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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z AAC: See Augmentative and Alternative Communication. ABA: See Applied Behavior Analysis. Abscess: An accumulation of pus, usually caused by an infection. Absence Seizure: Once called a petit mal seizure, this type of seizure is characterized by blank staring and eye blinking. Accommodation: An adaptation of the environment, format, or situation made to suit the needs of those participating. Adaptive Behavior (Functioning): The ability to adjust to new environments, tasks, objects, and people, and to apply new skills to those situations; the capacity to meet the demands of daily life for personal self-sufficiency and independence. Adenoids: Soft tissue in the upper part of the throat, behind the nose, that may become enlarged and contribute to problems with breathing or ear infections. ADHD: See Attention Deficit Hyperactivity Disorder. Age Equivalent Score: The age (in years and months) that the child's performance would be typical of in the "normal" population. For example if the child's ability to understand words was an age equivalent of 2-10 this would mean it is the kind of score that an average 2-year 10-month-old child would achieve. This is not the same as standard score. Allergy: A hypersensitivity to a specific substance which results in the immune system trying to defend the body against the substance, triggering adverse symptoms such as runny nose or itchy eyes and skin. Amblyopia: Loss of vision in one eye due to the child's failure to use both eyes equally during the developmental period. Anemia: A condition in which there are insufficient red blood cells in the bloodstream. Anesthesia: A substance administered to reduce the pain or consciousness and make a medical procedure more comfortable; local anesthesia reduces sensation in one part of the body, while general anesthesia produces complete loss of consciousness. Anesthesiologist: A medical doctor who administers anesthesia. Anticonvulsant: Medication used to control seizures. Antihistamine: The type of drug most often used for treating allergies. Anxiety: A feeling of unease, dread, fear, or "nervousness," which can be accompanied by physical symptoms such as increased heart rate or sweating. Some degree of anxiety may be normal (for example, in new situations), but when anxiety is irrational, excessive, or causes distress or impairment, it can be part of an anxiety disorder. Anxiety Disorders: Psychiatric illnesses characterized by high levels of anxiety that cause distres s or impairment to the individual. Types of anxiety disorders include phobias (fear of some specific thing), generalized anxiety disorder, panic disorder, and post traumatic stress disorder, among others.Applied Behavior Analysis (ABA): A behavioral approach that uses researched-based, highly structured teaching procedures to develop skills in individua1s. An emphasis is placed on modifying behavior in a precisely measurable manner using repeated trials. See also Discrete Trial Teaching; Behavior Management Plan. Apraxia: A disorder that makes it difficult or impossible for an individual to plan and sequence movements needed to accomplish a task. Asperger's Disorders: A pervasive developmental disorder characterized by early language and cognitive skills that seem relatively normal, but significant difficulties with social skills. Aspiration: Breathing a substance (such as food or bacteria) into the lungs. Assessment: The process used to determine a child's strengths and weaknesses. Includes testing and observations performed by a variety of professionals, including special educators, psychiatrists, psychologists, speech-language pathologists, etc. Also called evaluation. Assistive Technology: A tool or device that increases, maintains, or improves the abilities of a child with disabilities to function. Examples include communication devices, computers, adapted pencil grips. Asthma: A condition in which the airways in the lungs become inflamed and narrow often due too oversensitivity to a trigger (such as pollen, exercise, or smoke) that does not affect normal lungs.''At Risk of Experiencing Developmental Delay": The term applied to children under the age of three who have not been formally diagnosed with a specific condition. This label may render them eligible for special education services. Ataxia: Difficulty coordinating movements of the bod y, as in walking.Atonic Seizure: A type of seizure causing sudden loss of muscle tone. Attention: The ability to focus on and sustain concentration, on a task. See also Attention Span.
Attention
Deficit
Disorder (ADD):
A term sometimes used for a condition that does not inc1ude the
hyperactivity found in ADHD.
Attention
Deficit
Hyperactive Disorder (ADHD):
A condition characterized by distractibility, restlessness, short
attention span, impulsivity, and hyperactivity. Attention Span: The amount of time one is able to concentrate on a task Audiologist: A healthcare professional who evaluates hearing and prescribes assistive listening devices (such as hearing aids).
Auditory:
Relating to the ability to hear.
Augmentative
and
Alternative Communication:
Any method that assists or supplements speech and language (augmentative
communication) or replaces speech as the primary communication system
(alternative communication). Examples include sign Ianguage, picture
cards, or electronic communication devices.
Aura:
A sensation (such as a strange feeling or vague fear) that precedes some
types of seizures.
Autism:
A form of pervasive developmental disorder characterized by difficulties
in social interaction and communication acquisition and use, as well as
odd or unusual mannerisms, behaviors, and habits. Mental retardation is
frequently present.
Autism Spectrum Disorder:
Another term sometimes used for Pervasive Developmental Disorders.
Autistic Disorder:
The "official" term for autism used in the Diagnostic and Statistical
Manual of Mental Disorders.
Autistic-Like
Behaviors:
Behaviors that include verbal and physical perseveration and rituals,
poor eye contact, and limited social awareness; sometimes seen in
individuals with developmental disorders who do not have autism.
Avoidant Personality Disorder:
A disorder characterized by long-standing feelings of social inhibition,
oversensitivity, and feelings of social inadequacy. This condition is
typicaIly diagnosed in adults; as children, these individuals often are
shy and become more so during adolescence.
Barium:
A chemical used in tests of the digestive tract; typically the patient
swallows a barium liquid or a piece of food coated in barium and X- rays
are used to track the progress of the barium, which shows up as white on
X-ray.
Behavior
Management Plan:
A plan designed to modify or reshape the behavior of an individual with
disabilities that addresses existing behavior, interventions, support,
and goals.
Bilirubin:
A pigment
formed by breakdown of hemoglobin and found in bile. High levels may
indicate liver disease.
Biofeedback:
A method used in teaching relaxation through which
the individual learns to control heart rate or some other observable
measure of anxiety. Bipolar Disorder: The condition, formerly known as manic-depression, in which an individual experiences periods of depression and or periods of more elated (even abnormally positive and excited) mood. Birth to Three Program: A program that provides early intervention. Bruxism: Grinding the teeth Cardiac: Related to the heart. Case Manager: A person who coordinates services for individuals with disabilities. See also Service Coordinator. Case Reports: Accounts of individual patients' responses to treatment; sometimes used as proof that a treatment works, but more properly regarded as an indication that the treatment may merit more formal research. Casein: A substance found in milk and in products derived from milk. CDD: See Childhood Disintegrative Disorder. Celiac Disease: A disorder that results in sensitivity to gluten in food, and which results in damage to the lining of the small intestine if a gluten-free diet is not followed. Cerebral Cortex: The outer layer of the brain, which is involved in sensory and motor functioning, as well as complex cognitive tasks. Childhood Autism: See Autistic Disorder. Childhood Disintegrative Disorder (CDD): A rare form of pervasive developmental disorder in which a child, who has developed typically in early childhood, begins to display autistic-like characteristics. His or her abilities are said to "deteriorate" from earlier, more capable behavior. Childhood Schizophrenia: A psychiatric disorder with symptoms that include disturbances in form and content of thought, perception, emotions, sense of self, relationship to the external world, and other behaviors. Childhood schizophrenia is very rare. Chromosomes: The microscopic rod-shaped bodies in the nucleus of cells which contain the genes. Unless they have a chromosomal disorder such as Down syndrome, people have twenty-three pairs of chromosomes in their cells. Chronic: Long-lasting or permanent. Cognition: The ability to know and understand the environment and to solve problems. Comorbid: Related to two or more disorders occurring in the same individual. Complex Partial Seizure: A type of seizure confined to one area of the brain which causes jerking or unusual movement in one part of the body and may eventually result in loss of consciousness.
Compulsions:
Either repetitive
behaviors (such as repeatedly checking that a door is dosed} or thoughts
(such as repeating words silently to oneself) Which have the apparent
goal of preventing or reducing anxiety; the person may feel that
something bad will happen if they do not engage in the activity.
Computerized
Tomography (CT) Scan:
A diagnostic
procedure in which a computerized picture of cross sections of the body
is created by passing X-rays through the area that is being studied at
various angles. Conductive
Hearing Loss:
Hearing loss that
results from a blockage in the middle ear or external ear canal (such as
from fluid) which prevents or reduces transmission of sound to the inner
ear; Congenital:
Present at
birth. Constipation: Infrequent or hard· stools. Controlled
Substance: A
medication specially regulated by the government because of, its
potential for abuse. Convulsion:
A
seizure. CPR:
Cardio-pulmonary
resuscitation; the process of attempting to restart someone's hear for
breathing in an emergency by delivering a specific sequence of breaths
to the mouth and compressions to the chest. Decibel (dB):
A unit of
loudness used in assessing hearing; people with normal hearing can hear
sounds that are 15-20 dB or softer. Dehydration:
The loss of
excess amounts of body water.
Dementia Infantilis:
An old term for childhood
disintegrative disorder. Development:
The process
of growth and learning during which a child acquires skills and
abilities. Developmental
Delay: In
children birth to eighteen, development that is significantly slower
than average. Developmental
Disability: A
condition originating before the age of eighteen that may be expected to
continue indefinitely and that impairs or delays
development. Such
conditions include autism,
pervasive developmental disorders, and
mental retardation. Developmental
Evaluation:
See
Assessment.
Developmental
Milestone: A
goal that functions as a measurement of progress in development
overtime; for example, rolling over from back to front or speaking in
two-word phrases: Developmental Test: A test, usually given to preschool children, which assesses developmental skills in multiple areas – for example, gross and fine motor, language, and cognitive abilities.
Diabetes:
A chronic disorder of carbohydrate metabolism that results in abnormally
high sugar levels in the blood and sugar in the urine, excessive
urination and thirst, and sometimes other symptoms. Type 1 diabetes
results when the body produces little or no insulin (a hormone that
regulates the metabolism of blood sugar) and must be treated with
injections of insulin. Type 2 diabetes may develop due to obesity and
can often be controlled through diet and medication.
Diagnostic and Statistical Manual of Mental Disorders (DSM IV): A manual published by the American Psychiatric Association that defines and describes the diagnostic criteria for mental disorders, and provides systematic descriptions of them.
Diarrhea:
Abnormally watery or frequent bowel movements.
Dietitian:
A professional with expertise in food and nutrition; registered
dietitians have completed an internship and passed a national exam.
(This is in contrast to a nutritionist, who does not have to meet any
particular qualifications to use that title.)
Disability:
A term used to describe a delay in physical or cognitive development.
The older term, "handicap," is also sometimes used.
Discrete Trial Teaching:
An instructional technique that is part of Applied Behavior Analysis.
This technique involves four steps: 1) presenting a cue or
stimulus to the learner; 2) obtaining the learner's response; 3)
providing a positive consequence (reinforcer) or correction; and 4) a
brief 3-5 second break until the next teaching trial is provided. See
Applied Behavior Analysis.
Disintegrative Psychosis:
Another term for childhood disintegrative disorder.
Dopamine:
One of the neurotransmitters in the brain; it is presumed to play
a major role in regulating movement.
Down Syndrome:
A congenital disorder caused by the presence of an extra copy of the
twenty-first chromosome; it is usually associated with some degree of
mental retardation, low muscle tone, speech and language delay; and
sometimes, autistic-like behaviors.
DSM IV:
See
Diagnostic and Statistical Manual of Mental Disorders (DSM IV).
Early Intervention:
A specialized way of interacting with infants to minimize the effects of
conditions that can delay early development. Early intervention may
include services from an infant educator, a physical therapist, an
occupational therapist, a speech-language pathologist, and/or other
professionals with expertise in teaching developmental skills to very
young children.
ECG:
See
Electrocardiogram.
Echolalia:
A parrot-like repetition of phrases or words just heard (immediate
echolalia, or heard hours, days, weeks, or even months before (delayed
echolalia).
Eczema:
Inflammation of the outer layer of skin, resulting in an itchy, scaly
rash.
EEG:
See
Electroencephalogram.
EKG:
See
Electrocardiogram.
Electrocardiogram
(ECG
or EKG):
A recording of the heart's electrical impulses.
A painless procedure, it
involves attaching electrodes to the individual's chest and other body
parts and connecting them by wires to an electrocardiograph machine.
Electroencephalogram
(EEG):
The test used to determine levels of electrical discharge from nerve
cells; used in diagnosing seizures.
Engagement:
The ability to remain focused and interactive with (or responsive to) a
person or object.
ENT:
A physician who specializes in disorders of the ear, nose, and throat;
also known as an otolaryngologist.
Epidemiology:
The study of the incidence and distribution of diseases and other
factors related to health.
Epilepsy:
A recurrent condition in which abnormal electrical discharges in the
brain cause seizures.
Epinephrine:
Adrenaline-A hormone that is important to the body's metabolism and in
helping the heart work and in relaxing muscles in the lungs.
Etiology:
The study of the cause of disease.
Eustachian
Tubes:
Small tubes leading from the middle ears to the passageway behind the
nose and throat area (the nasopharynx); these tubes regulate air
pressure in the ears.
Evaluation:
See
Assessment.
Expressive
Language:
The use of gestures, words, and written symbols to communicate.
Family
Physician:
A physician who sees both adult and child patients. Fever: An
abnormal elevation of body temperature.
Fiber:
The indigestible part of carbohydrates, essential to the digestive
process.
Fine
Motor:
Relating to the use of the small muscles of the body; such as those in
the hands, feet, fingers, and toes. Folic Acid: A vitamin found naturally in leafy green vegetables, nuts, and organ meats that is important in the formation of red blood cells and in the production of DNA. Also called folate.Fragile X Syndrome: A condition caused by a mutation in the genetic information on the X chromosome. (The X chromosome is one of the two so-called sex chromosomes; children with two X chromosomes are girls, and those with an X and a Y chromosome are boys.) Fragile X often causes mental retardation or learning disabilities, language difficulties, distinctive physical characteristics, and sometimes autistic-like behaviors or autism.
Free
Appropriate Education:
An
education that is provided to a child without cost to the parents, and
that is expected to provide some educational benefit to him.
Frequency:
In
audiology, a unit used to measure pitch (how high or Iowa sound is).
Functional Behavior Analysis:
Observing
a child's behavior and evaluating its purpose.
Generalization:
Transferring a skill taught in one place or with one person to other
places and people. Genes:
The
microscopic sequences of protein and DNA found on the chromosomes
which determine which traits an individual inherits from his parents.
Genetic:
Inherited;
relating to the genes.
Geneticist:
A
professional who evaluates people for genetic disorders and may provide
counseling and information about these disorders. GERD:
Gastroesophageal reflux disease: a condition in which stomach acid and
other stomach contents flow up into the esophagus and sometimes the
mouth, damaging tissue and causing pain, vomiting, or other symptoms.
Gluten:
A protein
found in wheat, rye, barley, and other grains.
Grandiosity:
A feeling
that one is more powerful or important than one really is; sometimes a
symptom of bipolar disorder. Grand
Mal Seizure:
See
Tonic
Clonic Seizure. Gross
Motor:
Related to
the use of the large muscles of the body, such as those of the back,
legs, and arms.
Guardian:
A person
appointed by law to manage the legal, medical, and/or financial affairs
of someone else. Hand
Flapping/Hand Biting:
Perseverative
behaviors
often seen in people with developmental disorders. These
behaviors may be motivated by a sensory need, or a desire to
focus and calm oneself or to escape from a demand.
Heimlich Maneuver:
A
procedure used to help someone who is choking by delivering a hard,
upward thrust beneath their breast bone until the object that is causing
the choking is dislodged.
Heller's Syndrome:
An
alternate (older) name for Childhood Disintegrative Disorder.
Hepatitis:
An
inflammation of the liver. Hives:
An
itchy rash, usually caused by an allergic reaction.
Homeopathic:
Related to
homeopathy-the theory that diseases can be cured by giving very small
doses of drugs that cause symptoms of the disease you are trying to
cure.
Hormone:
A chemical
produced by an organ or gland in the body that is released into the
bloodstream and affects activity elsewhere in the body.
Hypotonia:
Low (reduced) muscle tone; muscles feel "floppier" than usual, and it
takes more effort to initiate movement and maintain posture.
ICD:
The International Classification of Diseases; the manual used in
place of the DSM in countries other than the U.S. for diagnosing medical
disorders.
IDEA:
See
Individuals with Disabilities Education Act. Identification: The determination that a child should be evaluated as a possible candidate for special education services.
IEP:
See
Individualized Education Program.
IFSP:
See
Individualized Family Service Plan.
Imitation:
The ability to observe the actions of others and to copy them in one's
own actions. Also known as modeling.
Immunization:
The process of inducing protection against an infectious disease by
administering a vaccine.
Impetigo:
A contagious, bacterial skin infection characterized by reddened skin
that can blister and fill with pus.
Impulsivity:
Behavior that is characterized by acting without thinking through the
consequences of one's actions.
Inclusion:
Placing children with disabilities in the same schools and
classrooms with children who are developing typically. The environment
includes the special supports and services necessary for educational
success.
Individualized Education Program (IEP):
The written plan that specifies the special education and other services
(such as occupational or speech therapy) the school has agreed to
provide a child with disabilities who is eligible under IDEA;
for children ages three to twenty-one.
Individualized Family Service Plan (IFSP):
The written plan that specifies the education and related services
to be provided to children eligible for early intervention
under IDEA and their families; for children birth to age three.
Individuals with Disabilities Education Act (IDEA):
A federal law originally passed in 1975 and subsequently amended that
requires states to provide a "free appropriate public education
in the least restrictive environment" to children with
disabilities. This is the major special education law in the U.S.
Infantile Autism:
See
Autistic Disorder.
Input:
Information that a person receives through any of the senses (sight,
hearing, touch, feeling, smell).
Insistence
on
Sameness: A tendency in many
people with autism to become upset when familiar routines or
environments are changed.
Instrument:
A set of questions or activities administered to evaluate functioning; a
test. Intellectual Disability: An alternate term for mental
retardation.
Intelligence:
The ability to learn, think, and use knowledge to deal with problems.
Intelligence Test: A tests that examines various aspects of
intelligence; commonly verbal (language related) and nonverbal
(non-language related) tasks are examined. The score from an
intelligence test is typically expressed as an
IQ.
Intelligence
Quotient
(IQ): A numerical
measurement of intellectual capacity that compares a person's
chronological age to his or her "mental age," as shown on
standardized tests. These scores are distributed on a bell-shaped
curve, often with 100 being average. IQ scores below 70 are in the
mentally retarded range; above 130 in the gifted range.
Internist:
A physician who specializes in internal medicine, or the diagnosis and
nonsurgical treatment of illnesses, particularly in adults.
Intervention:
Action taken to improve a child's potential for success in compensating
for a delay or deficit in their physical, emotional, or mental
functioning.
In
Utero: within the uterus or
womb.
IQ:
See Intelligence Quotient.
IV:
This abbreviation for intravenous (in the vein) is often used as
shorthand for "intravenous catheter"-a means of delivering medication or
nutrition straight into the bloodstream by inserting a thin tube into
one of the patient's veins.
Ketogenic
Diet: A diet that is high in
fat and very low in protein and carbohydrates that is sometimes helpful
in controlling seizures.
Landau-Kleffner Syndrome (LKS):
A disorder that has some similarities to childhood disintegrative
disorder. The child loses the ability to understand and use spoken
language (after previously having normal abilities) and usually
experiences seizures. Children with LKS may regain all or some of their
language skills over time and become seizure free.
Language:
A system of symbols (spoken, written, signed) used to communicate.
See
Expressive Language; Receptive Language.
Learning
Disability: Learning
difficulties in one or more specific areas of study (such as reading,
spelling, or math) that are greater than would be expected based on the
individual's overall intelligence; this contrasts with mental
retardation, where abilities are significantly below average in all
areas. (To make matters confusing, in some countries such as England,
the preferred term for mental retardation is learning disability.)
Least
Restrictive
Environment
(LRE): The educational
setting that enables a child with disabilities to have the maximum
contact with typically developing children while allowing him to make
appropriate progress in the curriculum.
Magnetic
Resonance
Imaging
(MRI): A computerized
diagnostic procedure that involves creating cross-sectional images of
the body or its organs by exposing the patient to a magnetic field. No
radiation is used.
Malnutrition:
Nutritional intake that is insufficient to promote or maintain growth
and development.
Malocclusion:
An abnormal relationship between the upper and lower jaw, resulting in a
faulty bite (e.g., underbite, overbite).
Mannerisms:
Repetitive, seemingly purposeless movements or sounds; stereotyped
behavior. Medicaid: A joint state and federal program that offers
medical assistance to people who are financially needy and are therefore
entitled to receive SSI.
Medicare:
A federal program, not based on financial need, that provides payments
for medical care to people who are receiving Social Security payments.
Megadose
Vitamin
Therapy: Using vitamins in
dosages that are at least ten times the recommended daily allowance.
Mental
Age: See Age
Equivalent Score.
Mental
Retardation
(MR): The term used in the
U.S. to describe people who score in the lowest three percentiles on
cognitive assessment tests (generally 70 or below) and who also have
significant difficulties with adaptive behavior. May also be
referred to as intellectual disability.
Mercury:
A heavy, silver metal that is liquid at room temperature; in the past,
used in some preservatives for vaccines.
Mixed
Hearing
Loss: Hearing loss resulting
from both conductive hearing loss and sensorineural hearing
loss.
MMR:
The abbreviation for the measles, mumps, and rubella vaccine.
Modeling:
See
Imitation.
Motor:
Relating to the ability to use muscles to move one's body parts.
Muscle
Tone: The degree of stretch
or relaxation in a resting muscle. See also Hypotonia. Mutation:
A change or alteration in genetic information.
Myoclonic
Seizure: A seizure
that produces brief, involuntary jerking of muscles.
Naturopathic:
Referring to "natural" treatment with sunshine, water, exercise, or
other naturally occurring agents; without drugs.
Nebulizer:
A device used in the treatment of asthma that produces a medicated mist
to be inhaled.
Negative Reinforcement:
Any situation or stimulus whose removal or avoidance increases a
specific response. For example, typically developing children display
good behaviors in the classroom so as to avoid the teacher's
disapproval.
Neuroleptic:
A group of medicines (sometimes referred to as major tranquilizers) that
act on various chemical systems in the brain-particularly those
involving the neurotransmitter dopamine.
Neurologist:
A physician specializing in medical problems associated with the brain
and nervous system.
Neurotransmitter:
A chemical substance in the brain that allows the transmission of
impulses from one nerve cell to another. Abnormal levels of
neurotransmitters may result in difficulties with mood, attention,
impulse control, etc.
See
Dopamine; Norepinephrine; Serotonin.
Nonverbal Learning Disability:
A pattern of strengths and weaknesses that includes relatively better
verbal abilities than nonverbal abilities (which can be quite impaired),
as well as difficulties with social skills and motor skills. I'."'VLD
appears to be common in individuals with Asperger's disorder, but is not
synonymous with Asperger's disorder.
Norepinephrine:
A neurotransmitter that plays a role in maintaining blood
pressure and also in regulating various behaviors. Also known as
noradrenaline.
Nurse Practitioner:
A registered nurse who has additional training in medical practices and
therapies.
Obesity:
Weight that is 120 percent or more of the desired body weight for
height. For example, if the desired body weight for height is 100 pounds
and a child weighs 120 pounds or more, he is obese.
Obsessive Compulsive Disorder (OCD):
A disorder that causes anxiety due to abnormal recurring thoughts
or images (e.g., fear that the door is unlocked) which the individual
can only dispel by performing a specific act (e.g., repeatedly checking
to make sure the door is locked).
Occupational Therapist (OT):
A therapist who specializes in improving the development affine motor
and adaptive skills.
Ophthalmologist:
A physician who specializes in diagnosing and treating eye and vision
problems; ophthalmologists can perform surgery and prescribe
medications, as well as prescribe corrective lenses.
Opiate Antagonist:
A medicine the reverses the effects of opiate drugs.
Optometrist:
A specialist in diagnosing and nonmedical treatment (e.g., with
prescription lenses) of vision problems.
Oral
Motor
Skills: Skills involving
muscles in and around the mouth, including chewing, swallowing, and
forming speech sounds.
Orthodontist:
A dentist who specializes in diagnosing, preventing, and treating
irregularities of the teeth and jaw.
OT:
See Occupational Therapist.
Otitis
Media: An inflammation or
infection of the middle ear.
Otolaryngologist:
A physician specializing in the ear, nose, and throat; also known as an
ENT.
Otoscope:
A lighted instrument that is inserted in the outer ear to
examine the ear canal and eardrum.
Paradoxical
Reaction: The opposite
reaction than would typically be expected.
PDD:
See
Pervasive Developmental Disorder.
PDD-NOS:
See Pervasive Developmental Disorder-Not Otherwise Specified.
Pediatrician:
A physician who specializes in the care of infants, children, and
adolescents.
Perineum:
In females, the area between the anus and the vagina, and in males, the
area between the anus and the scrotum.
Perseveration:
Seemingly purposeless, repetitive movement or speech that is thought to
be motivated by a person's inner preoccupations.
Pervasive
Developmental
Disorder
(PDD): An umbrella category
in the DSM for a range of conditions that can include symptoms
such as difficulties with communication and social skills, unusual
interests or habits, and insistence on sameness. The PDDs are:
autistic disorder; Asperger's disorder; PDD-NOS, Rett's disorder;
and childhood disintegrative disorder. The term may be used
synonymously with autism spectrum disorder.
Pervasive
Developmental
Disorder-Not
Otherwise
Specified
(PDD-NOS): A pervasive
developmental disorder that includes most characteristics of
autistic disorder but not enough to meet the specific diagnostic
criteria for autistic disorder.
Pervasive
Lack
of
Relatedness: A condition
characterized by an individual's extreme difficulty relating to objects
or people in a typical or appropriate fashion.
Petit
Mal
Seizure: See Absence
seizure.
Physical
Therapist
(PT): A therapist who
specializes in improving the development of gross motor skills.
Pica:
The eating of nonfood substances.
Placebo:
A "dummy" medication or treatment used as a control in testing another
medication or treatment in order to see whether the "real" treatment is
more effective than no treatment.
Placebo
Effect: The tendency of
patients who are receiving a placebo to feel better or to be
perceived as doing better when they are participating in a new treatment
or study.
Play Therapy:
A diagnostic and treatment method sometimes used by child psychologists
in which the child is encouraged to play or draw as a means of
expressing his thoughts or feelings.
Positive Reinforcement:
Providing a pleasant consequence after a behavior in order to maintain
or increase the frequency of that behavior.
Potency:
Strength, as of a medication.
Pragmatics:
The use of language for social communication. Includes requesting,
protesting, commenting, sharing information, and the knowledge of the
"rules" governing conversation.
Pressure Equalizing Tubes:
Tiny tubes inserted into the eardrums to allow fluid to drain from the
middle ear; sometimes referred to as grommets.
Prompt:
Input such as physical guidance or a verbal or visual reminder that
encourages an individual to perform a movement or activity.
Prompt Dependence:
When an individual requires a prompt in order to perform a taught
task or behavior.
Proprioception:
The body's innate sense of its position in space.
Psychiatrist:
A medical doctor who diagnoses and treats mental illness; in contrast to
a psychologist, he or she may prescribe medications in treatment.
Psychological Assessment:
An assessment of various abilities, often including intelligence,
adaptive skills, visual-motor skills, attentional skills, and other
skills.
Psychologist:
A professional who specializes in the study of human behavior and
treatment of behavioral disorders and administers tests (e.g., of
intelligence).
Psychosis:
A mental disorder that alters an individual's understanding of reality,
and may include delusions, hallucinations, or disturbed thought
processes.
Psychotherapy:
Treatment of mental disorders such as anxiety through psychological
means (such as counseling and talking).
Psychotropic
Medications:
Medications that alter brain function. Psychotropic
drugs are often used in the treatment of mental illness and sometimes
for certain autistic behaviors.
PT:
See
Physical Therapist.
Puberty:
The stage of physical development at which sexual reproduction first
becomes possible.
Reactive Attachment Disorder:
A disorder that develops in infants and young children as the result of
emotional or physical neglect or abuse; children with the disorder have
social skills delays and difficulty bonding with others.
Receptive Language:
The ability to understand spoken and written communication as well as
gestures.
Reflex:
An involuntary; unlearned response to a stimulus.
Refractive Error:
An inability of the eye to sharply focus images due to problems with the
length of the eyeball, the shape of the cornea, or the power of the
lens; nearsightedness and farsightedness are examples of refractive
errors.
Regression:
The loss of skill or ability.
Reinforcement:
Any consequence that increases the likelihood of the future occurrence
of a behavior. A consequence is either presented or withheld in an
effort to prompt the desired response. See Positive
Reinforcement; Negative Reinforcement.
Related Services:
Services that enable a child to benefit from special education.
Related services include speech-language, occupational, and physical
therapies, as well as transportation.
Reliability:
In psychological testing, the degree to which a test produces about the
same results each time a particular individual is administered that
test. Repetitive Speech: Also called echolalia. See also Perseveration.
Rett's Disorder:
A rare pervasive developmental disorder that affects mostly
females, is characterized by typical early development, and later, a
pervasive loss of social, cognitive, and physical skills. Some
improvement in these areas may take place in late childhood. Many
children with Rett's disorder develop seizure disorders.
Rigidity:
Inflexibility of behavior; needing things to happen in a very specific
way in order for them to "feel right" to the child.
Ritualistic Behavior:
Seemingly purposeless behavior that a child always engages in when in a
particular situation. For example, on entering a room, a child may
always have to turn the lights off and on twice.
Rubella:
German measles; a disease that causes a mild rash in adults but that can
lead to birth defects if a woman contracts it while pregnant.
Rumination:
Regurgitating food and chewing on it again.
Schizophrenia.
See
Childhood Schizophrenia.
Schizotypal Personality Disorder:
A personality disorder (usually seen in adults) in which there is
discomfort with close personal relationships and often eccentric
behavior. Odd beliefs and thinking may be present. This is sometimes
confused with Asperger's disorder.
Scoliosis:
Abnormal curvature of the spine. Screening Test: A test given to groups of children intended to determine which children need further assessment.
Secretin:
A naturally occurring hormone that aids in digestion; some people have
theorized that a deficiency of secretin plays a role in causing symptoms
of autism.
Sedation:
The process of reducing anxiety, nervousness, or wakefulness with
medication; it may or may not involve loss of consciousness.
Seizure:
A change in consciousness or behavior or involuntary movement produced
by abnormal electrical discharges in nerve cells in the brain.
Selective Mutism:
A disorder characterized by failure to speak in specific situations
despite speaking in other situations.
Selective Serotonin Reuptake Inhibitor (SSRI):
A medication used for treating depression or anxiety that works by
preventing serotonin produced in the brain from being reabsorbed
quickly, thus increasing the amount of serotonin available in the brain.
Self-Regulation:
The capacity to remain organized in the face of external or internal
stimulation. Self-Stimulation: The act of providing physical, visual, or auditory stimulation for oneself; rocking back and forth and hand flapping are examples.
Sensorineural Hearing Loss:
Hearing loss caused by damage to the inner ear or to the auditory nerve,
which transmits sounds to the brain.
Sensory:
Relating to the senses.
Sensory Integration:
The ability to receive input from the senses, to organize it into
a meaningful message, and to act on it.
Serotonin:
A neurotransmitter that is believed to play a role in mood regulation
and sleep; levels of serotonin may be deficient in children who have
depression or anxiety. Service Coordinator: The individual designated to oversee the education and related services for a child with disabilities and the services provided to his or her family. See also Case Manager.
Side Effect:
An effect which results unintentionally from the administration of
medication; manifestations of side effects from medication vary from
person to person. Simple Partial Seizure: A type of seizure causing involuntary jerking of muscles that does not result in the loss of consciousness.
SLP:
See
Speech-Language Pathologist. Social Security Administration (SSA): The federal agency that administers both SSI and SSDI.
Social Security Disability Insurance (SSDI):
Money that has been funneled into the Social Security system through
payroll deductions on earnings. Workers who are disabled are entitled to
these benefits. People who are born or become disabled before the age of
twenty-two may collect SSDI under a parent's account if the parent is
retired, disabled, or deceased.
Social Skills:
Learned abilities such as sharing, turn-taking, asserting one's
independence, and forming attachments, that allow people to effectively
interact with others.
Social Worker:
A professional who aids and counsels others to function within society;
he or she may help to secure services such as counseling, financial
assistance, or respite care.
Special Education:
Specialized instruction to address a student's unique educational
disabilities as determined by an assessment and as specified
in a child's lEE Instruction must be precisely matched to the
child's educational needs and adapted to his or her learning style.
Speech/Language Pathologist:
A therapist who works to evaluate and improve speech and language
skills, as well as to improve oral motor abilities.
SSA:
See
Social Security Administration.
SSDI:
See
Social Security Disability Insurance.
SSI:
See
Supplemental Security Income.
SSRI:
See
Selective Serotonin Reuptake Inhibitor.
Standard Deviation:
A measurement of the degree to which a given test score differs from the
mean (average) score. On many IQ tests, for example, the mean or average
score is 100 and the standard deviation is 15 (so a child who scored one
standard deviation below the mean would have an IQ of 85). The majority
of children (94 percent) score within two standard deviations (30
points) above or below the mean of 100 (between 70 and 130).
Standard Score:
A test score based on the normal distribution curve (the "bell curve").
In tests scored with standard scores, 100 usually is considered exactly
average, with scores from 85 to 115 considered to be in the average
range.
Standardized Test:
A test that is administered in exactly the same way each time and that
is designed so that results can be compared with the performance of
other individuals who have taken the test.
Statistical Significance:
An estimate of the likelihood that an observed result is not simply due
to chance; the usual level of statistical significance (probability of
or less than 5%) means that there is 1 chance in 20 that the event would
have happened as a result of chance alone.
Status Epilepticus:
A life-threatening condition in which seizures continue without a
break for many minutes and the child remains unconscious.
Stereotypic Behavior:
Purposeless, repetitive movements or behaviors such as hand flapping.
Stereotypy:
See
Stereotypic Behavior.
Stimulant:
A psychotropic drug often used to control hyperactivity in
children.
Stimulus:
A physical object or environmental event that may trigger a response or
have an effect upon the behavior of a person. Some stimuli are internal
(earache pain), while others are external (a smile from a loved one).
Strabismus:
A condition in which the two eyes do not work together; one or both eyes
may turn inward or turn outward, or the gaze of one eye may be higher
than the other.
Stridor:
A crowing sound made when inhaling due to a narrowed upper airway.
Subthreshold:
Not meeting full criteria (guidelines) for a diagnosis.
Supplemental
Security
Income
(SSI): A program of payments
available for eligible people who are disabled, blind, or elderly. 551
is based on financial need, not on past earnings.
Sustained
Release: A long-lasting form
of medication in which small amounts of the medication are released over
time rather than releasing all of the medication immediately upon
ingestion.
Swimmer's
Ear: A painful infection of
the outer ear; common in children who often go swimming.
Syndrome:
A group of symptoms or traits that, occurring together, are
characteristic of a particular disorder.
Tactile:
Relating to touch.
Tactile
Defensiveness:
Oversensitivity or aversion to touch.
Tardive
Dyskinesia: A condition
characterized by involuntary jerky movements of the mouth, tongue, lips,
and trunk. Some medications prescribed for behavior control may
contribute to the development of this condition.
Thimerisol:
A mercury-based substance formerly used to preserve some vaccines such
as the
MMR.
Tics:
Involuntary; purposeless movements or sounds that occur, for example, in
Tourette syndrome. Tics are usually distressing to a child who
has them, in contrast to stereotypic behavior, which children
with autism find pleasurable or neutral.
Tolerance:
A diminished ability to benefit from some drug due to repeated or
prolonged administration.
Tonic-Clonic Seizure:
A type of seizure with two phases: a tonic phase, in which the body
stiffens and the child loses consciousness; and a clonic phase, in which
the muscles alternatingly jerk and relax.
Tonsils:
The two masses of tissue on either side at the back of the throat that
help defend the body from infection.
Tourette Syndrome:
A disability characterized by vocal and movement tics that
change in severity and nature over time.
Transition:
The period between the end of one activity and the start of another.
Transitional Object:
An object such as a blanket or stuffed animal that a young child
habitually uses to comfort himself.
Tuberous Sclerosis:
A congenital disorder in which benign tubers develop in the skin,
organs, and brain, and which sometimes includes seizures, autism,
and/or mental retardation.
Tympanometry:
A test performed to measure the amount of pressure in the middle ear;
abnormal pressure may indicate middle ear fluid or difficulties with
Eustachian tube function.
Vaccine:
A solution that is administered orally or as an injection in order to
help the body create defenses against a specific disease. Vaccines
contain bacteria or viruses (or parts of them) that ordinarily cause
disease, but have been altered so that they won't cause an infection.
Vestibular:
Pertaining to the sensory system located in the inner ear that
allows the body to maintain balance and enjoyably participate in
movement such as swinging and roughhousing.
Visual Imagery:
Using recalled scenes or visual images in an attempt to relax or to
tolerate more stressful situations. Visual Motor: Related to the use of the eyes to discriminate and track objects and to perceive environmental cues. Visual motor skills are required to carry out tasks such as putting a puzzle piece into a puzzle or a key into a keyhole.
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