Sunday, 23 August 2026

Labels and Intellectual Disability — Study Notes

 

1. Negative Impact of Labels

 

Negative or derogatory names can have serious effects on people with disabilities.

 

Stigma: Negative labels can create stereotypes and prejudice.

Isolation: Hurtful language can contribute to rejection, bullying, and social exclusion.

Devaluation: Insulting labels can make people feel that they are less valuable or less capable.

Mental health: Repeated exposure to discrimination and slurs can contribute to stress, anxiety, low self-esteem, and emotional distress.

Barriers to inclusion: Labels can cause others to make assumptions about a person's abilities instead of seeing the individual.

Key idea

 

A person's disability is only one part of who they are. A label should never define the person's worth, abilities, or identity.

 

2. Historical Labels

 

Some words that are now considered offensive originally had medical, psychological, or legal meanings.

 

Idiot, imbecile, and moron

 

These terms were historically used as classifications for levels of intellectual functioning. Over time, they became common insults and lost their usefulness as professional terms.

 

"Mental retardation"

 

This was once a widely used professional term for what is now generally called intellectual disability. Because the word retarded became widely used as a derogatory insult, professional organisations moved away from the terminology.

 

Today, intellectual disability (ID) is the preferred clinical term in many professional settings.

 

3. Person-First and Identity-First Language

Person-first language

 

Places the person before the disability:

 

"A person with an intellectual disability."

 

The idea is that the person is more than their disability.

 

Identity-first language

 

Places the disability identity first:

 

“Autistic person."

 

Some people prefer identity-first language because they see their disability as an important part of who they are.

 

Important point

 

There isn't one form of language that every disabled person prefers.

 

The best approach is to respect the individual's preference.

 

4. Intellectual Disability Classification

 

A major point to remember is that intellectual disability is not classified by IQ alone.

 

Professionals consider adaptive functioning, which means how well a person manages everyday life.

 

This includes areas such as:

 

Conceptual skills: communication, reading, writing, money, time, and problem-solving

Social skills: communication, relationships, social judgment, and understanding social situations

Practical skills: personal care, work, transportation, safety, and managing daily activities

Levels of Support

Level  General description

Mild   A person may develop many everyday and work skills and may live relatively independently with appropriate support.

Moderate A person generally needs ongoing support with daily living, communication, learning, and social activities.

Severe    A person usually needs substantial support with communication, self-care, and everyday activities.

Profound  A person generally requires very substantial, ongoing support across most areas of daily life.

Important correction

 

It is better not to memorise these levels as simply "mild = independent" and "profound = constant care."

 

Modern classification focuses on the amount and type of support a person needs, particularly their adaptive functioning. Two people with the same IQ can have very different abilities and support needs.

 

🧠 Easy Way to Remember

 

Labels Stigma Impact Respect Support

 

Labels have changed over time.

Negative labels can create stigma.

Stigma can impact a person's dignity and wellbeing.

Use respectful language and listen to the person's preferences.

Focus on abilities, adaptive functioning, and support needs, rather than making assumptions from a label.

Exam point

 

Intellectual disability involves limitations in intellectual functioning and adaptive functioning, beginning during the developmental period. Support needs and adaptive functioning are more important for determining severity than IQ alone.

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