Autism & Developmental

Enhancing the comprehension of visual metaphors in individuals with intellectual disability with or without down syndrome.

Shnitzer-Meirovich et al. (2018) · Research in developmental disabilities 2018
★ The Verdict

Teach adults with ID or Down syndrome to explain how pictures are alike and their metaphor comprehension jumps ahead of drill-only methods.

✓ Read this if BCBAs running adult day-program or transition classes for clients with intellectual disability or Down syndrome.
✗ Skip if Clinicians focused only on early childhood or basic vocal language.

01Research in Context

01

What this study did

Shnitzer-Meirovich et al. (2018) tested a thinking-skills program for adults with intellectual disability or Down syndrome. The program taught people to find hidden likenesses in picture pairs, not just memorize answers.

Two groups got different lessons. One group practiced deep thinking: they mapped shared features and explained the link. The other group got shallow drills: they matched pictures by rote. Both trained for the same amount of time.

02

What they found

Deep-thinking adults learned more metaphors and used the skill on new pictures later. Shallow drills helped a little, but gains stayed small and did not spread to untrained items.

The study shows explicit analogical training beats simple repetition for this population.

03

How this fits with other research

Mashal et al. (2012) saw kids with learning disabilities score low on verbal idioms yet hold their own on visual metaphors. Shlomit’s adult results echo that visual metaphor is learnable, but they go further by proving an intervention that actually teaches it.

Heslop et al. (2007) used reciprocal reading strategies with adults with mild ID and also got big gains. Both studies tell us structured, talk-it-through methods work for higher-order language in this age group.

Prahl et al. (2023) later extended the idea to college students with IDD, showing strategy instruction boosts real-world reading. Shlomit’s metaphor work fits the same theme: teach the thinking rule, not just the content.

04

Why it matters

If you support adults with ID or Down syndrome, add short analogical-thinking lessons to your sessions. Use simple picture pairs, ask “How are these alike?” and demand a reason. Five minutes of deep talk can yield wider understanding than lots of rote naming. Start with concrete objects, then move to more abstract images as the learner gains confidence.

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Pick two familiar objects, show a photo of each, and ask the client to state one shared feature and why it matters; praise analytic answers, not just correct labels.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
103
Population
intellectual disability, down syndrome
Finding
positive
Magnitude
medium

03Original abstract

This study is the first to investigate the effectiveness of deep and shallow intervention programs in the acquisition of visual metaphor comprehension in individuals with non-specific intellectual disability (NSID; aged 15-59, N = 53) or Down syndrome (DS; aged 15-52, N = 50). The deep intervention program was based on dynamic assessment model for enhancing analogical thinking. The shallow intervention program involves memorizing a metaphorical relationship between pairs of pictures. Visual metaphor comprehension was measured by the construction of a metaphorical connection between pairs of pictures. The results indicated that both etiology groups exhibited poor understanding of visual metaphors before the intervention. A significant improvement was observed in both interventions and both etiology groups, with greater improvement among individuals who underwent the deep processing. Moreover, the latter procedure led to greater generalization ability. The results also indicated that vocabulary contributed significantly to understanding unstudied metaphors and that participants with poorer linguistic abilities exhibited greater improvement in their metaphorical thinking. Thus, individuals with ID with or without DS are able to recruit the higher-order cognitive abilities required for visual metaphor comprehension.

Research in developmental disabilities, 2018 · doi:10.1016/j.ridd.2018.01.010