Rethinking the Fusion of Technology and Clinical Practices in Functional Behavior Analysis for the Elderly

Author(s):  
Juhi Ranjan ◽  
Kamin Whitehouse
Author(s):  
Rajesh Jay Sharma ◽  
Jahirul Mullick

People with intellectual disabilities are prone to various challenges in relation to self-care, emotional regulation, and decision making. Sometimes due to their cognitive and adaptive skill limitations, they display challenging behavior that further impacts on their quality of life. This chapter presents the concept of applied behavior analysis (ABA) and a discussion on the principles of applied behavior analysis (ABA) in prevention and treatment of challenging behaviors of individuals with intellectual disability. Functional behavior analysis (FBA) and its stages are described with examples for the future practitioners. As ABA has a major contribution in the treatment of challenging behaviors in individuals with intellectual disability, research supported treatment strategies are presented. This chapter also explained strategies for improving the adaptive behaviors of individuals with intellectual disability.


2020 ◽  
Vol 21 (4) ◽  
pp. 1463 ◽  
Author(s):  
Chu-Yuan Chang ◽  
Min-Zong Liang ◽  
Ching-Chih Wu ◽  
Pei-Yuan Huang ◽  
Hong-I Chen ◽  
...  

The treatment of traumatic brain injury (TBI) remains a challenge due to limited knowledge about the mechanisms underlying neuronal regeneration. This current study compared the expression of WNT genes during regeneration of injured cortical neurons. Recombinant WNT3A showed positive effect in promoting neuronal regeneration via in vitro, ex vivo, and in vivo TBI models. Intranasal administration of WNT3A protein to TBI mice increased the number of NeuN+ neurons without affecting GFAP+ glial cells, compared to control mice, as well as retained motor function based on functional behavior analysis. Our findings demonstrated that WNT3A, 8A, 9B, and 10A promote regeneration of injured cortical neurons. Among these WNTs, WNT3A showed the most promising regenerative potential in vivo, ex vivo, and in vitro.


Author(s):  
Hsien-Chou Liao ◽  
◽  
Yan-Ting Lin ◽  
Jhih-Sin Chen ◽  
Min-Han Xiao ◽  
...  

1998 ◽  
Vol 43 (1_suppl) ◽  
pp. 10S-14S
Author(s):  
Lilian Thorpe ◽  
Barry Campbell ◽  
François J Primeau

Objective: To present a clinical case of an elderly person with psychosis and to discuss associated diagnostic and treatment issues. Methods: A case from 1 of the authors' clinical practices was presented in English and French to several groups of Canadian psychiatrists attending a teaching day on psychosis. Three geriatric psychiatrists acted as facilitators, soliciting the clinical experiences of the participants in the discussion. The authors integrated clinical content from these sessions with results of a Medline search on psychosis in elderly persons. Results: The assessment of elderly patients with psychosis is more often than in younger patients by overlying organicity, including delirium due to illness or medication use, dementia, or sensory deficits. Treatment might further worsen cognitive, affective, and functional impairment through adverse effects such as extrapyramidal symptoms (leading to decreased mobility and general functioning), anticholinergic effects (predisposing to delirium), and hypotension (predisposing to falls). Newer antipsychotics with less hazardous side effect profiles have an increasing role, but they must be coupled with psychosocial support to maximize the patient's independent functioning and quality of life after discharge. Conclusions: Assessment and treatment of the elderly person with psychosis must consider a wide variety of biopsychosocial variables, seeking to minimize further treatment-related deterioration. Controlled studies of antipsychotics in elderly people must be conducted in a variety of diagnostic situations that reflect their actual use in the community, and information must be propagated effectively among general psychiatrists, family physicians, and geriatric psychiatrists. The role of nonpharmacologic interventions in elderly persons with psychosis is even less well understood and deserves further study.


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