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Chapter 15

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Department
Psychology
Course
Psychology 2043A/B
Professor
Prof
Semester
Fall

Description
IntroSevereandprofounddisabilitieschildrenwhofunctionintellectuallywithinthelowest1oftheirparticularagegroupsorhavedelaysof23standarddeviationsin2areasofdevelopmentMultipledisabilitieschildrenwhoshowevidenceofindependentandinterdependentdeficitsin2areasoffunctioningThemoreseverethedisabilitiesthemoreuniquethechildInteractionofdisabilitiesresultsintheappearanceofuniquedevelopmentalandbehaviouralpatternsInnumerablecombinationsofimpairmentsarepossiblesomeappearmoreoftenthenothersandsomearemoredifficulttocopewithCanbemultisensoryimpairmentsorconditionsthatcombinesensorydisorderswithphysicalneurologicalormentaldisabilitiesRequiretheservicesofmanydisciplinesDefinitionsofSevereandMultipleDisabilitiesTerminologyincludesautisticpsychoticphysicallydisabledmultipledisableddualsensoryimpaireddeafblinddependentmultiplyhandicappedandmoderatelyseverelyprofoundlymentallyretardedDifferencesamongstudentswithmultipledisabilitiesarefargreaterthantheirsimilaritiesGenericdefinitionsattempttocovertheentirerangeofpossiblecombinationsthathaveevolvedStudentswithseverehandicapsarethosewhopossessseverelanguageandorperceptualcognitivedeprivationsandevidenceabnormalbehavioursuchasfailuretorespondtopronouncedsocialstimuliselfstimulationmanifestationofintenseandprolongedtempertantrumsandtheabsenceofrudimentaryformsofverbalcontactAlsohaveextremelyfragilephysiologicalconditionsMultipledisabilitiesisdefinedasacombinationofimpairmentsthatcausessuchsevereeducationalproblemsthatthechildcannotbeaccommodatedinaspecialeducationprogramsolelyforoneoftheimpairmentsDoesnotincludedeafblindnessGenericdefsmayobscuretheeffectsofparticulardisabilitiesanddonotleadtopreciseprogrammingDefinedbytheirneedsthearepplwhorequireongoingsupportinseveralmajorlifeareasinordertoparticipateinthemainstreamofcommunitylifeandwhoareexpectedtorequiresuchsupportthroughoutlifeMultisensoryimpairedchildrenwithsightandhearinghandicapswhomayalsobedevelopmentallydelayedorhaveneurologicalimpairmentsMultipledependenthandicappedchildrenwhoareseverelymentallydisabledandalsohavesensoryorotherphysicalhandicapsDualsensoryimpaireddeafblindchildrenAcombinationofhearingandvisualimpairmentscausingsuchseverecommunicationdevelopmentalandeducationalproblemsthatthechildcannotbeaccommodatedineitheraprogramforthedeaforonefortheblindChallengingcognitivephysicalhealthandbehaviouralcharacteristicsmayalsobepresentClassificationofSevereandMultipleDisabilitiesPrimarydisabilitythemajorconditionthatcausesthechildtodifferinlearningorbehaviourSecondarydisabilitiesotherconditionsthatariseorarepresentManychildrenhavemorethenonesetofpertinentcharacteristicsandtheprimarydisabilityisoftenimpossibletoidentifyViewingdisabilitiesasprimaryorsecondaryoverlooksthecumulativenatureoftheconditionsChildrenmayalsobeclassifiedbythetypeofagencythatservesthemorthetypeofeducationalprogramtheyattendPrevalenceofSevereandMultipleDisabilitiesDifficulttogetestimatesbecauseInterpretationsofthedefinitionofcertainpopulationshavechangeddramaticallyChildrenwithcombineddisabilitiesmayberegisteredforserviceswithawidevarietyofagenciescausingthesamechildtobeidentifiedmultipletimesManyarecountedanddefinedonlybywhatispresumedtobetheirprimarydisabilityPrevalenceratesareextremelylowlessthan2ofthepopulationatanygivenageEtiologyofSevereandMultipleDisabilitiesParallelsthatofphysicalimpairmentsRubellacauseddeafblindnessandseveremultipledisabilitiesinthepastbutiswellcontrolledtodayChromosomalandgeneticdisordersaccountforaverysmallnumber
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