A fundamental problem in behavior modification with institutionalized mental retardates.

Most critics of behavior modification programs for low functioning institutionalized persons fault factors external to the client population for the lack of success of such programs. However, the fundamental cause of failure lies in inherent client variables of severe neurological impairment and its behavioral sequelae. The reality of such organic deficits must be admitted to be a limiting factor in any treatment approach and their specific nature recognized in planning for individual clients.