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  Abstracts from the Journal of Rehabilitation

Vol. 67, No. 3
July/Aug/Sept 2001

OUT OF PRINT

Revisiting the Principles of Free Will and Determinism: Exploring Conceptions of Disability and Counseling Theory

Andrew A. Phemister
Michigan State University

ABSTRACT:
This paper goes "back to the basics" by examining the philosophical principles of free will and determinism and the underlying assumptions that counseling theories may make regarding client autonomy, responsibility, and adjustment potential. Counseling theories are sophisticated tools that, in their complexity, could inhibit rehabilitation counselors from recognizing embedded suggestions that may conflict with a client's beliefs. Thus, getting back to the basics means that rehabilitation counselors keep things simple and recognize their pivotal role as liaison between their own beliefs, a client's beliefs, and the beliefs of others regarding free will and determinism. Discussed are the sociopolitical and personal influences that counselors and clients may have that can impact adjustment. Also examined are some of the more common counseling theories and interventions and the degree to which they may foster autonomy or dependence in rehabilitation clients.

Managed Care Experiences of Persons with Disabilities

Ellen Grabois
Baylor College of Medicine

Mary Ellen Young
University of Florida at Gainesville

ABSTRACT:
This study was designed to describe experiences of individuals with disabilities in managed care organizations (MCOs). Sixteen individuals with selected disabilities who received health care in a health maintenance organization (HMO) or a preferred provider organization (PPO) participated in open-ended, qualitative interviews. They were asked a variety of questions about their experiences with primary care physicians and specialists for any disability-related illnesses and secondary conditions. Participants were pleased with the low cost of doctors' visits, medication, and preventive care, and two-thirds developed a good relationship with their primary care physicians. However, participants also reported difficulty meeting special needs such as referrals to specialists who were most expert, and obtaining medications not in the plan.

An Evolving Rehabilitation Service Delivery System in the People's Republic of China

Nan Zhang Hampton
University of Massachusetts at Boston

ABSTRACT:
China, the most populous country with the largest population of people with disabilities in the world, is experiencing a transition marked by rapid economic growth and profound social changes. These changes have encouraged policy makers in China to reform the old "residual" welfare system that provided limited services for people with disabilities. This article presents an overview of the evolution of China's rehabilitation service delivery system, the growth of rehabilitation professionals, and the role of people with disabilities in developing this system.

Employment Outcome Expectancies: Consensus Among Consumers, Providers, and Funding Agents of Community Rehabilitation Programs

Dale F. Thomas
Fredrick E. Menz
David A. Rosenthal
University of Wisconsin - Stout

ABSTRACT:
This study investigated the degree of consensus between stakeholders regarding the most important employment outcome expectations for community-based rehabilitation programs (CRPs) as well as optimal time frames for determining such outcomes. Opinions of matched sets of CRP providers, funding agents, and consumers were surveyed to determine the degree of consensus that existed regarding employment outcome expectancies. In total, 42 sets of all three were analyzed. This analysis found that 63 of the 66 variables studied did not show a significant difference. The study also revealed that the top concerns among all three groups were related to quality of employment, quality of services, and opportunity for informed choice.

Race as a Correlate of Vocational Rehabilitation Acceptance: Revisited

Keith B. Wilson
The Pennsylvania State University

Debra A. Harley
University of Kentucky

Reginald J. Alston
University of Illinois-Urbana Champaign

ABSTRACT:
The study at hand replicated Wilson's (1999) investigation to see whether African Americans and White Americans with disabilities differ in vocational rehabilitation (VR) acceptance in another midwestern state (Michigan). The results showed a statistically significant difference between race and VR acceptance, although the association was small (phi coefficient =.046). African Americans in this study were less likely than White Americans to be accepted for VR services. These results challenge earlier results reported by Wilson (1999), Wheaton (1995), and Peterson (1996) in that no differences appeared in VR acceptance rates by race. The authors also suggest further research and highlight possible obstacles that counselors need to overcome to be more sensitive to ethnic and racial minorities seeking VR services.

Disability Related Variables Associated with Loneliness Among People with Disabilities

Sandra L. Hopps
Michel Pépin
Isabelle Arseneau
Mélanie Fréchette
Geneviève Bégin
Laval University

ABSTRACT:
This study investigates the relationship between certain variables that are specific to people with physical disabilities and loneliness. The sample is made up of 39 adults with visible physical disabilities. The variables measured are physical independence, level of impairment, acceptance of disability, as well as social skills and anxiety related to handicap situations. Correlational analysis suggests that among the variables examined, physical independence, as well as social skills and social anxiety related to situations where disability is involved, are associated with loneliness. These data may help identify people with physical disabilities who are at risk for experiencing loneliness, target more efficient intervention objectives and develop strategies for optimizing social integration.

Impact of a Cochlear Implant on Job Functioning

John P. Saxon
Alice E. Holmes
Ronald J. Spitznagel
University of Florida

ABSTRACT:
The purpose of this study was to determine the impact of cochlear implants on the job functioning of adults with profound hearing loss. A 20-item questionnaire was given to 13 cochlear implant clients. Results indicated that the cochlear implant had a positive impact on job functioning. Both the supervisors and cochlear implant users indicated the clients were more aware of warning signals, more able to understand conversations in most environments, and were able to identify sounds in their environment after receiving their implants. The only negative effect of the cochlear implants indicated by both the clients and their supervisors was that traffic noises were more bothersome than before surgery.

Spirituality in Rehabilitation Counselor Education: A Pilot Survey Rachael L. Green
John J. Benshoff
Jennifer A. Harris-Forbes
Southern Illinois University at Carbondale

ABSTRACT:
A pilot survey of spirituality in rehabilitation counselor education yielded inconclusive, ambivalent results. Programs with alcohol and drug abuse training concentrations were more likely to offer coursework in this area. Most respondents perceived spirituality to be part of the rehabilitation counselor's role, but were about equally divided regarding making it a required part of the curriculum.

OUT OF PRINT

Issue Abstracts

2005
Vol. 71, No. 1

2004
Vol. 70, No. 1
Vol. 70, No. 2
Vol. 70, No. 3
Vol. 70, No. 4

2003
Vol. 69, No. 1
Vol. 69, No. 2
Vol. 69, No. 3
Vol. 69, No. 4

2002
Vol. 68, No. 1
Vol. 68, No. 2
Vol. 68, No. 3
Vol. 68, No. 4

2001
Vol. 67, No. 1
Vol. 67, No. 2
Vol. 67, No. 3
Vol. 67, No. 4

2000
Vol. 66, No. 1
Vol. 66, No. 2
Vol. 66, No. 3
Vol. 66, No. 4


 
 
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