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[an error occurred while processing this directive] NRA Publications. Order current and back issues of NRA publications. Members Only: Order discounted Elliot & Fitzpatrick publications Guidelines for publication. Journal of Rehabilitation Advertising Rates Contemporary Rehab Advertising Rates Journal of Rehabilitation Editorial Board. |
Abstracts from the Journal of Rehabilitation Vol. 68, No. 2 April/May/June 2002 Traumatic Brain Injury When Symptoms Don't Add Up: Conversion and Malingering in the Rehabilitation Setting Patricia Rogers Babin Patricia Gross Charlotte Institute of Rehabilitation ABSTRACT: Professionals in settings of brain injury rehabilitation treat patients with some of the highest levels of medical complexity. Sometimes the patient's symptoms fail to fit a consistent pattern across multiple assessments, across providers, or across time. Inconsistencies of this kind can perplex the treatment team and the treating physician leading to further confusion in already complex cases. When symptoms don't add up, the team may suspect the patient of "faking" the deficits or the disorder. Malingering refers to the intentional production of medical symptoms in order to obtain secondary gain, such as for a monetary settlement. Conversion is the unintentional and unconscious production of medical symptoms as the result of psychological factors, and is a subset of psychological problems known as somatoform disorders. Differentiating conversion and related disorders from malingering can help the treatment team achieve more efficient and cost-effective remediation. Treatment is possible for the patient with conversion disorder and for those with related psychological disorders. On the other hand, the intentionally produced symptoms of the malingering individual are not amenable to treatment. Various psychological tests were developed to distinguish the malingering person from the patient with other psychological disorders. We will briefly review the literature as it pertains to conversion and malingering, discuss the most frequently administered tests used to assess these issues, and provide two abbreviated case studies representative of each disorder. Pertinent treatment issues will be addressed. Responses to Insulin Reactions and Long-term Adaptation to Diabetes Erin Martz University of Arkansas, Fayetteville Richard Roessler University of Illinois, Urbana-Champaign Hanoch Livneh Portland State University ABSTRACT: Individuals with diabetes face the daily threat of potentially dangerous insulin reactions. This study examined whether immediate psychosocial responses to insulin reactions were similar to individuals' extended adaptation to the reality of diabetes. A questionnaire about psychosocial experiences with insulin reactions (Responses to Insulin Reactions Survey; RIRS) and a multidimensional measure of psychosocial adaptation to disability (Reactions to Impairment and Disability Inventory; RIDI) were administered to individuals with diabetes. Results suggest that: (a) RIDI's psychosocial distress responses are positively associated with RIRS negative affectivity experiences and negatively linked to RIRS level of acceptance of insulin reactions, (b) RIDI's adaptive responses are mostly independent of any of RIRS reactions, and (c) RIDI's Denial scale is negatively correlated with RIRS' level of acceptance but independent of its negative affectivity and avoidance/resistance factor. Implications for rehabilitation practice are discussed and suggestions for future research are outlined. Tourette Syndrome: A New Look at an Old Condition Glen Hendren Mississippi State University ABSTRACT: In diagnosis, Tourette's syndrome (TS) is currently increasing more rapidly than any other neurological condition. TS is a very complex condition that very often has a variety of comorbid conditions. An extensive review of the literature found numerous articles relating to the medical aspects of TS and to the education of children with TS. However, there was a noticeable lack of literature related to the vocational evaluation and rehabilitation implications of TS. This manuscript was written to address that dearth of information. It provides a brief overview of TS including its history and the critical diagnostic criteria. Many conditions commonly associated with TS are discussed. Also addressed is practical information related to the identification and amelioration of problems associated with TS. Post-Polio Syndrome: Issues and Strategies for Rehabilitation Counselors Phyllis A. Gordon David Feldman Ball State University ABSTRACT: Persons experiencing the late effects of polio are facing numerous physical and emotional challenges. The reoccurrence of old symptoms as well as the development of new post-polio symptoms are forcing individuals to make modification and accommodations in their employment. This article reviews the medical, psychosocial, and vocational aspects of post-polio syndrome. Issues pertaining to coping behaviors and treatment are discussed. Suggestions for rehabilitation practice and services are included. Internet Applications and Beliefs of State Agency Personnel Jeanne Boland Patterson University of North Florida ABSTRACT: The purpose of this preliminary study was to identify similarities and differences among state directors, district directors, and rehabilitation counselors in their (a) access to the Internet, (b) beliefs about the Internet and the agency's Intranet system, and (c) perceptions of the ways in which rehabilitation counselors use the Internet. The survey results revealed that: (a) a majority of the respondents had Internet access at their desk and at home, (b) Intranet communication has increased job satisfaction and the counselors' sense of belongingness to the VR organization, and (c) state and district directors perceive counselors as using more applications than are actually reported by counselors. Expanding Horizons: A Model Academic and Vocational Training Program for Out-of-School Youth with Disabilities Gail Schoen Lemaire University of Maryland Kali Mallik Bryan G. Stoll Alliance, Inc. ABSTRACT: Youth with learning and psychiatric disabilities who have dropped out of school face significant barriers to achieving academic and vocational success and are at increased risk for limited post-secondary education, high unemployment rates, and poor socioeconomic status. This paper describes the development and first year results of a model program designed to address the academic and vocational needs of out-of-school youth with disabilities. Participant's success provides initial evidence for the effectiveness of the program and suggests the need for rigorous research in this area. Implications for rehabilitation programs are discussed. Order this issue! 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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