BORDERLINE INTELLECTUAL FUNCTIONING AND CLINICAL FEATURES

Yıl 2017, , 0 - 0, 01.06.2017

Türkü Çobanoğlu Tunalı Vesile Şentürk Cankorur

https://doi.org/10.1501/Kriz_0000000357

Öz

Borderline intellectual functioning is placed between normal functioning and mental retardation. In addition to defects in learning, reasoning and problem solving caused by cognitive deficiency; limitations in adaptation, communication,social relations and functioning are also observed. These limitations yield low quality of life and exclusion from the society. Neurodevelopmental disorders and life challenges give cause for more psychiatric illnesses. Although it is common in population; its definition, taxonomy and assesment are not clearly described. Therefore, it is difficult for clinicians to manage this situation sincescientific research is low in number and instruments used in diagnosing or treatment processes are insufficient. In these paper wemention aboutimportant points of making diagnosis and give information about vulnerabilities and risks of borderline intellectual disability

Anahtar Kelimeler

borderline intellectual functioning, diagnose, clinical features

Sınır entelektüel yetersizlik tanısı ve klinik özellikleri

Öz

Sınır entellektüel yetersizlik, normal zihinsel fonksiyonu zeka geriliklerinden ayıran noktada yer alır. Bilişsel yetersizliklikten kaynaklanan öğrenme, nedensel ilişki kurma, problem çözme gibi becerilerde görülen eksikliğin yanı sıra; adaptasyon becerilerinde, iletişimde, sosyal ilişkilerde, işlevsellikte kısıtlılık gözlenebilir. Bu kısıtlılıklar daha düşük hayat kalitesi ve toplumdan dışlanmaya yol açabilir. Nörogelişimsel farklılıklar ve yaşamsal zorluklar psikiyatrik hastalıklarla daha sık karşılaşmalarına neden olmaktadır.Toplumda sık görülmesine rağmen tanımı, sınıflandırılması ve değerlendirmesine ilişkin üzerinde uzlaşılamamıştır. Bu bireylerle yapılan hem bilimsel araştırmalardaki hem de tanı ve tedavi süreçlerinde yardımcı olacak araçlardaki eksiklik klinisyenlerin bu durumu yönetmesini zorlaştırmaktadır. Bu yazıda sınır entellektüel yetersizliğe sahip bireylerin fark edilmesine ilişkin ipuçlarına değinilmiş, bu bireylerin duyarlılıkları ve karşılaştıkları riskler hakkında bilgi verilmiştir

Anahtar Kelimeler

ANAHTAR KELİMELER:sınır entellektüel yetersizlik, tanı, klinik özellikler

Kaynakça

• Alloway, T. P. (2010). Working memory and executive function profiles of individuals with borderline intellectual functioning. Journal of Intellectual Disability Research, 54(5), 448-456.
• Baglio, F., Cabinio, M., Ricci, C., Baglio, G., Lipari, S., Griffanti, L., ... & Blasi, V. (2014). Abnormal development of sensory-motor, visual temporal and parahippocampal cortex in children with learning disabilities and borderline intellectual functioning. Frontiers in human neuroscience, 8, 806.
• Cornoldi, C., Giofre, D., Orsini, A., & Pezzuti, L. (2014). Differences in the intellectual profile of children with intellectual vs. learning disability. Research in Developmental Disabilities, 35(9), 2224-2230.
• Debes, N. M., Hansen, A., Skov, L., & Larsson, H. (2011). A functional magnetic resonance imaging study of a large clinical cohort of children with Tourette syndrome. Journal of child neurology, 26(5), 560-569.
• Feinstein, C., Eliez, S., Blasey, C., & Reiss, A. L. (2002). Psychiatric disorders and behavioral problems in children with velocardiofacial syndrome: usefulness as phenotypic indicators of schizophrenia risk. Biological psychiatry, 51(4), 312-318.
• Gentile, J. P., & Gillig, P. M. (Eds.). (2012). Psychiatry of Intellectual Disability: A Practical Manual. John Wiley & Sons.
• Greenspan, S. (2017). Borderline intellectual functioning: an update. Current opinion in psychiatry, 30(2), 113-122.
• Hassiotis, A. (2015). Borderline intellectual functioning and neurodevelopmental disorders: prevalence, comorbidities and treatment approaches. Advances in Mental Health and Intellectual Disabilities, 9(5), 275-283.
• Mähler, C. (2005). Acquiring a theory of biology: Knowledge about inheritance in children with lower intelligence. Swiss journal of psychology, 64(3), 173-182.
• Menolascino, F. J., & Stark, J. A. (Eds.). (2012). Handbook of mental illness in the mentally retarded. Springer Science & Business Media.
• Paniagua, C., & De Fazio, A. (1983). Psychodynamics of the mildly retarded and borderline intelligence adult. Psychiatric quarterly, 55(4), 242-252.
• Peltopuro, M., Ahonen, T., Kaartinen, J., Seppälä, H., & Närhi, V. (2014). Borderline intellectual functioning: a systematic literature review. Intellectual and developmental disabilities, 52(6), 419- 443.
• Philips, I. (1967). Psychopathology and mental retardation. American Journal of Psychiatry, 124(1), 29-35.
• Putnam, C. (2009). Guidelines for understanding and serving people with intellectual disabilities and mental, emotional, and behavioral disorders. Florida Developmental Disabilities Council, Inc. Contract, (732HC08B), 1-30.
• Salvador-Carulla, L., García-Gutiérrez, J. C., Gutiérrez-Colosía, M. R., Artigas-Pallarès, J., Ibánez, J. G., Pérez, J. G., ... & Poole, M. (2013). Borderline intellectual functioning: consensus and good practice guidelines. Revista de Psiquiatría y Salud Mental (English Edition), 6(3), 109-120.
• Shaw, S. R. (2010). Rescuing Students from the Slow Learner Trap. Principal leadership, 10(6), 12-16.
• Sovner, R. (1986). Limiting factors in the use of DSM-III criteria with mentally ill/mentally retarded persons. Psychopharmacology Bulletin, 22(4), 1055.
• Swanson, H. L. (1994). The role of working memory and dynamic assessment in the classification of children with learning disabilities. Learning Disabilities Research & Practice.
• Vuijk, P. J., Hartman, E., Scherder, E., & Visscher, C. (2010). Motor performance of children with mild intellectual disability and borderline intellectual functioning. Journal of intellectual disability research, 54(11), 955-965.
• Wieland, J. (2016). Psychopathology in borderline intellectual functioning: explorations in secondary mental health care. Department of Psychiatry, Faculty of Medicine, Leiden University Medical Center (LUMC), Leiden University.