Intellectual Developmental Disorder
Intellectual
Developmental Disorder is characterized by significant limitations in both
intellectual functioning and in adaptive behavior, which covers many everyday
conceptual, social and practical skills. The onset of this disorder occurs
during the developmental period. The term “mental retardation” has been
applied to a varied population, including children in institutional wards who
rock back and forth, young people who work in special job programs and men and
women who raise and support their families by working at undemanding jobs.
In
recent years, the term “intellectual disability” has become synonymous
with mental retardation in many clinical settings. As many as 3 of every 100
persons meet the criteria for this diagnosis (Harris, 2010; Brown et al., 2009;
APA, 2000). Around three-fifths of them are male, and the vast majority is
considered mildly retarded.
People
receive a diagnosis of mental retardation when they display general
intellectual functioning that is well below average, in combination with poor
adaptive behavior (APA, 2000). That is, in addition of having a low IQ (a score
of 70 or below), a person with mental retardation will have following
conditions fulfilled.
Deficits in intellectual
functioning include:
Reasoning
Problem solving
Planning
Abstract thinking
Judgment
Academic learning
Experiential learning
Deficits or impairments
in adaptive functioning includes skills:
Communication
Social skills
Personal independence at
home or in community settings.
School or work
functioning.
These limitations occur
during the developmental period.
Specifiers of
Intellectual Disability
There are four specifiers
of intellectual disability. Which are:
Mild
Moderate
Severe
Profound
These are given on the
basis of adaptive functioning not IQ scores.
These specifies are based
on three types of skills.
Conceptual:
ability to understand ideas
Practical: ability
to do things practically
Social: ability
to perceive emotions and understand relationships
Mild Intellectual
Disability: May function age appropriately in personal
care but training is required for complex tasks e.g. grocery shopping,
transportation etc.
Moderate Intellectual
Disability: They can care for personal needs e.g.
eating, dressing but extended period of teaching ad time is required for making
them independent in these areas.
Severe Intellectual
Disability: These individuals need support for all
activities of daily living including meals, dressing and require supervision at
all times.
Profound Intellectual
Disability: These individuals are dependent on others
for all aspects of daily living.
Causes of Intellectual
Disability
·
Biological Abnormalities
About
one-half of all cases of mental retardation are caused by known biological
abnormalities.
Down syndrome
The
most commonly known biological cause of mental retardation was the chromosomal
disorder Down syndrome. The cause of Down syndrome was the presence of an extra
chromosome.
The
incidence of Down syndrome was related to maternal age. In general, children
and adults with Down syndrome function within the moderate to severe range of
mental retardation.
Fragile-X syndrome
Another
chromosomal abnormality, fragile-X syndrome, was the most commonly known genetic
cause of mental retardation. Fragile-X syndrome was indicated by weakening
or breaks on one arm of the X sex chromosomes, and itwas transmitted
genetically. Not all children with the fragile-X abnormality have mental
retardation.
Phenylketonuria
Phenylketonuria
or PKU, was one of these. PKU was caused by abnormally high levels of the amino
acid phenylalanine, usually due to the absence of or an extreme
deficiency in phenylalanine hydroxylase, an enzyme that metabolizes
phenylalanine. Retardation typically progresses from the severe to profound
range. Fortunately, PKU can be detected by blood testing in the first several
days after birth.
·
Infectious Diseases
Mental
retardation can also be caused by various infectious diseases. Damaging
infections may be contracted during pregnancy, at birth, or in infancy to early
childhood.
Rubella (German
measles) was a viral infection that may produce few symptoms in the mother but
can cause severe mental retardation and even death in the developing fetus.
The Human
Immunodeficiency Virus (HIV) can be transmitted from
an infected mother to a developing fetus. The effects on the child are
profound, including mental retardation, visual and language impairments, and
eventual death.
Syphilis was a bacterial disease that was transmitted through sexual contact. Infected mothers can pass the disease to the fetus. If untreated, syphilis produces a number of physical and sensory handicaps in the fetus, including mental retardation. One infectious disease that occurs after birth meningitis can cause mental retardation.
Environmental Toxins
Exposure
to a variety of environmental toxins can also cause mental retardation. Both
legal and illegal drugs pose a risk to the developing fetus. Toxins also
present a potential hazard to intellectual development after birth.
Mercury poisoning:
Exposure
to mercury can be particularly hazardous for pregnant women and small children.
During the first several years of life, a child's brain was still developing
and rapidly absorbing nutrients. Even in low doses, mercury may affect a
child's development, delaying walking and talking, shortening attention span
and causing learning disabilities. Less frequent, high dose prenatal and infant
exposures to mercury can cause mental retardation, cerebral palsy, deafness and
blindness.
·
Pregnancy and birth complications
Pregnancy and birth complications also can cause mental retardation. One major complication
was Rh incompatibility. Another pregnancy and birth complication that can cause intellectual deficits
was premature birth. Other pregnancy and birth complications that can cause mental retardation
include extreme difficulties in delivery, particularly anoxia, or oxygen deprivation; severe malnutrition;
and the seizure disorder epilepsy.
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