Intellectual Disabilities

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A short discussion about Intellectual Disability.

Healthcare

What is intellect and
intellectual abilities?
 Intellect: intelligence,
reasoning, comprehension,
thought etc.
 Intellectual
ability/capacity: It is the
power of rational thought
comprehension,
memorizing, analyzing and
problem solving.

What is intellectual disabilities?
 It is a generalized neuro developmental disorder
characterized by significantly impaired in intellectual and
adaptive functioning. These deficits are found in
conceptual, social, and practical domain.

Intellectual disability is also called mental retardation ( in
DSM-4 checklist). But there is a difference between this two
 Mental retardation : used for wide variety of people of all ages but
 Intellectual disability :used for the children before age of 18.

Assumption from DSM 5
Deficits in intellectual function include
 Reasoning
 Problem solving
 Academic learning
 Learning from experience
These problem have to confirmed by both clinical assessment and individual standardized
intelligence test.
Deficits in adaptive functioning
 Failure to meet development and sociocultural need for personal independence social
responsibility
 Adaptive deficit limit functioning in one or more activity of daily life include
-communication
- social participation
- independent living( home, school, work and community)

IQ( intelligence quotient) And Intellectual
disability
 IQ below 70 people are assumed mental retarded.
 Based on IQ mental retarded people categorized into
mild, moderate, severe and profound. But there are some
complications. Sometimes people having IQ below 70
quite able for performing their daily adaptive functioning.
So only IQ can't determine about Id. Some adaptive
behavior scale is used (AAMR).

Causes
1. Chromosomal causes:
 Trisomy 21( 3 free-floating 21st chromosome) causes down syndrome
 Fragile X syndrome: Genetic abnormality in X chromosome
2. Metabolic Causes:(Pair of 2 defective recessive Gene)
 PKU (deficit in brain development)
 Tay sacs( disability in vision, motor functioning)
3. Parental and birth related:
 Cretinism(abnormality in thyroid gland)
 Fetal alcohol syndrome

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Running head: INTELLECTUAL DISABILITIES 1 Intellectual Disabilities 6 Intellectual Disabilities Introduction Intellectual disability in lay man terms would be the disability to perform intelligent functioning of the human brain. The performance of everyday social and practical skills requires intellectual functioning and adaptive behaviour which are in-built abilities in most normal human beings. The ones who possess intellectual disability are often limited by their intellectual functioning and adaptive behaviour skills. This disability is generally spotted in individuals before they reach the age of 18 (Intellectual Disability (n.d.)). Now we read more into the two parts of intellectual disability: intellectual functioning and adaptive behaviour. · Intellectual functioning: In lay man terms, intellectual functioning is more commonly known as intelligence which largely helps in learning, reasoning, problem solving, mental capacity, etc. This is also known as IQ or the intelligence quotient and generally a score of 70 or 75 indicates a limitation in intellectual functioning. Basically, intellectual functioning part helps an individual to learn something, reason, make decisions and solve problems. · Adaptive behaviour – These skills are required to deal with day-to-day life and the activities that we engage in every day. This involves communicating with other individuals, analysing the behaviour of others and respond accordingly. The limitations of adaptive behaviour can also be screened by standardized tests which comprises three basic skill types: · Conceptual skills – this involves language, education, money, time and number concepts along with self direction · Social skills – this involves interpersonal skills, social responsibility, self-esteem, gullibility, social problem solving, the ability to follow rules and to avoid being victimized · Practical skills – this involves the daily activities, occupational skills, healthcare, travel, routines, usage of money and telephone usage Hence in order to determine the intellectual disability of an individual, the above mentioned characteristics need to be kept in mind (Definition of Intellectual Disability, ( n.d.)). Symptoms and causes of intellectual disability There are various symptoms of intellectual disability that could go unnoticed for years till it becomes very evident. Sometimes it is noticeable during infancy and sometimes may remain dormant until the child reaches school going age and then the degree of disability starts to deteriorate and then show major symptoms. “The symptoms are as follows: · Rolling over, sitting up, crawling or walking late · Talking late or having trouble with talking · Slow to master things like potty training, dressing, and feeding himself or herself · Difficulty remembering things · Inability to connect actions with consequences · Behaviour problems such as explosive tantrums · Difficulty with proble.

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