Training parent implementation of discrete-trial teaching: effects on generalization of parent teaching and child correct responding

Behavioral skills training was used to teach 3 parents to implement discrete-trial teaching with their children with developmental disabilities. Parents learned to implement discrete-trial training, their skills generalized to novel programs, and the children's correct responding increased, suggesting that behavioral skills training is an effective and efficient method of teaching discrete-trial teaching to parents.     

学习困难学生阅读理解监视的实验研究

以62名学习困难学生和63名优生为被试,采用错误觉察技术对优差生的阅读理解监视进行了实验研究。结果表明：（1）对内部不一致与外部不一致的觉察能力,学习困难学生显著弱于优生;（2）外部不一致觉察水平与基于理解自信度评价的理解监控水平之间有显著的相关,但方向不一致;内部不一致觉察水平与基于理解自信度评价的理解监控水平之间相关显著,且方向一致。     

A dynamic objective–subjective structure for forest management focusing on environmental issues

In this paper a decision-making process is applied to a Chilean forestry firm that must deal with a host of environmental variables as well as profit making. At the core of this process is a ‘dynamic objective–subjective structure’ founded on the approach that decision making is about comprehending the preferences of the various parties involved and expanding the set of alternatives open to the decision makers. This is in contrast to many models that aim at finding the ‘best alternative’ and to decision analysis approaches that focus on presenting preferences via value functions. The paper describes in chronological order, following the sessions of a decision-making process, how the various components of the structure emerged. In doing so it demonstrates how the process led to an understanding of the real effects of dealing with the environment and how comprehending the preferences led to the introduction of new decision variables. Copyright © 2007 John Wiley & Sons, Ltd.     

An Experiment on the Numerical Modelling of Verbal Ratio Statements

Verbal statements are intuitively attractive for preference elicitation. In the analytic hierarchy process (AHP) the verbal responses to pairwise comparisons of relative importance are converted into real numbers according to the nine-point integer scale. Several alternative scales have been proposed for the conversion, but sufficient empirical evidence has not been produced to support the choice among these scales. We performed a comparative study in which subjects were requested to quantify verbal ratio statements by adjusting the heights of visually displayed bars. Subjects were also asked to employ verbal expressions in pairwise comparisons of areas of figures with different shapes. The principal result of the experiment was that the perceived meaning of the verbal expressions varies from one subject to the next and also depends on the set of elements involved in the comparison. Our results indicate that there are alternative numerical scales which yield more accurate estimates than the usual 1-to-9 scale and reduce the inconsistency of the comparison matrices. Alternative ways of using verbal preference statements are suggested to overcome the difficulties that arise from the context dependence of verbal pairwise comparisons. © 1997 John Wiley & Sons, Ltd.     

New Development in Legal Advocacy

Mental health service users are voicing the need for advocacy which is responsive to the social oppression they encounter in their lives, and within services. The Kent Law Clinic provides free, independent legal representation for people with a mental illness or a learning difficulty. This article describes the development of the Clinic and some of its work.     

The European school of MCDA: Emergence,basic features and current works

Multiple-criteria decision analysis has evolved considerably since its birth during the 1960s. As part of this evolution, several schools of thought have developed emphasizing different techniques and, more generally, different attitudes as to the way of supporting or aiding decision making. One of these schools is now commonly referred to as the ‘European School’, its members being part of a European Working Group entitled ‘Multicriteria Aid for Decisions’. In the first part of this paper (Section 1) we follow a historical perspective in order to trace the emergence of the European School. Its distinctive features and main ideas are then outlined in Section 2. Finally we provide a general review of the current major research topics developed within this framework (Section 3).     

Combining Patient Utility with Health Status Assessment to Improve Medical Decision Making

Physicians often use health status assessment tools to evaluate a patient's condition, then apply established guidelines to determine the most medically effective treatment. Yet additional criteria, such as the appropriateness of the treatment given the particular patient's preferences and attitude toward risk, are also highly relevant to quality care. While such preferences could be addressed via patient utility functions, their use in actual practice is somewhat limited because elicitation is often considered too burdensome for patients, unreliable, or redundant given other measures. For a small group of real patients who have suffered a stroke, we measure both traditional health status and patient utility for the current state to determine whether limited, focused utility assessment is a practical means of obtaining additional and relevant patient information. We find that utility assessment is perceived as reasonable and useful by patients, even when quite ill, and that utilities and health status are not redundant. In fact, investigating apparent inconsistencies between patient utility and observed health status can alert the physician to patient concerns and criteria not captured by more traditional measures. We propose an approach to medical decision making that uses both measures to improve patient–physician communication.     

"Biographical Lives" Revisited and Extended*

After reviewing the history, rationale, and Jim Rachels’ varied uses of the notion of biographical lives, the essay further develops its social dimensions and proposes an ontological analysis. Whether one person is leading one life or more turns on the number of separate social worlds he or she creates and maintains. Furthermore, lives are constituted by narrated events in a story. Lives, however, are not stories, but rather are extended “verbal objects,” that is, “narrative objects” with a hybrid character, both linguistic and by inference non-verbal. In this they are like facts, propositions, and histories, grasped only through their verbal expression. Being narrative and socially embedded, lives can arguably be extended beyond the death of the principal liver of a life by the commemorative actions of those who shared it. Jim hoped to persuade doctors to shift from a traditional Sanctity of Life principle to a Sanctity of Lives principle. Accordingly, they could stop pointless prolongation of biological life once a patient permanently loses consciousness, his criterion of the end of a biographical life. It might seem that allowing lives to be extended past that point or death would forego that clinical benefit, but that is not so. *Revision of remarks at the James Rachels Memorial Conference, University of Alabama at Birmingham, 24 September 2004.     

Juggling Parent Care and Employment Responsibilities: The Dilemmas of Adult Daughter Caregivers in the Workforce

We review findings from our programmatic research on adult daughters who are simultaneously involved in the roles of employee and care provider to an impaired parent. Two opposing theoretical perspectives on the health effects of occupying these two roles are described, and empirical findings that bear on each perspective are presented. Our review reveals that, consistent with the competing demands perspective, parent care and employment often conflict with one another. Consistent with the energy expansion perspective, however, there is evidence that holding these two roles can be beneficial for the health of adult daughters.     

‘They were brilliant,I don't know what I would've done if they hadn't been here’: the group concept problem revisited

This article concerns the group concept problem in people labelled as having learning disabilities, described in a series of papers by Gibbons and colleagues (Gibbons, 1981 , 1985a , 1985b ; Gibbons & Gibbons, 1980 ; Gibbons & Kassin, 1982 ). We argue that the interpretations of these studies are questionable, and alternative explanations for the patterns of results found are possible. Examples from a study in which people with the label talked about particular others who also have the label are presented. In these examples, the category was not represented as homogeneous, relationships with others were valued, and a desire for distance was only found when participants talked about people who behaved aggressively. The findings are discussed with reference to the social model of disability. Copyright © 2003 John Wiley & Sons, Ltd.