A parametric analysis of the relationship between food quantity and rumination

Rumination is the chronic regurgitation, chewing, and reswallowing of previously ingested food. The study reported here, using a parametric design, examined the control of rumination by the quantity of food eaten at meals. The subjects were three profoundly retarded individuals who chronically emitted this behavior. The quantity of food by weight ingested daily was varied in 10-oz steps in both ascending and descending series (data were collected only after breakfasts and lunches). Ruminating decreased when food quantity increased and increased when food quantity decreased. In addition, there was a similar inverse interaction between breakfast food quantity and post-lunch ruminating. The data showed relatively rapid transitions in both frequency and duration at each meal size for all subjects. The data establish a clear functional relation between the quantity of food ingested and ruminating.     

TRAINING AND GENERALIZATION OF LAUNDRY SKILLS: A MULTIPLE PROBE EVALUATION WITH HANDICAPPED PERSONS

An instructional procedure composed of a graded sequence of prompts and token reinforcement was used to train a complex chain of behaviors which included sorting, washing, and drying clothes. A multiple probe design with sequential instruction across seven major components of the laundering routine was used to demonstrate experimental control. Students were taught to launder clothing using machines located in their school and generalization was assessed later on machines located in the public laundromat. A comparison of students' laundry skills with those of normal peers indicated similar levels of proficiency. Follow-up probes demonstrated maintenance of laundry skills over a 10-month period.     

Scatter as an index of organicity: A comparison of mentally retarded individuals experiencing and not experiencing concomitant convulsive disorders

This study examined the validity of Wechsler subtest scatter as an index of organicity and convulsive disorders in a mentally retarded sample. Four different indices of scatter were studied. Only the Selz and Reitan (Journal of Consulting and Clinical Psychology, 1979, 47, 258–264) index was related to organicity. However, after the contribution of Full-Scale IQ was partialed out, no significant relationship remained. It was concluded that scatter has only minimal diagnostic utility in detecting organicity.Woodhaven Center is operated and funded under a contract between Temple University and the Pennsylvania Department of Public Welfare.     

Acceptability bias: The effects of treatment acceptability on visual analysis of graphed data

Vignettes depicting a mildly or severely self-abusive child with profound mental retardation who received either a differential reinforcement of other behavior or a contingent electric shock treatment were presented to 161 undergraduates. After subjects rated the acceptability of the given treatment on the Treatment Evaluation Inventory (TEI), they evaluated the efficacy of the given treatment based upon six AB data graphs. Visual analytic judgments were not significantly effected by type of treatment, severity of self-injurious behavior (SIB), or the treatment × SIB interaction. TEI scores differed significantly according to type of treatment. Simple and multiple correlations computed between TEI scores and graph evaluations provided evidence ofacceptability bias, such that more favorable appraisals of treatment acceptability were related to perceptions of greater treatment effectiveness.     

Identification of special education students with mental retardation: Correlates of state child-count data

The number of children identified as mentally retarded by the special education system in the United States has declined dramatically over the past 15 years. Hypotheses regarding this decline have generally focused on changes in state definitions and social factors related to the stigma of the mental retardation classification. In the present study, we investigated differences in state definitions of mental retardation as well as demographic and economic variables as predictors of states' MR identification rates. Definition variables failed to relate significantly to identification rates while several race and per capita expenditure variables were significant predictors. Results are discussed in terms of the importance of investigating demographic and economic variables in understanding the variation in state MR identification rates.     

Acculturation in Women with Mental Retardation and Its Impact on Genetic Counseling

The provision of genetic counseling to women with mild mental retardation poses many challenges, some directly related to their developmental and cognitive disabilities. Traditional genetic counseling models, in which decision-making is largely based on the understanding of factual information, are particularly affected by the intellectual limitations which characterize this population. Equally important, however, are these women's attitudes, perceptions, and behaviors related to their involuntary inclusion into a highly stigmatized social group. Common themes among these women which surface in the genetic counseling setting include the denial of mental retardation, a hierarchical perception of their own and others' disabilities, and a strong motivation to conceive and parent a child. Such attitudes and behaviors may be symptomatic of acculturation, as these women struggle to take on accepted social roles while rejecting the stigma of intellectual disability. In contrast to factual information, the counselee's ability to discuss emotions and perceptions is not necessarily hampered by her intellectual limitations. A focus on the recognition and discussion of psychosocial issues provides a more meaningful approach than traditional genetic counseling models for facilitating informed reproductive decisions among women with mental retardation.     

Reinforcer frequency and restricted stimulus control.

Stimulus control was evaluated in 3 individuals with moderate to severe mental retardation by delayed identity matching-to-sample procedures that presented either one or two discrete forms as sample stimuli on each trial. On pretests, accuracy scores on one-sample trials were uniformly high. On two-sample trials, the correct stimulus (i.e., the one that subsequently appeared in the comparison array) varied unpredictably, and accuracy scores were substantially lower, suggesting that both sample stimuli did not exert stimulus control on every trial. Subjects were then given training sessions with the one-sample task and with a new set of four stimuli. For two of the stimuli, correct matching responses were followed by reinforcers on a variable-ratio schedule that led to a high reinforcer rate. For the other two stimuli, correct responses were followed by reinforcers on a variable-ratio schedule that led to a substantially lower reinforcer rate. Results on two-sample tests that followed showed that (a) on trials in which comparison arrays consisted of one high reinforcer-rate and one low reinforcer-rate stimulus, subjects most often selected the high-rate stimulus; and (b) on trials in which the comparison arrays were either two high reinforcer-rate stimuli or two low reinforcer-rate stimuli and the samples were one high reinforcer- and one low reinforcer-rate stimulus, accuracy was higher on trials with the high-rate comparisons. These results indicate that the frequency of stimulus control by high reinforcer-rate samples was greater than that by low reinforcer-rate samples. Following more training with the one-sample task and reversed reinforcement schedules for all stimuli, the differences in stimulus control frequencies on two-sample tests also reversed. These results demonstrate experimental control by reinforcement contingencies of which of two sample stimuli controlled selections in the two-sample task. The procedures and results may prove to be relevant for understanding restricted stimulus control and stimulus overselectivity.     

Long-Term Follow-Up of Children with Mental Retardation/Borderline Intellectual Functioning and ADHD

Fifty-two children (ages 7 to 14 years) with moderate mental retardation to borderline intellectual functioning were recontacted 12 to 65 months following participation in a double-blind, placebo-controlled trial of methylphenidate (MPH). Sixty-nine percent of subjects continued to be prescribed medication for behavior control at follow-up. While 72% of the sample evidenced improvement, over two-thirds continued to be rated at or above the 98th percentile on the Hyperactivity Index of the Parent Conners. In fact, 22% of subjects had received inpatient psychiatric treatment between the time of the initial MPH trial and follow-up. Finally, subjects with high initial ratings on the Parent Conners Conduct Problems scale were more likely to be suspended from school or receive inpatient psychiatric treatment than subjects with low initial ratings. The results suggested that children with ADHD and mental retardation or borderline intellectual functioning continued to exhibit significant symptoms associated with attention deficit hyperactivity disorder (ADHD) at follow-up and that early conduct problems were predictive of continuing behavioral difficulties.     

USING SELF-MANAGEMENT PROCEDURES TO IMPROVE THE PRODUCTIVITY OF ADULTS WITH DEVELOPMENTAL DISABILITIES IN A COMPETITIVE EMPLOYMENT SETTING

This study describes the use of self-management procedures, similar to those proposed by Lagomarcino, Hughes, and Rusch (1989), to improve the productivity of 2 women with mild mental retardation who worked in restaurants. Substantial improvements were observed as a function of treatment, and the procedures were deemed acceptable by the participants, their coworkers, and their supervisors.     

RESPONSIBILITY AND DISABILITY

Abstract: This essay explores the boundaries of the moral community—the collection of agents eligible for moral responsibility—by focusing on those just inside it and those just outside it. In particular, it contrasts mild mental retardation with psychopathy, specifically among adults. For those who work with and know them, adults with mild mental retardation are thought to be obvious members of the moral community (albeit not full-fledged members). For those who work with and theorize about adult psychopaths, by contrast, they are not members of the moral community (albeit not in such a full-fledged fashion as the insane). Both psychopaths and adults with MMR have a disability, and the essay is interested in how disability sometimes exempts one from the moral community and sometimes doesn't. It will be through two associated puzzles that we will eventually come to see the complicated tripartite relation between disability, responsibility, and moral community.