{"title":"The Value of a Genetic Diagnosis for Individuals with Intellectual Disabilities: Optimising Healthcare and Function Across the Lifespan","authors":"E. Lopez-Rangel, E. Mickelson, Suzanne Lewis","doi":"10.1179/096979508799103215","DOIUrl":"https://doi.org/10.1179/096979508799103215","url":null,"abstract":"","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132593438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intellectual Disability: A Concept in Need of Revision?","authors":"S. Whitaker","doi":"10.1179/096979508799103350","DOIUrl":"https://doi.org/10.1179/096979508799103350","url":null,"abstract":"It is suggested that the way the term \u0000intellectual disability is used gives the impression \u0000that it is a discrete entity which \u0000can be diagnosed simply by assessing an \u0000individual’s level of adaptive behaviour \u0000and IQ. It is argued that we are not able to \u0000measure either adaptive behaviour or IQ \u0000with sufficient accuracy. A looser definition \u0000of intellectual disability is suggested, \u0000acknowledging the problems in measurement \u0000and emphasising the need for clinical \u0000judgment.","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130513518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Nice Guidelines in Schizophrenia in a Population with a Learning Disability","authors":"L. Fernando","doi":"10.1179/096979508799103341","DOIUrl":"https://doi.org/10.1179/096979508799103341","url":null,"abstract":"","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117321246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biopsychosocial Case Formulation for People with Intellectual Disabilities and Mental Health Problems: A Pilot Study of A Training Workshop for Direct Care Staff","authors":"B. Ingham, L. Clarke, I. James","doi":"10.1179/096979508799103323","DOIUrl":"https://doi.org/10.1179/096979508799103323","url":null,"abstract":"(2008). Biopsychosocial Case Formulation for People with Intellectual Disabilities and Mental Health Problems: A Pilot Study of A Training Workshop for Direct Care Staff. The British Journal of Development Disabilities: Vol. 54, No. 106, pp. 41-54.","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125403140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Levomepromazine in the Management of Aggression in Adults with Intellectual Disability","authors":"J. Devapriam, S. Gibbons, H. Pannu, S. Bhaumik","doi":"10.1179/096979508799103305","DOIUrl":"https://doi.org/10.1179/096979508799103305","url":null,"abstract":"","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132892338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Rose, C. Cutler, Kate Tresize, Darinka Novak, D. Rose
{"title":"Individuals with an Intellectual Disability Who Offend","authors":"J. Rose, C. Cutler, Kate Tresize, Darinka Novak, D. Rose","doi":"10.1179/096979508799103314","DOIUrl":"https://doi.org/10.1179/096979508799103314","url":null,"abstract":"","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125343045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Sensory Impairment with Autism","authors":"","doi":"10.1179/096979508799103332","DOIUrl":"https://doi.org/10.1179/096979508799103332","url":null,"abstract":"We read with interest A. G. Gordon’s response (Gordon, 2007, is every cause of autism a defi nite cause of deafness?) to our case report about the association of Waardenburg syndrome with intellectual disability, autistic spectrum disorder and unprovoked aggressive outburst (Kiani et al., 2007). His letter highlights an interesting link between autism and hearing impairment and offers a different perspective on the aetiology of autism. Hearing impairment and autism are both disorders of communication and can therefore be mistaken for each other during early childhood. Children eventually diagnosed with autism are often initially thought to be deaf by the parents (Grewe et al., 1994). However, both conditions may be present in a child simultaneously. Rosenhall et al., (1999) studied the presence of hearing impairment in those with a diagnosis of autism and found that 9.5% had a hearing impairment (sensorineural and/or conductive hearing loss). The prevalence of profound hearing impairment in their study was about 3.5%. Jure et al., (1991) reported a 4% prevalence of autism in 1150 children with hearing impairment. They did not fi nd any association between the severity of hearing impairment and autistic traits, but there was a relationship between the degree of intellectual disability and the autism (i.e. the higher the degree of intellectual disability, the more severe the autism). This observation is consistent with the large body of evidence showing an increased prevalence of autism and autistic traits in people with more severe intellectual disability (Deb and Prasad, 1994). The complex relationship between intellectual disability and autism is wellknown in the literature (Berney, 2000). This means that attribution of a new behavioural phenotype (including autistic traits) to a genetic syndrome (and/or a sensory impairment) alone should be made cautiously, as such an association is more probably mediated through intellectual disability (O’ Brian, 2006). The association between autism and sensory impairment is not just limited to hearing impairment. Clinicians in their day to day practice are aware of association of autism with hypo/hypersensitivity to certain sensory stimuli. A recent study (Kern et al., 2007) on sensory processing in autism shows that there are abnormalities in main sensory modalities (touch, oral, visual and auditory) and these seem to be interrelated. This supports the hypothesis that sensory dysfunction in autism is global in nature. Results of the various studies on sensory impairment and autism also show a clear association between visual impairment and increased autistic-like symptoms. However, it seems that this association has been mediated through brain damage (readers are advised to refer to Pring, 2005 for an excellent review of the subject). A well known example of this association can be seen in children with congenital rubella syndrome where Students You are en titled to a 50 % discount on a subscrip tion to The","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"304 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114395159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is Every Cause of Autism a Definite Cause of Deafness?","authors":"","doi":"10.1179/096979508799103297","DOIUrl":"https://doi.org/10.1179/096979508799103297","url":null,"abstract":"Everyone knows that autism is a primary brain disorder. This top-down theory seems so self-evident that it has proved impossible to get autismologists to engage with let, alone test, a radically different bottom up theory for which there is a large amount of evidence, namely that autism is a variant ear disorder (Gordon 1989). This means that every cause of autism is also a cause of deafness, any brain malfunction being secondary to sensory misspecification. Two recent papers provide a powerful comparison of these rival theories. Mankoski et al., (2006) provide clear evidence for autism being caused or aggravated by malaria, but totally ignore the fact that this was predicted by the otogenic theory, as is the case with their other implicated causes of autism (herpes, rubella, meningitis, mucopolysaccharidoses and cranial dysostoses) which also cause deafness (Gordon, 1991). One of their cases became autistic after Salmonella meningitis. Deafness is prominent after meningitis in African infants: of 19 survivors, 5 had se-quelae, 3 of whom were deaf (Molyneux et al., 2000). Not all causes of deafness may also cause autism, but there is a very long list of them that do (Gordon, 2007). So, does it include malaria, and is not the autism more plausibly explained by associated brain damage? Malaria is a common cause of deafness in Africa (Olu Ibekwe, 1998). Despite the strong co-morbidity between deafness and autism, most autists have normal pure tone audiograms (Hayes and Gordon, 1977). Hence any causal relationship is not with hypoacusis, but must be with hyperacusis or auditory fluctuation or distortion, as evident clinically and from many written accounts by autists. Itard (1821), who coined the word hyper(a)cousie, noted that this was often the first sign of progressive cochlear hypoacusis. There is a clear otological candidate for such an auditory syndrome, Meniere Spectrum Disorder, comprising the usual symptoms of Meniere's disease, but not chronic, obvious or progressive enough for a diagnosis of Meniere's disease in an otology clinic. The immediate trigger for this inner ear hyperirritability seems to be a drop in perilymph pressure from a fistula, low blood or spinal fluid pressure, weight loss, etc. (Gordon, 1983). In malaria, dehydration would be a clear trigger of such an endolymphatic hydrops. A doctor in Africa (Denti di Pirajno, 1956) gave an excellent description of his own sudden malarial Menieriform attacks: his knees turned to water; slight buzzing in his ears grew into deafening …","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126260437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of Learning Disability Services in the West Yorkshire Region","authors":"Jibowu Olubokun","doi":"10.1179/096979507799103388","DOIUrl":"https://doi.org/10.1179/096979507799103388","url":null,"abstract":"This account represents a general background to the development and evolution of hospital care services and rehabilitation of people with mental handicap in the West Yorkshire hospitals during the 20th century. A number of periods were recognisable during this era. There was a philosophy to which a particular ethos and ethic was the main theme. These periods broadly speaking can be divided into the following:","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123361494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Parents' Perspectives on Grounds For Out-of-Home Placement of Young Children with a Disability","authors":"Ine Hostyn, B. Maes","doi":"10.1179/096979507799103423","DOIUrl":"https://doi.org/10.1179/096979507799103423","url":null,"abstract":"(2007). Parents' Perspectives on Grounds For Out-of-Home Placement of Young Children with a Disability. The British Journal of Development Disabilities: Vol. 53, No. 105, pp. 131-146.","PeriodicalId":412658,"journal":{"name":"The British Journal of Development Disabilities","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2007-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133458007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}