MC 2020 Professional Portfolio Academia

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 60

Professional Portfolio: Writing Samples

Melissa Crider

B.A. Psychology, 2018

College of Undergraduate Studies

Argosy University
PROFESSIONAL PORTFOLIO 2

M5A1: Course Project Part II—Practice

ASD: Autism Spectrum Disorder

Melissa Crider

Abnormal Psychology

Argosy University

September 14, 2015


PROFESSIONAL PORTFOLIO 3

Course Project Part II—Practice

In the American bestseller, Jonathan Livingston Seagull, by Richard Bach, we meet

Fletcher. Fletcher does not seem like the other gulls; he has been trying with all of his might to

learn to fly gracefully at any height like the rest of the gulls that Jonathan trains: “Fletcher’s

whipstall at the top was all the worse for this rage and fury at failing […] He fell backward,

tumbled, slammed savagely into an inverted spin, and recovered at last, panting, a hundred feet

below his instructor’s level (Bach, Munson, & Bach, 1970, p. 102).” Fletcher screeched, “You’re

wasting your time with me, Jonathan! I’m too dumb! I’m too stupid! I try and try, but I’ll never

get it (Bach, Munson, & Bach, 1970, p. 102).”

Jonathan encourages at the beach in the evenings, inspiring the gulls. “Each of us is in

truth an idea of the Great Gull, an unlimited idea of freedom, and precision flying is a step

toward expressing our real nature […] Everything that limits us we have to put aside; That’s why

all this high-speed practice, and low-speed, and aerobatics … (Bach, Munson, & Bach, 1970, p.

103).”

Aristotle proclaimed by way of his own thoughtful definition of artist, “We are of the

opinion that, at least, knowledge and understanding appertain to art rather than experience; and

we reckon artists more wise than the experienced, inasmuch as wisdom is the concomitant of all

philosophies rather in proportion to their knowledge […] But this is so because some, indeed, are

aware of the cause and some are not […] For the experienced know that a thing is so, but they do

not know wherefore it is so; but others—and by that I mean the scientific—are acquainted with

the wherefore and the cause (Aristotle, 1991).”

Is the pursuit of knowledge of causation best approached or trusted as an art form or a

science? Is art a science or is science an art form? When it comes down to bolts, the pure
PROFESSIONAL PORTFOLIO 4

enigma surrounding the fundamental fervent germ forever active in the seed of Autism Spectrum

Disorder (ASD) begs still for answers with our earnest scores and tomes of research, therapies,

and well-meaning diagnostic procedures. It seems commonsensical that artists and scientists will

do well by society if rolling up their emblematic sleeves in unison in order that a newer more

broadly scoped collaboration might serve to procure firm and fuller answers if perusing the

solemn heart of why and wherefore as the basis of our questions.

In order that deserved ethical pursuit of the intricate task of fitting the current jagged

bulky puzzle pieces of ASD findings coalesces, we must together conjure the birth of a far less

flummoxed map that might crystallize a translucency enabling us to only then refer to our unified

findings of ASD as knowledge. The multifaceted nature of the genesis of ASD and the gaps in

the sole connectivity of our research loom now as if brawny discombobulated boulders, heavily

fated to remain out of connection with each other. This should not be so; while it be still right

and good that we utilize the labs of our known science in order for the continuation of theory, we

must also rise to esteem the proven gifts that genuine practice of interpersonal connection with

ASD folks will surely bring in tandem with our laboratories in order to conscientiously arrive at

a robust deduction of a wholesome cartography in the still uncharted waters of ASD. DSM-5

deducts prematurely; it attempts to reduce the irreducible as of yet. A thing is not reducible until

consensus of such thing is agreed upon as being a thing.

ASD is a neurodevelopmental disorder recognizable in infants anywhere from birth to a

year and a half of age. “It afflicts tens of thousands of American children from all

socioeconomic levels and is seemingly on the increase—estimates range between 30 and 60

people in 10,000 […] A recent study by the Centers for Disease Control and Prevention reported

that the rate of autism among children is about 1 in 50 […] This reported increase in autism in
PROFESSIONAL PORTFOLIO 5

recent years is likely due to methodological differences between studies and changes in

diagnostic practice and public and professional awareness in recent years rather than an increase

in prevalence (Butcher, Mineka & Hooley, 2007, p. 528).”

The branch of psychology that is referred to as psychodynamics seems large enough in

scope and breadth to be able to house the many dilemmas inherent in Autistic Spectrum

Disorder/ASD. This is because it deals with the interrelation of the emotional, unconscious, and

conscious mental forces at work which aid in determining one’s personality or motivations in

life.

Autistic children and teens on the spectrum are fascinating human beings who are highly

specialized in certain areas of their brains. This can be seen to the average on-looker as special

talents or knowledge in particular fields or areas. For example, if an ASD child excels naturally

at singing, this is all that he will fixate upon during most of his hours, or if another ASD child

excels in the area of technology, one might find him/her absorbed in hours of seeming play that

otherwise normal folks, or the neuro-typical humans rather, might refer to as work.

Interacting with children/teens on the spectrum is much like dealing with the highly

specialized elite who have earned a Ph.D. versus the more generalized knowledge inherent in

receiving a broader-based B.A. It seems that particular brilliance be at work in these intense and

highly sensitive ASD children and teens, and yet the certain price tag inherent with such

specificity of brilliance is the whole or partial paralysis of their autonomic nervous systems; this

is the stuck skeleton taxing them beneath the wildly colorful and highly specific face of ASD.

Physiology seems pertinent focus in the way of searching remedy or treatment due to the

fact that the brains of those with ASD possess faulty wiring due to the ANS/autonomic nervous
PROFESSIONAL PORTFOLIO 6

system’s complications. There is a clear correlation between the autonomic nervous system’s

altercations or demise and the behaviors of and in these on the spectrum contenders.

Diagnosing ASD has come down to very specific generalizations—a saddest oxymoron.

“Autism Spectrum Disorder is a new DSM-5 name that reflects a scientific consensus that four

previously separate disorders are actually a single condition with different levels of symptom

severity in two core domains (American Psychiatric Association, 2013, pp.1-2).”

DSM-5 has been updated from DSM-IV-TR with regards to what professionals and we

common folk have grown widely familiar with terming Autism by way of eliminating four

marked subtypes or categories of the disorder: Asperger’s, Autism, Childhood Disintegrative,

and Pervasive Developmental Not Otherwise Specified disorders. “Diagnostic criteria for

intellectual disability (intellectual developmental disorder) emphasize the need for an assessment

of both cognitive capacity (IQ) and adaptive functioning […] Severity is determined by adaptive

functioning rather than IQ score (American Psychiatric Association, 2013).”

ASD characterization is incredibly specific regarding diagnoses: “ASD is characterized

by 1) deficits in social communication and social interaction and 2) restricted repetitive

behaviors, interests, and activities, or RRBs. Because both components are required for diagnosis

of ASD, social communication disorder is diagnosed if no RRBs are present (American

Psychiatric Association, 2013, p. 2).”

Among the characteristics that have become the calling cards that broadcast positivity in

having ASD, there exist the common denominators of echolalia, an agreed pathological craving

for routine, a need for sameness, an interpersonal disconnect with regards to typical human eye

contact, a sensitivity to normal noises—and especially to loud or vexing noises, a fixation on

certain repetitive behaviors, and stemming/slapping/vehement shaking of hands or arms, as if…


PROFESSIONAL PORTFOLIO 7

automatic. These children grow nervous around unpredictable things such as dogs or babies and

they portray a sense of urgency in finding out information that they require in nondescript

moments in sporadic instances within normal conversation.

Glitches abound amidst the professional opinions regarding the new changes to ASD

diagnostics in DSM-5. One work group that critiqued and reported on the changes from DSM-

IV-TR to the newer DSM-5 are not thrilled due to their collective surmising that the new changes

will decrease the diagnosis of ASD given to roughly thirty percent of those who would have

formerly been diagnosed with having Autism. The work group concurs specifically about this

newfound upset:

“We believe the archived data used in a number of these analyses have too many

inherent limitations to assess the criteria proposed for the DSM-5, particularly in

regard to sensitivity and specificity […] Those limitations stem from the study

samples dating to 1994 and the restrictive way data from that sample were

collected and evaluated […] They make any legitimate review and comparison

virtually impossible and do not justify claims that the number of children

diagnosed with ASD under DSM-IV-TR criteria would not qualify for services

under DSM-5 criteria (O'Neal, Connors, & Psychiatry.org, 2014).”

This births the resultant idea that perhaps someone we know today who was formerly

diagnosed with ASD will not meet the criteria anymore. This alone in and of itself marks a new

epoch in the annals of ASD and the conscientiousness of the psychiatric community at large.

This has the capacity to hold serious implications in our society that are beyond calculation in

fathoming at this early half-blind date.


PROFESSIONAL PORTFOLIO 8

Communicating with those who toil in the field of ASD can come in handy in order to

plug the current working status and human voice aspect into the disorder harmoniously. Mrs.

Ramona Sowa is an Analytic Behavioral Analysis Technician who is currently completing her

B.A. at University of Colorado at the Denver campus as she finalizes her Registered Behavior

Technician certification, majoring in Psychology with a concentration in family counseling.

Due to the known privacy statutes of HIPAA regulations, Ramona conceded that though

she could not offer details regarding specific ASD child clients that she has experienced in her

scope of practice, she would certainly offer answers to my interview questions regarding

behaviors of those with ASD with whom she is or was familiar. She has supervised a summer

club and claims to have worked in-depth with a total of seven children who are diagnosed with

ASD; they range between ages two to fifteen.

Ramona shared something with me that stuck in my mind and has been bouncing around

ever since: “When you have met one person with Autism, you have met one person with Autism

(R. Sowa, Personal communication, August 30, 2015).” This seems counter to the specificity of

measures with regard to diagnostic criteria that lends itself in the new DSM-5. With all of the

findings of the similarities in characteristics with those who have been diagnosed with ASD, it

shocked me that Ramona would offer such contrary personal insight.

In her experience, Ramona claims that ASD differs between those who have it—that it is

difficult to categorize these children/teens, or to rightly presume that they all have the same

similarities. From my research, I disagree, but field practice is apples and theory is oranges. Her

opinion is shared by well-meaning physicians and professionals who say that of all of the

neurodevelopmental disorders found in DSM-5, ASD is “…among the most difficult to


PROFESSIONAL PORTFOLIO 9

understand and treat […] (and) one of the most severe and puzzling disorders occurring in early

childhood (Butcher, Mineka, & Hooley, 2007, p. 527).”

On the point of DSM-5’s necessary criteria for ASD, one of the items is that one must

show signs of restrictive repetitive behaviors, or RRBs. Ramona had this to share:

“Stemming, as I have observed, usually occurs due to overexcitement […] This

excitement can be due to need to express happy emotion or can originate from

feelings of being overwhelmed, then the kiddo is unable to express this emotion

verbally and the emotion is expressed physically in body movement […] Other

RRB’s are rocking, scripting-repetitive verbalization and even pacing (R. Sowa,

Personal communication, August 30, 2015).”

When I asked Ramona how she would go about treating/providing therapy for a child of

ten years of age who bites, hits, swings at items, and grows enraged by being asked questions,

she said that she could not comment specifically about a specific client, but did offer, “Any child

with behavioral issues should be professionally evaluated at the discretion of the custodial

parents (R. Sowa, Personal communication, August 30, 2015).”

When asked if she believes that ASD children and teens are capable of deep feeling and

of experiencing empathy with others, Ramona enthusiastically responded, “Absolutely! People

with ASD are not void of emotion or the ability to empathize, but rather, the social barrier

surrounding their emotions prevent or decrease their ability to express emotions in the same

socially acceptable ways that neuro-typical people do (R. Sowa, Personal communication,

August 30, 2015).” I concur with this in my personal experience, knowing and trying to relate

rightly to a handful of ASD children/teens.

Finally, I asked Ramona to detail for me some kind of possible semblance of a map of
PROFESSIONAL PORTFOLIO 10

what it is that signals or prompts these children with ASD to crave an inner balance or a re-

centering of concentration. I touched on lead-filled vests, their heaviness and if this physicality

was somehow relieving. This is how Ramona put it:

“Imagine yourself in a room with all the lights on, a mirror ball spinning, a red

flashing exit sign over the door, many people in the room all talking at the same

time, a radio turned up all the way, elevator music in the background and a

barking dog […] This is what the experience of overstimulation is like in a

kiddo’s brain with Autism […] The need to re-center is the need to ‘tune out’ the

stimulations and quiet the brain in order to be able to focus on one thing at a time

(R. Sowa, Personal communication, August 30, 2015).”

The causal factors regarding ASD are many loose ends that must be carefully braided

together in coming years. Those diagnosed with ASD are known to be short-tempered, easily

upset by strange or seemingly odd occurrences, disturbances, or noises—to which they quickly

become fixated on understanding what it is, why it is occurring and if it could please stop, and

now. Patience, or the reward that it may bring to some, is not seemingly in ASDs’ hard-wiring

or blipping anywhere near their inner biological or genetic radar. Their emotions seem to run

high at such moments of disturbance with little that one can do to calm or rationalize that all is

well.

The fact that this sensitivity characteristic is so prevalent among those with ASD, the

thought beckons: what are the scientific fundaments of such internal registration or relation to

self within these ASD children and teens? What will happen when they are no longer teens and

DSM-5 and the plethora of books on the subject must not specify that ASD be a children’s

disorder? ASD is in a very large way, in its infancy in our society. It has not permeated to its
PROFESSIONAL PORTFOLIO 11

fullest extent as of yet. When it does, I expect that all eyes will be on helping them.

Likening the genesis and constructional system of emotions that make up a complex

soup, my cousin, Joseph E. LeDoux, the Henry and Lucy Moses Professor of Science at New

York University in the Center for Neural Science, shares in his newest book Anxious, “I’ve been

promoting the basic idea that conscious feelings are assembled from non-emotional ingredients

for quite some time (2015, p. 227).” Bricolage is a French word used regarding the “idea that

emotions are psychologically constructed states (LeDoux, 2015, p. 227)” wherein a varied array

of fundamental and erratic building blocks are involved, whereas the individual that is

experiencing such is termed as the “bricoleur (LeDoux, 2015, p. 227).” Joe offers:

“It is not often appreciated that there are two distinct classes of physiological

adjustments controlled by the ANS […] The first is an innate physiological

response that anticipates a certain innate behavior […] Thus, when the defense

system detects danger, it initiates both behavioral and physiological responses

that have been wired in by their usefulness […] Metabolic support is needed to

carry out the response to its completion […] Such homeostatic adjustments occur

on the fly rather than by way of innate programming and are regulated by specific

momentary needs of the body […] This helps explain why physiological responses

correlate better with simple innate reactions than with complex learned emotional

behaviors, as the latter can be quite variable from person to person and thus do

not show a reliable pattern across individuals the way responses associated with

innate behaviors do (LeDoux, 2015, p. 58).”


PROFESSIONAL PORTFOLIO 12

On the subject of any human brain registering pain or pleasure, Joe shares, “I argue that

stimuli that produce conscious feelings of pain and pleasure in humans can involve three separate

neural states: sensory, motivational and conscious (LeDoux, 2015, pp. 143-44).”

The comorbidity of ASD with epilepsy begs to be pursued further in our modern day.

One journal states specific findings in neural connectivity and functional anatomy of the ASD’s

abnormal brain wiring:

“New data suggest abnormally strong activation in parietal cortex during

suppression of distractors, at the same time as integrative regions in prefrontal

and medial temporal cortices are abnormally quiescent […] Non-autistic brothers

of people with autism seem to share the prefrontal and medial temporal

hypoactivation but not the posterior hyperactivation, suggesting that low activity

in integrative brain regions may be an endophenotype reflecting familial patterns

of brain organization that may place individuals at heightened risk for autism

(Society for Neuroscience et al., 2004).”

Heavy metals in the brain can be fatal in some cases and are linked to causal factors in

ASD: “Certain metals, depending on what particular frequency of the electromagnetic spectrum

they are exposed to, such as BASF Carbonyl Iron Powder can actually absorb the microwave

radiation instead of amplifying it […] The basic physics involved in that simple event lends

tremendous insight into what is going on inside the brains, intestines, and all the way down to the

mitochondrial DNA of the EMF sensitive, vulnerable sub-populations such as the unborn,

newborns, infants and school children, and the role these microwave emissions play in Autism

(Imbriano & The Fullerton Informer, 2013).”


PROFESSIONAL PORTFOLIO 13

Iron is the alleged terrorist of all of the metals associated with ASD. It hides out and

can’t be absorbed easily. One meta-study showed specific results regarding ferritin, iron,

hemoglobin, etc.:

“Iron has an important role on cognitive, behavioral, and motor development.

High prevalence of iron deficiency has been reported in autism […] The sample

was composed of 116 children between 3 and 16 years with a diagnosis of autistic

disorder according to DSM-IV criteria […] Serum ferritin, iron, hemoglobin,

hematocrit, mean corpuscular volume, and red cell distribution width values were

measured […] We found that 24.1% of subjects had iron deficiency, and 15.5%

had anemia […] There was a significant positive correlation between age and

ferritin and hematological measures […] Results of this study confirmed that iron

deficiency and anemia are common in children with autistic disorder […]

Conclusion: These findings suggest that ferritin levels should be measured in

subjects with autism as a part of routine investigation (European Journal of

Pediatrics, Herguner, Kelesoglu, Tanidir, & Copur, 2012).”

Genetics point to the Fragile X chromosome as plausibly causal of ASD as well. For the

sake of the following, we now know that Federal Law prohibits text that calls disorders mental

retardation, but instead now refers to it as intellectual disability:

“Fragile X syndrome is currently considered the leading inherited cause of

intellectual disability, with a prevalence of 1 in 4,000 males and 1 in 8,000

females […] Diagnosis is based on DNA analysis that usually identifies the

number of CGG repeats in the fragile X mental retardation 1 gene at the Xq 27.3

site on the long arm of the X chromosome […] Individuals with the full mutation
PROFESSIONAL PORTFOLIO 14

have 200 or more repeats, an expansion that typically is associated with

methylation of the promoter region of the gene that results in deficient or reduced

protein expression […] The fragile X mental retardation protein, or FMRP, is

believed to be essential for normal brain development and function and is

expressed throughout the body, as evident in connective tissue abnormalities and

hyperextensive joints in some individuals with the full mutation […] Carriers of

FXS typically have the premutation with CGG repeats in the 55–199 range […]

Although most permutation carriers do not have intellectual disabilities, they may

have more subtle features such as shyness and anxiety, and they may also have

physical features such as premature ovarian failure and the fragile X-associated

tremor/ataxia syndrome […] FXS is distinct from autism in that diagnosis is

based on DNA tests, not behavioral observations, however, some individuals with

FXS also meet diagnostic criteria for autism (Hatton et al., 2006).”

“Particularly implicated in deficits of long-range connectivity and coordination of

cognitive functions is the cerebellum, one of the most common sites of anatomic abnormality in

autism […] MRI morphometry reveals hypoplasia of the cerebellar vermis and hemispheres, and

autopsy studies report reductions in numbers of cerebellar Purkinje cells […] Moreover, recent

genetic and MRI-behavior correlation studies suggest that cerebellar abnormality may play a

more central role in autism than previously thought […] Neurobehavioral studies have shown

associations between cerebellar anatomic abnormality and certain motor, cognitive, and social

deficits (Society for Neuroscience et al., 2004).”


PROFESSIONAL PORTFOLIO 15

Treatment of those with ASD is broad in scope with a cornucopia of theories hidden like

Easter eggs all over the allegorical yard of the mental health community. Practice and theory are

still being tested and researched in every capacity imaginable.

“Please let people know that I am an intelligent, autistic girl (NBC 11 Alive, WXIA, &

Watson, 2015).” This was the answer that eleven-year-old ASD diagnosed nonverbal, Graciela,

gave to an interviewer as she tapped it out on an alphabet board that she has learned to utilize in

such fashion in order to communicate with people. Graciela had learned RPM: Rapid Prompting

Method. This method of treating ASD children/teens was created and currently practiced by

Mrs. Soma Mukhopadhyay, from India. Soma is a mother whose son, Tito, is a non-verbal ASD.

Now residing and practicing her coined RPM: Rapid Prompting Method in Austin, Texas, Soma

trains ASD children along with their friends and families to learn and incorporate RPM into their

daily living in order to provide successful communications with ASD children and teens.

RPM “involves constant, faced paced questions, prodding and engaging the child, using

the alphabet board (NBC 11 Alive, WXIA, & Watson, 2015).” The results are now wowing the

scientific community at large. Soma’s son, Tito, is now a young adult and highly esteemed

published East Indian-American poet. When young, Tito elucidated through his poetry what it

feels like to have ASD. He wrote a poem entitled The Mind Tree. The title he chose in and of

itself speaks volumes regarding his own stance, as he feels that he is/was a quite capable and

normal mind that is/was somewhat paralyzed or stuck in/as … a tree. Amazingly close to the

truth of the matter as per science, the autonomic nervous system, or ANS, is somewhat sadly

stuck in those with ASD. A wealth of research is currently going on that delves into the

possibility of harmful EMF rays indirectly attacking the ANS. Cultures that are swimming in

electronics better heed this new research and its findings promptly.
PROFESSIONAL PORTFOLIO 16

Treatment(s) of non-verbal ASDs is wide and varied, but RPM is shining brightly in the

way of proven results in the area of beneficial interpersonal communications:

“RPM is distinct from other methods as it is based upon how the brain works […]

The aim is to bring the student to maximum learning through the open learning

channel and to elicit the best—not simply to test—out of the child to enable

maximum output in that given time […] As a student's cognitive and motor

proficiency increases, the sophistication of a student's response also improves

[…] It uses prompting to initiate a student's independent response, without

physical support […] In addition to teaching letter-chart pointing, RPM also

utilizes stencils and other drawing exercises to lead to independent handwriting

(Mukhopadhyay, HALO, & White Lion, 2015).”

Treatment methods continue to ripple in the enigmatic ASD pond worldwide. The

mental health community has begun to show higher—and much deserved—professional regard

for integrative or alternative medicines. For example, in PTSD sufferers, it has become widely

known that melatonin aids in their symptoms, helping them to sleep without traumatic memories

haunting to wake them. In the same vein, homeopathic medicine’s resurgence in the medical and

mental health communities holds hope for treating those with ASD, though it admits that doing

so proffers challenges in some cases:

“Autism needs a hardcore-Hahnemannian approach […] Valuable symptoms

including reaction to vaccines, family medical history, thermal sensitivities and

sleep postures form a part of the very detailed information that a physician would

need […] The real challenge is to understand what the child is expressing both

verbally—if s/he is articulate—and nonverbally […] It is only through a deep


PROFESSIONAL PORTFOLIO 17

understanding that a homeopath is able to prescribe effectively […] Two

medicines require a special mention for their effectiveness in the treatment of

Autism: Carcinocin and Secretin, which neutralizes the excess levels of peptides

[…] Homoeopathic medicines in this scale are faster acting and at the same time

gentler […] They are able to hold the “slipping back” of the old symptoms and

can be used for a longer period with frequent repetitions […] Homeopathic

philosophy is a constant reminder that the greatest healing power lies within the

body itself (Sharma, 2007).”

“There is no single treatment for autism […] Treatments can include intensive

skill-building and teaching educational sessions known as applied behavior analysis,

ABA, and many more interactive, child-centered versions of behavior treatments […]

Treatment may also involve special training and support for parents, speech and language

therapy, occupational therapy and/or social skills training (American Psychiatric

Association, 2015).”

During the final portion of my interview, I asked Ramona if she could please

describe what she believed that ASD is not. She replied, “ASD is not mental retardation,

it is not the fault of the parents, and it is not the same for all kiddos (R. Sowa, Personal

communication, August 30, 2015).” This rang in like high noon tower bells in accord

with Seagull’s end . . .

Moments prior to the darling and tenacious Fletcher’s beloved flight mentor,

Jonathan, was to lift his wise wings to depart for the next realm of being, he passed his

bright torch of having taught many great and small gulls on to the still doubtful and

earnest Fletcher, offering a reckoning to encourage his new solo mission in his absence:
PROFESSIONAL PORTFOLIO 18

“Don’t you think that there might be other flocks, other Fletchers, that

need an instructor more than this one, that’s on its way toward the

light? […] Don’t believe what your eyes are telling you […] All they

show is limitation […] Look with your understanding, find out what you

already know, and you’ll see the way to fly (Bach, Munson, & Bach,

1970, p. 124-25).”

Perhaps as a society with ASD on the rise, we will do well to begin to learn how they

think and learn instead of trying to have them learn how the neuro-typical learn. The ASD

Fletchers of our world have much brilliance and loveliness to offer our earth and her skies.
PROFESSIONAL PORTFOLIO 19

References

American Psychiatric Association. (2013). Highlights of changes from DSM-IV to DSM-5

(American Psychiatric Publishing, Ed.). Diagnostic and statistical manual of mental

disorders, 5th Edition, 1-19. Retrieved August 23, 2015,

from http://www.dsm5.org/Documents/changes_from_dsm-iv-tr_to_dsm-5.pdf

doi:10.1176/appi.books.9780890425596.388591

American Psychiatric Association. (2015). What is autism spectrum disorder? Retrieved

August 27, 2015, from http://www.psychiatry.org/patients-families/autism/what-is-

autism-spectrum-disorder

Aristotle. (1991). The Metaphysics (J. H. McMahon, Trans.). Amherst, New York: Prometheus

Books.

Bach, R., Munson, R., & Bach, L. P. (1970). Jonathan Livingston Seagull. New York, New

York: Macmillan & Avon Books.

Butcher, J. N., Mineka, S., & Hooley, J. M. (2007). Abnormal psychology (16th ed.). Boston:

Pearson/Allyn and Bacon. Retrieved August 26, 2015 from

http://digitalbookshelf.argosy.edu/books/9781269939485/id/ch03lev1sec2 and

http://online.vitalsource.com/books/9781269939485

European Journal of Pediatrics, Herguner, S., Kelesoglu, F. M., Tanidir, C., & Copur, M. (2012,

January). Ferritin and iron levels in children with autistic disorder. Vol. 171, Issue 1, pp.

143-146. Retrieved August 25, 2015, from

http://link.springer.com/article/10.1007/s00431-011-1506-6

Hatton DD, Sideris J, Skinner M, Mankowski J, Bailey DB Jr, Roberts J, Mirrett P. 2006.
PROFESSIONAL PORTFOLIO 20

Autistic behavior in children with fragile X syndrome: Prevalence, stability, and the

impact of FMRP. Am J Med Genet Part A 140A:1804–1813.

Imbriano, J., & The Fullerton Informer. (2013, March 27). Carbonyl iron and Orange County:

the autism capital of the state. Retrieved September 14, 2015, from

http://wifidangers.com/carbonyl-iron-and-orange-county-the-autism-capital-of-the-state/

LeDoux, J. E. (2015). Anxious: Using the brain to understand and treat fear and anxiety. New

York, New York: Viking & Penguin Random House.

Mukhopadhyay, S., HALO, & White Lion. (2015). Halo-Soma: Rapid prompting method for

Autism. Learning RPM: Methodology. Retrieved August 28, 2015, from

http://www.halo-soma.org/learning_methodology.php

NBC 11 Alive, WXIA, Watson, J. (2015, August 7). Giving a voice to autism's voiceless

[Press release]. Retrieved August 24, 2015, from

http://www.11alive.com/story/news/2015/08/07/simple-tool-helping-kids--

autism-communicate/31214179/

O'Neal, G., Connors, E., & Psychiatry.org. (2014, March 4). Commentary takes issue with

criticism of new autism definition: DSM-5 experts call study flawed. Retrieved

September 12, 2015, from http://www.psychiatry.org/newsroom/news-

releases/commentary-takes-issue-with-criticism-of-new-autism-definition

Sharma, V., M.D. (2007, October 07). Autism and homeopathy: Homeopathic remedies for

treatment of Autism. Retrieved August 29, 2015, from

http://www.drhomeo.com/autism/autism-and-homeopathy-a-miraculus-cure/

Society for Neuroscience, Belmonte, M., Allen, G., Mitchener, A. B., Boulanger, L. M., Carper,
PROFESSIONAL PORTFOLIO 21

R. A., & Webb, S. J. (2004, October 20). The Journal of Neuroscience: Society for

Neuroscience. Autism and abnormal development of brain connectivity. Retrieved

September 10, 2015, from http://www.jneurosci.org/content/24/42/9228.full

doi: 10.1523/JNEUROSCI.3340-04.2004

*Sowa, R. (2015, August 30). Questions for an ASD Professional [E-mail interview]. See:

Appendix: Transcript of Communication.


PROFESSIONAL PORTFOLIO 22

*Appendix

Interview with Ramona Sowa – Transcript of Communication

Questions for Autism/ASD Therapist/Professional

The Questions:

From Melissa Crider Sent 8-30-2015 – Email Communication

1. How many children/teens do you treat or have you treated who you have diagnosed with

autism or who have been diagnosed and come to you for care?

2. When people say on the spectrum, can you define that in your own words please?

3. What is your opinion on DSM-IV versus the DSM-V clumping all of the spectrum under

the title of Autism Spectrum Disorder instead?

4. Regarding genetics, do you find that the parents of the children/teens you treat had or have

some proclivity for addiction or other ails or disorders? If so, how often? If not, what do you

make of this?

5. Is it possible for an autistic child to possess also components of schizophrenia?

6. Can you please describe a common RRB/restrictive repetitive behavior that your patients

exhibit?

7. How can OCD/Obsessive Compulsive Disorder not be akin to ASD, or is it?

8. How do you treat/provide therapy for a child of ten years of age who bites, hits, swings at

items, and grows enraged by being asked questions? This girl was raised by her father with an

absent mother and the mother has now re-entered her life at this tender age of ten.

9. Do you believe that an ASD child/teen is capable of deep feeling and of sharing empathy

through certain techniques that you coach him/her through?


PROFESSIONAL PORTFOLIO 23

10. Which parts of the brain are affected by an agitation or feeling of taxation when having to

make decisions?

11. Have you ever utilized lead-filled life jacket vests that provide a sense of weight/security

around the torso/chest of an autistic child/teen?

12. Please describe the map of the brain and signals that make an ASD child/teen crave an inner

balance or a re-centering of concentration?

13. Do you believe that harmful EMF rays and Thimerosal mercury found in common

vaccinations are suspect for causation to a human being contracting ASD?

14. What are three things that you have learned that ASD is not?

The Answers:

From Ramona Sowa on 9-5-2015 – Email Communication

Hi Melissa,

I am an ABA Line Technician; Analytic Behavioral Analysis is the most studied and

successfully documented therapy for autism in the last 30 years. I have been With Consultants

for Children for nearly 1 ½ years. Line technicians follow the treatment program set up by the

BCBA. It is conducted while taking data of the progress along the way. Changes to the program

are made according to the charted data. I have just completed my Associates degree and am

finishing my BA at UCDC, CU Denver. My major is psychology with a concentration in family

counseling. I am currently completing a Registered Behavior Technician certification.

-Ramona Sowa

Due to HIPAA regulations I cannot write about any current or past clients, I will answer

your questions about behaviors I have witnessed and/or worked with.


PROFESSIONAL PORTFOLIO 24

1. I have personally worked with 7 clients from age 2 to 15 years old during my

employment. During summer club I supervised many kiddos on field trips.

6. RRB’s are common with some kids with Autism, not all. One noticeable habit is ‘hand

flapping’ sometimes called ‘stemming’ that can be upsetting or feel threatening to others

unfamiliar with this habit. Stemming, as I have observed, usually occurs due to

overexcitement. This excitement can be due to need to express happy emotion or can

originate from feelings of being overwhelmed, then the kiddo is unable to express this

emotion verbally and the emotion is expressed physically in body movement. Other RRB’s

are rocking, scripting-repetitive verbalization and even pacing. See documentary Loving

Lampposts found on Autism Speaks website.

7. It is my understanding that OCD-obsessive compulsive disorder is not genetic (ASD is

genetic), but is a personality disorder, which can be managed successfully through cognitive

behavioral therapy.

8. I cannot comment on this question as it involves a specific person. Any child with

behavior issues should be professionally evaluated at the discretion of the custodial parents.

9. Absolutely! People with ASD are not void of emotion or the ability to empathize, rather

the social barrier surrounding their emotions prevent/decrease their ability to express

emotions in the same, socially acceptable ways neuro-typical people do.

11. Weighted vests, blankets and stuffed animals can be useful for some children in some

circumstances when employed by trained adults.

12. Imagine yourself in a room with all the lights on, a mirror ball spinning, a red

flashing exit sign over the door, many people in the room all talking at the same time, a radio

turned up all the way, elevator music in the background and a barking dog. This is what the
PROFESSIONAL PORTFOLIO 25

experience of overstimulation is like in a kiddo’s brain with Autism. The need to re-center is

the need to ‘tune out’ the stimulations and quiet the brain in order to be able to focus on one

thing at a time.

13. While I do believe in severely limiting exposure to toxins in the environment and

possibly harmful chemicals, studies have found no correlation to Thimerosal and the

incidence of ASD. It is important to know empirical scientific information regarding

‘rumors’. “A 2013 CDC study [PDF - 204 KB] added to the research showing that vaccines

do not cause ASD. The study looked at the number of antigens (substances in vaccines that

cause the body’s immune system to produce disease-fighting antibodies) from vaccines

during the first two years of life. The results showed that the total amount of antigen from

vaccines received was the same between children with ASD and those that did not have

ASD.” http://www.cdc.gov/vaccinesafety/concerns/autism.html

14. What I have learned that ASD is not; many, many things but here are a few:

ASD is not retardation.

ASD is not the fault of the parents.

ASD is not the same for all kiddos.

When you have met one person with Autism, you’ve met one person with Autism.
PROFESSIONAL PORTFOLIO 26

Work Sample 2 of 4

Personality Theories

M5A1 LASA 2: Analysis of a Personality – Abraham Maslow

M.L. Crider

Argosy University

January 22, 2018


PROFESSIONAL PORTFOLIO 27

Analysis of a Personality – Abraham Maslow

a. Maslow’s Major Life Events

Abraham Maslow was born to Jewish Russian parents in Brooklyn, New York. There

are a few major life events and circumstances that I feel may have influenced his personality

development. His parents were uneducated immigrants and he grew up poor. It is said that he

was never close to either parent. His father was mostly absent and made a living prepping

barrels. Maslow had a complete animosity toward his own mother. He literally hated her to

the very core of himself and refused to attend her funeral. He was highly judgmental of her,

claiming that she was dirty, didn’t care about anyone but herself, and didn’t extend love to

Maslow. Sometimes hatred and profound love are not opposite ends of a rainbow, but are

equal in power and passion with a different mood cast upon one side more than the other.

Though he had spent years in therapy trying to get over his mother, in 1969, a year before

he died, page 958 of Maslow’s diary entry stated deep-seated hate and rage toward her: “What I

had reacted against and totally hated and rejected was not only her physical appearance, but also

her values and world view, her stinginess, her total selfishness, her lack of love for anyone else

in the world, even her own husband and children … her assumption that anyone was wrong who

disagreed with her […] The whole thrust of my life-philosophy and all my research and

theorizing also has its roots in a hatred for and revulsion against everything she stood for” (Feist,

2012, p. 252).

It seems Maslow’s mom could have been a narcissistic personality from the sound of this

journaled bit. The children of narcissists have no oxygen in the room left for their own

breathing, metaphorically, but perhaps quite literally at times. The children of narcissistic
PROFESSIONAL PORTFOLIO 28

parents can spend years going through the wrong relationships that mimic the parent that

caused the wound in order to get over certain aspects, as the body would with an allergy.

Maslow started out in law fighting for the good for others before turning to

psychology when he moved to Wisconsin after getting married. This isn’t surprising if

he is indeed the child of a narcissist. The whole idea of fighting for those who need to be

heard—albeit in a court of law in that profession, would tie in quite seamlessly to his

being the child of a narcissistic parent, always fighting internally to be seen, heard,

appreciated, and understood. The children of narcissistic parenting are also sometimes

overachievers with an inferiority complex to get over.

b. Maslow’s Cultural Influences

There are a few cultural influences that had an influence on Maslow’s

personality development. Maslow was the first-born of seven kids to his poor

immigrant parents in 1908. Times were unimaginably different then in almost every

way. As a driven first-born, he first enrolled in the City College of New York to study

law in an attempt to show his parents he could make something of himself. He

married his first cousin, Bertha, against his parents’ dictates and wishes.

It seems that this rebellious marriage to his cousin catapulted his move to

Wisconsin where he studied psychology and began studying monkeys and their

attachment behavior at the university there. From 1930-1934 Maslow earned his BA,

MA, and PhD all in psychology from this university and then returned to Brooklyn

where he began to rub shoulders in academia with other philosophers and theorists of

that day. Horney, Adler, and Fromm, among others, became his cultural melting pot

of cohorts during such time period. Their perspectives bore on Maslow’s perspective,
PROFESSIONAL PORTFOLIO 29

no doubt. He also became interested in studying human sexuality after returning to Brooklyn

and being surrounded by like minds.

It seems pertinent that his hierarchy of needs and self-actualization passions that found

their way into his work are essentially rooted in the belief of his that we all have instincts that

must be met and in a certain order in order to survive. Culturally, being of immi grant-descent

and in the middle of 1930s Brooklyn again after his intense studies in Wisconsin, it seems he

was led by cohorts such as E.L. Thorndike of Columbia University, Kurt Goldstein, and

Gestalt and Freudian psychologists in the way of possibly helping to mold and cement his

personality and his path in work in psychology.

“Maslow found that people move toward self-actualization in a certain order and that

they cannot progress to the next level in this hierarchy until they have met the requirements of

the lower levels. Humanism is a philosophical approach which emphasizes the personal worth of

an individual and the centrality of human values” (Argosy, 2017).

c. Maslow from Freud’s Psychoanalytic Perspective

Much could be said regarding Maslow for some of Freud’s basic points in his

psychoanalytic perspective. The ego, repression, and the Oedipus Complex come to mind.

Displacement due to aggravated anxiety could point to why Maslow rebelled and married his

cousin, Bertha due to his hatred for his mother and the rebellion being a displacement in order

to express that energy of victory over her and her opinions about what he should or shouldn’t

do in his life.

Sublimation could have protected Maslow from his hidden anxieties about his mother.

“Sublimation is the repression of the genital aim of Eros by substituting a cultural or social aim.

The sublimated aim is expressed most obviously in creative cultural accomplishments such as
PROFESSIONAL PORTFOLIO 30

art, music, and literature, but more subtly, it is part of all human relationships and all

social pursuits” (Feist, 2012, p. 41).

The Male Oedipus Complex idea could get tricky with regards to analyzing

Maslow. We might wish to know at which age he decided that he hated his mother

before we dig into this stream of thought. His father was mostly absent, i.e. emotionally

and physically, from what we know, so it is a stretch to believe that before the phallic

stage, that Maslow as an infant formed a close identification with his father or not.

It grows more complicated then for us to know that the next step as per Freud

would be that he desires his mother then sexually—or his wanting to coexist with or have

his mom. Freud basically says that when a boy finally realizes that identifying with his

dad and having his mom to himself are not reconcilable, that the boy then would choose

his mother over his dad because Freud said that this is the more powerful feeling and that

the more powerful feeling will win out. “He desires to do away with his father and

possess his mother in a sexual relationship. This condition of rivalry toward the father

and incestuous feelings toward the mother is known as the simple male Oedipus

complex” (Feist, 2012, p. 44).

The id, ego, and superego were Freud’s first concerns. “The ego, or I, is the only

region of the mind in contact with reality. It grows out of the id during infancy and

becomes a person's sole source of communication with the external world. It is governed

by the reality principle, which it tries to substitute for the pleasure principle of the id”

(Feist, 2012, pp. 29-30). Freud’s psychoanalytic striving might get into the superego in

Maslow’s case. It could be said that repression—the act of a mature superego in its

process of attempting to control aggression and sex—could be at work if we peer into


PROFESSIONAL PORTFOLIO 31

Maslow’s hatred for his mother and look for repression clues in his relationship with his cousin,

aka his wife.

Perhaps Maslow was a misogynist as a result of loathing his mother so completely.

Perhaps the superego tried to control this sad fact via repression by displacing his rage onto the

taboo treason of marrying a cousin. “The most basic defense mechanism, because it is involved

in each of the others, is repression. Whenever the ego is threatened by undesirable id impulses, it

protects itself by repressing those impulses; that is, it forces threatening feelings into the

unconscious” (Feist, 2012, p. 38). Perhaps love hurt for Maslow and so he attracted someone

that would keep hurting his psyche in some way. “The superego is not concerned with the

happiness of the ego. It strives blindly and unrealistically toward perfection. It is unrealistic in

the sense that it does not take into consideration the difficulties or impossibilities faced by the

ego in carrying out its orders” (Feist, 2012, pp. 30-33).

Freud might have said that Maslow experiences neurotic anxiety, which originates from

the id and its cravings. Never having met Maslow myself, I cannot be sure, but the evidence

about neurotic anxiety seems to stem from an elder or “some other authority figure because they

previously experienced unconscious feelings of destruction against one or both parents” (Feist,

2012, p. 38). “Only the ego can produce or feel anxiety, but the id, superego, and external world

each are involved in one of three kinds of anxiety—neurotic, moral, and realistic. The ego's

dependence on the id results in neurotic anxiety; its dependence on the superego produces moral

anxiety; and its dependence on the outer world leads to realistic anxiety” (Feist, 2012, p. 38).

The psychoanalytic perspective might ask a few of the above ideas.


PROFESSIONAL PORTFOLIO 32

d. Maslow from Two Other Perspectives

Neoanalytic Perspective – Adler

This perspective birthed individual psychology by Adler in response to Freud’s

psychoanalytical view. It is in its essence optimistic in that a focus of humankind being

one is in view and as per Adler is responsible for the idea of individual psychology. This

view might say of Maslow that he was “striving for superiority or success” (Feist, 2012,

p. 70) instead of Freud’s pointing the finger at sex and aggression being his shining

rudder.

The neoanalytic perspective and people such as Adler pointed to our being

motivated by the influence of social situations, the external forces, and how we compare

ourselves to the external as being culprit to the formation of our personalities more so

than sex and aggression. So, the ego, not the id, would be more responsible for Maslow’s

behavior and his present and future as per this perspective. Maslow would hold the

reigns more over the shaping and formation of his own personality and life.

This perspective also would say that Maslow has the power to be responsible for

who he is where as Freud’s perspective might say that he has no power or choice in the

matter of shaping his own personality, his own life. In addition, this perspective would

give much focus to Maslow’s hopes for his future affecting his personality directly versus

Freud’s hyper-focus on only past experiences shaping our personalities, our destinies. In

this perspective, the sky was the limit for Maslow if he could dream it, he could do it!

This perspective makes us look at ourselves and Maslow as if we are awake, alert,

competent people who can be in charge of our personalities by the way we perceive

ourselves in the present. Freud emphasized the unconscious as being boss over us.
PROFESSIONAL PORTFOLIO 33

“Adler believed that psychologically healthy people are usually aware of what they are doing and

why they are doing it” (Feist, 2012, p. 70).

In essence, the neoanalytic perspective rebelled against the Freudian psychoanalytic

perspective in that they “disagreed about the central drives that acted as the core of human

motivation. Freud believed we were driven by desires of pleasure or sex while Adler voted that

we must take the environment into account when considering what drives us, what drove

Maslow.

Lastly, this perspective gives much credo to the ego striving for superiority and in

Maslow’s case, all of his degrees and accomplishments might suggest that if indeed he had an

inferiority complex, his striving for success, power, or superiority might have been born from

such, but that he has ultimate say or choice over his personality. The beauty of this perspective

is a yearning that Adler believed we all have. He believed we all are striving to satiate an inner

urge to build friendships/be social, experience intimacy/love and marriage, and that we deeply

wish to contribute to society/occupation. “According to Adler, individuals who do not learn to

develop meaningful friendships built on trust and honesty would be continually handicapped as

they progress through life and may then experience a lifelong pattern of unsatisfying or

unhealthy relationships” (Feist, 2012, p. 70).

Social Learning Perspective – Rotter

This perspective places emphasis on cognitive factors being in full focus with regards to

Maslow’s personality formation. It would try to place more importance on situations external in

our lives for predicting our behaviors. It might say of Maslow that his over-achieving was a

result of external factors like his parents being poor uneducated immigrants in the United States

catapulting his drive to therefore succeed. It would place more emphasis on these external
PROFESSIONAL PORTFOLIO 34

factors of Maslow’s life than on the focus of merely himself and his ideas of himself.

“Rotter developed a formula for predicting future behaviors based on the knowledge of

one’s behavior potential, expectancy, reinforcement value, and psychological situation”

(Argosy, 2017).

This social learning perspective would expect that Maslow would act depending

upon what he believed might or could occur with each choice he made. It is optimistic in

the way that it assumes that Maslow would go for the behavior that might produce the

best outcome. For example, perhaps it would try to unravel why Maslow chose that it be

better to attend the University of Wisconsin instead of to stay in his hometown of

Brooklyn to achieve all of his degrees in psychology.

This perspective would say that he expected the best outcome in Wisconsin

instead of in Brooklyn. It would also ask if getting his degrees was worth the risk of

relocating with his wife to another state. This perspective would help us to understand

the individual and his choices in this way. “The psychological situation is the subjective

determination made by the person about the given situations” (Argosy, 2017). Rotter

believed that we are driven by a deep desire to get the best or most positive results while

avoiding being punished, avoiding negativity.

Like the neoanalytic perspective, this social learning perspective would agree that

Maslow’s personality was more a direct result of his environs. “He claimed that at the

heart of a person’s behavior was not the actual reinforcement of the behavior, but rather

the person’s perception of that reinforcement and the amount of control they have over

achieving the reinforcement, something which he termed locus of control” (Argosy,

2017).
PROFESSIONAL PORTFOLIO 35

So, this perspective would focus on asking if Maslow felt or held a true inner belief about

himself that he felt in control of the situations in his direct environment; then, it would ask how it

affects Maslow’s personality, his ideas, his volition in life. This seems ego-based as it asks the

subject what it/he thinks of his own life and his own circumstances. It almost seems as if a level

of pride or confidence temperature were being taken with the subject—in this case, Maslow.

“People with strong internal loci of control believe that they are responsible for the outcomes in

their lives […] Whereas people with strong external loci of control believe that the outcomes in

their life are controlled by others, chance, or fate” (Argosy, 2017).

e. Evaluation on 3 Above Perspectives’ Effectiveness Regarding Maslow

As a result of taking this course in personality theories, I have begun to believe that no

single theory can comprehensively stand on its own in the way of being able to fully

encompass the fundaments of one’s personality formation. This may be an unpopular

opinion, I am unsure if others feel this way. Regarding the three perspectives remarked upon

above and how they might or might not be effective with regards to understanding Maslow’s

personality, firstly, I look to Freud and psychoanalysis.

Though the psychoanalytic perspective is still hailed by some and refuted harshly by

others, I must say that I believe that on one hand, trying to explore the id, the unconscious

nature of Maslow might lead us to much in the way of answers about Maslow’s personality,

but on the other hand, the unconscious still remains to be a huge and ambiguous abyss; how

can we ever know if we’ve truly hit upon rock, if we have truly arrived at the bottom of one’s

ocean in this perspective? Much could be overlooked and much could be misrepresented with

Freud’s perspective. There is no straight line demarcating the origins of our sex drive and
PROFESSIONAL PORTFOLIO 36

pleasure inclinations and then connecting such a line to specific behaviors and the

understanding of those behaviors.

The neoanalytic perspective perhaps holds a bit of promise, though the

parameters are roomy and curious as well. Our being motivated by striving for

superiority and by the influence of social situations, the external forces, and how we

compare ourselves to the external as being culprit to the formation of our personalities

more so than sex and aggression seems to hold water in my mind.

I believe that much can be gleaned into Maslow’s life if we are to utilize this

perspective and truly take note of what went on around Maslow—the cultural influences,

the fact that he married his cousin and what that means in a sense of morals or customs in

our society. I believe also that with regards to Maslow, this perspective perhaps rightly

points us in a surer direction than does Freud’s perspective into the inside of Maslow if

we look at how he strove for superiority in his field of psychology.

The building block kind of way that the social learning perspective gives us in

relation to events that occur in one’s life and how that directs us toward new paths due to

reward and positive outcomes may give a glimmer of ideas into Maslow’s personality,

but not as much as the neoanalytic view might. I believe, however, that due to Maslow’s

pure hatred for his mother, that this perspective that focuses on the external forces in our

lives might not allow us to truly know Maslow from the inside, as Freud’s might try to

do. This perspective might allow us to ironically see Maslow’s volitions, his motivations

from the outside as well, instead of from a more personal view as would Freud’s

perspective.
PROFESSIONAL PORTFOLIO 37

References

Argosy University Online. (2017). Personality Theories. Module

5. Rotter’s View. Retrieved from http://www.myeclassonline.com

Feist, J., Feist, G., Roberts, T. (2012). Theories of Personality, 8th Edition [VitalSource

Bookshelf version]. Retrieved from

https://bookshelf.vitalsource.com/books/1260050815
PROFESSIONAL PORTFOLIO 38

Work Sample 3 of 4

Cognitive Psychology

M5A1 LASA 2: Generating a Policy Proposal

M.L. Crider

Argosy University

June 19, 2017


PROFESSIONAL PORTFOLIO 39

We live in a day and age when machines save us and machines kill us. Merely two years

ago, Erie Insurance did a survey of their covered drivers and found that people do all sorts of

hazardous things while driving “including brushing teeth and changing clothes

(StoptheTextsStoptheWrecks.org, 2017)”. Some drivers apply mascara in the rear-view mirror,

edit business proposals via email, and play smartphone games while behind the wheel.

Have we created a Frankenstein? On one hand, if one is in a car crash, a cell phone

proves handy to be able to call for help. Conversely, cell phones are rapidly contributing to

America’s annual death count with the rate of car crashes due to the distractibility factor that cell

phones inflict. “In the United States, crashes involving distracted drivers result in nearly 3,300

fatalities and 400,000 injuries annually; of the fatal crashes involving distracted drivers, 12% are

attributed to cell phone use at the time of crash (Eluru & Yasmin, 2016, p. 280).”

If we truly yearn for application of current cell phone bans while driving, then a blanket

policy that enforces cell phone and vehicle companies to utilize strict technology in unison which

makes all phone apps--except navigational map apps and the dialing of 911/emergency--literally

inactive, unable to operate at the cell phone or automobile’s sensing of motion via Bluetooth. I

propose this policy technology be coined, Disable All. There is plenty else to be distracted by

when driving and we must take cell phone use out of the death and injury toll equation in so

much as it is possible. This kind of technology, though some may bark at the notion of it

restricting their freedom, every man, woman, and child deserve to experience true freedom of

safety while in transit on our roadways alongside every other driver in America.

Something is not working with status quo phone/text bans due to death numbers not

adding up as inversely proportional to recent bans. “A Highway Loss Data Institute (HLDI)

analysis released in October 2014 found that although state bans on hand-held phone use by
PROFESSIONAL PORTFOLIO 40

drivers have lowered phone use behind the wheel, they have not produced a similar drop in

crashes (III, 2016).”

“Drivers in their 20s account for 33 percent of the distracted drivers that were using cell

phones in fatal crashes (StoptheTextsStoptheWrecks.org, 2017)”. “The use of all cellphones by

novice drivers is restricted in 38 states and the District of Columbia; text messaging is banned for

all drivers in 47 states and the District of Columbia (Insurance Institute for Highway Safety

Highway Loss Data Institute, 2017).” With the credibly tallied recent reported fatalities and

severe injuries annually in our country, why is the rise of bans gravely proportional to a rise in

cell phone-distracted driving incidents? Enforcement for status quo bans is not possible in a

ubiquitous sense due to too many variables by humans and not enough tracking by machines.

Distracted driving is being referred to as, “a dangerous epidemic on America’s roadways

(StoptheTextsStoptheWrecks.org, 2017).” Based on assessments from just two years ago, “there

were 3,477 people killed and an estimated additional 391,000 injured in motor vehicle crashes

involving distracted drivers (StoptheTextsStoptheWrecks.org, 2017).” Other definitions aim at

further specificity: “NHTSA defines distraction as a specific type of inattention from the driving

task to focus on some other activity; distracting tasks can affect drivers in different ways and can

be grouped into three categories: visually distracting, manually distracting and cognitively

distracting—all these types of distractions can increase crash risk (National Conference of State

Legislatures, Essex, & Shinkle, 2017).”

“In Photo A below, we see that 14 states currently provide hand-held bans and in Photo B

below, we note that only 3 states do not provide texting bans. “Ten percent of fatal crashes, 15

percent of injury crashes, and 14 percent of all police-reported motor vehicle traffic crashes in
PROFESSIONAL PORTFOLIO 41

2015 were reported as distraction-affected crashes (StoptheTextsStoptheWrecks.org, 2017).”

Additionally, youth car crashes tally up to roughly one third of distracted drivers.

Photo A: (Insurance Institute for Highway Safety Highway Loss Data Institute, 2017)

Photo B: (Insurance Institute for Highway Safety Highway Loss Data Institute, 2017)
PROFESSIONAL PORTFOLIO 42

Analysis and Comparison of Current Research on Cognitive Effects

of Phone Use, Intoxication, Age, Gender, and Other Factors While Driving:

Two fatal threats with respect to distractibility persist that make cell phones and driving

like oil and water. “First, drivers must take their eyes off the road and hands off the wheel to

manipulate the devices when dialing, texting and surfing the Web. Second, people can become

so absorbed in their conversations and other uses that their ability to concentrate on the act of

driving is severely impaired (III, 2016).” “All of the laws allow emergency calls, most allow

hand-held dialing, and some allow talking when stopped in traffic, at controlled intersections, or

on the side of the road (McCartt, Kidd, & Teoh, 2014).”

In 2016, the National Highway Traffic Safety Administration (NHTSA) reported, “Cell

phones were reported as a distraction for 13 percent of all distracted drivers in fatal crashes (III,

2016).” The best scare for last: “3 states restrict school bus drivers from texting (Teigen &

Insurance Institute for Highway Safety, 2016).” Only 3 of all of the United States restricts

school bus drivers from texting?

Age and gender are factors: “According to a 2016 State Farm survey, teens who reported

using their smartphone while driving were much more likely to report being involved in a crash

while driving, and exhibiting other dangerous driving behaviors including speeding, failing to

wear a seatbelt, and driving under the influence of alcohol or drugs

(StoptheTextsStoptheWrecks.org, 2017).” Our teens are openly admitting distractibility

regarding their use of phones while driving. In addition, statistics show that women and the

elderly are more prone to distractibility. “Women are more likely to cross a line at an

intersection whether they are on a phone call or not when compared to men and that younger
PROFESSIONAL PORTFOLIO 43

drivers are less likely to cross the intersection line if taking an incoming call than older drivers

(Eluru & Yasmin, 2016, p. 280).”

Credible in-depth studies from recent years form a loud chorus, belting highest notes in

unison of the danger of cell phone use in general while driving. One study regarding accident

analysis and prevention posits, “Response time for drivers is slowed down to life-threatening

degree while using cell phones and operating a vehicle (Eluru & Yasmin, 2016, p. 280)”.

Another study takes note of shared attention and driver distraction when comparing and

contrasting a driver talking to other passengers versus talking on the phone. “The number of

driving errors was highest in the cell phone condition; in passenger conversations, more

references were made to traffic, and the production rate of the driver and the complexity of

speech of both interlocutors dropped in response to an increase in the demand of the traffic

(Drews, Pasupathi, & Strayer, 2008).”

At the Department of Experimental Psychology in Dusseldorf, Germany, researchers took

up a study that focused upon actual ringtones of cell phones acting as auditory distraction and the

effects when correlative to memory. Ringtones are precisely meant to be distracting. Hello?

“Attentional orienting and working memory (Röer, Bell, & Buchner, 2014, p. 35)” were topics of

focus. The researchers proved the focus--versus distraction—capability, coupled with the

consequences relating to driving and delay with regards to cell phone ringtones on short-term

memory and on working memory, relates to different specified cognitive tasks, such as driving.

“Three naturalistic studies estimated the risk associated with texting, producing widely

divergent estimates of risk; in a study of drivers who frequently used their phones while driving,

the risk of a crash, near-crash, or crash-relevant conflict was about two times higher when
PROFESSIONAL PORTFOLIO 44

drivers were texting compared with just driving or driving without using a phone (McCartt,

Kidd, & Teoh, 2014).” The ode just keeps getting longer with regards to stark cold evidence.

All of the studies seem to comport that the danger of cell phones in vehicles seem to be

best likened to holding a campfire in one’s very own vehicle. In yet another hot study,

researchers “provide support for a mere presence effect of a cell phone in reducing attentional

capacity and performance, but only when the task was more attentionally and cognitively

demanding (Thornton, Faires, Robbins, & Rollins, 2014, p. 483).” Driving is.

Recommendations for Public Policy: “Disable All”

Many a well-meaning police officer simply may not see a person on a cell phone when

driving or texting under the seat, so the question becomes, how are we to ubiquitously enforce

such current and future bans on cell phone uses? What if a police officer is parked on the side of

an intersection checking his own phone’s email or taking a call from a dispatcher and misses a

zooming car that just pushed through a red light while the driver was texting in plain view?

There exists a missing link, a chink in the car/cell armor, with our country’s status quo

cell/text bans with proportionally-rising fatalities and severity of injuries sustained in crashes that

involve the distractibility of cell phone use. We require more prevalent awareness, more money

spent on media/advertising that can incentivize the fear of driving while using one’s cell phone

in almost any capacity other than using a map to successfully navigate to destinations.

We need a new policy that digs deeper than relying on drivers not using their phones!

We must begin to account for the fact that we humans are riddled folk; we must concede that we

are highly susceptible to temptation of all kinds and when temptation exists to multi-task in this

swirling technological day and age—even when our sole lives are at stake behind the wheels of
PROFESSIONAL PORTFOLIO 45

our own cars, laws must be put in place that remove the human reliance/enforcement factor out

of it completely. We must put our Tech-Frankensteins to work … if we wish to live.

If we truly yearn for successful application, vis-à-vis enforcement, of current cell phone

bans while driving, then a blanket policy that enforces cell phone and vehicle companies to

utilize strict technology in unison which makes all phone apps except navigational map apps and

the dialing of 911/emergency literally inactive--unable to operate at the cell phone or

automobile’s sensing of motion, say over 5 mph—since a typical human cannot walk or run this

fast without being in a moving object. This would present conflicts if travel/motion when on a

train, subway, or airplane, when most people use that time to work on their phones, but there

already exist safety settings for airplane use within cell phones and we can trust this can become

hybrid with regards to Disable All legal feature with regards to trains, subways, and taxis.

Technology must further befriend the serious responsibility of precluding deaths and also

join to create settings that detect if a person is behind the wheel of a vehicle driving or not.

Google maps already utilizes detection technology that enables a cell phone app to detect when

one has successfully arrived at a destination, so surely there is promise for detection of a driver

or passenger that would work in tandem with the proximity of motion detection of moving

vehicles. There must exist a way that science can lend itself to safer roadways in America.

Recommendations for Future Research

The teen population needs further research, intervention by communities, and training

programs to affect their sense of imminent danger when it comes to using phones when driving.

In a study, it was found that teens are open-minded to learning. “Teens were willing to reduce

the morbid riskiness of using cell phones when driving if a safer idea was found (McDonald &

Sommers, 2015, p. 53).” The study’s premise proved that we must reframe teens’ ideas of using
PROFESSIONAL PORTFOLIO 46

cell phones while driving being like risking death. Teens do not grasp the actual gravity of it

being a death threat without our investing our communities’ money in programs and further

research in incentivized education with regards to them being roughly a third of distractibility

crashes annually in our country.

Further research must also be done with regards to constitutional rights of everyone’s

freedom—not just the individual’s freedom to use a phone while driving—and how further

legislature could stand for the freedom of all on the open roads, not just the individual.

Operating a vehicle is, after all, rarely a sport that we do by our lonesome; there are typically

other drivers out there in a hurry sharing the pavement with us.

Special research focus might also be placed upon studies that involve new-age taxi

services and their drivers, such as Uber, BluCar, and Lyft. Perhaps the Disable All policy/feature

presented herein should be tested with aforementioned taxi companies before it is made for the

public so that assessments regarding foolhardiness, errors, and crashes can be made as a step one

regarding the implementation of my Disable All policy that works in conjunction with cell

phones, a person’s physical body and its proximity to a steering wheel or acceleration pedal, and

the vehicle’s navigational and phone dialing/texting current technologies. Basically, if the foot is

on the accelerator, Disable All kicks into gear; if the foot is on the brake, it is in remission.

Lastly, we must provide further research and necessary incentivized financial investments

to connect cell phone and automobile companies in their advances in technology and enforce

then that they must marry the two technologies in tandem with moving legislative policies in our

states that state that by law cell phone companies and automobile companies with their Bluetooth

capabilities for navigational and phone/text capabilities must legally comply with incorporation
PROFESSIONAL PORTFOLIO 47

of the disable feature of absolutely all phone apps except maps/navigation and the phone’s ability

to ring 911/emergency.

The Disable All policy should at minimum include: 1. Disable all apps but navigational

maps and 911 calls, 2. Enable monitoring of speed being able to immediately turn the disable

feature on if the vehicle is moving over 5 mph, and 3. The cell phone and automobile’s

awareness of the presence of driver and phone in proximity to one another must be active.

In conclusion, with the plethora of credible researchers, sources, and technologies being

utilized and born today, someone is dying this very second due to distracted driving that involved

cell phone use in some way. When our accurate studies are finding, “a fourfold increase in crash

risk associated with phone conversations; the increased risk was similar for hands-free and hand-

held phone use (McCartt, Kidd, & Teoh, 2014)”, then it is up to us to urgently implement

policies and firm simple laws that are able to be enforced, tracked, and that work inversely

proportional to death tolls in our country. We must, in all irony, begin to rely on machines with

regards to this policy idea, not humans, for our very lives on our roadways.
PROFESSIONAL PORTFOLIO 48

References

Drews, F. A., Pasupathi, M., & Strayer, D. L. (2008). Passenger and cell phone conversations in

simulated driving. Journal of Experimental Psychology: Applied, 14(4), 392-400.

doi:http://dx.doi.org.libproxy.edmc.edu/10.1037/a0013119. Retrieved on June 2, 2017

from http://search.proquest.com.libproxy.edmc.edu/docview/614492876?pq-

origsite=summon&http://search.proquest.com/psycarticles

Eluru, N., & Yasmin, S. (2016). Disentangling the influence of cell phone usage in the

dilemma zone: An econometric approach, Accident Analysis & Prevention, Volume 96,

2016, Pages 280-289, ISSN 0001-4575, http://dx.doi.org/10.1016/j.aap.2015.11.036.

Retrieved on June 2, 2017 from

http://www.sciencedirect.com/science/article/pii/S0001457515301512

III - Insurance Information Institute. (2016, June). Distracted driving. Retrieved June 17, 2017,

from http://www.iii.org/issue-update/distracted-driving

Insurance Institute for Highway Safety Highway Loss Data Institute. (2017, June). Distracted

driving: Cellphones and texting. Retrieved June 16, 2017, from

http://www.iihs.org/iihs/topics/laws/cellphonelaws/maptextingbans?topicName=Distracte

d+driving#map

McCartt, A. T., Kidd, D. G., & Teoh, E. R. (2014, March). Driver cellphone and texting bans in

the United States: Evidence of effectiveness. Retrieved June 17, 2017, from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001674/

McDonald, C. C., & Sommers, M. S. (2015). Teen Drivers' Perceptions of Inattention and Cell

Phone Use While Driving. Traffic Injury Prevention, 16(2), S52-S58.

doi:10.1080/15389588.2015.1062886. Retrieved on June 2, 2017 from


PROFESSIONAL PORTFOLIO 49

http://web.a.ebscohost.com.libproxy.edmc.edu/ehost/pdfviewer/pdfviewer?vid=1&sid=2

7ccef42-3187-489a-b403-58b76830ad3a%40sessionmgr4008&hid=4109

National Conference of State Legislatures, Essex, A., & Shinkle, D. (2017, April 4).

Transportation: Traffic safety trends state legislative action 2016. Retrieved June 12,

2017, from http://www.ncsl.org/research/transportation.aspx

Röer, J., Bell, R., & Buchner, A. (2014). Please silence your cell phone: Your ringtone captures

other people's attention. Noise & Health, 16(68), 34-9.

doi:http://dx.doi.org.libproxy.edmc.edu/10.4103/1463-1741.127852. Retrieved on June 2,

2017 from http://search.proquest.com.libproxy.edmc.edu/docview/1506093299?pq-

origsite=summon&http://search.proquest.com/healthcomplete/

StoptheTextsStoptheWrecks.org. (2017). Driving facts. Retrieved June 15, 2017, from

http://stoptextsstopwrecks.org/tagged/facts

Teigen, A., & Insurance Institute for Highway Safety. (2016, March 10). Cellular phone use and

texting while driving laws. Retrieved June 14, 2017, from

http://www.ncsl.org/research/transportation/cellular-phone-use-and-texting-while-

driving-laws.aspx

Thornton, B., Faires, A., Robbins, M., & Rollins, E. (2014). The mere presence of a cell phone

may be distracting: Implications for attention and task performance. Social Psychology,

45(6), 479-488. doi:http://dx.doi.org.libproxy.edmc.edu/10.1027/1864-9335/a000216.

Retrieved on June 2, 2017 from

http://search.proquest.com.libproxy.edmc.edu/docview/1629589828
PROFESSIONAL PORTFOLIO 50

Work Sample 4 of 4: Powerpoint Presentation


PROFESSIONAL PORTFOLIO 51
PROFESSIONAL PORTFOLIO 52
PROFESSIONAL PORTFOLIO 53
PROFESSIONAL PORTFOLIO 54
PROFESSIONAL PORTFOLIO 55
PROFESSIONAL PORTFOLIO 56
PROFESSIONAL PORTFOLIO 57
PROFESSIONAL PORTFOLIO 58
PROFESSIONAL PORTFOLIO 59
PROFESSIONAL PORTFOLIO 60

END OF PROFESSIONAL PORTFOLIO

You might also like