CHAPTER 6 Learners Who Are Exceptional © 2008 McGraw-Hill Higher Education. All rights reserved. Learners Who Are Exceptional Who Are Children with Disabilities? Learning Disabilities Emotional and Behavior Disorders Attention Deficit Hyperactivity Disorder Mental Retardation Autism Spectrum Disorders Physical Disorders Sensory Disorders Speech and Language Disorders © 2008 McGraw-Hill Higher Education. All rights reserved. Disability vs. Handicap A disability involves a limitation on a person’s functioning that restricts the individual’s abilities. A handicap is a condition imposed on a person who has a disability. The condition could be imposed by society, the physical environment, or the person’s attitude. © 2008 McGraw-Hill Higher Education. All rights reserved. Welcome to Holland I am often asked to describe the experience of raising a child with a disability – to try to help people who have not shared that unique experience to understand it, to imagine how it would feel. It’s like this… When you’re going to have a baby, it’s like planning a fabulous vacation trip – to Italy. You buy a bunch of guidebooks and make your wonderful plans. The Coliseum, the Michelangelo David, the gondolas in Venice. You may learn some handy phrases in Italian. It’s all very exciting. After months of eager anticipation, the day finally arrives. You pack your bags and off you go. Several hours later, the plane lands. The stewardess comes in and says, “Welcome to Holland.” “Holland?!!” you say. “What do you mean, Holland? I signed up for Italy! I’m supposed to be in Italy. All my life I’ve dreamed of going to Italy.” © 2008 McGraw-Hill Higher Education. All rights reserved. Welcome to Holland But there’s been a change in the flight plan. They’ve landed in Holland and there you must stay. The important thing is that they haven’t taken you to a horrible, disgusting, filthy place, full of pestilence, famine and disease. It’s just a different place. So you must go out and buy new guidebooks. And you must learn a whole new language. And you will meet a whole new group of people you would never have met. It’s just a different place. It’s slower-paced than Italy, less flashy than Italy. But after you’ve been there for a while and you catch your breath, you look around, and you begin to notice that Holland has windmills, Holland has tulips, Holland even has Rembrandts. © 2008 McGraw-Hill Higher Education. All rights reserved. Welcome to Holland But everyone you know is busy coming and going from Italy, and they’re all bragging about what a wonderful time they had there. And for the rest of your life, you will say, “Yes, that’s where I was supposed to go. That’s what I had planned.” The pain of that will never, ever, ever go away, because the loss of that dream is a very significant loss. But if you spend your life mourning the fact that you didn’t get to Italy, you may never be free to enjoy the very special, the very lovely things about Holland. Emily Pearl Kingsley © 2008 McGraw-Hill Higher Education. All rights reserved. Sensory Disorders VISUAL IMPAIRMENTS HEARING IMPAIRMENTS Low Vision Deafness • Acuity between 20/70 and 20/200 with corrective lens • Cannot process linguistic information Educationally Blind • Cannot use their vision in learning • Must use hearing and touch to learn Hard of Hearing • Can process linguistic information with help of hearing aids © 2008 McGraw-Hill Higher Education. All rights reserved. Potential Signs of Hearing Impairment 1. 2. 3. 4. Student experiences difficulties following oral presentation and directions. Student watches lips of teachers or other speakers very closely. Student turns head and leans toward speaker. Student uses limited vocabulary. © 2008 McGraw-Hill Higher Education. All rights reserved. Potential Signs of Hearing Impairment (con’t) 5. 6. 7. 8. Student uses speech sounds poorly. Student shows delayed language development. Student often doesn’t respond when called from behind. Student is generally inattentive during oral presentations. © 2008 McGraw-Hill Higher Education. All rights reserved. Potential Signs of Hearing Impairment (con’t) 9. 10. Student constantly turns volume up on radio or television. Student complains of earaches, has frequent colds or ear infections, or has ear discharge. © 2008 McGraw-Hill Higher Education. All rights reserved. Classroom Accommodations Visual Impairments: Determine the modality (such as touch or hearing) through which the child learns best Front-row seating Textbooks from “Recording for the Blind” Use of Braille Hearing Impairments: Speak normally Reduce distractions and background noises Face the student for lip reading and gestures © 2008 McGraw-Hill Higher Education. All rights reserved. Physical Disorders Orthopedic Disorders: Restrictions of movement because of muscle, joint, or bone problems Cerebral Palsy: • lack of muscular coordination • shaking • slurred speech Classroom Accommodations: • computers • speech and voice synthesizers • note taking © 2008 McGraw-Hill Higher Education. All rights reserved. Physical Disorders Seizure Disorders: Nervous disorders characterized by recurring sensorimotor attacks or movement convulsions Absent Seizures (< 30 seconds) Brief staring spells Twitching of eyelids Tonic-Clonic Loss of consciousness, rigidity, shakes Classroom Accommodations Become acquainted with monitoring procedures Be aware of medications © 2008 McGraw-Hill Higher Education. All rights reserved. Mental Retardation Low intelligence Deficits in adaptive functioning that exist concurrently Onset before age 18 © 2008 McGraw-Hill Higher Education. All rights reserved. Levels of Support Intermittent Supports are provided “as needed.” Limited Supports are intense and relatively consistent over time. Extensive Supports are characterized by regular involvement in at least one setting Supports are constant, very intense, and are provided across settings Pervasive © 2008 McGraw-Hill Higher Education. All rights reserved. Mental Retardation © 2008 McGraw-Hill Higher Education. All rights reserved. Mental Retardation – Etiology Genetic factors Down syndrome Fragile X syndrome Brain damage Infections Environmental hazards Fetal alcohol syndrome © 2008 McGraw-Hill Higher Education. All rights reserved. Common Problems Attention Cognitive Processing Memory Transfer Distractibility © 2008 McGraw-Hill Higher Education. All rights reserved. Speech and Language Disorders Speech Disorders Articulation pronouncing words incorrectly hoarse, harsh, too loud/soft, pitch Fluency Receptive difficulty in receiving information Voice Language Disorders Expressive inability to express oneself prolongation spasmodic hesitation Repetition Apraxia © 2008 McGraw-Hill Higher Education. All rights reserved. Children with Expressive Language Disorder may: Appear shy and withdrawn Delayed responses to questions Difficulty finding words Language disorganized © 2008 McGraw-Hill Higher Education. All rights reserved. Learning Disabilities A general term that srefre toa suoenegoreteh manifested of disorders difficulties in the by significant acquisition and use of lsning, speeking, reding, riting, resoning, or lacitamehtam seitiliba. Intrinsic are these disorders to the laudividni presumed to and due be nervous central to system noitcnufsyd, and may exist interaction social disabilities with learning but do not constitute themselves a lrning dsablity. © 2008 McGraw-Hill Higher Education. All rights reserved. National Joint Committee for Learning Disabilities’ Definition Learning disabilities is a generic term that refers to a heterogeneous group of disorders manifested by significant difficulties in the acquisition and use of reading, writing, reasoning, or mathematical abilities. © 2008 McGraw-Hill Higher Education. All rights reserved. Learning Disabilities Children with Learning Disabilities Normal intelligence or above Difficulty in one or more academic subjects No other diagnosed problem/disorder Identified Significant discrepancy between actual and expected achievement Response-to-intervention Intervention enhanced by small-group instruction, technology, direct questioning, augmentation, and strategy cueing © 2008 McGraw-Hill Higher Education. All rights reserved. Learning Disabilities Dysgraphia Dyscalculia Dyslexia http://www.angmail.fsnet.co.uk/jumbltxt .htm http://www.webaim.org/articles/cognitiv e/activity.php © 2008 McGraw-Hill Higher Education. All rights reserved. Attention Deficit Hyperactivity Disorder Children with ADHD Inattention Hyperactivity Impulsivity Intervention includes a combination of academic, behavioral, and medical interventions © 2008 McGraw-Hill Higher Education. All rights reserved. Etiology Irregularities in brain catecholamines © 2008 McGraw-Hill Higher Education. All rights reserved. http://www.webaim.org/simulations/dist ractability-sim.html http://www.pbs.org/wgbh/misunderstoo dminds/attention.html © 2008 McGraw-Hill Higher Education. All rights reserved. Autism Spectrum Disorders Autistic Disorder Onset within first three years of life Deficiencies in social relationships Communication abnormalities Restricted, repetitive, and stereotyped behavior patterns Asperger Syndrome Relatively good verbal language; milder nonverbal language problems Restricted range of interests and relationships Engage in obsessive repetitive routines and preoccupations © 2008 McGraw-Hill Higher Education. All rights reserved. Emotional and Behavior Disorders Serious, persistent problems that involve relationships, aggression, depression, and fears associated with school and personal matters. © 2008 McGraw-Hill Higher Education. All rights reserved. Aggressive, Out-of-Control Behavior • Have serious emotional disturbance • Engage in aggressive, defiant, dangerous acts • Incidence greater in boys than girls • Occurs more in low-SES students © 2008 McGraw-Hill Higher Education. All rights reserved. Depression Symptoms • • • • • Feelings of worthlessness Feelings of hopelessness Behaving lethargically for a prolonged period Poor appetite Sleep problems Incidence • • More likely in adolescence than childhood Higher incidence in girls Classroom Accommodation • • • Vigilance in recognizing symptoms Refer students to school counselor Cognitive therapy and drug therapy have helped © 2008 McGraw-Hill Higher Education. All rights reserved. Anxiety Anxiety involves a vague, highly unpleasant feeling of fear and apprehension. — If intense and prolonged, it substantially impairs school performance — Refer students to school counselor — Behavioral therapies have been effective © 2008 McGraw-Hill Higher Education. All rights reserved. Characteristics of Gifted Children Children Who Are Gifted Are precocious March to their own drummer Have a passion for mastery (Winner, 1996) © 2008 McGraw-Hill Higher Education. All rights reserved. Educating Children Who Are Gifted Special classes Acceleration and enrichment in the regular classroom setting Mentor and apprenticeship programs Work/study and/or community service programs © 2008 McGraw-Hill Higher Education. All rights reserved. Legal Issues Public Law 94-142 (1975) requires that all students with a disability be given a free, appropriate education. Individuals with Disabilities Act (IDEA) (1990/1997) Special education services will include: Evaluation and eligibility determination Appropriate education Individualized education plan (IEP) “Least restrictive environment” (LRE) © 2008 McGraw-Hill Higher Education. All rights reserved. Strategies for Working with Children with Disabilities Follow student’s individualized education plan. Participate in in-service education/training. Use available support and seek additional support. Become knowledgeable about the disabilities represented in your classroom. Be cautious about labeling children with disabilities. Remember all children benefit from similar teaching strategies. Help children understand and accept children with a disability Keep up-to-date on available instructional and assistive technology for educating children with a disability. © 2008 McGraw-Hill Higher Education. All rights reserved. Parents as Educational Partners Let parents know you understand and appreciate their child’s individuality Place yourself in parents’ shoes Provide information about disability Talk with, not to, parents Avoid stereotyping Establish and maintain effective communication Talk with parents about erroneous media portrayals of students with disabilities © 2008 McGraw-Hill Higher Education. All rights reserved.