Ethical Challenges in the Treatment of Individuals With Intellectual Disabilities

The effective provision of psychotherapy services to individuals with intellectual disability requires consideration of ethical issues related to clinical competence, access to services, obligations to multiple parties, guardianship, and appropriate assessment practices. This article provides an overview of major ethical considerations with guidance for clarifying and resolving common ethical concerns. Psychologists are encouraged to expand access to psychotherapy services for this population while maintaining awareness of potential modifications, training needs, and boundaries of professional competence. The authors provide recommendations and resources for effective and ethical treatment of psychotherapy clients with intellectual disabilities.     

A self-regulatory framework for message framing

After several decades of research on message framing, there is still no clear and consistent answer to the question of when emphasizing positive or negative outcomes in a persuasive message will be most effective. Whereas early framing research considered the type of recommended behavior (health-affirming vs. illness-detection) to be the determining factor, more recent research has looked to individual differences to answer this question. In this paper, we incorporate both approaches under a single framework. The framework describes the multiple self-regulatory levels at which a message can be framed and predicts when framing at each level will be most effective. Two central predictions were confirmed across four studies: (1) messages describing the pleasures of adhering to the recommended behavior are most effective for recipients in a promotion focus (who are concerned with meeting growth needs), whereas messages describing the pains of not adhering are most effective for recipients in a prevention focus (who are concerned with meeting safety needs), and (2) the content of an advocacy message is essential, as different topics induce different regulatory orientations. By showing that different message content can induce a promotion or prevention focus, past findings and theories can be accommodated within the proposed framework, and a single set of self-regulatory principles can be used to understand message framing.     

The Leftward Cradling Bias and Prosody: An Investigation of Cradling Preferences in the Deaf Community

Popular theory on the tendency to cradle an infant to the left side points to the specialization of the right hemisphere for the perception and expression of emotion. J. S. Sieratzki and B. Woll (1996) recently suggested that more emphasis be placed on the auditory modality, specifically focusing on the role of prosodic information. In this study, the direction of the lateral cradling bias in a group of profoundly deaf children, a group of deaf adults, and a control group of adults with no hearing impairment was investigated. The authors found a strong leftward cradling bias in all groups, a bias that was, if anything, stronger in the deaf participants. Given that people who are profoundly deaf, especially those who have been deaf from birth, have not been exposed to auditory prosody, the data do not support the suggestion that such prosodic information is the basis for the leftward cradling bias.     

Self-Esteem Accuracy and Externalizing Problems in Preschool-Aged Boys

Although the existing literature addressing the relation between self-esteem and externalizing problems is inconsistent, it appears that accuracy of self-esteem ratings may be an important factor to consider. However, no studies to date have explored this with preschool-aged children. In this study, the authors investigated differences in externalizing problems between underraters, realistic raters, and overraters of self-esteem of 5-year-old boys in three domains: cognitive competence, physical competence, and peer acceptance. Compared to teacher ratings of competence, boys who overrated their cognitive competence and peer acceptance were more likely to be rated by teachers as exhibiting more externalizing problems the following year. Findings suggest that overconfidence may have important implications for the development of externalizing problems in young children.     

Occupational Choices for People with Psychiatric Disabilities: Comparing Attendees and Non-Attendees at Community-Based Day Centers

Research has shown that people with psychiatric disabilities who attend a day center rate their satisfaction with daily occupations equally in comparison with non-attendees. The current study investigates which occupations the target group performs and also differences in occupational choices between attendees and non-attendees. Reported occupations were analyzed with content analysis. Day center attendees reported more productive occupations, while non-attendees reported more recreational occupations and a greater breadth of occupations. This implies that non-attendees might compensate a lack of work-like occupations at a day center with satisfying recreational occupations. The results can guide development of psychiatric occupational-based rehabilitation.     

Perspectives of Adults Living With Autism Spectrum Disorder: Psychosocial and Occupational Implications

The incidence of Autism Spectrum Disorder (ASD) has increased over the past decade suggesting a need for further research. This article describes a two phase phenomenological study which explored the lived experience of ASD and its psychosocial effects on relationships, socialization, and occupational participation. Phenomenological interviews were given to three women and three men with high functioning ASD. Phase two of the research included two additional individual interviews and four focus groups. Results indicated themes regarding participants' desires to engage in social occupations, and barriers caused by the nature of the ASD which may successfully be addressed by occupational therapy.     

Reprint of ‘Age-related changes in executive control and their relationships with activity performance in handwriting’

Deterioration in the frontal and prefrontal cortex associated with executive functions (EF) occurs with age and may be associated with changes in daily performance. The aim of the present study was to describe changes occurring with age in Executive Functions (EF) and handwriting activity, as well as to analyze relationships between age, EF and handwriting performance. The study population included 80 healthy participants (aged 31 to 76+) living in the community. After answering five questions about their writing habits, the participants completed the Behavioral Assessment of the Dysexecutive Syndrome (BADS). In addition, they performed a handwriting task on a digitizer included in the Computerized Penmanship Evaluation Tool (ComPET), which provides kinematic measures of the handwriting process. Significant differences were found between the four age groups for both EF and temporal and spatial handwriting measures. A series of regressions indicated that age predicted 35% of the variance of the BADS profile score (EF control) and 32% of the variance of in-air time while writing. The results of this study indicated age effect on both EF control and handwriting performance. Possible implications for further research and clinical evaluation and intervention are discussed.     

Working Memory Capacity and the Development of Quantitative Central Conceptual Structures

Abstract

This article reconsiders Case’s theory of central conceptual structures (CCS), examining the relation between working memory and the acquisition of quantitative CCS. The lead hypothesis is that the development of working memory capacity shapes the development of quantitative concepts (whole and rational numbers). Study I, with 779 children from preschool to grade 5, validated a measure of the whole number CCS and found that children’s understanding of whole number advances by one developmental level per additional unit of working memory capacity. Study II, with 92 sixth- and seventh-graders, found that a test of the rational number CCS was predicted by working memory capacity and, to a lesser extent, by intrusion errors in the listening span. We also identified 2 subsets of items that demand a capacity of 4 or 5 units, respectively. Overall, the results support Case’s CCS theory and clarify the role of working memory in the acquisition of numerical concepts. The relevance of these results in relation to the current debate is discussed, with extensive connections to other current theories of whole or rational number comprehension.     

Fairness lies in the heart of the beholder: How the social emotions of third parties influence reactions to injustice

The present research explores third parties’ (e.g., jurors, ombudsmen, auditors, and employees observing others’ encounters) ability to objectively judge fairness. More specifically, the current research suggests that third parties’ justice judgments and reactions are biased by their attitudes toward the decision recipient and, in particular, the affective aspect of those attitudes as characterized by their felt social emotions. We explore how the congruence of a social emotion (i.e., the extent to which the emotion reflects feeling a subjective sense of alignment with the target of the emotion) can influence their evaluations of recipients’ decision outcomes. The five studies presented show that congruence can lead third parties to react positively to objectively unfair decision outcomes and, importantly, that the influence of social emotions on subjective justice judgments drive third party reactions to decisions, decision makers, and even national policies.     

P = f (Conscientiousness × Ability): Examining the Facets of Conscientiousness

We posited that the form of the joint effects of motivation and ability in traditional performance models are interactive because motivation triggers the use of energy resources required to deploy ability at work. Moreover, we posited that achievement might best represent motivation compared to five other facets of Conscientiousness or global Conscientiousness. In two samples of customer service representatives, achievement interacted with general mental ability (GMA) in predicting task performance, whereas global Conscientiousness and the other five facets did not. This suggests that researchers examining the motivational aspects of Conscientiousness might uncover a more consistent pattern of results for task performance if they focus on the achievement facet. Furthermore, managers might see the highest levels of task performance in certain contexts when hiring individuals based on both achievement and GMA.