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Accommodations for test anxiety under ADA?

Test anxiety prevents students from demonstrating their knowledge on examinations. To be covered by the Americans with Disabilities Act, test anxiety must pass two legal tests. First, it must be a "mental impairment." As a form of Social Phobia, a mental disorder included in the Diagnostic and Statistical Manual of Mental Disorders, it meets this first test. Second, it must "substantially limit one or more of the major life activities." Individuals for whom test anxiety is one manifestation of Social Phobia-Generalized are substantially limited in the major life activities of interacting with others and working. Individuals for whom test anxiety is the only manifestation of their Social Phobia are substantially limited in the major life activities of thinking and working, the latter because they are excluded from any career requiring a test for application, credentialing, licensure, or training. Accommodations may include taking the test in a separate room or taking an untimed examination. Documentation supporting a diagnosis of test anxiety should include evidence of significant impairment in test performance.

Anxiety↗

Posttraumatic stress disorder part I: historical development of the concept.

TOPIC: Posttraumatic Stress Disorder (PTSD) is a significant health problem, characterized by high rates of chronicity and comorbidity. PURPOSE: This is the first of three articles examining the sufficiency of the current PTSD construct to articulate the spectrum of human responses to trauma, in particular as it relates to women and interpersonal trauma. This paper reviews the conceptual history of PTSD from the nineteenth century up to its inclusion in the DSM-III (American Psychiatric Association, 1980). SOURCES OF INFORMATION: Existing bodies of theoretical and research literature related to the effects of trauma. CONCLUSION: Although there is strong evidence that gender plays a role in responses to stress and trauma, gender specificity is not well-incorporated into clinical services or research in the area of PTSD.

American Civil War↗

[Heteroaggressiveness' assessment].

In this article we describe topics associated with violence and aggressiveness. We review the psychological, social and neurobiological bases of aggressiveness according to different theoretical views. Different ideas about dangerousness are listed, and at the same time we try to delimit this term within the forensic psychiatric field. We classify different types of dangerousness and their relation with related psychiatric disorders. Finally, we locate dangerousness in the Civil and the Criminal Code and we supply scales for its assessment.

Aggression↗

Full parity: steps toward treatment equity for mental and addictive disorders.

The 1996 Mental Health Parity Act requiring equal annual and lifetime dollar limits for mental health benefits is to sunset 30 September 2001. This paper reviews the impact and limitations of both this law and existing state provisions and describes recent research on the actual and projected costs associated with such laws. We contend that full parity provided within the context of managed care not only is possible, but represents a "sequential" rather than a final step toward the broader goal of achieving equity in the treatment of persons with mental and addictive disorders.

Civil Rights↗