Paradigm Shift

 

A reflection on the contributions of Marc Gold

 and the implications for improving services today

 

 

 

 

 

 

 

Charles J. Durgin, MS

The Kennedy Krieger Institute

Baltimore, Maryland

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Introduction

 

Kuhn (1970) used the term “paradigm shift” to describe periods in the history of a scientific field that results in a radical shift. It is when a major change or revolution takes place in ideas or methods. Without question, the work of Marc Gold significantly contributed to the paradigm shift occurring in special education in the late 1960’s and throughout the 1970’s.  Marc was both an innovative pioneer and a moving force in the field. I believe, as do many others, that his work helped to transform how persons with severe disabilities were understood, treated, taught, and valued.

The goal of this article is to highlight some of his major contributions and to describe how they have played a significant role in improving the lives of people with severe disabilities. These contributions are discussed within the context of the disability movement and the growth of the field of special education (1960-1980). A variety of important service principles and intervention techniques are discussed. This is followed by a number of reflections as to how programs and service systems can be more responsive to people with disabilities. 

Although this article highlights the substantial contributions of Marc Gold, it is important to stress the following points. Marc was one of many talented, assertive, and courageous individuals who helped to advance the field of special education.  This includes academics and researchers from many different fields of study, family members, practitioners, advocates, and of course those individuals with special needs who still teach and guide us to this day.  Consequently, this overview is being presented with the knowledge that there are many people who have made unique and critically important contributions to the field.

 

Early Experience and Formal Training

 

Marc Gold (1980) has indicated that his educational philosophy is rooted in providing a deep respect for all people, particularly those that have been negatively treated and labeled by society. He reports learning these values from his parents. His father, who managed a bicycle and key shop in the poverty-stricken Hispanic barrio of East Los Angeles from 1930-1966, was a particularly strong influence. His father set a positive and unwavering example as he worked closely with many people who faced substantial disadvantages and hardships. As it turned out, time in the bike shop also gave Marc the mechanical aptitude to design a variety of training and vocational tasks for persons with severe disabilities (e.g., bike brake assembly, electronic circuit boards, etc.). After these early formative years passed, as Marc became a young adult, the values-based commitment to respecting and helping others was further reinforced when he was training to become a special educator at Los Angeles State College. By Marc’s own account these early professional mentors helped to both strengthen and inspire his interest in service.

By the time he was teaching students labeled “retarded” in the Los Angeles City School System he had already developed a solid belief system as well as the drive to give his students the best possible education. He viewed education as a critical pathway to helping these individuals advance their circumstance (e.g., to becoming respected individuals deserving of humane treatment and fair opportunities). He also felt that the role of education and vocational training was to give people with disabilities the best possible opportunities for a productive and satisfying life. To accomplish these ends, his vision was to design curricula and instructional methodologies that taught skills which were valued by society. At this relatively young age, Marc already recognized the interconnections between learning, opportunity, systems failures, service gaps, negative biases (professional), and social prejudices. This started and fueled a fire inside of him that helped to drive the next steps of his career.

Not long after becoming a special education teacher, his passion to serve, ability to teach, creativity, innovative thinking, and intellectual talents were recognized by a state education supervisor named Dr. Robert Henderson. Soon thereafter Dr. Henderson joined the faculty at University of Illinois at Urbana-Champaign, and Marc was invited to enter the doctoral program. In 1969 Marc Gold received his doctorate in experimental child psychology and special education. Upon completion of his doctoral degree he was immediately hired by the University to conduct research at the Institute for Child Behavior and Development.

 

Historical Events Within the Disability Movement

 

Before Dr. Gold’s specific contributions are discussed, the historical context of when his work was being formulated and implemented will be presented. Outlined below in Table 1 is a timeline of a number of major disability and human rights events that occurred between 1960 and 1980. In order to place his work into context, two of Dr. Gold’s (1976, 1980) most significant contributions to the field of special education have been incorporated--the filming of Try Another Way and the publication of Did I say that? Interestingly, but not surprisingly, the release of Try Another Way is frequently listed as a key historical event in the field of special education and the disability movement by professionals, advocates, parents, and organizations.

 

 

 

 

 

 

 

    

Insert Table 1 Here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TABLE  1 - Disability Movement and Human Rights Timeline (1960-1980)

 

1960’s  (Unprecedented institutional growth; ongoing parent advocacy & legal actions)

 

1962          Ed Roberts, who had acquired polio as a teenager, was finally admitted to the University of California at Berkley. Instead of moving into dorms he resides in the university clinic. A headline reports, “Helpless cripple attends UC classes.”

 

1963     President Kennedy signs legislation to form a network of Mental Retardation Research Centers (to study causes and needs).

 

1963     The term “Learning Disability” is first used by Dr. Samuel A. Kirk while speaking to a parents group. Dr. Kirk, who was head of the Institute for Research on Exceptional Children (IREC) at the University of Illinois, later became Marc Gold’s academic advisor and employer at IREC. 

 

1964     The Civil Rights Act is passed outlawing discrimination based on race. This will later become a model for defining the rights of people with disabilities.

 

1966          Christmas in Purgatory is published by Burton Blatt and Fred Kaplan. This book documented the appalling conditions of institutions housing persons with disabilities.

 

 

1970’s  (De-institutionalization movement; parent advocacy, court orders, & new laws)

 

1971     Wyatt v. Stickney – The Court recognized for the first time that persons in institutions are citizens who have Constitutional rights to treatment and appropriate care.

 

1972     Pennsylvania Association for Retarded Children v. Pennsylvania and the Mills v. BOE landmark cases. These Federal cases established key legal and service principles such as: zero rejection, impartial due process, parent participation in educational decision making, individualized educational programs (IEP), and least restrictive environment.

 

1972     Television expose on Willowbrook School leads to public outrage over the living conditions and treatment of those living in institutions.

 

1972     Publication of The Principles of Normalization by Wolf Wolfensberger.

 

1973     The Rehabilitation Act (Section 504) passes, prohibiting any program from receiving federal funds when discriminating against persons with disabilities.

 

1974     The Education of Handicapped Children Act (EHCA) was passed (P.L. 93-380).

 

1976     Try Another Way training film by Dr. Marc Gold is completed and distributed.

 

1975     P.L. 94-142 establishes the right for all children who have handicapping conditions to receive an education in an integrated setting.

 

1977     ARC v. Pennhurst State School and Hospital – Ruling guaranteed equal rights under the 14th Amendment (as applied to people with mental retardation living in institutions).

 

1980              Publication of “Did I say that?” By Dr. Marc Gold

Contributions to the Field

 

 

Philosophy, methods, and applications

 

A primary emphasis of Dr. Gold’s work was to develop training methodologies and materials for people with severe disabilities to perform marketable tasks. His legacy is that of working with individuals with severe disabilities who had been given no genuine opportunities to advance their condition and demonstrate how they can learn. Dr. Gold would routinely teach individuals with IQ’s tested at below 50, and demonstrate a positive learning curve on multi-step tasks after only a few training sessions. This was revolutionary because the beliefs of the day were that anyone with an IQ below 50 was not worth teaching because they were not believed to be capable of learning. In an excellent overview of his work, Perske (1987) quotes Dr. Gold as saying, “The time has come to train people, not constantly test them, then walk away, leaving them with just a bunch of ugly numbers” (p. vii). Unfortunately, social conventions and professional practice at this time was to institutionalize the young and old who fit this profile of “mental deficiency.” Meyer (1991) reinforces this point about this era stating that “a label signifying a severe disability inevitability led to institutionalization and custodial care” (p. 634).

Beyond vocational training, Dr. Gold demonstrated through his research how the principles he developed apply to teaching many different types of skills ranging from self-help tasks to the activities of daily living. His teaching approaches worked with persons with mental retardation, and with a variety of other disabling conditions such as being deaf/blind, having autism, or other forms of moderate to severe disabilities. 

Dr. Gold’s work also showed us how we could become better teachers and significantly increase our professional effectiveness. As a profession we needed to change our beliefs, philosophy of instruction, as well as our teaching methodologies, he insisted. In addition to advocating for ideological and procedural changes, he stressed the importance of introducing content and curricula that would be of value to the students (personally, socially, and materially).

There was another significant barrier, beyond the formidable forces of tradition and professional skepticism, which Dr. Gold needed to overcome. It was convincing others that people other than himself could implement his approaches. His effectiveness both inspired and intimidated others. For example, it was commonplace for him to consult with state training schools and institutions. He would often start by “walking in cold” if you will, ask to meet the most difficult and challenging student or resident, and invite them to work. Dr. Gold would proceed in front of the audience with his trainee in a calm, composed, reassuring, and systematic manner. Early on people were so taken by his intensity, precision, and results that many felt that only he (or someone else in his stratosphere) could achieve similar outcomes. To dispel this perception, which he understood was critical to advancing the field on a large scale, he conducted hundreds of training sessions that taught staff and family members to use his approach. Interestingly, if you carefully watch his training film Try Another Way, you can see what appears to be a deliberate effort to dispel any notion that his teaching technologies are difficult to learn and implement. Dr. Gold was also known for hiring people with severe disabilities so that they could participate in the staff development workshops. He paid them to participate in the training of the professionals who were responsible for providing educational and habilitation services.

Ultimately, Dr. Gold left academia to devote more time to his training and consulting business, which was designed to further disseminate his approach. His work was in such demand that he could no longer remain a professor. At this point some of his largest contracts were being administered and/or supported by leading disability advocates who by this time had moved into high positions of formal authority or influence within various institutions and agencies. One of the most notable was a contract for $800,000. executed under the leadership of Ed Roberts, who had become the head of the California Department of Vocational Rehabilitation. Ed Roberts attaining this position was a remarkable turn of events, in that he had been rejected by the agency years earlier when a counselor told him that he was not employable due to the severity of his disability. Ed did have a severe disability stemming from acquiring polio as a teenager, but this did not in any manner limit his drive, talent, or accomplishments. In many ways there is no higher form of praise than to be hired by individuals who are the most able to judge what services will offer the most value. 

 

 

Key Contributions

 

To provide a concise overview of his work, the six guiding intervention principles that Dr. Gold frequently discussed will be outlined. A brief overview of four other key concepts that re-occur in his research will follow. Some of these concepts overlap, however, this material is included because it reinforces the ideological and practical aspects of his work. Although these concepts are widely understood and accepted today in civilized societies that have resources devoted to people with disabilities, it is important to remember that many of these principles were just being formulated, conceptualized, and applied early on in Dr. Gold’s career.

The six philosophical beliefs which set the foundation for all of his work, include the following principles and concepts (Gold, 1980):

 

1) One can best serve people with severe handicaps by training them to do marketable tasks.

 

2) Persons labeled retarded respond best to a learning situation based on respect of their human worth and capabilities.

 

3) Those labeled handicapped have the breadth and depth of capabilities to demonstrate competence given training appropriate to their needs.

 

4) A lack of learning in any particular situation should first be interpreted as a result of inappropriate or insufficient use of teaching strategies, rather than inability on the part of the learner.

 

5) To this point in its development, testing is, at best, limiting to the person labeled mentally retarded.

 

6) Labeling is both unfair and counterproductive.

 

 

Interestingly, many organizations that serve people with disabilities, both in the United States and throughout the world, still reference these principles in their vision or mission statements. Service programs and conference committees continue to reference this work as a guiding standard from which to deliver services and to build professional expertise. Other key instructional principles from his work include:

           

Maintaining a Balanced Relationship – Refers to the absolute need for the learner-trainer relationship to be based on mutual respect, thereby recognizing the need for both parties to be able to change and adapt. Both individuals must adjust to each other with respect to the content of the task and the quality of their relationship.

 

Power (Instructional) – Refers to the amount of intervention and direction required by teachers to help the student reach criterion. This concept shifts the burden of responsibility for learning and designing instructional tasks to be on the instructor. In other words, it’s not the learner inadequacies but the teachers need to adjust content and methods if one is to achieve results. 

 

The Competence-Deviance Hypothesis – Building upon and re-shaping the idiosyncrasy-credits theory of Hollander (1958, 1960), Dr. Gold formulated the competence-deviance hypothesis and applied it to persons with severe disabilities. The premise is that the more competent an individual is, the more deviance will be tolerated in him or her by others. This has two significant implications. First, people with disabilities who differ in appearance, behavior, and/or skill level are at risk of being rejected and may well face a variety of social prejudices and economic disadvantages. Second, and because of the first point, it is particularly important for training programs to enhance the competence of persons with disabilities in order to increase society’s tolerance of their differences and to give them greater opportunities to live successfully within the community. These sociological concerns helped to shape Dr. Gold’s conviction to create curricula content in vocational training programs that would give persons with disabilities skills that are needed in the workplace.  

 

On Intelligence and Ability – Dr. Gold often stressed that there is a difference between intelligence as assessed by IQ tests and trained ability. One does not need to have high intelligence to be trained to perform important tasks. Some tasks require a high degree of intelligence to complete, but other tasks require quality training and a minimum of intelligence to perform. Thus, the programming and instructional challenge is to find valuable tasks that can be learned when effective teaching is provided. Also, Dr. Gold put the programming emphasis on breaking tasks down into very small teachable components through task analysis (as opposed to many professionals who stressed administering reinforcement for efforts on tasks that were too complex, boring, and/or meaningless).

           

There is another aspect of Dr. Gold’s work that merits attention. This involves his attempt to get the American Association on Mental Deficiency (AAMD) to change the definition of mental retardation. This was a bold effort to redefine the full meaning of what “mental retardation” meant to the person and to society (professional and non-professional). In short, Dr. Gold took the AAMD seven point definition and, on a point-by-point basis, made revisions (and reversals). In fact, he reversed the AAMD emphasis on intellectual deficits and adaptive behavioral limitations, and converted each of the seven points to reflect potential contingent on support, systematic training, understanding, and acceptance.

 

In many ways, this was a provocative stance that challenged the members of a leading professional society to alter their view of mental retardation, and in so doing, challenged their viewpoints, roles, and associated responsibilities.  He took the spotlight off the limitations that people with mental retardation were believed to have, and replaced it with a mirror for the professional community. This definition was created to help all of us reexamine our professional beliefs and practices more critically. Dr. Gold was advocating for more of a sociological view of mental retardation that stressed the need for effective training to improve skills and opportunities. In so doing he encouraged others to change their approaches to diagnosis and to modify their views of how treatment programs should operate. His own words can best convey the practical reasoning and deep moral purpose behind this initiative, which he undertook in the mid-1970’s. Consequently, the reader is strongly encouraged to access the original material for more details (Gold, 1980).

 

 

Personal and professional commentary

 

Different people remember Dr. Gold in different ways. People with disabilities found him non-threatening and encouraging. For these individuals there was security, purpose, opportunity, and productivity associated with their contact with him. Family members found him to offer more than hope. He offered direction, conviction, honesty, time to experiment and explore, persistence to attain results, visions for change, as well as support. To his credit, the art and science of his work predominantly took place in the trenches, not in the lab or at a desk or in a lecture center. Although it did not always bring him positive regard by all, Dr. Gold was also an outspoken advocate who was quick to challenge conventions that imposed restrictions on those who were different. In many ways his leadership helped “open the door” for others to question commonly held beliefs as well as service system practices that limited human potential and violated human rights.

            The professional community also saw Dr. Gold in a variety of different ways. Most were supportive and impressed with his work. For example, some credit him with being one of the first special educators to introduce challenging teaching materials combined with highly systematized instructional methodologies designed specifically for people with severe disabilities. This was particularly true for vocational tasks, in that prior to this many of these individuals were not really expected to learn any significant vocational skills. Best practice had not yet been well conceived, and too often service quality had more to do with being in a “happy home” with “good meals” provided. Dr. Gold’s ability to use systematic teaching technologies to instruct people with severe learning problems also set a new standard. He was able to design precise instructional systems that brought these individuals to criterion on complex tasks quickly and with relatively few errors. Additionally, Dr. Gold’s focus on person-centered instruction with greater professional responsibility helped to alter the way in which the capabilities of people with disabilities were conceptualized, how service programs were being designed, and how professionals were trained.

Professionals were also impressed by Dr. Gold’s ability to combine a highly sophisticated yet practical research orientation with a strong ideological belief system. He was able to perform scholarly work that won the respect of academics while at the same time he was leading others on the frontline with heart. He was an unusually charismatic person among an already impressive group of social visionaries and committed human service professionals. Dr. Gold’s level of intensity, data driven methods, spontaneous demonstrations with the most challenging students, willingness to take risks, and passion to institute reforms exposed our profession to something meaningful, provocative, and exciting. Those who heard him lecture and saw him teach were aware that they were experiencing something profound and that they would never see things quite the same again. Paradigms were shifting. Optimism for a brighter future was growing.

An additional quality that is important to discuss is Dr. Gold’s ability to capsulize problems and identify strategies by using simple phrases. He was a master at creating “sound bites” (as they are known today). Examples include:

 

·        Train don’t test

·        Don’t spend time assessing competence, spend time teaching competence

·        Labels are “hanging tools” that make sure individuals function at the same level.

·        (People with disabilities have talent and are) surplus members of the work force who are immediately available

·        Try another way  (which is an information cue prompting the learner to identify alternative approaches for performing the task)

 

These types of statements provided staff with clear ideas on how best to approach their work.   His choice of words immediately elevated the stature of people with severe disabilities and at the same time increased our responsibility to see that their needs and rights were recognized and addressed.  This was particularly important in that these individuals were highly vulnerable to the deficit-oriented thinking, the reductive testing-diagnostic methods, as well as the harsh placement practices of the day. As referenced earlier, almost all persons with severe disabilities and behavioral problems were being subjected to prognostications that had a powerful impact on shaping their future without their consent. Additionally, most were being placed and/or institutionalized without the benefit of first receiving quality training opportunities to more carefully assess abilities, interests, and resources. In many ways, while confronting these “high stakes” issues and re-conceptualizing interventions, Dr. Gold and his contemporaries were developing a new language which re-defined human potential and future possibilities. This in turn altered how people thought and acted, and in time dramatically altered how people with severe disabilities were viewed, protected, treated, and educated.

Dr. Gold did face some criticism and disbelief early in his career. However, his films demonstrating his remarkable success left very little to criticize (i.e., “seeing is believing”). His precise empirical studies also served to answer most of his early critics. However, his perceptive yet sharp criticisms of the various attitudinal, professional, and systems barriers to effective and humane treatment did initially offend others. Dr. Gold himself acknowledged that early in his career some of his critical and undiplomatic comments were insensitive and too negative. He apparently was given some feedback to this end, which led him to be more careful when stating his opinions. All things considered we are fortunate that he did not hold back altogether.  

            Although the quality of Dr. Gold’s contributions have been discussed at length, the scale of his impact should not be overlooked. Through his efforts and that of his consulting team in the State of California alone, Galloway & LeCours (1978) report the following data. Over a two year period the Mark Gold and Associates consulting team presented the Try Another Way approach to over 4,000 agency staff. They trained 109 agency staff and these individuals then taught and directed instruction for 1,888 different people with severe disabilities. This process led to the acquisition of more than 2,700 skills, ranging from vocational tasks to functional living skills. Soon thereafter, nineteen states stepped in to negotiate similar contracts. To meet this demand, his consulting business hired and trained more staff to accommodate these requests. In the interim, when time permitted, Dr. Gold brought his philosophy and methods to international audiences. 

According to his close friend and associate Robert Perske (1987), Dr. Gold became quite ill in the summer of 1982. He assembled his staff in his home to review the direction of the Try Another Way system. After a critical review of the approach and considering other advances in the field, a number of significant modifications and refinements were suggested by the team and ultimately supported by Dr. Gold (Callahan, 1987). This included changes in emphasis such as:  pushing for integration as being more important than skill acquisition in training sessions, simplifying and individualizing the process of writing a task analysis, preparing employees at the job site to provide training and support (to decrease the dependency on professional staff), and utilizing employer training resources and approaches where appropriate. These changes were directly influenced by the innovative approaches championed by Lou Brown and colleagues (1976), who strongly advocated for vocational training to take place in work environments in the real world. Thus, training out of context was being de-emphasized for work related skills. Ultimately, these turning points in the field led to the development of new and progressive models of vocational training and resulted in greater levels of community participation for persons with severe disabilities (Inge, Barcus, Brooke, & Everson, 1995).                       

A few months after the meeting with his staff, and all too early in his life and career, Dr. Marc Gold died of complications associated with Hodgkin’s disease. Although he has passed, the quality of his person and that of his work has not. His work still influences and shapes both the ideological and instructional aspects of many service programs throughout the world. The Marc Gold & Associates company continues to teach the modified and evolved version of the Try Another Way system, and it has now reached well over 300 agencies and 4,000 trainees (M. Callahan, personal communication, December 9, 2002). In addition to his many personal and professional contributions that live on today, Dr. Gold donated a substantial amount of money in his will to the cause of helping to improve the future of persons with disabilities.  

 

Implications for Improving Service Quality

 

Often, when we look into the past we can see how far we have come, and if we are lucky, we can gain a valuable perspective on the evolution of our work as well as ourselves. Without question, reviewing the philosophical and technical aspects of Marc Gold’s many contributions reminds us that special education is built upon the values of advancing human rights and creating genuine opportunities for those who have a disability. His work also reminds us that success within the field goes beyond maintaining a humanistic ideology and service context. The essence of special education is also to provide quality instruction. This involves engaging all stakeholders in the dynamic (and often difficult) process of teaching and learning in order to achieve consumer-valued results. As Dr. Gold stressed 25 years ago, educational outcomes should be able to increase competence as well as opportunities for greater levels of self-sufficiency and higher levels of personal satisfaction.

Without question, this is high demand work. However, positive results can be accomplished through systematic programming, effective collaboration, prioritization, experimentation, and pragmatic systems change (Snell & Brown, 2000); in other words, quality teaching and effective leadership at all levels. Additionally, achieving the highest levels of professional effectiveness requires all staff to possess and maintain values that keep them open to new learning and flexible in the ways that they operate (Kaiser & McWhorter, 1990). This includes demonstrating the desire to listen carefully to the individual needs of each person and family served and to create individualized service plans that are built upon these perspectives (Durgin, 1993; Ruef & Turnbull, 2002). This commitment to self-determination needs to be a continual process given the many changes in development and interests that occur throughout a persons lifetime (Sands & Weymeyer, 1996).     

Reflecting on Dr. Gold’s work and the vast array of knowledge available in the field today will likely make one wonder if we have truly learned all of these lessons;  or perhaps more fairly and accurately, one would at least question if key service principles are being successfully applied across the board today. When we as advocates, practitioners, researchers, and/or consumers evaluate our special education classrooms and service programs it may be helpful to ask ourselves a number of questions along this line, such as:

 

1)      Are service level staff and program leaders maintaining the strongly held belief that people with severe disabilities can truly learn important skills?

2)      Do our IEP’s, instructional procedures, and program operations reflect these beliefs?

3)      Do we believe that we have the ability to teach these individuals to achieve their full potential?

4)      How deeply do we hold these convictions?

5)      Does everyone understand the importance of this work?

6)      Are we working in accordance with the most humanistic ideologies and best practice methodologies?

7)      Are we providing a high level of service to all of those in great need?

 

In many ways the answers seem to be “yes and no” and “it depends.” After all, there is a lot of variability in service quality in the field as a whole. In a general sense, our laws, regulations, attitudes and knowledge about disability, philosophical orientations, and teaching methodologies have all made tremendous advances. Gains in these areas have been nothing short of remarkable. Without question, they have provided substantial life-enhancing benefits to many and have set standards of care that we should all strive to attain. However, it appears that the greatest areas of need in the field today have to do with applying what we know where it counts. That is to say, providing best practice instruction and support for each person with special needs each day that services are provided. Unfortunately, it seems as if our ideological growth and legislative initiatives have outpaced our service level gains. Our expertise has significantly advanced, but it hasn’t been consistently delivered on the front line. Many people with disabilities, particularly those in disadvantaged circumstances, are still missing out on effective instruction to an unacceptable degree.

If there is one message above all else of Dr. Gold’s work that still holds true today, it is to take action to ensure that all people with disabilities are appropriately challenged and that all teachers are fully prepared. As broad reform movements and constant change initiatives move forward it may be helpful to take a step back and refocus on what’s truly important (Fullan, 2001). The basics of quality instruction, effective teacher preparation, and creating responsive models of service are really the essentials. In our efforts to improve services and opportunities for people with disabilities we have to be careful not to overcomplicate this process. This can result in misdirecting our efforts and their resources while striving to address the unique needs of each individual.

As we meet these challenges together we will hopefully continue to build more systems of care and methods of instruction that both achieve results and inspire others. Only in this way will we be able to attract and retain the best staff. To make significant headway, it will be critical for professional trainers and other leaders to make their presence known in the service arena. Their expertise, personal qualities, and leadership skills are needed to provide guidance, support, encouragement, and the technical knowledge needed to improve service processes as well as program culture. As we make this happen there will be more room for new paradigm shifts, advances in service quality, and renewed hope for an even brighter future.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

 

 

Brown, L., Nietupski., J., & Hamre-Nietupski, S. (1976). The criterion of ultimate

        functioning and public school services for severely handicapped children. In M. A.

        Thomas (Ed.), Hey, don’t forget about me! (pp. 2-15). Reston, VA: Council for

        Exceptional Children.   

 

Callahan, M. (1987). A technology evolves: What happened when Try Another Way met the

        real world?  Manuscript from Marc Gold & Associates, Gautier, MS.

 

Durgin, C. J. (1993). Preparing staff to provide quality rehabilitation services: Problems and

        proposed solutions. In C. J. Durgin, N. D. Schmidt, & L. J. Fryer (Eds.), Staff

        development and clinical intervention in brain injury rehabilitation (pp. 3-21).

        Gaithersburg, MD: Aspen Publishers, Inc.

 

Fullan, M. (2001). Leading in a culture of change. New York: Wiley, John, & Sons, Inc.

 

Galloway, C., & LeCours, R. (1978). Try Another Way in California. This data is cited by

        Perske (1987), and was originally available at the Marc Gold & Associates office 

        located in Syracuse, NY. The current office is in Gautier, MS.

 

Gold, M. (1976). Try Another Way. Training film produced by Glenn Roberts.

        Indianapolis: Film Productions of Indianapolis.

 

Gold, M. (1980). “Did I say that?” Articles and commentary on the Try Another Way

        system. Champaign, IL: Research Press Company.

 

Hollander, E. P. (1958). Conformity, status, and idiosyncrasy credit. Psychological Review,

        65, 117-127.

 

Hollander, E. P. (1960). Competence and conformity in the acceptance of influence. Journal

        of Abnormal and Social Psychology, 61, 365-369.

 

Inge, K. J., Barcus, J. M., Brooke, B., & Everson, J. (1995). Supported employment staff

        training manual (2nd ed.). Richmond, VA: Virginia Commonwealth University,

        Rehabilitation Research and Training Center on Supported Employment.

 

Kaiser, A. P., & McWhorter, C. M. (Eds.). (1990). Preparing personnel to work with persons

        with severe disabilities. Baltimore: Paul H. Brookes.

 

Kuhn, T. (1970). The structures of scientific revolutions.  Foundations of the unity of

        science (2nd ed.). Chicago: University of Chicago Press.

 

 

 

 

Meyer, L. H. (1991). Advocacy, research, and typical practices: A call for the reduction of

        discrepancies between what is and what ought to be, and how to get there. In Meyer, L.

        H., Peck, C. A., & Brown, L. (Eds.), Critical issues in the lives of people with severe

        Disabilities (pp. 629-649). Baltimore: Paul H. Brookes.   

 

Perske, R. (1987). The legacy of Marc Gold. In C. S. Mcloughlin, J. B. Garner, & M.

        Callahan (Eds.), Getting employed, staying employed: Job development and training for

        persons with severe handicaps (pp. vi-xii) . Baltimore: Paul H. Brookes.

 

Sands, D. J., & Wehmeyer, M. L. (Eds.). (1996). Self-determination across the life span:

        Independence and choice for people with disabilities. Baltimore: Paul H. Brooks.

 

Snell, M. E. & Brown, F. (Eds.) (2000). Instruction of students with severe disabilities (5th

        ed.). Upper Saddle River, NJ: Prentice-Hall, Inc.

 

Ruef, M. B. & Turnbull, A. P. (2002). The perspectives of individuals with cognitive

         disabilities and/or autism on their lives and their problem behavior. Research & Practice

         for Persons with Severe Disabilities. 27,125-140.

 

 

 

Acknowledgements

 

I would like to thank the following individuals who shared their time, perspectives, materials, and personal accounts with me: Michael Bender, EdD, The Kennedy Krieger Institute; Michael Callahan, Marc Gold & Associates;  Nancy Weiss, Executive Director of TASH; Robert Henderson, EdD, University of Illinois at Urbana-Champaign; Lawrence Larsen, PhD, The Johns Hopkins University.

 

 

Contact Information

 

The author can be reached by e-mail at durgin@kennedykrieger.org or by calling (443) 923-7835.