Hysteria and antisocial behavior: further evidence of an association.
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Problem behavior often prevents community integration of people with developmental disabilities. Therefore, we evaluated a multicomponent approach for remediating problem behavior in public community settings (specifically, supermarkets). We selected treatments based on hypotheses about the variables controlling the problem behavior (hypothesis-driven model). The multicomponent intervention included choice making, embedding, functional communication training, building tolerance for delay of reinforcement, and presenting discriminative stimuli for nonproblem behavior. Treatment progress was monitored using measures of latency and task completion rather than traditional measures of frequency and time sampling. Results showed substantial increases in task completion and duration of time spent in supermarkets without problem behavior. Outcomes were socially validated by group-home staff and cashiers. We discuss how the intervention approach taken can resolve some of the issues involved in assessing, measuring, and treating problem behavior in the community.
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Self-reported behavioural/emotional problems were studied in 2647 15-18-year-old high school students by Youth Self-Report (YSR), Symptom Checklist (SCL-12) and a Conduct Problem scale. The response rate was 85%. The respondents were from three ethnic groups in northern Norway: indigenous Sami, Kvens (descendants of Finnish-speaking immigrants from northern Finland and Sweden) and Norwegians. Females' mean scores were higher than males' scores for Total Problems [47.2 (SD 19.3) vs. 40.9 (SD 19.4)], Internalising Problems, the Internalising syndrome scales and the Attention Problems scale. Males' mean scores were higher than females' scores for Delinquent Behaviour. There were few differences between the ethnic groups, but Sami had higher scores than Norwegians for the Withdrawn and Social Problems syndromes. Parental status (whether parents were living together) was weakly associated with Total Problems, Internalising and Externalising Problems, while age, socioeconomic status and urban/rural location were not associated with the problem scales. Results for Anxiety-depression (SCL-12) and Conduct Problems were compared with a national representative adolescent sample (n = 4567), showing slight differences between the samples in Anxiety-depression (with north Norwegian adolescents having lower scores) and no significant differences in Conduct Problems.
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Latent class-derived prevalence estimates of behavior disorder are provided for adult day health care (ADHC) clients; informal and formal caregivers reported 11% and 14%, respectively, of these clients as engaging in severe disturbed behavior (95% confidence intervals across sources are from 7% to 18%). The prevalences, estimated for informal and formal caregivers respectively, were 12% and 16% for affective disorder, 15% and 18% for cognitive disorders, 16% and 13% for verbal-vocal agitation, and 6% and 8% for socially inappropriate behavior. These rates can be contrasted with those of the institutional population which, while higher, overlap with the distribution of behavior disorder for ADHC community residents. The degree of reported disturbance to family and staff was similar across items.
Children of parents with mental illness are at risk of psychiatric and behavioral problems. Few studies have investigated the psychosocial outcomes of these children in adulthood or the parental psychiatric history variables that predict resilience. From a sample of 379 mothers with serious mental illnesses, 157 women who had at least one adult child between the ages of 18 and 30 were interviewed. Mothers reported that about 80 percent of these adult children were working, in school, or in training. However, about one-third had not completed high school, and 54 percent were judged to have a major problem in psychological, drug or alcohol, or legal domains. Although nearly 40 percent were parents of minor children, only about 12 percent were in a committed relationship. Mothers' bipolar diagnosis was a significant predictor for number of adult child problems. The results indicate a need for more attention to the parenting status of adults with mental illnesses and to their parenting concerns and needs.
Codependence is a progressive emotional and behavioral disease that makes life painful. Because of nursing's historical roots and the present role of advance-practice nurses in the health care system, nurse practitioners are at risk for developing this disease. Codependence interferes with nurse practitioner's job performance by causing dysfunctional interactions with supervisors, peers and subordinates. A personal program of recovery is the only way to halt the progress of this syndrome and to re-establish healthy work patterns. The stages of recovery from codependence are identification, awareness, reintegration and genesis. Tools of recovery include involvement in a 12 Step program, connecting with other recovering people, daily affirmations and meditations, and attending programs and workshops on codependence.
The diagnostic and psychotherapeutic importance of distinguishing between acting out of unconscious conflict and acting up, or direct expression of impulse, are highlighted. Some applications of the control defect concept to social problems and psychiatric conditions are discussed.
The premorbid adjustment of 85 six- to sixteen-year-old children with traumatic brain injury was assessed by means of standardized rating forms that were completed by the children's parents and teachers. Parents and teachers were in moderate agreement when rating children's premorbid functioning. Less than 11% of the children appeared to have premorbid disturbances. Premorbid adjustment did not appear to be clearly related to injury severity or to type of injury. It is concluded that premorbid behavioral and psychosocial factors are not strongly related to the incidence of traumatic brain injury in a sample of children with predominantly relatively severe injuries.
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There is active debate regarding the nature of executive dysfunction in autism. Additionally, investigations have yet to show a relationship between deficits in executive function and the everyday behavioral difficulties that may originate from them. The present study examined the relationship between executive abilities and adaptive behavior in 35 children with Autism Spectrum Disorders, using two parent reports of everyday functioning, the Vineland Adaptive Behavior Scales (VABS) and the Behavior Rating Inventory of Executive Function (BRIEF). Results found several relationships: The Initiate and Working Memory domains were negatively correlated with most domains of adaptive behavior. Also, the Communication and Socialization domains of the VABS were negatively correlated with several areas of executive functioning, suggesting that impairments in executive abilities are strongly associated with the deficits in communication, play and social relationships found in children with autism.