PDD And APD: What Is Developmental Delay?
Developmental Disability includes Autism, Asperger's, Pervasive
Developmental Disorder - Not Otherwise Specified and other diagnoses.
Developmental Delay includes ADD, LD, Dyslexia, and others. Then there
is Global Developmental Disorder and Central Auditory Processing
Disorder, and I don't know where they fit in the official structure of
diagnostic labels, but I know they are a developmental difficulty.
I have been working with children with developmental difficulties for
years. I use the terms developmental difficulties to encompass
everything from Developmental Disability to Developmental Delay, and
even more. In our consulting program we consider them all
fundamentally the same. They differ only by degrees. We have developed
protocols which work with all of the developmental difficulties. Our
program awakens the child's unrealized keys for becoming
age-appropriate.
What is the magnitude of this problem?
All of these developmental difficulties add up to about 28 million
children in the USA. The Census Bureau calculates there a total of 85
million children in the USA. The APA (American Pediatric Association)
reports that one in every six children have a diagnosis for some
developmental difficulty (16.7%). The different associations for all
of the individual diagnostic labels of developmental difficulties all
agree when they report that about 50% of the children with these
problems obtain a diagnosis for their problem (for a total of 33%).
And, 33% of 85 million is 28 million children.
That means that 33% of all the children in every class have some level
of developmental difficulty. Maybe it shows up as an inability to
focus or sit still. Maybe it shows up as an inability to learn
reading. Maybe it shows up as an inability to kick a ball. Maybe it is
so intensive, the children never learn to connect to other people.
Maybe it is mild and only an annoyance to the child and the parents.
In whatever level of intensity, developmental difficulties seem to be
growing in percentages. We are obviously getting better with our
diagnoses. And, we are obviously advanced as a culture so that we
offer those testing services to more families who otherwise could not
afford it. But, I am not sure this is the reason we have 1/3 of our
children with developmental difficulties.
When I was a child in school, many years ago, I do not remember 1/3 of
the children having these types of difficulties in my classrooms. I
remember that maybe 5% to 10% could have had these kinds of
difficulties, but certainly not 1/3.
What is a developmental difficulty?
Quite simply, it is some blockage in the developmental process. All
living things have a life cycle. Much of the initial phases of that
life cycle are spent in developing. From inception to maturity, all
living things progress through a series of milestones. For us humans,
we call them our developmental milestones.
For those with developmental difficulties, they do not progress
through their milestones appropriately. They get blocked at some of
the milestones. They skip some milestones. So, many of the basic
learning processes needed for appropriate maturity, are lost. And, in
some cases a child is held in a stage and does not pass out of it on
to the next developmental stage.
I think that all of the unique diagnostic labels are related to some
basic factors. In which developmental milestones did the child get
blocked or which milestones did the child skip? How intense is the
'stuckness?' And, how many milestones did the child skip?
What can be done about it?
All of the different diagnostic category associations in the field of
developmental difficulties are clearly speaking on one voice when they
say that the 1) developmental process is blocked and that 2) there is
no cure.
Researchers in this field do not know what to do to cure developmental
difficulties. Nothing that they try affects the developmental process.
For decades clinicians have tried everything they can think of to do
and nothing works.
After all these frustrating years, they have finally agreed with each
other that there is no cure. And, now it is official. All of the
diagnostic associations and all of the groups creating the diagnostic
definitions agree that there is no cure. Now, they invest all of their
research dollars on finding causes instead of developing fixes for 28
million children with these developmental difficulties.
They have tried many things, but they have not tried everything.
With our work the children round out the chinks in their movement
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