Aversive procedures: The minnesota experience

Aversive and deprivation procedures for controlling and reducing challenging behaviors have received increasing attention. Many states have adopted guidelines on the use of these procedures treating persons with developmental disabilities. The Minnesota state rule promulgated in October, 1987 requires reviews from both local and state-wide review committees on permitted, but controlled procedures. Data generated from state-wide committees revealed that (a) state operated regional treatment centers (RTCs) employed individual habilitative training programs with controlled procedures more frequently than community-based agencies (b) a higher proportion of RTC submissions were for treatment of self-injury than submissions from community services, and (c) RTCs had a higher usage of mechanical restraints than community facilities with both services settings using manual restraints more frequently than all other controlled procedures combined. Reasons for the above differences in the two service settings were discussed.     

Anger at unfairness: is it moral outrage?

Anger at unfair treatment has been called moral outrage. However, moral outrage—anger at the violation of a moral standard—should be distinguished from personal anger at being harmed and empathic anger at seeing another for whom one cares harmed. Across a preliminary experiment and a main experiment, both designed to manipulate the appraisal conditions for these three forms of anger, we found evidence of personal anger and empathic anger, but little evidence of moral outrage. Participants perceived unfair treatment of another, even another for whom they had not been induced to feel empathy, to be as unfair as participants perceived unfair treatment of themselves. But the appraisal conditions that evoked anger were unfair treatment of self and unfair treatment of a cared-for other, not unfairness per se. In the absence of empathic concern, unfair treatment of another evoked little anger. Possible implications for understanding moral emotion and moral motivation are suggested. Copyright © 2007 John Wiley & Sons, Ltd.     

The assessed crisis service needs of clients in community-based programs serving persons with developmental disabilities

Crisis services for persons with developmental disabilities who display challenging behaviors is rapidly emerging as a critical need for individuals placed in the community. Many states continue to close their large state facilities for persons with developmental disabilities. Challenging behaviors impedes successful living in the community. A questionnaire providing information on the types of challenging behavior, the availability and perceived need for on-site and off-site crisis-respite support services, and the optimal method of accessing community-based crisis services, was sent to Minnesota residential facilities in the metropolitan and rural areas. The results revealed commonalities between these respondents as well as the differences. As the national trend of deinstitutionalization continues, the information derived from this study will be useful for the development of crisis services in other states. © 1998 John Wiley & Sons, Ltd.     

Autobiographical Memory and Suicide Attempts in Schizophrenia

According to the cry of pain model of suicidal behavior, an over‐general autobiographical memory function is often found in suicide attempters. The model has received empirical support in several studies, mainly of depressed patients. The present study investigated whether deficits in autobiographical memory may be associated with an increased frequency of suicide attempts in patients with schizophrenia. We found support for our hypothesis that patients with schizophrenia and previous suicide attempts have an over‐generalized autobiographical memory compared to patients with schizophrenia without previous suicide attempts. Adjustment for sociodemographic and clinical variables did not change the results.