Counselling,autism and the problem of empathy

The experiences of disabled people suggest that ableism insidiously and invasively impacts upon the practice of counselling and related therapies. This article critiques a particular account of psychotherapy with a child with the label of autism to illustrate how ableism can disrupt the process of empathy and negate the therapeutic experience. In so doing the article highlights the inherent difficulties in traversing different epistemic positions to make sufficiently informed readings of counternormative expressions of being. General principles of counselling practice are then proposed to support practitioners with providing effective therapy for all clients.     

Psychometric properties of the Coping Strategy Indicator (CSI) in a study of coping behaviour amongst malawian students

Abstract

The Coping Strategy Indicator (CSI; Amirkhan 1990) is an inductively derived measure of responses to adverse circumstances. Although seeking to isolate “a few fundamental strategies with wide applicability” (Amirkhan 1990). the initial validation studies were all based on Californian populations. The present study repork findings from completion of the CSI by 415 Malawian students as part of their enrolment health check up. Factor analysis (principal components analysis with varimax rotation) identified three factors with very similar structure and loadings to those identified by Amirkhan, namely, Support Seeking, Problem Solving and Avoidance. As with the initial validation study, there was some evidence of withdrawal and distraction forming identifiable sub-components of Avoidance. The CSI does appear to provide a measure of core coping strategies which is robust across cultural settings, the theoretical implications of which are considered. The influence of factors such as age and gender on CSI scores is discussed     

The Contribution of Executive Skills to Reading Comprehension

Although word recognition deficits (WRD) are a known cause of reading comprehension deficits (RCD), other contributions to RCD, including executive function (EF), have not been fully explored. We examined the contribution of EF (working memory and planning), along with attention, decoding, fluency, and vocabulary to reading comprehension in 60 children (including 16 WRD and 10 RCD), ages 9–15 years. After controlling for commonly accepted contributors to reading comprehension (i.e., attention, decoding skills, fluency, and vocabulary), EF continued to make a significant contribution to reading comprehension but not to word recognition skills. These findings highlight the need for consideration of the role of EF in RCD.     

Visual Perception and Memory Impairments in Children at Risk of Nonverbal Learning Disabilities

Visuospatial working memory (VSWM) and visual perception were examined in two groups aged 11–13, one with children displaying symptoms of nonverbal learning disability (NLD) (n = 18) and the other a control group without learning disabilities (n = 18). The two groups were matched for general verbal abilities, age, gender, and socioeconomic level. The children were presented with VSWM tests involving visual and spatial-simultaneous processes, and also with a classical visual illusion, a classical ambiguous figure, as well as visual perception tests specifically devised for the present study. Results revealed that performance of children at risk of NLD was worse than controls in some VSWM and in visual perception tests without memory involvement; these latter required comparisons of visual stimuli and locations in space with distractors. Moreover, the two groups differed in perceiving the classical ambiguous figure. Findings are discussed in the light of both theoretical and clinical implications.     

Cultural Diversity: Do We Need a New Wake-Up Call for Parent Training?

In 1996, Forehand and Kotchick concluded that parent-training (PT) interventions largely ignored cultural influences on parenting behavior. They reasoned that the failure to integrate the influence of ethnicity into theories of parenting behavior could result in culturally biased and less effective interventions. The present article addresses whether their “wake-up call” went unheard. We review research on PT treatment studies and examine (a) the rate of inclusion of ethnic minority parents in PT research, (b) the effectiveness of PT across ethnic groups, and (c) the effectiveness of culturally adapted PT interventions. Results show that there has been an increase in the ethnic diversity of PT treatment studies over the past three decades, yet only one methodologically sound study directly examined ethnicity as a moderator of PT treatment outcome. Despite the paucity of evidence that ethnicity is a moderator of parent-training outcomes, a number of culturally adapted PT treatments have been developed. These adapted interventions have rarely been tested against the unadapted interventions on which they are based. The results fail to support the current emphasis on ethnicity in efforts to improve the effectiveness of PT. We present methodological and conceptual limitations in the existing literature and provide recommendations for researchers studying the effects of ethnicity on PT outcomes.     

Acquired physical disability: Personal meanings in a rural South African setting

This study explored personal meanings attached to acquired physical disabilities in a rural South African community. Informants were seven adults with disability (females?=?4; age range?=?18 to 55 years). They responded to semi-structured face-to-face interviews on the meanings they attached to their physical disabilities acquired during adulthood. Four themes emerged from the thematic analysis: new life style, activity limitations, participation restrictions, and cultural marginalisation. The meanings and accompanying lifestyle changes have implications for personal functioning and social well-being.     

Socio-ecological influences of attitudes toward disability among Kenyan undergraduate students

This study examined personal and contextual variables as predictors of attitudes toward disability at a Kenyan higher education setting. Participants were a convenience sample of 309 undergraduate students at a Kenyan university enrolled in Sociology, Social Work, Psychology, Political Science, and Public Administration majors. Data on attitudes were collected using the Attitudes Towards Disabled Persons scale (ATDP: Antonac & Livneh, 1988). A cross-sectional survey design was employed for data collection, and a multiple regression analysis was used for data analysis. Results revealed that the model was significant: F (9, 250)?=?2.784, p?=?0.004. However, only age (β?=?0.173, p?=?0.044) significantly predicted attitudes towards disability, indicating older students held more positive attitudes than their younger counterparts. Older students had a more favourable attitude towards people with disabilities than younger students. Seniority, by age, is highly valued in Africa than perhaps anywhere in the world. Kenyan older adults may be key to enhancing favourable attitudes toward individuals with disabilities in Kenya as well as interventions aimed at changing negative attitudes towards people with disabilities.     

Depression as a Creative Illness: A South African Case Study

This case study presents a cultural perspective to supporting health and wellbeing in a young South African adult with depression and unresolved paternity issues. Issues around cultural identity appeared to influence the experience of depression and addressing the identifying aspects was helpful to recovery and wellbeing. Therapy facilitated the discovery of the client’s biological father and necessary ritual to reunite him with his African ancestry.     

Community without memory? In search of an ecclesiology of liberation in the company of people with dementia

The increasing prevalence of dementia among members of the Christian Churches prompts a re-evaluation of Christian ecclesiology. This is particularly true for the ecclesiology born of the theologies of liberation, because of the emphasis it places upon conscious participation in the historical life of the community. The present article draws on stories of people with dementia as recorded by themselves and those close to them; by reflection upon these stories, it seeks to re-think the character of the Church in the face of this challenge, and so to offer a richer interpretation of its identity as a community of liberation.     

Psychoanalysis,class & politics: Encounters in the clinical setting

Abstract

There is little research and literature available in the United Kingdom which addresses the issues for black and ethnic minority families who have dealings with the family court system. Therefore, this article is based largely on the personal views and experiences of the author. In it I shall be commenting on the functioning of the court in terms of private law concerning children.