Assessment & Research

Assessment of terms to describe mental retardation.

Panek et al. (2005) · Research in developmental disabilities 2005
★ The Verdict

Midwest adults once liked 'mentally challenged' best, but later work moved the field to 'intellectual disability' and showed that top-down language shifts can backfire without stigma training.

✓ Read this if BCBAs who write reports, attend IEP meetings, or teach staff and families.
✗ Skip if Clinicians looking for intervention tactics rather than wording advice.

01Research in Context

01

What this study did

Fine et al. (2005) asked 284 Midwest adults to rate different labels for intellectual disability. They used a simple word scale that measures warm versus cold feelings. The labels tested were 'mental retardation,' 'intellectually disabled,' and 'mentally challenged.'

Each person marked how positive or negative each term felt to them. The goal was to see which label the public liked best.

02

What they found

'Mentally challenged' earned the warmest ratings. It beat both 'mental retardation' and 'intellectually disabled' by a clear margin.

In plain words, people in this sample felt better when they heard 'mentally challenged.'

03

How this fits with other research

Kleinert et al. (2007) and McDowell (2013) later pushed the field to drop 'mentally challenged' and use 'intellectual disability' instead. These papers said the new term matches modern ideas about disability and is now in the ICD-11 guide. So the label the public liked in 2005 never became the standard.

Ohan et al. (2015) ran an experiment and found telling people to say 'intellectual disability' can actually raise stigma. That result seems to clash with E et al.'s positive view of softer language. The difference is method: E et al. asked which word feels nicer, while L et al. tested what happens when you order people to use the expert word. Feeling warmer toward a word does not always lead to warmer behavior.

Connolly et al. (2013) adds more nuance. They showed that giving any label cut social distance a little but also stirred up negative beliefs about cause. Together these studies tell us labels matter, yet changing them is tricky.

04

Why it matters

You still need to pick respectful words in reports and family talks. This paper reminds us to check how language feels to listeners, not just to experts. But follow the later guides and use 'intellectual disability' in formal writing because that is now the diagnostic standard. Pair the right term with real education to keep stigma from creeping back in.

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Update your report template to say 'intellectual disability' and add a brief note for families explaining why the term is used.

02At a glance

Intervention
not applicable
Design
survey
Sample size
284
Finding
positive

03Original abstract

There is currently debate among professionals in the area of mental retardation/developmental disabilities regarding the use of, and a possible replacement for, the term mental retardation. Using the semantic differential technique, 284 participants drawn from various Midwestern populations completed assessments of several terms used to describe the condition known as mental retardation (e.g., intellectual disability) as well as the person with the condition (e.g., mentally challenged) and other disabilities (e.g., physically disabled). Assessments were made on three factors: evaluation, activity, and potency. Results indicated that although all of the terms were generally assessed neutrally, the term Mentally Challenged emerged as the most positive particularly compared to evaluations of the other investigated terms. Moreover, mentally challenged was evaluated as significantly more positive compared to the term physically disabled but was similarly evaluated as the term visually disabled. Implications of the results are discussed.

Research in developmental disabilities, 2005 · doi:10.1016/j.ridd.2004.11.009