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The purpose of this paper is to explore the potential of the Adult Attachment Projective Picture System (AAP) as a measure of attachment state of mind in adults with intellectual disabilities. The AAP is a free response picture system method of assessing patterns of adult attachment with established validity and reliability in community and clinical samples.

The paper reports on five cases of adults with intellectual disabilities who were administered the AAP as part of routine clinical work. The AAP administration procedure was modified to take account of the participants’ intellectual disabilities.

It was possible to code and classify each AAP using the established coding and classification system. The authors coded four cases blind to each other ' s classification; they agreed on classifications for three cases and reached consensus on the fourth. The AAP analysis showed strong correspondence with case history material.

The AAP demonstrates the potential to assess attachment state of mind in adults with intellectual disabilities and is the first developmental measure of attachment status that has shown potential in this population. The paper discusses clinical application of the AAP and directions for future research.

This paper seeks to review the adaptation and application of mindfulness‐based psychotherapeutic practices for individuals with intellectual disability, the population most at risk for mental health and behavioral challenges.

Provided is an overview of the adaptation and utilization of these practices in the treatment of anxiety and mood disorders, and maladaptive behavior in individuals with intellectual disabilities. It also explores current research related to mindfulness‐based stress management for parents and caregivers of individuals with intellectual disability.

Current research and practice supports that mindfulness‐based psychotherapeutic practices are clinically effective in the treatment of anxiety, mood, stress, aggression, and self‐injury in individuals with intellectual disabilities, and enhanced coping and stress management in their parents and caregivers.

The effective, experiential, and skills‐based practices of mindfulness‐based psychotherapy make it easily adaptable and applicable for use with individuals with intellectual disabilities who have varying mental health and behavioral challenges.

Very little has been published on the adaptation and application of mindfulness‐based psychotherapeutic practices for individuals with intellectual disabilities. Given the mental health and behavioral challenges faced by this population, there is a great need for individuals with intellectual disabilities to have effective and practical treatment such as mindfulness‐based psychotherapy. Further research and utilization of these practices with this population is needed.