Patient's question:
What issues should be noted in the diagnosis of intellectual disability? What are the pathological manifestations and symptoms of intellectual disability?Doctor's answer:
From the perspective of normal child psychological development, children generally begin to notice the differences between the sexes around the age of 3 to 5. Normal boys aged 3 to 5 may show a particular interest in their external genitalia, curiosity, and often touch them with their hands. However, as they grow older, their awareness of moral and social behavior norms increases, and this behavior gradually disappears. In contrast, students with intellectual disabilities, due to their lower awareness of moral and social behavior norms and poor self-control, especially younger or those with severe intellectual disabilities, often engage in the behavior of playing with their external genitalia, regardless of the setting or time. Among girls with intellectual disabilities, abnormal behaviors such as "clitoral rubbing syndrome" have been observed, where they tightly clench their legs and rub them to stimulate their external genitalia, though this is less common than in boys. It is also relatively common among students with intellectual disabilities to show a preference for touching or being close to same-sex classmates or teachers.