Interaction in pathological contexts

In this paper we investigate the behavior patterns (both vocal and gestural) of Alzheimer patients and multihandicapped persons communicating with peers and therapists in an interaction situation. Communicative items were analyzed automatically and sorted into patterns. The results showed that despite their reported ‘linguistic’ disabilities, the patients not only played their role in the interaction, but were also able to lead the conversation and take initiatives. In spite of their vulnerability, both types of patients, particularly those with Alzheimer’s disease, exhibited the ability to integrate new information and to get involved in the dialogue.

Special Visual Assessment Techniques for Multiply Handicapped Persons

Techniques to assess vision capabilities of multihandicapped persons are discussed as used in a specialty Optometric clinic. The major emphasis of the assessment is to obtain information about visual abilities and to make recommendations that promote optimum vision functioning. Techniques for working with children from special populations are discussed. The assessment includes a modified ophthalmic examination to identify and correct refractive error and to assess oculomotor functioning and ocular health. Visual acuity is measured using preferential looking and visual evoked potential techniques. Confrontation visual fields are measured. Several aspects of visual function are assessed with a parent interview.

Independent Living Rehabilitation for Blind-Multihandicapped Persons

In 1973, Congress mandated that the Rehabilitation Services Administration (RSA) investigate the independent living needs of severely disabled people. The authority for this activity is contained in Section 130 of the Rehabilitation Act of 1973 (P.L. 93-112). Six demonstration projects were funded as a result of this mandate. The Texas State Commission for the Blind was awarded a grant to investigate independent living for blind-multihandicapped people in the San Antonio area. The project had two main objectives: (a) to provide in-depth training to clients; and (b) to secure involvement of community social service systems to augment each client's Written Independent Living Program (WILP). This article describes the social service systems needed and utilized by this projects clients and examples of clients served. This article concludes with a description of Title VII (Comprehensive Service for Independent Living) of P. L. 95-602 signed into law by President Carter on November 6, 1978.