The best practice for gaining and maintaining employment for individuals with traumatic brain injury

There are currently 5.3 million Americans with traumatic brain injury, the majority were young at onset and have a lengthy life expectancy. Return to work is a key to quality of life for many of these individuals. This article provides a literature review of current traumatic brain injury vocational rehabilitation programs including: holistic cognitive rehabilitation, school to work transition, and supportive employment followed by a proposal for the best practice.     

The best method for improving safety on the job for supported employees

This article addresses the best method for improving safety on-the-job for supported employees. A survey of common causes of accidents and the opinions of individuals involved in supported employment is presented. This is followed by an evaluation of types of safety skills training that is available. Most of the training programs discussed utilized a problem solving approach.     

Psychosocial factors related to job stress and women in management

This literature review explores women in management and how the psychosocial factors they face in the workplace affect their job-related stress level. The psychosocial factors identified include tokenism, sexual harassment and discrimination, work-family conflict, and workload. Various studies are cited and solutions to decrease job-related stress level are included.     

Individual Differences in Effectiveness of Cochlear Implants in Children Who Are Prelingually Deaf: New Process Measures of Performance

The efficacy of cochlear implants in children who are deaf has been firmly established in the literature. However, the effectiveness of cochlear implants varies widely and is influenced by demographic and experiential factors. Several key findings suggest new directions for research on central auditory factors that underlie the effectiveness of cochlear implants. First, enormous individual differences have been observed in both adults and children on a wide range of audiological outcome measures. Some patients show large increases in speech perception scores after implantation, whereas others display only modest gains on standardized tests. Second, age of implantation and length of deafness affect all outcome measures. Children implanted at younger ages do better than children implanted at older ages, and children who have been deaf for shorter periods do better than children who have been deaf for longer periods. Third, communication mode affects outcome measures. Children from "oral-only" environments do much better on standardized tests that assess phonological processing skills than children who use Total Communication. Fourth, at the present time there are no preimplant predictors of outcome performance in young children. The underlying perceptual, cognitive, and linguistic abilities and skills emerge after implantation and improve over time. Finally, there are no significant differences in audiological outcome measures among current implant devices or processing strategies. This finding suggests that the major source of variance in outcome measures lies in the neural and cognitive information processing operations that the user applies to the signal provided by the implant. Taken together, this overall pattern of results suggests that higher-level central processes such as perception, attention, learning, and memory may play important roles in explaining the large individual differences observed among users of cochlear implants. Investigations of the content and flow of information in the central nervous system and interactions between sensory input and stored knowledge may provide important new insights into the basis of individual differences. Knowledge about the underlying basis of individual differences may also help in developing new intervention strategies to improve the effectiveness of cochlear implants in children who show relatively poor development of oral/aural language skills.     

Family life in children's books

Books play an important role in the socialization of children. In order to understand the images of families presented to children, a sample of best-selling and award-winning children's books was analyzed. Sixty-seven Caldecott and Newbery award winners were selected. Some diversity in family structure was presented in the books. However, none of the black families was a one-parent household, and the image of one-parent households was overwhelmingly negative. Family roles, including the division of household work and paid employment, were depicted traditionally. Presentations of the homemaker role and parent-child relationships are described.A version of this paper was presented at the Society for the Study of Social Problems annual meetings in Toronto, Canada, August, 1981. I wish to think William Aho, Pamela Irving Jackson, Rita Seiden Miller and Albert Ullman for helpful comments on earlier drafts.     

A short form of the Revised Conflict Tactics Scales, and typologies for severity and mutuality

The revised Conflict Tactics Scales (CTS2) is the most widely used instrument for measuring intimate partner violence. This article presents a short form to enable the CTS2 to be used when testing time is very limited. It also presents procedures that can be used with either the full test or the short form to classify individuals on the basis of severity of behavior toward a partner or by a partner, and to classify couples on the basis of mutuality or symmetry in the behaviors measured by the CTS2. The results indicate that the short form is comparable in validity to the full CTS2. Although the short form does not identify as many cases of partner violence as the full scale, it does identify a large number of cases and if there is insufficient time for the full scale, can be a useful screening instrument.     

Perceptions of elder physical abuse in the courtroom: the influence of hearsay witness testimony

A community sample of 226 participants (41% men, 59% women) who answered questions about a trial summary that manipulated what type of witness (a 45-year-old hearsay [second-hand information based on the report of a crime victim] witness, a 75-year-old hearsay witness, or the 75-year-old victim) presented an allegation of elder physical abuse. Overall, participants who read the testimony of a 45-year-old hearsay witness had higher conviction rates than participants who read the testimony of the 75-year-old hearsay witness or the elder victim. Additionally, participants who had previously been victims of abuse and/or who had positive attitudes toward elderly people rendered more pro-prosecution verdicts. Finally, as the age of the participant increased so did conviction rates.     

Gender Minority Social Stress in Adolescence: Disparities in Adolescent Bullying and Substance Use by Gender Identity

Bullying and substance use represent serious public health issues facing adolescents in the United States. Few large-sample national studies have examined differences in these indicators by gender identity. The Teen Health and Technology Study (N = 5,542) sampled adolescents ages 13 to 18 years old online. Weighted multivariable logistic regression models investigated disparities in substance use and tested a gender minority social stress hypothesis, comparing gender minority youth (i.e., who are transgender/gender nonconforming and have a gender different from their sex assigned at birth) and cisgender (i.e., whose gender identity or expression matches theirs assigned at birth). Overall, 11.5% of youth self-identified as gender minority. Gender minority youth had increased odds of past-12-month alcohol use, marijuana use, and nonmarijuana illicit drug use. Gender minority youth disproportionately experienced bullying and harassment in the past 12 months, and this victimization was associated with increased odds of all substance use indicators. Bullying mediated the elevated odds of substance use for gender minority youth compared to cisgender adolescents. Findings support the use of gender minority stress perspectives in designing early interventions aimed at addressing the negative health sequelae of bullying and harassment.     

Fertility history, health, and health changes in later life: a panel study of British women and men born 1923-49

We investigated associations between later-life health and fertility history for women and men, using the British Household Panel Survey. We modelled health and its rate of change jointly with sample retention over an 11-year period. For women, childlessness is associated with limitation of activity for health reasons and faster acquisition of the limitation. High parity (four or more children) is associated with poorer health for both women and men. For the parous, this association is also found when age at first birth is controlled. Early parenthood is associated with poorer health. For parents of two or more children, a birth interval of less than 18 months is associated with having a health limitation and an accelerated rate of acquiring it. We conclude that biosocial pathways link parenthood careers and the later-life health of both women and men, and that implications of closely spaced births for parents merit further attention.