Cohen J
Adolesc Psychiatry. 1983;11:177-98.
The identification and diagnosis of a learning disability in the college student are complex tasks. They constitute important tasks when we realize that 720,000 college students (6 percent, if we assume that there are 12 million in college today) may be learning disabled ( Astin 1983). It is evident that children with learning disabilities are at risk for psychological and social problems in adolescence and young adulthood ( Bellak 1979; Crabtree 1981; Cruikshank et al. 1980; Horowitz 1981). There is a risk that the learning disability will not be identified, and, hence, the problem will be treated as only a psychogenic one. Unfortunately, this will tend to contribute not only to the student's feelings of guilt, stupidity, and inability to change but also to the clinician's sense of frustration. The description of the learning disabled college student and the two-step identification process in this chapter provides guidelines to aid understanding of these issues. Most colleges have not yet come to grips with what it means to have learning disabled students in terms of teaching, academic evaluation, diagnosis, and college counseling. To do so is important not only because of recent laws that guarantee equal educational opportunity for these students but also because a learning disability, whether overt or covert, can profoundly affect a person's educational and psychosocial development. It has often been said that the capacity to love and work is the foundation for the healthy adult. It is easy to see how academic learning is the work of the college student and educational success or failure is linked integrally to self-esteem and self-love.
识别和诊断大学生的学习障碍是复杂的任务。当我们意识到72万名大学生(如果假设如今有1200万大学生,那么占比6%)可能存在学习障碍时(阿斯汀,1983年),这些任务就显得尤为重要。显然,有学习障碍的儿童在青春期和青年期有出现心理和社会问题的风险(贝拉科,1979年;克拉布特里,1981年;克鲁克香克等人,1980年;霍洛维茨,1981年)。存在一种风险,即学习障碍可能无法被识别,因此,问题将仅被视为心理原因导致的。不幸的是,这不仅会加重学生的内疚感、愚蠢感和无法改变的感觉,也会让临床医生感到沮丧。本章对有学习障碍的大学生的描述以及两步识别过程提供了指导方针,以帮助理解这些问题。大多数大学尚未真正理解在教学、学业评估、诊断和大学咨询方面有学习障碍学生意味着什么。这样做很重要,不仅是因为最近有法律保障这些学生的平等教育机会,还因为学习障碍,无论明显与否,都会深刻影响一个人的教育和心理社会发展。人们常说,爱与工作的能力是健康成年人的基础。很容易看出学术学习是大学生的工作,教育的成功或失败与自尊和自爱紧密相连。