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The vocational development of 27 young adults with congenital heart disease was explored. Each adult responded to a semi-structured interview designed to elicit his vocational plans, educational plans, work values, work interests, motivation to work, and rehabilitation outlook. The responses were intercorrelated and factor analyzed. The findings were consistent with previous research on the career plans of persons with acquired physical disability. A general proposition may now be stated, namely, career plans, work interests, and work values are better than physiologic measures in predicting the vocational adjustment of children and adults with congenital and acquired disability.The vocational development of adults with congenital heart diseases has been unexplored. The major studies of adults with heart diseases have been conducted on persons with coronary artery disease (White, Rusk,

Twenty two women on long term hemodialysis were interviewed to determine their vocational plans, work interests and values prior to and following dialysis. Each woman was assessed on two similar semistructured interviews designed to obtain the pre-dialysis and postdialysis history, yielding comparisons on 12 measures of adjustment. The interviews were coded by two independent raters, yielding significant interjudge reliability estimates. All women on dialysis were productive either as workers in the competitive labor market or as homemakers. Single, employed women continued to work, with no significant reduction in working hours. The majority of women with dual track careers (working wives) had to give up their jobs because of the reduced hours available for outside employment. Full time homemakers prior to dialysis remained homemakers. The implications for chronic disability and women's careers were discussed.This study focused on the vocational adjustment, work interests, work values, career plans, and rehabilitation outlook of women on long term hemodialysis. Their average length of stay on dialysis was 21 months. They did not have the expectation of renal transplantation, and were selected from the dialysis wards after they