Professional Documents
Culture Documents
VISUAL IMPAIRMENT
Definition
According to WHO, "Blindness means maximum vision less than 3/60 (1/20,
20/400) and minimum vision equal to or better than no light perception"
Low Vision
According to WHO, "Low vision means nmaximum vision less than 6/18 (3/10,
20/70) and minimum vision equal to or better than 3/60 (1/20, 20/400) in the affected
eye".
For practical purposes if a clhild, cannot count the tingers of an outstretched hand
held at a metre's distance, he should be treated as blind.
The field of vision of the human eye is 180 degrees. If this field is reduced to 20
degrees or less, the person is considered blind even if his distance vision is much higher.
HEARING IMPAIRMENT
Definition
Mild Loss in Hearing/Auditory Sensitivity
According to WHO, "A hearing threshold level of 26-40 decibels (ISO), or the ability
to hear and repeat words spoken in a normal voice at a distance of one metre. Such a
person usually has some difficulty with hearing but can hear normal levels of conversation".
Sensitivity
/Auditory
Moderate Loss in Hearing
threshold level
of 41-60 decibels ibels (1s
(ISO), or the
WHO, "A hearing d i s t a n c e of one metre"
al
According to raised voice at
a
to hear and repeat
words using
Sensitivity
/Auditory
Severe Loss in Hearing
decibels (ISO), or the
the.
Sensitivity
Profound Loss in Hearing /Auditory
decibels (ISO), oorr .
threshold level of81
According to WHO, "A hearing
,
greater, 0
causes problems
in c o m m u n i c a t i o n . Hearing Impairod
Hearing impairment d
needs to spend considerable time on learning speech and language. Some countries have
developed finger spelling systems which make it easier tor the hearing impaired ild to
understand what someone is saying. Gestures are also used. All the methods used ogether
The main problem in the education of hearing impaired child arises from the childe
inability to communicate effectively. This can be overcome partly, by powerful modem
hearing aids. The classroom can be fitted with a loop inductance system which will allow
better freedom to the hearing impaired child in the classroom.
LOCOMOTOR IMPAIRMENT
Definition
The Persons with Disability Act, 1995 defines the locomotor impairment as
"Locomotor disability means disability of the bones, joints or muscles leading to substantial
restriction the movement of limbs
of
or any form
of cerebral palsy". Locomotor impairment
may arise from
congenital deformities or may be caused by such diseases as poliomyehts.
In locomotor
impairment, a limb may be fully or partially paralysed or may be amputatea
The
following classification is usually made:
-
in cerebral
palsy, the child may have a variety of motor
including faulty articulation. In some problems.
have speech problems He may also
MENTAL RETARDATION
Definition
The
Disability Act of 1995 defines mental retardation as, "Mental Retardation means
a condition of arrested
or
incomplete development of mind of person which is specially a
characterized by subnormality of
intelligence".
Children with mental retardation are often classified
and
as educable, trainable, severe
profound. The educable child can usually learn some academic skills and reach the
level of the fifth or sixth class. However such a child is
slow in learning and
may require
considerable curricular adaptations. The
following principles should be kept in mind in
teaching such a child:
- Repetition.
Concreetization.
-
Short lessons.
The trainable child cannot
usually learn academic skills. He may be trained in
survival skills and may be able to do some work at home or in a
sheltered environment.
The profoundly and severely retarded child may require constant home or hospital
care.
5
LEARNING DISABILITY
processes
Definition basic
psychological
Ved
of the
disorder in o n e or
more
or
written,
which may manifest itself in a
manifest
"A spoken
language,
understanding
or in using
handicaps,
brain injury, minin
perceptual includoan
conditions as does not
includes such The term
The term
and
developmental
aphasia.
result of visual, hearino or n ep
dyslexia the
dysfunction,
which are primarily o
problems of environmental
who have learning
mental retardation,
or
emotional
disturbance or
cultural
or
handicaps,
or economic disadvantage."
children and adults
disabilities
encountered among Eac
The foregoing are major disability has special edura
field. As a rule each cational
in
it will be usolf.
some
disability limits, activity is associated with an
impairment, useful to
implications, since every disability
and Participation.
define the terms Impairment, Activity
Since this manual is confined to visual impairment, its educational and psycho
social implications which influence both activity and
participation will be discussed
subsequent chapters.
L.3. BLINDNESS IN INDIA
Magnitude
Blindness in India is a
Madan Mohan in 1989, India
very large problem. According to a study y Dr.
has about 12 million blind conducte million
people with low vision. This means people and about 28.50
problems. that almost 4% of our population has serious Visual
is
Lertain figures published by a German firm Bausch & Lomb said that the nunmber
actualy twice that large. However, the pattern of blindness is changing. For example the
eradication of small
pox and reduction in blindness caused by Vitamin 'A' deficiency na
comsiderably reduced
of school going age is
the blindness in children. As a result the number of blind children
steadily declining. The great majority of people who lose their vIsiO
are either in the
working age or past working age.
The Government of India began to take a formal interest in blindness with the
The major causes of blindness in middle and old age are: Cataract, Glauceoma and
The
Retinal detachment.
For
personal meaning of blindness varies from individual to
if child loses his vision he may have to adapt himself to
individual. example, a
way of receiving education. On the other hand, if a person loses his vision in middle age
a new
his financial security may be threatened. It will be more difficult for him to learn a new
occupation. But if a person suffers a severe visual loss in old age he may only need to be
taught independent living skills and provided opportunities of whole some recreation.
I.4. DEVELOPMENT OF
EDUCATION SPECIAL
AND
REHABILITATION OF THE BLIND OVER THE YEARS IN INDIA
The system of educating blind children in India was imported from Europe through
Christian Missionaries. The first school for the blind was set up at Amritsar in 1887. This
was followed by the establishment of three more schools before the close of the nineteenth
century. Gradually Indian voluntary agencies took over the task but the system of special
residential schools continued. Some state Governments gave very small adhoc grants to
these schools. Since special schools were
expensive to maintain the was smallcoverage
and limited to large urban centres. By 1947 undivided India had only about 32 schools for
the blind.
education of the blind takoa
ken u
the
issue concerning 194 du
Indiaaring
lhe most important Bharati Braille. In
formulation of
as the Training Centre for the Adult Blind. In gradual stages this has developed into he
National Institute for the Visually Handicapped. This Institute functions as the apex bod
body
in the field of blindness.
The Institute also has a senior secondary school for blind and low vision
children, a
library of Braille books and a recording library. It is the first Institute in the country to
conduct an I.A.S. coaching course for blind students.
The country has about 250 special schools for the blind. A few are run by State
Governments, but the majority of them are run by
major national organizations for the blind in the
voluntary agencies. There are three
N.G.Os. expen
Under this scheme about ousand nd
ten a
c d e n have been placed in ordinary schools. Certain international agencies are
also
promoting a similar programme in different parts of the country.
he number of blind children is estimated at about 2 lakh. About 10% of these
children have access to education. We have still to go a long way to achieve the goal or
providing education to all blind children. The number of low vision children who0 are out
of school may be much larger because there are very few formal services available in India
for low vision children.
L.5. LEGISLATION
On 17th December 1971, the then Prime Minister Smt. Indira Gandhi announced in
Parliament that she would
bring forward a law to reserve jobs for the disabled. Unfortunately
this promise did not materialized.
In 1980, a committee was appointed under the chairmanship of Shri Lal Advani to
a
suggest comprehensive law disability. Such draft law
on a submitted to Goverament
was
in 1981 which was declared as the international year of disabled persons. But tor some
reason the Government did not consider the 1981 draft.
In 1987, the Union Ministry of Welfare appointed another committee under the
chairmanship of Mr. Behr-ul-islam, a retired judge of the supreme court to undertake arn
exercise similar to the one undertaken in 1981. This committee
suggested a comprehensive
law and the report was discussed at a national seminar in 1993.
Chapter IV deals with prevention and early detection. It casts the responsibility for
this tasks on state and local authorities.
education the
education, emphasizes
non-formal
It also free of charge.
possibilities. children
Schools and other disabled
to
of this chapt
provide
books and
equipment
The major
provision pteri
impairoat 1
deals with
employment
each tor the visually , hearing
Chapter VI have to be
reserved
m a d e i n identified
post in all
classes ofemployment has to
be
posts An
serving blin
Reservation
impaired and
measure
contained in Chapter X
is that any
Government.
This is to ensuro tother
mportant
licence from
the state y
disabled persons will need a
reasonable
s t a n d a r d s in providing educa n and
m a i n t e n a n c e of
and
of quality services
other services to disabled persons.
has not yet been
This is a very comprehensive act and its
implementation
equal to
the expectations aroused.
standard ot training offere
red to
Government realized that the
Earlier in 1992, the
to be desired. Therefore, the
teachers and other rehabilitation personnel left much govt
of Parliament in 1992 the
Rehabilitation Council of India. The Com.
Duncd
established by an act
is charged with the tasks of regulating training
of professionals in the fields of sDecial
education and rehabilitation. It is also expected to maintain a central register of qualified
people. The act provides for punishment of those who deliver serVIces to people with
disability.
What is the provide inclusive education every
meaning of inclusive education? t
This
generally
means
that for the entire time the disabled child participate in every activity in a regular classroor
The regular classroom teacher may receive assistance from a specialist but the child is not
brailler, taylor frame, abacus, raised maps, etc. There resource teacher who
a an is a
has
received special training in the education of the visually impaired. He takes the visually
impaired child to the resource room and teaches him the use of special equipment
orientation and mobility or other things that he has missed in the regular classroom.
But since the population of blind children scattered it is not possible to provide a
resource room and a resource teacher in every school. In such circumstances a cluster of a
schools or villages is chosen and the itinerant teacher travels to each school in the cluster
and gives such instruction to the blind child as is possible'.
There is a considerable controversy about the role of special schools. One suggestion
being made is that the special school should function as a resource centre providing the
following services:
-
Access to special equipment.
- Orientation of general teachers.
These are but a few functions which a special school functioning as a resource centre
could perform. Many more will emerge as the system begins to operate
L.8. BLIND PERSONS WITH ASSOCIATED DISABILITIES
A blind child
adult may have many associated disorders. Here
or we will deal with
only a few common disorders.
12
Show him every
object
-
Tactile Dyslexia
A recent
phenomenon observed in many schools for the blind is that a large number
of blind children are unable to read Braille. The factors causing this condition are stll
unclear. But
perhaps more intensive sensory training and readiness programmes may
enabie these children to
acquire working mastery over Braille. Recorded materials could
be more extensive used. Sometimes
presentation of material both through the tactile and
auditory together facilitate learning. The child should be allowed to progress at his own
pace.
The most difficult thing to achieve is association between a word and the object it
stands for. This is clear from Helen Keller's life. One day suddenly she realized that the
cold fluid flowing under the tap was called water. This change her entire life.
But the need for intensive sensory training and exposure to every day lite experiences
cannot be over emphasized.
13
VISUAL IMPAIRMEN'
ASPECTs OF
PSYCHO-SOCIAL
A.II.
I1.1. PREJUDICE
of lire. r o r example man.
negative reactions in every walk nany
Blind people encounter
in useful
work. A number of people ha
blind people cannotengage
pCople believe that a conversation with a blind person.
Even in a shop,
the shopkeepor
itticulty in
initiating demonstrated this
in
and not the blind client.
BBC had beautifully
address the guide
may This serial vividly explained
the difficulty man
their serial called, "does he take sugar?"
to blind person.
people have in
talking directly a
resistant to change.
A serious effort has to be made to eradicate negative reactions to blindness. Blind
people live in the community has to be educated to change negative into positive reactions.
How do we do this? Perhaps the best way is to encourage the development of warm
personnel friendship between a blind and sighted person. Teachers can do this by
appropriate classroom management.
The media both print and electronic have an important role to play. They have to
project a positive image of blind people. Folk arts and even religious sermons could
include references to noted blind and writers.
poets These names will be available in
Hindi well in other Indian
as as
languages.
I1.2. FUNCTIONAL LIMITATIONS OF BLINDNESS AND
LOW VIsION
because of the
environment. Even low vision
difficulty in developing a clear mental image ot his
children with peripheral, loss of vision or losses in the
upper and lower part of the eye
may have difficulty both in orientation and mobility. The
precise problems will depend on the nature and
extent of the loss. To illustrate, colour
blindness may make it difficult for
a low vision to detect a red
expose him to person light
and this may
a
dangerous situation.
IL.3. EFFECTS OF BLINDNESs
ON PERSONALITY
Personality is the some total of the psycho physical dimensions within the
which determine his individual
unique adjustmentlife. Since loss of vision has
to
it cannot but influence the pervasive effects,
occurs in life the more
personality of the blind child or adult. The earlier loss of vision
profound or the effects on
personality.
When a blind childborn the entire family is
is
This interferes with the plunged into a paralysing shock.
development of close relationship between the mother and the
child, such a relationship is the very foundation
of the
blind child.
personality development of the
I14. MANNERISM
The theory of
operant conditioning was developed by an American psychologist.
Skinner used reward and punishment to
extinguish undesirable behaviour or encourage
15
A word of approval
need not be physical. al
behaviour. The reinforce
socially desirable word of disaPproval may be quitite
good
a
reinforcer. Similarly sharp
may s e r v e as a very
effective.
could be used in
is a behaviour modification technique. It
Operant conditioning modification may be specially
many schools for the blind.
This technique of behaviour
often have assOCiated behaviour
effective with intellectually retarded blind children who
problem.
The child classifies these characteristics by continual exposure One of the limitations
of blindness is that it limits the range and variety of experiences is exposure to objects
from time to time
impresses the characteristics is the child's wind. Piaget calls this process
seriation.
One
reason for this is that while
sight is a gestalt sense, touch is analytical sense. A
blind child must explore and object bit to built the correct mental in
page on the basis of
which he identifies the
objects.
Moreover blind children and adults must have a
great deal of incidental information.
For example, if a blind
person travels by bus he does not observe the advertisements on
the walls, dresses of the passengers and other incidental information. It is not possible for
parents or teachers to give all the information on these
or adult.
things completely to a blind child
Emotional Development
The advice given
teacher is that as far
to a
optimum number of experiences show him the entirepossible give the blind child or adult
acorrect mental
image. What are the
object bit by bit so that he can develop
grows his social development
symptoms? The child
may throw up tantrums. As he
affected. He may show more particularly his relations with
peers and
aggression than usual. He could siblings may be
symptoms. In some cases he may also show withdrawal
indulge
symptoms may be indicative of dipper
in over
compensatory behaviour. All these
personality problems.
I.7. ATTITUDE OF PARENTS, SIBLINGS AND PEERS
Acceptance
This is the best
possible attitude.
Denial
Parents may deny the disability of the child and exert pressure on him to do things
which are
beyond his capacity.
Disguised Rejection
This usually takes the shape of discrimination at home. The child may not be given
the same treatment as other brothers and sisters. This causes mental agony.
Outright Rejection
In such cases the blind child may be givenaway to agang of beggars or left to fend
for himself in a residential institution for the blind.
Over Protection
This is the phenomenon most commonly seen in affluent parents. The mother feels
a sense of guilt and shame and does every thing for the child, destroying his initiative and
autonomy. Such a child may become totally dependent even in the development of the
survival skills.
Brothers and sisters may also have negative reactions. They may not play with him,
read to him or take him out. All this give rise to open and distinct resentment which may
occasionally explode in out burst of anger or protest.
The main attitude of society towards the blind could be summed up by the word
'shrinking away'. It is usualy very difficult for a sighted person to interact with a blind
persons except after considerable interaction has taken place. A variety of reasons can be
given. One reason is that in the absence of eye contact is not easy for a sighted person
immediately to interact with blind person with a sense of intimacy. The potential of people
with disability for education and employment is not usually appreciated. Employers
prefer
to have a person with sight and considerable persuasion is needed to convinee them that
blind person can be a good worker. Similarly it is by no means easy for a blind child to be
17
admitted into school for sighted children. There is need for creating a great deal of awareness
of the potential of work disabled people can do. Without this it is not easy to integrate