1961: A change in classification
The American Association on Mental
Deficiency (AAMD) published its Manual on Terminology and Classification in
Mental Retardation in 1961. The manual moved away from the older historical
categories such as idiot, imbecile, and moron and toward a more standardized
classification based substantially on intellectual functioning and adaptive
behavior.
The 1961 system included:
Classification Historical IQ range*
Borderline 68–83
Mild 52–67
Moderate 36–51
Severe 20–35
Profound Below
20
*The precise ranges varied depending on the
intelligence test being used. The classification was based heavily on IQ and
was expressed in terms of standard deviations from the test mean.
Why this was an important change
The change shows how professional
terminology was becoming more standardized and systematic.
Instead of describing someone with highly
stigmatizing historical labels such as:
"idiot" → "imbecile" → "moron"
the classification moved toward terms
describing levels of functioning.
However, it's important to remember that
the terminology still differed greatly from today's language. The term mental
retardation remained the professional term for many decades.
Another important development was the
increasing recognition of adaptive behaviours in everyday life—rather than
relying entirely on an IQ score. The 1961 AAMD manual incorporated adaptive
behaviour into its terminology and classification.
The terminology continued to change
The process didn't stop in 1961.
1961:
Mental retardation + IQ-based categories +
growing emphasis on adaptive behaviour
⬇️
1973:
The AAMD changed the definition to require
significantly subaverage intellectual functioning and deficits in adaptive behavior
and eliminated the borderline category.
⬇️
Later decades:
The field increasingly moved away from
defining people primarily by IQ level and toward considering adaptive
functioning, support needs, and the person's actual functioning in their
environment.
⬇️
Today:
Intellectual disability is the preferred
terminology. In the United States, federal law formally replaced mental
retardation with intellectual disability through Rosa's Law (2010).
The bigger lesson for your module
This fits extremely well with your earlier
section on the danger of labelling.
The history shows that changing terminology
is not merely about finding a nicer word. It reflects changing ideas about:
What disability means
How people should be assessed
How much importance should be placed on IQ
The role of adaptive functioning
The person's support needs
How society views people with intellectual
disabilities
And importantly, changing the label alone
does not eliminate stigma. A new term can eventually acquire negative meanings
if society continues to use it to stereotype or devalue people.
That is why modern disability practice
places increasing emphasis on the individual, strengths, abilities, support
needs, participation, and right-not simply a diagnostic label or IQ score.
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