Toward ethical approaches to the inclusion of peers with disabilities

What would it mean for program leaders and caregivers to shape the thinking of typically developing youth toward their peers with disabilities in a way that we could regard as ethically sound? The author weaves examples from his research in settings such as Girl Scout troops and Boys and Girls Clubs as well as his own parenting experiences to answer this question. He has found that it is commonplace for program leaders, coaches, and others to avoid direct discussion or acknowledgment of the disabilities of children in their groups, in the mistaken belief that this is the best way to demonstrate that all children are equal and to avoid the perception of discrimination. His interpretation is that this is not a product of thoughtlessness but of caring staff and volunteers who believe they are doing the right thing--the ethical thing--by avoiding acknowledgment of individual differences. Disabilities--even when they are readily apparent--are treated as if they were invisible. Rather than giving disabilities the "silent treatment," the author challenges us to go beyond the prevailing ethos and find ways to build on naturally occurring opportunities to learn more about individual needs and supports.     

A HEURISTIC TECHNIQUE FOR TESTING FOR THE PRESENCE OF INTERACTION IN NONREPLICATED FACTORIAL EXPERIMENTS

Abstract  This paper suggests univariate and multivariate techniques for investigating interaction in nonreplicated factorial experiments. The tests can detect certain types of interaction, but they are not powerful against all possible alternative hypotheses. The two-way factorial experiment is discussed in some detail and an example is used to demonstrate the procedure. The procedure is compared to other tests for interaction. These comparisons show that the procedure can detect some types of interaction which other tests cannot. Likewise other tests can detect interaction this procedure cannot.     

A culturally responsive practice model for urban Indian child welfare services

This article describes collaboration among a university, a state child welfare agency, and a Native American community organization to develop a culturally driven practice model for urban, Native American child welfare. The approach includes a strategy to build resources to serve Native American clients, a training program for child welfare and court personnel using a culturally responsive curriculum, and an advocacy program that monitors for Indian Child Welfare Act compliance and provides assistance to child welfare workers and the court. The discussion identifies challenges and opportunities in addressing the needs of urban Native American communities. The article concludes with principles for culturally responsive practice for urban Native American child welfare practice.     

Differences in Pharmacokinetics Between Children and Adults—II. Children''s Variability in Drug Elimination Half-Lives and in Some Parameters Needed for Physiologically-Based Pharmacokinetic Modeling

In earlier work we assembled a database of classical pharmacokinetic parameters (e.g., elimination half-lives; volumes of distribution) in children and adults. These data were then analyzed to define mean differences between adults and children of various age groups. In this article, we first analyze the variability in half-life observations where individual data exist. The major findings are as follows. The age groups defined in the earlier analysis of arithmetic mean data (0-1 week premature; 0-1 week full term; 1 week to 2 months; 2-6 months; 6 months to 2 years; 2-12 years; and 12-18 years) are reasonable for depicting child/adult pharmacokinetic differences, but data for some of the earliest age groups are highly variable. The fraction of individual children's half-lives observed to exceed the adult mean half-life by more than the 3.2-fold uncertainty factor commonly attributed to interindividual pharmacokinetic variability is 27% (16/59) for the 0-1 week age group, and 19% (5/26) in the 1 week to 2 month age group, compared to 0/87 for all the other age groups combined between 2 months and 18 years. Children within specific age groups appear to differ from adults with respect to the amount of variability and the form of the distribution of half-lives across the population. The data indicate departure from simple unimodal distributions, particularly in the 1 week to 2 month age group, suggesting that key developmental steps affecting drug removal tend to occur in that period. Finally, in preparation for age-dependent physiologically-based pharmacokinetic modeling, nationally representative NHANES III data are analyzed for distributions of body size and fat content. The data from about age 3 to age 10 reveal important departures from simple unimodal distributional forms-in the direction suggesting a subpopulation of children that are markedly heavier than those in the major mode. For risk assessment modeling, this means that analysts will need to consider "mixed" distributions (e.g., two or more normal or log-normal modes) in which the proportions of children falling within the major versus highweight/fat modes in the mixture changes as a function of age. Biologically, the most natural interpretation of this is that these subpopulations represent children who have or have not yet received particular signals for change in growth pattern. These apparently distinct subpopulations would be expected to exhibit different disposition of xenobiotics, particularly those that are highly lipophilic and poorly metabolized.     

Quality circles—Are they working in British factories?

A survey of Quality Circle programmes in British manufacturing companies reveals that Circles introduced and used properly with full management and trade union support can and do work and have many benefits. The findings suggest that current management attitudes and actions are more detrimental to the establishment and success of a circle programme than that of the trade unions. Based on the findings, indications are made of the factors which will assist companies who are considering the introduction of a Quality Circle programme and also help those companies currently using Circles to make and keep them effective.     

The inter-rater reliability and validity of self-report of risk factors for cumulative trauma disorders within the hand therapist population - a pilot study

OBJECTIVES: This study examined the validity of hand therapists' self-report of cumulative trauma disorder (CTD) risk factors by comparing the self-report to observations performed by the raters. Inter-rater reliability was also analyzed between the raters who observed the hand therapists. STUDY DESIGN: Two raters simultaneously observed each hand therapist during a splinting task at a therapy facility. Following this task, the raters and the hand therapist independently completed an identical assessment tool. Thirteen therapists were observed and a total of six raters observed the therapists. Responses from two categories of the self-assessment, "posture" and "mechanical stress", were compared. Percentage of agreement was calculated by dividing the number of like responses by the total number of possible responses for each category. RESULTS: Overall inter-rater reliability was 72%, significantly above the accepted minimum standard of 60-70%, and validity was 39%, significantly below the accepted minimum. CONCLUSION: The high percentage of inter-rater reliability established consistency and accuracy among the raters in their observations. However, the low percentage of validity should prompt hand therapists to investigate the accuracy of a patient's self-report before relying on it for treatment.     

Hiding behind the cloth:child sexual abuse and the Catholic Church

The existence of child sexual abuse within the Catholic Church has shocked many. In this article, the authors review the history of child sexual abuse in the church, the recent events that brought this tragedy into societal consciousness, and the efforts by the church to conceal the abuse. Two sources of empirical literature, the general psychological writing on priest sex abuse and the psychoanalytic literature, on child sexual abuse are compared. Both sources of literature seek explanation for priests' child sexual abuse within the structure and culture of the church rather than viewing the priest as a "typical" sex predator. The authors argue that, in fact, the guilty priests are child predators who differ little from other child predators.     

Prevalence of overweight and obesity in collegiate American football players, by position

OBJECTIVE: The authors' purpose in this study was to determine overweight and obesity prevalence in a collegiate football team. PARTICIPANTS: Eighty-five National Collegiate Athletic Association (NCAA) Division I football players volunteered to participate. METHODS: The authors measured height, weight, and waist circumference (WC), and estimated body fat percentage (% BF) from bioelectrical impedance. RESULTS: Body mass index (BMI), WC, and % BF were all positively correlated (p < .01), but BMI overestimated the prevalence of overweight and obesity in 50.6% of the cases. Fourteen players (16%) qualified as obese under all 3 methods. Offensive linemen had significantly higher % BF (p < .01) than most other positions, and on average this group exceeded the at-risk criteria for BMI (> 30 kg/m2), WC (> 102 cm), and % BF (> 25%). CONCLUSIONS: BMI alone is not a valid indicator of overweight and obesity in a strength-trained athletic population. However, some collegiate football players, especially linemen, meet multiple criteria for obesity.     

Robustness properties of minimally‐supported Bayesian D‐optimal designs for heteroscedastic models

Bayesian D‐optimal designs supported on a fixed number of points were found by Dette & Wong (1998) for estimating parameters in a polynomial model when the error variance depends exponentially on the explanatory variable. The present authors provide optimal designs under a broader class of error variance structures and investigate the robustness properties of these designs to model and prior distribution assumptions. A comparison of the performance of the optimal designs relative to the popular uniform designs is also given. The authors' results suggest that Bayesian D‐optimal designs suported on a fixed number of points are more likely to be globaly optimal among all designs if the prior distribution is symmetric and is concentrated around its mean.     

An Investigation of Holland Types and the Sixteen Personality Factor Questionnaire‐Fifth Edition

The authors investigated the stability of the published Sixteen Personality Factor Questionnaire‐Fifth Edition (16PF; S. Conn & M. Rieke, 1994) predictors in predicting Holland types as measured by the Self‐Directed Search (SDS; J. Holland, B. Fritzsche, & A. Powell, 1994). Because the majority of the published regression equations contained unstable predictors, the authors developed modified multiple regression equations using the more stable predictors. However, these equations, although statistically significant, shared less than 50% of the variance with the criterion variable, suggesting limited practical utility or support for the domain overlap of the 16PF and the SDS. The authors recommend that the SDS be used when a measure of SDS types is needed.