A multimodal intervention program designed for a nine-year-old with severe communication problems (secondary to cerebral palsy, receptive dysphasia, and auditory agnosia) combined manual signs and graphic symbols to help her communicate. The intensive, highly structured program had significant positive results. (Author/CB)

The article recounts the difficulties presented by the deep seated prejudices manifested in the Australian and English school systems to a cerebral palsied and hearing impaired child. Her eventual success is seen as a personal victory for herself and her persistent mother. (Author/DB)

An automated training device was used in the differential reinforcement of an incompatible behavior in the treatment of hand mouthing of a boy with profound mental retardation and blindness. The presentation of music and vibration contingent upon bilateral hand-switch placement resulted in substantial and sustained reduction of hand mouthing with…

Two experiments investigated the effects of a behavioral intervention on the self-injurious behaviors of two profoundly retarded and/or multiply handicapped girls (ages 15 and 16). Treatments resulted in near zero levels of self-injury in both cases. (Author/PHR)

Eight cases of early onset bipolar affective disorder in adolescents with mental impairment are described, focusing on age of onset; common characteristics such as rapid cycling, mixed affective states, and lithium resistance; and the likelihood that cerebral dysfunction might cause a secondary form of bipolar disorder. (JDD)

This article discusses issues in the identification of learning disabilities in students with low vision and examines the academic performance of one 8-year-old student and the methods that his multidisciplinary team used to document a dual diagnosis of low vision and learning disabilities. (Contains references.) (Author/DB)

A particularly severe case of self-injurious behavior in a multiply (visually, mentally, and emotionally) handicapped 10-year-old girl was successfully treated by response contingent shock, combined with rewards. (DB)

Educational case studies of three multiply handicapped blind children (five to ten years old) are presented in a discussion of visual stimulation approaches. Objectives of activities such as coupling a light with a sound-producing object are described. (CL)

In this case study, a six-year-old, multihandicapped child was treated for self-injurious arm-biting using two response contingent deceleration procedures and two forms of sensory extinction. Only the sensory extinction procedure with protective cuffs reduced arm-biting to manageable levels. (Author/DB)

The effectiveness of a graduated guidance procedure for increasing independence in dressing was examined in a multiple baseline analysis across behaviors with two multihandicapped children (ages nine and five). Results showed both children learned dressing skills with generalization of training to similar garments and maintenance of skills and 18…

The demographic characteristics, life histories, and current placements of dually diagnosed elderly persons (n=27) was obtained by reviewing 132 case records of a Los Angeles regional center for developmentally disabled persons. Approximately 20 percent of the total sample were dually diagnosed and the most common mental health diagnosis was…

This report presents three case reports of male children who meet criteria for autism and also Aarskog syndrome, a genetic disorder characterized by hypertelorism, short nose, long philtrum, short stature, brachydactyly, and shawl scrotum. Two of the children also presented with severe mental retardation. (DB)

Stereotypic behavior was examined in a group of five multiply handicapped children (4-10 years old) over a 2-year span. Observational data were collected at 6-month intervals in the form of 2-minute running descriptions of the child's behavior and the general setting, or condition, of the behavior (e.g., unattended, or stressed). Results revealed…

The noncompliant behavior of a severely multihandicapped 6-year-old boy was modified through an antecedent manipulation. Responding to teacher requests within 5 seconds was measured under three conditions: decreased commands, increased commands, and unconditional commands with contingent consequation. A multielement design employed across…