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EXCEPTI ONAL CHILDREN Introduction to Special Education FOURTH EDITION Daniel P. Hallahan James M. Kauffman University of Virginia Prentice Hall, Englewood Cliffs, New Jersey 07632 Library of Congress Cataloging.in-Publication Data Hallahan, Daniel P. Exceptional children. Includesbibliographies and index. 1. Exceptional children—Education—United States. •. I. Kauffman, James M. II. Title. T1T 371.9 87-14467 rw, p,tini t.,sie •ii' Hand t Editorial/productionsupervision: lerena Hoffman Interior design: Levavi and Levavi Design supervision: Judith A. Matz-Coniglio Cover design: Judith A. Matz-Coniglio Cover art: Two Sisters © 1980 C. Crist Delmonico. Manufacturing buyer: Carol Bystrom and Margaret Rizzi Photo research: Ten Stratford Photo editor: Lorinda Morris-Nantz CHAPTER OPENING QUOTES: (1) and (2) Richard H. Hungerford, 'On Locusts," American Journal ofMental (3) Neil Diamond, "Brooklyn Roads." Copyright © 1968 Stonebridge Music. All Deficiency, 1950, 54, 415—418. (4) Neil Diamond, "ShUn." Copyright C rights reserved. Used by permission. International copyright secured. secured. (5) Gerald 1967 Tallyrand Music, Inc. All rights reserved. Used by permission. International copyright Jonas, Stuttering: The Disorder of Many Theories. Copyright © 1976, 1977 by Gerald Jonas. By arrangement with appeared in The New Farrar, Straus & Giroux, Inc. and International Creative Management. This selection originally (7) Leonard Gershe, "Butterflies Yorker (6) Helen Keller, The Story of My Lift New York: Doubleday, 1954. Are Free." Copyright C 1969 by Leonard Gershe. (8) Words by Chuck Mangione. Copyright C 1971 Gates (9) Autobiography of Mark Twain, edited by Charles Neider. New York: Harper IM&u Rsiocw, I, n1c9. 5A9l.l Rig(h1t 0R) eBseorbv eDdy.lan, "The Times They Are A-Changin!" Copyright © 1963 Warner Bros.,Inc. All Rights Reserved. Used by permission. — © 1988, 1986, 1982, 1978 by Prentice Hall , ADivision of Simon & Schuster b4 Englewóod Cliffs, New Jersey 07632 7 Allrights reserved. No part of this book may be reproduced, in any'form or by any means, without permission in writing from the publisher. Printed in the United States of America 10 9 8 7 6 5 4 ISBN 0—13—295585—7 01 Prentice-Hall International (UK) Limited, London Prentice-Hall of Australia Pry. Limited, Sydney Prentice-Hall Canada Inc., Toronto Prentice-Hall Hispanoamericana, S.A., Mexico Prentice-Hall of India Private Limited, New Delhi Prentice.Hall of Japan,1nc., Tokyo Simon & Schuster Asia Pte. Ltd., Singapore Editora Prentice-Hall do Brasil, Ltda., Rio dejaneiro Contents • Preface ix 1 Introduction i DEFINITIONS 6 Exceptional Children 6 SpecialEducation 6 WHAT SPECIAL EDUCATION TEACHERS ARE EXPECTED TO DO 13 PREVALENCE OF EXCEPTIONAL CHILDREN 15 THE HISTORY OF SPECIAL EDUCATION 18 People and Ideas 18 The Fall and Rise of Special Education 22 professional and Parent Organizations 25 Legislation and Litigation 26 Perspectives on Legislation and Litigation 32 SUMMARY 38 REFERENCES 40 2 Retardation 43 L,-Mental DEFINITIONS 44 Grossman's AAMD Definition 46 A Social System Definition 47 A Behavioral Definition 48 ClASSIFICATION 48 The AAtvID System 48 The Educators' System 49 PREVALENCE 49 CAUSES 50 Mild Retardation 50 More Severe Retardation 54 MEASUREMENT 61 Intelligence Tests 61 Assessing Adaptive Behavior 65 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 66 Cognitive Characteristics 66 Personality Characteristics 69 Ut iv COZ%rTENTS EDUCATIONAL CONSIDERATIONS 70 Education for Mildly Retarded Students 70 Education for Moderately Retarded Students 77 Education for Severely and Profoundly Retarded Students 78 Administrative Arrangements 83 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 86 SPECIAL CONSIDERATIONS IN EDUCATING THE ADOLESCENT AND ADULT 87 Sheltered Workshops 87 Nonsheltered Work Environments 88 Community Survival Skills 90 MANAGING THE CHILD IN SCHOOL 91 SUMMARY 91 REFERENCES 94 3 Disabilities 99 Learning \/ DEFINITIONS 100 Factors to Consider in Definitions of Learning Disabilities 102 The Federal Definition 105 The National Joint Committee for Learning Disabilities Definition 105 The Association for Children and Adults with Learning Disabilities Definition 105 PREVALENCE 106 CAUSES 106 Organic and Biological Factors 106 Genetic Factors 108 Environmental Factors 108 MEASUREMENT 109 Standardized Achievement Tests 109 Process Tests 109 Informal Reading Inventories 111 Formative Evaluation Methods 112 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS -113 Perceptual, Perceptual-Motor, and General Coordination Problems 115 Disorders of Attention and Hyperactivity 116 Disorders of Memory and Thinking 120 Social Adjustment 121 The Learning-Disabled Child as an Inactive Learner with Strategy Deficits 125 Neurological Problems 126 Academic Achievement 126 EDUCATIONAL CONSIDERATIONS 129 Process Training 129 Multisensory Approaches 131 Structure and Stimulus Reduction for Hyperactivity and Distractibility 131 The Use of Medication with Hyperactive Children 132 Cognitive Training 133 Behavior Modification 135 Direct Instruction 136 Administrative Arrangements 137 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 137 140 SPECIAL CONSIDERATIONS IN EDUCATING THE ADOLESCENT AND ADULT Secondary Programming 141 Postsecondary Programming 145 MANAGING ThE CHILD IN SCHOOL 146 SUMMARY 147 REFERENCES 151 CONTENTS 4 -Eiiiotional Disturbance! Behavioral Disorder 159 TERMINOLOGY 160 DEFINITION 162 Definition Problems 162 Current Definitions 165 CLASSIFICATION 166 Classification Problems 167 Current Classification Systems 168 PREVALENCE 169 CAUSES 171 Causes and Conceptual Models 171 Biological Factors 172 Family Factors 173 Cultural Factors 174 School Factors 175 Prevention 176 IDENTIFICATION 176 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 178 Intelligence and Achievement 178 Social and Emotional Characteristics 179 Special Characteristics of Severely and Profoundly Disturbed Children 183 EDUCATIONAL CONSIDERATIONS 186 Conceptual Models and Education 186 Current Synthesis of Conceptual Models 190 Administrative Arrangements 192 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 196 SPECIAL CONSIDERATIONS IN EDUCATING THE ADOLESCENT AND ADULT 198 Outlook for Adulthood 199 MANAGING ThE CHILD IN SCHOOL 199 SUMMARY 200 REFERENCES 202 5 -Sèech and Language Disorders 207 DEFINITION 208 SPEECH PRODUCTION 210 LANGUAGE DEVELOPMENT 213 The How and Why of Language Learning 215 SPEECH DISORDERS 216 Voice Disorders 216 Articulation Disorders 219 Fluency Disorders 222 Disorders Associated with Orofacial Defects 224 Disorders Associated with Neurological Damage 227 LANGUAGE DISORDERS 228 Absence of Verbal Language Development 230 Qualitatively Different Language 235 Delayed Language 236 Interrupted Language Development 237 COMMUNICATION SYSTEMS FOR SEVERELY HANDICAPPED INDIVIDUALS 237 PREVALENCE 238 STRATEGIES FOR ASSESSMENT AND INTERVENTION 241 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 242 vi CONTENTS EDUCATIONALCONSIDERATIONS 242 Role of the Teacher in Language Use (Pragmatics) 243 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 246 SPECIAL CONSIDERATIONS IN EDUCATING THE ADOLESCENT AND ADULT 247 MANAGING THE CHILD IN SCHOOL 251 SUMMARY 253 REFERENCES 254 6 flearing Impairment 259 DEFINITIONAND CLASSIFICATION 260 PREVALENCE 263 ANATOMY AND PHYSIOLOGY OF THE EAR 263 The Outer Ear 263 The Middle Ear 264 The Inner Ear 264 MEASUREMENT OF HEARING ABILITY 265 Pure-Tone Audiometry 265 Speech Audiometry 266 Tests for Young and Hard to Test Children 266 School Screening 267 CAUSES 267 Conductive, Sensorineural, and Mixed Impairments 267 Impairments of the Outer Ear 268 Impairments of the Middle Ear 268 Impairments of the Inner Ear 269 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 271 Language and Speech Development 271 Intellectual Ability 272 Academic Achievement 275 Social Adjustment 276 EDUCATIONAL CONSIDERATIONS 277 Oralism versus Manualism 277 Oral Techniques—Auditory Training and Speechreading 279 Manual Techniques—Sign Language and Fingerspelling 285 Administrative Arrangements 287 Technological Advances 289 SPECIAL CONSIDERATIONS IN EDUCATING ThE PRESCHOOL CHILD 294 SPECIAL CONSIDERATIONS IN EDUCATING THE ADOLESCENT AND ADULT 295 - MANAGINGTHE CHILD IN SCHOOL 297 SUMMARY 300 REFERENCES 302 - 7 Visual Impairment 307 DEFINITIONAND CLASSIFICATION 308 PREVALENCE 310 ANATOMY AND PHYSIOLOGY OF THE EYE 311 MEASUREMENT OF VISUAL ABIUTY 311 CAUSES 313 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 315 Language Development 315 Intellectual Ability 316 Mobility 320 Academic Achievement 322 Social Adjustment 322 CONTENTS • EDUCATIONAL CONSIDERATIONS 325 Braille 325 Use of Remaining Sight 328 Listening Skills 329 Mobility Training 329 Special Instructional Aids 335 Administrative Arrangements 336 SPECIAL CONSIDERATIONS IN EDUCATING ThE PRESCHOOL CHILD 339 SPECIAL CONSIDERATIONS IN EDUCATING ThE ADOLESCENT AND ADULT 341 Independent Living 341 Employment 344 MANAGING THE CHILD IN SCHOOL 345 SUMMARY 349 REFERENCES 351 8 Disabilities 357 Physical DEFINITIONAND CL&SSIFICATION 358 PREVALENCE AND NEED 359 NEUROLOGICAL IMPAIRMENTS 360 Cerebral Palsy 361 Epilepsy (Seizure Disorder) 365 Spina Bifida 368 Poliomyelitis 368 Multiple Sclerosis 370 Other Neurological Impairments 370 MUSCULOSKELETAL CONDITIONS 370 Muscular Dystrophy 370 Arthritis 372 Other Conditions 372 CONGENITAL MALFORMATIONS 373 Common Malformations 373 Congenital Malformations and Teratogens 374 ACCIDENTS AND OThER PHYSICAL CONDITIONS 375 CHILD ABUSE AND NEGLECT 379 PSYCHOLOGICAL AND BEHAVIORAL CHARACTERISTICS 381 Academic Achievement 381 Personality Characteristics 382 PROSThETICS, ORThOTICS, AND ADAPTWE DEVICES FOR DAILY LIVING 384 EDUCATIONAL CONSIDERATIONS 388 Behavior Modification Procedures 388 Individual Educations Plans (IEPs) 388 Educational Placement 390 Educational Goals and Curricula 390 Links with Other Disciplines 393 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 396 SPECIAL CONSIDERATIONS IN EDUCATING ThE ADOLESCENT AND ADULT 398 Choice of Career 402 Sociosexuality 403 MANAGING THE CHILD IN SCHOOL 404 SUMMARY 405 REFERENCES 406 9 - Giftedness 411 DEFINITION 412 Changes in the Definition of Giftedness 415 A Suggested Definition 420 PREVALENCE 420 ORIGINS OF GIFTEDNESS 422 Genetic and Other Biological Factors 422 Environmental Factors 424 Vj CONTENTS SCREENING AND IDENTIFICATION 426 Effectiveness and Efficiency of Screening Techniques 426 Measuring Creativity 427 PHYSICAL, PSYCHOLOGICAL, AND BEHAVIORAL CHARACTERISTICS 428 Physical Characteristics 428 Educational and Occupational Characteristics 431 Social and Emotional Characteristics 432 Moral and Ethical Characteristics 435 ATFITUDES TOWARD GIFTED CHILDREN AND THEIR EDUCATION 437 NEGLECTED GROUPS OF GIFTED STUDENTS 439 The Problem of Underachievement 439 Gifted Minority Students 440 Handicapped Gifted Students 441 EDUCATIONAL CONSIDERATIONS 442 Acceleration 446 Models of Enrichment 446 TEACHERS OF GIFTED STUDENTS 448 SPECIAL CONSIDERATIONS IN EDUCATING THE PRESCHOOL CHILD 450 SPECIAL CONSIDERATIONS IN EDUCATING ThE ADOLESCENT AND ADULT 452 MANAGING ThE CHILD IN SCHOOL 453 SUMMARY 454 REFERENCES 456 10 Normalization and Attitudes toward Disabled People 461 NORMALIZATION 462 The Antilabeling Movement 462 The Disability Rights Movement 468 Society' Attitudes toward Handicapped Newborns 471 Technology and the Goal of Normalization 476 The Media's Treatment of Disabilities 477 DEINSTITLJTIONALIZATION 485 Research on the Effects of Placement in Large Residential Institutions 486 Research on the Effects of Placement in Community Residential Facilities 487 MAINSTREAMING 489 The Efficacy Studies Era (ca. 1950-4980) 489 The Post-Efficacy Studies Era (ca. 1980—Present) 491 The Future of Mainstreaming 503 SUMMARY 504 REFERENCES 507 Glossary 512 Index 521 Preface This book is a general introduction to the characteristics of exceptional individuals and their education. While we have placed the major emphasis on the classroom practices that make up the discipline of special education, we have also covered the special psychological, medical, and sociological aspects of the various handicapping conditions. We think much of this material will be meaningful to general educators as well as to special educators. This recognition of the significant role of the general educator in dealing with students with a variety of learning and behavioral problems is in response to the continuing trend to educate exceptional youngsters as close as possible to the general education mainstream. In addition, much of the information we present should be of interest to parents of exceptional children. We begin with a chapter on introductory and historical concepts underlying the education of handicapped individuals; we end with a chapter on the philosophical principle of normalization and societal attitudes toward handicapped people. Be- tween these two chapters are eight others, each devoted to a traditional category of special education: mental retardation, learning disabilities, emotional disturbance! behavioral disorder, speech and language disorders, hearing impairment, visual im- pairment, physical disabilities, and giftedness. We are aware of the noncategorical position in special education—the position that the educational needs of exceptional children, especially those who are mildly handicapped, are generally similar regardless of categorical designation. However, we have continued to organize this book categorically through its four editions because we believe that an introductory book should reflect the general viewpoint of the special education profession, and the prevailing approach to educating excep- tional students remains categorical. We also believe that our primary task as authors of an introductory book is to inform readers of things as they are, not as any particular advocacy group thinks they should be. In addition, some information is more logically presented by category. For example, the nature of the individual's condition (e.g., with visually impaired children, defects of the eye) and the educa- tional methods used (e.g., with visually impaired children, Braille, large print books, compressed speech devices, canes) are sometimes so specialized that a clear presen- tation of them necessitates categorical organization. And finally, many instructors who have continued to use the three previous editions have told us they appreciate our well-organized, categorical format. Because the noncategorical orientation is an important position within special education, however, we do discuss it at Ielevant points in the text. Believing the reader is not merely interested in the facts and figures of exceptional students, we continue to approach exceptionality in as informal a manner as possible without falling prey to folksiness. We want our readers to come away knowing basic facts about handicapping conditions: definitions, causes, psychological and behav- ioral characteristics, and educational approaches. But we also think it important that ix X • PREFACE they have an appreciation of what it's like to have a handicap. To encourage sensitiv- ity to the very personal impact a handicap can have on an individual, as well as on those around him or her, we have chosen quotes from literature or songs to begin each chapter. Each quote introduces the reader to the realities of being exceptional. Based on positive comments from users, we've continued to include other special features designed to provide a better understanding of exceptional individuals and those who work with them. Perhaps the most popular new feature in the previous edition was "One Professional's Perspective." These interviews of practitioners with excellent reputations, we are gratified to learn, have helped readers realize what it's like to be a professional faced with the day-to-day realities of working with excep- tional students. The honesty of the response to the questions we posed to these professionals has also contributed to readers' appreciation of exceptional students. And it is refreshing that, without being Pollyanish, each of these professionals ex- udes a high degree of enthusiasm for his or her professional role—an attitude that reflects the recent national concern for excellence in all of education. We start each chapter with boxed material listing common misconceptions. We are still amazed at the considerable number of myths surrounding exceptional peo- ple. A few (far too few) have been deleted since our first edition in 1978, only to be replaced by others. Each of these myths is discussed within the chapter, but we highlight them by placing them at the beginning of the chapter so students can preview some of the salient topics to be presented. We also provide boxed material throughout the book. These boxes are primarily of three types: first, some highlight particularly interesting research findings and their applicability to educational practice: second, some discuss particularly inter- esting and important issues facing the field; and third, some present the human side of being exceptional. In the latter case, they stress the inherent paradox of being exceptional—that the exceptional individual is, at once, both different from and the same as the rest of humanity. But because a person is different in some ways does not mean that he or she is different in all ways. Each categorical chapter ends with a section called "Managing the Child in School." Although this section was originally conceptualized primarily as an aid for readers having a general education background, feedback from users indicates that special educators find it useful too. We don't intend these suggestions to be exhaus- tive (we've restrained the urge to expand them in revised editions); they are meant to serve as guiding principles for working with exceptional students. And we again include a glossary for readers' convenience. Words appearing in boldface within the text are listed in the glossary at the end of the book. Mostly out of loyalty to the many instructors who used our previous editions so faithfully, we have made modifications in this fourth edition cautiously. We have thoroughly updated information on all aspects of the field of special education—a task that becomes more challenging with each new edition because of the ever- expanding nature of our field. It is, however, a pleasure for us to be chroniclers of the many new and exciting developments in the field, technological and otherwise. In addition, we have made four other changes worth noting. First, we have ex- panded the chapter summaries to help the reader glean the most salient points in each chapter. Second, in keeping with trends in the field, we have increased the coverage of early childhood as well as secondary and postsecondary programming. Third, after careful analysis, we have added and deleted boxes. Finally, we have reorganized and expanded the last chapter, "Normalization and Attitudes Toward Disabled People." Although the focus of the chapter is still on society's attitudes

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