这是一个关于智力缺陷儿童(Intellectual Developmental Disorder, IDD)的双语介绍。为了更符合现代医学和心理学的规范,我使用了“智力发育障碍”这一术语,它涵盖了以往常说的“智力低下”或“精神发育迟滞”。
🧠 1. 核心定义
智力发育障碍(Intellectual Developmental Disorder, IDD)是一种在发育期间(通常是18岁以前)出现的神经发育障碍。它主要表现为智力功能(如推理、学习、问题解决)显著低于平均水平,同时伴有适应功能的缺陷(如沟通、社交、自理能力)。
Intellectual Developmental Disorder (IDD) is a neurodevelopmental disorder that appears during the developmental period (usually before the age of 18). It is characterized by significant limitations in intellectual functioning (e.g., reasoning, learning, problem-solving) and deficits in adaptive functioning (e.g., communication, social skills, self-care).
关键认知:
- 双重标准: 诊断不仅看智商(IQ)分数,更要看实际生活能力。
- 并非绝症: 虽然是终身状况,但通过早期干预和训练,孩子的生活质量可以得到显著提高。
- Key Points:
- Dual Criteria: Diagnosis depends not only on IQ scores but also on practical life skills.
- Not a Dead End: Although it is a lifelong condition, the child's quality of life can be significantly improved through early intervention and training.
📊 2. 严重程度分级
根据智商(IQ)分数和适应功能水平,通常分为四个等级:
中文名称 英文名称 特征描述
轻度 Mild 最常见。IQ 50-69。儿童在学业上可能落后,但成年后通常能从事简单工作,具备基本自理能力。(Most common. IQ 50-69. Children may lag academically but can usually hold simple jobs and manage basic self-care as adults.)
中度 Moderate IQ 35-49。需要较多的指导和训练。在监督下可从事简单劳动,生活自理需要帮助。(IQ 35-49. Requires more guidance and training. Can perform simple labor under supervision but needs help with self-care.)
重度 Severe IQ 20-34。需要全天候的监护。沟通能力有限,可能仅能掌握基本的自理技能(如进食)。(IQ 20-34. Requires round-the-clock supervision. Limited communication skills, may only master basic self-care like eating.)
极重度 Profound IQ (IQ Rehabilitation Training:
- Sensory Integration: Improves sensory processing and physical coordination.
- Speech Therapy: Enhances comprehension and expressive abilities.
- Self-care Training: Basic survival skills like dressing, toileting, and grooming.
- 特殊教育:
- 制定个别化教育计划(IEP),教学内容侧重于生活适应和功能性技能。
> Special Education:
- Develop Individualized Education Programs (IEP) focusing on life adaptation and functional skills.
- 家庭支持:
- 父母需要心理支持和喘息服务,社会应提供包容的环境。
> Family Support:
- Parents need psychological support and respite care; society should provide an inclusive environment.
💡 核心理念:
“每个孩子都有发展的权利。” 尊重他们的节奏,发掘他们身上的闪光点,帮助他们有尊严地生活。
"Every child has the right to develop." Respect their pace, discover their strengths, and help them live with dignity.
来源: 千问
科普中国公众号
科普中国微博

帮助
刘荣群 