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Chapter 6
 Students with Emotional of Behavioral
               Disorders
• Understand how individuals identified as having
  emotional or behavioral disorders (EBD) have been
  treated throughout history.
• Identify and understand the various definitions and
  classifications of EBD.
• Identify the causes and characteristics of EBD.
• Understand how students with EBD are identified.




Objectives
• All material presented in this slideshow was gathered from
  Chapter 6 Students with Emotional or Behavioral Disorders
  for the book Exceptional Students written by Ronald L. Taylor,
  Lydia R. Smiley, and Stephen B. Richards.
• After viewing the presentation students will be directed to the
  blog I have created providing additional resources about
  students with emotional or behavioral disorders.
• On the blog there will be an activity for the students to
  complete. The goal is that the students will be able to
  complete the activity after having viewed all the materials.
*Must view in presentation mode to be redirected to blog




Introduction
• Individuals with emotional or behavioral
  problems have been present since the beginning
  of recorded history.
• Education for students with these
  exceptionalities really only began during the
  20th Century
• Currently being discussed in the field is how to
  identify these students and what is the best way
  to define the category.
• There is a concern that students receiving
  special education services due to a emotional
  or behavioral disorder is below prevalence
  estimate.
• 1400 BC: Greek philosophers and educators described conditions
  consistent with schizophrenia.
• 1600s: individuals were separated from rest of society placed in
  hospitals or asylums
• 1700s and 1800s: more humane treatment; also important to note that
  in the late 1800s the interest in children with these disorders grew.
  Prior to that the focus was on adults.
• 20th Century: appropriate education and treatment of individuals with
  emotional or behavioral problems. Professional organizations like
  Exceptional Children and the American Orthopsychiatry association
  provided strong advocacy.
• Presently: children with emotional or behavioral disorder are given
  same rights as any other student.



History of Emotional and
Behavioral Disorders
• There is controversy over which term(s) should be used to
  describe these students
• Emotional Disturbance is the currently used term in the IDEA 04
  definition implies only emotionally disturbed students)
• Behavioral disorders being more descriptive of the students
  actually identified in the educational setting
• Emotional or Behavioral disorders endorsed by many
  professionals which implies that a student could display either
  type of a problem.
• Emotional disturbance is not supported in many states.
(1). A condition exhibiting one or more of the following characteristics over a long period
of time and to a marker degree that adversely affects a child's education performance.
a. An inability to learn which cannot be explained by intellectual, sensory, or health
     factors.
b. An inability to build or maintain satisfactory interpersonal relationships with peers and
     teachers
c. Inappropriate types of behavior or feelings under normal circumstances
d. A general pervasive mood of unhappiness or depression
e. A tendency to develop physical symptoms or fears associated with personal or school
     problems

(2).Emotional disturbance includes schizophrenia. The term does not apply to children who
are socially maladjusted unless it is determined that they have emotional disturbance.




    The IDEA 04 Definition
• Federal definition has been referred to as “vague and
  internally inconsistent” As a result various alternatives
  have been proposed.
• Forness and Knitzer (1992) proposed that a new term
  emotional or behavioral disorder (EBD) replace the term
  serious emotional disturbance used in the IDEA 04.




An Alternative Definition
1. The term emotional or behavioral disorder means a disability that is
   characterized by emotional or behavioral responses in school programs so
   different from appropriate age, culture or ethic norms that they adversely
   affect educational performance, including academic, social, vocational, or
   personal skills, and which:
a. Is more than a temporary, expected response to stressful events in the
   environment;
b. Is consistently exhibited in two different setting, and least one of which is
   school related; and
c. Is unresponsive to direct intervention applied in general education, or the
   child's condition is such that a general education interventions would be
   insufficient. Emotional and behavioral disorders can coexist with other
   disabilities.

2. This category may include children or youth with schizophrenia disorders,
affective disorders, anxiety disorders, or other sustained disorders of conduct or
adjustment when they adversely affect educational performance in accordance
with section 1.
•   Conduct Disorder: Includes physical
                                                    aggression, anger, disobedience, and
                                                    oppositionality.
                                                •   Socialized Aggression: Involves
                                                    behaviors such as stealing or using drugs
                                                    around others, lying, school truancy, and
                                                    gang membership.
                                                •   Attention Problems: Immaturity:
                                                    Includes short attention span, problems in
•   Internalizing Disorders: Disorders that         concentration, distractibility, and
    a typically expressed inwardly, including       impulsivity. It also includes passitivity
    personality problems, anxiety, and              and childishness.
    depression.                                 •   Anxiety Withdrawal: Includes
•   Externalizing Disorders: Disorders that         internalizing disorders such as
    are typically expressed outwardly,              generalized fearfulness and anxiety, fear
    including aggression, acting out, and           of failure, poor self-esteem, and
    disobedience.                                   hypersensitivity to criticism.
•   Dimensional Classification System: A        •   Psychotic Behavior: Includes speech
    classification system for emotional             disturbances, delusions, and impaired
    disturbance that includes 6 categories or       reality testing.
    dimensions. (See right)                     •   Motor Tension Excesses: Involves
                                                    behaviors such as over activity,
                                                    restlessness, and tension.



    Classification of Individuals with Emotional or Behavioral Disorders
• Based on the Diagnostic and Statistical Manual of Mental
   Disorders
• 16 Major Categories Including:
1. Mood disorders
2. Anxiety Disorders
3. Schizophrenia

• Another medical classification is provided by the International
  Classification of Diseases
 Includes mental and behavioral disorders
• U.S. Department of Education estimates 2% of students for
  more than two decades.
• Various other sources estimate 3%-6% of school aged children
  exhibit emotional or behavioral problems requiring special
  education.
• “Rule of One-Third” Suggests that one third of all students in a
  particular school year might display behavior problems that
  concern teachers. Of that third about 10% need to have some
  type of modification of the educational program. Of that one-
  third, one-third approximately 3-4% will require special
  education or other services to deal with their problems.




Prevalence
Gender and Age Factors:         Socioeconomic Status and
• More boys are identified      Ethnicity Factors:
  than girls                    • Poverty doubles risk of
• Males are more likely to        being identified
  have an externalizing         • African American males
  disorder                        are were 5.5 times more
• Females are more likely         likely to be identified
  to have internalizing           than white females
  disorders                     • Overrepresentation of
• Older students are more         African American
  likely to be identified         students has been
  than younger students           recognized for years
1. teachers may be more
    hesitant to label a child
2. Aggression displayed
    differently with age
• There is debate about what causes emotional and
  behavioral disorders, although evidence indicates
  that both environment and genetic factors play a
  role.
• The characteristics can vary as a function of
  gender, age, and ethnicity.
• Set of externalizing, internalizing, intellectual,
  and academic characteristics is recognized.
•    Exposure to television violence has been suggested as a direct cause
•    More consensus about the effect of family, school, and community factors
•    Family factors could include:
1.   Parental discord
2.   Inconsistent or extreme punishment
3.   Lack of Emotional Support
•    Absence of these characteristics increases the child's risk of developing
     problems:
1.   A legitimate source of authority, established and supported over time
2.   A consistently enforced rule system
3.   Stable and consistent nurturing behavior
4.   Effective child-rearing practices
5.   Common family goals
6.   Flexibility to adapt
•    School Factors Include:
1.   Negative school experiences
2.   Unrealistic teacher expectations
•    Community Factors , such as gang involvement can also play a role

 Environmental Causes
Genetic Causes                 Combined Causes:
 • Any dispassionate review     • An emotional or
   of evidence indicates that     behavioral problem may
   there are substantial          be due to environmental
   genetic effects on             factors, to genetic factors,
   psychopathology,               or perhaps a combination
   including emotional and        of the two.
   behavioral disturbance.
 • Mental illness occurring
   in families suggests that
   schizophrenia, in
   particular has a genetic
   basis.


Genetic and Combined Causes
Internalizing Disorders:
                                         • Directly affect the individual with
Externalizing Characteristics:              the emotional or behavioral
• Directly affect others and are easy       problem.
  to observe                             • Not as easy to identify because
• More difficult to identify the cause      their behaviors do not directly
  of their aggression                       affect others.
• Conduct Disorders: a disorder that     • Social withdrawal and anxiety are
  involves a repetitive and persistent      often seen
  pattern that violates age-             • Mood Disorders: a class of
  appropriate societal norms or the         disorders that includes manic
  basic rights of others                    disorders, depressive disorders,
                                            and bipolar disorders.
                                         • Most individuals with
                                            schizophrenia (a condition
                                            characterized by delusions,
                                            hallucinations, and disorganized
                                            speech and behavior) are
                                            considered to have an emotional
                                            disorder.


  Characteristics of EBD
• As a group students typically score in the low-average range of
    intelligence
  • Behavioral and Emotional disorders are shown to influence a
    students IQ
  • More likely to have language deficits. (Approximately 3 out of 4
    students with emotional and behavioral disorders)
  • It is important that general education teachers look for signs of
    emotional and behavioral problems that tend to go unnoticed
    (withdrawal and depression)
  • As a teacher be prepared to address wide range of academic,
    emotional, and behavioral needs.



Intellectual and Academic Characteristics
How are students with Emotional or Behavioral Disorders Identified?

  • Professionals from a number of disciplines could be
    involved: education, psychology, and psychiatry.
  • Decisions should only be made based on multiple
    sources of information
  • Include:
  1. Interviews with parents and teachers
  2. Use of academic testing in addition to techniques
     such as observation and the use of behavioral rating
     scales, behavioral assessment systems, personality
     inventories, and projective tests.
• Widely used by teachers, and excellent screening method for
  students with emotional or behavioral problems
• Usually the first way a student is identified
• Objective, precise,, but still requires subjective decision
  making
• Teacher with often compare a suspected student with a
  controlled student
• Should not be used exclusively
• Inexpensive, easy to do, and can be done in a natural setting




  Observations
•    Document the presence and degree of a certain behavior
•    Composed of a list, formatted like “Shows signs of depression”
•    Each item is rated using a rating scale
•    Show to reliably differentiate students with and without behavior problems
•    Example The DBRS-SF which has 2 forms one for ages 5-12, another for ages
     13-18
•    Used by either the general or the special education teacher
•    Includes 40 items grouped into 4 categories:
1.    Interpersonal problems
2.    Inappropriate behaviors/feelings
3.    Depression
4.    Physical symptoms/fears




       Behavioral Rating Scales
Personality Inventories:
                               • Characteristics
Behavior Assessment Systems:
                               1. They are designed
• Multiple components              primarily for use with
  including behavior               adolescents and adults
  rating scales.               2. Use true/false format
Teacher, parent, and          3. Measure a large number of
  peer                             personality characteristic
                                   factors such as paranoia,
• Provide ratings from             reality distortion, and
  multiple informants in           psychological discomfort
  multiple settings            • Questions regarding
                                 „truthfulness‟ individual
                                 provides
                               • Primarily used for medical
                                 rather than educational
                                 terminology
• Based on psychoanalytical theory, assume that a student will “project” his or her
  feelings, emotions, and personality characteristics when a relativity abstract
  stimulus is presented
• Ink Blot Test-present pictures or photographs to elicit certain dynamics
• Draw-a-Person Screening-examiner interprets drawings made by a student
• Projective tests are one of the more frequently used techniques to evaluate students
  with emotional disturbances
• Teachers should NOT use projective tests and techniques but should be aware of
  their uses and limitations
• Although some of the identification procedures are administered by
  psychologists/psychiatrists teachers still play important role
• Teachers are frequently asked to provide data, complete a behavior rating scale, or
  contribute information for the appropriate component of behavioral assessment
  system


     Projective Tests
Wrap-Up
I hope that with this information you are now able to understand how individuals
identified as having emotional or behavioral disorders (EBD) have been treated
throughout history, identify and understand the various definitions and classifications of
EBD, identify the causes and characteristics of EBD, and understand how students with
EBD are identified. For your activity I would like for you to visit the mini-blog I have
created for this chapter. (link below) From there you will find more information
regarding students with emotional and behavioral disorders. You will also see your
assignment. Just a few questions to make sure you understand the material. I will post
the answers Wednesday afternoon.
*Must be in presentation mode in order to be directed to the blog
   Chapter 6 Blog

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Understanding Students with Emotional or Behavioral Disorders

  • 1. Chapter 6 Students with Emotional of Behavioral Disorders
  • 2. • Understand how individuals identified as having emotional or behavioral disorders (EBD) have been treated throughout history. • Identify and understand the various definitions and classifications of EBD. • Identify the causes and characteristics of EBD. • Understand how students with EBD are identified. Objectives
  • 3. • All material presented in this slideshow was gathered from Chapter 6 Students with Emotional or Behavioral Disorders for the book Exceptional Students written by Ronald L. Taylor, Lydia R. Smiley, and Stephen B. Richards. • After viewing the presentation students will be directed to the blog I have created providing additional resources about students with emotional or behavioral disorders. • On the blog there will be an activity for the students to complete. The goal is that the students will be able to complete the activity after having viewed all the materials. *Must view in presentation mode to be redirected to blog Introduction
  • 4. • Individuals with emotional or behavioral problems have been present since the beginning of recorded history. • Education for students with these exceptionalities really only began during the 20th Century • Currently being discussed in the field is how to identify these students and what is the best way to define the category. • There is a concern that students receiving special education services due to a emotional or behavioral disorder is below prevalence estimate.
  • 5. • 1400 BC: Greek philosophers and educators described conditions consistent with schizophrenia. • 1600s: individuals were separated from rest of society placed in hospitals or asylums • 1700s and 1800s: more humane treatment; also important to note that in the late 1800s the interest in children with these disorders grew. Prior to that the focus was on adults. • 20th Century: appropriate education and treatment of individuals with emotional or behavioral problems. Professional organizations like Exceptional Children and the American Orthopsychiatry association provided strong advocacy. • Presently: children with emotional or behavioral disorder are given same rights as any other student. History of Emotional and Behavioral Disorders
  • 6. • There is controversy over which term(s) should be used to describe these students • Emotional Disturbance is the currently used term in the IDEA 04 definition implies only emotionally disturbed students) • Behavioral disorders being more descriptive of the students actually identified in the educational setting • Emotional or Behavioral disorders endorsed by many professionals which implies that a student could display either type of a problem. • Emotional disturbance is not supported in many states.
  • 7. (1). A condition exhibiting one or more of the following characteristics over a long period of time and to a marker degree that adversely affects a child's education performance. a. An inability to learn which cannot be explained by intellectual, sensory, or health factors. b. An inability to build or maintain satisfactory interpersonal relationships with peers and teachers c. Inappropriate types of behavior or feelings under normal circumstances d. A general pervasive mood of unhappiness or depression e. A tendency to develop physical symptoms or fears associated with personal or school problems (2).Emotional disturbance includes schizophrenia. The term does not apply to children who are socially maladjusted unless it is determined that they have emotional disturbance. The IDEA 04 Definition
  • 8. • Federal definition has been referred to as “vague and internally inconsistent” As a result various alternatives have been proposed. • Forness and Knitzer (1992) proposed that a new term emotional or behavioral disorder (EBD) replace the term serious emotional disturbance used in the IDEA 04. An Alternative Definition
  • 9. 1. The term emotional or behavioral disorder means a disability that is characterized by emotional or behavioral responses in school programs so different from appropriate age, culture or ethic norms that they adversely affect educational performance, including academic, social, vocational, or personal skills, and which: a. Is more than a temporary, expected response to stressful events in the environment; b. Is consistently exhibited in two different setting, and least one of which is school related; and c. Is unresponsive to direct intervention applied in general education, or the child's condition is such that a general education interventions would be insufficient. Emotional and behavioral disorders can coexist with other disabilities. 2. This category may include children or youth with schizophrenia disorders, affective disorders, anxiety disorders, or other sustained disorders of conduct or adjustment when they adversely affect educational performance in accordance with section 1.
  • 10. • Conduct Disorder: Includes physical aggression, anger, disobedience, and oppositionality. • Socialized Aggression: Involves behaviors such as stealing or using drugs around others, lying, school truancy, and gang membership. • Attention Problems: Immaturity: Includes short attention span, problems in • Internalizing Disorders: Disorders that concentration, distractibility, and a typically expressed inwardly, including impulsivity. It also includes passitivity personality problems, anxiety, and and childishness. depression. • Anxiety Withdrawal: Includes • Externalizing Disorders: Disorders that internalizing disorders such as are typically expressed outwardly, generalized fearfulness and anxiety, fear including aggression, acting out, and of failure, poor self-esteem, and disobedience. hypersensitivity to criticism. • Dimensional Classification System: A • Psychotic Behavior: Includes speech classification system for emotional disturbances, delusions, and impaired disturbance that includes 6 categories or reality testing. dimensions. (See right) • Motor Tension Excesses: Involves behaviors such as over activity, restlessness, and tension. Classification of Individuals with Emotional or Behavioral Disorders
  • 11. • Based on the Diagnostic and Statistical Manual of Mental Disorders • 16 Major Categories Including: 1. Mood disorders 2. Anxiety Disorders 3. Schizophrenia • Another medical classification is provided by the International Classification of Diseases  Includes mental and behavioral disorders
  • 12. • U.S. Department of Education estimates 2% of students for more than two decades. • Various other sources estimate 3%-6% of school aged children exhibit emotional or behavioral problems requiring special education. • “Rule of One-Third” Suggests that one third of all students in a particular school year might display behavior problems that concern teachers. Of that third about 10% need to have some type of modification of the educational program. Of that one- third, one-third approximately 3-4% will require special education or other services to deal with their problems. Prevalence
  • 13. Gender and Age Factors: Socioeconomic Status and • More boys are identified Ethnicity Factors: than girls • Poverty doubles risk of • Males are more likely to being identified have an externalizing • African American males disorder are were 5.5 times more • Females are more likely likely to be identified to have internalizing than white females disorders • Overrepresentation of • Older students are more African American likely to be identified students has been than younger students recognized for years 1. teachers may be more hesitant to label a child 2. Aggression displayed differently with age
  • 14. • There is debate about what causes emotional and behavioral disorders, although evidence indicates that both environment and genetic factors play a role. • The characteristics can vary as a function of gender, age, and ethnicity. • Set of externalizing, internalizing, intellectual, and academic characteristics is recognized.
  • 15. • Exposure to television violence has been suggested as a direct cause • More consensus about the effect of family, school, and community factors • Family factors could include: 1. Parental discord 2. Inconsistent or extreme punishment 3. Lack of Emotional Support • Absence of these characteristics increases the child's risk of developing problems: 1. A legitimate source of authority, established and supported over time 2. A consistently enforced rule system 3. Stable and consistent nurturing behavior 4. Effective child-rearing practices 5. Common family goals 6. Flexibility to adapt • School Factors Include: 1. Negative school experiences 2. Unrealistic teacher expectations • Community Factors , such as gang involvement can also play a role Environmental Causes
  • 16. Genetic Causes Combined Causes: • Any dispassionate review • An emotional or of evidence indicates that behavioral problem may there are substantial be due to environmental genetic effects on factors, to genetic factors, psychopathology, or perhaps a combination including emotional and of the two. behavioral disturbance. • Mental illness occurring in families suggests that schizophrenia, in particular has a genetic basis. Genetic and Combined Causes
  • 17. Internalizing Disorders: • Directly affect the individual with Externalizing Characteristics: the emotional or behavioral • Directly affect others and are easy problem. to observe • Not as easy to identify because • More difficult to identify the cause their behaviors do not directly of their aggression affect others. • Conduct Disorders: a disorder that • Social withdrawal and anxiety are involves a repetitive and persistent often seen pattern that violates age- • Mood Disorders: a class of appropriate societal norms or the disorders that includes manic basic rights of others disorders, depressive disorders, and bipolar disorders. • Most individuals with schizophrenia (a condition characterized by delusions, hallucinations, and disorganized speech and behavior) are considered to have an emotional disorder. Characteristics of EBD
  • 18. • As a group students typically score in the low-average range of intelligence • Behavioral and Emotional disorders are shown to influence a students IQ • More likely to have language deficits. (Approximately 3 out of 4 students with emotional and behavioral disorders) • It is important that general education teachers look for signs of emotional and behavioral problems that tend to go unnoticed (withdrawal and depression) • As a teacher be prepared to address wide range of academic, emotional, and behavioral needs. Intellectual and Academic Characteristics
  • 19. How are students with Emotional or Behavioral Disorders Identified? • Professionals from a number of disciplines could be involved: education, psychology, and psychiatry. • Decisions should only be made based on multiple sources of information • Include: 1. Interviews with parents and teachers 2. Use of academic testing in addition to techniques such as observation and the use of behavioral rating scales, behavioral assessment systems, personality inventories, and projective tests.
  • 20. • Widely used by teachers, and excellent screening method for students with emotional or behavioral problems • Usually the first way a student is identified • Objective, precise,, but still requires subjective decision making • Teacher with often compare a suspected student with a controlled student • Should not be used exclusively • Inexpensive, easy to do, and can be done in a natural setting Observations
  • 21. • Document the presence and degree of a certain behavior • Composed of a list, formatted like “Shows signs of depression” • Each item is rated using a rating scale • Show to reliably differentiate students with and without behavior problems • Example The DBRS-SF which has 2 forms one for ages 5-12, another for ages 13-18 • Used by either the general or the special education teacher • Includes 40 items grouped into 4 categories: 1. Interpersonal problems 2. Inappropriate behaviors/feelings 3. Depression 4. Physical symptoms/fears Behavioral Rating Scales
  • 22. Personality Inventories: • Characteristics Behavior Assessment Systems: 1. They are designed • Multiple components primarily for use with including behavior adolescents and adults rating scales. 2. Use true/false format Teacher, parent, and 3. Measure a large number of peer personality characteristic factors such as paranoia, • Provide ratings from reality distortion, and multiple informants in psychological discomfort multiple settings • Questions regarding „truthfulness‟ individual provides • Primarily used for medical rather than educational terminology
  • 23. • Based on psychoanalytical theory, assume that a student will “project” his or her feelings, emotions, and personality characteristics when a relativity abstract stimulus is presented • Ink Blot Test-present pictures or photographs to elicit certain dynamics • Draw-a-Person Screening-examiner interprets drawings made by a student • Projective tests are one of the more frequently used techniques to evaluate students with emotional disturbances • Teachers should NOT use projective tests and techniques but should be aware of their uses and limitations • Although some of the identification procedures are administered by psychologists/psychiatrists teachers still play important role • Teachers are frequently asked to provide data, complete a behavior rating scale, or contribute information for the appropriate component of behavioral assessment system Projective Tests
  • 24. Wrap-Up I hope that with this information you are now able to understand how individuals identified as having emotional or behavioral disorders (EBD) have been treated throughout history, identify and understand the various definitions and classifications of EBD, identify the causes and characteristics of EBD, and understand how students with EBD are identified. For your activity I would like for you to visit the mini-blog I have created for this chapter. (link below) From there you will find more information regarding students with emotional and behavioral disorders. You will also see your assignment. Just a few questions to make sure you understand the material. I will post the answers Wednesday afternoon. *Must be in presentation mode in order to be directed to the blog Chapter 6 Blog