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Overcoming mutism in adults with learning disabilities: a case study
- Authors:
- BELL Dorothy M., ESPIE Colin A.
- Journal article citation:
- British Journal of Learning Disabilities, 31(1), 2003, pp.47-53.
- Publisher:
- Wiley
This paper considers the case of a woman of 36 years of age with Down's syndrome who had shown selective mutism for over 14 years, although this had become almost complete mutism for the last 8 years. The case was assessed and the woman was asked if she would be willing to participate in an attempt to reinforce communication and to gradually increase the number of words whispered or spoken in the presence of one person at first - the first author. Nonaversive behavioural methods were used and response initiation procedures were developed. Later, generalization of vocalizations to other people in other environments was encouraged. Sessions were carried out three times a week for about 2 months with rapid success. The woman's quality of life at home and her social interactions at the resource centre were also reported to have improved.
Creating successful dementia care settings volume 2: maximising cognitive and functional abilities
- Authors:
- BRILLER Sherylyn, et al
- Publisher:
- Health Professions Press
- Publication year:
- 2001
- Pagination:
- 201p.,bibliog.
- Place of publication:
- Baltimore, MD
Examines the critical features of formal care settings that either support people with dementia or create unmanageable barriers to their ability to function successfully. This volume demonstrates how to avoid unnecessary helplessness. Simple changes to the facility environment can help to support remaining skills. Step by step processes are identified.