Journal of Intellectual Disabilities http://jid.sagepub.com/

Students' attitudes towards individuals with an intellectual disability Meera Patel and John Rose Journal of Intellectual Disabilities published online 6 November 2013 DOI: 10.1177/1744629513511355 The online version of this article can be found at: http://jid.sagepub.com/content/early/2013/11/06/1744629513511355 A more recent version of this article was published on - Mar 2, 2014

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Article

Students’ attitudes towards individuals with an intellectual disability Meera Patel The University of Birmingham, UK

John Rose

Journal of Intellectual Disabilities 1–14 ª The Author(s) 201X Reprints and permission: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1744629513511355 jid.sagepub.com

The University of Birmingham, UK

Abstract The aim of the study was to investigate attitudes held by a British student population towards individuals with an intellectual disability. Students participated in focus groups addressing their attitudes, behaviours and perceptions of individuals with an intellectual disability. Thematic analysis was the method used to identify emergent themes. Results identified five main themes in relation to intellectual disabilities. The themes suggest that attitude scales fail to effectively measure the multidimensional nature of British student’s attitudes towards intellectual disabilities. One out of the five emergent attitude themes from the current study is sufficiently represented in measures of attitudes towards intellectual disability. These results suggest a need to modify current attitude scales or develop new ones to measure the British population’s attitudes towards intellectual disabilities. A lack of knowledge about intellectual disabilities was also identified. Participants recognized exposure through the media as a tool to increase knowledge. Keywords attitudes, intellectual disabilities, knowledge

Introduction Since the development of concepts such as social role valorization (e.g. Thomas and Wolfensberger, 1999), the fundamental rights of people with intellectual disabilities to live as equal members of society are now well established. These ideas have been translated into practice with the closure

Date accepted: 09/10/2013. Corresponding author: John Rose, School of Psychology, The University of Birmingham, Edgbaston, Birmingham, West Midlands B15 2TT, UK. Email: [email protected]

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of congregate and institutional settings where many people with intellectual disabilities lived in the past (Emerson and Hatton, 1994). While there has been considerable practical progress in the inclusion of people with Intellectual Disabilities (e.g. Rose, 2009), people with learning disabilities can still be subject to discrimination and stigma (Jahoda and Markova, 2004). This can be overt through direct discrimination such as bullying (Gillen, 2007); however, a number of recent reports have demonstrated broader discrimination in other areas such as the provision of health care; for example, recent reports suggest that many deaths of people with intellectual disability are avoidable (Mencap, 2012). This evidence suggests there is still significant progress needed in changing the attitudes of many people in the society towards people with intellectual disabilities, and having effective measures of attitude are essential to monitor and evaluate change. Attitudes held towards individuals with an intellectual disability can have wide-ranging effects on the individual and may impact upon opportunities for employment, housing, health and education (Siperstein et al., 2003). The identification of attitudes towards those with an intellectual disability is important to identify potential prejudice and develop a baseline that can be used to enhance relationships (McManus et al., 2011). Strategies based around the rights, independence, choice and inclusion of those with an intellectual disability have been developed by the UK government, which aim to maximize the life chances of those with an intellectual disability (Department of Health (DOH), 2001, 2009, 2010). Research investigating society’s attitudes and behaviours towards those with an intellectual disability can help determine whether strategies successfully achieve their aims, when put into practice. Students’ attitudes have been assessed using the Community Living Attitudes Scale (CLAS) (Henry et al., 1996a). The CLAS is used to measure attitudes towards intellectual disabilities, consisting of four subscales including empowerment, exclusion, sheltering and similarity. The CLAS was originally used to measure attitudes held by American students (Henry et al., 1996a). The attitudes of the general public and students in Australia have been investigated (Yazbeck et al., 2004) using the Mental Retardation Attitude Inventory (MRAI) (Antonak and Harth, 1994). The scale has four main subscales: 1. The degree to which people with Intellectual Disabilities should be integrated into society; 2. The degree to which people with Intellectual Disabilities should associated with others in the classroom; 3. The degree to which the rights of people with an intellectual disability should be upheld in the community; 4. Beliefs concerning the moral character and social behaviour of people with intellectual disabilities (Antonak and Harth, 1994). In general, students and disability services groups held more positive attitudes than members of the general population. Individuals with higher educational attainment, prior knowledge or regular contact with someone with an intellectual disability gave the most positive responses. A link between knowledge of intellectual disabilities and attitudes has been identified in British school children. The Peer Attitudes Toward the Handicapped Scale (PATHS) (Laws and Kelly, 2005) was used to explore attitudes and behavioural intentions. Children who read a description of a child with Down’s syndrome held more positive attitudes and behavioural intentions towards this child, in comparison with children who received no information. Siperstein et al. (2007) administered a survey to five thousand students questioning their attitudes towards the inclusion of peers with an intellectual disability. Results indicated students had limited contact with other students with an intellectual disability. Students believed individuals with an intellectual disability can participate in non-academic classes, but not in academic classes, and view inclusion as having both positive and negative effects (Siperstein et al., 2007). Research

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investigating attitudes, knowledge and behaviour towards those with an intellectual disability may help the government achieve strategies aimed at improving the lives of those with an intellectual disability. The Attitudes Towards Intellectual Disability questionnaire (ATTID) (Morin et al., 2012) was developed through the previously validated scales including the MRAI-revised (Antonak and Harth, 1994) and CLAS (Henry et al., 1996a, 1996b). This scale measures the cognitive, affective and behavioural components of attitudes towards intellectual disability and has been identified as one of the few scales that measure the multidimensional nature of attitudes (Morin et al., 2012). They suggest that the ATTID is a useful scale to measure attitudes amongst different cultures as well as the Canadian population where it was originally developed. It has been argued that attitudes have remained stable over time, due to the continual barriers to social integration that those with an intellectual disability experience (McCaughey and Strohmer, 2005). However, with the introduction of policies focussing on community integration (DOH, 2001, 2009, 2010), it is important that attitudes are reassessed (Antonak and Harth, 2000). This study aimed to explore attitudes held by a British student population. Through focus groups, we explored existing attitudes and reviewed scales used to measure attitudes. Attitudes that are identified, which have not been measured previously, can contribute to the development of attitude scales to ensure the multidimensional nature of attitudes towards intellectual disability is accounted for.

Method Participants Thirty undergraduate psychology students (27 female and 3 male, range ¼ 18 to 22 years, Mage ¼ 18.7 years) participated in one of the four focus groups. Participants were obtained through the university’s Research Participant Scheme and were given course credit in exchange for their time. The study was subject to the normal procedures for ethical review of the University of Birmingham, UK; participation was voluntary and all participants were given an information sheet about the project prior to participation and completed a consent form.

Development of focus group Focus groups were chosen as the primary method for data collection due to the exploratory nature of the study. Questions were worded to ensure they were as open and broad as possible, to minimize suggestibility and generate new ideas. More specific themes were generated through discussions with a clinician who worked with people with intellectual disabilities and by examining existing literature and attitude scales towards people with intellectual disabilities. Themes that were identified were incorporated as prompts to encourage discussion. To orient participants to what an intellectual disability was, a handout of the British Psychological Society’s (BPS) definition of a learning disability was used (BPS, 2000). This was used as a starting point for the discussion, as it provided participants an understanding of the concept with minimal subjective influence (compared to other methods such as video clips of individuals with an intellectual disability describing their experience). It also gave participants a common language and understanding of what was being discussed and ensured that individuals more clearly understood the group who were the focus of discussion.

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Group process The four focus groups were held at the university and were led by one researcher. All focus groups lasted 1hour with the discussions lasting between 40 and 50 min. Each focus group had between six and eight individuals. The focus groups followed a preset structure. On arrival, participants read an information sheet and were asked to complete a consent form. They then completed a questionnaire providing demographic information, gave a written definition of what they believe an intellectual disability to be and were asked to report the frequency of contact they had with someone with an intellectual disability. Participants were then asked to read the BPS definition of a learning disability so they had a common understanding of what an intellectual disability is. They were also asked at the beginning of the focus group how the definition they read compared to their written definition of what it was. It was assumed that psychology students may have an awareness of the BPS definition; however, analysis of their written replies suggested their understanding was limited. Out of the 3 components in the BPS (2000) definition, only 1 person knew all of them, 4 recorded 2 elements, 20 recorded 1 element and 4 none. The structure of the group was set beforehand to ensure there was some consistency between all four focus groups. Probes were used in response to student’s answers to gain more detail where appropriate.

Data analysis The focus groups were recorded using a Dictaphone, and audio files were transcribed verbatim. Thematic analysis was used based on Braun and Clarke’s (2006) six-step method. Thematic analysis was used as it is a useful method for identifying broad themes across a qualitative data set. Thematic analysis is fitting for the exploratory nature of the study and allowed scope for flexibility in the analysis. The first step in the analysis was familiarization with the data through transcribing audio files and rereading the transcripts. Familiarization with the data made the processes of generating codes and identifying themes more efficient, as relevant data became salient. The generation of codes was data driven, through systematically reading the transcripts; statements that were interesting and relevant to attitudes were highlighted and coded. All themes were reviewed to ensure there was enough data to support them. Statements were labelled with the initials of which participant and focus group they originated from. The labelling of statements resulted in the omission of themes that were not represented by more than a few students’ attitudes from different groups. Themes were labelled to concisely summarize the data, and sub-themes were named where appropriate. For example, a clear differentiation emerged between the positive and negative statements used to describe the caring experience so these sub-themes were labelled. A second researcher reviewed the themes to improve reliability; after review, the themes were reexamined and confirmed by the original researcher and discussed further with the second researcher when applicable.

Results Descriptions of the attitude themes that emerged from thematic analysis are presented below, with example quotations to represent the findings (Tables 1 and 2).

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Table 1. The five main attitude themes, sub-themes and sub-sub-themes. Main Theme

Sub-theme

Sub-sub-theme

Confusion of what an ID is

Lack of awareness of the social effects of an ID IDs versus physical disabilities Benefits of integrating Benefits for society The benefits of integrating Benefits for the individual individuals into communities Negatives of integrating The posed threat on society have versus the negative Consequences for the consequences integrating an individual individual into society can have Difficulties versus rewards of The difficulties caring for someone with an ID The rewards Growing up and its effects on attitudes towards those with an ID The medias influence on attitudes Inaccurate portrayal of people with IDs towards individuals with an ID A positive source of information on IDs The media as a tool of education about IDs ID: intellectual disability.

Confusion of what an intellectual disability is Participants perceived the concept of intellectual disabilities to represent restricted areas of functioning and dismissed the impact on social relations and daily living. Students often stated their perceptions of physical disabilities when asked about intellectual disabilities, for example, when asked about their interactions with someone with an intellectual disability. Overall responses indicated they had a greater awareness and exposure to physical disabilities compared to intellectual disabilities (Table 3).

The benefits of integrating individuals into communities have for society and the individual with an intellectual disability versus negative consequences integrating an individual into society can have Benefits and potential negative consequences of integrating someone with an intellectual disability into society were identified. The majority of participants believed it was important to take into consideration the severity of the disability before deciding if they should be integrated within communities. The consequences of integration were balanced between the benefits and threats it may have, not only for society but the individual with the disability. Specifically, integration was seen as an opportunity for those in society and individuals with the intellectual disability to learn from each other. Some participants expressed a worry that integration may impair relations between society and individuals with an intellectual disability (Table 4).

Difficulties versus rewards of caring for someone with an intellectual disability Students identified how caring for an individual with an intellectual disability would be personally rewarding, but they also recognised how the rewards of becoming a carer could be coupled with

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Table 2. Frequency of quotes for each theme and sub-theme. Frequency of quotes in relation to each theme

Themes and sub-themes The benefits of integrating individuals into communities have versus negative consequences merging an individual into society can have Benefits of integrating Negatives of integrating Difficulties versus rewards of caring for someone with an ID The difficulties of caring for someone with an ID The rewards The medias influence on attitudes towards individuals with an ID The medias inaccurate portrayal of people with IDs A positive source of information on IDs The media as a tool of education about IDs Confusion of what an ID is Lack of awareness of the social effects of an ID - IDs versus physical disabilities Growing up and its effects on attitudes towards those with an ID

16

12 4 11 9 2 10 4 2 4 8 5 3 8

ID: intellectual disability.

Table 3. Confusion around intellectual disability. Lack of awareness of the social effects of an ID

IDs versus physical disabilities

‘I didn’t really think about the social side of it I more ‘everywhere you see people with physically disabilities and slowly children are getting used to that idea it’s just thought about like the umm the learning ok if children are in a wheelchair or perhaps they processes like more about intelligence and not are missing an arm but they are not really exposed about the social aspect of it’ (F2–K) to people with learning disabilities’(F1–S) ‘I haven’t looked at anyone differently ‘I assumed mainly a biological cause like genetics I you notice when people look physically differently didn’t think about the social side of it which due to their disability but I just think a different sort surprised me when I read this because I didn’t of person and that’s its’ (F3–E) include that’ (F3–T) ID: intellectual disability.

negative consequences. Statements used to describe caring experiences were centred on negative beliefs of what caring would be like. For example, negative adjectives such as ‘shocking’ were mentioned more frequently than the positive and rewarding aspects. Students who focused on the negative aspects of caring based their attitudes on the hardships they had seen a family member (who is a carer) experience. Twenty students had a relationship with someone with an intellectual disability (who was not a family member) or did not have a relationship with someone with an intellectual disability, but they still expressed an understanding of the difficulties being a carer can have (Table 5).

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Table 4. Attitudes towards integration. Benefits of merging

Negatives of merging

The posed threat on society: ‘there’s it’s all well and good to focus on their rights to be in the society I don’t mean this to sound derogatory but you know focus on their rights but you have to think of everyone else’s protection almost like is everyone else going to be safe around them’ Consequences for the individual with an ID: For the individual with an ID: ‘I think people would get put off’ ‘if they are merged into our society they are more likely to see kind of what is the normal way of functioning normal social kind of situations’ For society: ‘it gives people who aren’t really that aware of learning disabilities more of knowledge of umm what these people go through’

ID: intellectual disability.

Table 5. Attitudes towards caring. The difficulties of caring for someone with an ID

The rewarding aspects of caring for someone with an ID

‘quite rewarding to see that like your actually helping ‘you would get really annoyed’ (F4–A) someone’ (F1–L) ‘you have to pretty much sacrifice all of your free time and like maybe spending time with your friends and ‘It would be very challenging but umm yeh it’s really rewarding as was said you probably could see the your other children to solely care for them so it is immediate impact that you helping has whereas quite demanding’(F1–E) maybe in another job your impact isn’t seen so quickly or drastically . . . uplifted if you could see the help you were doing in someone else’s life’ (F1–J) ID: intellectual disability.

Growing up and its effects on attitudes towards those with an intellectual disability Participants noted how their personal attitudes towards individuals with an intellectual disability had changed from their childhood into adolescence. Their behaviour, thoughts and perceptions became more positive as they grew older. Overall, they identified that the more mature they became, the more empathetic and understanding they were towards individuals with an intellectual disability (Table 6).

The media’s portrayal of intellectual disabilities Student’s attitudes towards the media’s portrayal of intellectual disabilities varied. Some students stated the media can be used as a tool to educate individuals on intellectual disabilities. Other students believed the media does not accurately portray individuals with an intellectual disability. In particular, the media fails to show the contribution those with a disability can make to society. Other students stated television documentaries were a positive source of information, especially if portrayed from the viewpoint of the individual with an intellectual disability. Overall, students

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Table 6. The impact of growing older. Growing up and its effects on attitudes towards those with an ID ‘as you get older you start to see actually how harder ‘kids are quite ignorant because they don’t really know much so it’s like once you get older its better it is’ (F1–AM) because you appreciate it and you get to know ‘yeah as you get older you become more mature and more about it’ (F2–S) you know you develop more empathy and like also ‘when you’re really young you just kind of don’t you meet more people’ (F1–L) recognise it up to a certain age but then past a certain age when your teenagers that might be the sort of age you start to notice and you’re like oh wow and then you can be harsh towards people like name calling and stuff’ (F2–K) ID: intellectual disability.

Table 7. The impact of the media. The inaccurate portrayal of people with IDs

A positive source of information The media as a tool of education about on IDs IDs

‘documentaries are very hyped ‘I think it’s a good representation ‘I think there needs to be more media attention educating people to what . . . it’s not something the up or they only show the learning disabilities are like’ (F1–L) media have made up’ (F2–H) very extreme cases’ (F4–J) ID: intellectual disability.

seemed to have been exposed more to intellectual disabilities through the media and interactions with individuals with an intellectual disability, than through education in schools (Table 7).

A lack of knowledge about intellectual disabilities In addition to the five attitude themes that emerged, a lack of knowledge about intellectual disabilities was also identified. Prior to the focus groups, participants were required to define what they believed intellectual disabilities to be. Written definitions supported the statements that emerged from focus groups, as student’s definitions either lacked accuracy or were very brief. Definitions were categorized by the degree to which they met the BPS definition of an intellectual disability. The majority of written responses matched the one criteria of the definition that states a significant impairment of intellectual functioning and many replies ignored the significant impairment of adaptive/social functioning. Only one of the student’s definitions met all three criteria of the BPS definition (Table 8). Students identified they had received little education about intellectual disabilities. Eleven quotes were identified to support this finding (Table 9). On completion of the study, students were sent an overview of the themes and asked for feedback on the results and their experience of participating in a focus group; seven participants replied. The students stated they believed the results were accurate and representative of their attitudes. Participants also stated they were not familiar with the focus group setting that may have

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Table 8. The number of written definitions that match different criteria of the BPS definition. Number of definitions that match the BPS definition in all three criteria

Number of definitions that match the BPS definition in two criteria

Number of definitions that match the BPS definition in one criteria

Number of definitions that were different to all three criteria

4

20

4

1 BPS: British Psychological Society.

Table 9. Education about intellectual disability. Lack of knowledge about IDs ‘I don’t think we were taught anything about people ‘We didn’t do anything about it in school’ (F3–A) with learning disabilities at school. Because there was someone with a learning disability at school and you could ask those questions but no one actually told us anything’ (F2–C) ‘some sort of education in schools but I don’t know ‘I think through doing we studied Autism through Psychology A-level broadened your understanding whether people would pay that much attention to because I didn’t really understand it before but yeah it but I guess that’s better than nothing which is that defiantly helped’ (F3–J) what we have now so’ (F3–C) ID: intellectual disability.

affected responses. Specifically, one student stated ‘It did take time for people to give answers at times because they might have felt uncomfortable answering questions’.

Discussion After reviewing the attitude themes, one of the five emergent themes appeared to be fully represented in current measures of attitudes towards intellectual disabilities. The CLAS, MRAI and ATTID are scales commonly used in research concerning societies’ attitudes and comparisons between items from these three scales and the themes that emerged from this study can help determine whether such developments are required. The theme ‘The benefits integrating individuals into communities can have versus the negative consequences integrating individuals into society can have’ is represented in all three scales. Subscales include items assessing attitudes towards integration–segregation in the MRAI, exclusion in the CLAS and interactions in the ATTID. For example, the MRAI includes an item, ‘Having people who are mentally retarded and not mentally retarded work at the same jobsites will be beneficial to both’, this specifically assesses attitudes towards the benefits integration can have for individuals with a disability and their colleagues. This matches well with the finding that the students in this study believe integration has benefits for the individuals with an intellectual disability and the community they are integrated into. ‘The rewards versus difficulties of caring for someone with an intellectual disability’ is partially represented in attitude scales. The ATTID includes items that are loosely associated with caring, for example, examining whether someone would agree to supervise a child with an intellectual disability. The importance of assessing attitudes to caring is crucial, as past research

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Figure 1. A diagram representing the extent to which the five attitude themes from the current study are represented in existing scales used to measure attitudes towards ID. ID: intellectual disability.

has identified links between negative attitudes and the inadequate health care received by those with an intellectual disability (Gill et al., 2002; Stanley, 1998). In the future, students may take on roles that involve providing care for someone with an intellectual disability. Supplementary items to assess this theme in greater depth would be beneficial in understanding carer’s attitudes and behaviours towards the individuals they care for and to ensure they receive the best possible care. ‘Confusion about intellectual disabilities’ and ‘The effects growing older can have on attitudes towards those with an intellectual disability’ are not well represented in the CLAS, MRAI or ATTID scales. These scales do not include items to assess attitudes towards the areas of functioning in individuals with an intellectual disability or the differences in attitudes towards physical disabilities and intellectual disabilities (Figure 1). Students felt that at a younger age, they were less empathetic towards individuals with an intellectual disability. Empathy has been identified to have a positive influence on attitudes towards groups of stigmatized individuals (Sandhu and Rose, 2012). The identification of what makes individuals more empathetic at an older age may facilitate attempts to provoke empathy in younger individuals in the hope negative attitudes are minimized and relationships are enhanced. Attitudes towards physical disabilities versus intellectual disabilities and changes in attitudes over time are both important aspects to assess to understand perceptions about intellectual disabilities in greater depth. Ten quotes emerged in relation to ‘The media’s influence on intellectual disabilities’; yet, this theme is not represented in attitude scales. Participants were directly asked about the media; therefore, the high frequency of quotes in relation to these attitudes is unsurprising. An increased amount of data representing a theme does not necessarily indicate it is more crucial (Braun and Clark, 2006). The frequency of quotes, which emerged is not the point of interest but the interest concerns the data that represents this theme. The modification of attitude scales to include items that assess attitudes towards the media’s influence may be a useful way to determine whether the media should be used to educate society about intellectual disabilities. Students stated media coverage of the Paralympics in 2012 exposed and educated them about physical disabilities;

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therefore, media coverage could potentially be used to educate individuals on intellectual disabilities. A third of students stated they had no previous contact with someone with an intellectual disability, which may be a factor contributing to their lack of knowledge about intellectual disabilities. Yazbeck et al. (2004) found prior contact and knowledge with someone with an intellectual disability was associated with more positive attitudes. If the media provides an accurate representation of intellectual disabilities it can be used as a tool to expose and educate individuals who have not been integrated with someone with an intellectual disability. After reviewing the attitudes that emerged from this study alongside pre-existing attitude scales, it seems few measures of attitudes assess the full multidimensional nature of attitudes in the population studied here. This suggests a need to modify or develop new attitude scales so they are more representative of the British population’s attitudes towards intellectual disabilities (Figure 2). In addition to the attitude themes, a lack of knowledge about intellectual disabilities was identified through the analysis of students’ definitions of an intellectual disability. A concern that also needs to be addressed is whether respondents are filling out scales with an accurate understanding of what an intellectual disability is. Respondents in this study had very patchy knowledge and participants in other studies may be filling out attitude scales with an inaccurate idea about intellectual disabilities. This raises concerns regarding the validity of attitude scales; one solution to this potential problem would be to ask respondents to provide a definition of intellectual disability prior to completing scales. This modification will help ensure only attitudes from respondents who have an accurate understanding of what an intellectual disability is will be assessed. The lack of representation of all of the areas identified here within existing scales may be due to a number of factors. It could be that they were not identified in the development stage of previous measures as the procedures used to generate items were not comprehensive or the issues may not have been relevant to the groups sampled at that particular time. It could also be that some items have been removed during the development of the scales; however, this was not clear in the work that we reviewed. It seems important that these issues are considered in the future development of scales of this type. This was a small qualitative study and the majority of participants were female undergraduate students. Clearly, the nature of the sample and the methodology means that the findings will not necessarily be representative of the general population and as a result will not generalize. When comparing the comments of men in transcripts to women, there were no obvious affects of gender; however, this may not be the case if more men participated and the sample had been more broadly based. Previous contact or whether someone had had experience of people with an intellectual disability seemed to influence comments more than gender. However, with such a small sample with a restricted age range, the experience that participants had was also necessarily limited. Giving the participants the BPS (2000) definition at the start of the groups would have had a significant impact on the results obtained and may have significantly biased the results or at least led the participants; however, it seems likely that without that information, many participants would not have been able to contribute effectively to the discussions. With qualitative projects, there is always a danger that the themes that emerge simply reflect the questions of the interview schedule and the prompts that were used. While this could have been the case for some of the themes as they clearly confirm previous findings, new areas that were not included in the interview schedule or prompts did emerge and these areas need more exploration and development in the future. Replication with larger more broadly based samples of participants will be necessary to confirm the results found here.

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Key - Five main attitude

Confusion of what an ID is

themes. - A lack of knowledge - Confusion about intellectual disabilities supports lack of knowledge and vice versa. - Media and integration as tools to improve this lack of knowledge individuals have about intellectual disabilities. Integration may reduce confusion about intellectual disabilities in communities.

The medias influence on attitudes towards individuals with an ID

A lack of knowledge about intellectual disabilities

Growing up and its effects on attitudes towards those with an ID

The benefits and negative consequences integrating individuals with an ID into society have

Difficulties versus rewards of caring for someone with an ID

Integration may reduce confusion about intellectual disabilities in communities.

Figure 2. A diagram representing the main attitude themes and lack of knowledge identified in the current study and the connections linking them.

The primary researcher was also a psychology student, while I had an awareness that there is a lack of understanding and knowledge about intellectual disability in the student population, they were surprised by the extent to which some of the comments suggested that some participants’ knowledge was minimal. While attempting to remain detached from the process of analysis and attempts were made to reduce this bias through supervision and consultation, it is perhaps inevitable that the personal beliefs and experience of the researchers will have influenced the emphasis of certain themes and may have impacted upon the results presented here. A survey in Britain carried out by Mencap (2008) found 73% of respondents had an inaccurate understanding of the term ‘learning disability’. Five years later this inaccurate understanding still appears to be prevalent in a modern British sample. As identified by Laws and Kelly’s (2005), knowledge about intellectual disabilities affect attitudes towards these individuals. The importance

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of future investigations into the findings of this study is clear when taking into consideration the personal viewpoint of those with an intellectual disability. These individuals have stated they believe negative attitudes in the community are a barrier to their social inclusion and contribute to stigmatization (Abbott and Mcconkey, 2006). It is society’s responsibility to ensure we take the necessary steps to improve knowledge and attitudes towards those with an intellectual disability to achieve the strategies set out by the government (DOH, 2001, 2009, 2010) and eliminate this stigmatization. Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Journal of Intellectual Disabilities

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Students' attitudes towards individuals with an intellectual disability.

The aim of the study was to investigate attitudes held by a British student population towards individuals with an intellectual disability. Students p...
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