Affirmative activities like being able to move their hands backwards and forwards to create an affect is what is enjoyed by someone functioning at ACL 3.2. Their sustained attention may be short. Be prepared to swap to another activity of let them have a rest before repeating an activity.

The directions that the person functioning within ACL 3.2 is able to understand have a characteristic pattern of showing them the object, demonstrating the motion and the effect, and handing the object to the person, who imitates the demonstration.

Since the linear organising effects of the back and forth motion is new to us, the general public is apt to think we have lost our marbles. "Seeing is believing." Watching them engaged in the activities described as patterns of performance can be done in person or on videotapes.

In residential facilities there is an ongoing conflict between the self-care that these people can do and the time that nursing attendants have to take care of a caseload. The problem was intensified when self-care was the only thing that we knew about that they could still do. The paradigm shift from behaviour to information increases the scope of what they can still do during the rest of the day.

Their conversations may consist of a few short phrases about common objects that they remember from their past. Recognition can bring pleasure and confirm their ongoing sense of identity.

Functioning within ACL 3.2, results in the person being able to understand short commands better. The commands needs to be clear and concrete. Instructions like wipe your face after a meal now makes sense to the person.

Their conversations may consist of a few short phrases about common objects that they remember from their past. Recognition can bring pleasure and confirm their ongoing sense of identity.

Within ACL 3.2, the person might not even pay any attention to the effects their actions are having on the surfaces of furniture and tables. Ordinary household dust is a surface property that is noticed within ACL 5.2. All they may notice is the motion in a small spot. Dusting appeals to many women who will happily "dust" in one spot for 5 to 30 minutes. As their attention fades away, the back and forth motions are shortened, rounded, slower, less frequent and gradually discontinued.

Within ACL 3.2, back and forth movements create the concrete concept of a line after it is visible. The actions rub over the same space, which can be seen as a wide line.

Different objects on different surfaces can create a line:

• The objects can include sticks, crayons, pencils, pens, and brushes.
• The surfaces can include dirt, sand, paper, and walls.

Familiar objects that are bilateral and can be moved back and forth include sanders and rolling pins.

By moving an object that makes a mark, such as a pencil, back and forth, a line is drawn. The line is a concrete representation of the effects of their actions. Drawing a line is an elementary form of organising and seeing the effects of the actions of the hand. Writing and drawing are based on understanding this cause and effect relationship, which can be done with a stick in the dirt or petroglyphs on rocks.