Assessment & Research

The remediation of executive functions in children with cognitive disorders: the Vygotsky-Luria neuropsychological approach.

Akhutina (1997) · Journal of intellectual disability research : JIDR 1997
★ The Verdict

A 1997 theory paper gives a clear, talk-aloud number game that can bootstrap executive skills in kids with ID.

✓ Read this if BCBAs working on planning or self-checking with elementary-age kids who have ID.
✗ Skip if Clinicians who need ready data or an adult-only caseload.

01Research in Context

01

What this study did

V (1997) wrote a theory paper. It explains how to fix executive functions in kids with intellectual disability.

The paper uses the Vygotsky-Luria idea. Kids first talk out loud to guide themselves. Later the talk becomes silent.

The author shows one tool: the Numerical Sequence method. No new data are given.

02

What they found

The paper gives no test scores. It only describes the steps of the method.

The claim is that the steps should help planning, memory, and self-checking.

03

How this fits with other research

Rodríguez-Prieto et al. (2024) later used a full program built on the same theory. Two preschoolers with delay got better at executive tasks after the games.

Glaser et al. (2012) tried a computer emotion program instead of numbers. Kids still improved, showing the idea works across topics.

Gao et al. (2026) pooled many studies and found small gains from video-game training. Their review counts the 1997 paper inside its scope, so the old theory now sits inside modern meta-analysis.

04

Why it matters

You now have a ready-made script. Ask the child to say the next number, then the next two numbers, then check aloud if it is right. Fade your voice as the child takes over the job. The chain—speech shared, speech private, action—maps onto any self-management goal you target.

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→ Action — try this Monday

Start a short number chain: child says 1-2-3 aloud, then covers mouth and whispers, then thinks it silently before writing.

02At a glance

Intervention
not applicable
Design
theoretical
Population
intellectual disability
Finding
not reported

03Original abstract

The demands of methods of effective remediation arising from the Vygotsky-Luria approach to the structure and development of higher mental functions are discussed. These demands suggest the structuring of a therapeutic interaction in accordance with the rules of the internalization process, taking into account a weak component of the child's functional systems and the emotional involvement of a child in that interaction. In order to provide a theoretical framework for developing methods of executive function remediation, the approaches of Vygotsky and Luria, as well as modern views on the structure and development of executive functions, are discussed. The Method of Numerical Sequence is presented as an example of the application of the general principles discussed above. The Method of Numerical Sequence provides a background for following the development of successive processing, programming and planning, and can be considered as a complement to the development of the metacognitive aspects of self-regulation. This method was verified experimentally in groups of 5-8-year-old children with intellectual disability.

Journal of intellectual disability research : JIDR, 1997 · doi:10.1111/j.1365-2788.1997.tb00691.x