Chapter 3

Profound cognitive impairment


This chapter concerns students that in the United States of America are defined as having ‘profound mental retardation’, and in England as having ‘profound and multiple learning difficulties’. Equivalent terms to ‘cognitive impairment’ (an alternative usage in the United States of America) include ‘mental handicap’ (Hong Kong and other parts of Asia) and ‘intellectual disability’ (Australia, New Zealand, parts of Southern Africa).

I consider definitions; prevalence; causal factors; identification and assessment; and provision. Regarding provision, the chapter looks at: curriculum and assessment; pedagogy; resources; therapy; and organisation. Finally, challenging behaviour is briefly mentioned. ...

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