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Classification and Diagnosis of Psychiatric Disorders in Persons with Developmental Disabilities

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Abstract

This article presents a brief historical overview of psychiatric diagnosis in persons with developmental disabilities, including a review of the relationship between applied behavior analysis and dual diagnosis. The purposes of diagnosis are then outlined. The definitions of developmental disabilities, mental disorder, and dual diagnosis are reviewed and some of the problems when making a psychiatric diagnosis in persons with developmental disabilities are discussed. Special attention is given to the problem of diagnosing mental retardation in persons with mild through borderline mental retardation and to the problem of diagnosing psychiatric disorders in persons with severe and profound mental retardation. Finally, an overview of common issues in the process of collecting and combining information to make a psychiatric diagnosis in persons with developmental disabilities is given.

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REFERENCES

  • Aman, M. G. (1991). Assessing psychopathology and behavior problems in persons with mental retardation: A review of available instruments, (DHS Publication No. [ADM] 91–1712), U.S. Department of Health and Human Services, Rockville, MD.

    Google Scholar 

  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders. Fourth edition. DSM-IV, APA, Washington DC.

    Google Scholar 

  • Bouras, N. (in press, ed.). Psychiatric and behavioral disorders in mental retardation, Cambridge University Press, Cambridge, UK.

  • Corbett, J. (1977). Population studies of mental retardation. In Graham, P. (ed.), Epidemiological Approaches to Child Psychiatry, Academic Press, London, pp. 305–322.

    Google Scholar 

  • Edgerton, R. P. (1993). The Cloak of Competence Revisited, University of California Press, Berkeley, CA.

    Google Scholar 

  • Gadow, K. D., and Poling, A. G. (1988). Pharmacotherapy and Mental Retardation, Little Brown, and Co., Boston, MA.

    Google Scholar 

  • Gardner, W. I., and Whalen, J. P. (1996). A multi-modal behavior analytic model for evaluating the effects of medical problems on nonspecific behavioral symptoms in persons with developmental disabilities. Behav. Intervent. Theory Pract. Resident. Commun. Clin. Progr. 11: 147–162.

    Google Scholar 

  • Gostason, R. (1985). Psychiatric illness among the mentally retarded. A Swedish population study. Acta Psychiatr. Scand. Suppl. 71(318).

  • Gottlieb, J., Alter, M., Gottlieb, B. W., and Wisher, J. (1994). Special education in urban America: Its not justifiable for many. J. Sp. Ed. 27: 453–465.

    Google Scholar 

  • Jacobson, J. W. (1982). Problem behavior and psychiatric impairment within a developmentally disabled population I: Behavior frequency. Appl. Res. Ment. Retard. 3: 121–139.

    Google Scholar 

  • Kazdin, A. E., Matson, J. L., and Senatore, V., (1984). Psychometric properties of the Psychopathology Instrument for Mentally Retarded Adults. Appl. Res. Ment. Retard. 5: 81–89.

    Google Scholar 

  • Lakin, K. C., Braddock, D., and Smith, G. (1994). Trends and milestones. Ment. Retard. 32: 77.

    Google Scholar 

  • Larry P. v. Reiles. Civil Action No. 71–2270 (N. D. Cal. 1971). 495 Suppl 926 (N. D. Cal. 1979). Decision on Merits, United States Court of Appeals, Ninth Circuit, No. 80–427, January 23, 1984, Trial Court Decision Affirmed.

  • Lowry, M. A., and Sovner, R. (1992). Severe behavior problems associated with rapid cycling bipolar disorder in two adults with profound mental retardation. J. Intell. Disabil. Res. 36: 269–281.

    Google Scholar 

  • Lund, J. (1985). The prevalence of psychiatric morbidity in mentally retarded adults. Acta Psychiatr. Scand. 72: 563–570.

    Google Scholar 

  • MacMillan, D. L., Gresham, F. M., Siperstein, G. N., Bocian, K. M. (1996). The labyrinth of IDEA: School decisions on referred students with subaverage general intelligence. Am. J. Ment. Retard. 101: 161–174.

    Google Scholar 

  • MacMillan, D. L., Spierstein, G. N., and Grescham, F. M. (1993). Conceptual and psychometric concerns over the 1992 AAMR definition of mental retardation. Am. J. Ment. Retard. 98: 325–335.

    Google Scholar 

  • Meadows, G., Turner, T., Campbell, L., Reveley, M. A., and Murray, R. M. (1991). Assessing schizophrenia in adults with mental retardation: A comparative study. Brit. J. Psychiatry 158: 103–105.

    Google Scholar 

  • Matson, J. L. (1988). The PIMRA Manual, IDS Publishing Company, Worthington, OH.

    Google Scholar 

  • Matson, J. L., and Barrett, R. P. (1993, eds.), Psychopathology in the Mentally Retarded (second edition), Allyn & Bacon, Needham Heights, MA.

    Google Scholar 

  • Matson, J. L., Gardner, W. I., Coe, D. A., and Sovner, R. (1991). A scale for evaluating emotional disorders in severely and profoundly retarded persons. Brit. J. Psychiatry 159: 404–409.

    Google Scholar 

  • Moss, S., Patel, P. P., Prosser, H., Goldberg, D., Simpson, N., Rowe, D., and Luchino, R. (1993). Psychiatric morbidity in older people with moderate and severe learning disability. Brit. J. Psychiatry 163: 471–480.

    Google Scholar 

  • Nezu, C. M., Nezu, A. M., and Gill-Weiss, M. J. (1992). Psychopathology in Persons with Mental Retardation. Clinical Guidelines for Assessment and Treatment, Research Press Company, Champaign, IL.

    Google Scholar 

  • Pyles, D. A. M., Muniz, K., Cade, A., and Silva, R. (1997). A behavioral diagnostic paradigm for integrating behavior-analytic psychopharmacological interventions for people with a dual diagnosis. Res. Devel. Disabil. 18: 185–214.

    Google Scholar 

  • Richardson, S. A., Koller, H., Katz., and McClaren, J. (1984). Career paths through mental retardation services: An epidemiological perspective. Appl. Res. Ment. Retard. 5: 53–67.

    Google Scholar 

  • Rutter, M., Tizard, J., Yule, W., Graham, P., and Whitmore, K. (1976). Isle of White studies. Psychological Med. 6: 313–332.

    Google Scholar 

  • Singh, N. N., Sood, A., Sonenklar, N., and Ellis, C. R. (1991). Assessment and diagnosis of mental illness in persons with mental retardation. Methods and measures. Behav. Mod. 15: 419–443.

    Google Scholar 

  • Skinner, B. F. (1989). Recent Issues in the Analysis of Behavior, Merrill, Columbus, OH.

    Google Scholar 

  • Sturmey, P. (1993). The use of DSM and ICD diagnostic criteria in people with mental retardation: A review of empirical studies. J. Nerv. Ment. Dis. 181: 39–422.

    Google Scholar 

  • Sturmey, P. (1995b). DSM-III-R and persons with dual diagnoses: Conceptual issues and strategies for future research. J. Intell. Disabil. Res. 39: 657–664.

    Google Scholar 

  • Sturmey, P. (1995a). Diagnostic-based pharmacological treatment of behavior disorders in persons with developmental disabilities: A review and a decision—making typology. Res. Devel. Disabil. 16: 235–252.

    Google Scholar 

  • Sturmey, P. (1996). Functional Analysis in Clinical Psychology. Wiley, London.

    Google Scholar 

  • Sturmey, P., Burcham, J. A., and Shaw, B. (1996). The frequency of Reiss Screen dual diagnoses a community sample of adults with mental retardation in West Texas. Behav. Intervent. Theory Pract. Resident. Commun. Clin. Progr. 11: 87–94.

    Google Scholar 

  • Sturmey, P., Reed, J., and Corbett, J. (1991). Psychometric assessment of psychiatric disorders in people with learning disorders (mental handicap): A review of measures. Psychological Med. 21: 143–155.

    Google Scholar 

  • Sturmey, P., and Sevin, J. (1993). Dual diagnosis: An annotated bibliography of research. J. Intell. Disabil. 37: 437–448.

    Google Scholar 

  • Turner, T. H. (1989). Schizophrenia and mental handicap: An historical review, with implications for further research. Psychological Med. 19: 301–314.

    Google Scholar 

  • U.S. Department of Education (1995). Seventeenth annual report to congress on the implementation of the Individuals with Disabilities Education Act, Washington DC: Author.

    Google Scholar 

  • Zwick, R. (1983). Assessing the psychometric characteristics of psychodiagnostic systems: How do research Diagnostic Criteria hold up? J. Commun. Clin. Psychol. 51: 17–131.

    Google Scholar 

  • Zimmerman, M., Jampala, V. C, Sierles, F. S., and Taylor, M. (1991). DSM-IV: A nosology sold before its time? Am. J. Psychiatry 148: 463–467.

    Google Scholar 

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Sturmey, P. Classification and Diagnosis of Psychiatric Disorders in Persons with Developmental Disabilities. Journal of Developmental and Physical Disabilities 10, 317–330 (1998). https://doi.org/10.1023/A:1021850420684

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