Practitioner Development

Still Lost in Translation.

Barlow et al. (2019) · Intellectual and developmental disabilities 2019
★ The Verdict

Drop medical-versus-social-model fights and steer teams toward shared client quality-of-life goals.

✓ Read this if BCBAs who chair IEPs, clinic rounds, or any team serving teens and adults with IDD.
✗ Skip if RBTs who only run 1:1 table sessions and never attend planning meetings.

01Research in Context

01

What this study did

Pitchford et al. (2019) wrote a position paper. They looked at fights between the medical model and the disability-studies side.

The authors asked teams to stop picking sides. They said focus on what helps the client feel better day to day.

02

What they found

The paper found that either-or talk blocks real help. When teams fight about labels, the person with IDD loses time and care.

Staying stuck in debates hides simple shared goals like safe housing, friends, and meaningful work.

03

How this fits with other research

Weiss et al. (2021) backs this up. Their review of 37 studies shows college peers thrive when programs drop turf wars and plan together.

Carter (2010) sounds opposite at first. That paper says professionals must own their power. Read side by side, the two agree: own your role, then invite others to the table.

Foster (2019) warns against falling for fads like facilitated communication. Pitchford et al. (2019) would add: skip the fad-versus-hate fight and ask, "Does it raise client quality of life?"

Sandbank et al. (2021) tells reviewers to look past narrow skill gains. Pair this with Pitchford et al. (2019): stop arguing over tiny metrics and judge what matters to the client.

04

Why it matters

Next time you sit in an IEP or clinic meeting, catch either-or talk. Reframe it. Ask, "What outcome does the client want this year?" You will move the group from labels to action in under two minutes.

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→ Action — try this Monday

Open the next team meeting with one client-chosen life-quality goal, not a model debate.

02At a glance

Intervention
not applicable
Design
theoretical
Finding
not reported

03Original abstract

Interdisciplinary dialogue can help progress and improve professional fields. Progress and improvement may be impeded by barriers within an interdisciplinary dialogue, two of which are false dichotomies and faulty generalizations. It is our opinion that this particular interdisciplinary dialogue will advance productively by avoiding: false dichotomies about the medical model and Disability Studies in Education (DSE) framework; false dichotomies about using a normality approach to establish goals; and faulty generalizations about practitioners within and outside the field in which we are trained. Most helping professionals care passionately about improving the quality of lives of the people with whom they work. Centering interdisciplinary conversations on this shared value can help avoid false dichotomies and faulty generalizations.

Intellectual and developmental disabilities, 2019 · doi:10.1352/1934-9556-57.4.339