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Diversity in Clinical and Practice Week 6 Summary

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  • December 10, 2023
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Diversity in Clinical Practice
Week 6 - Lecture Content: Mild Intellectual
Disability (MID)
Slide Notes
Intellectual Disability (DSM-5)
1. Deficits in intellectual functioning

This includes various mental abilities:

Reasoning

Problem Solving

Planning

Academic learning

Experiential learning - the ability to learn through experience, trial and error, and
observation.

→When measured by IQ tests, scores have to be 2 SD below average




Diversity in Clinical Practice 1

, →Typically IQ score <70

2. Deficits or impairment in adaptive functioning

This includes skills needed to live in an independent and responsible manner:

Communication

Social Skills - the ability to understand and comply with social rules, customs, and standards
of public behaviour.

Personal Independence at home in the community - nathing, dressing, feeding, cooking,
cleaning, shopping for groceries, using public transport.

3. These limitations occur during the development period

During childhood or adolescence

Since around 2000: Zigler’s Two Group Approach
→ Organic ID (Intellectual Disability)

With very specific eitology, a specfifc pattern of strong and weake abilitues, specific
development

All SES groups

More boys than girls

IQ score < 70, but mostly < 55

→ Cultural-Familial ID

Lower end of normal distribution

Same development, however slower and lower ceiling

Mostly lower SES

IQ score 55-85

MID
In general MID = IQ score 55-70

However:
In the NL MID is defined as such:




Diversity in Clinical Practice 2

, IQ Score +-55 - +-85

Significant problems with adaptive functioning in at least two domains - such as
communication, self-care, or social skills

Comorbid problems such as problems within the family, learning problems, and
psychosocial and/ or physical problems

→Overall, it is a rather complicated population




Why IQ-Score of > 70 = MID?
Difference with ‘official’ MID is hard to make when:

problems with adaptive skills

comorbidity (ADHD etc.)

→ Then, both groups (50<IQ>70 and 70 <IQ>85) benefit from the same treatment
*3 SD

*2 SD

MID Diagnosis



Diversity in Clinical Practice 3

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