Impact of coercive tactics on the decision-making of adolescents with intellectual disabilities
Impact of coercive tactics on the decision-making of adolescents with intellectual disabilities
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DOI：
10.1111/j.1365-2788.2009.01152.x
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发表时间：
2009-04-01
影响因子：
3.6
通讯作者：
Rooney, M. E.
中科院分区：
文献类型：
--
作者：
Khemka, I.;Hickson, L.;Rooney, M. E.
高比例的残疾人已经引起了人们对智力残疾青少年避免和逃离有害环境以及为自己的最佳利益做出决定的能力的关注。本研究旨在评估特定的强制策略对ID青少年决策的影响。48名ID青少年参加了这项研究。他们被要求对一系列简短的小插曲做出回应，这些小插曲描述了相同数量的情况，包括用引诱进行胁迫，用威胁进行胁迫，以及没有具体的胁迫策略。表现评估方面的独立，预防为重点的决定，报告的决定和事实和推理理解questions.Overall的反应，参与者建议独立，预防为重点的决定只有大约一半的时间。他们更有可能建议独立的，以预防为重点的决定，在没有具体的胁迫策略或胁迫与诱惑的情况下比在涉及威胁的情况下。然而，报告的决定更有可能在涉及胁迫与威胁的情况下，比在其他两个条件和事实和推理的理解是最好的情况下，涉及胁迫与威胁。结果表明，青少年ID没有做好准备，处理自己的情况，涉及胁迫，特别是胁迫与威胁。由于理解似乎不是本研究中决策困难的主要来源，因此需要进一步研究来检查决策过程的各个方面，作为设计有效干预措施的基础。
High rates of victimisation have raised concerns about the ability of adolescents with intellectual disabilities (ID) to avoid and escape from harmful situations and to make decisions in their own best interest. The present study was designed to assess the impact of specific coercive tactics on the decision-making of adolescents with ID.Forty-eight adolescents with ID participated in the study. They were asked to respond to a series of brief vignettes depicting equal numbers of situations involving coercion with a lure, coercion with a threat, and no specific coercive tactic. Performance was assessed in terms of independent, prevention-focused decisions, reporting decisions and responses to fact and inference comprehension questions.Overall, participants suggested independent, prevention-focused decisions only about half the time. They were more likely to suggest independent, prevention-focused decisions in situations with no specific coercive tactic or coercion with a lure than in situations involving a threat. However, reporting decisions were more likely in situations involving coercion with a threat than in the other two conditions and both fact and inference comprehension were best in situations involving coercion with a threat.Results indicated that adolescents with ID are not well-prepared to handle situations on their own that involve coercion, especially coercion with a threat. Because comprehension did not appear to be a key source of the decision-making difficulty in this study, further research is needed to examine all aspects of the decision-making process as a basis for the design of effective interventions.