Chapter 5- Intellectual Disability Flashcards

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1
Q

how were children and adults with intellectual disabilities treated prior to mid-19th century

A

ignored or feared even by the medical profession

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2
Q

what institution was open in the mid-19th century

A

Samuel G. Howe opened the first humanitarian institution in North America

Became Perkins School for the Blind

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3
Q

by the 1940’s parents ____

A

increased humane care for their children

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4
Q

what is an Intellectual disability

A

a significant limitation in intellectual functioning and adaptive behavior which begins before age 18

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5
Q

Alfred Binet and Theodore Simon (1900s) commissioned by ____

A

the French government to identify schoolchildren who might need special help in school

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6
Q

Alfred Binet and Theodore Simon developed the

A

first intelligence tests

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7
Q

the first intelligence tests measured ___ and were published ____

A

Measure judgment and reasoning of school children (Stanford-Binet scale)

Published in 1916 by Lewis Terman

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8
Q

General intellectual functioning is now defined by an

A

intelligence quotient (IQ or equivalent)

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9
Q

Intellectual Disability is no longer defined on the basis of

A

IQ alone

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10
Q

adaptive functioning is

A

how effectively individuals cope with ordinary life demands and how capable they are of living independently

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11
Q

IQ is relatively stable over time except ____

A

when measured in young, normally-developing infants

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12
Q

mental ability is always modified by ____

A

experience

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13
Q

what is the Flynn Effect

A

the phenomenon that IQ scores have risen about three points per decade

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14
Q

DSM-5 diagnostic criteria of intellectual disabilities -3

A

1) Deficits in intellectual functioning

2) Concurrent deficits or impairments in adaptive functioning

3) Below-average intellectual and adaptive abilities must be evident prior to age 18

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15
Q

Severity Level: Mild has about ___% of persons with ID

A

85

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16
Q

Mild severity level is not typically identified until ____

A

early elementary years

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17
Q

Mild severity level has an overrepresentation of

A

minority group members

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18
Q

what are the 2 goals of treatment for mild severity level

A

1) Develop social and communication skills

2) Live successfully in the community as adults with appropriate supports

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19
Q

Severity level Moderate is about ___% of people with ID

A

10

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20
Q

Severity level Moderate is usually identified during ____ and applies to many people with ___

A

preschool years

Down syndrome

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21
Q

severity level moderate can benefit from ___ and can perform ___

A

vocational training

supervised unskilled or semiskilled work in adulthood

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22
Q

severity level severe is about ___% of people with ID

A

3-4%

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23
Q

severity level severe is often associated with ____

A

organic causes

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24
Q

severity level severe is usually identified at ____

A

a very young age

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25
Q

delays in ___ and ___ occur in severity level severe

A

developmental milestones and visible physical features are seen

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26
Q

severity level severe can live in ___ and need ____

A

group homes or with their families

special assistance throughout their lives

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27
Q

severity level profound makes up about ___% of people with ID

A

1-2%

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28
Q

severity level profound is identified ____

A

in infancy due to marked delays in development and biological anomalies

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29
Q

severity level profound learn only the ____

A

rudimentary communication skills

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30
Q

severity level profound require intensive training for -4

A

Eating, grooming, toileting, and dressing behaviors

require lifelong care and assistance

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31
Q

ID prevalence is approximately ___% of total population

A

1-3%

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32
Q

there are twice as many ___ as ____ mong those with mild cases

A

males as females

33
Q

ID is more prevalent among children of ____ and children form ____

A

lower SES, minority groups

34
Q

what is the developmental vs. difference controversy

A

Do all children (ID or not) progress through the same developmental milestones in a similar sequence, but at different rates?

35
Q

what are the 2 views of the developmental position

A

Similar sequence hypothesis

Similar structure hypothesis

36
Q

what is the Similar structure hypothesis

A

when ID child are matched with NT child on mental age, then cognitive processes and performance similar

37
Q

what is the Similar sequence hypothesis

A

propose same order, only different rate and upper limit

38
Q

many children with mild ID are often susceptible to feelings of ___ and ___ in their ___ environments

A

helplessness

frustration

learning

39
Q

___ scores can fluctuate in relation to the level of ___

A

IQ

impairment

40
Q

what is the “slowing and stability hypothesis”

A

IQ of children with Down syndrome may plateau during middle childhood, then decrease over time

41
Q

characteristics displayed with down syndrome

A

Fewer signals of distress or desire for proximity with primary caregiver - Strange Situation (Ainsworth)

Delayed, but positive, development of self-recognition

Delayed and aberrant functioning in internal state language – i.e. I am happy or I am mad

Deficits in social skills and social-cognitive ability; can lead to rejection by peers

42
Q

the rate of emotional and behavioral problems are ___ times greater for people with down syndrome than in typially developing children

A

3 to 7

43
Q

emotional and behaviour problems are greater with people with DS because of

A

limited communication skills, additional stressors, and neurological deficits

44
Q

most common psychiatric diagnoses for DS

A

Impulse control disorders, anxiety disorders, and mood disorders

45
Q

Self injurious behavior affects about

A

8% of persons across all ages and levels of ID

46
Q

Prevalence of chronic health conditions in ID population is much ___ than in the general population

A

higher

47
Q

Life expectancy for individuals with Down syndrome is now approaching ___ years

A

60

48
Q

Cognitive decline typical after ___ for people with DS

A

40

49
Q

Congenital Anomalies –
Prenatal: -2
Perinatal: -2

A

Prenatal: genetic disorders and accidents in the womb

Perinatal: prematurity and anoxia

50
Q

Occurring After Birth -
Postnatal: -2

A

meningitis and head trauma

51
Q

what is the 2-group approach

A

organic group and cultural-familial group

52
Q

organic group

A

there is a clear biological basis

Associated with severe and profound ID

53
Q

cultural-familial group

A

there is no clear organic basis

Associated with mild ID

54
Q

4 major categories of risk factors

A

Biomedical – Genetic and other congenital
Social – lower SES
Behavioral – abuse and neglect
Educational – Parental and child

55
Q

genetic influences are potentially modifiable by the ___

A

environment

56
Q

what is a genotype

A

a collection of genes that pertain to intelligence

57
Q

what is a phenotype

A

the expression of the genotype in the environment (gene-environment interaction)

58
Q

_____ describes the proportion of the variation of a trait attributable to genetic influences in the population
Ranges from ____
The heritability of intelligence is about ___%

A

Heritability
Ranges from 0% to 100%
The heritability of intelligence is about 50%

59
Q

how does Down syndrome happen

A

usually the result of failure of the 21st pair of the mother’s chromosomes to separate during meiosis ► causes an additional chromosome

Aka Trisomy 21

60
Q

____ syndrome is the most common cause of inherited ID

A

Fragile-X

61
Q

Prader-Willi and Angelman syndromes are both associated with _____

A

abnormality of chromosome 15

62
Q

inborn errors of metabolism are caused by

A

Single-gene conditions

Excesses or shortages of certain chemicals which are necessary during developmental stages

63
Q

Phenylketonuria (PKU) results in lack of

A

liver enzymes necessary to metabolize phenylalanine
Heel prick at birth
Can be treated successfully

64
Q

examples of Adverse biological conditions

A

infections, traumas, and accidental poisonings during infancy and childhood

65
Q

Fetal Alcohol Spectrum Disorder (FASD)

A

Estimated to occur in one-half to two per 1000 live births

66
Q

____ increase risk of ID

A

teratogens

example: mercury in fish or drinking water

67
Q

___ and ___ dimensions are the least understood and most diverse factors causing ID

A

social and psychological

68
Q

____ influences and other mental disorders account for ___% of ID

A

environmental

15-20%

69
Q

Child’s overall adjustment is a function of: -6

A

Parental participation, family resources, social supports, level of intellectual functioning, basic temperament, and other specific deficits

70
Q

Treatment involves a

Considers childrens

A

multi-component, integrated strategy

needs within the context of their individual development, their family and institutional setting, and their community

71
Q

Psychosocial Treatments for ID

A

Early intervention

72
Q

Early intervention is one of the

A

most promising methods for enhancing the intellectual and social skills of young children with developmental disabilities

73
Q

____ project provides enriched environments from early infancy through preschool years

A

Carolina Abecedarian Project

74
Q

optimal timing for intervention is during ____ years

A

preschool

75
Q

behavioral approaches were initially seen as a

A

means to control or redirect negative behaviors

76
Q

Association for Behavior Analysis (ABA) Task Force advocates that:

A

Each individual has the right to the least restrictive effective treatment and the right to treatment that results in safe and meaningful behavior change

77
Q

Cognitive-Behavioral Therapy-3

A

Self-instructional training and metacognitive training

Verbal instructional techniques

Teaching the child to be strategical and metastrategical

78
Q

Family-Oriented Strategies Help families cope with

A

the demands of raising a child with ID

79
Q

the ___ movement integrates individuals with disabilities into regular classroom settings

Curriculum is adapted to individual needs

A

inclusion