Clinical Implications for Supporting Caregivers at the End-of-Life: Findings and from a Qualitative Study

Despite families providing considerable care at end of life, there are substantial gaps in the provision of supportive care. A qualitative interview study was conducted with 17 caregivers of people supported by an adult hospice to explore the support needs of families. Family members readily identified the ways in which the diagnosis of a life-limiting illness impacted on them and the family as a whole, not just the patient. Implications for practice demonstrate the need to intervene at a family and relational level prior to bereavement, in order to mitigate complicated grief for the surviving family members. Such an approach offers a fruitful prospective alternative to supporting caregivers post-bereavement.     

Corporate culture and the employment of persons with disabilities

This article addresses key questions arising from the economic and social disparities that individuals with disabilities experience in the United States. For instance, “What role does corporate culture play in the employment of people with disabilities?” “How does it facilitate or hinder their employment and promotional opportunities, and how can corporations develop supportive cultures that benefit people with disabilities, non‐disabled employees, and the organization as a whole?” Corporate culture can create attitudinal, behavioral, and physical barriers for workers and job applicants with disabilities. This research concludes that if the employment prospects of people with disabilities are to be improved significantly, attention must be paid to the ways in which corporate culture creates or reinforces obstacles to employees with disabilities, and how these obstacles can be removed or overcome. Ultimately, we will make the case that corporate culture and societal attitudes must change if people with disabilities are to be accepted and incorporated fully into the workplace. Copyright © 2005 John Wiley & Sons, Ltd.     

Enhanced encoding of the co-actor's target stimuli during a shared non-motor task

Task co-representation has been proposed to rely on the motor brain areas’ capacity to represent others’ action plans similarly to one's own. The joint memory (JM) effect suggests that working in parallel with others influences the depth of incidental encoding: Other-relevant items are better encoded than non-task-relevant items. Using this paradigm, we investigated whether task co-representation could also emerge for non-motor tasks. In Experiment 1, we found enhanced recall performance to stimuli relevant to the co-actor also when the participants’ task required non-motor responses (counting the target words) instead of key-presses. This suggests that the JM effect did not depend on simulating the co-actor's motor responses. In Experiment 2, direct visual access to the co-actor and his actions was found to be unnecessary to evoke the JM effect in case of the non-motor, but not in case of the motor task. Prior knowledge of the co-actor's target category is sufficient to evoke deeper incidental encoding. Overall, these findings indicate that the capacity of task co-representation extends beyond the realm of motor tasks: Simulating the other's motor actions is not necessary in this process.     

Influence of Socio-Demographic Factors on SRAVEN Performance

This exploratory study aimed to investigate the influence of specific socio-demographic variables on a computerized test of non-verbal neuropsychological performance. Six hundred and thirty South African first year students were assessed using the University of Pennsylvania Computerized Neuropsychological Test Battery (PennCNP). Fluid intelligence was measured by a computerized version of the Raven's Progressive Matrices (SRAVENS). Analysis of variance indicated that gender, home language, quality of schooling, language of schooling and paternal education influenced performance on the SRAVEN. Stepwise multiple regression evidenced the importance of language, paternal education and high school language on SRAVENS responses. The assumption of non-verbal test scores as being independent of socio-demographic factors needs to be revisited as such independence cannot be maintained in light of such evidence.     

Using career counselling with group life design principles to improve the employability of disadvantaged young adults

This article explores the effects of group life design counselling on unemployed young adults’ career adaptability skills. Purposive and criterion sampling were used to select 62 participants involved in a skills programme (mean age = 24.86 years, SD = 6.38 years). A quasi-experimental pre-test/post-test comparison group-design, embedded in an intervention framework, was used to gather data. Intervention occurred in the quasi-experimental group. Paired t-tests were used to compare the difference between the pre- and post-test scores obtained on the Career Adapt-Abilities Scale (CAAS). The scores on career concern and career control, as well as the total score on the CAAS, of the quasi-experimental group increased after the intervention. The results suggest that group career counselling interventions with life design principles enhanced the career adaptability in participants as a core element of employability. Future research should focus on more longitudinal research and tracing the long-term progress of participants to establish the value of the approach for diverse clients in (individual and) group contexts.     

Can I Make a Difference? Efficacy,Employment, and Disability

Political efficacy is a widely studied phenomenon and an important predictor of political participation, but little is known about the political efficacy of the millions of people with disabilities in the United States. This paper reports the results of a nationally representative telephone survey of 1,240 people—stratified to include 700 people with disabilities—following the November 1998 elections. Several measures of efficacy that help predict political activity were found to be significantly lower among people with disabilities than among otherwise similar people without disabilities. Although lower levels of internal efficacy and civic skills could largely be explained by educational and employment gaps, lower levels of other variables (external efficacy, perceived influence of people with disabilities, and perceived treatment of people with disabilities) remained after applying a wide range of controls, indicating that people with disabilities are less likely to see the political system as responsive to them. This perception is concentrated among non–employed people with disabilities. The lower efficacy levels linked to "disability gaps" in employment, income, education, and group attendance appear to account for as much as half of the disability political participation gap; hence, policies intended to increase employment and educational opportunities for people with disabilities have potentially important political effects.     

Impaired auditory attention skills following middle-ear infections.

The present study investigated auditory attention skills in a sample of children with non-chronic otitis media with effusion (OME). Twenty children with repeated episodes of OME but not found in the need for myringotomy and insertion of ventilating tubes were compared to 20 control children with no known episodes of OME based on parental reports and medical records. Mean age during assessment was 9 years, and none of the children showed signs of impaired language functions and with normal general cognitive abilities. They were assessed with dichotic listening CV-syllables (DLCV-108) free recall and directed attention tasks. The control children showed the expected right ear advantage during free recall and the directed right condition, and demonstrated a shift toward a left ear advantage during the directed left. The children with a history of OME showed a predominant right ear advantage across all three tasks. Although some change in ear accuracy occurred across tasks, impaired auditory attention skills were found following a history of middle ear infections. These results replicate those reported earlier from a sample of children with persistent otitis media with effusion, and suggest that treatment with ventilating tubes does not appear to make any difference in the development of auditory attention skills, whereas occurrence of OME must be considered when testing auditory attentional skills as a part of a neuropsychological assessment.