Within ACL 5 High, anticipating secondary effects is added. A secondary effect usually happens after and as a result of a primary effect. The secondary effect is coupled with the word anticipation because of the importance of forming an image of what might happen, before it happens. The importance of anticipation is that it is essential to understanding safety precautions. Perhaps the most serious and socially crippling aspect of a cognitive disability is their dependence on other people for their safety and the safety of the community. The phrase of a "danger to self and others" is often misconnected to violence. The common concern is really an inability to follow customary safety precautions.
The mental process that underlies anticipation is as amazing as syntheses. The person needs to create an image of what might happen next. The content of the image must contain sensorimotor information. When asked, past experience does influence what they expect but the past experience may only be related to the present and only partially connected. The image is a creative product of the person's mind.
Discussing what might happen is an equally amazing mental process. What they can do within ACL 5 High is understand the connection between sensorimotor information and words. The use of words is correct as long as there is a perceivable improvement and the material objects are present during the conversation. The discussions are about learning how to improve concrete effects.