Procedural discourse in intellectual disability and dual diagnosis.
BACKGROUND
Knowledge of discourse abilities of adults with intellectual disability (ID) and mental illness is limited. The present study examined the procedural discourse skills of two cohorts of adults with ID - one cohort with (n = 7) and one cohort without (n = 7) a psychiatric diagnosis of psychosis.


METHODS
Participants completed the 'dice game', a procedural discourse elicitation procedure that has been used by previous researchers.


RESULTS
Results revealed that while all participants demonstrated an understanding of the task, participants with ID alone were more able to communicate the key elements of the game than the participants in the dual diagnosis group.


CONCLUSIONS
Results of this investigation suggest that individuals with dual diagnosis have difficulties that may relate to previously identified discourse impairments in people with schizophrenia, and this may relate to a larger difficulty in taking into account the listener's needs.
Ryan
J
J
The University of Queensland School of Health and Rehabilitation Sciences, Brisbane, Australia. jen.ryan@uqconnect.edu.au
Woodyatt
G
G
Copeland
D
D
D000328:Adult; D003142:Communication; D003210:Concept Formation; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005868:Gestures; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D018187:Personal Construct Theory; D010988:Play and Playthings; D011340:Problem Solving; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D014705:Verbal Behavior