Assessment & Research

AAIDD proposed recommendations for ICD-11 and the condition previously known as mental retardation.

Tassé et al. (2013) · Intellectual and developmental disabilities 2013
★ The Verdict

ICD-11 should swap "mental retardation" for "intellectual disability" and balance IQ with adaptive behavior.

✓ Read this if BCBAs who write diagnostic reports or serve on intake teams.
✗ Skip if Clinicians only treating ASD or emotional disorders with no ID concern.

01Research in Context

01

What this study did

Tassé et al. (2013) wrote a position paper for the AAIDD. They told the World Health Organization how to list intellectual disability in the next ICD-11 book.

The paper gives new words, cut-off scores, and steps for doctors who make the diagnosis.

02

What they found

The authors found that the old label "mental retardation" must disappear. They want "intellectual disability" in its place.

They also want equal weight given to IQ scores, adaptive skills, and age of onset.

03

How this fits with other research

Luckasson et al. (2013) published the same year with matching advice. Both papers push the same AAIDD line, so they back each other up.

Matson et al. (1999) had already shown that the ICD-10 guide for ID was weak. Tassé et al. (2013) now gives the fix that paper asked for.

Thurm et al. (2022) came later and refined the words again. Their work extends the 2013 push by telling clinicians exactly when to say "condition," "disorder," or "syndrome."

Wehmeyer (2013) seems to clash at first. That paper warns that "disorder" labels can hurt identity. Tassé et al. (2013) still keeps "disorder" inside the medical code set. The gap is really about setting: medical charts need short codes, while person-first talk should use broader, respectful language.

04

Why it matters

If you write reports, sit on diagnostic teams, or bill insurance, these rules are your roadmap. Use the term "intellectual disability," score both IQ and daily living skills, and note onset before age 18. Following the paper keeps your records ready for ICD-11 and shows families you use up-to-date, respectful words.

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→ Action — try this Monday

Open your last report, find any "mental retardation" text, and replace it with "intellectual disability." Add a line that both IQ and adaptive scores were considered.

02At a glance

Intervention
not applicable
Design
theoretical
Population
intellectual disability
Finding
not reported

03Original abstract

The World Health Organization (WHO) is in the process of seeking input from professional stakeholder groups and consumers regarding the draft proposals of the 11th edition of the International Classification of Diseases (ICD-11). The American Association on Intellectual and Developmental Disabilities (AAIDD) convened a small group of distinguished interdisciplinary expert professionals in intellectual disability to review the ICD-11 proposal regarding revisions of the condition previously known as "mental retardation." This article presents the recommendations made by the AAIDD to the WHO Secretariat regarding the name, definition, diagnostic guidelines, and classification of the condition known today as intellectual disability.

Intellectual and developmental disabilities, 2013 · doi:10.1352/1934-9556-51.2.127