412 IDD Flashcards

1
Q

IQ tests history

A
  • first developed by Simon and Binet to identify kids who might need help in school
  • because of eugenics, IQ testing was rooted in racist beliefs and used to identify people they thought shouldn’t be having children
  • IQ testing was based on cultural knowledge and test-taking skills so Black, Indigenous, poor people weren’t performing as well and institutionalized/sterilized
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2
Q

cognitive abilities vs. intelligence

A
  • cognitive abilities: specific mental processes
  • intelligence: general quantity related to applying learned skills and knowledge in a variety of situations
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3
Q

psychometric approach to intelligence

A
  • first standardized tests of intelligence
  • crystallized (acquired through schooling and experiences) and fluid (using your mind to solve novel problems, manipulating information)
  • crystallized increases throughout lifetime
  • fluid peaks in young adulthood, then declines as you keep aging
  • uses mental age (the level of age-graded problems that you can solve)
  • Stanford-Binet scales
  • Wechsler scales: WPPSI (preschool), WISC-V (6-18), WAIS-IV
  • score is based on how well you do relative to standardized norms for your age
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4
Q

hierarchal view of intelligence

A
  • g: general intelligence (a latent value)
  • broad abilities (like fluid and crystallized) make up g
  • specific abilities assessed by specific tasks trying to tap into your broad abilities which allows us to hypothesize about your level of g
  • g = broad ability = score on tasks of specific abilities
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5
Q

WISC-V

A
  • FSIQ made up of 5 domains
  • verbal comprehension: similarities & vocabulary
  • visual spatial: block design & visual puzzles
  • fluid reasoning: matrix reasoning & figure weights
  • working memory: digit span & picture span
  • processing speed: coding & symbol search
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6
Q

IQ stability in childhood

A
  • starting around age 4, strong relationship with later IQ scores
  • but many children still show ups and downs throughout childhood (influenced by motivation, testing procedures)
  • IQ in infants is unrelated to later scores, EXCEPT for kids with moderate-severe ID
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6
Q

IQ normal distribution

A
  • mean of 100, SD of 15
  • 95% of scores are within 2 SDs
  • 70 was IDD cutoff in DSM-IV (not in DSM-5)
  • 130 is giftedness cutoff
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7
Q

racial ethnic intelligence disparities

A
  • not due to genetic differences between groups because race isn’t genetic
  • environmental differences: access to resources, adequate schooling, family income (low-SES; when you control for this, the gap shrinks)
  • stereotype threat
  • not only due to verbal tests: nonverbal items could also have cultural elements that interfere with one’s ability to do the task
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8
Q

stereotype threat

A
  • things people know about stereotypes about their groups affects performance
  • stress about the stereotypes (confirming) interferes, can be unconscious
  • also because people tend to think of their intelligence as innate and fixed
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9
Q

general ability index

A
  • similar to FSIQ but without processing speed (which itself is very reliant on working memory)
  • for people who still have the cognitive abilities to do the tasks, but work more slowly
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10
Q

Gardner’s theory of multiple intelligences

A
  • 8 different dimensions of intelligence that don’t ‘add up’ to general intelligence like in the hierarchal view
  • linguistic, bodily-kinesthetic, inter/intrapersonal, visual-spatial, existential, naturalistic, musical, logical-mathematical
  • savant syndrome would be having very high intelligence in one type, and average in others
  • inspired ‘visual’ or ‘auditory’ learners
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11
Q

Sternberg’s triarchic theory

A
  • practical (adapting, selecting, shaping environments), creative (dealing with novel problems, automatization), analytic (thinking critically, planning)
  • three components working effectively together = successful intelligence = adapt, achieve reasonable goals, optimize strengths and weaknesses
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12
Q

Flynn effect

A
  • IQ estimate may be too high or too low depending when you take the test in relation to when it was normed (3pt increase per decade)
  • contributes to DSM-5 decision to remove IQ score cutoff (removing access to services)
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13
Q

mild IDD severity

A
  • 85% of people with IDD
  • not identified until early elementary (we don’t see conceptual difficulties in preschool but language and social immaturity emerge in elementary)
  • kids from lower SES more likely to have mild IDD
  • as adults, will need support for complex independent tasks
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14
Q

moderate IDD

A
  • 10% of kids with IDD
  • identified during preschool
  • more pronounced conceptual difficulties (expressive/receptive language, reading and writing)
  • modal level of severity in people with Down syndrome
  • as adults will function at elementary school level
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15
Q

severe IDD

A
  • 3-4% of kids with IDD
  • clear organic cause
  • identified at young ages
  • limited speech (which affect social domain)
  • need lots of supervision and support for everyday activities
16
Q

profound IDD

A
  • 1-2% of people with IDD
  • identified in infancy
  • clear organic cause + co-occurring medical conditions
  • limited conceptual skills, language, nonverbal gestures
  • dependent on others for almost everything
  • still find pleasure in interaction
17
Q

IDD prevalence

A
  • 1-3%
  • more prevalent in lower SES (only for mild severity) and in males (again, only for mild)
  • as we increase in severity spectrum, organic causes spread evenly in all SES groups and genders
18
Q

IDD heritability and environment

A
  • heritability of intelligence is about 50% which means a large proportion can be worked on to enrich the environment and develop IQ
  • genetic influences are partially modifiable by the environment
  • phenotype can be affected by gene-environment interaction
  • heritability estimates decrease when SES is low (more environmental variability)
19
Q

organic causes of IDD

A
  • chromosome abnormalities, single gene conditions, neurobiological influences
  • tends to be moderate, severe, profound
  • comparable prevalence across SES
20
Q

cultural/familial causes of IDD

A
  • no clear cause
  • family history of IDD, economic deprivation, inadequate childcare, poor nutrition, parental psychopathology
  • tends to be mild
  • higher rates in low SES families
21
Q

chromosomal abnormalities

A
  • most common cause of severe IDD
  • Down syndrome (three copies of chromosome 21, most cases are random events)
  • Prader-Willi and Angelman (deletions of chromosome 15)
  • Fragile-X syndrome (part of the X chromosome is slightly bent, inherited)
22
Q

single-gene conditions

A
  • phenylketonuria (inherited, can be identified at birth and managed with restrictive diet to avoid IDD)
  • cannot metabolize phenylalanine so rising levels are toxic and can impact intellectual development
23
Q

neurobiological injury

A
  • prenatal (fetal alcohol syndrome)
  • perinatal (anoxia)
  • post natal (head injuries)
24
Q

Down syndrome comorbidity with IDD

A
  • 15-20% of people with IDD have Down
  • underlying symbolic abilities are intact (understanding abstract meanings)
  • delay in expressive language (more deficits than in receptive language)
25
Q

Down syndrome characteristics

A
  • fewer distress signals or desire for proximity with caregiver
  • delayed (but positive) self-recognition
  • delayed and abnormal internal state language
  • deficits in ToM = deficits in language and description of internal experiences
  • social skill deficits can lead to peer rejection (but still a desire for proximity)
26
Q

emotional and behavioural problems comorbidity

A
  • rates much higher likely due to communication deficits, additional stressors, neurological deficits
  • impulse control disorders, anxiety and mood disorders most common
  • similar developmental patterns as typical children: internalizing problems more common in adolescence
  • ADHD symptoms are common, Pica (affects 8-10% across ages and levels of IDD), self-injurious behaviour
27
Q

physical and health disabilities comorbidity

A
  • higher prevalence of chronic health conditions
  • life expectancy for people with Down is about 60 yrs (cognitive decline after adolescence can contribute to this)
  • epilepsy, cerebral palsy common
28
Q

prevention of IDD

A
  • prenatal care (reduce neurobiological injury, increase gestation time, plan for uncomplicated delivery)
  • early care and education (safe and stimulating environments: remove lead paint, focus on speech and communication, preschool intervention, enrichment for low SES youth)
29
Q

disparities in early communication in high/low SES

A
  • parents with doctoral degrees speak to their children significantly more than parents who haven’t gone to university, and much more than parents on social assistance
  • leads to a projected word gap of 30 million in the first 3 yrs of life (differences in developing receptive language)
  • educational enrichment is especially important for low SES
30
Q

Carolina Abecederian project

A
  • low-income families with kids randomly assigned to receive a full-time educational intervention or be cared for at home
  • educational enrichment from infancy to preschool (5 yrs)
  • learning games, following the child’s lead and challenging them, focus on language
  • started seeing differences in IQ at 15 months, then dramatic differences at age 2-3
  • differences maintained when kids go to school (IQ, reading and math scores)
  • still see differences at 21 yrs, more people going to college
  • also see long-term benefits for the society (less crime, paying more taxes)
31
Q

behavioural approaches for IDD

A
  • initially a means to control/redirect negative behaviours
  • individuals have a right to a least restrictive effective treatment and one that results in safe and meaningful change
  • essentially reinforcement to teach skills and improve adaptive functioning
32
Q

CBT for IDD

A
  • self-instructional training and metacognitive training
  • verbal instructional techniques
  • teaching the child to be strategical (how to use strategies for effective living) and metastrategical (how to choose strategies for situations)
  • addressing a lack of generalization that is common (teaching something in one domain, but child finds it difficult to translate them to another situation)
33
Q

family-oriented strategies for IDD

A
  • helping cope with the demands of raising a child with IDD
  • some kids may benefit from out-of-home placement
  • generally, inclusion movement supports helping individuals integrate into society (regular classroom settings, teachers must adjust the curriculum)