Cognitive changes after social skills training with young mildly mentally handicapped adults.

There have been several recent reports which indicate that social skills training may be a useful technique for helping mentally handicapped adults who have social defects. These reports have focused on the acquisition of skills and abilities and there has been a relative lack of emphasis on cognitive factors. In general clinical work, the author has been aware that cognitions are crucial in the social performance of mildly mentally handicapped people and this paper uses three case studies to illustrate the importance of cognitions in their social functioning. The case studies provide examples of poor self concept, lack of confidence, anxiety-related self statements and antagonistic attitudes towards interaction. They also illustrate that it is not necessary for patients to change their social skills for there to be concurrent cognitive changes.