Adaptive Behavior is a construct originally invented as a prong for diagnosing Mental Retardation, but it has come to also play a role in diagnosing Fetal Alcohol Spectrum Disorders (FASD). In this paper, we: (a) describe the meaning and measurement of adaptive behavior, including the need for improved measures (b) illustrate clinical and research uses of the construct, in establishing the diagnosis and behavioral profile of people who have FASD and (c) discuss the forensic uses of adaptive behavior for people with FASD in establishing a mitigation case in criminal proceedings, including possible extension of Atkins (death penalty exemption) protection for people with organic impairments who function just as if they have mental retardation in spite of possessing IQ scores in the borderline range.
AbelE. L. (1988). Fetal Alcohol Syndrome in Families. Neurotoxicology and Teratology, 10, 1–2.
2.
BurdenM.J.JacobsonS.W.SokolR.J., & JacobsonJ.L. (2005). Effects of prenatal alcohol exposure on attention and working memory at 7.5 years of age. Alcoholism: Clinical & Experimental Research, 29, 443–452.
3.
BurgessD.LasswenS.L., & StreissguthA.P. (1992). Fetal alcohol syndrome and fetal alcohol effects: Principles for educators. Phi Delta Kappan, September, 24–29.
4.
OlsonCarmichael H. (1994). The effects of prenatal alcohol exposure on child development. Infants & Young Children, 6, 10–25.
CogginsT.E.FrietT., & MorganT. (1997). Analyzing narrative productions in older school-age children and adolescents with fetal alcohol syndrome: An experimental tool for clinical applications. Clinical Linguistics and Phonetics, 12, 221–236.
7.
ColesC. D.KableJ.A., & TaddeoE. (2009). Math performance and behavior problems in children affected by prenatal alcohol exposure: Intervention and follow up. Journal of Developmental & Behavioral Pediatrics, 30, 7–15.
8.
EdwardsW.E. (2010). Case study of a young woman with FASD facing criminal arson charges. Los Angeles: Unpublished manuscript.
9.
FastD., & ConryJ. (2009). Fetal alcohol spectrum disorders and the criminal justice system. Developmental Disabilities Research Reviews, 15, 250–257.
10.
FryerS.L.McGeeC.L., & MattG.E. (2007). Evaluation of psychopathological conditions in children with heavy prenatal alcohol exposure, Pediatrics, 19, 733–741.
11.
GreenspanS. (1979). Social intelligence in the retarded. In EllisN. R. (Ed.), Handbook of mental deficiency: Psychological theory and research (2nd ed.). Hillsdale, N.J.: Erlbaum.
12.
GreenspanS. (1981). Social competence and handicapped individuals: Practical implications of a proposed model. In KeoghB.K. (Ed.), Advances in Special Education. (Vol. 3). Greenwich, CT: JAI.
13.
GreenspanS. (2006). Functional concepts in mental retardation: Finding the natural essence of an artificial category. Exceptionality, 14(4), 205–224.
14.
GreenspanS. (2009). Foolish action in adults with intellectual disabilities: The forgotten problem of risk-unawareness. In GliddenL.M. (Ed.), International review of research in mental retardation (Vol. 36) (pp. 147–194). New York: Elsevier.
15.
GreenspanS.LoughlinG., & BlackR. (2001). Credulity and gullibility in persons with mental retardation. In GliddenL.M. (Ed.), International review of research in mental retardation (Vol. 24) (pp. 101–135). New York: Academic Press.
16.
GreenspanS., & LoveP.F. (1997). Social intelligence and developmental disorder: Mental retardation, learning disabilities and autism. In MacLeanW. F.Jr. (Ed.) Ellis' handbook of mental deficiency (3rd ed.). Mahwah, NJ: Erlbaum.
17.
GreenspanS., & WoodsG.W. (2010). The common sense questionnaire (CSQ): Provisional manual. Littleton, CO: Unpublished manuscript.
18.
In re Hawthorne 35 Cal. 4th 40 (2005).
19.
HeberR. A. (1961). A manual on terminology and classification in mental retardation. American Journal of Mental Deficiency, monograph supplement.
20.
HugginsJ.E.GrantT.O'MalleyK., & StreissguthA.P. (2008). Suicide attempts among young adults with fetal alcohol spectrum disorders: Clinical considerations. Mental Health Aspects of Developmental Disability, 11, 33–41.
21.
IrelandW. W. (1877). On idiocy and imbecility. London: Churchill.
22.
JanJ.E.AsanteK.O.ConryJ.L.FastD.K.BaxM.C.O.IpsirogiuO.S. (2010). Sleep health issues for children with FASD: Clinical considerations. International Journal of Pedicatrics, 2010, 7.
23.
Koopera-FryeK.DehaeneS., & StreissguthA.P. (1996). Impairments of number processing induced by prenatal alcohol exposure. Neuropsychologia, 34 (12), 1187–1196.
24.
Landesman-DwyerS.KellerL.S., & StreissguthA.P. (1978). Naturalistic observations of newborns: Effects of maternal alcohol intake. Alcoholism: Clinical & Experimental Research, 2, 171–177.
25.
MattsonS.N., & RileyE.P. (1998). A review of the neurobehavioral deficits in children with fetal alcohol syndrome or prenatal exposure to alcohol. Alcoholism: Clinical & Experimental Research, 22, 279–294.
26.
MattsonS.N.GoodmanA.M.CaineC.DelisD.C., & RileyE.P. (1999). Executive functioning in children with heavy prenatal alcohol exposure. Alcoholism: Clinical & Experimental Research, 23, 1808–1815.
27.
MattsonS.J.RileyE.P.GramlingL.DelisD.C., & JonesK.L. (1998). Neuropsychological comparison of alcohol-exposed children with or without physical features of Fetal Alcohol Syndrome. Neuropsychology, 1(1), 146–153.
28.
McGeeC.L., & RileyE.P. (2007). Social and behavioral functioning in individuals with prenatal alcohol exposure. International Journal of Disability and Human Development, 6, 369–382.
29.
O'ConnorM.J., & KasariC. (2000). Prenatal alcohol exposure and depressive features in children. Alcoholism: Clinical & Experimental Research, 24, 1084–1092
30.
O'ConnorM.J.KoganN., & FindlayR. (2002). Prenatal alcohol exposure and attachment behavior in children. Alcoholism: Clinical & Experimental Research, 26, 1592–1602.
31.
O'ConnorM.J., & Paley (2009). Psychiatric conditions associated with prenatal alcohol exposure. Developmental Disabilities Research Reviews, 15, 225–234.
32.
PaleyB., & O'ConnorM. (2007). Neurocognitive and neurobehavioral impairments in individuals with fetal alcohol spectrum disorders: Recognition and assessment. International Journal of Disability and Human Development, 6, 127–142.
33.
People v. Superior Court (Vidal), 40 Cal. 4th 999 (2007).
34.
PinskerD.M.StoneV.PachanaN., & GreenspanS. (2006). Social vulnerability scale for older adults: Validation study. Clinical Psychology, 10(3), 117–127.
35.
RosettH.L.LovisP.S.SanderW.LeeA.CookP.WenerL. (1979). Effects of maternal drinking on neonatal state regulation. Developmental Medicine and Child Neurology, 21, 464–473.
36.
RourkeB.P.YoungG.C., & LeenaarsA.A. (1989). A childhood learning disability that predisposes those afflicted to adolescent and adult depression and suicide risk. Journal of Learning Disabilities, 22(3), 169–175.
37.
SchalockR. L.Borthwick-DuffyS. A.BradleyV. J.BuntixW. H. E.CoulterD. L.CraigE. M. (2010). Intellectual disability: Definition, classification and systems of supports (11th ed.). Washington, D. C.: AAIDD.
38.
SchonfeldA.M.PaleyB.FrankelF., & O'ConnorM.J. (2006). Executive functioning predicts social skills following prenatal alcohol exposure. Child Neuropsychology, 12, 439–52.
39.
SpohrH.L. (1996). Fetal alcohol syndrome in adolescence: Long term perspective of children diagnosed in infancy. In SpohrH.L. & SteinhausenH.C. (Eds.), Alcohol, pregnancy, and the developing child (pp. 207–226). New York: Cambridge University Press.
40.
StreissguthA.P. (2006). The importance of adaptive behavior assessments for understanding Fetal Alcohol Spectrum Disorders (FASD). Psychology in Mental Retardation and Developmental Disabilities, 32, 5–6.
41.
StreissguthA.P.BarrH.M., & SampsonP.D. (1990). Moderate prenatal alcohol exposure: Effects on child IQ and learning problems at age 7 ½ years. Alcoholism: Clinical & Experimental Research, 14(5), 662–669.
42.
StreissguthA.P.BooksteinF.L.BarrH.M.SampsonP.D.O'MalleyK., & YoungJ.K. (2004). Risk factors for adverse life outcomes in fetal alcohol syndrome and fetal alcohol effects. Journal of Developmental & Behavioral Pediatrics, 25, 228–238.
ThorndikeE.L. (1920, January). Intelligence and its uses. Harper's Magazine, 227–235.
45.
WhaleyS.E.O'ConnorM.J., & GundersonB. (2001). Comparison of the adaptive functioning of children prenatally exposed to alcohol to a nonexposed clinical sample. Alcoholism: Clinical and Experimental Research, 25(7), 1018–1024.
