UNIT ONE EXCEPTIONALITY AND SPECIAL EDUCATION The study of exceptional learners is the study of differences. The exceptional learner is different in some way from the average. Such a person might have problems or special talents in thinking, seeing, hearing, speaking, socializing or moving, or a combination of special abilities or disabilities. The study of exceptional learners is also the study of similarities. Exceptional individuals are not different from the average in every way. In fact, most exceptional learners are average in more ways than they are not. Until recently, we tended to focus on the differences between exceptional and non-exceptional learners. Today, however, we give more attention to what exceptional and non-exceptional learners have in common – to similarities in their characteristics, needs and ways of learning. In most cases we are unable to identify the exact reason why a person is exceptional, but there are reasons for optimism. Progress is being made in determining the causes of some disabilities (for example of Down syndrome or retinopathy). Scientific advances raise the possibility of medications or gene therapies to prevent or correct many disabilities. Surgery to correct some defects can now sometimes be done on a fetus before birth (in utero), completely avoiding some conditions, such as hydrocephalus. Educational methodology has also improved. A lot is known nowadays about how exceptional learners can be taught and managed effectively in the classroom. Many people with disabilities have abilities that go unrecognized because their disabilities become the focus of concern. We must study the disabilities of exceptional children if we are to learn how to help them make maximum use of their abilities in school. However, we must never forget that the most important characteristics of exceptional learners are their abilities, not their disabilities. There is an important distinction between disability and handicap. A disability is an inability to do something. A handicap, however, is a disadvantage imposed on an individual. Thus, a disability might or might not be a handicap, depending on the circumstances. Likewise, a handicap might or might not be caused by a disability. For example, blindness is a disability, but not a handicap in the dark. In fact, in the dark, the person who has sight is the one who is handicapped. Another important distinction is that between inability and disability. All disabilities are an inability to do something. However, not every inability to do something is a disability. For example, most six-month-old infants cannot walk or talk, which is not considered a disability because their inability is age-appropriate. However, if that inability extends well 1 past the time that most children learn to walk and talk, then we consider their inability a disability. Also, an adult’s inability to read is not a reading disability if she or he has not had reading instruction. The point is, simply, that disability is a significant difference from what we expect most people to be able to do, given their age, opportunities, and instruction. GLOSSARY - exceptionality, n - izuzetnost exceptional, adj. – izuzetan, neobičan average, adj. – prosečan disability, n. – nesposobnost, invaliditet ability, n. – sposobnost tend, v. – težiti have sth. in common – imati nešto zajedničko handicap, n. - hendikep inability, n .- nesposobnost, nemogućnost medication, n. – lečenje medikamentima gene therapy,n. – genska terapija surgery, n. - operacija in utero (Lat) – u materici methodology, n. - metodologija focus of concern – centar pažnje distinction, n. - razlika disadvantage, n. – mana, smetnja impose, v. - nametnuti blindness, n. - slepilo appropriate, adj - odgovarajuće opportunity, n. – mogućnosti, prilike instruction, n. – podučavanje, nastava 2 UNIT TWO THE DEFINITION OF EXCEPTIONAL LEARNERS AND SPECIAL EDUCATION For purposes of education, exceptional learners are those who require special education to reach their full potential. They require special education because they are different from most students in one or more of the following ways: they may have intellectual disabilities, learning disabilities, emotional or behavioral disorders, physical disabilities, disorders of communication, autism, traumatic brain injury, hearing impairment, visual impairment or special gifts or talents. Exceptionalities may vary greatly in cause, degree and affect on educational progress, and the effects may vary greatly depending on the individual’s age, sex, and life circumstances. Special education does not always work as it should, but when it does, a student’s disability is identified early and effective special education is provided in the least restrictive environment. The student’s parents are involved in the decision about how to address the student’s needs, and the outcome of special education is the student’s improved achievement and behavior. About 10 percent of the student population is identified as exceptional for special education purposes. Some categories of disability are considered high-incidence because they are found relatively frequently (e.g. learning disabilities, communication disorders, emotional or behavioral disorders). Some categories of disability are considered low-incidence because they occur relatively rarely (e.g. blindness, deafness, deaf-blindness). Special education means specially designed instruction that meets the unusual needs of an exceptional student. It may include special materials, teaching techniques, or equipment and/or facilities. Students with visual impairments might require reading materials in large print or braille; students with hearing impairments might require hearing aids and/or instruction in sign language; those with physical disabilities might need special equipment; and those with emotional or behavioral disorders might need smaller classes. Related services – special transportation, psychological assessment, physical and occupational therapy, medical treatment, and counseling – might be necessary for effective special education. Special education may range from the least specialized environment (where the general education teacher may be able to acquire appropriate materials, equipment and/or instructional method) to twenty-four-hour residential schools. The least restrictive environment depends in part on the individual’s exceptionality, i.e. how and how much the student differs from average students. There is almost never a need to place a student with speech impairment in a separate class or a separate school. Likewise, most students with learning disabilities can be appropriately educated primarily in 3 general education classes. On the other hand, the resources that are needed to teach students with severe hearing and vision impairments might require that these students attend separate schools or classes at least part of their school careers. GLOSSARY - to reach full potential – dostići maksimum intellectual disability – mentalna retardacija learning disabilities – smetnje u učenju attention disorders – poremećaji pažnje behavioral disorders – poremećaji ponašanja physical disability – telesna invalidnost disorders of communication - govorno-jezički poremećaji autism, n. - autizam traumatic brain injury – traumatska povreda mozga impairment, n. - oštećenje hearing impairment – oštećenje sluha visual impairment – oštećenje vida gifts and talents – obdarenost/darovitost I talenti vary, v. – razlikovati se cause, n. - uzrok degree, n. - stepen affect, n. - uticaj provide, v. - obezbediti least restrictive environment – najmanje restriktivno okruženje to address one’s needs/ to meet the needs – zadovoljiti nečije potrebe outcome, n. – ishod, rezultat improved, adj - poboljšan high-incidence – visoka učestalost low-incidence – niska učestalost facilities, n . – oprema, uređaji, objekti large print – krupna slova hearing aids, n. – slušna pomagala sign language, n. – znakovni jezik assessment, n. – procena, procenjivanje physical therapy, n. – fizioterapija, fizikalna terapija occupational therapy, n. – radna terapija medical treatment, n. – medicinsko lečenje counseling, n. -savetovanje 4 UNIT THREE LEARNERS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES The term intellectual disabilities is now used by many to refer to persons who were in the past referred to as mentally retarded. The switch from mental retardation to intellectual disabilities is primarily due to the fact that mental retardation, especially its shortened term ‘retard’, has become an insult. At one time, it was common practice to diagnose individuals as mentally retarded (intellectually disabled) only on the basis of an IQ score. Today, however, professionals consider adaptive behavior in addition to IQ in defining intellectual disability. Adaptive behavior consists of social intelligence and practical intelligence. Social intelligence involves understanding and interpreting people and social interactions, such as being able to recognize when someone is angry and not being gullible or easily tricked or manipulated. Practical intelligence involves the ability to solve everyday problems, such as preparing meals, using transportation systems, making change, using the Internet, and solving problems that are associated to particular job situations. Most school systems use the following classification of intellectual disabilities: mild (IQ of about 50 to 70), moderate (IQ of about 35 to 50), severe (IQ of about 20 to 35), and profound (IQ below about 20). A common way of categorizing causes of intellectual disabilities is according to the time at which the cause occurs: prenatal (before birth), perinatal (at the time of birth), and postnatal (after birth). Prenatal causes include: 1) 2) 3) 4) chromosomal disorders (e.g. Down syndrome) inborn errors of metabolism (e.g. Phenylketonuria (PKU)) developmental disorders of brain formation (e.g. hydrocephalus) environmental influences (e.g. mother’s malnutrition, rubella) Perinatal causes include anoxia (lack of oxygen), low birth weight, and infections such as syphilis and herpes simplex. Postnatal causes include those that are biological in nature (like traumatic brain injury (TBI), meningitis and encephalitis, and toxins), and those that are psychosocial in nature (like extreme cases of abuse or neglect). Major areas of problems for people with intellectual disabilities are attention, memory, language, self-regulation, motivation and social development. The focus of educational programs varies according to the degree of the student’s intellectual disability or how 5 much support the student requires. For example, the lesser the degree of intellectual disability, the more the teacher emphasizes academic skills; the greater the degree of intellectual disability, the more stress there is on self-help, community living, and vocational skills. Placements for school-age students with intellectual disabilities range from general education classes to residential facilities. Although special classes for these students tend to be the norm, more and more students with intellectual disabilities are being placed in more integrated settings. The degree of integration is determined by the level of severity – students who are less severely intellectually disabled are the most integrated. When students with intellectual disabilities are included in general education classes, it’s important that special and general educators work together to come up with ways to make the experience successful. GLOSSARY - switch, n. - promena due to, prep. - zbog common practice – ustaljena praksa adaptive behavior – adaptivno ponašanje social intelligence – socijalna inteligencija practical intelligence – praktična inteligencija gullible, adj. – lakoveran, naivan mild, adj. - laka moderate, adj. - umerena severe, adj. - teška profound, adj. – veoma teška, duboka prenatal, adj. – prenatalni, koji se dešava pre rođenja perinatal, adj. – pretporođajni, perinatalni postnatal, adj. – postnatalni, koji se dešava posle rođenja chromosomal, adj. - hromozomski inborn, adj. - urođeni developmental disorders – razvojni poremećaji environmental influences – uticaji sredine anoxia, n. – anoksija, nedostatak kiseonika abuse, n. – zlostavljanje, zloupotreba neglect, n. - zapostavljanje self-regulation,n. - samoregulacija emphasize, v. - naglasiti vocational, adj. – profesionalni, stručni stress, n. – naglasak, akcenat come up with – smisliti (plan, ideju, i sl.) 6 UNIT FOUR LEARNERS WITH LEARNING DISABILITIES Learning disabilities is a general term that refers to a group of disorders manifested by significant difficulties in the acquisition and use of listening, speaking, reading, writing, reasoning or mathematical abilities. It is by far the largest category of special education. In the U.S. between 5 and 6 percent of school-age students are identified as learning disabled A child with learning disabilities is now often referred to as having central nervous system (CNS) dysfunction rather than brain injury. Using magnetic resonance imaging (MRI), researchers have accumulated evidence for structural and functional differences between the brains of those with and without learning disabilities, especially reading disabilities. Structural differences refer to the size of the various areas of the brain. Functional refers to activity in the brain. There is strong evidence that many cases of learning disabilities are inherited. Teratogens (agents, such as chemicals, that can cause defects in the developing fetus) and medical factors (e.g. premature birth) can also result in learning disabilities. Academic problems are the hallmark of learning disabilities. By definition, if there is no academic problem, a learning disability does not exist. Reading disabilities are the most common form of academic disability and can be manifested in decoding, fluency, and comprehension problems. Decoding is the ability to convert print to spoken language. Reading fluency refers to the ability to read effortlessly and smoothly. Reading comprehension is the ability to gain meaning from what one has read. Writing disabilities include handwriting, spelling and composition; spoken language disabilities include problems with syntax (grammar), semantics (word meanings), phonology (the ability to break words into their component sounds and blend individual sounds together to make words), and pragmatics (use of language in social situations); math disabilities include problems with computation and word problems. Apart from academic problems, some students with learning disabilities experience perceptual, motor, and general coordination problems. Many students with learning disabilities have problems with attention, memory and social-emotional problems. There are four major instructional approaches appropriate for students with learning disabilities: 7 - - cognitive training – a group of training procedures designed to change thoughts or thought patterns content enhancement – a way of making curriculum materials more prominent (e.g. graphic organizers and mnemonics) direct instruction – focuses on the details of the instructional process; task analysis is a major feature of direct instruction which involves breaking down academic problems into their component parts so that teachers can teach the parts separately and then teach the students to put the parts together peer tutoring – when students with learning disabilities are tutored by nondisabled classmates who are supervised and trained by the teacher. GLOSSARY - acquisition, n. - usvajanje accumulate, v. – sakupiti central nervous system (CNS) – centralni nervni system injury, n. - povreda dysfunction, n. – disfunkcija, poremećen rad organa magnetic resonance imaging (MRI) – magnetna rezonanca inherited, adj. - nasleđen teratogen, n. – teratogen, agens ili činilac koji izaziva fizičke defekte kod fetusa premature, adj. - prevremen hallmark, n. – glavno obeležje fluency, n. - tečnost comprehension, n. - razumevanje effortlessly, adv. – bez napora smoothly, adv. - tečno handwriting, n. - rukopis composition, n. – pismeni sastav computation, n. - računanje perceptual, adj. – opažajni, perceptivni motor, adj. - motorni approach, n. – pristup cognitive, adj. – kognitivni, spoznajni, misaoni enhancement, n. – unapređivanje, poboljšanje prominent, adj. – uočljivo graphic organizers - grfikoni mnemonics, n. – mnemotehnika, veština povezivanja slika ili reči radi lakšeg pamćenja peer, n. - vršnjak 8 UNIT FIVE LEARNERS WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER Attention Deficit Hyperactivity Disorder (ADHD) is a condition characterized by severe problems of inattention, hyperactivity, and/or impulsivity. People with ADHD also often experience problems in adaptive behavior and in their relationship with peers, and are at risk for substance abuse problems. Several conditions often co-exist with ADHD: learning disabilities and emotional-behavioral problems. Probably because there is no simple diagnostic test, such as a blood test, for ADHD, there has been much controversy over what actually causes ADHD. Today, however, there is strong evidence linking neurological abnormalities to ADHD. Five areas of the brain that might be affected in people with ADHD have been identified: the prefrontal lobes, the frontal lobes, the basal ganglia, the cerebellum, and the corpus callosum. The prefrontal and frontal lobes are responsible for the ability to regulate one’s behavior. The basal ganglia and cerebellum are involved in coordination and control of motor behavior. The corpus callosum connects the left and right hemispheres of the brain and serves as a pathway for nerve signals between the two. Researchers have also found that abnormal levels of two neurotransmitters – dopamine and norepinephrine – appear to be involved in ADHD. Family studies, twin studies and molecular genetic studies indicate that heredity may also be a significant cause of ADHD. Apart from that, exposure to toxins such as lead and abuse of alcohol and tobacco, as well as medical factors such as complications at birth and low birth weight, can also increase the risk of developing ADHD. Most authorities today believe that a structured program is important in the early stages of working with many students with ADHD but that these students gradually need to learn to be more independent in their learning. The majority of students with ADHD today are in general education classrooms. Through adding key modifications to their traditional instructional routines, teachers can address the needs of students with ADHD without taking away from the instruction of students without disabilities in their class. 9 GLOSSARY - Attention Deficit Hyperactivity Disorder (ADHD) – hiperkinetički poremećaj inattention, n. - nepažnja hyperactivity, n. – hiperaktivnost, preterana aktivnost impulsivity, n. – impulsivnost, razdražljivost substance abuse – zloupotreba droga co-exist, v. – koegzistirati, postojati zajedno controversy, n. – polemika, debata abnormality, n. - abnormalnost prefrontal – prednji deo režnja mozga frontal lobes – čeoni režanj basal ganglia – bazalna ganglija cerebellum, n. – cerebelum, mali mozak corpus callosum, n. – žuljasto telo pathway, n. – put, putanja neurotransmitter, n. – neurotransmiter, prenosnik nervnih impulsa heredity, n. – nasleđe, naslednost abuse of alcohol - alkoholizam weight, n. - težina take away from - uskratiti 10 UNIT SIX LEARNERS WITH EMOTIONAL OR BEHAVIORAL DISORDERS Defining emotional and behavioral disorders has always been problematic. However, there is a general agreement that emotional or behavioral disorder refers to the following: - behavior that goes to an extreme – not just slightly different from the usual a problem that is chronic – one that does not quickly disappear behavior that is unacceptable because of social or cultural expectations Researchers have identified two pervasive dimensions of disordered behavior: externalizing and internalizing. Externalizing behavior involves striking out against others. It is characterized by aggressive behavior. Internalizing behavior is characterized by anxious, withdrawn behavior and depression. These two dimensions are not mutually exclusive. Actually, comorbidity – the co-occurrence of two or more conditions in the same individual – is not unusual. The causes of emotional or behavior disorders are multiple and complex, and seldom can a single cause be identified. Four major causal factors include: 1. 2. 3. 4. biological disorders and diseases pathological family relationships undesirable experiences at school negative cultural influences It’s much easier to identify disordered behaviors than it is to define and classify their types and causes. Most students with emotional and behavioral disorders do not escape the notice of their teachers. In fact, teacher judgment plays the most significant role. The most common type of emotional or behavioral disorder – conduct disorder, an externalizing problem – attracts immediate attention, so there is seldom any real problem in identification. Students with internalizing problems might be less obvious, but they aren’t difficult to recognize. Children with schizophrenia are seldom mistaken for those who are developing normally. Their unusual language, mannerisms, and ways of relating to others soon become matters of concern to parents and teachers. Children with schizophrenia are a very small percentage of those with emotional or behavioral disorders, and problems in their identification are not usually encountered. Individuals with emotional or behavioral disorders may vary markedly in intelligence, achievement, life circumstances, and emotional and behavioral characteristics. 11 The idea that children with emotional or behavioral disorders tend to be particularly bright is a myth. Most of these students are below average in tested intelligence and academic achievement. Several different conceptual models of education have been described over the decades. They all have two objectives: 1) controlling misbehavior and 2) teaching students the academic and social skills they need. Children and youths with emotional or behavioral disorders tend to have multiple and complex needs. In addition to their problems in school, they typically have family problems and a variety of difficulties in the community (e.g. illegal activities, substance abuse, etc.). Thus, they might need, in addition to special education, a variety of family-oriented services, psychotherapy or counseling , training related to employment, and so on. Integrating these services into a more coordinated and effective system is very important. GLOSSARY: - slightly, adv. – malo, neznatno chronic, adj. – hroničan, stalan pervasive, adj. – pervazivni, koji prožima externalizing, adj. - eksternalizovano internalizing, adj. - internalizovano strike out - napasti anxious, adj. - uznemiren withdrawn, adj. - povučen mutually, adv. – uzajamno, međusobno exclusive, adj. - iskljčiv comorbidity, n. – komorbiditet, istovremeno prisustvo dva ili više stanja co-occurrence – istovremeno javljanje/prisustvo seldom, adj. - retko undesirable, adj – neželjeno, nepoželjno escape the notice - promaći judgment, n. – procena, mišljenje conduct, n. - ponašanje mannerism, n. – osobenost (u ponašanju) concern, n. - briga encounter, v. – naići na, susresti vary v. – razlikovati se markedly, adv. – primetno myth, n. - mit objective, n. - cilj integrate, v. - integrisati 12 UNIT SEVEN LEARNERS WITH COMMUNICATION DISORDERS Speech and language are tools used for communication. Language is the communication of ideas – sending and receiving them – through a system of symbols used according to certain rules that determine meaning. Speech is the neuromuscular activity of forming and sequencing the sounds of oral language. Communication disorders are impairments in the ability to use speech or language to communicate, and may involve language or speech or both, including hearing, listening, reading or writing. Speech disorders are impairments in the production and use of oral language. They include the following disabilities: - Phonological disorders – problems in understanding the sound system of language Articulation disorders – problems in producing correct speech sounds Voice disorders – problems in producing voice with appropriate pitch, loudness, or quality Fluency disorders – problems in maintaining speech flow (stuttering is the most frequent type of fluency disorders) Motor-speech disorders – problems in speaking due to neuromotor damage, including dysarthria (problems in controlling the production of speech sounds) and apraxia (problems in planning and coordinating speech). Language disorders include problems in comprehension and expression. The problems may involve the form (phonology, morphology, syntax), content (semantics), or use of language (pragmatics). Language disorders may be primary or secondary. A primary language disorder has no known cause. A secondary language disorder is caused by another condition, such as intellectual disability, hearing impairment, autism, cerebral palsy, or traumatic brain injury. Children with all types of disabilities are increasingly placed in general education classrooms. This means that all teachers must become aware of how they can address language problems in the classroom. Helping children overcome speech and language disorders is not the responsibility of any single professional. Identification is the joint responsibility of the classroom teacher, the speech pathologist, and parents. By listening attentively when children speak, providing appropriate models of speech and language for children to imitate, and encouraging children to use their communication skills appropriately, the classroom teacher can help not only to improve speech and language, but also to prevent some disorders from developing in the first place. 13 GLOSSARY - tools, n. – instrumenti according to rules– shodno pravilima determine, v. - odrediti neuromuscular, adj. – nervno-mišićni, neuromuskularni articulation, n. – artikulacija, obrazovanje glasova voice, n. - glas pitch, n. – visina (glasa) fluency, n. - tečnost flow, n. - tok stuttering, n. - mucanje neuromotor, adj. - neuromotorni damage, n. - oštećenje dysarthria, n. - disartrija apraxia, n. - apraksija comprehension, n. - razumevanje expression, n. - izražavanje cerebral palsy, n. – cerebralna paraliza increasingly, adv. – sve više address a problem – rešavati problem joint, adj. – zajednički, udružen speech pathologist – logoped attentively, adv. – pažljivo prevent, v. - sprečiti 14 UNIT EIGHT LEARNERS WHO ARE DEAF OR HARD OF HEARING The most common way of classifying hearing impairment is the division between deaf and hard of hearing. From an educational viewpoint, individuals are classified as: deaf if they are unable to process linguistic information with or without a hearing aid, and hard of hearing if they are able to process linguistic information with the help of a hearing aid. Educators are extremely concerned about the age of onset of hearing impairment. The earlier the hearing impairment occurs in life, the more difficulty the child will have developing the language of the hearing society. For this reason, professionals frequently use the terms congenitally deaf (those who are born deaf) and adventitiously deaf (those who become deaf at some time after their birth). Two other frequently used terms are: prelingual deafness – deafness that occurs at birth or early in life before speech and language develop, and postlingual deafness – deafness that occurs after the development of speech and language. The ear is one of the most complex organs of the body. Many elements that make up the hearing mechanism are divided into three major sections: the outer, middle and inner ear. The outer ear is the least complex and least important for hearing; the inner ear is the most complex and the most important for hearing. The most severe hearing impairments are associated with the inner ear. Impairments of the inner ear can be hereditary or acquired. Genetic or hereditary factors are a leading cause of deafness in children. Acquired hearing impairments of the inner ear include those due to bacterial infections (e.g. meningitis), prematurity, viral infections (e.g. mumps and measles), anoxia at birth, prenatal infections of the mother (e.g. maternal rubella), Rh incompatibility, blows to the head, side effects of some antibiotics, and excessive noise levels. In identifying hearing impairments there are four general types of tests: screening tests, pure-tone audiometry, speech audiometry, and specialized tests for very young children. Screening tests for infants often measure otoacustic emissions. Puretone audiometry assesses decibel (intensity) and herz (frequency) levels. Speech audiometry assesses the ability to detect and understand speech. Specialized tests for young children include a number of different techniques, like play audiometry (using a game-like format to test hearing), or evoked-response audiometry (which measures changes in brain wave activity using an electroencephalograph – EEG). One major problem that educators who work with deaf or hard of hearing children face is communication. Dating back to the 16th century, there has been a debate over 15 whether the goal of instruction for students who are deaf should be to teach them to speak or to teach them to use sign language. Nowadays, most educational programs use a total communication approach which includes both oral and manual methods. GLOSSARY - deaf, adj. - gluv hard of hearing, adj - nagluv viewpoint, n. – gledište, stanovište process, v. – obraditi, procesuirati hearing aid – slušno pomagalo onset, n. - početak occur, v. – pojaviti se congenitally, adv. – uođeno, kongenitalno adventitiously, adv. - stečeno prelingual, adj. prelingvalno postlingual, adj. – postlingvalno deafness, n. - gluvoća outer ear – spoljašnje uvo middle ear – srednje uvo inner ear – unutrašnje uvo prematurity, n. – rađanje pre vremena mumps, n. - zauške measles, n. – morbile, male bginje Rh factor – rezus faktor incompatibility, n. – nepodudarnost, inkompatibilnost blows, n. - udarci side effects, n. – nus pojave, neželjena dejstva excessive, adj. – prekomerno, preterano pure tone audiometry – tonalna audiometrija speech audiometry – govorna audiometrija otoacustic emissions – otoakustičke emisije play audiometry – plej audiometrija, audiometrija putem igre evoked-response audiometry – auditivni evocirani potencijali EEG (electroencephalograph), n. – elektroencefalograf, aparat za beleženje električne aktivnosti mozga sign language – znakovni jezik total communication – totalna metoda komunikacije, uključuje odgovarajuće slušne, manuelne i oralne načine komuniciranja 16 UNIT NINE LEARNERS WITH BLINDNESS OR LOW VISION The educational definition of blindness and low vision stresses the method of reading. For educational purposes, individuals who are blind are so severely impaired they must learn to read braille, a system of raised dots by which people who are blind read with their fingertips. Alternatively, they use aural methods (audiotapes and records). Those who have low vision can read print, even if they need adaptations such as magnifying devices or large print books. The anatomy of the visual system is extremely complex, so here we focus only on basic characteristics. Objects are seen when an electrical impulse travels from the optic nerve at the back of the eye to the visual center of the brain. Before reaching the optic nerve, light rays pass through several structures within the eye: the cornea, aqueous humor, pupil, lens, vitreous humor, and retina. The most common visual problems are the result of errors of refraction. Refraction refers to the bending of the light rays as they pass through the various structures of the eye. Myopia (nearsightedness), hyperopia (farsightedness), and astigmatism (blurred vision) are examples of refraction errors. Although each can be serious enough to cause significant impairment, wearing glasses or contact lenses can usually solve the problem. Among most serious impairments are those caused by glaucoma, cataracts, and diabetes. These conditions occur primarily in adults, but each can also occur in children. Some conditions affect primarily children. Cortical visual impairment (CVI), now the leading cause of visual impairment in the Western world, results from widespread damage to parts of the brain responsible for vision. Retinitis pigmentosa is a congenital condition resulting in degeneration of the retina. Retinopathy of prematurity (ROP) is caused by factors related to premature birth, and results in abnormal growth of blood vessels in the eye. Strabismus and nystagmus, two other conditions resulting in visual problems, are caused by improper muscle functioning. Left untreated, strabismus can result in permanent blindness. Fortunately, most cases of strabismus can be corrected with eye exercises or surgery. Most experts agree that students who are visually impaired should be educated in the same general way as sighted children. However, teachers need to make some important modifications. The most important difference is that students with visual impairment have to rely on other senses to acquire information. The student with little or no sight will require special modifications in four major areas: (1) braille, (2) use of 17 remaining sight, (3) listening skills, and (4) orientation and mobility training. The first three relate directly to academic education, particularly reading; the last refers to skills needed for everyday living. GLOSSARY - blindness, n. - slepilo individuals with low vision – slabovide osobe braille, n. – Brajova azbuka dot, n. – tačka, tačkica fingertips, n. – vrhovi prstiju aural, adj. - slušni optic nerve – očni nerv light rays – svtlosni zraci cornea, n. - rožnjača aqueous humor, n. – očna vodica pupil, n. - zenica lens, n. - sočivo vitreous humor, n. – staklasto telo retina, n. - mrežnjača refraction, n. – prelamanje, refrakcija myopia, n. – miopija, kratkovidost hyperopia, n. – hiperopija, dalekovidost astigmatism, n. – astigmatizam, nepravilna zakrivljenost očnog sočiva I rožnjače glaucoma, n. - glaukom cataract, n. – katarakta, očna mrena, zamućenje očnog sočiva diabetes, n. – dijabetes, šećerna bolest cortical visual impairment (CVI) – cerebralno oštećenje vida retinitis pigmentosa – retinopatija pigmentoza Retinopathy of prematurity (ROP) – retinopatija prematurorum blood vessel, n. – krvni sud strabismus, n. – strabizam, razrokost nystagmus, n. – nistagmus, drhtanje očne jabučice improper, adj. - nepravilno untreated, adj. - nelečen permanent, adj. – stalan, trajan senses, n. - čula acquire information – primiti informaciju sight, n. - vid remaining, adj - preostali 18 UNIT TEN LEARNERS WITH AUTISM SPECTRUM DISORDERS Although autism has been a separate category since 1990, other disorders similar to it in many ways are now typically called autism spectrum disorders. A similar term is pervasive developmental disorders, although most professionals now use the term autism spectrum disorders. All of these disorders involve varying degrees of problems with communication skills, social interactions, and repetitive and stereotyped patterns of behavior. By far the most prevalent are autism and Asperger syndrome. Autism is characterized by extreme social withdrawal and impairment in communication. Other common characteristics are stereotyped movements, resistance to environmental change or change in daily routines, and unusual responses to sensory experiences. Autism is usually evident before the age of three. Asperger syndrome is a milder form of autism without significant impairments in language and cognition. However, people with Asperger syndrome have problems in the other areas, especially social interaction. Scientists don’t yet know precisely what’s wrong with the brain in autism spectrum disorders, but they have established that the cause is neurological. Furthermore, they have strong evidence that genetics plays a role in many cases. That autism spectrum disorders have a neurological basis is suggested by the fact that people with autism have a high incidence of brain seizures and cognitive deficits. Also, studies indicate that brains and heads of young children with autism tend to grow suddenly and excessively in the first two years of life and then taper off to be about normal in size by adolescence. Scientific evidence for autism having a hereditary component is very strong. Studies have shown that when one family member is diagnosed with autism, the chances are 50 to 200 times higher that another family member also has autism than in the population as a whole. When an identical twin has autism, the chances are much greater that the other twin will also have autism than is the case with fraternal twins. Furthermore, even if they aren’t diagnosed as autistic, family members of those with autism are more likely to exhibit autistic-like characteristics, such as lack of close friends, a preoccupation with narrow interests, and a preference for routines. Researchers have also found that tiny gene mutations that can result in autism are sometimes passed down to children from one or both parents. However, researchers are consistent in stating that there is no “autism gene” – multiple genes are involved and not the same ones in all people with autism. 19 Although educational programming for students with autism spectrum disorders covers a wide variety of areas, there are some guidelines on which most authorities have agreed. First, many believe that the greatest areas of needed instruction are communication skills for those with autism and social skills for those with Asperger syndrome. Also, most agree that educational programming for students with autism spectrum disorders should include (1) direct instruction of skills, (2) behavior management, and (3) instruction in natural settings. GLOSSARY - autism spectrum disorders (ASD) – spektar autističnih poremećaja pervasive developmental disorders (PDD) – pervazivni razvojni poremećaji varying, adj. - promenljiv repetitive, adj. – koji se ponavlja stereotyped, adj. - stereotipno pattern, n. – obrazac,model by far – daleko prevalent, adj. – prevalentan, rasprostranjen autism, n. - autizam Asperger syndrome – Aspergerov sindrom resistance, n.- otpor seizure, n. - napad deficit, n. – deficit, nedostatak taper off – smanjivati se likely, adj.- verovatan exhibit, v. - ispoljavati narrow, adj. - usko tiny, adj. – sičušno mutation, n. – mutacija, promena pass down, v. - preneti consistent, adj. – dosledan 20 UNIT ELEVEN LEARNERS WITH LOW-INCIDENCE, MULTIPLE AND SEVERE DISABILITIES Low-incidence, multiple and severe disabilities are those that occur relatively infrequently and require extensive support in more than one major life activity, such as mobility, communication, self-care, independent living, and employment. Probably one percent or fewer of all learners have such low-incidence, multiple or severe disabilities. Traumatic brain injury (TBI) is brain damage caused by trauma after a period of normal neurological development. TBI can result from two categories of injury: open or closed. Open head injuries involve a penetrating head wound from such causes as a fall, gunshot, assault, car accident, or surgery. In closed head injuries, there is no open head wound but brain damage is caused by internal compression or stretching of neural tissues within the head. The possible effects of TBI include a long list of learning and psychosocial problems, such as: problems remembering things, problems learning new information, speech and/or language problems, inappropriate manners, unreasonable fear or anxiety, sudden swings of mood, depression, aggression, etc. One of the great difficulties with TBI is that it’s often “invisible”. Like a learning disability, it is not something that one necessarily notices about a person at first. Deaf-blindness is defined by significant impairments in both hearing and seeing, although the individual may have some residual hearing or sight. Causes of deafblindness can be grouped into three categories: (1) genetic/chromosomal syndromes, (2) prenatal causes, and (3) postnatal causes. Some of the genetic/chromosomal syndromes are inherited, and some result from damaged genetic and/or chromosomal material. There are now over fifty genetic/chromosomal syndromes associated with deaf-blindness. Two of the most common prenatal conditions – rubella and congenital cytomegalovirus (CMV) – can cause intellectual disability and/or deaf-blindness. Among the most common postnatal conditions that can cause deaf-blindness are meningitis and traumatic brain injury. Most authorities agree that the biggest obstacle of people with deaf-blindness is communication. Without a strong commitment by teachers and other professionals and parents, the child who is deaf-blind can easily become socially isolated. 21 The major educational needs of students who are deaf-blind are communication and orientation and mobility. Both, but especially communication are required for social interaction. In addressing needs for communication and orientation and mobility, practitioners and parents should keep in mind two important principles: the importance of direct teaching and the importance of structured routines. While students without disabilities can learn a great deal incidentally (e.g. from seeing or hearing things that happen around them), students with disability are often in greater need of having material taught to them directly, especially students who are deaf-blind. To create a successful environment for learning, it’s also very important that teachers and other professionals and parents provide a sense of security for students who are deaf-blind. One of the best ways to create this sense of security is through the use of structured routines. GLOSSARY - low-incidence – niska učestalost multiple, adj. - višestruk severe, adj - težak infrequently, adv. - retko require, v. – iziskivati, zahtevati Traumatic brain injury (TBI) – traumatska povreda mozga trauma, n. – trauma, povreda penetrate, v. – penetrirati, probiti, prodirati wound, n. – rana, ozleda assault, n. - napad compression, n. – kompresija, pritisak stretching, n. - rastezanje tissue, n. - tkivo swings of mood – promene raspoloženja residual, adj. – preostao, rezidualni rubella, n. - rubela cytomegalovirus (CMV), n. – cytomegalovirus, vrsta herpes virusa obstacle, n. - prepreka commitment, n. – predanost (poslu) practitioner, n. - stručnjak keep in mind – imati na umu incidentally, adv. – slučajno, uzgred environment, n. – okruženje, sredina 22 UNIT TWELVE LEARNERS WITH PHYSICAL DISABILITIES Physical disabilities are physical limitations or health problems that interfere with school attendance or learning to such an extent that special services, training, equipment, materials, or facilities are required. Children with physical disabilities may have congenital anomalies (defects they are born with), or they may acquire disabilities through accident or disease after birth. Some physical disabilities are mild and transitory; others are profound and progressive (muscular dystrophy). Some are chronic diseases (cerebral palsy), while some are episodic (epilepsy). Major categories of physical disabilities are neuromotor impairments, orthopedic or musculoskeletal disorders, and other conditions that affect health and physical abilities. All neuromotor impairments involve damage to the brain before, during, or soon after birth or damage to the spinal cord. Cerebral palsy (CP) is a condition characterized by paralysis, weakness, lack of coordination, and/or other motor dysfunction. It is caused by damage to the brain before it has matured. Seizure disorder (Epilepsy) is caused by an abnormal discharge of electrical energy into the brain. A person with epilepsy has a chronic neurological condition and has recurrent seizures. Neurological damage can involve only the spinal cord, leaving the brain unaffected. Spinal cord injury can occur before or after birth, affecting the individual’s ability to move or control bodily functions below the site of the injury. Two of the most common musculoskeletal conditions affecting children are muscular dystrophy and juvenile rheumatoid arthritis. Muscular dystrophy is a hereditary disease that is characterized by progressive weakness caused by degeneration of muscle fibers. Juvenile rheumatoid arthritis is a systemic disease in which muscles and joints are affected; the cause and cure are unknown. Many individuals with physical disabilities use prosthetics, orthotics, and other adaptive devices to help them function better on a daily basis. A prosthesis is an artificial replacement for a missing body part (e.g. an artificial hand or leg); an orthosis is a device that enhances the partial function of a part of a person’s body (a brace or a device that allows a person to do something). Adaptive devices for daily living include a variety of adaptations of ordinary items found in the home, office, or school – such as a device to aid bathing or hand washing or walking – that make performing the tasks 23 required for self-care and employment easier for the person who has a physical disability. Too often we think of people who have physical disabilities as being helpless or unable to learn. We forget, though, that many people with physical disabilities can learn to do many or all the things that most nondisabled people do, although sometimes they must perform these tasks in different ways. For students with physical disabilities, education should be as normal as possible and it should equip the student for daily living as well as employment or further education. GLOSSARY - physical disabilities – telesna oštećenja interfere, v. - ometati attendance, n. - pohađanje equipment, n. - oprema facilities, n. – oprema, uređaji, objekti anomaly, n. – anomalija, nepravilnost transitory, adj. – prolazno, kratkotrajno cerebral palsy, n. – cerebralna paraliza epilepsy, n. - epilepsija neuromotor, adj. - neuromotorni orthopedic, adj. - ortopedski musculoskeletal, adj. – mišićno-skeletni, muskuloskeletalni spinal cord, n. – kičmena moždina paralysis, n. – oduzetost, paraliza weakness, n. - slabost discharge, n. – protok, ispuštanj recurrent, adj. – povratan muscular dystrophy – mišićna distrofija juvenile rheumatoid arthritis – juvenilni reumatoidni artritis degeneration, n. - degeneracija muscle fibers – mišćna vlakna systemic disease – sistemska bolest prosthesis, n. – proteza, veštački organ ili deo organa orthosis, n. – ortoza, korekcija deformiteta, ojačavanje zgloba ili mišića artificial, adj. - veštački enhance, v. – poboljšavati, pojačavati brace, n. - pridrživač adaptive, adj. – prilagodljiv, adaptivan aid, v. - pomagati equip, v. - opremiti 24 UNIT THIRTEEN LEARNERS WITH SPECIAL GIFTS AND TALENTS Today, most experts in educating those with special gifts and talents suggest that giftedness refers to superior abilities in specific areas of performance, which may be exhibited under some circumstances but not others. Having a special gift at one thing doesn’t mean that a person is good at everything. People get extraordinarily good at something only by developing their ability to do that particular thing. There may be different kinds of giftedness, such as analytic, synthetic and practical. Analytic giftedness involves being able to take a problem apart, which is a skill typically measured by conventional intelligence tests. Synthetic giftedness involves intuition, creativity, or adeptness at coping with novel situations, skills that are typically associated with high achievement in the arts and sciences. Practical giftedness involves applying analytic and synthetic abilities to the solution of everyday problems, the kinds of skills that characterize people who have successful careers. As defined today, giftedness isn’t something that sets people apart in every way from people who are average. Instead, it refers to specific, valued, and unusual talents that people may exhibit during some periods of their lives. Therefore, the main factors that contribute to giftedness are really much the same as those that contribute to any type of behavior, whether typical or exceptional: 1. Genetic and other biological factors, such as neurological functioning and nutrition. 2. Social factors, such as family, school, the peer group, and community. Although giftedness may be determined in part by one’s genetic inheritance, the idea that giftedness is entirely inherited is wrong. Families, schools, peer groups and communities have a big influence on the development of giftedness. Stimulation, opportunities, expectations, and rewards for performance all affect children’s learning. One of the worst common misconceptions is that giftedness predisposes people to mental illness. Some people with special gifts and talents accomplish remarkable things in spite of, not because of, mental illness or physical disability. Gifted students typically learn to read at an early age and achieve other developmental milestones earlier than most children. They are typically good at many things, and they typically like school and learning. The plans for educating students with special gifts and talents can be described as providing enrichment (additional experiences provided to students without placing them in a higher grade) or acceleration (placing the students ahead of their age peers). 25 GLOSSARY - giftedness, n. – darovitost, nadarenost exhibit, v. - ispoljavati circumstances, n. - okolnosti extraordinarily, adv. - izuzetno adeptness, n. – veština, umeće cope with, v. – izaći na kraj, nositi se sa novel, adj. – nov, nepoznat apply, v. - primeniti set apart, v. - izdvajati valued, adj. - cenjen contribute, v. - doprinositi nutrition, n. - ishrana determine, v. - odrediti misconception, n. – pogrešno mišljenje predispose, v. – predodrediti remarkable, adj. – izuzetan milestone, n. – etapa enrichment, n. – obogaćenje acceleration, n. – ubrzanje ahead, adv. – ispred 26 UNIT FOURTEEN I READING INTEGRATION, INCLUSION AND TRANSITION TO ADULTHOOD The trend of integrating people with disabilities into the larger society began many decades ago and is stronger than ever. A key principle behind integration is normalization. Normalization is a philosophical belief in special education that every individual, even the most disabled, should have an educational and living environment as close to normal as possible. However, some people with disabilities are cautious about being too closely integrated into nondisabled society. For example, some people who are deaf, because of their difficulty in communicating with the hearing world, prefer associating with other people who are deaf. The most controversial issue about integrating students with disabilities into school is that of full inclusion. Although there are different ideas about exactly what full inclusion means, most definitions include the points that all students with disabilities are placed in their neighborhood schools in general education classrooms, and that general education teachers have the primary responsibility for students with disabilities. Repeated surveys and interviews have indicated that the vast majority of students with disabilities and their parents are satisfied with the special education system and that they prefer separate classes to full inclusion. Furthermore, opponents of full inclusion argue that general educators are unwilling and/or unable to cope with all students with disabilities. Whether or not one supports the concept of full inclusion, the fact is that most educators are in favor of some degree of integration through different forms of cooperation between general and special education (e.g. collaborative consultation, co-teaching, instructional modifications and adaptations, etc.) The Individuals with Disabilities Education Act (IDEA) requires that every school system must provide a free appropriate public education for every child between the ages of three and twenty-one, regardless of how or how seriously he or she may be disabled. IDEA also states that schools place students with disabilities in the least restrictive environment. Furthermore, IDEA urges educators to consider the use of assistive technology in servicing students with disabilities, to allow a greater diversity of students to be placed in typical classrooms. Many educators and social scientists believe that the earlier in life a disability is recognized and a program of education or treatment is started, the better the outcome will be for the child. IDEA requires that a variety of early intervention services be 27 available to all infants and toddlers identified as having disabilities. Such services include special education instruction, physical therapy, speech and language therapy and medical diagnostic services. Many students with disabilities have problems in transition from adolescence to adulthood and from school to work. They drop out of school, experience great difficulty in finding and holding jobs, do not find work that is suited to their capabilities, do not receive further training or education, or become dependent on their families or public assistance programs. Federal laws, including IDEA, require attention to transition plans for older students. Transition services include a coordinated set of outcome-oriented activities that promote movement from school to postsecondary education, vocational training, integrated employment, continuing adult education, adult services, independent living, or community participation. VOCABULARY - integration, n. – integracija normalization, n. – normalizacija cautious, adj. – obazriv, oprezan controversial issue – sporno pitanje (full) inclusion, n. – (potpuna) inkluzivna edukacija survey, n. – istraživanje indicate, v. – pokazati, ukazati vast, adj. – velika opponent, n. – protivnik cope with – izaći na kraj sa be in favor of – podržavati collaborte, v. – sarađivati Individuals with Disabilities Education Act (IDEA) – zakonski akt o edukaciji ometenih lica assistive technology – asistivna tehnologija diversity, n. – raznolikost, raznovrsnost early intervention – rana intervencija infant, n. – beba, malo dete (do druge godine života) toddler, n. – dete između prve i treće godine života transition, n. – prelazak drop out – odustati, prekinuti (školovanje) 28 UNIT FIFTEEN I READING JOB PROFILES IN SPECIAL EDUCATION Special education teachers work with children and youths who have a variety of disabilities. A small number of special education teachers work with students with severe cognitive, emotional, or physical disabilities, primarily teaching them life skills and basic literacy. However, the majority of special education teachers work with children with mild to moderate disabilities, using or modifying the general education curriculum to meet the child's individual needs. Most special education teachers instruct students at the preschool, elementary, and secondary school level, although some work with infants and toddlers. Early identification of a child with special needs is an important part of a special education teacher's job, because early intervention is essential in educating children with disabilities. Special education teachers help to develop an Individualized Education Program (IEP) for each student receiving special education. The IEP sets personalized goals for the student and is tailored to that student's individual needs and abilities. When appropriate, the program includes a transition plan outlining specific steps to prepare students for high school or, in the case of older students, a job or postsecondary study. Preparing special education students for daily life after graduation also is an important aspect of the job. Teachers provide students with career counseling or help them learn life skills. As schools become more inclusive, special education teachers and general education teachers increasingly work together in general education classrooms. Special education teachers help general educators adapt curriculum materials and teaching techniques to meet the needs of students with disabilities. A large part of a special education teacher's job involves communicating and coordinating with others involved in the child's wellbeing, including parents, social workers, school psychologists, occupational and physical therapists, school administrators, and other teachers. Technology is becoming increasingly important in special education. Teachers use specialized equipment such as computers with synthesized speech, interactive educational software programs, and audiotapes to assist children. Other occupations involved with the identification, evaluation, and development of students with disabilities include: audiologists, counselors or psychologists, occupational therapists, physical therapists, speech-language pathologists, social workers, and assistive technology practitioners or specialists. 29 VOCABULARY - special education teacher – specijalni edukator literacy, n. – pismenost, obrazovanje Individualized Education Plan (IEP) – Individualni obrazovni plan tailor, v.- prilagoditi outline, v. - opisati well-being, n. - dobrobit synthesized, adj. - sintetizovan audiologist, n. - audiolog counselor, n. - savetnik psychologist, n. - psiholog occupational therapist, n. – radni terapeut physical therapist, n. - fizioterapeut speech-language pathologist, n. - logoped social worker, n. – socijalni radnik assistive technology, n. – asistivna tehnologija 30