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. Method: An adult with a severe intellectual disability was observed in her daily environments. Her…

Despite the overall efficacy of psychotherapy, dropouts are substantial, many clients do not benefit, therapists vary in effectiveness, and there may be a crisis of confidence among consumers. A research paradigm called "patient-focused research"--a method of enhancing outcome via continuous progress feedback--holds promise to address these…