Related Experiment Video
Updated: Jun 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Procedural discourse in intellectual disability and dual diagnosis
J Ryan1, G Woodyatt, D Copeland
1The University of Queensland School of Health and Rehabilitation Sciences, Brisbane, Australia. jen.ryan@uqconnect.edu.au
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.
More Related Videos
Related Concept Videos
Intellectual Disability
Language and Cognition
Learning Disabilities
Dyslexia
Dyslexia is a...
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Dissociative Identity Disorder
Role of Communication in the Nursing Process I: Assessment and Diagnosis
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing process.

