“…The psychology literature uses the term distressed in conjunction with impairment (Good, Thoreson, & Shaughnessy, 1995;Kilburg, 1986;Kilburg, Nathan, & Thoreson, 1986;McCrady, 1989;Sherman, 1996;Sherman & Thelen, 1998;Thoreson, Miller, & Krauskopf, 1989;Thoreson & Skorina, 1986). The medical field suggests that ''any physical, emotional or educational deficiency that interferes with the quality of .…”