Children with mental disabilities -- Education; Children with mental disabilities -- Psychological testing
=Estimation of the Degree of Mental Inferiority.=--We have seen how
easily, in spite of the commonly accepted opinion, experienced
teachers and inspectors accomplish this part of their task. If a
doctor were charged with it his embarrassment would be great. Just
imagine a doctor introduced into a school of 300 children in order to
pick out the defectives by strictly medical methods. No doubt every
doctor, especially if he is an alienist, is called upon to estimate
the intellectual level of children, and to sign certificates of
idiocy, imbecility, and feeble-mindedness. But just consider how
things are managed at the consultation. The parents bring the child.
They know very well that he is "not like others." They bring him for
that very reason, and consequently the doctor does not require to
distinguish the child from a normal one. He only requires to sit and
listen to the parents, who give him a crowd of particulars. When he
questions and examines the child, it is only to verify what he has
learned, and to add his own personal impression. As a general rule the
case is a severe one; the deficiency is so evident that any sensible
person would notice it. The task of the doctor is therefore narrowed.
He has only to certify the mental deficiency of the patient, stating
in technical terms the diagnosis which the parents have brought to him
ready made. Even his estimation of the gravity of the case, apart from
special investigations on his part, is not very different from that of
ordinary people who readily distinguish between the idiot who cannot
speak; the imbecile, who can make himself understood, though he cannot
be educated; and the feeble-minded, who can do some work, but is not
able to provide for his wants, or to behave himself sensibly.
When the doctor thus certifies the intellectual level of the patient,
does he try to do so with precision? By no means, for it is not
expected of him. The parents do not come to him in order to ask him,
"Is my child backward in his mental development?" Alas they see it
only too well, and little it matters to them whether his backwardness
amounts to six months or a year. But they do come to ask, "Why does
this child not make the usual progress? Is there not some medicine,
doctor, which can help his development?" When they come to the doctor,
it is not even with the hope that some medico-pedagogical treatment
will cure their child. They know very well that the devoted care which
they have always bestowed upon him from his infancy is superior to
anything which can be given to him at a dispensary for children; but
their indomitable hope leads them to seek chimerical measures. In all
this, let us repeat, the doctor does not require to estimate the
degree of mental deficiency with any delicacy. But if he should try to
do so, what methods would he use?
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