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Abstract
Although the term or name has changed over time, behavior showing that adaptive behavior as a whole
the definition of intellectual disability (ID) used over is composed of conceptual, social, and practical
the past 50 years or more has been quite consistent. adaptive skills; the second major advance is the
Specifically, an analysis of the U.S.-based defini- progress made in the formal standardized assessment
tions used since the 1950s shows that the three of adaptive behavior (Tassé et al., 2012).
essential elements of ID—limitations in intellectu- The current definition of intellectual disability
al functioning, limitations in adaptive behavior, promulgated by AAIDD is that ‘‘intellectual
and early age of onset—have not changed substan- disability is characterized by significant limitations
tially (Brown, 2007; Schalock, Luckasson, & both in intellectual functioning and in adaptive
Shogren, 2007). Although the three elements have behavior as expressed in conceptual, social, and
not substantially changed, there have been minor practical adaptive skills. This disability originates
changes in the phrasing of the definition that have before age 18’’ (Schalock et al., 2010, p. 1).
occurred in successive manuals published by the Analogously, the Diagnostic and Statistical Manual of
American Association on Intellectual and Devel- Mental Disorders, 5th edition (DSM-5) defined
opmental Disabilities (AAIDD) and the American intellectual disability (intellectual developmental
Psychiatric Association (APA) as science and disorder) as ‘‘a disorder with onset during the
knowledge in these areas have advanced. developmental period that includes both intellec-
In this article, we focus on two scientific tual and adaptive behavior deficits in conceptual,
advances related to the construct of adaptive social, and practical domains’’, (American Psychi-
behavior and how these advances require the equal atric Association, APA, 2013, p. 33).
consideration of intellectual functioning and adap- For purposes of diagnosis, intellectual func-
tive behavior in the diagnosis of intellectual tioning is currently best conceptualized and cap-
disability. One major advance is the empirical tured by a general factor of intelligence, which is a
validation of the factor structure of adaptive general mental ability best represented by a full-
scale or composite score (APA, 2013; Schalock et diagnostic criteria used to establish intellectual
al., 2010). Intelligence includes reasoning, plan- disability?’’ In addressing this key question, we (a)
ning, solving problems, thinking, comprehending provide an update of the understanding of adaptive
complex ideas, learning quickly, and learning from behavior; (b) dispel two thinking errors regarding
experience (Arvey et al., 1994; Gottfredson, 1997). mistaken temporal or causative relation between
The ‘‘significant limitations in intellectual func- intellectual functioning and adaptive behavior; (c)
tioning’’ criterion for a diagnosis of ID requires a explain that there is a strong correlational, but no
full-scale IQ score that is approximately two causal relation between intellectual functioning and
standard deviations below the mean, considering adaptive behavior; and (d) assert that once a
the standard error of measurement for the specific, question of whether a person has ID is raised, both
ing, and serve as an independent variable in by Edgar Doll (Doll, 1936, 1953) and later evolved
outcomes evaluation (Luckasson & Schalock, into adaptive behavior as described initially by Heber
2013; Tassé, 2009; Tassé et al., 2012). (1959, 1961) and later by Tassé et al. (2012).
Table 1
Definitions and Diagnostic Criteria of Intellectual Disability
Table 1
Continued
(Table 1 continued)
Table 1
Continued
the full text of the published definitions of mental worthy is the slight variation in conjunctions. For
retardation/intellectual disability, going back to AAIDD, the conjunctions used have been ‘‘asso-
the 1959/1961 definitions for the American ciated with’’ (Heber, 1959, 1961), ‘‘existing
Association for Intellectual and Developmental concurrently with’’ (Grossman, 1973, 1977,
Disabilities (AAIDD, then American Association 1983; Luckasson et al., 1992), and ‘‘both in . . .
on Mental Deficiency) and 1952 for the DSM as expressed in’’ (Luckasson et al., 2002; Schalock
(American Psychiatric Association, 1952). Note- et al., 2010). For the DSM, the conjunctions used
have been ‘‘associated with’’ (APA, 1968), 3. A complete understanding of human func-
‘‘resulting in, or associated with’’ (APA, 1980), tioning requires an understanding of the
‘‘accompanied by’’ (APA, 1987, 1994, 2000), and person’s typical performance, which is the
‘‘that includes both’’ (APA, 2013). Throughout case in the assessment of adaptive behavior,
the past 50þ years of definitions promulgated by not maximum performance, which is the case
both AAIDD and APA, any relation between in the assessment of intellectual functioning
intellectual functioning and adaptive behavior has (Luckasson & Schalock, 2015).
repeatedly and consistently been described as a 4. A variety of factors can be used as a basis for
correlational relation (e.g. ‘‘associated with,’’ ‘‘exist- subgroup classification, including level of
ing concurrently,’’ ‘‘including both’’), and not a causal
AAIDD Terminology & Classification manuals Robert L. Schalock, Hastings College, Department
and DSM. of Psychology.