Stigmata and negotiated outcomes: Management of appearance by persons with physical disabilities

This paper explores the role of clothing in the management of appearances by persons with disabilities. A negotiated outcomes perspective is used to study the clothing choices of disabled persons, rather than viewing them as passive recipients of the labels supplied by perceivers. A two‐part study of college students with physical disabilities, including comments from a series of focused group interviews and open‐ended responses to a questionnaire with national distribution, resulted in the data presented. The data indicated that most of the students strived to appear as normative as possible through their clothing choices and accordingly used a variety of techniques: “making do” with ingeniously adapted ready‐to‐wear apparel; using clothes to conceal a disability; deflecting attention from a disability toward more normative but slightly discrediting attributes; compensation through fashionable dress or by emphasizing other social roles and abilities; and social inclusion, i.e., the assertion that all persons vary in physical appearance. Some students employed dress to take advantage of their social uniqueness through such techniques as wearing bright or prominent clothing or by displaying humor. Possible directions for future research on the social interactions of disabled persons, particularly involving the implications of normalizing appearance versus emphasizing social uniqueness, are presented.     

Homelessness Is Traumatic: Abuse,Victimization, and Trauma Histories of Homeless Men

Homelessness is traumatic, and trauma-informed care is an emerging best practice. Using structured interviews with day shelter clients (N = 152), this study examined trauma among homeless men. The PTSD Checklist (PCL–C) was used to assess for posttraumatic stress disorder (PTSD). Participants’ pattern of PCL–C responses suggested that 23% to 30% screened positive for PTSD. Those with positive PTSD screens had been homeless longer and were more likely to have met time criteria for chronic homelessness. They were significantly more likely to be veterans and to report violent attacks, abuse histories, and mental health problems. Importantly, only 69% of those with positive PTSD screens acknowledged current mental health problems. These individuals were much less likely to report mental health counseling in the prior year.     

Religious issues in diagnosis: The V-Code and beyond

This paper addresses the issues around considering clients' religious and spiritual functioning as a matter of client diversity. Such issues may be under appreciated by many clinicians. The introduction of a religious and spiritual problem V-Code (V62.89) into the DSM-IV provided a significant accommodation of client religious and spiritual functioning in contemporary psychodiagnostics. The V-Code allows for explicit identification of a non-pathological religious or spiritual focus in treatment. The nature of and history of the V-Code's inclusion in DSM-IV is briefly reviewed. The strengths and limitations of the V-Code for raising clinician awareness of the religious and spiritual domain of client functioning is discussed and illustrated by a number of case examples. The V-Code approach is contrasted with Hathaway's (2003) clinically significant religious impairment concept. Both are viewed as making complementary contributions to a religiously and spiritually sensitive clinical practice.     

Behavioral dynamics of the affordance “graspable”

On a daily basis, one perceives whether an object affords grasping with one hand or with both hands. In experiments in which differently sized objects of a fixed type have been presented, the transition from using one manual mode to the other has depended on both the ratio of object size to hand span and the presentation sequence-that is, size increasing versus decreasing. The transitions and their observed hysteresis (i.e., a transition ratio larger for the increasing sequence) can be accommodated by the order parameter dynamics typifying self-organizing systems. Here, we show that hysteresis magnitude depends on (a) the interaction between the attractors (one hand vs. two hands) and (b) the strength of the two-hands attractor. Through modeling and experimental results, we extend the investigation of affordance perception within dynamical-systems theory.     

Perinatal Factors, Parenting Behavior, and Reactive Aggression: Does Cortisol Reactivity Mediate this Developmental Risk Process?

Little is known about the mechanisms of action that link perinatal risk and the development of aggressive behavior. The aim of this study was to examine whether perinatal risk and parenting interacted to specifically predict reactive aggression, as opposed to general aggressive behavior, and to examine cortisol reactivity as a mediator of this developmental risk process. In a community sample of 99 elementary school-aged children, prenatal risk was measured by a count of minor physical anomalies (MPAs), reactive aggression was measured by laboratory observations of aggression in response to provocation, and general aggression was measured by parent report. Cortisol reactivity was not found to mediate the association between MPAs and reactive aggression or general aggression. However, MPAs were found to interact with parenting behaviors to predict reactive aggression and general aggression, as well as cortisol reactivity. Specifically, as the deficits in parenting increased, MPAs became more strongly and positively associated with reactive aggressive and general aggressive outcomes. Similarly, in cases of poor parenting behaviors, MPAs were positively associated with higher cortisol reactivity. Implications for theory and prevention are discussed.     

Past tense marking in the spontaneous speech of preschool children who do and do not stutter

PurposeThe aim of this study was to identify whether different patterns of errors exist in irregular past-tense verbs in children who stutter (CWS) and children who do not stutter (CWNS).MethodSpontaneous language samples of thirty-one age- and gender-matched pairs of children (total N = 62) between the ages of 24 months and 59 months were analyzed.ResultsResults indicated that children who do and do not stutter over-regularize irregular past-tense verbs (i.e., saying runned for ran) with comparable frequency. However, two nonsignificant trends which suggest possible intra-group differences were noted. First, irregular past tense verbs represented a greater portion of total verbs for CWS than for CWNS. Second, CWS appeared to double-mark (i.e., say ranned for ran) more often than CWNS. Results are discussed in light of theories about the acquisition of the irregular past-tense and about differences in language skills between CWS and CWNS.Educational objectives: After reading this article, the reader will be able to: (a) summarize previous findings about connections between stuttering and language in CWS and CWNS; (b) describe similarities and differences between irregular past-tense verb use and errors in CWS and CWNS; (c) discuss possible connections between the declarative–procedural model and stuttering.     

DBT-Enhanced Cognitive Behavioral Therapy for Adolescent Trichotillomania: An Adolescent Case Study

Results and a case study for a DBT-enhanced habit reversal treatment (HRT) for adult trichotillomania (TTM) (Keuthen & Sprich, 2012) is adapted for use with adolescents. Trichotillomania in adolescence is a very important but understudied problem. Onset often occurs in adolescence, and yet very little treatment research exists. DBT-enhanced habit reversal has shown promise in adult samples (Keuthen et al., 2008) and may prove useful as a model for further study in adolescents. Here, we provide a case study using DBT-enhanced HRT with an adolescent girl. The treatment emphasizes traditional CBT for TTM and also includes a focus on emotion regulation, mindfulness, and distress tolerance to help manage both focused and automatic pulling.     

Showups versus lineups: An evaluation using ROC analysis

Showups (a one-person identification) were compared to both simultaneous and sequential lineups that varied in lineup fairness and the position of the suspect in the lineup. We reanalyzed data from a study by Gronlund, Carlson, Dailey, and Goodsell (2009), which included simultaneous and sequential lineups, and using the same stimuli and procedures, collected new data using showup identifications. Performance was compared using ROC analysis, which is superior to traditional measures such as correct and false identification rates, and probative value measures. ROC analysis showed that simultaneous lineups consistently produced more accurate identification evidence than showups, but sequential lineups were sometimes no more accurate than showups, and were never more accurate than simultaneous lineups. These results supported prior suppositions regarding the suggestiveness of showups, revealed a misconception about the superiority of sequential lineups, and demonstrated why eyewitness identification procedures need to be evaluated using ROC analyses.     

The Relations of Pro-Drug-Use Myths With Self-Reported Drug Use Among Youth at Continuation High Schools1

Drug-use myths, questionable beliefs regarding the effects of drug use, may help to explain why people engage in self-injurious drug-use behavior. While clinicians and applied social researchers have used this concept of drug-use myths extensively when developing substance abuse prevention or cessation programs, drug belief-type myth measures have not been investigated empirically. The present study examined the internal consistency and discriminant validity of a drug-use myth measure among 362 continuation (alternative) high school youth and found it to be discriminable from demographic, drug use, and other psychosocial measures. Controlling for its relations with its correlates, social desirability, perceived friends' drug use, ethnicity items, and gender, the myth measure remained significantly associated with 4 drug-use measures. Future research regarding drug use myths as predictors of drug use is encouraged based on these results.