Assessment & Research

Do adults with mental retardation show pictorial superiority effects in recall and recognition?

Cherry et al. (2002) · Research in developmental disabilities 2002
★ The Verdict

Pictures boost memory as much in adults with ID as in typical adults—so teach with visuals, not just words.

✓ Read this if BCBAs working with adults with intellectual disability in day programs, group homes, or vocational sites.
✗ Skip if Clinicians who serve only ASD clients without ID and already use visual supports.

01Research in Context

01

What this study did

Carr et al. (2002) asked adults with intellectual disability to look at pictures and words. Later they tested who could remember more.

The adults saw lists of items. Some lists used only pictures. Other lists used only written words. The team then checked recall and recognition scores.

02

What they found

Adults with ID remembered pictures far better than words. Their picture advantage matched that of adults without disabilities.

Recognition and recall both improved with pictures. Visual memory codes in this group are fully intact.

03

How this fits with other research

Kahng et al. (1999) seems to disagree. They found real objects beat picture cards in preference assessments. The tasks differ: E et al. tests memory, S et al. tests what people want. Pictures help you remember; real items help you choose.

Ring et al. (2020) and Mueller et al. (2000) show the opposite pattern in autism. Adults with ASD often show weak recognition or reduced "remembering." The contradiction is about diagnosis, not method. ID preserves visual memory; ASD can disrupt it.

Pettingell et al. (2022) extends the visual edge to autism. Autistic adults recalled more when they acted out scenes than when they spoke. Together these papers say: visuals boost performance in both ID and ASD, but for different reasons and in different tasks.

04

Why it matters

Use pictures, icons, and color cues when you teach or give instructions to adults with ID. Their visual channel is strong, so lean on it. Swap wordy data sheets for photo sequences. Replace verbal reviews with picture flash cards. You will save training time and reduce prompt dependence.

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→ Action — try this Monday

Convert one verbal instruction card into a three-step picture strip and probe recall before and after the change.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
intellectual disability
Finding
positive

03Original abstract

We examined memory for pictures and words in adults with mental retardation and a control group of adults of normal intelligence. During acquisition, sets of simple line drawings and matching words were presented for study using an intentional learning procedure. The principle dependent measures were free recall and recognition. Measures of working memory span were also administered. Pictorial superiority effects occurred in free recall and recognition for both intelligence-level groups. Correlational analyses indicated that working memory span was primarily related to recall performance, irrespective of stimulus format. These data strongly suggest that persons with mental retardation can utilize nonverbal memory codes to support long-term retention as effectively as do adults of normal intelligence.

Research in developmental disabilities, 2002 · doi:10.1016/s0891-4222(02)00091-4