in a manner which leaves him more vulnerable to internalizing identity insults, and less able to resist his own oppression. Employing a psychoanalytic frame, we suggest that the “melancholic suspension” which some disabled people may be subject to, may lead to the necessity to “take on” certain projections, in the process of accessing much-needed care. As shall be seen, M maneuvers creatively through this relational realm by engaging in trade-offs between positive identity and physical need, employing strategies which include self-deprecation, the performance of mastery, playing with gender, and humor. With these and other techniques, he navigates the relational and psychic economy of his dependency.     

Counter-Recognition in Decolonial Struggle

In decolonial struggle, there is an old colonial order that must be forever dismantled, with all its trimmings of unearned privilege, embedded in generations of wealth. There is a new order to be established, with new constellations of links with the global world. It is with this moment of significant social questioning, disruption, and revolution that this paper is concerned. Colonial situations, wherever they occur, affect our social and political lives deeply, and as they penetrate into our therapy rooms, with identities abraded and subjectivities set aslant with new light, it is urgent that we begin to grapple with their challenges to our skills and our theory. This paper addresses three aspects of this. First, the decolonial turn raises significant challenges for relational therapies. Second, far-reaching change to a social order evokes complex layers of trauma, and the ways in which we respond to these requires a reach beyond our own vulnerabilities, our retreat into the old familiar. Finally, the paper looks at the ways in which the writing of both Frantz Fanon and Donald Winnicott theories provide a way of making sense of this challenging clinical terrain.     

Performance on a Following Tracking Task (Modified Sam Two-Hand Coordination Test) as a Function of Radius of Control Cranks

The influence of two deindividuating variables, altered responsibility and coaction in groups, on one's tendency to deliver noxious or helpful stimulation impulsively and in a cyclical pattern to a target person was investigated in a laboratory experiment with use of 96 male and female junior college students. Analysis of variance revealed that, as hypothesized, Ss who coacted in groups of three and who had the responsibility for their behavior removed delivered noxious (but not helpful) stimuli more impulsively than Ss who worked alone and were made to feel responsible (p < .01). Ss responded in a more cyclical pattern when delivering aversive tones than when delivering facilitating tones (p < .005). A marginally significant finding was that Ss in groups responded in a more cyclical pattern than Ss alone only when the response was seen as aversive. It was concluded that the probability of impulsive and cyclical aggression may be increased by altered responsibility and coaction.     

Work and Rest Variables in the Acquisition of Psychomotor Tracking Skill

College students (75 men, 75 women) matched in preliminary performance of 100 sec on the rotary pursuit apparatus were randomly assigned to five experimental groups. Their work/rest ratios, measured in seconds, were: 20/20, 30/30, 60/60, 90/90,120/120. All subjects received 30 min of total practice time after the matching trial. There was a significant practice effect and a significant practice x conditions interaction, but no main effect due to the cycles’ length or number. The decay rate of reactive inhibition (lr) is probably independent of its prior growth level; hence postrest residual lr is proportional to prerest accumulation. Partly because they generated lr in hypothetically greater amounts, women were significantly less proficient on the average than men, and sex interacted with practice. Although males had higher initial and final levels of ability than females, the two sexes’ acquisition curves showed the same rate parameters in our mathematical model.     

Collectively Speaking: The Many Meanings of Naming and Sharing Group Trauma

This commentary on Kathleen McPhillips’s (this issue) “‘Unbearable Knowledge’” paper looks at implications for theory of the model she uses to analyze collective trauma. While affirming the model’s robustness, it is suggested that it has both theoretical and political ramifications that need to be further spelled out. The commentary ends with several questions regarding the leap from individual to collective trauma. These include the importance of maintaining a steady appreciation of multiplicity, which is foundational to relational psychoanalytic theory; second, the need to appreciate the complexity of dismantling a collective dissociative defense; and finally, the significance of spontaneity in healing.     

Role of Religion in Preventing Youth Sexual Activity in Malaysia: A Mixed Methods Study

One of the popular approaches of preventing youth sexual activity in Malaysia is using religion to promote premarital sexual abstinence. Despite this intervention, youth continue to practise premarital sex. Thus, the purpose of this exploratory mixed methods study was to understand the role of religion on sexual activity among college students in Klang Valley, Malaysia. A self-administered questionnaire survey to determine the relationship between religiosity and youth sexual activity was carried out on 1026 students recruited from 12 randomly selected colleges. Concurrently, face-to-face interviews were conducted on 15 students to explore how religiosity had influenced their decision on sexual activity. The survey data were analysed using logistic regression, while the qualitative data from the interviews were examined using thematic analysis with separate analysis for each gender. Both quantitative and qualitative results were then compared and integrated. Religious activity significantly reduced the risk of continuing sexual activity among female students (AOR = 0.67, CI = 0.47, 0.95, p = 0.02) but not male students. There was no significant relationship of religious affiliation and intrinsic religiosity (inner faith) to sexual activity by gender. Having faith in religion and strong sexual desire were the main themes that explained participants’ sexual behaviour. Engaging in religious activity might be effective at preventing female students from being sexually active. However, when sexual urges and desires are beyond control, religiosity might not be effective.