Mental Deficiency in Children

=Synonyms.=—Amentia; feeble-mindedness.

There are three grades of amentia:

=1. Morons:= those whose mental age corresponds closely to their

chronological age or is nearly normal.

=2. Imbeciles:= those in whom there is a wide disparity between the

mental age and the chronological age.

=3. Idiots:= the lowest form of arrested mentality or those whom it is

impossible to teach.

=Definition.=—Mental deficiency is a pathological stage in which the

mind has failed to attain normal development.

=Various degrees of intelligence= or mental capacity in man lie between:

(=1=) =Genius= such as Bacon, Newton, Plato, Galileo, Shakespeare.

(=2=) =Lesser Ability= but still conspicuous in development such as our

great leaders in science, literature, reform and the arts and medicine,

furthering, each their respective causes. These merge easily into

(=3=) =Average= mass of mankind.

(=4=) =Dullards= or those of inferior intelligence.

(=5=) =Feeble minded=, merging imperceptibly into

(=6=) =Imbeciles= and by insensible gradation into

(=7=) =Idiots= and gross idiots.

The mentally defective is wholly incapable at maturity of adapting

himself to his environment or local conditions in order to maintain

existence independent of any external support.

=Dementia= is a disease of the mind or that which was once possessed,

and by some neuronic disturbance is lost totally or partially.

=Insanity= is a disturbance of neuronic function which may or may not

end in degeneration of brain tissue.

=Physiology.=—The normal brain begins its development shortly after

fertilization of the germ cell, by the expansion of the anterior end of

the rudimentary spinal cord into four primary cerebral vesicles. These

develop into a series of elaborate infoldings, each with multiple cells

around them. At or about the sixth month of fetal life this embryonic

brain assumes the shape of the adult brain, minus the secondary

fissures and convolutions which are characteristic of full development.

At birth there are sometimes many convolutions and the brain weighs

from 280 to 330 grams. Growth is then rapid and at six months it weighs

from 560 to 680 grams;

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