title: The pearl in the middle: a case study of social interactions in an individual with a severe intellectual disability.
abstract: BACKGROUND
  People with severe intellectual disability have limited communication skills, small social networks, and may experience isolation. Little is known about how interactions occur with social network members and the role of social support.
  
  
  METHODS
  An adult with a severe intellectual disability was observed in her daily environments. Her social network members were identified and interviewed. Data were analysed using a grounded theory approach.
  
  
  RESULTS
  Fourteen social network members were identified. People with severe intellectual disability interact in different ways, which may not be understood by network members or conform to normative expectations. Still, network members experienced enjoyment, personal satisfaction, and love in their interactions.
  
  
  CONCLUSIONS
  Social interactions with people with severe intellectual disability are challenging. The results point to the benefits of a focus on learning that makes interactions meaningful for each individual, sharing that information with network members, and considering ways to increase interactions and extend the social network.
authors.affiliation: Communication Resource Centre, Scope, and La Trobe University, Victoria. hjohnson.crc@scopevic.org.au
authors.forename: Hilary
authors.initials: H
authors.lastname: Johnson
authors.forename: Jacinta
authors.initials: J
authors.lastname: Douglas
authors.forename: Christine
authors.initials: C
authors.lastname: Bigby
authors.forename: Teresa
authors.initials: T
authors.lastname: Iacono
mesh_terms: D000328:Adult; D003142:Communication; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology*; D007398:Interpersonal Relations; D007407:Interviews as Topic; D019989:Persons with Intellectual Disabilities / Q000523:psychology*; D036301:Qualitative Research; D012931:Social Environment; D012944:Social Support