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Stavovi i socijalna distanca studenata prema osobama sa invaliditetom
Get PDFU savremenom trenutku razvoja naučne misli, pojam stava intenzivno se koristi u vokabularu niza naučnih disciplina društveno-humanističkih nauka. Potencijal pojma stav je višestruk i to je jedan od razloga čestog izučavanja socijalnih stavova u društvenim naukama.
Pojam stava ilustruje sveobuhvatni pristup ljudskoj prirodi uključujući integraciju sve tri funkcije – kognitivne, emotivne i konativne. Stavovi su važne determinante naših života, ponajviše zbog toga što su nam gotovo svi aspekti života prožeti stavovima. Pomoću njih izražavamo svoja mišljenja, tražimo od drugih da se izjasne, pokušavamo da promenimo naše, ali i tuđe stavove.
Cilj ovog rada je da se analizom literature identifikuju stavovi i socijalna distancau prema osobama sa invaliditetom sa posebnim fokusom na stavove studenata. Istraživanjem je obuhvaćena sva dostupna literatura iz perioda 2000-2020 godina koja se bavi stavovima i socijalnom distancom prema osobama sa invaliditetom. Za pretraživanje literature korišćeni su sledeći pretraživači: Ebscohost, ScienceDirect, Wiley Inter Science i SpringerLink.
Rezultati nastali analizom pregledane literature kako naše, tako i inostrane ukazuju na to da studenti medicinskog usmerenja imaju pozitivnije stavove i manju socijalnu distancu prema osobama sa invaliditetom. Ono što je takođe zajedničko u svim pregledanim radovima je uloga i značaj predhodnih kontakata na stavove i socijalnu distancu prema osobama sa invaliditetom.In the actual moment, the development of attitude term is being used intensively in different disciplines of social sciences. This term’s potential is multiple and that is the reason why social attitudes have been researched frequently in social sciences. Accordingly, this term illustrates the holistic approach of human nature, including three different functions-cognitive, emotive, and conative. Attitudes are very important determents of our lives, mostly because every aspect of our lives is related to them. Thus, attitudes help us express our personal opinions, ask for other people to express their own as well as to attempt influencing both of them.
Besides, this thesis aims to identify attitudes and social distance towards people with disabilities using the meta-analysis including a special focus on students and their attitudes referring to this issue. This research also includes all available literature from 2000-2020 related to attitudes and social distance towards people with disabilities. Moreover, the following browsers were used to search for the necessary literature: Ebscohost, ScienceDirect, Wiley Inter-Science, and SpringerLink.
The results of the analysis of the reviewed literature, both ours and foreign, indicate that medical students have more positive attitudes and less social distance towards people with disabilities. What is also common in all reviewed works is the role and importance of previous contacts on attitudes and social distance towards people with disabilities
Znanje osoba sa oštećenjem vida o reproduktivnom zdravlju i mišljenje o pristupačnosti zdravstvenih usluga
Get PDFРепродуктивно здравље представља део општег феномена здравља које је стање потпуног физичког, менталног и социјалног благостања, а не само одсуство болести, усмерено ка репродуктивном тракту. У овом раду биће говора о особама са оштећењем вида и овом домену свеопштег здравља.
Циљ рада је стећи увид у знање о репродуктивном здрављу које поседују особе са оштећењем вида и у мишљење о приступачности здравствених установа и услуга које се баве репродуктивним здрављем. Такође, поента рада је видети да ли постоје разлике између знања о њему између испитаника са оштећењем вида и испитаника без оштећења вида, као и да ли постоје разлике у мишљењу о приступачности установа и услуга између ова два подузорка.
Узорком је обухваћено 50 испитаника са оштећењем вида и 50 испитаника без оштећења вида. У оба подузорка је било 21 испитаник мушког пола и 29 испитаника женског пола. Они су подељени узрасно на две категорије - групу млађих одраслих, старости од 20 до 29 година којих је било 30 и групу старијих одраслих старости од 30 до 40 година којих је у оба подузорка било по 20. Подаци су прикупљени помоћу три упитника. Први је социодемографски упитник креиран за потребе овог истраживања, док су преостала два (Illustrative Questionnaire for
Interview-Surveys with Young People и Knowledge, Attitude and Practice Questionnaire about Contraception and Reproductive Health of University) преведени с енглеског и прилагођени нашем
подручју.
Резултати показују следеће: - особама са оштећењем вида највећи извор информација о репродуктивном здрављу представљају мајка, наставник и интернет извори; - особе са оштећењем вида мање знају о репродуктивном здрављу од особа без оштећења вида; - не постоје статистички значајне полне разлике у подузорку са оштећењем вида; - не постоје статистички значајне узрасне разлике између испитаника са оштећењем вида; - испитаници типичне популације чешће посећују установе које се баве репродуктивним здрављем у односу на испитанике са оштећењем вида;
- жене са оштећењем вида чешће посећују здравствене установе које се баве репродуктивним здрављем од мушкараца са оштећењем вида;
- испитаници са оштећењем вида се сусрећу с тешкоћама при приступу здравственим услугама везано за репродуктивно здравље у односу на испитанике без оштећења вида.Reproductive health is the part of general health phenomenon which is the state of complete physical, mental and social well-being and not just absence of illness, directed towards the reproductive tract. In this paper we will talk about people with visual impairment and this domain of universal health.
This paper's aim is to gain insight into knowledge that people with visual impairment have about reproductive health and into opinions about accessibility of reproductive health institutions and reproductive health care services. Also the aim of this paper is to compare and see if there are differences in opinions and knowledge about this matter between two subsample groups: one group are people with visual impairment, and another are people without any visual impairment.
The sample includes 50 respondents with visual impairment and 50 respondents without visual impairment. In both subsamples there were 21 male respondents and 29 female respondents. They are divided into two age categories - group of young adults age 20 to 29 and there were 30 of them in each subsample, and the group of older adults age 30 to 40 and there were 20 of them in both subsamples.
The data were collected from three questionnaires. The first one is sociodemographic questionnairy created specially for this research, while the other two (Illustrative Questionnaire for Interview-Surveys
with Young People and Knowledge, Attitude and Practice Questionnaire about Contraception and
Reproductive Health of University) are translated from English and ajusted to our region.
Results are showing the following: - for the people with visual impairment the biggest source of information about reproductive health are mother, teacher and internet sources; - people with visual impairment know less about reproductive health then people without visual impairment; - there are no statistically important gender differences in subsample with visual impairment; - there are no statistically significant age differences between respondents with visual impairment; - respondents who belong to typical population more often visit reproductive institutions than respondents with visual impairment; - women with visual impairment more often visit reproductive institutions then men with visual impairment;
- respondents with visual impairment experience more difficulties with accessibility of reproductive health institutions then respondents without visual impairment
Auditive processing in kindergarten children in inclusive environment
Get PDFThe auditory system enables registering an
auditory stimuli, as well as the adequate
understanding and response to them.
Previous research have shown that auditory processing difficulties are more common in
children with an autism spectrum disorder
than in children of a typical population.
The aim of the research is to determine the
quality of auditory processing in children with autism spectrum disorder, and in children with typical development in relation to age, gender and the attendance to preschool program.
The sample consisted of 60 respondents of both gender. One group of respondents consisted of 30 children with autism spectrum disorder, and the other consisted
of the same number of children with what is considered typical development. The sample included children in the age range of three to six years and 11 months old, who attended
inclusive kindergarten groups. The subscale Auditory processing of Children’s sensory
profile 2 was used for the assessment.
The results showed the existence of a statistically significant difference in the quality of auditory processing in favor of respondents from the typical population. Respondents of the two groups did not achieve different scores in relation to gender, age or the preschool program attendance. The results that indicate the specificity of auditory processing in children with autism spectrum disorder should be considered
during the implementation of kindergarten activities covered by the IEP 1.Auditivni sistem omogućava registraciju slušnih nadražaja, kao i adekvat- no razumevanje i odgovaranje na njih. Dosadašnja istraživanja su pokazala da su teškoće auditivnog procesiranja učestalije kod dece sa poremećajem iz spek- tra autizma u odnosu na decu tipične populacije. Cilj istraživanja je utvrđivanje kvaliteta auditivnog procesiranja kod dece s poremećajem iz spektra autizma i dece tipičnog razvoja u odnosu na uzrast, pol i redovnost pohađanja predškolskog programa. Uzorak je činilo 60 ispitanika oba pola. Jednu grupu ispitanika činilo je 30-oro dece s poremećajem iz spektra autizma, a drugu isti broj dece tipičnog razvoja. Uzorkom su bila obuhvaćena deca uzrasta od tri godine do šest godina i 11 me- seci koja su pohađala inkluzivne vrtićke grupe. Kao merni instrument procene primenjena je supskala Auditivno procesiranje Dečijeg senzornog profila 2. Rezultatima je utvrđeno postojanje statistički značajne razlike u kva- litetu auditivnog procesiranja u korist ispitanika tipične populacije. Ispitanici dveju grupa ne postižu različite skorove u odnosu na pol, uzrast niti redovnost pohađanja predškolskog programa. Rezultati koji ukazuju na specifičnost auditivnog procesiranja kod dece s poremećajem iz spektra au- tizma treba da budu uzeti u obzir tokom realizacije vrtićkih aktivnosti obuhvaćenih IOP-om 1
Teacher assessment of difficulties in the field of attention in younger school,aged
Get PDFThe aim of this research is to determine the
relationship between teacher and direct assessment of the presence of attentional difficulties in younger school-aged children.
Thirty-eight children (42.1% of girls), aged between 7 and 11 years (expressed in months: M=106.2, SD=13.05) participated in the research. They attend I-IV grade of primary
school.
According to teacher’s opinion based on the observation of the child’s attention during school activities, the participants were grouped into two categories: attentive
(44.7%) and inattentive (55.3%) students.
Direct assessment of attention was conducted using tasks for assessing the span, maintenance and selectivity of attention that are part of the Protocol for the Assessment of Cognitive Abilities. Data on the presence
of ADHD symptoms were collected using a diagnostic interview of ADHD in children (ACE).
The analysis of the results revealed
statistically significant differences between groups of students who were characterized by teachers as attentive and inattentive on the attention span (p = 0.010) and selectivity
(p = 0.021) of visual attention.
The correlation between indirect and direct assessment of attention is statistically
significant in the domains of nonverbal auditory attention, attention maintenance and the number of errors on the task of selectivity of visual attention.Cilj ovog istraživanja je da se utvrdi odnos između nastavničke i direktne procene prisustva teškoća u domenu pažnje kod dece mlađeg školskog uzrasta. U istraživanju je učestvovalo trideset osmoro ispitanika (42,1% devojčica), uzrasta 7-11 godina (izraženo u mesecima, AS = 106,21, SD = 13,05), učenika I-IV raz- reda osnovne škole. Na osnovu mišljenja nastavnika, zasnovanog na opservaciji pažnje deteta tokom školskih aktivnosti, ispitanici su grupisani u dve kategorije: pažljivi (44,7%) i nepažljivi (55,3%) učenici. Direktna procena pažnje sprovedena je primenom zadataka za procenu raspona, održavanja i selektivnosti pažnje koji pripadaju Protokolu za procenu kogni- tivnih sposobnosti. Podaci o prisustvu simptoma ADHD prikupljeni su pomoću Intervjua za evaluaciju prisustva ADHD kod dece. Analizom rezultata utvrđene su statistički značajne razlike među grupama učenika koje su nastavnici okarakterisali kao pažljive i nepažljive u dome- nu raspona (p = 0,010) i selektivnosti (p = 0,021) vizuelne pažnje. Korelacija rezultata Intervjua za evaluaciju prisustva ADHD kod dece i direktne pro- cene pažnje je statistički značajna u domenima neverbalne auditivne pažnje, održavanja pažnje i broja grešaka tokom rešavanja zadatka selektivnosti vizuelne pažnje
Intellectual disability and development of dementia: dementia in persons with down syndrome
Get PDFAdults with Down syndrome are at an
increased risk of developing early onset
Alzheimer’s diseasе. Dementia is typically
preceded by prodromal pre-clinical phase.
Pathohistological characteristics of Alzheimer’s diseasе are universally present
by the fifth decade in Down syndrome
patients. Trajectories of cognitive decline
associated with dementia in Down syndrome
population are not fully described. Having
in mind pre-existing cognitive difficulties, early dementia signs may be overlooked or misdiagnosed, missing the opportunity
for the early use of pharmacological and
psychosocial interventions. Down syndrome
population could be a target for investigation
of preventive and therapeutic measures in
management of Alzheimer’s diseasе. World
Heаlth Organisation called for inclusion of
intellectual disability in national dementia
plans.Odrasle osobe sa Daunovim sindromom su u velikom riziku za razvoj Alchajmerove bolesti ranog početka. Demenciji prethodi period prodromalne, pre-kliničke faze. Histopatološki nalazi karakteristični za Alchajmerovu bolest su gotovo pravilo kod osoba sa Daunovim sindromom u petoj deceniji života. Trajektorije kognitivnog propadanja kod populacije sa Daunovim sindromom nisu u potpunosti definisane. Budući da kod ovih osoba već postoji intelektu- alna ometenost, suptilni rani znaci kognitivnog pada se mogu prevideti ili pogrešno dijagnostikovati čime se propušta prilika za pravovremenu pri- menu farmakoloških i psihosocijalnih intervencija. Populacija sa Daunovim sindromom bi mogla biti ciljna za ispitivanje preventivnih i terapijski mera za nastanak Alchajmerove bolesti. Iz ovih razloga, Svetska zdravstvena organizacija je pozvala na uključivanje intelektualne ometenosti u nacional- ne planove za demenciju
The importance of early detection and intervention In unilateral sensorineural hearing loss in children
Get PDFNormal hearing is crucial for speech and language development,
communication and learning process. It was previously thought that unilateral
sensorineural hearing loss (USHL) in children does not leave consequences,
since speech and language can adequately develop with only one normal
haring ear. In recent decades, the results of numerous studies have begun to
be published, suggesting that a significant percentage of children with USHL
have many developmental problems and many aspects of functioning from
behavioral, communication, and educational problems compared to their
hearing peers. Also noted is the possibility of delays in the development of
speech and language.
The aim of the paper was to present, based on a review of relevant literature
and online databases, the negative impact of unilateral sensorineural hearing
loss in children, on the development of speech and language, communication,
and educational achievement. The etiology, importance of early detection and
rehabilitation are also discussed.Uredan sluh je presudan za razvoj govora jezika, komunikaciju i proces učenja. Ranije je smatrano da jednostrana senzorineuralna oštećenja sluha (JSOS) kod dece ne ostavljaju posledice, jer se govor i jezik adek- vatno mogu razviti samo sa jednim dobro čujućim uvom. Poslednjih dece- nija počinju da se objavljuju rezultati brojnih studija koje sugerišu da značajan procenat dece sa jednostranim senzorineuralnim oštećenjem sluha ima brojne probleme u razvoju i mnogim aspektima funkcioni- sanja, od problema u ponašanju, komunikaciji i obrazovanju u poređenju sa čujućim vršnjacima. Takođe zapažena je i mogućnost kašnjenja u razvoju govora i jezika. Cilj rada je bio da prikaže na osnovu pregleda relevantne litera- ture i internet baza podataka, negativan uticaj jednostrane senzo- rineuralne nagluvosti kod dece, na razvoj govora, jezika, komunikaciju i akademska postignuća. Takođe u radu je diskutovano o etiologiji, zna- čaju ranog otkrivanja i rehabilitaciji
Contribution of early psychoanalytic learning About mechanisms of defense to psychology of Disability
Get PDFThis paper deals with mechanisms of defense, analyzing its usefulness and
contribution to the psychology of disability. Only the early psychoanalytic
concepts of the mechanisms of defense are discussed since this is their first
treatment in this field of psychology. Mechanisms of defense are unconscious
maneuvers that protect one from unpleasant situations or feelings. As the
literature shows, children and adults with disabilities are insufficiently
socially integrated, which causes a feeling of isolation and inadequacy, and
consequently, the development of negative personality traits. There is a greater
tendency for these persons to develop anxiety. These circumstances lead to the
frequent, and therefore, rigid engagement of largely immature mechanisms
of defense as attempts to defend against painful affections. The ego, in a
psychodynamic vocabulary, is forced to engage defense mechanisms that
keep individuals from internal unpleasant situations (feeling of difference,
isolation, anxiety, irrational feeling of guilt and "sinfulness"), conflicts
between possibilities and desires, and affective reactions to prejudices and
segregation. For this purpose, the individual, depending on the age and
quality of psychological functioning, uses the various mechanisms of defense
shown in this paper. The paper launches theoretical considerations and
practical issues of working with children and people with disabilities. Further
research should empirically determine the dominant mechanisms of defense
in children and adults with certain types of interference.Rad se bavi mehanizmima odbrane, analizom njihove upotrebljivosti i doprinosa psihologiji ometenosti. Diskutovani su samo rani psiho- analitički koncepti mehanizama odbrane, s obzirom da je ovo prvo nji- hovo tretiranje u ovom polju psihologije. Mehanizmi odbrane su nesves- ni manevri kojima se osoba brani od neprijatnih stanja ili osećanja. Kako literatura pokazuje, deca sa smetnjama u razvoju i odrasle osobe sa ometenošću nedovoljno su socijalno integrisane, što uzrokuje osećanje izolovanosti i neadekvatnosti, a posledično i razvoj negativnih oso- bina ličnosti. Kod ovih osoba postoji i veća sklonost ka razvoju anksi- oznosti. Ove okolnosti vode učestalom, a samim tim i rigidnom anga- žovanju uglavnom nezrelih mehanizama odbrane kao pokušaja odbrane od bolnih afekata. Ego (govoreći psihodinamskim rečnikom) je prinuđen da angažuje mehanizme odbrane koji pojedinca čuvaju od unutrašnjih neprijatnih stanja (osećanje različitosti, izolovanosti, anksioz- nosti, iracionalno osećanje krivice i „grešnosti”), konflikata iz- među njihovih mogućnosti i njihovih želja i/ili nagona i afektivnih reakcija na predrasude i segregaciju. U tu svrhu, pojedinac (zavisno od uzrasta i kvaliteta psihološkog funkcionisanja) koristi različite mehanizme odbrane prikazane u ovom radu. Rad pokreće teorijska razma- tranja i praktična pitanja rada sa decom i osobama sa ometenošću. Naredna istraživanja trebalo bi da empirijski utvrde preovlađujuće mehanizme odbrane kod dece i odraslih sa određenim vrstama smetnji
Socialization in Adults with Intellectual Disability: The Effects of Gender, Mental Illness, Setting Type, and Level of Intellectual Disability
Get PDFIntroduction The goal of this study was to examine socialization in adults with intellectual disability in relation to gender, level of intellectual disability, mental illness, and setting type. Methods The sample consisted of 120 participants (60 males and 60 females), aged between 20 and 56 years, divided into two groups: 1. participants with intellectual disability without the diagnosis of mental illness (ID only) and 2. participants with dual diagnosis (intellectual disability and mental illness). Socialization subscale from the Vineland Adaptive Behavior Scale was used for the assessment of socialization. Results Level of intellectual disability and mental illness had significant effects on socialization scores. In addition to this, interaction effect of gender and level of intellectual disability had a significant effect on socialization. Setting type did not have a significant effect on socialization. Conclusion These results can be very useful in identifying participants with intellectual disability who might need additional individualized support programs in the area of socialization.This is the peer‐reviewed version of the article: Djordjevic, M.; Glumbić, N.; Memisevic, H. Socialization in Adults with Intellectual Disability: The Effects of Gender, Mental Illness, Setting Type, and Level of Intellectual Disability. Journal of Mental Health Research in Intellectual Disabilities 2020, 13 (4), 364–383. [https://doi.org/10.1080/19315864.2020.1815914
Application of training technology programs and dosed, planned, physical activities for cardiovascular patients with implanted coronary stents
Get PDFTraining technology, as a method of choice in post-operative therapy of patients with implanted coronary stents, has given results, primarily due to the non-invasive nature of the therapy Humans, as kinetically dependent beings, are familiar with the nature of movement Professional guidance and planned procedures use the nature of human motoric values in order to full recovery. The individual physiological characteristics of all patients are also crucial. Subjective analyzes contributed to the objective values of each patient. Hypokinetic syndrome was a common feature in all patients, which implies that as the main etiological factor of cardiovascular diseases, it must be the focus of attention in the therapeutic part of the treatment. Dosed exercises, professionally monitored, aim to initiate the physiological norms of the organism. By initiating physiological processes and encouraging the creation of an adequate oligo-structure, the organism, as a functional and complete unit, is given space for self-healing, to achieve the oligostructure focuses on the location that is deficient in the human body. The cardio part of the therapeutic program is based on natural movement for these reasons. The movements that patients are exposed to, while working on a treadmill or static exercise machine, such as a bicycle, simulate natural, innate and non-invasive movement. In the aerobic part, which includes shaping exercises, continuous and dosed contraction of smaller muscle groups is stimulated. Their activation stimulates an oligo-structure that contributes to adequate systemic reperfusion. The individual sensations that patients feel in the very process of training technologies give room for the detection of secondary problems that are not related to the cardiovascular system. The observed problem with the cervical spine, endocrinological problems, as well as pathological phenomena in the locomotor system, contribute to the confirmation of the thesis that the organism must be treated as a whole structure. Functionally in both of physiological and pathological processes, by opening the cardboard - physiological diary, precise anamnesis, adequate medical documentation and concise monitoring of the patient, an error in the assessment of physical status is prevented and a clear physiological picture of the patient’s status is obtained. Pedagogically and psychologically acceptable approach, the therapist towards the patient contributes to the adequate assessment of all parameters included in the analysis and prevents the impact of anxiety in patients on the goal of therapy. Cardiovascular patients do not have basic medical knowledge, but are informed about the essential function of the heart muscle in existence. When all the parameters in the approach to the patient, work with the patient and thorough monitoring of the obtained data are respected, the therapeutic application of treatment technologies gives concrete results
Self-determination of adults with intellectual disabilities
Get PDFSamoodređenje čini skup veština, znanja i uverenja koja omogućavaju pojedincu da samostalno usmeri svoje ponašanje ka željenom cilju. Poslednjih nekoliko decenija u literaturi je primetno povećano interesovanje za samoodređenje osoba sa intelektualnom ometenošću, koje se smatra značajnim aspektom kvaliteta života. Uprkos tome, u našoj sredini gotovo da ne postoje istraživanja u čijem su fokusu nivo, profil ili činioci samoodređenja osoba sa intelektualnom ometenošću.Iz navedenih razloga, ciljevi ovog istraživanja odnosili su se na utvrđivanje nivoa samoodređenja kod odraslih osoba sa intelektualnom ometenošću i povezanosti između dostignutog nivoa samoodređenja, sa jedne strane, i odabranih socio-demografskih činilaca, ličnih karakteristika ispitanika i faktora okruženja, sa druge strane.Uzorkom istraživanja obuhvaćeno je ukupno 128 odraslih osoba sa lakom intelektualnom ometenošću i umerenom intelektualnom ometenošću, oba pola, starosti od 21,23 do 57,89 godina (AS=33,77; SD=9,27). Prema tipu stanovanja, uzorak je podeljen u tri grupe: ispitanike koji stanuju u svojim primarnim porodicama (N=46), ispitanike koji stanuju u institucijama stacionarnog tipa (N=40) i ispitanike obuhvaćene programom stanovanja uz podršku (N=42).Podaci o kontrolnim varijablama prikupljeni su putem demografskog upitnika, konstruisanog za potrebe ovog istraživanja. Za dobijanje podataka koji se odnose na nezavisne varijable upotrebljeni su: zadaci za procenu bazičnih mehanizama egzekutivnih funkcija (radne memorije, inhibitorne kontrole i kognitivne fleksibilnosti), tri supskale Vinelandove skale za procenu socijalnih veština (Sparrow, Cicchetti & Balla, 2006), Upitnik o vršenju izbora (The Choice Questionnaire; Stancliff & Parmenter, 1999) i set kriterijuma za utvrđivanje težine deficita u adaptivnom funkcionisanju (APA, 2013). Informacije koje su se odnosile na zavisnu varijablu prikupljene su primenom Skale samoodređenja (The Arc’s Self-determination Scale; Wehmeyer & Kelchner, 1995).Dobijeni rezultati pokazuju prisustvo određenih specifičnosti u profilu samoodređenja osoba sa lakom intelektualnom ometenošću i umerenom intelektualnom ometenošću, koje su ispoljene kroz razlike u nivou razvijenosti pojedinih komponenti samoodređenja (autonomije, samoregulacije, psihološke osnaženosti i samorealizacije).Ispitanici sa lakom intelektualnom ometenošću imaju značajno viši ukupan nivo samoodređenja (r=0,000), kao i nivo autonomije (r=0,002) i samoregulacije (r=0,000), u odnosu na ispitanike sa umerenom intelektualnom ometenošću, nezavisno od tipa stanovanja. Razlike u odnosu na pol utvrđene su samo u domenu autonomije (r=0,014), u korist ispitanica, dok su razlike u odnosu na starosnu dob utvrđene na nivou autonomije (r=0,031) i ukupnog samoodređenja (r=0,039), u korist starijih ispitanika. Stanovanje uz podršku je najpodsticajnije okruženje za razvoj samoodređenja, budući da ispitanici uključeni u ovaj program stanovanja imaju viši nivo samoodređenja, u odnosu na one koji stanuju u svojim primarnim porodicama (r=0,000) ili u institucijama stacionarnog tipa (r=0,000).Rezultati našeg istraživanja ukazuju na to da je nivo samoodređenja osoba sa intelektualnom ometenošću značajno pozitivno povezan sa sledećim faktorima: nivoom socijalnih veština (r=0,000), kvalitetom slobodnog vremena (r=0,000), nivoom adaptivnog funkcionisanja (r=0,000) i bolje razvijenim egzekutivnim funkcijama – radnom memorijom (r=0,000), inhibitornom kontrolom (r=0,000) i kognitivnom fleksibilnošću (r=0,000). U grupi od 11 personalnih i sredinskih faktora, uključenih u analizu, identifikovana su četiri faktora koji imaju značajan pojedinačni prediktivni doprinos nivou razvijenosti samoodređenja osoba sa intelektualnom ometenošću: dostupnost izbora (r=0,000), tip stanovanja (r=0,000), nivo adaptivnog funkcionisanja (r=0,017) i kvalitet radne memorije ispitanika (r=0,026). Prediktivna vrednost dostupnosti prilika za vršenje izbora upadljivo je viša u odnosu na ostale identifikovane prediktore.Na osnovu rezultata našeg istraživanja, može se zaključiti da je za unapređenje samoodređenja neophodno podsticati razvoj određenih sposobnosti i kompetencija same osobe sa intelektualnom ometenošću, ali i obezbediti optimalne sredinske uslove. Imajući u vidu da smo utvrdili da veći uticaj na nivo samoodređenja imaju spoljašnji faktori, naši rezultati su ohrabrujući u pogledu mogućnosti za razvijanje samoodređenja osoba sa intelektualnom ometenošću u odraslom dobu.Self-determination represents a set of skills, knowledge and beliefs that enable individuals to self-direct their behaviour towards the desired goal. Over the last several decades, in scientific literature, there has been a markedly increased interest in the self-determination of persons with intellectual disabilities, which is considered to be a significant aspect of the quality of life. Regardless of that fact, there had been hardly any studies focusing on the level, profile or factors of self-determination of persons with intellectual disabilities in our surroundings.For the above reasons, the goals of this research were to establish the level of self-determination in adults with intellectual disabilities and the relationship between the achieved level of self-determination, on the one hand, and the selected socio-demographic factors, personal characteristics of respondents and environmental factors, on the other.The research sample included a total of 128 adults with mild intellectual disability and moderate intellectual disability, of both sexes, aged 21.23 to 57.89 years (M=33.77; SD=9.27). When it comes to the types of housing, the sample was divided into three groups: respondents residing in their primary families (N=46); respondents residing in residential institutions (N=40) and respondents included in the assisted housing program (N=42).Data on the control variables were collected by using a demographic questionnaire, constructed for the purposes of this research. Data related to the independent variables were collected by using the following instruments: tasks for the assessment of the basic mechanisms of executive functions (working memory, inhibitory control and cognitive flexibility), three subscales of the Vineland scale for the assessment of social skills (Sparrow, Cicchetti & Balla, 2006), the Choice Questionnaire (Stancliff & Parmenter, 1999), and a set of criteria for determining the severity of deficits in adaptive functioning (APA, 2013). Information related to the dependent variable was collected by using the Arc’s Self-Determination Scale (Wehmeyer & Kelchner, 1995).The obtained results have shown the presence of certain specificities in the profile of self-determination of persons with mild intellectual disability and moderate intellectual disability, expressed through the differences in the level of development of individual components of self-determination (autonomy, self-regulation, psychological empowerment and self-realization). Respondents with mild intellectual disability have shown a significantly higher overall level of self-determination (p=0.000), as well as autonomy (p=0.002) and self-regulation (p=0.000), compared to respondents with moderate intellectual disability, regardless of the type of housing. Genderdifferences were found only in the domain of autonomy (p=0.014), in favour of the female respondents, while differences in relation to age were determined in the level of autonomy (p=0.031) and overall self-determination (p=0.039), in favour of older respondents. Assisted housing was proven to be the most conducive environment for the development of self-determination, given that respondents included in this housing program had a higher level of self-determination, compared to those residing in their primary families (p=0.000) or residential institutions (p=0.000).The results of this research indicate that the level of self-determination of persons with intellectual disabilities is significantly positively related to the following factors: level of social skills (p=0.000), quality of leisure time (p=0.000), level of adaptive functioning (p=0.000) and better developed executive functions – working memory (p=0.000), inhibitory control (p=0.000) and cognitive flexibility (p=0.000). In a group of 11 personal and environmental factors included in the analysis, four factors were identified as having a significant individual predictive contribution to the level of development of self-determination of people with intellectual disabilities: availability of choice (p=0.000), type of housing (p=0.000), level of adaptive functioning (p=0.017), and quality of working memory (p=0.026) of the respondents. The predictive value of the availability of choice was strikingly higher compared to the other identified predictors.Based on the results of this research, it can be concluded that, to improve self-determination, it is necessary to encourage the development of certain abilities and competencies of the very person with intellectual disability, but also to provide optimal environmental conditions. Considering that it has been shown that external factors have a greater impact on the level of self-determination, these results are encouraging when it comes to the potential for the development of self-determination of persons with intellectual disabilities in adulthood