The Brief Symptom Inventory: Measuring psychological distress in spinal cord injury.

Explored the appropriateness of the Brief Symptom Inventory (BSI) as a measure of psychological distress among 79 traumatic spinal cord injured (SCI) patients (aged 18–70 yrs) and emphasized the limitations of using the BSI as a replacement for the SCL-90—Revised (SCL-90—R). Ss' BSI scores were compared with a nonpatient normative group (N?=?974). Ss were significantly more psychologically distressed in somatization, depression, and phobic anxiety than the normative group. However, several somatization symptoms endorsed by these Ss are common physical effects of SCI rather than psychosomatic complaints. When comparing BSI and SCL-90—R scores of the same Ss, significant statistical differences were found with respect to the level of psychological distress being reported by each test. The BSI may not represent an equivalent abbreviated form of the SCL-90—R for the SCI population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Simulation training of psychomotor skills: Teaching the brain-injured to drive.

13 brain-injured individuals (average age 24.2 yrs) completed a set of 7 exercises simulating specific cognitive and behavioral aspects of motor vehicle operation, using an electric-powered vehicle, to test whether training would generalize to a complex functional task (i.e., automobile driving). Training exercises involved visuomotor tracking, divided attention, successive increases in difficulty level, performance feedback, and social reinforcement. Ss were compared with 11 closed-head-injured controls of the same average age, who received experience with the electric vehicle but no training exercises, and with 11 normal high-school students, who had driver's licenses and were trained in some of the exercises (e.g., divided attention). Training consisted of 8 2-hr sessions; at the conclusion of training, experimental and control Ss were evaluated in an on-the-road automobile test. Results indicate that experimental Ss showed improvements on the specific exercises, and training resulted in improved performance on tests of on-the-road driving when compared with closed-head-injured controls, who did not show improvement in their driving performance. Results suggest a significant therapeutic effect of the specific training exercises. (28 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Lower extremity lawn-mower injuries in children

Lower extremity lawn-mower injuries in children result in significant morbidity with a significant financial burden to the family and society. We reviewed 24 children with lower extremity lawn-mower injuries; all mothers completed standardized psychologic assessments of their children, and 18 children were interviewed. Fifty percent of the mothers had defensive profiles on the standardized psychologic assessment, suggesting the likelihood of denial or underreporting of the child's psychologic difficulties. Therefore, we found the interview with the child to be a more accurate measure of psychologic distress. Prevention measures aimed at parents must emphasize that a child must not be allowed in a yard that is being mowed with a riding mower.     

Advancing disability policy: Opportunities and obstacles.

This article highlights opportunities for psychologists to advance disability policy. Obstacles discussed include disabling attitudes, lack of knowledge, and financial interests. The article calls for increased involvement of consumers in research design and greater emphasis on research related to social participation and environmental accommodation for persons with a disability. The need for advocacy in promoting adequate research funding and informing policymakers regarding research findings is emphasized. Continued efforts are needed to broaden psychology training to include more content regarding the social and environmental aspects of disability. Active recruitment into psychology training programs of students with a disability can enhance these efforts. The development of psychological interventions in collaboration with consumer-run organizations is a useful model. Public policies related to reimbursement for services will require continued advocacy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Transforming psychological practice and society: Policies that reflect the new paradigm.

As people with disabilities challenge psychology to acknowledge the sociopolitical foundations of their margialization, they urge psychologists to help improve disability policy within and beyond the borders of the discipline. Understanding disability through a social paradigm offers opportunities to reframe the way psychologists define problems related to disability, to develop more collaborative relationships between psychologists and people with disabilities, and to adopt new professional responsibilities with respect to the disability community. The authors address the impact of the social paradigm on policies within psychology that guide consulting, advocacy, and training. The impact of national policy decisions, such as those associated with reimbursement, on practice and training is also discussed. Highlighted throughout are points of controversy prompted by new disability frameworks that remain open to illumination from the field. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factors affecting employment following spinal cord injury: A qualitative study.

Examined factors that differentiated persons with spinal cord injury (SCI) who returned to work from those who did not. Ss were 6 employed persons with SCI matched with 6 unemployed persons with SCI on the basis of education, race, age, gender, time since injury, and level of function. Semistructured interviews 1 to 2 hrs in length were completed and transcribed. The responses of the employed were compared with those of the unemployed using grounded theory. The theory is inductively derived from the qualitative data. Psychological and environmental factors were the most salient factors affecting employment in this matched sample. Key psychological factors associated with employment were optimism, self-esteem, achievement orientation, and role models. Key environmental factors were monetary incentives, disincentives, access, and accommodation. Conclusions: The development of increased optimism may promote employment for persons with SCI. Employment barriers and the perception of these barriers as insurmountable need to be decreased. Policies that promote return to work with former employers are likely to improve employment rates for persons with SCI A more intensive job exploration process using job shadowing of peers and positive peer models may also improve employment after SCI. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Voluntary control of skin temperature: Unilateral changes using hypnosis and feedback.

Used hypnosis and auditory feedback to train a select group of 6 hypnotically talented university students to produce a difference in skin temperature in 1 hand relative to the other in a direction specified by the E. Large and reliable effects were shown, demonstrating that some individuals are capable of achieving a high degree of voluntary control over the autonomic processes involved in peripheral skin temperature regulation. Individual differences between Ss were noted, and variables that might account for these are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)