Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T00:15:01.420Z Has data issue: false hasContentIssue false

Behavioural syndromes identified by cluster analysis in a sample of 100 severely and profoundly retarded adults

Published online by Cambridge University Press:  09 July 2009

A. H. Reid*
Affiliation:
Dundee Psychiatric Service, Strathmartine Hospital, By Dundee, and Tayside Area Clinical Psychology Department, Royal Dundee Liff Hospital, By Dundee
B. R. Ballinger
Affiliation:
Dundee Psychiatric Service, Strathmartine Hospital, By Dundee, and Tayside Area Clinical Psychology Department, Royal Dundee Liff Hospital, By Dundee
B. B. Heather
Affiliation:
Dundee Psychiatric Service, Strathmartine Hospital, By Dundee, and Tayside Area Clinical Psychology Department, Royal Dundee Liff Hospital, By Dundee
*
1Address for correspondence: Dr A. H. Reid, Royal Dundee Liff Hospital, By Dundee DD2 5NF.

Synopsis

Very little is known about psychiatric disorders in severely and profoundly retarded adults. We have investigated these disorders by systematically recording and collecting data about the behaviour of 100 severely and profoundly retarded hospitalized adults and subjecting the data thus derived to cluster analysis. Eight clusters were isolated. The clinical psychiatric significance of these clusters is discussed and their relationship to cause of retardation, duration of stay in hospital and visiting is considered. A diagnostic framework for psychiatric disorder in severely and profoundly retarded adults is put forward and some possible treatment approaches are suggested.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1978

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baker, R., Hall, J. N., Hutchinson, K. & Bridge, G. (1977). Symptom changes in chronic schizophrenic patients on a token economy: a controlled experiment. British Journal of Psychiatry 131, 381393.CrossRefGoogle ScholarPubMed
Ballinger, B. R. (1970). Community contacts of institutionallized mental defectives. Journal of Mental Subnormality 16, 1723.CrossRefGoogle Scholar
Ballinger, B. R. & Reid, A. H. (1977). Psychiatric disorder in an adult training centre and a hospital for the mentally handicapped. Psychological Medicine 7, 525528.CrossRefGoogle Scholar
Ballinger, B. R., Armstrong, J., Presly, A. S. & Reid, A. H. (1975). Use of a standardized psychiatric interview in mentally handicapped patients. British Journal of Psychiatry 127, 540544.CrossRefGoogle ScholarPubMed
Barker, P. (1976). Basic Child Psychiatry (2nd edn). Crosby Lockwood Staples: London.Google Scholar
Berkson, G. & Landesman-Dwyer, S. (1977). Behavioural research on severe and profound mental retardation (1955–1974). American Journal of Mental Deficiency 81, 428454.Google ScholarPubMed
Carr, J. (1976). The severely retarded autistic child. In Early Childhood Autism (2nd edn) (ed. Wing, L.), pp. 247270. Pergamon: Oxford.Google Scholar
Cooper, A. F. & Fowlie, H. C. (1973). Control of self-mutilation with lithium carbonate. British Journal of Psychiatry 122, 370371.CrossRefGoogle ScholarPubMed
Corbett, J. A. (1975). Aversion for the treatment of self-injurious behaviour. Journal of Mental Deficiency Research 19, 7995.Google ScholarPubMed
Critchley, M. & Earl, C. J. C. (1932). Tuberose sclerosis and allied conditions. Brain 55, 311346.CrossRefGoogle Scholar
Day, K. A., Gorman, V., Gwyn-Williams, R. H. & Thomas, D. A. (1974). Subnormality at the crossroads. Lancet i, 622.CrossRefGoogle Scholar
De Myer, M. K., Barton, S., De Myer, W. E., Norton, J. A. & Steele, R. (1973). Prognosis in autism: a follow-up study. Journal of Autism and Childhood Schizophrenia 3, 199246.CrossRefGoogle ScholarPubMed
Earl, C. J. C. (1934). The primitive catatonic psychosis of idiocy. British Journal of Medical Psychology 14, 230253.CrossRefGoogle Scholar
Esquirol, J. E. D. (1845). Mental Maladies. A Treatise on Insanity p. 469. Facsimile by Hafner Publishing Company: New York (1965).Google Scholar
Forrest, A. D. & Ogunremi, O. O. (1974). The prevalence of psychiatric illness in a hospital for the mentally handicapped. Health Bulletin 32, 199202.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, M. B. & Shepherd, M. (1970). A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine 24, 1823.Google ScholarPubMed
Gunn, J. & Fenton, G. W. (1969). Epilepsy in prisons: a diagnostic survey. British Medical Journal iv, 326328.CrossRefGoogle Scholar
Hamilton, M. (1976). The role of rating scales in psychiatry. Psychological Medicine 6, 347349.Google ScholarPubMed
Hamilton, M. & James, F. E. (1977). Improved hospital environment on behaviour patterns of mentally handicapped patients. British Journal of Psychiatry 131, 216217.CrossRefGoogle ScholarPubMed
Heaton-Ward, A. (1977). Psychosis in mental handicap. British Journal of Psychiatry 130, 525533.CrossRefGoogle ScholarPubMed
HMSO (1968). A Glossary of Mental Disorders. Based on the International Statistical Classification of Diseases, 1965. HMSO: London.Google Scholar
James, F. E., Spencer, D. A. & Hamilton, M. (1975). Immediate effects of improved hospital environment on behaviour patterns of mentally handicapped patients. British Journal of Psychiatry 126, 577581.CrossRefGoogle ScholarPubMed
Jones, K. (1976). Opening the Door: a Study of New Policies for the Mentally Handicapped. Routledge and Kegan Paul: London.Google Scholar
Morris, P. (1969). Put Away. Routledge and Kegan Paul: London.Google Scholar
Norris, D. V. (1969). Architecture and mental subnormality. The environmental needs of the severely handicapped. Journal of Mental Subnormality 15, 4550.CrossRefGoogle Scholar
Penrose, L. S. (1963). The Biology of Mental Defect (2nd edn). Sidgwick and Jackson: London.Google Scholar
Reid, A. H. (1972). Psychoses in adult mental defectives: I. Manic depressive psychosis. II. Schizophrenic and paranoid psychoses. British Journal of Psychiatry 120, 205212 and 213–218.CrossRefGoogle ScholarPubMed
Reid, A. H. (1976). Psychiatric disturbances in the mentally handicapped. Proceedings of the Royal Society of Medicine 69, 509512.CrossRefGoogle ScholarPubMed
Reid, A. H. & Aungle, P. G. (1974). Dementia in ageing mental defectives: a clinical psychiatric study. Journal of Mental Deficiency Research 18, 1523.Google ScholarPubMed
Reid, A. H. & Naylor, G. J. (1976). Short cycle manic depressive psychosis in mental defectives: a clinical and physiological study. Journal of Mental Deficiency Research 20, 6776.Google ScholarPubMed
Reid, A. H., Maloney, A. F. J. & Aungle, P. G. (1978). Dementia in ageing mental defectives; a clinical and neuropathological study. Journal of Mental Deficiency Research (in the press).Google Scholar
Rutter, M. (1970). Autistic children: infancy to adulthood. Seminars in Psychiatry 2, 435450.Google ScholarPubMed
Rutter, M. & Graham, P. (1968). The reliability and validity of the psychiatric assessment of the child. I. Interview with the child. British Journal of Psychiatry 114, 563579.CrossRefGoogle ScholarPubMed
Rutter, M. & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis. I. Description of sample. British Journal of Psychiatry 113, 11691182.CrossRefGoogle ScholarPubMed
Rutter, M., Greenfield, D. & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis. II. Social and behavioural outcome. British Journal of Psychiatry 113, 11831199.CrossRefGoogle ScholarPubMed
Safer, D. J. & Allen, R. P. (1976). Hyperactive Children. Diagnosis and Management. University Park Press: Baltimore.Google Scholar
Schopler, E. (1976). Towards reducing behaviour problems in autistic children. In Early Childhood Autism (2nd edn) (ed. Wing, L.), pp. 221246. Pergamon: Oxford.Google Scholar
Simpson, M. A. (1976). Self-mutilation. British Journal of Hospital Medicine 16, 430438.Google Scholar
Sykes, P. & Izmeth, M. G. A. (1977). Psychiatric needs of residents in hospitals for the mentally handicapped. Apex 5, 1819.Google Scholar
Wing, L. (1976). Diagnosis, clinical description and prognosis. In Early Childhood Autism (2nd edn) (ed. Wing, L.), pp. 1548. Pergamon: Oxford.Google ScholarPubMed
Wishart, D. (1975). Clustan IC Manual. Computer Centre: University College London.Google Scholar
Worrall, E. P., Moody, J. P. & Naylor, G. J. (1975). Lithium in non-manic-depressives: antiaggressive effect and red blood cell lithium values. British Journal of Psychiatry 126, 464468.CrossRefGoogle ScholarPubMed