age forty, her chances of producing a Mongoloid are greater than at age twentysimply because disease and infection have had twice as many years <strong>to</strong> play upon <strong>the</strong>entire body, including <strong>the</strong> ova. 9Doc<strong>to</strong>rs can recognize <strong>the</strong> Mongoloid child at birth, and his features remaindistinctive through life. Take Judy, for example. Her condition was easilyrecognized by her rounded face, enlarged <strong>to</strong>ngue, deep indentations at <strong>the</strong> corners ofher eyes, yellowish skin, stumpy arms and short, broad neck. Formerly medicalstudents were taught that all Mongoloids were profoundly retarded, but now it isknown that <strong>the</strong>y may have an IQ as high as 70.Ano<strong>the</strong>r third of all retardates have suffered organic brain damage, whichoccurred nei<strong>the</strong>r from disease nor faulty genetic influence, but because <strong>the</strong> brainreceived some kind of destructive physical injury or alteration. 10 Thus some parts,specifically those having <strong>to</strong> do with intelligence, no longer function normally. Braintissue can be destroyed in <strong>the</strong> prenatal stages by prolonged labor, pelvic pressure,hemorrhage, or lack of oxygen. Any organic brain damage which occurs after birthcan be due <strong>to</strong> poisoning, accidental blows <strong>to</strong> <strong>the</strong> head, or glandular disturbance. 11All of <strong>the</strong>se things can kill brain tissue, and <strong>to</strong> this date scientists have found no way<strong>to</strong> make it alive and functional again.PHYSICAL COMPLICATIONSInitially, retardation implies a loss in some degree of intellectual functioning,but physical problems also ensue because <strong>the</strong> brain is no longer functioning in itsnormal capacity. Whe<strong>the</strong>r <strong>the</strong> brain damage has been organic or genetic, <strong>the</strong>central nervous system is impaired. Sometimes this organic impairment includes<strong>the</strong> death of certain tissues of <strong>the</strong> mo<strong>to</strong>r control centers, which results in <strong>the</strong>handicap known as cerebral palsy. Because dead brain tissues cannot sendmessages which would normally make muscles perform smoothly, persons withcerebral palsy achieve purposeful movement only with great difficulty. Movementis jerky and without smooth uniformity for some, while o<strong>the</strong>rs cannot walk, talk,manipulate or move at all.Some retardates also have sight and hearing losses, and may suffer fromano<strong>the</strong>r brain malfunction known as epilepsy, or dysrhythmia. Epilepsy has alwaysbeen mysterious, but it can be ra<strong>the</strong>r simply defined as "an episode of <strong>the</strong>impairment of consciousness." 12 Many questions remain <strong>to</strong> be answered,especially for persons who experience <strong>the</strong> most violent kinds of seizures. Doc<strong>to</strong>rsnow effectively use drugs in controlling <strong>the</strong>se violent seizures; however, <strong>the</strong> typeof epilepsy with which <strong>the</strong> Sunday school teacher usually has <strong>to</strong> cope actually hasno violent aspects. Science calls it a "minor mo<strong>to</strong>r seizure," 13 during which a child
loses consciousness, usually losing muscle control and falling. This fall rarelyharms him unless he is unusually heavy or tall, or falls against heavy or sharpobjects. He slumps in a relaxed attitude, remains unconscious from fifteen <strong>to</strong>twenty seconds, and <strong>the</strong>n slowly awakens <strong>to</strong> rejoin class activity.These minor mo<strong>to</strong>r seizures will probably be routine occurrences in any classfor trainables, and <strong>the</strong> well-adjusted teacher learns <strong>to</strong> treat <strong>the</strong>m casually. Heneeds a basic understanding of <strong>the</strong> functioning of each child so he can properlycare for him. His ability <strong>to</strong> be calm and proceed with class activity when one childhas a seizure will lend needed emotional support <strong>to</strong> <strong>the</strong> rest of <strong>the</strong> students as <strong>the</strong>ysee <strong>the</strong> epileptic accepted in <strong>the</strong> midst of his seizures. 14SUMMARYMental retardation is <strong>the</strong> resulting condition when brain tissue does not developproperly in <strong>the</strong> prenatal stages or is destroyed during or after birth. Geneticimbalance, occurring at conception, accounts for one-third of all retardates. Thesechildren are known as Mongoloids, or are said <strong>to</strong> have Downs Syndrome. They fitin<strong>to</strong> both <strong>the</strong> educable and trainable levels. Ano<strong>the</strong>r third of all mentallyhandicapped persons have suffered organic or actual physical damage <strong>to</strong> <strong>the</strong> brain.This may happen due <strong>to</strong> lack of oxygen during delivery, or after birth throughpoisoning, accidental blows <strong>to</strong> <strong>the</strong> head, or through chemical imbalance at any stagein life.Mentally handicapped individuals are placed in<strong>to</strong> two intellectual andeducational categories: The educable will attend special public school classes wherehe will learn basic fundamental skills and eventually learn enough <strong>to</strong> support himselfby doing work requiring limited intellectual functioning. The trainable retarded,however, will probably learn those things pertaining <strong>to</strong> self-care, social habits, andhis adjustment <strong>to</strong> his immediate surroundings. The IQ of a trainable retardate maybe as high as 55. All retardates can and need <strong>to</strong> learn <strong>the</strong> personal love of God for<strong>the</strong>m.Retardation often involves such physical complications as slow and incompletemo<strong>to</strong>r-ability development, handicapped sight and hearing, and varying degrees ofcerebral palsy, as well as a mild form of epilepsy.Since surgeons cannot yet replace brain tissue, retardation affects <strong>the</strong> entire lifeof an individual. The retardate's parents fear that <strong>the</strong>y are <strong>the</strong> carriers of <strong>the</strong> malady,that <strong>the</strong>ir forefa<strong>the</strong>rs have home it <strong>to</strong> <strong>the</strong>m, and that <strong>the</strong>y are passing it on <strong>to</strong> futuregenerations. These fears have no basis in fact, for no one can accurately predictwhen conception between healthy people will result in retardation.
- Page 2 and 3: CONTENTSCHAPTERIntroductionPart I F
- Page 4 and 5: since three hundred mentally retard
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- Page 18 and 19: ealize just how desperately these c
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- Page 22 and 23: he can perform well. A single perfo
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- Page 34 and 35: their children's handicap." He ment
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- Page 38 and 39: BUILDINGS AND EQUIPMENTThe well-pla
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8How Shall the Family Be CounseledR
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place, attempting abortion, permiss
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school with a neighboring family, b
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Some will make an adequate adjustme
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church family "has been no problem
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criticize his every deed. Randy is
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If there is any starting point with
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Appendix OneHistorical Survey of Me
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8. Children love repetition.9. Chil
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general intellectual functioning, (
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SOURCE: J. V. Hottel, The Tennessee
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8. Ibid., p. 56.9. Ibid., p. 57.10.
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17. Ibid., pp. 18-22.18. Louis Rose
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24. Ovid. Decroly, La Classificatio
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Cruiksbank, William M. et al. A Tea
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Koenig, Frances. "Implications in t
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UNESCO. Organization of Special Edu