This follow-up study was conducted to assess changes in functioning and adjustment over time of individuals with spinal cord injuries who had participated in 1986 and 1988 studies. The original studies interviewed five adult males with quadriplegia about the use of their assistive technologies and about how easily, comfortably, and effectively they operated them and under what conditions and circumstances they experienced difficulties. In the follow-up study, administration of the Personal Capacities Questionnaires to users and non-users of assistive technologies found that users had higher levels of functional capacity and rated the severity of their disability lower than did non-users. Administration of the Taylor-Johnson Temperament Analysis found no clear patterns emerging, though over time, users appeared to be slightly more submissive, hostile, and impulsive than non-users. Results indicate that people with disabilities adjust in various ways over time, that there is developmental growth, and that psychological factors are important in the understanding of short-term and long-term adjustment. (Contains 13 references.) (JDD)