Mental Illness in the Mentally Retarded: Diagnostic and Treatment Issues

  • Frank J. Menolascino
Part of the Disorders of Human Learning, Behavior, and Communication book series (HUMAN LEARNING)

Abstract

The coexistence of mental retardation and mental illness in the same individual presents unique challenges to mental health professionals both in terms of diagnosis and treatment. The mentally retarded/mentally ill comprise a complex group of persons whose needs are often poorly identified and who are often referred from agency to agency in fruitless efforts to obtain help. These challenges are heightened by the recent national deinstitutionalization movement, which has focused on integrating mentally retarded children and adults into the mainstreams of family and community life. As the more complex individuals with mental retardation are served in community-based programs, mental health professionals have increasingly been confronted with the challenge of meeting their needs within the confluences of family and community life.

Keywords

Depression Dementia Schizophrenia Dexamethasone Hypothyroidism 

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References

  1. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders, Vol. III (DSM-III). Washington, DC: Author.Google Scholar
  2. Craft, M. (1959). Mental disorder in the defective: A psychiatric survey among inpatients. American Journal of Mental Deficiency, 63, 829–834.PubMedGoogle Scholar
  3. Donoghue, E.C., Abbas, K.A., & Gal, E. (1979). The medical assessment of mentally retarded children in hospitals. British Journal of Psychiatry, 117, 531–532.CrossRefGoogle Scholar
  4. Duncan, A.G. (1935). Mental deficiency and manic depressive insanity. Journal of Mental Science, 82, 635–641.Google Scholar
  5. Hunsicker, H.H. (1938). Symptomatology of psychosis with mental deficiency. Proceedings of the 62nd Annual American Association on Mental Deficiency, 43, 51–56.Google Scholar
  6. Innes, G., Kidd, C., & Ross, H.S. (1968). Mental subnormality in northeast Scotland. British Journal of Psychiatry, 114, 35–41.PubMedCrossRefGoogle Scholar
  7. Lane, H. (1976). The wild boy of Aveyron. Cambridge, MA: Harvard Press.Google Scholar
  8. Matson, J.L., & Barrett, R.P. (1982). Affective disorders. In J.L. Matson & R.P. Barrett (Eds.), Psychopathology in the mentally retarded (pp. 121–146). New York: Grune & Stratton.Google Scholar
  9. Menolascino, F. (1965). Emotional disturbance and mental retardation. American Journal of Mental Deficiency, 70, 248–256.PubMedGoogle Scholar
  10. Menolascino, F.J. (1983). Overview. In F.J. Menolascino & B.M. McCann (Eds.), Mental health and mental retardation: Bridging the gap (pp. 3–64). Baltimore, MD: University Park Press.Google Scholar
  11. Menolascino, F.J. (1986, May). Differential diagnosis: Clinical research challenges in the mentally ill/mentally retarded. Paper presented at the 26th annual meeting of the New Clinical Drug Evaluation Unit (NCDEU), Key Biscayne, FL.Google Scholar
  12. Menolascino, F.J., Ruedrich, S.L., Golden, C.J., & Wilson, J.E. (1985). Diagnosis and pharmacotherapy of schizophrenia in the retarded. Psychopharmacology Bulletin, 21, 316–322.PubMedGoogle Scholar
  13. Mercer, M. (1968). Why mentally retarded persons come to a mental hospital. Mental Retardation, 6, 8–10.PubMedGoogle Scholar
  14. Payne, R. (1968). The psychiatric subnormal. Journal of Mental Subnormality, 14, 25–34.Google Scholar
  15. Reid, A.H. (1972). Psychoses in adult mental defectives: I. Manic-depressive psychoses. British Journal of Psychiatry, 120, 205–212.PubMedCrossRefGoogle Scholar
  16. Reis, R.K. (1985). DSM-III implications of the diagnoses of catatonia and bipolar disorder. American Journal of Psychiatry, 142, 1471–1474.Google Scholar
  17. Reiss, S., Levitan, G., & McNally, R. (1982). Emotionally disturbed mentally retarded people: An underserved population. American Psychologist, 37(4), 361–367.PubMedCrossRefGoogle Scholar
  18. Rosenoff, A.J., Handy, L.M., & Plesset, LR. (1935). The etiology of manic-depressive syndromes with specific references to their occurrences in twins. American Journal of Psychiatry, 91, 725–762.Google Scholar
  19. Ruedrich, S.R., & Menolascino, F.J. (1984). Dual diagnosis of mental retardation and mental illness: An overview. In F.J. Menolascino & J. A. Stark (Eds.), Handbook of mental illness in the mentally retarded (pp. 45–81). New York: Plenum Press.Google Scholar
  20. Shellhaas, M.D., & Nihira, K. (1969). Factor analysis of reasons retardates are referred to an institution. American Journal of Mental Deficiency, 74, 171–179.PubMedGoogle Scholar
  21. Sovner, R., & Hurley, A.H. (1983). Do the mentally retarded suffer from affective illness? Archives of General Psychiatry, 140, 1539–1540.Google Scholar
  22. Weaver, T.R. (1946). The incidence of maladjustment among mental defectives in a military environment. American Journal of Mental Deficiency, 51, 238–346.PubMedGoogle Scholar
  23. Williams, C.E. (1972). A study of the patients in a group of mental subnormal hospitals. British Journal of Mental Subnormality, 17, 29–41.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • Frank J. Menolascino

There are no affiliations available

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