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Correspondence

Indian Pediatr 2018;55: 1005-1006

Terminological Confusion in Learning Disorders: Expert's Reply

 

Samir Hasan Dalwai

Convener, National Consultation Meeting for Developing IAP Guidelines on Neuro Developmental Disorders, New Horizons Child Development Centre, Mumbai, Maharashtra, India.
Email:
[email protected]

 

    


We appreciate the authors’ effort for highlighting the terminological confusion in Learning Disorders. We have following observations:

1. To summarize the terminology ‘landscape’, the main agencies using the term ‘Specific Learning Disorder’ include: DSM-5, ICD-11, and Nelson’s Textbook of Pediatrics; and the agencies that use the term ‘Learning Disability (LD)’ include: American Academy of Pediatrics, and the Revised Persons with Disabilities (PWD) Act 2016. Thus, both the names are being extensively used by crucial decision-making agencies. Supporting either of the names at this juncture may not be appropriate. 

2. It should be noted that LD involves certification processes and the decision on terminology, thus requires a consensus. If any alternate name is formalized without a consensus, it could create more confusion. The decision needs to be taken by organizations in consultation with relevant Government authorities.

3 The term ‘Learning Disorder’ is used interchangeably with ‘Learning Difficulty’ in spite of the technical demarcation. However, a ‘Learning Disability’ must meet the DSM-5 criteria and the diagnosis is based on a combination of the student’s educational history, a description of classroom observations and standardized psychometric measures, after ruling out the differential diagnoses. This is the critical point in our view, which needs repeated emphasis, perhaps more than the terminological confusion.

Reference

1. Nair MKC, Prasad C, Unni J, Bhattacharya A, Kamath SS, Dalwai S. Consensus statement of the Indian Academy of Pediatrics on evaluation and management of learning disability. Indian Pediatr. 2017;54:574-80.


 

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