The Triple CAB Intervention for Adults with Severe/Profound Intellectual Disability to Enhance Opportunities for Growth and Life Quality

  • Hefziba Lifshitz


In line with compensation age theory (CAT; Lifshitz-Vahav, 2015), adults with severe or profound ID should be considered accessible to change despite the severity of their disability and despite their older chronological age, past the supposedly critical period of adolescence. This chapter provides empirical evidence supporting the assertion that even adults with severe and profound ID can benefit from intervention based on the triple CAB (cognition, affect, behavior) model, which includes not only exposure to adaptive behavior skills training but also mediation efforts systematically designed to promote three skill domains. This chapter reviews how the CAB model was first applied to this unique population in two rehabilitation centers for adults with severe and profound ID, by leveraging staff-client interactions in order to mediate adult clients’ cognitive functioning (the C in CAB), affective skills comprising values and autonomy (the A in CAB), and self-regulation of behavior during task performance (the B in CAB). The adults who participated in the intervention improved their cognitive, emotional, and behavioral competencies; then, the triple CAB was further developed for implementation with these challenging populations with severe and profound levels of ID. Practical recommendations are provided for diverse applications of the triple CAB approach in settings for these more challenging populations.


CAB program Adults with severe and profound ID Implications of diagnostic classifications Cognitive modifiability Quality of staff-client interactions Mechanisms for learning Incubation Latency Imitation Reward Social learning 


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Authors and Affiliations

  • Hefziba Lifshitz
    • 1
  1. 1.Head of MA Program in Intellectual Disability, School of EducationBar-Ilan UniversityRamat GanIsrael

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