Factors predisposing to suspected offending by adults with self-reported learning disabilities

BACKGROUND: This study investigated factors contributing to suspected offending behaviour by adults with a history of learning disabilities taken into custody at a city police station. METHODS: Adults charged with offences, and/or leaving custody, during a defined period, were identified as having a possible learning disability using a four-item questionnaire (Lyall et al. 1995 a). A comparison group, of similar age, sex and IQ, was identified from a database of young people with learning difficulties. Information was obtained on interview about each individual's medical, psychiatric, social and family histories and psychological assessments were undertaken. RESULTS: In contrast to the comparison group, those in the 'offending' group were more likely to have a history of the following: losing contact with their father, forensic contact in one or more family members, past homelessness, illicit drug use, experiencing an excess of recent life events, self-reported behavioural problems at school, truancy, childhood police contact and contact with probation services. All had histories of repeated offending. There was also an increased rate of drug/alcohol dependence. Only two subjects in the study group had a full-scale IQ below 70. CONCLUSIONS: These differences would suggest that the presence of childhood behavioural problems, offending behaviour by other family members, family separation and other social disruption and the development of drug and alcohol related problems are potentially the most important factors in trying to understand why one group engaged in criminal behaviour. The offending group had many characteristics in common with general offending populations.     

The long-term effect of early telephone intervention on hearing aid success

The purpose of the study was to determine if subjects who were contacted by telephone periodically during the first 3 months following hearing-aid dispensing would report greater satisfaction, more frequent hearing aid use, and fewer complaints at one year postdispensing than subjects who were not contacted frequently. Subjects were 55 hearing-impaired adults who purchased aids, 27 of whom were contacted periodically by phone. Results revealed that frequent telephone contact in the period soon after dispensing does not appear to be an effective mass management tool in this population, although its value cannot be ruled out for some types of clients.     

The effect of occupational therapy education on students' perceived attitudes toward persons with disabilities

OBJECTIVES: The effect of occupational therapy education on students' perceived attitudes toward persons with disabilities was studied. METHOD: The perceived attitudes of 144 occupational therapy students toward persons with disabilities were measured before (retrospective pretest) and after (posttest) the students attended formal professional education at the University of Alberta. RESULTS: Posttest scores were significantly higher than the retrospective pretest scores, indicating that students' attitudes became more positive after they commenced formal professional education. The posttest scores of students at various levels of education, however, did not show any significant difference. CONCLUSION: On the basis of these observations, a positive but nonlinear relationship between occupational therapy education and attitudes toward persons with disabilities was postulated.     

The effect of hemodialysis on hearing using pure-tone audiometry and distortion-product otoacoustic emissions

Patients under treatment of hemodialysis (HD) frequently exhibit some degree of sensorineural hearing loss. Fifteen subjects and 10 controls were tested by using pure-tone audiometry (PTA) and distortion-product otoacoustic emissions (DPOAEs) before and after a HD treatment. Other parameters (blood pressure, body weight, blood chemistries) were also evaluated before and after HD: The purpose of this study was to determine the acute effect of HD on hearing level by measuring PTA and DPOAE before and after one HD session. The results from PTA and DPOAE testings showed that hearing was unaffected by HD. However, all 15 subjects revealed significantly poorer hearing, especially in the higher frequencies, compared to that of the controls (p < 0.0001). It was concluded then that HD is a safe treatment, and that the sensorineural hearing loss in these patients may be attributed to the preexisting renal disease.     

The Solomon effect in learning disabilities diagnosis: Can we learn from history?

The Individuals with Disabilities Act (Individuals with Disabilities Education Improvement Act; IDEIA, 2004) has been reauthorized, and new parameters for defining learning disabilities (LD) have been established that provide more flexibility for corresponding state and local regulations. The field now has a unique opportunity to shape the practice of LD diagnosis and should consider important conceptual, theoretical, empirical, economic, legal, and practical issues related to LD diagnosis. This article highlights five key recommendations for the diagnostic definition of learning disabilities: (1) the definition needs to be unambiguous; (2) it must be universally accepted across professions, researchers, and governmental entities; (3) it must incorporate clearly defined subtypes of learning disabilities; (4) it must be empirically supported; and (5) it must point to valid, reliable, and cost-effective procedures for the identification of children with and without learning disabilities. Consideration of these points may help the field to avoid repeating past mistakes and returning to the folly of poor LD diagnostic practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The complexity of learning disabilities.

Reviews the book, Learning about learning disabilities (2nd ed.) by B. Wong (1998). This book is a reasonably comprehensive survey of the state of the art. The book has many worthwhile chapters and will be of interest to advanced-level students, investigators, and clinicians in the field. This book is intended for advanced undergraduate or graduate students. It is a collection of chapters; the individual chapters are quite good but the authors of these individual chapters appear not to have read the other chapters. The student using this book and even the more seasoned investigator or clinician familiar with the field will find it very frustrating that there is no synthesis across chapters. Students reading this book will not have the background knowledge and sophistication of the authors of these chapters. Although it is suggested that this be used as a textbook, it is missing some very important information, and there is not much synthesis. I think that some students may become frustrated at the lack of both integration and consistency among the diverse chapters. There is a technical problem in that a significant number of bibliographic entries are incorrect. Compiling a reference list is tedious but not to have an accurate one is frustrating to the reader who may want to consult some of the references. No book is perfect. However, this book is an interesting balance of many positive and some troublesome features. It is comprehensive and provides a view of a fascinating field. The authors and editor are to be congratulated for their efforts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The factor structure of self-reported physical stress reactions

A self-report questionnaire tapping 98 frequently reported physical stress reactions was subjected to factor analysis. The instrument was given to 1,210 subjects (593 males, 520 females, and 97 who failed to indicate their gender). The final factor solution identified 18 interpretable factors for the combined sample. Some of the more notable findings are: (a) Gastric Distress (Factor 1) is by far the most prominent factor and accounts for .491 of the total variance; (b) the factor solutions for males and females are highly similar, although Cardiorespiratory Activity (Factor 2) is defined by a greater diversity of noncardiac reactions for females than for males; and (c) six independent striated muscle tension factors can be identified for the entire sample. Results are discussed in terms of a behavioral conceptualization of psychosomatic symptoms. Clinical implications are noted.     

The effect of hearing similar-sounding words on young 2-year-olds' disambiguation of novel reference.

Young 2-yr-olds' interpretation of a novel noun was influenced by preexposure to similar-sounding words. In Exp 1, 16 children selected an unfamiliar rather than a familiar object as the noun's referent more often when they had just heard many words that sounded like it than when they had just heard many that did not. Exposure to repeated sounds was hypothesized to reduce the attentional resources needed to process a word made up of the sounds, permitting extra resources to be applied to the name mapping problem. In Exps 2 and 3, exposure had a similar effect on children's mapping of a novel noun that sounded similar to the name of the familiar choice object (e.g., their mapping of wog onto a stethoscope rather than dog). Exposure was hypothesized to cause differences perceived within the set of words to be magnified and those perceived outside of it to be reduced. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of drinking water fluoridation on the natural course of hearing in patients with otosclerosis

The effect of drinking water fluoridation on the course of hearing of non-operated otosclerotic ears was assessed in an area where the natural waters have a very low fluoride content. The study population consisted of 150 patients with surgically proven otosclerosis. Patients having an additional known cause of hearing loss were excluded from the study. Every patient had a follow-up of at least 5 years, the mean follow-up period being 8.8 years. At last follow-up examination, air conduction thresholds of patients drinking fluoridated tap water were found to be significantly better than those of patients drinking fluoride-poor water, likewise there were significant differences in bone conduction thresholds at 1, 2, and 4 kHz. It was concluded that drinking water fluoridation has a beneficial effect on hearing levels of non-operated otosclerotic ears.     

The rehabilitation of conductive hearing impairment

Conductive hearing loss (CHL) usually is amenable to surgical correction. At times, patients with CHL may not be candidates for surgical correction, or they may refuse to undergo the procedure. In such a situation, the patient should be encouraged to try hearing aids, either conventional or bone conduction, depending on the pathologic condition. After a discussion of bone-conduction implantable hearing aids, the article discusses congenital aural atresia, otosclerosis, and the management of CHL after infratemporal fossa approach and transtemporal approaches.     

Peer interaction in young deaf children: The effect of partner hearing status and familiarity.

14 deaf 54–83 mo olds were videotaped playing once with each of 4 partners: a familiar deaf playmate, a familiar hearing playmate, an unfamiliar hearing child who was a playmate of another deaf child, and an unfamiliar hearing child who had little experience playing with deaf children. 21 hearing and 7 deaf playmates participated. Deaf Ss rarely used language, and formal language use was not related to measures of interaction or play even when playing with another deaf child. Instead, interaction and pretense seemed to be related to the deaf Ss' nonlinguistic communication abilities. Partner hearing status primarily affected communication, with communication between deaf playmates being more visual (both linguistic and nonlinguistic) and less object-based than communication between deaf and hearing playmates. Familiarity played a larger role than experience in improving interaction between deaf and hearing children. The hearing children were more responsive to and used more visual communication devices with their deaf playmate than an unfamiliar deaf child. But the hearing playmates were no better at playing with an unfamiliar deaf child than were hearing children who had little experience playing with deaf children. Implications for the understanding of young children's communication abilities and for deaf educational programs are discussed. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of self-reported and observed job conditions on depression and anxiety symptoms: A comparison of theoretical models.

The demand/control/support and effort/reward imbalance models have relied on self-reported methods to describe how poor psychosocial working conditions lead to harmful health outcomes. The hindrance/utilization model uses an observational methodology to assess these relationships. Cross-sectional observational and self-reported data from 98 civil servants participating in the Whitehall II Study of British civil servants were used to test whether work conditions measured by each of the three theoretical models explained a significant amount of the variance in depression and anxiety symptoms. Observational measures were also used to assess potential common methods variance bias between the self-reported job conditions and the outcomes. Results showed that the demand/control/support model explained the most variance in depression and anxiety symptoms and the associations were not wholly due to common methods variance. Moreover, measures associated with job resources (e.g., skill discretion, social support and skill utilization) had a protective effect on depression and anxiety symptoms. Exertion-related conditions (e.g., demands, effort, over commitment) were not consistently associated with depression or anxiety symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The structure of self-reported health in chronic disease patients.

A multidimensional model of self-reported health status in 1,980 patients with 1 or more chronic medical conditions was evaluated. Two dimensions of health were hypothesized: Physical health was defined by measures of physical functioning, role limitations, satisfaction with physical ability, and mobility; mental health was defined by depression, positive affect, anxiety, and feelings of belonging. Physical and mental health were correlated but distinct, sharing about 20% of variance in common. Correlations of 11 other indicators of health with the physical and mental health constructs corresponded to a priori hypotheses. It is concluded that self-reports of physical and mental health are distinguishable and that both constructs need to be represented for comprehensive assessment of health status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The use of osseointegration of hearing aids

The principles of osseointegration defined by Branemark are reviewed. The authors describe the otological applications of titanium implants: bone anchored hearing aids (BAHA). The good results obtained depend on the selection of the patients and the observance of a rigorous surgical technique. The present paper summarizes our results with 32 BAHA implanted in 27 patients.     

Auditory perception with level-dependent hearing protectors. The effects of age and hearing loss

Auditory perception with hearing protectors was assessed in three groups of subjects, two with normal hearing, but differing in age, and one with moderate bilateral sensorineural hearing loss. Individuals were tested with the ears unoccluded, and fitted with each of two level-dependent ear muffs and their conventional level-independent counterparts. One of the former devices provided limited amplification. In each of these five ear conditions, the threshold of audibility for one-third octave noise bands centered at 500, 1,000, 2,000 and 4,000 Hz, consonant discrimination, and word recognition were measured in quiet and in a continuous impulse noise background. The results showed that the attenuation of sounds (i.e. the difference between protected and unoccluded thresholds) in quiet did not vary as a function of age or hearing loss for any of the four protectors. In noise, the difference between protected and unoccluded listening was close to zero, as long as hearing was normal. With hearing loss as a factor, there was a significant increment in the protected threshold, the amount determined by the device. Word recognition in quiet was adversely affected in normal-hearing listeners by the three attenuating devices but improved in noise relative to unoccluded listening. Amplification had a deleterious effect for both consonant discrimination and word recognition in noise. In hearing-impaired listeners, speech perception was impeded by all four muffs but less so in quiet with limited amplification.     

The sexual health needs of people with learning disabilities

The sexual health of people with learning disabilities raises important management and practice issues for health services, and should be examined in the context of the current policy emphasis on advocacy, person-centred services and social inclusion (Department of Health, 2001). People with learning disabilities may have limited access to mainstream health services, and sexual health and genitourinary medicine (GUM) services are no exception (DoH, 2001; 1998). They are often excluded from society, either because they are 'segregated' within specialist support services in the community or because they live in isolation with carers, and health and social care models do not always join up locally to meet their needs.