Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at th...Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at the behavioral level in people with ID in institutionalized settings. The aim was to gain nuanced insight into appropriate understanding and classification in this specific context, and derive implications for research and practice. Methods: Individual cases of people with ID (n = 7) were studied to assess compulsive symptoms through two days of on-site observation of the person with ID within the institution, guided group discussions (n = 28), and semi-structured interviews with key informants and caregivers of the person with ID (n = 20). Caregiver ratings of the compulsive behavior checklist were compiled. Data were analyzed using qualitative content analysis. Results: All forms of OCD were present. Characteristics of compulsive behaviors in people with ID at the behavioral level included less complex and more obvious compulsive acts, immediate responses, signs of tension, motor restlessness, facial expression changes, repetition, need for predictability, time-consuming behaviors, and aggressive reactions when these acts were interrupted. Some of the compulsive behaviors corresponded to the ICD-11 OCD code 6B20, and others to compulsions as a psychological symptom (MB23.4). Conclusions: OCD may manifest atypically at the behavioral level in people with ID, posing significant challenges for accurate classification due to symptom ambiguity. Follow-up differential diagnostic studies are needed to more accurately identify and differentiate OCD symptoms in people with ID. Further, disorder-specific guidelines for recognizing OCD in people with ID are needed for institutionalized settings without psychiatric-psychotherapeutic expertise.展开更多
According to the "Notice on OrganizationStructure of the State Council", the formerChina Patent Office was changed into StateIntellectual Property Office of P. R. China(SIPO). SIPO falls within the category ...According to the "Notice on OrganizationStructure of the State Council", the formerChina Patent Office was changed into StateIntellectual Property Office of P. R. China(SIPO). SIPO falls within the category ofdirect authorities under State Council and isresponsible for patent work andcomprehensively coordination of the foreignrelated affairs in the field of intellectualproperty.展开更多
This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, pre...This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, prevention of dangerous areas in the work place, warnings and automatic alarm generation. The device chosen to exchange all this information is a smartphone based on Android Operating System and GPS （Global Positioning System） technology mainly. A set of Android applications has been developed using Java language, and controlling the device via Google-developed Java libraries. All of them are connected to the Server Application through the Communications Module. The Server Application Module provides the assistants or psychologists the possibility of supervise all the handicapped people activities. The assistants, psychologists and users have all evaluated the application very positively as it covers disabled people＇s needs perfectly.展开更多
文摘Background: There is limited knowledge about obsessive-compulsive disorder (OCD) in people with intellectual disabilities (IDs). This paper describes the manifestation of compulsive behaviors associated with OCD at the behavioral level in people with ID in institutionalized settings. The aim was to gain nuanced insight into appropriate understanding and classification in this specific context, and derive implications for research and practice. Methods: Individual cases of people with ID (n = 7) were studied to assess compulsive symptoms through two days of on-site observation of the person with ID within the institution, guided group discussions (n = 28), and semi-structured interviews with key informants and caregivers of the person with ID (n = 20). Caregiver ratings of the compulsive behavior checklist were compiled. Data were analyzed using qualitative content analysis. Results: All forms of OCD were present. Characteristics of compulsive behaviors in people with ID at the behavioral level included less complex and more obvious compulsive acts, immediate responses, signs of tension, motor restlessness, facial expression changes, repetition, need for predictability, time-consuming behaviors, and aggressive reactions when these acts were interrupted. Some of the compulsive behaviors corresponded to the ICD-11 OCD code 6B20, and others to compulsions as a psychological symptom (MB23.4). Conclusions: OCD may manifest atypically at the behavioral level in people with ID, posing significant challenges for accurate classification due to symptom ambiguity. Follow-up differential diagnostic studies are needed to more accurately identify and differentiate OCD symptoms in people with ID. Further, disorder-specific guidelines for recognizing OCD in people with ID are needed for institutionalized settings without psychiatric-psychotherapeutic expertise.
文摘According to the "Notice on OrganizationStructure of the State Council", the formerChina Patent Office was changed into StateIntellectual Property Office of P. R. China(SIPO). SIPO falls within the category ofdirect authorities under State Council and isresponsible for patent work andcomprehensively coordination of the foreignrelated affairs in the field of intellectualproperty.
文摘This paper presents a technological solution to promote and help independent access to work for disabled people. The aim is to develop a form of technical assistance that supports them in the control of schedules, prevention of dangerous areas in the work place, warnings and automatic alarm generation. The device chosen to exchange all this information is a smartphone based on Android Operating System and GPS （Global Positioning System） technology mainly. A set of Android applications has been developed using Java language, and controlling the device via Google-developed Java libraries. All of them are connected to the Server Application through the Communications Module. The Server Application Module provides the assistants or psychologists the possibility of supervise all the handicapped people activities. The assistants, psychologists and users have all evaluated the application very positively as it covers disabled people＇s needs perfectly.
