Government policy in the UK emphasises that people with intellectual disabilities should have the opportunity to make choices and exert control over their own lives as much as possible. The ability of a person to resist activities and offers is therefore important, particularly for people with severe and profound intellectual disabilities, who are likely to have language impairments and need to communicate their choices non-verbally. Video and ethnographic data were collected from two services for people with severe and profound intellectual disabilities. Examples of resistance by people with severe and profound intellectual disabilities and responses to that resistance by support workers were collected and examined using conversation analysis and ethnographic description. A range of non-verbal resistance behaviours are described, and the difficulty for support workers in identifying resistance when behaviour is ambiguous is discussed. The importance of understanding these behaviours as examples of decision-making is stressed.

中文翻译：

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严重智障人士的抵抗形式

英国政府政策强调，智障人士应该有机会尽可能多地做出选择并控制自己的生活。因此，一个人抵制活动和提议的能力很重要，特别是对于有严重和严重智力障碍的人来说，他们可能有语言障碍并且需要以非语言方式交流他们的选择。视频和人种学数据是从为重度和深度智障人士提供的两项服务中收集的。使用对话分析和人种学描述收集和检查了严重和严重智力障碍者的抵抗以及支持人员对这种抵抗的反应的例子。描述了一系列非语言抗拒行为，并讨论了支持工作者在行为模棱两可时识别阻力的困难。强调将这些行为理解为决策示例的重要性。