Assessment & Research

Histrionic personality disorder as pseudo-learning disability.

Cooper et al. (1995) · Journal of intellectual disability research : JIDR 1995
★ The Verdict

Never trust a self-reported learning disability without fresh data.

✓ Read this if BCBAs who screen new teen or adult clients.
✗ Skip if BCBAs only serving clients with verified diagnoses.

01Research in Context

01

What this study did

A team followed one young woman. She said she had a learning disability.

Doctors had accepted her claim for years. The team ran new tests.

They found no real learning problems. Instead, she had histrionic personality disorder.

02

What they found

The woman’s dramatic style fooled many helpers. She acted helpless to get attention.

Years of special services made her skills drop. Wrong label, wrong help.

Once the team gave the right diagnosis, real therapy began.

03

How this fits with other research

Danforth et al. (2010) shows how labels like “learning disability” can lift or hurt people. This case is a live example.

Rojahn et al. (2012) and Sappok et al. (2013) warn that screening tools can over-diagnose. Our paper flips the problem: under-testing can also mis-label.

Berument et al. (2005)and Gallagher et al. (2003) teach us to adapt tests for hard-to-score groups. Our study adds: test everyone, even when the story sounds simple.

04

Why it matters

Before you write goals or place a client, run your own checks. One extra assessment can stop years of wrong services and skill loss.

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02At a glance

Intervention
not applicable
Design
case study
Sample size
1
Population
not specified
Finding
not reported

03Original abstract

The case of a 20-year-old woman with a histrionic personality disorder is described. She claims to have a mild learning disability, and indeed, is receiving special college education for people with learning disabilities and has a specialist learning disability social worker, despite being of above average intelligence. Aetiologically, her persona is viewed as a psychological defence, rather than a deliberate attempt at deception. A process of 'institutionalization' appears to have occurred and compounded the problems with further regression. Psychiatrists and professionals in allied disciplines should not accept that a person has a learning disability purely because that person tells you that he or she has one.

Journal of intellectual disability research : JIDR, 1995 · doi:10.1111/j.1365-2788.1995.tb00551.x