A systematic evaluation of preferences identified through person-centered planning for people with profound multiple disabilities

Person-centered planning is becoming a popular means of designing supports for people with disabilities. However, very little research evaluating person-centered planning exists. We evaluated the degree to which items and activities reported to be preferred in person-centered plans represented accurate preferences based on how individuals responded when presented with the items and activities. Person-centered planning meetings were conducted with 4 individuals with profound multiple disabilities to develop preference maps and to identify leisure-related preferences. A sample of the reported preferences in the plans was then systematically assessed by observing each participant's approach and avoidance responses to the items and activities. Of the sampled items and activities reported to be preferred in the plans, 42% represented moderate preferences based on the latter assessment process and 33% represented strong preferences. With 2 participants, several preferences identified in the plans were nonpreferred items and activities based on the preference assessments, and some were frequently avoided. These results suggested that although person-centered plans may identify some accurate preferences for people with profound multiple disabilities, this approach should be used cautiously. Results also suggested that such plans should be supplemented with systematic preference assessments to ensure the accuracy of identified preferences. Future research areas focus on evaluating other aspects of person-centered planning.     

Getting real in analysis

The author uses a detailed clinical example to illustrate how reality testing can create rather than foreclose opportunities for analytic investigation. He proposes that authentic analysis of transference within the treatment relationship requires close and explicit attention to be paid to considerations of reality, but in a way that does not require the patient to defer to the analyst's view. The author reconsiders certain conceptions of a special psychoanalytic reality, of regression in clinical analysis, and of the nature of free association, suggesting that they tend to discourage the realism necessary to effective psychoanalytic work. In this context, he underlines the importance of ongoing reference to therapeutic outcome as an aspect of reality, and reflects upon the impact of the reality of the analytic treatment setting and the question of termination.     

Morningness–eveningness and intelligence: early to bed, early to rise will likely make you anything but wise!

Research examining various psychological correlates of circadian type (also known as diurnal preference) has been, over the years, quite expansive. A notable omission within this research program would appear a systematic exploration of the relation between intelligence and morningness-eveningness. The present study redressed this imbalance. 420 participants performed two self-report inventories assessing circadian type, as well as measures of intelligence from two psychometric batteries: CAM-IV and the ASVAB. The results indicate that, contrary to conventional folk wisdom, evening-types are more likely to have higher intelligence scores. This result is discussed in relation to current theories concerning the nature of human cognitive abilities.     

Kant: The Audacity of Judgement

In the legal judgement reason demands that it extend itself beyond the mere subjective limits of the self in order that it might fashion a judgement that speaks for the other. This is the universal necessity of the judgement. No claim of truth or the moral law can guarantee that others will agree with this judgement: thus disputation is the risk which reason takes in order to judge at all. The author examines this audacity of judgement by reference to Kant's autonomy of reason, which risks itself in the thought that thinks. This revised version was published online in June 2006 with corrections to the Cover Date.     

Social cognition and the human brain

Humans are exceedingly social animals, but the neural underpinnings of social cognition and behavior are not well understood. Studies in humans and other primates have pointed to several structures that play a key role in guiding social behaviors: the amygdala, ventromedial frontal cortices, and right somatosensory-related cortex, among others. These structures appear to mediate between perceptual representations of socially relevant stimuli, such as the sight of conspecifics, and retrieval of knowledge (or elicitation of behaviors) that such stimuli can trigger. Current debates concern the extent to which social cognition draws upon processing specialized for social information, and the relative contributions made to social cognition by innate and acquired knowledge.     

Internal and external factors modulate food-calling in domestic hens

Two series of experiments investigated factors affecting utterance of food calls in the domestic hen, Gallus domesticus. The first series of experiments tested the effect of food preference and the hen’s internal state on the utterance of food calls. Different food types were presented first singly and then in a choice test to 20 hens, first when hens were laying, and then when they were maternal. The second series of experiments tested the effect of hunger level on the utterance of food calls in laying hens, and maternal hens with or without chicks. These two series of experiments showed that laying hens and maternal hens showed a similar marked preference for certain types of food, but laying hens very rarely emitted food calls, in contrast to maternal hens. This shows the effect of the bird’s psychophysiological state on her tendency to emit food calls. The more a maternal hen preferred a food type, the more food calls she emitted. This was observed from the beginning of a test in single-food tests as well as in choice tests. Hunger level positively affected food-call production under certain feeding conditions in maternal hens, but not in laying hens. When maternal hens were tested in the absence of their chicks, utterance of food calls was more sustained than in the presence of chicks. Received: 14 May 1998 / Accepted after revision: 11 October 1998     

PREFERRED CURRICULAR ACTIVITIES AND REDUCED PROBLEM BEHAVIORS IN STUDENTS WITH INTELLECTUAL DISABILITIES

This research examined the relation between students' preferences for curricular activities and the occurrence of problem and desirable behaviors in 3 students with moderate intellectual disabilities. Activity preference was determined with a systematic assessment procedure. Subsequently, the influence of activity preference on student behavior was evaluated using a reversal design. Results showed that preferred activities were associated with reduced levels of problem behavior and increased levels of desirable behaviors. The findings of this investigation contribute to the applied literature on activity preference and suggest directions for future research in the areas of curriculum design, preference, and curricular modifications as a viable behavior-management strategy.     

TEACHING CHOICE MAKING DURING SOCIAL INTERACTIONS TO STUDENTS WITH PROFOUND MULTIPLE DISABILITIES

We taught 4 students with profound multiple disabilities to use a microswitch communication system to request a change in recreational stimuli during social interactions with nondisabled peers. In Study 1, we conducted a preference assessment across a range of stimuli for each student. The most and least preferred stimuli were incorporated into microswitch communication system training in Study 2. During the second study, 3 of the 4 students (a) learned to use the microswitch communication system to control stimulus presentation, (b) more clearly differentiated their time among stimuli, and (c) increased their level of general alertness. Study 3 extended the use of the microswitch communication system to social interactions with nondisabled peers. Two students were more engaged in interactions when they chose when to change stimuli; 1 student was more alert when a peer chose when to change activities; a 4th student showed an undifferentiated pattern. The outcomes of the investigation are discussed in terms of the effects of controlling stimulus presentation on the behavior of students with profound multiple disabilities and the stability of preference hierarchies over time.     

Scaling pigeons' choice of feeds: bigger is better.

Preferences of hungry pigeons among 10 grains and pellets were analyzed using a Thurstone scaling procedure. The recovered scales were positively correlated with size of the feed. The correlations improved when the Thurstonian assumption of equal-sized discriminal dispersions (Case V) was replaced with the assumption of proportional-sized dispersions (Case VI), as entailed by Weber's law. The correlations weakened when the experiments were conducted with the pigeons close to their free-feeding weights, where the probability of sampling alternative grains increased. In the final experiment, exposure to a large pellet shifted the preferences between two smaller pellets.     

A latent trait model for dichotomous choice data

The PARELLA model is a probabilistic parallelogram model that can be used for the measurement of latent attitudes or latent preferences. The data analyzed are the dichotomous responses of persons to stimuli, with a one (zero) indicating agreement (disagreement) with the content of the stimulus. The model provides a unidimensional representation of persons and items. The response probabilities are a function of the distance between person and stimulus: the smaller the distance, the larger the probability that a person will agree with the content of the stimulus. An estimation procedure based on expectation maximization and marginal maximum likelihood is developed and the quality of the resulting parameter estimates evaluated.I gratefully acknowledge Ivo Molenaar and Wijbrandt van Schuur for their advice and encouragement during the course of the investigation, Derk-Jan Kiewiet who constructed the program for the ML estimator for the person parameter and Anne Boomsma, Wendy Post, Tom Snijders, and David Thissen for their comments on smaller aspects of the investigation.