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Mental retardation is a generalized, triarchic disorder, characterized by subaverage cognitive functioning and deficits in two or more adaptive behaviors with onset before the age of 18. Once focused almost entirely on cognition, the definition now includes both a component relating to mental functioning and one relating to the individual’s functional skills in their environment.
The term “mental retardation” is a diagnostic term designed to capture and standardize a group of disconnected categories of mental functioning such as “idiot”, “imbecile”, and “moron” derived from early IQ tests, which acquired pejorative connotations in popular discourse over time. The term “mental retardation” has itself now acquired some pejorative and shameful connotations over the last few decades due to the use of “retarded” as an insult among younger people. This may in turn have contributed to its replacement with expressions such as “mentally challenged” or “intellectual disability”.
The American Association on Mental Retardation continued to use the term mental retardation until 2006.[2] In June 2006 its members voted to change the name of the organization to the “American Association on Intellectual and Developmental Disabilities,” rejecting the options to become the AAID or AADD. Part of the rationale for the double name was that many members worked with people with pervasive developmental disorders, most of whom are not mentally retarded.[3]
In the UK, “mental handicap” had become the common medical term, replacing “mental subnormality” in Scotland and “mental deficiency” in England and Wales, until Stephen Dorrell, Secretary of State for Health for the United Kingdom from 1995-7, changed the NHS’s designation to “learning disability.” The new term is not yet widely understood, and is often taken to refer to problems affecting schoolwork (the American usage): which are known in the UK as “learning difficulties.” British social workers may use “learning difficulty” to refer to both people with MR and those with conditions such as dyslexia.
In England and Wales between 1983 and 2008 the Mental Health Act 1983 defined “mental impairment” and “severe mental impairment” as “a state of arrested or incomplete development of mind which includes significant/severe impairment of intelligence and social functioning and is associated with abnormally aggressive or seriously irresponsible conduct on the part of the person concerned.”[4] As behavior was involved, these were not necessarily permanent conditions: they were defined for the purpose of authorising detention in hospital or guardianship. The term Mental Impairment was removed from the Act in November 2008, but the grounds for detention remained. However, English statute law uses “mental impairment” elsewhere in a less well-defined manner—e.g. to allow exemption from taxes—implying that mental retardation without any behavioural problems is what is meant.
Children with mental retardation may learn to sit up, to crawl, or to walk later than other children, or they may learn to talk later. Both adults and children with mental retardation may also exhibit the following characteristics:
The limitations of cognitive functioning will cause a child with mental retardation to learn and develop more slowly than a typical child. Children may take longer to learn language, develop social skills, and take care of their personal needs such as dressing or eating. Learning will take them longer, require more repetition, and skills may need to be adapted to their learning level. Nevertheless, virtually every child is able to learn, develop and become participating members of the community.
In early childhood mild mental retardation (IQ 60–70) may not be obvious, and may not be identified until children begin school. Even when poor academic performance is recognized, it may take expert assessment to distinguish mild mental retardation from learning disability or emotional/behavioral disorders. As individuals with mild mental retardation reach adulthood, many learn to live independently and maintain gainful employment.
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