Stephen Greenspan on "Why DSM5 suggested a switch from adaptive behavior to adaptive reasoning": APA Div 33 featured conversation

 My long time friend and professional colleague Dr. Stephen Greenspan, is conducting a featured conversation hour for Division 33 at the forthcoming APA convention in Denver.  He has provided me an advanced copy of his outline and has graciously given me permission to make it available at the ICDP blog.  A copy can be obtained by clicking here.Stephen is one of the great "thinkers" in the field of intellectual disabilities.  Our professional lives crossed long distance when I was a doctoral student.  My advisor, Dr. Robert Bruininks, put me in charge of a series of studies investigating the constructs of adaptive and maladaptive behavior.  These studies eventually led to my dissertation--which was a CFA validation study of Greenspan's Model of Personal Competence (see 1990 reference below).  To the best of my knowledge, this was the first published article validating Greenspan's model.Below are links to the various articles (I simply grabbed them from my MindHub web page--please visit if you want additional information).  Consistent with Stephen's outline notes, in this validated model of personal competence, conceptual intelligence was operationalized as measured by intelligence tests, and was not considered a domain of adaptive behavior.Of interest is the recent study by MaCann et al. that provides structural (CFA) evidence for a separate cognitively oriented social-emotional construct, distinct from the other cognitive doma...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - Category: Neuroscience Tags: AAIDD adaptive behavior Atkins cases DSM-V emotional intelligence intellectual disability person competence social intelligence Source Type: blogs

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ConclusionsThis study showed that natalizumab dominated fingolimod with lower costs and higher QALYs in patients with high-activity RRMS. These results are consistent with previous published international literature.
Source: Value in Health Regional Issues - Category: International Medicine & Public Health Source Type: research
Publication date: Available online 27 January 2020Source: Preventive MedicineAuthor(s): Louis Jacob, Lee Smith, Sarah E. Jackson, Jae Il Shin, Josep Maria Haro, Davy Vancampfort, Brendon Stubbs, Ai KoyanagiAbstractData on the association between informal caregiving and physical activity (PA) levels are scarce, especially from low- and middle-income countries (LMICs). Furthermore, previous research has yielded conflicting results. Thus, we investigated this association in adults from 38 LMICs. Data from the World Health Survey (WHS), a cross-sectional, predominantly nationally representative survey conducted in 2002–2...
Source: Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionsThere is a need for better training of healthcare providers to be inclusive and reduce denial rates of their transgender and nonbinary patients. However, it is also clear that current rates of denial must be considered through a whole-person lens, considering the experience of concurrent oppressed identities and recognizing the increased risk those with multiple marginalized identities experience in being denied needed health care.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionsExperiences of healthcare discrimination are not homogeneous across transgender help-seekers. Predictors of the latent classes indicated that transgender help-seekers holding an additional marginalized identity may be at higher risk for healthcare discrimination or care from providers with limited trans-competence. Targeted engagement and education interventions might improve these transgender help-seekers’ access to and connections with care.
Source: American Journal of Preventive Medicine - Category: International Medicine & Public Health Source Type: research
ConclusionTreatment with fampridine-MR was well-tolerated but did not produce clinical benefit in terms of upper limb function, vision or fatigue, nor was there any measurable effect on objective electrophysiological parameters.
Source: Multiple Sclerosis and Related Disorders - Category: Neurology Source Type: research
We present a novel suture method, needle-guided annular closure suture (NGACS) that does not require a special device and can be performed for annular fiber closure following microendoscopic discectomy. MATERIAL AND METHODS Twenty-five patients who underwent treatment with NGACS were reviewed by analysis of the medical records. The clinical outcomes were assessed and compared preoperatively and immediately, 1, 6, and 12 months postoperatively. The parameters included the Visual Analog Scale (VAS)-back and VAS-leg scores and the Oswestry Disability Index (ODI). Midsagittal T2WI images were obtained to evaluate lumbar disc d...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Source: Journal of Mental Health Research in Intellectual Disabilities - Category: Disability Authors: Source Type: research
Publication date: Available online 27 January 2020Source: Journal of Clinical NeuroscienceAuthor(s): Stanislaw Szlufik, Karolina Duszynska-Lysak, Andrzej Przybyszewski, Ilona Laskowska-Levy, Agnieszka Drzewinska, Justyna Dutkiewicz, Tomasz Mandat, Piotr Habela, Dariusz KoziorowskiAbstractIntroductionSTN-DBS has been claimed to change progression symptoms in animal models of PD, but information is lacking about the possible neuromodulatory role of STN-DBS in humans. The aim of this prospective controlled study was to evaluate the long-term impact of STN-DBS on motor disabilities and cognitive impairment in PD pati...
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
Conclusion: This study of community-based patients in a pain research registry supports the effectiveness of OMT as an integral component of osteopathic medical care for chronic low back pain. Patients treated by DOs who did not use OMT did not experience better results than patients treated by MDs in any primary outcome measure. Further research is needed to more specifically compare the effects of OMT with other treatment effects that may be attributed to patient-DO interactions during medical encounters. PMID: 31985765 [PubMed - in process]
Source: Journal of the American Osteopathic Association - Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research
Authors: Soares S, von Boxberg Y, Nothias F Abstract As a part of the central nervous system (CNS), the adult mammalian spinal cord displays only very poor ability for self-repair in response to traumatic lesions, which mostly lead to more or less severe, life-long disability. While even adult CNS neurons have a certain plastic potential, their intrinsic regenerative capacity highly varies among different neuronal populations and in the end, regeneration is almost completely inhibited due to extrinsic factors such as glial scar and cystic cavity formation, excessive and persistent inflammation, presence of various ...
Source: Revue Neurologique - Category: Neurology Tags: Rev Neurol (Paris) Source Type: research
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