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

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Growth and Development in Adulthood among Persons with Intellectual Disability
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Abstract

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.

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References

  • Albrecht, G. L. (1992). The disability business: Rehabilitation in America. Newbury Park, CA: Sage.

    Google Scholar 

  • American Psychiatric Association [APA]. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191

    Article  PubMed  Google Scholar 

  • Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147. https://doi.org/10.1037/0003-066X.37.2.122

    Article  Google Scholar 

  • Barnes, C. (2003). What a difference a decade makes: Reflections on doing ‘emancipatory’ disability research. Disability & Society, 18(1), 3–17. https://doi.org/10.1080/713662197

    Article  Google Scholar 

  • Barton, L. (2005). Emancipatory research and disabled people: Some observations and questions. Educational Review, 57(3), 317–327. https://doi.org/10.1080/00131910500149325

    Article  Google Scholar 

  • Beck, J. (1979). The effect of variations in incubation activity and incubation time on creative response production. Dissertation Abstracts International: Series B. The Sciences and Engineering, 40(6), 2817–2818.

    Google Scholar 

  • Berkson, G., & Landsman-Dwyer, S. (1977). Behavioral research on sever and profound mental retardation (1955–1974). American Journal of Mental Deficiency, 81(4), 428–454.

    PubMed  Google Scholar 

  • Björnsdóttir, K., Stefánsdóttir, G. V., & Stefándóttir, Á. (2015). It’s my life: Autonomy and people with intellectual disabilities. Journal of Intellectual Disabilities, 19(1), 5–21. https://doi.org/10.1177/1744629514564691

    Article  PubMed  Google Scholar 

  • Björnsdóttir, K., & Steindór, J. (2015). Social (in)equality: Collaborative reflection. Icelandic Journal of Education, 24(2), 99–118. Retrieved from http://vefsetur.hi.is/uppeldi_og_menntun/sites/files/uppeldi_og_menntun/5_kristin_steindor-agrip.pdf

    Google Scholar 

  • Bouton, M. E. (2016). Learning and behavior: A contemporary synthesis. Sunderland, MA: Sinauer.

    Google Scholar 

  • Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531. https://doi.org/10.1037/0003-066X.32.7.513

    Article  Google Scholar 

  • Bronfenbrenner, U. (1990). Discovering what families do. In D. Blankenhorn, S. Bayme, & J. B. Elshtain (Eds.), Rebuilding the nest: A new commitment to the American family (pp. 27–38). Milwaukee, IW: Family Service America.

    Google Scholar 

  • Browder, D. M., & Bambara, L. (2000). Home and community. In M. Snell & F. Brown (Eds.), Instruction of students with severe disabilities (5th ed., pp. 543–589). Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Browder, D. M., Cooper, K. J., & Lim, L. (1998). Teaching adults with severe disabilities to express their choice of settings for leisure activities. Education and Training in Mental Retardation and Developmental Disabilities, 33(3), 228–238.

    Google Scholar 

  • Cannella-Malone, H. I., & Schaefer, J. M. (2017). A review of research on teaching people with significant disabilities vocational skills. Career Development and Transition for Exceptional Individuals, 40(2), 67–78. https://doi.org/10.1177/2165143415583498

    Article  Google Scholar 

  • Cascella, P. W. (2004). Receptive communication abilities among adults with significant intellectual disability. Journal of Intellectual and Developmental Disability, 29(1), 70–78. https://doi.org/10.1080/13668250410001662847

    Article  Google Scholar 

  • Colman, A. M. (2006). A dictionary of psychology (2nd ed.). Oxford, UK: Oxford University Press.

    Google Scholar 

  • Cook, J. E., Purdie-Vaughns, V., Meyer, I. H., & Busch, J. T. (2014). Intervening within and across levels: A multilevel approach to stigma and public health. Social Science and Medicine, 103, 101–109. https://doi.org/10.1016/j.socscimed.2013.09.023

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. Canadian Journal of Psychiatry, 57(8), 464–469. https://doi.org/10.1177/070674371205700804

    Article  PubMed  Google Scholar 

  • Davy, L. (2015). Philosophical inclusive design: Intellectual disability and the limits of individual autonomy in moral and political theory. Hypatia, 30(1), 132–148. https://doi.org/10.1111/hypa.12119

    Article  Google Scholar 

  • Dominique, J. (Producer), & Debrauwer, L. (Director). (2002). Pauline & Paulette [Motion picture]. Belgium: Sony Pictures.

    Google Scholar 

  • Emerson, E., & Bromely, J. (1995). The form and function of challenging behaviors. Journal of Intellectual Disability Research, 39(5), 388–398. https://doi.org/10.1111/j.1365-2788.1995.tb00543.x

    Article  PubMed  Google Scholar 

  • Equal Rights for Persons with Disabilities Law, 5758–1998, S.H. 1658, 152.

    Google Scholar 

  • Ertmer, P. A., & Newby, T. J. (2013). Behaviorism, cognitivism, constructivism: Comparing critical features from an instructional design perspective. Performance Improvement Quarterly, 26(2), 43–71. https://doi.org/10.1002/piq.21143

    Article  Google Scholar 

  • Felce, D., Bowley, C., Baxter, H., Jones, E., Lowe, K., & Emerson, E. (2000). The effectiveness of staff support: Evaluating active support training using a conditional probability approach. Research in Developmental Disabilities, 21(4), 243–255. https://doi.org/10.1016/S0891-4222(00)00040-8

    Article  PubMed  Google Scholar 

  • Feuerstein, R. (1969). The instrumental enrichment method: An outline of theory and technique. Jerusalem, Israel: Hadassah-Wizo-Canada Research Institute.

    Google Scholar 

  • Feuerstein, R. (2003). Feuerstein’s theory of cognitive modifiability and mediated learning. In T. O. Seng, R. D. Parsons, S. L. Hinson, & D. S. Brown (Eds.), Educational psychology: A practitioner-researcher approach (pp. 59–60). Singapore, Singapore: Seng Lee.

    Google Scholar 

  • Feuerstein, R., & Rand, Y. (1974). Mediated learning experiences: An outline of the proximal etiology for differential development of cognitive functions. In L. Goldfien (Ed.), International understanding: Cultural differences in the development of cognitive processes (pp. 7–37). New York, NY: Guilford.

    Google Scholar 

  • Feuerstein, S., & Feuerstein, R. (2008). Hitnasut belemidah metavackat ba’te’oriyah u’be’hayey yom-yom [Mediated learning experience in theory and in everyday life]. Jerusalem, Israel: ICELP and Ashkelon Academic College.

    Google Scholar 

  • Forster, S., Gray, K. M., Taffe, J., Einfeld, S. L., & Tonge, B. J. (2011). Behavioral and emotional problems in people with severe and profound intellectual disability. Journal of Intellectual Disability Research, 55(2), 190–198. https://doi.org/10.1111/j.1365-2788.2010.01373.x

    Article  PubMed  Google Scholar 

  • Gold, M. W. (1978). Stimulus factors in skills training of retarded adolescents on a complex assembly task: Acquisition transfer and retention. American Journal of Mental Deficiency, 76(4), 517–526.

    Google Scholar 

  • Golden, J., & Reese, M. (1996). Focus on communication: Improving interaction between staff and residents who have severe or profound mental retardation. Research in Developmental Disability, 17(5), 363–382. https://doi.org/10.1016/0891-4222(96)00022-4

    Article  Google Scholar 

  • Griffiths, C., & Smith, M. (2017). You and me: The structural basis for the interaction of people with severe and profound intellectual disability and others. Journal of Intellectual Disabilities, 21(2), 103–117. https://doi.org/10.1177/1744629516644380

    Article  PubMed  Google Scholar 

  • Gronmo, S. J., & Augestad, L. B. (2000). Physical activity, self-concept, and global self-worth of blind youths in Norway and France. Journal of Visual Impairment & Blindness, 94(8), 522–527. https://doi.org/10.1177/0145482X0009400805

    Article  Google Scholar 

  • Grossman, H. J. (Ed.). (1973). Manual on terminology and classification in mental retardation (6th ed.). Washington, DC: American Association on Mental Deficiency.

    Google Scholar 

  • Grossman, H. J. (Ed.). (1977). Manual on terminology and classification in mental retardation (7th ed.). Washington, DC: American Association on Mental Deficiency.

    Google Scholar 

  • Grossman, H. J. (Ed.). (1983). Classification in mental retardation (8th ed.). Washington, DC: American Association on Mental Deficiency.

    Google Scholar 

  • Haywood, H. C. (1998). On the transactional relation of cognitive and affective development. In J. M. Martinez, J. Lebeer, & R. Garbo (Eds.), Is intelligence modifiable? Madrid, Spain: Bruño.

    Google Scholar 

  • Haywood, H. C. (2006). A transactional perspective on mental retardation. International Review of Research in Mental Retardation, 31, 289–314. https://doi.org/10.1016/S0074-7750(05)31009-3

    Article  Google Scholar 

  • Heber, R. (1959). A manual on terminology and classification in mental retardation. Pineville, LA: American Association on Mental Deficiency.

    Google Scholar 

  • Heyes, C. (2002). Transformational and associative theories of imitation. In K. Dautenhahn & C. L. Nehaniv (Eds.), Imitation in animals and artifacts (pp. 501–523). Cambridge, MA: MIT.

    Google Scholar 

  • Holden, B., & Gitlesen, J. P. (2006). A total population study of challenging behaviour in the county of Hedmark, Norway: Prevalence, and risk markers. Research in Developmental Disabilities, 27(4), 456–465. https://doi.org/10.1016/j.ridd.2005.06.001

    Article  PubMed  Google Scholar 

  • Hunt, J. M. (1963). Motivation inherent in information processing and action. In O. J. Harvey (Ed.), Motivation and social interaction: The cognitive determinants (pp. 35–94). New York, NY: Ronald.

    Google Scholar 

  • Iacoboni, M., & Dapretto, M. (2006). The mirror neuron system and the consequences of its dysfunction. Nature Reviews. Neuroscience, 7(12), 942–951. https://doi.org/10.1038/nrn2024

    Article  PubMed  Google Scholar 

  • Iacoboni, M., Woods, R. P., Brass, M., Bekkering, H., Mazziotta, J. C., & Rizzolatti, G. (1999). Cortical mechanisms of human imitation. Science, 286(5449), 2526–2528. https://doi.org/10.1126/science.286.5449.2526

    Article  PubMed  Google Scholar 

  • Johnson, H., Douglas, J., Bigby, C., & Iacono, T. (2012). Social interaction with adults with severe intellectual disability: Having fun and hanging out. Journal of Applied Research in Intellectual Disabilities, 25(4), 329–341. https://doi.org/10.1111/j.1468-3148.2011.00669.x

    Article  PubMed  Google Scholar 

  • Jones, E., Felce, D., Lowe, K., Bowley, C., Pagler, J., Gallagher, J., & Roper, A. (2001). Evaluation of the dissemination of active support training in staffed community residences. American Journal on Mental Retardation, 106(4), 344–358.

    Article  PubMed  Google Scholar 

  • Joyce, T., Ditchfield, H., & Harris, P. (2001). Challenging behavior in community services. Journal of Intellectual Disability Research, 45(2), 130–139. https://doi.org/10.1046/j.1365-2788.2001.00331.x

    Article  PubMed  Google Scholar 

  • Kamstra, A., van der Putten, A. A. J., Maes, B., & Vlaskamp, C. (2019). Exploring spontaneous interactions between people with profound intellectual and multiple disabilities and their peers. Journal of Intellectual and Developmental Disability, 44(3), 282–291. https://doi.org/10.3109/13668250.2017.1415428

    Article  Google Scholar 

  • Kaplan, C. (1990). Hatching a theory of incubation: Does putting a problem aside really help? If so, why? Dissertation Abstracts International: Series B. The Sciences and Engineering, 53(08).

    Google Scholar 

  • King, G., Chaters, T., Miller Polgar, J., MacKinnon, E., & Havens, L. (2000). Success in life of older adolescents with cerebral palsy. Quantitative Health Research, 10(6), 734–739. https://doi.org/10.1177/104973200129118796

    Article  Google Scholar 

  • Klein, P. S. (1992). Assessing cognitive modifiability of infants and toddlers: Observations based on mediated learning experience. In H. C. Haywood & D. Tzuriel (Eds.), Interactive assessment (pp. 233–250). New York, NY: Springer.

    Chapter  Google Scholar 

  • Klein, P. S. (Ed.). (1996). Early intervention: Cross-cultural experiences with a mediational approach. New York, NY: Garland.

    Google Scholar 

  • Klein, P. S. (2003). A mediational approach to early intervention: Israel. In S. Odom, M. Hanson, & J. Blackman (Eds.), Early interventions practices around the world (pp. 69–90). Baltimore, MD: Brookes.

    Google Scholar 

  • Lancioni, G. E., Singh, N., O’Reilly, M., Sigafoos, J., Alberti, G., Boccasini, A., … Lang, R. (2015). A computer-aided program regulating the presentation of visual instructions to support activity performance in persons with multiple disabilities. Journal of Developmental and Physical Disabilities, 27(1), 79–91. https://doi.org/10.1007/s10882-014-9402-4

    Article  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Boccasini, A., Alberti, G., & Lang, R. (2014). People with multiple disabilities use basic reminding technology to engage in daily activities at the appropriate times. Journal of Developmental and Physical Disabilities, 26(3), 347–355. https://doi.org/10.1007/s10882-014-9373-5

    Article  Google Scholar 

  • Landesman-Ramy, S., Dossett, E., & Echols, K. (1997). The social ecology of mental retardation. In W. Jacobson & J. A. Mulick (Eds.), Manual of diagnosis and professional practice in mental retardation (pp. 55–65). Washington, DC: American Psychological Association.

    Google Scholar 

  • Lifshitz, H. (2014, March). Down syndrome: An integrated approach for an inclusive quality of life. Paper presented at the second conference of the Down Syndrome Policlinics and Parents’ Associations, University of Antwerp, Conference Centre Oud Sint-Jan, Bruges, Belgium.

    Google Scholar 

  • Lifshitz, H., & Klein, P. S. (2007). Comparison of mediation between paraprofessionals and individuals with intellectual disability: Vocational rehabilitation centres versus special education schools. European Journal of Special Needs Education, 22(4), 443–458. https://doi.org/10.1080/08856250701650086

    Article  Google Scholar 

  • Lifshitz, H., Klein, P. S., & Fridel Cohen, S. (2010). Effects of MISC intervention on cognition, autonomy, and behavioral functioning of adult consumers with severe intellectual disability. Research in Developmental Disabilities, 31(4), 881–894. https://doi.org/10.1016/j.ridd.2010.02.012

    Article  PubMed  Google Scholar 

  • Lifshitz, H., Tal, D., Nissim, S., Nissim, D., Cohen-Bonna, Y., David, N., Saban, R. … Halevi, S. (2018). Tohnit limudim le’talmidim im mugbalut sicklit kashah ve’amukah [The national new curriculum for students with severe and profound ID]. Jerusalem, Israel: Ministry of Education, Special Education Department.

    Google Scholar 

  • Lifshitz-Vahav, H. (2015). Compensation Age Theory (CAT): Effect of chronological age on individuals with intellectual disability. Education and Training in Autism and Developmental Disabilities, 50(2), 142–154.

    Google Scholar 

  • Longmore, P. K. (1995). Medical decision making and people with disabilities: A clash of cultures. Journal of Law, Medicine and Ethics, 23(1), 82–87. https://doi.org/10.1111/j.1748-720X.1995.tb01335.x

    Article  Google Scholar 

  • Luckasson, R., Borthwick-Duffy, S., Buntinx, W. H. E., Coulter, D. L., Craig, E. M., & Reeve, A. (2002). Mental retardation: Definition, classification, and systems of support (10th ed.). Washington, DC: American Association on Mental Retardation.

    Google Scholar 

  • Luckasson, R., Coulter, D. L., Polloway, E. A., Riess, S., Sschalock, R. L., Snell, M. E., … Stark, J. A. (1992). Mental retardation: Definition classification and system of supports (9th ed.). Washington, DC: American Association on Mental Retardation.

    Google Scholar 

  • Luftig, R. L. (1987). Teaching the mentally retarded student: Curriculum methods and strategies. Boston, MA: Allyn and Bacon.

    Google Scholar 

  • McClintock, K., Hall, S., & Oliver, C. (2003). Risk markers associated with challenging behaviors in people with intellectual disabilities: A meta-analytic study. Journal of Intellectual Disability Research, 47(6), 405–416. https://doi.org/10.1046/j.1365-2788.2003.00517.x

    Article  PubMed  Google Scholar 

  • Mietola, R., Miettinen, S., & Vehmas, S. (2017). Voiceless subjects? Research ethics and persons with profound intellectual disabilities. International Journal of Social Research Methodology, 20(3), 263–274. https://doi.org/10.1080/13645579.2017.1287872

    Article  Google Scholar 

  • Moreno, J., & Saldana, D. (2005). Use of a computer-assisted program to improve metacognition in persons with severe intellectual disabilities. Research in Developmental Disabilities, 26(4), 341–357. https://doi.org/10.1016/j.ridd.2004.07.005

    Article  PubMed  Google Scholar 

  • Nind, M. (1996). Efficacy of intensive interaction: Developing sociability and communication in people with severe and complex learning difficulties using an approach based on caregiver-infant interaction. European Journal of Special Needs Education, 11(1), 48–66. https://doi.org/10.1080/0885625960110104

    Article  Google Scholar 

  • Nozaki, K., & Mochizuki, A. (1995). Assessing choice making of a person with profound disabilities: A preliminary analysis. Research and Practice for Persons with Severe Disabilities, 20(3), 196–201. https://doi.org/10.1177/154079699502000304

    Article  Google Scholar 

  • Nussbaum, M. (2006). Frontiers of justice: Disability, nationality, species membership. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Nussbaum, M. C. (1999). Sex and social justice. New York, NY: Oxford University Press.

    Google Scholar 

  • Odom, S. L., Barton, E. E., Reichow, B., Swaminathan, H., & Pustejovsky, J. E. (2018). Between-case standardized effect size analysis of single case designs: Examination of the two methods. Research in Developmental Disabilities, 79, 88–96. https://doi.org/10.1016/j.ridd.2018.05.009

    Article  PubMed  Google Scholar 

  • Oliver, M. (1992). Changing the social relations of research production? Disability, Handicap and Society, 7(2), 101–114. https://doi.org/10.1080/02674649266780141

    Article  Google Scholar 

  • Paquette, D., & Ryan, J. (2011). Bronfenbrenner’s ecological systems theory. Retrieved from https://www.researchgate.net/publication/265485344_Bronfenbrenner’s_Ecological_Systems_Theory

  • Paterson, L., McKenzie, K., & Lindsay, B. (2012). Stigma, social comparison and self-esteem in adults with an intellectual disability. Journal of Applied Research in Intellectual Disabilities, 25(2), 166–176. https://doi.org/10.1111/j.1468-3148.2011.00651.x

    Article  PubMed  Google Scholar 

  • Pavlov, I. P. (1960). Conditioned reflexes: An investigation of the physiological activity of the cerebral cortex (G. V. Anrep, Trans.). New York, NY: Dover. (Original work published 1927).

    Google Scholar 

  • Ramachandran, V. (2000, May 31). MIRROR NEURONS and imitation learning as the driving force behind the great leap forward in human evolution [Web log post]. Retrieved from https://www.edge.org/conversation/mirror-neurons-and-imitation-learning-as-the-driving-force-behind-the-great-leap-forward-in-human-evolution

  • Rimmerman, A. (2013). Social inclusion of people with disabilities: National and international perspectives. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Rimmerman, A., & Katz, S. (2004). Mediniut ha’ta’asukah ha’mugenet klapey anashim im mugbaluyot be’artzot hama'arav ube’Israel: Skira ve’diyun [Sheltered employment policy toward people with severe disabilities in Western countries and Israel: Literature review and discussion]. Bitahon Soziali [Social Security], 65, 111–135.

    Google Scholar 

  • Rizzolatti, G., & Craighero, L. (2004). The mirror-neuron system. Annual Review of Neuroscience, 27, 169–192. https://doi.org/10.1146/annurev.neuro.27.070203.144230

    Article  PubMed  Google Scholar 

  • Russell, O. (1997). Diagnosis of psychiatric disorder. In O. Russell (Ed.), Seminars in the psychiatry of learning disabilities. Gaskell: London, UK.

    Google Scholar 

  • Schalock, R. L. (1996). Reconsidering the conceptualization and measurement of quality of life. In R. L. Schalock & G. N. Siperstein (Eds.), Quality of life: Vol. I. Conceptualization and measurement (pp. 123–129). Washington, DC: American Association of Mental Retardation.

    Google Scholar 

  • Schalock, R. L., Borthwick-Duff, S. A., Bradley, V., Buntix, W. H. E., Coulter, D. L., Craig, E. M., … Yeager, M. H. (2010). Intellectual disability: Definition, classification, and systems of supports (11th ed.). Washington, DC: American Association on Intellectual and Developmental Disabilities.

    Google Scholar 

  • Schank, R. C. (1982). Dynamic memory: A theory of reminding and learning in computers and people. Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Schank, R. C. (1999). Dynamic memory revisited (2nd ed.). Cambridge, UK: Cambridge University Press.

    Book  Google Scholar 

  • Seabrook, R., & Dienes, Z. (2003). Incubation in problem solving as a context effect. Proceedings of the Annual Meeting of the Cognitive Science Society, 25, 1065–1069. Retrieved from https://cloudfront.escholarship.org/dist/prd/content/qt5zn1k7s9/qt5zn1k7s9.pdf?t=os64h3

    Google Scholar 

  • Singh, N. N., Lancioni, G. E., Winton, A. S., Wahler, R. G., Singh, J., & Sage, M. (2004). Mindful care giving increases happiness among individuals with profound multiple disabilities. Research in Developmental Disabilities, 25(2), 183–192. https://doi.org/10.1016/j.ridd.2003.05.001

    Article  PubMed  Google Scholar 

  • Sio, U. N., & Ormerod, T. (2009b). Mechanisms underlying incubation in problem-solving: Evidence for unconscious cue assimilation. Proceedings of the Annual Meeting of the Cognitive Science Society, 31, 1060–1065. Retrieved from https://cloudfront.escholarship.org/dist/prd/content/qt3g49w9xf/qt3g49w9xf.pdf?t=op33jz

    Google Scholar 

  • Sio, U. N., & Ormerod, T. C. (2009a). Does incubation enhance problem solving? A meta-analytic review. Psychological Bulletin, 135(1), 94–120. https://doi.org/10.1037/a0014212

    Article  PubMed  Google Scholar 

  • Skinner, B. F. (1938). The behavior of organisms: An experimental analysis. Oxford, UK: Appleton-Century.

    Google Scholar 

  • Smith, S. M., & Blankenship, S. E. (1989). Incubation effects. Bulletin of the Psychonomic Society, 27(4), 311–314. https://doi.org/10.3758/BF03334612

    Article  Google Scholar 

  • Sofrin, R. (1990). She’elon hitnahagut mistagelet [Israeli version of the 1985 American Association on Mental Retardation adaptive behavior scale] (2nd ed.). Jerusalem, Israel: Division of Mental Retardation, Ministry of Social Welfare.

    Google Scholar 

  • Sparrow, S. S., Cicchetti, V. D., & Balla, A. D. (2005). Vineland adaptive behavior scales (2nd ed.). Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Stefánsdóttir, G., Björnsdóttir, K., & Stefánsdóttir, Á. (2018). Autonomy and people with intellectual disabilities who require more intensive support. Scandinavian Journal of Disability Research, 20(1), 162–171. https://doi.org/10.16993/sjdr.21

    Article  Google Scholar 

  • Tuffrey-Wijne, I., Bernal, J., & Hollins, S. (2008). Doing research on people with learning disabilities, cancer and dying: Ethics, possibilities and pitfalls. British Journal of Learning Disabilities, 36(3), 185–190. https://doi.org/10.1111/j.1468-3156.2008.00519.x

    Article  Google Scholar 

  • VanLehn, K. (1988). Towards a theory of impasse-driven learning. In H. Mandl & A. Lesgold (Eds.), Learning issues for intelligence tutoring systems (pp. 19–41). New York, NY: Springer.

    Chapter  Google Scholar 

  • Vorhaus, J. S. (2014). Philosophy and profound disability: Learning from experience. Disability & Society, 29(4), 611–623. https://doi.org/10.1080/09687599.2013.831749

    Article  Google Scholar 

  • Wechsler, D. (1991). Wechsler intelligence scale for children: WISC-III (3rd ed.). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Wehmeyer, M. L. (2006). Beyond access: Ensuring progress in the general education curriculum for students with severe disabilities. Research and Practice for Persons with Severe Disabilities, 31(4), 322–326. https://doi.org/10.1177/154079690603100405

    Article  Google Scholar 

  • Winne, P. H. (1985). Cognitive processing in the classroom. In T. Husen & T. N. Postlethwaite (Eds.), The international encyclopedia of education (Vol. 2, pp. 795–808). Oxford, UK: Pergamon.

    Google Scholar 

  • Wolfensberger, W. (2002). Social role valorization and, or versus, ‘empowerment’. Mental Retardation, 40(3), 252–258. https://doi.org/10.1352/0047-6765(2002)040<0252:SRVAOV>2.0.CO;2

    Article  PubMed  Google Scholar 

  • World Health Organization. (1992). ICD–10 classifications of mental and behavioural disorder: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: Author.

    Google Scholar 

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Appendix 5.1: Sample Triple CAB Intervention Applications for Adults with Severe/Profound ID: Mealtime, Vocational Work, Sports, and Plastic Arts Activities

Appendix 5.1: Sample Triple CAB Intervention Applications for Adults with Severe/Profound ID: Mealtime, Vocational Work, Sports, and Plastic Arts Activities

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Lifshitz, H. (2020). The Triple CAB Intervention for Adults with Severe/Profound Intellectual Disability to Enhance Opportunities for Growth and Life Quality. In: Growth and Development in Adulthood among Persons with Intellectual Disability. Springer, Cham. https://doi.org/10.1007/978-3-030-38352-7_5

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