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患有注意力缺陷多动障碍的高等院校学生的住宿决策:将健全者视为残疾者对待。

Accommodation Decision-Making for Postsecondary Students with ADHD: Treating the Able as Disabled.

作者信息

Harrison Allyson G, Armstrong Irene

机构信息

Queen's University, Kingston, ON Canada.

出版信息

Psychol Inj Law. 2022;15(4):367-384. doi: 10.1007/s12207-022-09461-1. Epub 2022 Sep 2.

DOI:10.1007/s12207-022-09461-1
PMID:36068830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9437389/
Abstract

Students with attention-deficit/hyperactivity disorder (ADHD) may be entitled to academic accommodations in postsecondary education. Disability Services Offices (DSOs) in Canada say that objective evidence of functional impairment is required prior to providing academic accommodations. This study set out to determine if postsecondary disability service providers use objective, third-party data when making accommodation decisions. Providers were asked if they would grant extra time accommodations to a fictitious prospective student. The student self-reported attention and academic problems that emerged during COVID restrictions, and that extra time helped her earn better grades and reduced her anxiety. While her neuropsychological report suggested superficial similarity to ADHD and contained accommodation recommendations, it lacked any objective evidence supporting either an ADHD diagnosis or functional impairments that would support extra time accommodation. Despite the lack of current or historical functional impairment, 100% of all DSO decision makers confirmed that they would grant extra time accommodations to this student. Results suggest that DSOs' accommodation decisions are not based on evidence of functional impairment but rely mainly on student self-report and the recommendations of a professional. As such, the current system of determining reasonable accommodations is flawed and inequitable, offering non-impaired individuals access to supports and services that may privilege them over their similarly abled peers. Postsecondary institutions must either develop more defensible methods of disability determination or provide all students with access to accommodations to create a more equitable learning environment.

摘要

患有注意力缺陷多动障碍(ADHD)的学生在接受高等教育时可能有权获得学业便利。加拿大的残疾服务办公室(DSO)表示,在提供学业便利之前,需要有功能受损的客观证据。本研究旨在确定高等教育残疾服务提供者在做出便利决策时是否使用客观的第三方数据。研究人员询问提供者是否会给一名虚构的准学生额外的考试时间便利。该学生自我报告了在新冠疫情限制期间出现的注意力和学业问题,并且额外的考试时间帮助她取得了更好的成绩并减轻了焦虑。虽然她的神经心理学报告显示与ADHD有表面上的相似之处并包含了便利建议,但它缺乏任何支持ADHD诊断或支持额外考试时间便利的功能受损的客观证据。尽管缺乏当前或历史上的功能受损证据,但所有DSO决策者中有100%确认他们会给这名学生额外的考试时间便利。结果表明,DSO的便利决策并非基于功能受损的证据,而是主要依赖于学生的自我报告和专业人员的建议。因此,当前确定合理便利的系统存在缺陷且不公平,使没有功能受损的个体能够获得可能使他们比能力相当的同龄人更具优势的支持和服务。高等院校必须要么制定更具说服力的残疾判定方法,要么为所有学生提供获得便利的机会,以创造一个更公平的学习环境。

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本文引用的文献

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Have We Loosened the Definition of Disability? The Effects of Changes in the Law and Its Interpretation on Clinical Practice.我们是否放宽了残疾的定义?法律变化及其解释对临床实践的影响。
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Susceptibility of functional impairment ratings to noncredible reporting in postsecondary students undergoing screening for ADHD.注意力缺陷多动障碍筛查的大学生中,功能损伤评定易受不可信报告影响。
Clin Neuropsychol. 2022 Aug;36(6):1493-1505. doi: 10.1080/13854046.2020.1817564. Epub 2020 Sep 13.
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Life Span Studies of ADHD-Conceptual Challenges and Predictors of Persistence and Outcome.注意缺陷多动障碍的寿命研究——概念挑战以及持续性和结果的预测因素
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