DIFFERENT CATEGORIES OF LEARNERS WITH DISABILITIES, GIFTEDNESS AND TALENT LEONARD VINCENT REGALADO BSE-II CATEGORY 01 LEARNERS WITH INTELLECTUAL DISABILITY Definition Intellectual Disability is a condition diagnosed before age 18 that includes below-average intellectual function and a lack of skills necessary for daily living. In the past, the term mental retardation was used to describe this condition. Intellectual Disability is a condition diagnosed before age 18 that includes below-average intellectual function and a lack of skills necessary for daily living. In the past, the term mental retardation was used to describe this condition. Causes • Genetic Factors – those resulting from some damage to genetic material such as chromosomal abnormalities those due to hereditary transmission. • Brain Damage – infections and environmental hazards. • Cultural-Familial Factors – due to an unstimulating environment . Symptoms • Lack of or slow development of motor skills, language skills, and self-help skills, especially when compared to peers • Failure to grow intellectually or continued infant-like behavior • Lack of curiosity • Problems keeping up in school • Failure to adapt (adjust to new situations) • Difficulty understanding and following social rules Classification 1: Definition Cerebral palsy refers to a group of neurological disorders that appear in infancy or early childhood and permanently affect body movement and muscle coordination. The term cerebral refers to the brain; palsy refers to the loss or impairment of motor function. Causes Cerebral palsy (CP) is caused by damage to or abnormalities inside the developing brain that disrupt the brain’s ability to control movement and maintain posture and balance. Cerebral palsy affects the motor area of the brain’s outer layer (called the cerebral cortex), the part of the brain that directs muscle movement. In some cases, the cerebral motor cortex hasn’t developed normally during fetal growth. In others, the damage is a result of injury to the brain either before, during, or after birth. In either case, the damage is not repairable and the disabilities that result are permanent. Symptoms • lack of muscle coordination when performing voluntary movements (ataxia); • stiff or tight muscles and exaggerated reflexes (spasticity); • weakness in one or more arm or leg; • walking on the toes, a crouched gait, or a “scissored” gait; • variations in muscle tone, either too stiff or too floppy; • excessive drooling or difficulties swallowing or speaking; • shaking (tremor) or random involuntary movements; • delays in reaching motor skill milestones; and • difficulty with precise movements such as writing or buttoning a shirt Classification 2: Definition Down syndrome is a genetic condition in which a person has 47 chromosomes instead of the usual 46. Causes In most cases, down syndrome occurs when there is an extra copy of chromosome 21. This form of Down syndrome is called trisomy 21. The extra chromosome causes problems with the way the body and brain develop. Down syndrome is one of the most common causes of birth defects. Symptoms (Physical Signs) • • • • • • • • • • Decreased muscle tone at birth Excess skin at the nape of the neck Flattened nose Separated joints between the bones of the skull (sutures) Single crease in the palm of the hand Small ears Small mouth Upward slanting eyes Wide, short hands with short fingers White spots on the colored part of the eye (Brushfield spots) Symptoms (Delayed Mental and Social Development) • Impulsive behavior • Poor judgment • Short attention span Slow learning Symptoms (Medical Conditions) • Birth defects involving the heart, such as an atrial septal defector ventricular septal defect • Dementia may be seen • Eye problems, such as cataracts (most children with Down syndrome need glasses) • Early and massive vomiting, which may be a sign of a gastrointestinal blockage, such • as esophageal atresia and duodenal atresia • Hearing problems, probably caused by repeated ear infections • Hip problems and risk of dislocation • Long-term (chronic) constipation problems • Sleep apnea (because the mouth, throat, and airway are narrowed in children with Down syndrome) • Teeth that appear later than normal and in a location that may cause problems with chewing • Underactive thyroid (hypothyroidism) Classification 3: Definition Autism Spectral Disorder is a pervasive developmental disability affecting verbal and non-verbal communication social interaction and intellectual and educational performance initially evident between ages 2 and 3 and confirmable at 3 to 4. Causes • It is a brain disorder present from the birth which affects the way the brain uses information but the cause of autism is still unknown • Some researchers suggest a physiological problem affecting those parts in the brain that process language and information coming in from the senses- prenatal and/or postnatal infections, chromosomal disorders, CNS dysfunction, seizures, vaccines, brain injury • There may be some imbalance of certain chemicals in the brain • Genetic factors may sometimes be involved. In many families there appears to be a pattern of autism or related disorders which suggest a genes-based cause, however, at this time NO GENE has been directly linked to autism. • Autism may also result from a combination of several causes. Indicators of Autism • Physical Health ⚬ generally healthy ⚬ generally good looking ⚬ a peaky-eater, tends to smell food/objects and put things in the mouth ⚬ exhibits disturbed sleeping patterns ⚬ does not seek attention when hurt; has high pain threshold; unable to locate pain. Indicators of Autism • Gross Motor ⚬ ⚬ ⚬ ⚬ walks in tiptoe especially during early years hyperactive, disinhibited fast and strong and does not tire easily well balanced, generally coordinated but lacks impulse control ⚬ exhibits repetitive movements; body rocking, hand wiggling, whirling, “ritual” of walking to end from etc. ⚬ either echopraxic or non-imitative of gestures Indicators of Autism • Fine Motor ⚬ may either have good or poor perceptual-motor skills depending on level of attention span ⚬ absorbed by some objects with tendency to get attracted to spin round/whirling objects ⚬ self-stimulates by touching surfaces/edges, arranging/aligning objects precisely/repetitively Indicators of Autism • Psychosocial ⚬ exhibits limited/fleeting eye contact ⚬ aloof, passive; prefers solitary activities to group activities ⚬ manifests inappropriate emotional responses ⚬ demonstrates unusual fears ⚬ socially immature and handicapped ⚬ maladaptive to changes in food, clothes, routine, routes or arrangements or things ⚬ tends to self-injurious Indicators of Autism • Self-help ⚬ delayed in performing eating, dressing and grooming tasks ⚬ unable to assume age-appropriate responsibilities ⚬ lags behind in discriminating and avoiding dangers Indicators of Autism • LanguageCognitive/Intellectual/Achievement ⚬ ⚬ ⚬ ⚬ ⚬ ⚬ ⚬ ⚬ shows deficit in the use of language under-reacts to language and visuals under-reacts or overreacts to sounds demonstrates role learning exhibits pronouns reversals echolalic exhibits inappropriate recall of experience delayed in language-conceptual abilities-reasoning, inferential thinking, problem solving, deductive and inductive thinking, etc. ⚬ is delayed in overall intellectual response CATEGORY 02 LEARNERS WITH LEARNING DISABILITY Definition A learning disability refers to retardation, disorder or delayed development in one or more of the processes of speech, language, reading, writing, arithmetic or other school subject resulting from a psychological handicap caused by possible cerebral dysfunction and/or emotional or behavioral disturbances. Causes • Environmental/Ecological Model – poor learning environment, inappropriate school instruction, lack of motivation, ingestion of load, drug abuse, school suspension. • Brain Damage Model – sustained brain damage, impairment of the CNS, minimal brain dysfunction, complications surrounding pregnancy and birth, maternal illness. • Organic and Biological Model – chemicals found in specific food colorings or flavorings, vitamin deficiencies, imbalances in neurotransmitters, malnutrition, allergies to natural chemicals found in food; developmental or maturational lag – the child is cognitively unprepared for certain academic task as certain times. • Genetic Model – inherited genetic influence General Characteristics • Intelligence – average or near average intelligence • Perception & Motor Skills ⚬ shows deficit in the use of language ⚬ under-reacts to language and visuals ⚬ under-reacts or overreacts to sounds ⚬ demonstrates role learning ⚬ exhibits pronouns reversals ⚬ echolalic ⚬ exhibits inappropriate recall of experience ⚬ delayed in language-conceptual abilities-reasoning, inferential thinking, problem solving, deductive and inductive thinking, etc. ⚬ is delayed in overall intellectual response General Characteristics • Metacognition skills ⚬ Consists of an awareness of the skills, strategies and resources needed to ⚬ perform a task effectively. ⚬ It requires the ability to use self-regulatory mechanisms such as planning movements, evaluating effectiveness of ongoing strategies, checking the outcomes of efforts and mediating difficulties. ⚬ It ensures the successful completion of tasks. General Characteristics • Behavior & Affective Characteristics ⚬ May be hyperactive (with excessive body activity) or hypoactive (lethargic) ⚬ Easily distracted, have short attention spans, show memory deficits, act impulsively, overreact with intense or surprising emotion. ⚬ Have serious difficulties in social adjustment ⚬ Unable to predict the consequences of their behavior and lack social comprehension skills ⚬ Provoke negative reactions from others ⚬ Inability to interact effectively with others frequently results in low self-esteem. General Characteristics • Academic Learning ⚬ Lag behind in reading achievement, comprehension, fluency and spelling ⚬ Experience number, letter, word and sound reversals ⚬ Poor handwriting, spelling, sentence structure and composition skills ⚬ Poor math performance General Characteristics • Communication ⚬ Difficult time learning to articulate the sounds of language ⚬ Repeat sounds, stumble words and have halting speech delivery ⚬ Have difficulty grasping the pragmatic or social aspects of language – taking turns, sharing information needed for meaningful conversation ⚬ Problems in language comprehension, processing and formulation (expression) • Memory and Thinking ⚬ Difficulty memorizing words and remembering the sounds that constitute words Classification 1: Dyslexia Definition A symbolic language disorder where there is poor ability to learn, to interpret and retain symbols needed for reading in the absence of major mental ability defect or perceptual aberration and where the child has been exposed to an organized attempt to teach him to read over a minimum period of year. Types • Visual – refers to the individual’s inability to process visual stimuli accurately. • Auditory – refers to the individual’s inability to prove auditory stimuli accurately. • Visio-Auditory – a combination of both visual and auditory dyslexia. Signs and Symptoms • Reading ability does not commensurate with mental age. • Poor ability to relate letter and letter sounds and spelling – lack of awareness of phonemes that make up words. • Problems with understanding what is read. • Difficulty with spelling correctly. • Visual hyperactivity. • Right-left discrimination problems. • Visual-motor connection problems. • Difficulties in sequencing. • Spontaneous and creative writing is poor. • General language deficit. • Audio-visual/visual-auditory integration impaired. Classification 2: Definition • A difficulty in automatically remembering and mastering sequence of muscle motor movements needed in writing letters and numbers. • It is neurologically based and exists in varying degrees ranging from mild to moderate. • It can involve difficulties Signs and Symptoms • Cramped fingers on a writing tool; awkward pencil grip • Bad or illegible handwriting • Problems involving the steps of putting together a written document. • Avoidance of tasks that involve writing • Inconsistence in the way letters and words look – mix of upper and lower case letters; mix of print and cursive letters; inconsistent letter formations and slant; irregular letters and shapes. • Difficulty in writing within the margins or line spacing and inconsisten spacing. • Decreased speed in writing • Inattentiveness about details when writing. Classification 3: Definition • A learning disability wherein a child has difficulty in performing math calculations and math difficulty. Signs and Symptoms • Poor mental math ability, often with difficulty in common use of money, making change. • Difficulty in math processes (ex. addition, subtraction, multiplication and division) and concepts (ex. sequencing of numbers) • Poor sense of direction; easily disoriented • Difficulty with abstract concepts of time and direction, schedules, sequence of past and future events. • May have difficulty learning musical concepts • Math phobia • Interchanging numbers CATEGORY 03 LEARNERS WITH VISUAL AND HEARING IMPAIRMENTS, SPEECH COMMUNICATION DISORDERS AND PHYSICAL DISABILITIES AND/OR MULTIPLE HANDICAPS Introduction There are students who have health impairments and acute health problems caused by asthma, heart diseases, rheumatic fever, and other diseases. Certain cases of health impairments affect the child’s strength and vitality and may require hospitalization and long absences from school. Classification 1: Definition Visual impairment is the consequence of a functional less of vision. A visually handicapped child is one where visual impairment interferes with his/her optimal learning and achievement unless adaptations are made in the methods of presenting learning experiences, the nature of the materials used and/or in the learning environment (Barriga, 1983). Causes • • • • • • Eye injuries Neoplasms (Tumors) Malnutrition (Vitamin A Deficiency) Substance Abuse Systemic Diseases (Diabetes) Infectious Diseases (Measles, Trachoma, AIDS, Gonorrhoea) • Poisoning and excess oxygen Indicators of Visual Impairment in Children BEHAVIOR • Rubs eyes excessively • Shuts or covers one eye, tilts head or thrusts head forward • Has difficulty in reading or in other work requiring close use of the eyes • Blink more than usual or is irritable when doing close work • Holds books close to eyes • Unable to see distant thongs clean • Squints eyelids together or frowns Indicators of Visual Impairment in Children APPEARANCE • Crossed eyes • Red-rimmed, encrusted or swollen eyelids • Inflamed watery Eyes • Recurring sties Indicators of Visual Impairment in Children • • • • Eye-itch, burn or feel scratchy Cannot see well Dizziness Headaches following close eye work • Nausea • Blurred or double vision COMPLAINTS Indicators of Visual Impairment in Children NINE WARNING SIGNS Does the child exhibits: • Clumsiness and trouble walking in unfamiliar settings? • Holding the head in an awkward position or holding material • close to the eyes to see it? • Lack attention to written information on blackboards or other visual presentations? • A constant need for explanation of what is happening at events? • Extreme sensitivity to glare, or loss of vision in different types of light? • Extreme squinting? • Excessive eye rubbing? • Poking the eyes with fingers or knuckles? • Physical anomalies such as swollen eyes or strabismus? Characteristics of Visual Impaired Children Academic Skills • Does not usually seriously affect intellectual functioning • Intelligence is notably affected by cumulative experiences Sensory Compensations and Adjustment • If one sense of deficient, other senses are strengthened or enhanced in part for greater use Characteristics of Visual Impaired Children Language • Usually do not interfere with everyday language usage or communication abilities • Slower than sighted children in forming hypothesisabout word meaning • Restricted experiences lead to lack of linguistic experiences that are only related to their lack of interaction with the environment • May indulge in verbalism – a tendency to use words which they have no first-hand knowledge Characteristics of Visual Impaired Children Personal and Social Adjustments • Restricted mobility and consequent limited experiences of visually impaired children appear to cause, in some children, a state of passivity and dependency • Some may become socially immature, self-conscious, isolated, passive, withdrawn and dependent • Appropriate smiling and facial expression are difficult for people with visual impairments • Presence of stereotypical behaviour - body rocking, eye rubbing and inappropriate hand and finger movements are all distracting to peers and interfere with attempts at social interactions. Classification 2: Definition Hearing Impairment is a genetic term indicating hearing disability which may range in severity from mild to profound; it includes as the subsets of deaf and hard hearing. Causes Conductive Hearing Impairment • Otitis Media (Middle ear Fluid) • Otitis edema • Congenital malformation of the outerand middle era • Genetic Syndromes • Impacted Cerumen (wax) • Blockage of the external auditory meatus by a foreign object • Cleft Palate • Traumatic Head injury Symptoms • Tilting the head at an angle in order to receive a better sound • Listless or inattentive behavior • Failure to respond when questioned • Defective articulation, particularly when sounding of word is important • Peculiar voice quality, often high-pitched and flattish in nature • Tendency to avoid association with other people • Tendency to run words together • Poor Oral reading ability • Discrepancy between academic performance and IQ scores • Louder speech than would be indicated by the situation • Tendency to watch the face of speaker with considerably greater attention Classification 3: Definition • A speech disorder is characterized by any impairment of vocal production (voice), speech, sound production (articulation), fluency (stuttering and related disorders) or a combination of these impairments. • Communication disorders include both language disorders (understanding and formulating language) and speech disorders (producing language) Causes • clefts of the palate, • cerebral palsy, • traumatic brain injury Characteristics • ARTICULATION DISORDERS – difficulty in producing speech sounds of their language. • VOICE DISORDER – are characterized by abnormalities of pitch, loudness, and quality of vocal production. • FLUENCY DISORDER – is the smooth flow of speech that most speakers experience when talking. Classification 4: Definition Physical Disability is a condition that interferes with the child’s ability to use his/her body. A person is handicapped if he/she has a mental or physical impairment that substantially limits participation in one or more life activities. Causes • Mainly Plegia (Quadriple gia, Paraplegia, Hemiplegia, Diplegia, Monoplegia, Triplegia, and Double Hemiplegia) Classifications • Orthopedic Impairmentinvolves the skeletal system. • Neurological Impairmentinvolves the nervous system affecting the ability to move Characteristics • Learn much more slowly than any other group of children • Have of both obvious and and not-so-obvious disabilities which require special additions or adaptation in their education. • Exhibit extreme deficits in intellectual functioning and may also need special services • A tendency toward self-inquiry or abuse • Long term medical needs CATEGORY 04 LEARNERS WHO ARE GIFTED AND TALENTED Definition Children capable of high performance include those with demonstrated achievement and/or potential abilities. Those who have an exceptional level of IQ are considered gifted Cases Genetic factors (mainly inheritance), Environmental factors (mainly an assistive and engaging environment) Characteristics • Cognitive domain -extraordinary quantity of information. ⚬ Advance comprehension ⚬ Unusually varied interests and curiosity ⚬ High level of verbal, visual and spatial ability • Affective domain- advanced level of moral judgement • • Unusual sensitivity to the expectations and feeling for others • Physical domain- Unusual discrepancy between physical and intellectual development • Intuitive domain- early involvement and concern for intuitive knowing psychic and metaphysical ideas and phenomena • Social domain- advance cognitive and affective capacity for conceptualizing and solving societal problems CATEGORY 05 LEARNERS WITH SOCIO- EMOTIONAL DISORDER Definition Social/Emotional disabilities in students can present some of the most difficult challenges to teachers. Emotional disabilities may manifest themselves in behavior ranging from indifference to disruptiveness. Such conduct may make it difficult to remember that students with emotional and social impairments have little control over their disabilities. Classification 1: Definition Definitions are varied, however accepted characteristics are as follows; exist to a marked extent and are notably serious; are chronic or exist a long period of time; high rate or frequency of exhibited behavior; an intense, dramatic, or overwhelming behavioral response.Genetic factors (mainly inheritance), Environmental factors (mainly an assistive and engaging environment) Causes Biological Influence (Pre-natal and post-natal influence), Environmental Influence ( Cultural, Home, Schools and Peers influence) Characteristics • • • • • • • • • • Avoidance of contact with others Ritualistic behavior Chronic disobedience Covert and overt hostility Temper Tantrums Emotional isolation Poor attention Exaggerated or bizarre mannerisms Hyperactivity Inconsistency in academic performance Classification 2: Definition A neurologically-based developmental disability which revolves around in attentiveness, impulsivity, and hyperactivity. AD/HD is characterized by forgetfulness, poor impulse control or impulsivity, and distractibility. Causes AD/HD does not have an exact causes, however there are researches that shown reasons this includes; Hereditary, Brain Physiology, Neurobiological and Environmental Factors. Characteristics • Inattention- focus, select, sustain and resist shift • - difficulty in concentrating a tasks • Hyperactivity- often "on the go" or acts as if "driven by a motor" - often runs or climb, and talks excessively • Impulsivity- cognitive impulsivity