Abstract
In this paper we discuss at first the clinical case of a person affected by severe mental disability and severe autism (SIDSA). From this specific case we extend our reasoning to the whole population affected and we express some simple rules that should be applied to care for this very difficult population in care homes and specialized institutions. We underline the need for this population to be protected from stress factors, which can be very damaging for their well-being and quality-of-life. Lastly, we describe an approach to activities in sheltered workshops and residential institutions that we call mirror psycho-pedagogy. This approach that we have validated on several occasions in our professional experience, has been defined in analogy to the mirror neuron theory, and has shown its validity in dealing with the stress of these people related to their performance facing the daily activities in which they are engaged.
Highlights
In this paper we discuss at first the clinical case of a person affected by severe mental disability and severe autism (SIDSA)
We describe an approach to activities in sheltered workshops and residential institutions that we call mirror psycho-pedagogy
The population affected by Severe Intellectual Disability and Severe Autism (SIDSA) presents specific and substantial challenges to caregivers
Summary
The population affected by Severe Intellectual Disability and Severe Autism (SIDSA) presents specific and substantial challenges to caregivers. It is essential to concentrate on the improvement of their Quality of Life (QoL). Their little or no verbal skills and their extreme sensitivity to environmental stress create substantial difficulties both for protected workshop activities and classical psychotherapy. During our multi-decennial experience treating people with SISDA we have elaborated a method that we call Mirror Psycho-pedagogy aimed at addressing this population in its specificity. We underline the fact that, given the vulnerability of these persons to any situation they find distressing, the improvement and preservation of their Quality of Life is dependent on reducing their stress and providing the most predictable and relaxing environment possible. We conclude with some general recommendations on the care infrastructure to treat these patients
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