l-B (013 of &e Pdblie Schools " ■■ ; , . ! . . ■■ ■ ■■ .. ■ ;■,;;■,;:■■: j :,-,: ...:■■ ,, ■ - , ■■■ .. ;. ■ ■ ■ ' ■ i ,,.;., .-■:■ ■ ,; ■ ■■: ■ ■■ .. ■■• . . ■: .■■'■.■ :.-.■■ ;■;■.:•■ -■I .; ■ . : .. ■..>:'.■■■■' Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924030583128 Cornell University Library LB1121 .N5 1913 Notes on the problems of extreme Individ 3 1924 030 583 128 olin Notes on the Problems of Extreme Individual Differences in Children of the Public Schools by DAVID SPENCE HILL, PH. D. r A report to the Superintendent of Public Schools con- cerning a preliminary study of the problems of exceptional children and of certain related questions. An inquiry be- gun through the cooperation of teachers, principals, phy- sicians, social workers, psychologists and public school and university officials in New Orleans. Department of Educational Research 3)*. fat. b V "=<-"-ip e i'v'w1 Orleans it would take the average beginner some ten years to com- plete the eight grades if he proceeded at the average rate for the first four years, is a safe one. Hundreds of pupils exceed this rate during the first years. According to Ayres, eight grades in ten years is the rate of progress in the typical American school system. It is probable that if trial were made of this rule for each school in Ne"w Orleans there would appear schools in which the time would be longer than ten years ; in others, less than ten years. Unpublished data prepared on this basis by Misses Ray Abrams and Elizabeth Pagaud indi- 19 cate that among certain good schools there is considerable variation in this matter. It should not occupy the average children, the majority of children, ten years to complete work that has been planned to occupy eight years — what- ever may be the cause of the slow progress. The significance of the repeater in our city schools is Re P eaters - serious. One cannot estimate in figures the cost of doing work over in terms of heartache of children and parents and teachers. In business we would not tolerate the ex- penditure year after year of millions of dollars paid for the repe+ition of work which should be done once and well. The Sage Foundation study declares: "In the coun- try as a whole about one-sixth of all the children are re- peating, and we are annually spending about $27,000,000 in this wasteful process of repetition in our cities alone." If a conservative ten per cent, of the amount expended in New Orleans during one year for the public schools ($1,200,000) were spent on account of repeaters, the an- nual cost would be $120,000, an amount large enough to build new schoolhouses and raise the salaries of teachers from time to tiine. These startling statements should arouse each city to inquire annually into the amount and caues of repeating in the grades. However, money in be- half of repeaters is not always wasted. We are very likely to run astray in our conclusions about these matters un- less we analyze closely the present conditions of retarda- tion and repeating, considered both as symptoms and as causes. Administrators and teachers to-day find they have inherited some schools where retardation and repeating in enormous proportions have been the rule for years. Re- tardation may be a resultant of a series of causes difficult to detect and remove. A statistical enumeration made. by the superintendent **£l£! inB ln New in New Orleans during 1910-1911 showed that some 35 per cent, of the children had consumed more than the nor- mal time in reaching their respective grades. This meant that 35 per cent, of the school children had been at some time in their school life repeaters. It does not show the number of children repeating at the time of the inquiry, 20 and therefore the tendency of the table is to exaggerate in the reader's mind the amount of repeating at present, promotions. During 1911-1912 in the white schools the percentage of promotions was 84.8 per cent, for girls and 80.1 per cent, for boys. The highest percentage of promotions for both during the school year was 96.8 and the lowest 63.6. In the negro schools the percentages of promotion were : boys, 66.4; girls, 65. Highest percentage, 85.5; lowest, 46.8. records 6 ° f toaiTi(iual ^ wou ^ seem a simple undertaking to require each teacher to report the nujnber of beginners*, and also the number repeating the work of a grade for the first, second or third time. But the latter number gives results decep- tively favorable, since it omits the repetition of lower grades. Where individual record cards of pupils are kept, . it is possible to prepare periodically for each grade a table which exhibits at a glance the children who are of normal age and have made normal progress, those who are of normal age and have made slow progress after early en- trance, those who are over-age entering late, but who have made normal progress, and, finally, those who are over-age and have made slow progress — data which^ are of service in the adaptation of the school to the needs of 1ftie child. materiai in l %a a" Factories, refineries and smelters keep track of the product. amount of raw material at the beginning of the processes. Until recently few school officials have been able to state from year to year the number of beginners, the raw ma- terial, in each grade of our schools. Having these figures, the numbers of beginners for years, it would seem easy to subtract from the total of each grade and compute the num- ber of repeaters present, and also the survivors in the final grades. Such printed data for a series of years is lack- ing in New Orleans, as it is in most other cities. To ap- proximate the annual number of beginners it is necessary, to resort to computation. Three well-known methods are in vogue, those of Thorndike, of Ayres, and of Strayer. (U. S. Education Bulletin, 1911, No. 5, page 6.) riefilJckiB 1 !! Mst0 " Tne determination of the questions as to the percentage of pupils retained at each age and grade and as to elimina- *This has been done. (See page — of this report.) 21 tion, turns upon the number of beginners year by year. The final results of these three methods do not markedly dis- agree concerning the great drop in attendance of pupils in the grammar grades, but no one of these methods is free from error. We can never ascertain exactly "the tendency of elimination in the city until large groups of individual histories extending from the years, say, seven to eighteen have been studied in connection with the environments con- cerned — social, intellectual and physical. The task of estimating the percentages of actual be- naaonTnaccS™te ml " ginners persevering to each grade is complicated by all the factors that affect present school enrollment, such as im- migration, emigration, death, increase of population by birth, retardation and elimination. Uncorrected for these errors, the true percentage of pupils retained in each grade would not be accurately represented by the percentage which the pupils of a grade are of the number of begin- ners in school for one year. However, as the results ob- tained by the method of Ayres seem more conservative, as compared with the estimates made by the method of Thorn- dike, and also since the status of retention and elimination in New Orleans calculated by its use for the year 1908 has been published widely by the Sage Foundation, we may use the formula again for the sake of comparisons. Ayres found by trial that the average sums of the generations of children between the ages of seven and twelve closely approximate in certain cities the annual" number of begin- ners. On September 25, 1911, in New Orleans, the enroll- ments for these ages were : TABLE VII. White. Colored. 7 years 3237 684 8 years 3111 821 9 years 2985 899 10 years 3199 945 11 years 3118 1024 12 years 3064 980 6)18714 6)5353 3119 (Beginners) 892 (Beginners) 22 natto£™ an &w"ot- The % ures » 3119 (white), 892 (colored), represent leans - the number of beginners on the basis of published statistics for 1911-12 in New Orleans, computed according to the method of Ayres. ( Stray er's method gives 3237 and 1024, respectively, as the numbers.) If we calculate now the percentages of beginners represented by the enrollment of each grade in New Orleans, we have, by both methods : Ayres (1), Strayer (2), the results in Table VIII. TABLE VIII. Percentages in Each Grade of Annual Number of Beginners in School. 1. Ayres. 2. Strayer 12345678 White (1911)... 180 152 145 137 109 73 52 41 (1908) 228 159 143 117 79 54 39 26 Color-d (1911). .287 218 174 112 55 29 (1908) 329 174 173 92 52 White (1911)... 173 147 140 132 104 71 50 38 Colored (1911).. 250 190 151 98 42 25 It would seem from these comparative percentages that in New Orleans the tendency in the white schools is for less than half of the beginners (41 per cent.) to remain until the eighth grade. Heavy elimination follow the fourth and fifth grades. The first, second and third grades for the year are evidently burdened with repeaters. In the schools for negroes the tendency is for begin- ners to remain until the fourth grade, when rapid elimina- tion occurs. Less than a third remain to the sixth (last) grade at time of census. The first two grades seem to be crowded with repeaters. Since 1908 there has been some improvement in New Orleans elementary schools as to re- tention in the grades. Figure II exhibits (heavy line) the tendencies of retention and also of elimination for white children only in New Orleans for the year 1911-1912 ac- cording to our estimate. The percentages published by Ayres for 1908, and obtained under somewhat different con- ditions, are indicated by the light line. 23 per I 11 in Grad IV V as VI VII VIII ecni- 200 1S0 160 120 100 80 60 Figure z General tendency of elimination and retention of white pupils in elementary schools, New Orleans. Heavy line represents percentage ofbeginners in grades during 1911-1912 ; light line, during 1908-1909. A widespread opinion seems to be that the retarding Relative aiacui forces of the lower grades, one to four, are greater than those of the upper grades, four to eight. Thorndike has pointed out that certain pupils are not retarded in grades six, seven or eight for the "sole reason that they are not there to be retarded — they have been eliminated." * * * 24 Possibly the same pupil would spend a longer time in grades six, seven and eight than in grades two, three and four/' Studies of Thorndike covering some one hundred cities in- dicate that the median percentages of June enrollment which show failure in promotion are slightly higher in the last three grades than in the preceding three grades of the elementary schools of these cities. o?ieans 0tlons in New -^ consideration of the percentages of promotion in the New Orleans schools (1911-1912) reveals our tendency, both in thp schools for white and the schools for colored. The percentages of failure in the grades above the fourth are, as a rule, lower than the percentages of failure in the first four grades. The records for promotion for elementary schools in the New Orleans report (1911, page 24 et seq.) t are original data bearing upon the general problem of re- tardation, and merit more careful analysis and compari- sons. It is not safe to assume that, as a rule, each of the eight fractions (grades) of the elementary course is of equal difficulty for the respective ages ; that one year is the normal time for all pupils and all grades alike, interest of New Statistics such as have been used as the basis of this Orleans in educa- . tic nai research. discussion have been issued by the superintendent of the New Orleans schools for three years. Tho ^^niftfanno. o£- the problems of ex ceptional child rjnhasatt racted more and _____-mere-atteTfEion[ It has been a policy of Superintendent Gwinn gradually to increase facilities for study of these problems. iHeJias_r ealized th atjin the_past edu cation ha g ~h geTT~g"uided in j iverv large me asure bv^ opinion, but that to-day we are forced tojtependupon scientific methods if ouPl^caTion^Ciystem i^jtp^fe~b^St^ntal¥Sst&nti^mai^ ner and" to^ecurja-permanent and _ gojoiL results. During 1911 irrthe PsychologicaTBulletin there appeared an advo- cacy by Hill of bureaus of educational research to be estab- lished in the South as first steps for child welfare by our municipal and state authorities. The interest in this phase of educational science in New Orleans developed into the establishment by the Board of School Directors of New Orleans, during the summer of 1913, of a new Department of Educational Research within the public schools. This 25 step is perhaps one of the most advanced steps in educa- tion undertaken by any city of the South, and is one satis- factory culmination of the preliminary work of the last two years. The Department is in accord with the modern ten- dency to organize efforts of study in behalf of child wel- fare, as begun in Chicago, Philadelphia, Rochester, Balti- more, Washington, Seattle and other citjgs. During the years 1912-1913 the present director of the„ B °a rd of Educa t-v j- Ti • it. ii., « tlon-Tulane co-opera Department or Educational Research, while a professor m a ^ undertaking. Tulane University, united with Superintendent of Schools Joseph M. Gwinn in organizing and directing what has been known as the "Board of Education-Tulane Cooperative Un- dertaking." The threefold task undertaken in 1912 was: (1) Statistical study ; (2) investigation of typical cases of exceptional children by systematic co-operation of teachers, parents, physicians, social workers and psychologists; (3) instruction of prospective teachers of markedly exceptional children. The remainder of these notes will contain memoranda and discussion of the results obtained during the past school year. The formal agreement between Tulane University and the Public Schools for the year has ended. It is fitting that now, (August 1913), just before the new Department of Educational Research of the Public Schools is launched, this summary should be made of activities during the year 1912-1913, under the agreement then existing. These pages show that, in spite of inevitable difficul- fo A^pian of attack ties facing the organization and conduct of such a diffi- cult experiment during one year, the results were good. It has been found necessary, for the sake of avoiding con- fusion in administrative control of the work in New Or- leans, for the public school authorities to take over entire control of the undertaking, in somewhat changed scope. The original undertaking as planned in detail during co-operation. 1911-1912 by Messrs. Gwinn, Moss, Hill, Wellman and But- terworth was supported loyally in execution by the teach- ers of New Orleans, by medical men— Drs. Dyer, Fein- gold, Wellman, Joachim, Butterworth, Van Wart, Hum- mell, Mcllhenny, and several others; by sopial and statis- 26 tical workers-^-Misses Railey, McMain, Gillean, Mrs. Mc- Connell and other interested workers, business men and citi- zens. The New Orleans Educational Association, the Pub- lic School Alliance, the Parents' Cooperative Club and the Press aided in the formation of healthy sentiment. The Alliance especially contributed to the good work by publi- cation and wide distribution of the report of its commit- tee on exceptional children during March, 1913. This lat- ter report contains some account of the distribution of the joint sum contributed from the Newcomb Fund and by the Board of School Directors for the year's work. A para- graph from this report will suffice here : "It is a right of the public to understand both the source of maintenance of this co-operative work between the Board of School Directors and Tulane in behalf of exceptional children, and also the • distribution of the fund. A copy of the agreement is published in the superintendent's report. For the threefold undertaking, the New Orleans Board of School Directors last year appropriated $1,500 and the Tulane Board $1,500 from the Newcomb fund, together with the use of buildings, equipment of Newcomb College and services of spe- cialists from other departments. The $3,000 is expended as follows: $2,200 for the services of an assistant professor of experimental and clinical psychology, brought to New Orleans to assist in this work; the remainder of the money ($800) falls short by $200 of paying for a secretary and for necessary sociological work, student assistance and printing. The services of the following gentlemen are contributed without extra compensation: Superintendent Gwinn, Medical Inspector Moss, Doctors Dyer, Wellman, Butterworth, Feingold, Joachim, Van Wart, Mcllhenny, Hummel, Professor Hill, and also thaee of Miss Susan K. Gillean, a social worker." gauM , -i T •■ " - '": ■- ■■ l« - m ». ,., ., n ... IH .>. ,- i- "j ,,. ., , .* M * ,» IV, .,. ., ~ r-w. a ^ ,.. ,, T ,, „. -.«, .„ ... ... ,i, >,» ,..»„ "'" -1 H.-,. ' ' i " f- — , j!i li" |ll Jt Si. — - 1 jl . 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T» .,. • •■ ! ,L.„ , a rt • « 1 ■ '"> ., ■' ' * " 11 "' W EXPLAJJATORY NOT«8 M L 1U|rvlbci i"lh [■jrhokivUb Fl«.h. r iioimoNU cniiDiLKH APfCNDK L— Sumit «f PfiUmia^r Ctrai of E.«pti«J Oild»«, EltnaUfr Pnblit Sclaoli of N».w »*. -«. Cum A t FWUhIiM. inlaid 1 ■on V J „ ' . „ m " J> cujii . ^X ' vrf *| M W u ., ■An vi 77 C1.4-C 1 lap l(u _ , (1 .. , 4 .^ U i. r.i.i... j i. DhI >nd ■op ; ..-: ; A ;; „ ; > is ! * > .u,,.. (haan* - !«,. "" il) , , ;; a ™ » , J loji „, •71 >, ,1 n. !• ,, ™ .... 11 .. IV,. 14. l>» " ... z ; , m . " . Cub R Wild abrtau phjnkll 1.,,, M <»t " ,1 ; , ■"* ■u *. II :::; . J ton , ■ „ j ", * i "V, " :i .. 1 ■■ - "■ UV Figure III Forms used in making provisional census. (A) Blank for teachers; (B) Summary for city; (C) Abbreviated summary. Preliminary Census of Exceptional Children NEW ORLEANS PUBLIC SCHOOLS. 191J. l> EXCEPTIONAL ClttLOREN. Tu the Principal and Teacher; the five i- 11..1 . o( i i.-. ,.!i-... .I children BMUtnnce of the principal, All in car*- lully upon rie'aci»mp»nyLo« blnn. oil th, rtqutrtJ facli for htr |radf. 3. 1 .i ii,. prlncLpiil coIIki tlw blanks (rom aach grade and eotor all the nfuna opon the blue blanks lor principal*. PLEASE RETURN PROMPTLY ALL THE BLANKS TO THE BtTPERlNTENDENT C.i.. .|...i i ■ " ■ I. ■ ■"'■ "■' more acicatlAc >tud.ca »bl may br made afurwaid .• only with th* ■■ . individual Such .ni.ii.-. of ehildron will be a parento, approval of Supaxlntendent *nd by appoint comb Payeholoclcal Laboratory CLASS A— Feobl*. oilndtd or inaano children "ho anould ba under Inatitutlonal or home ran. rather thao in tbe public achoola. CLASS B.— raekw»rd children (not of Claai A I or Uiooe who urvraUf need apodal educotional meOiod* In ipeeial elaaaea wlihln the publlt acboola. CLASS C — Eaorpllonalt) able or «tft*d children. CLASS D-— Incorrurible. h»bltuall» vteurut children (a) Who n-i-m to be of defective manUUty if normal mantallty. ylV ,— .... J- v ::l!."i!.-i. «* * ,.,«™ .... /i /• ti'U ii 'Utij«»£i5. u,„. A 9 i & i_i H/ .toe *... * : \7»iP c ,„. / J *SSu . IMMSH «... / / -«u™ .I. h ***** r-,. i, / JTX ..... 2. •I "3fS^ fc » Jt-i t °".ZL" ,.,„. J A j, j » s /* ^,. li J - '^!— ...... . A * 2_ / /» a.,. X. x /* »•—•-•" ..... a l 1 . 1 a.,. 3 1 ± X V ten** .,.,. J / * .... 1 •"«"' """ / - / r ,, h ». OaM- 29 6. Severe cases of epilepsy. 7. Cases of contagious and infectious diseases. (Some to be dis- missed temporarily; some for prolonged periods.) 8. Children helplessly crippled or suffering: from revolting physical deformity. II. CHILDREN FOR SPECIAL CLASSES OR SPECIAL IN- STRUCTION IN THE PUBLIC SCHOOLS. 1. Foreign. 2. Late entering. 3. 'Backward but capable of rapid erstoration to normal grade. 4. Dull and feebly gifted. 5. Children requiring vocational training. 6. Children of precocious physical development, especially of pre- cocious sex development. 7. Exceptionally gifted or able children. 8. Children suffering from various physical defects of minor char- acter, but interfering with their progress and unfitting them temporarily or permanently for the grades. 9. Speech cases. 10. Social cases; those whose retardation is chiefly due to home con- ditions calling for the services of a social as well as a special teacher. III. CHILDREN OF UNCERTAIN CLASSIFICATION, INSTITU- TIONAL OR SPECIAL CASES. 1. Blind and semi-blind. 2. Deaf and semi-deaf. 3. Delinquents, including persistent truants. 4. High-grade imbeciles. (Barr's classification.) 5. All. feeble-minded children of higher grade than high-grade imbeciles. 6. Crippled children. 7. Children suffering from epilepsy in mild degree or from nervous or other diseases rendering them difficult or improper members Of ordinary classes. Another tentative grouping is proposed by Healy and Fernald. This classification has reference to the scale of mental ability and has been used by the Juvenile Psycho- pathic Institute of Chicago in dealing with cases from the Juvenile Court. Say Drs. Healy and Fernald : "It is only rarely that we feel unable to decide between two classes in the following schedule, although we still conceive it to be entirely tentative." (21 -> (a) Considerably above ordinary in ability and in- formation — the latter estimated with reference to age and social advantages. (6) Ordinary in ability and information — the latter estimated with reference to age and social advantages. 30 (c) Native ability fair and formal educational ad- vantages fair or good, but very poorly informed. (d) Native ability fair and formal educatinoal ad- vantages fair or good. (e) Native ability distinctly good, but formal edu- cational advantages poor. (/) Native ability fair and formal educational ad- vantages poor. (g) Native ability poor and formal educational ad- vantages poor. (h) Native ability poor and formal educational ad- vantages good or fair. (i) Dull from known physical causes, including epi- lepsy. (/) Subnormal mentality — considerably more edu- cability than the feeble-minded. (k) Feeble-minded, Moron. (I) Imbecile. (m) Psychoses. "(Estimation 'formal educational advantages poor' in- cludes no implication of cause; it may be due to chronic truancy or to faulty environment.)" For our practical purpose of a mere census, the five- fold grouping embodied in the above letter of Superintendent Gwinn was adopted. Experience shows that, with slight modifications, the form is, quite satisfactory for the purpose of a preliminary tabulation. In this plan the teachers are not presumed to have the judgment of clinical experts and are only required to give the numbers of children who seem obviously to belong to the respective five kinds. Indications point to the fact that many teachers were conservative in their estimates. The census covered an enrollment of 37,824 children — 30,214 white and 7,610 colored. orfeans ts and tt ™u- In Class A, feeble-minded, unfitted for the public deipma contrasted schools> the teachers pointed out 107 children, 81 white, 26 colored. The percentages are: 0.28 per cent feeble-minded; 31 white 0.27 per cent., colored 0.34 per cent. In both white and colored races more boys than girls are indicated in this class. It is interesting to note that the figure 0.28 per cent, found by study of 37,824 children in New Orleans coincides exactly with the percentages found by teachers of Philadel- phia in the reports of 1909 in their study of 157,762 chil- dren. The percentages regarding "Incorrigible, habitually vicious children, apparently of normal mentality" for New Orleans, and "Truant, incorrigible, etc., fair mentality" for Philadelphia, nearly agree. The coincidence of figures is shown in Table IX. TABLE IX. Total. Incorrigible, etc. Percentage. Philadelphia, 1909 (Cornell-Corman) 157,762 1,131 0.71 New Orleans, 1912 (Gwinn-Hill) 37,824 255 0.67 In New Orleans a slightly higher percentage is re- ported for "Incorrigible, habitually vicious of apparently low mentality" than in Philadelphia, 0.4 per cent and 0.3 per cent, respectively. If we combine the two classes "Back- ward" and "Dull" of the Philadelphia grouping, the result given is 6 per cent, in this group. The New Orleans teach- ers designated 7.7 per cent (2,925 children) as belonging to Class B — "Backward children requiring special classes in the public schools." The actual presence of these children in the grades, SoclaI outcome, whether of the "feeble-minded," the "merely backward" or "habitually vicious" classes, renders the problem of their variation from mental, physical and social norms a prac- tical and urgent issue. — ^ The significance of the feeble-minded child from the I standpoint of the school — of the majority of pupils and of the teacher — already has been illustrated in the one case de- j scribed in preceding pages. He is found uniformly in the j lowest grades, of the school, is retarded, a repeater and a detriment or a menace to little boys and girls, until elimi- i nated. While not educable, often such children are capable of elementary training in certain manual arts by which, under fair conditions of protection, some feeble-minded folk 32 ^ may in after years be made self-supporting. The presence of feeble-mindedness among inmates of pauper homes, jails, hbiises of detention and Upon the streets, attests the tendency Of this class to become social parasites. There is j^heayy taxation burden due to feeble-minded paupers, criminals^ prosffittttes-a nd illegitimat e ch JWTenr-~-- — ; r== == ^' Mental deficiency. rp^ di scuss ions upon mental deficiency (Seguin, Barr, Tredgold, Davenport, Shuttleworth, Binet, Goddard, Wit- mer, etc.) contain refined distinctions between the different grades of the feeble-minded which is a term used roughly to designate idiots, imbeciles of high and low degree and even border-line cases. In a more restricted sense, persons who are of backward or arrested mental development, whose un- foldhient of mental power has been cut off in an infantile or childish state, who are not able because of mental defi- ciency to compete with their fellows, are termed feeble- minded: Barr writes this : "Feeble-mindednesS, including idiocy and imbecility; is defect, either mental or moral or both, usually associated with certain physical stigmata of degeneration. Although incurable, its lesser forms may be susceptible of ameliora- tion and of modification, just in proportion as they have been superinduced by causes congenital or accidental." The British Royal Commission on the Feeble-minded adopted definitions that differentiated idiot, imbecile and the feeble-minded upon a sortlewhat economic basis. An idiot is a person so deeply defective in mind from birth, or from early age, that he is unable to guard himself against com- mon physical dangers. An imbecile, while "capable of pro- tecting himself under usual circumstances, is incapable of earning a living." The feeble-minded, "while capable of earning a living under favorable circumstances," is in- capable of "competing on equal terms with his normal fel- lows." oia B rifioation C Sf feeble Disregarding in this paragraph numerous attempts of anatomists, physiologists and pathologists to classify the feeble-minded, we will reproduce one attempt at educational classification (BarT's) in order to illustrate more fully the 33 practical scope of the term "feeble-minded." < 2 •> Readers who are interested in intensive study of the subject are re- ferred to authorities. < 29 . 81 - ^ 2 - *■> EDUCATIONAL CLASSIFICATION OF THE FEEBLE-MINDED Asylum Care Cugtodjal Life and Perpetual Guardian- ship. Profound Superficial- . IDIOT Apathetic Excitable Apathetic Excitable IDIO-IMBECILE Unimprovable Improvable in self-help only. Improvable in self-help and helpfulness. Trainable in very limited degree to assist others. MORAL IMBECILE Mentally and morally deficient. Low Grade: Trainable in industrial occupations; temperament bestial. Middle Grade: Trainable in industrial and manual occupations; a plotter of mischief. High Grade: Trainable in manual and intellectual arts; with a genius for evil. IMBECILE Long Appren- f Mentally deficient. ticeshipand Low Grade: Trainable in industrial and simplest manual occu- Colony Life I pations. Under Pro- Middle Grade: Trainable in manual arts and simplest mental tection. acquirements. High Grade: Trainable in manual and intellectual arts. BACKWARD OR MENTALLY FEEBLE Trained [ Mental processes normal, but slow and requiring special train- for a J ing and environment to prevent deterioration; defect immi- Place in nent under slightest provocation, such as excitement, over- the World. I stimulation or illness. The causes of mental deficiency, whether of extreme feetole-mindedness or of marked dullness, may be looked for in heredity, syphilis, alcoholism, ill-health and environ- ment in its many aspects. With regard to heredity, the last word has not been said. Biologists following the work of Lamarck, Darwin, Weissman, De Vries, Mendel and Galton 34 are not of one accord, and experimentation continues. Cer- tain data, however, point to the fact that heredity is a powerful and frequent cause of mental deficiency. The studies of Davenport and Goddard, of both the physical and the social heredity of mentally deficient children, are evidences of this fact. Our own individual cases about to be reported, although not sufficient in number or complete enough for statistical tabulation, suggest also the same causes in some instances. Davenport's testimony concerning genuine imbecility is as follows: "There is, so far as I am aware, no case on record where two imbecile parents have produced a normal child. So definite and certain is the result of the marriage of two imbeciles, and so disastrous is reproduction by an • imbecile under any condition, that it is a disgrace of the first magnitude that thousands of children are annually born in this country of imbecile parents to replace and probably more than replace the deaths in the army of about 150,000 mental defectives which this country supports. The coun- try owes it to itself as a matter of self-preservation that every imbecile of reproductive age should be held in such restraint that reproduction is out of the question." (10 > Factors of ill-health, both prenatally and after birth, possibly effecting mental deficiency are very numerous. Syphilis and drunkenness are often found in the ancestry of the feeble-minded, and tuberculosis is sometimes asso- ciated with it. In the expectant mother there may be injury, disease, shock; accidents at time of birth probably cause some mental deficients. There may be faults in secretion of the thyroid gland, injuries of the head by falls and bumps, malnutrition or partial starvation, diseases in early child- hood that have produced deterioration of heart and brain. In regard to the environmental factor it is difficult to disentangle from the effects purely attributable to physical transmission, that due to contact with human beings or so- cial heredity. It is our hope that the educational process, considered as the manipulation of environment to change human beings, will be successful in mitigating the condition of congenitally feeble-minded children, as well as to protect the majority of other children. 35 It should not be forgotten that an "idiot girl, even should d egeneracy pauperl8:B ' she not herself seek cohabitation, is at the mercy of every villain, and, even when at the lowest of the scale, without any intelligence whatsoever, may produce offspring that will be necessarily a curse to society." Well known are the sta- tistics of the notorious Jukes family. Another well-known study made at the New Jersey Training School concerns the family connections of a feeble-minded g irl. Consideration of the tabulated record of this family suggests the potency both of heredity and also of environment in this appalling breed: Feeble-minded : 176 In institutions 27 Died before2 years of age 87 Died before 7 years of age. 17 Died between 7 and 21 years of age 14 Miscarriages 5 Illegitimate 62 Grave sexual offenders 40 Tubercular 19 Epileptic 8 Insane 12 Alcoholic ' 26 Killed by accidents 14 It is evident that the original records in our hands census" 1 " Talues of would permit of finding the relative percentages in the dif- ferent grades of various types of extremely exceptional chil- . dren pointed out by the teachers. This further analysis per- haps would furnish clues to the evils of retardation and eli- mination so far as they are caused by these children. FIGURE IV. PART II INDIVIDUAL STUDIES OF CHILDREN Before attempting any other use of the results of the Beginning lnaiv l the conditions of investigation described above was sub- jected to the usual form 'board and Binet tests at the Cal- lender laboratory of Newcomb College. These tests were supplemented by use of a few of the Healy tests. The Healy test No. 11, Special Picture Puzzle, is designed to show primarily the apperception of the relationships of well de- fined and easily recognized parts to a given whole. Beyond this it, of course, roughly demonstrates sensory discriminia- 39 tions of form and color. The "Aussage" test comprises sim- ply the taking and analysis of testimony after showing a picture. It is designed to throw some light upon the ability of the subject to report accurately what he has seen, and incidentally upon sense perceptions, suggestibility, imagina- tiveness, powers of dramatization, moral make-up of indi- vidual, etc. It is fair to Drs. Healy and Fernald to quote their statement, that : "it is to be distinctly understood that we ourselves regard our tests and methods as strictly ten- tative." <»■) The well known form board now used by Witmer, God- dard and others consists of a board with openings into which a child may fit blocks of geometric designs. A good observer with its use can gain some idea of the child's perception of form, neuro-muscular co-ordination, ability to learn by ex- periences of success and error, etc. Some of the Healy tests combine the form board with the picture puzzle, because of the elements of interest introduced and of various mental complexes brought into play. As the cases multiplied, some attempt was made to introduce an "adaptation form board," certain association tests, a new perception-imotor test and certain other methods, but no adequate, standardized data are at hand in New Orleans with which to draw up quantita- tive comparisons with regard to the mental performances. Through the services of Miss Mary Griffith some three hun- dred children attempted the above perception-motor test, with a view of establishing a crude norm. The results of this study may appear later. , The form board used is that one of weight and size th ^ a p^dure. d """ made by Stoelting. The Binet test sheets used were pur- chased at Vineland (Goddard version, 1911). In order to establish in New Orleans some standardization of the form- board, Miss Mary Griffith, a student of psychology and principal of the Danneel School, and Mrs. Ada H. Arlitt, a student at Newcomb College, during 1911-1912 subjected some 160 children to this test, each for three trials under controlled conditions. It is hoped that this study may also be completed. With regard to the Binet tests, no attempts have been made to try them on large groups of children in 40 New Orleans. It is confidently believed with the above pre- cautions observed rigidly while the writer was director, as to the consideration of pedagogical, family, personal and medical histories, together with anthropometric measure- ments and the psychological tests made at the Callender laboratory, that no 'undue weight was attributed to the rough measurements made with the Binet scale. A mini- mum of two visits to the laboratory was made the rule for each child. As a rule, at least two written reports were asked of teachers at intervals of weeks. In addition to all the above precautions, every child suspected of being feeble- minded was sent to a psychiatrist or neurologist for special medical examination, besides the general medical examina- tion by Inspector fir. Moss. The director and the super- • intendent agreed that in pronouncement of feeble-minded- ness upon a child no amount of labor in reaching a safe diagnosis is too great. There is no valid, psychological test of general intelligence in existence, and a procedure somewhat like the above, that actually obtains data from every point of view practicaoie, is believed the only kind, both humane and of scientific integrity, for the ultimate classification of markedly exceptional children. Anthropometric ana Anthropometric measurements were made of each special medical tests. ^ child brought to the laboratory by parent or teacher. Weight, sitting and standing height, grip of right and left hands* vital capacity and circumference of head were re- corded. The equipment described in Whipple's Manual Was used. .Colored sticks afforded tests for color discrimina- tions, Snellen cards for vision. Suspected cases of eye defect were sent to Dr. M. Fein- gold ; of ear and throat to Dr. O. Joachim. The audiometer was used hardly at all. Blood tests', examination of urine, feces, etc., were made at the Touro Infirmary under the supervision of Dr. W. W. Butterworth. The psychological tests at the Callender Laboratory of Newcomb College were administered uniformly by Assistant Professor John M Fletcher with the help of a student assistant. meidatfo"!' con?™: All of the findings from parents, social worker, teach- ence - er, physicians and psychologists were collated by the re- 41 Figure V Blank forms used in making- individual studies of exceptional children upon request of parents and by co-operation of teachers, parents physicians, social workers and psychologists. See also, Figure VI. ed. 42 corder, Mrs. McConnell, the whole summary being reviewed finally by the director in charge, Professor Hill. After wards a conference was called between the staff of the laboratory, teachers, principal, parent and superintendent of schools, where the summary and recommendations in the case of each child were discussed as tactfully and frankly as possible. Superintendent Joseph M. Gwinn presided at all of these conferences. The records show that in many instances the parents were appreciative, attentive to the recommendations made, and often grateful. proc°ednre ati mnstra£ The cooperation of numerous volunteer professional workers in these studies was due in the first instance to interest and a good combination of scientific and philan- thropic spirit. In practice it was found that a series of blank, printed forms facilitated the getting of daa. This series was formulated according to certain steps, in the case of each child subjected to the thoroughgoing procedure origi- nally planned. The aim of these notes is not to publish or to expose minutely every detail of fact ascertained about each child. A minute analysis of original data in a suffi- cient number of cases would be of scientific value. It suffices for our present purpose to explain briefly the work- ing procedure for these studies, and in this connection to utilize appropriate examples of the data from our various sources. A summary of all that was done in each case is on file at the superintendent's office. Figures V and VI display in Iminiature a set of the forms used. Let us consider the steps in connection with each appropriate printed form. (See b-c-d-e-f-g^h, Figures V and VI). FORM A. This has already been illustrated and described (Figure III) . It was for the teachers' and principals' use in making the preliminary census. FORM B. Application Blank for Clinical Study. This card is filled out in duplicate by principal, teacher and parent, and presented to the superintendent, who ar- 43 MEDICAL INSPECTOR'S LAST RECORD- P fi'- t*^j Qui. I * c - D-™. S'J»PLEMENTAfiy DATA «« J) D LE«N J)l_..I>._ ComlRiBuk- Figure VI Remaining- blank forms used in making co-operative studies. See Figure V. 44 ranges an appointment for psychological examination. In the same building the parent and child find the medical in- spector. FORM C. Medical Inspector's Last Record and Supplementary Data. If the child is found in need of special medical examina- tion he may be referred by the inspector to a specialist — a psychiatrist, an oculist, dentist, orthopedist, etc. Supple- mentary blanks, Figure V, Cl and C2, contain respectively the findings of the specialist and a card of notification to him for the appointment. We pause here to cite typical results obtained from these medical reports. The paragraphs are condensed from the original data. Case No. 1782. Medical Report: Boy, seven years, three months. First Grade* General medical report gives caries of teeth, mouth breathing, enlarged cervical glands; general development fair; nutrition good; history of measles; smokes; is easily led by other boys ; speech clear ; facial expression intelligent ; posture, erect; gait, normal. Special medical report gives, right tonsil considerably enlarged^ left tonsil moderately so. Anterior and lateral cervical glands enlarged. Further spe- cial medical examination by neurologist points to feeble- mindedness; "cause cannot be determined, probably con- genital." Case No. 1541. Medical Report: Boy, five years, eleven months. Kindergarten. General medical report gives caries of teeth, irregular teeth, mouth breathing. General development, good; nutri- tion, fair. History of measles, whooping cough; tubercu- lar history in family. Speech, indistinct and slow; facial expression, happy. Special medical examination reports slightly merged tonsils, large adenoids, nasal membrane tending to atrophy; removal of adenoids and tonsils recom- mended. Examination of urine shows indican. Wasserman — negative. 45 Case No. 1963. Medical Report: Girl, seven years, three months. Kindergarten. Medical inspector reports strabismus, valvular disease of heart, enlarged cervical glands, good general develop^ ment, good nutrition, right foot turns in, family history good ; very nervous and restless ; history of measles, fracture of clavicle. Indistinct and inarticulate*speech, stupid ex- pression, unsteady and clumsy gait. Special medical examination gives "extreme relaxation of the joints — hypotonia of muscles. Tips of fingers en- larged and bulbous. Nails slightly blue ; teeth in exceedingly bftd condition, scarcely a good tooth in her head. Congenir tsj cardiac lesion ; a transmitted murmur-rrprobably perma- nent lesion, which would preclude operation on nose and throat under an anaesthetic. No enlargement of liver or spleen." Physician recommended that on account of bad condition of teeth, which prevents proper mastication, all of child's food, such as potatoes, peas, beans, cereals, etc., should be passed through a strainer. Teeth should be at- tended to and mouth wash used daily. Detailed directions as to preparation of food and the mixing of chlorate of pot- ash mouthwash given mother. As child is suffering from de- ficient oxidation of the blood, fresh-air school is suggested. On account of cardiac condition, play must be in modera- tion. Further medical examination at Touro gives negative Wasserman test, but recommends: "Notwithstanding the negative Wassserman blood test for lues, this child's physi- cal findings suggest the advisability of treatment for this condition. This little girl has gained one and one-hajf pounds in weight in one week while under treatment." Special examination of nose and throat gives : "Roof of mouth highly arched. Tonsils very large, adenoids moder- ate, external nose flat, membrane of nose decidedly atrophic, discharge offensive in smell and excessive in quantity. Both ear canals clogged with wax. General speech defect." Rec^ ommendations : **That this child should have tonsils removed and teeth attended to. The latter primarily. Ear canals 46 should be freed from cerumen with great probable benefit to hearing and for giving opportunity for examining membr. tymp." Case No. 3073. Medical Report: Boy, fourteen years. Second Grade. General medical examination shows caries of teeth, mouth breathing, enlarged cervical glands and a suspicious condition of nose and throat which were examined. Speech is indistinct and slow and in a constant low tone. Facial expression, happy ; posture, erect; gait, normal. Special medical examination by psychiatrist gives the following: "Low-grade imbecile (congenital). Physical ex- amination shows no evidence of organic acquired disease. Convulsions in infancy." ' Recommendations : "School for feeble-minded." Special medical examination of nose and throat gives : Persistent mouth breathing, without anatomical cause. Post- auricular gland present, submaxilary gland on left side en- larged, also post-cervical glands on both sides; tonsil en- larged and inflamed. Case No. 3565. Medical Report: Boy, eleven years, seven months. Fifth Grade. This report indicates that nutrition is good, general de- velopment fair; hypertrophied tonsils, right and left; ade- noids have been removed; enlarged cervical glands; fre- quent headaches; very nervous. History of measles and convulsions. Speech is clear and fluent; expression is intel- ligent; posture, stooping; gait, normal. Special examination of nose and throat revealed tonsils "enormously enlarged," adenoids absent, nasal septum de- viated, respiration impaired, hearing slightly deficient. Re- moval of tonsils was urged. Examination by oculist resulted in prescription of glasses for constant wear. Clinical examinations at the Touro gave as findings: Blood negative for Plasmodia and the count normal. Urine, S. G. 1016; indican, otherwise negative other than it shows that at times he suffers from eating excessively of meat, 47 eggs or milk. Feces negative for ova and parasites. A posi- tive Wasserman reaction means that he needs treatment for congenital lues (syphilis) . It was advised that the boy be ref ered to a physician or medical clinic for treatment. A last report from a neurologist states, in substance: Child had chorea at the age of five, but recovery seemed to be complete. Examination showed slight heart murmur, with enlargement of this organ and of tonsils. The child is afflicted with a very mild choreiform affection of the up- per extremeties, face and tongue. "I am of the opinion that this is a case of incomplete recovery from chorea. Am un- able to see any after effects of the convulsive condition. Mentality seems to be good. The choreiform condition should be treated by a competent physician, but it does not seem to be imperative to remove the child from school at present." FORM D. Entry Record Blanks. This is a card for convenient use in the office. It con- tains names, date, case number, etc. FORM E. Anthropometric Tests, Etc. This form contains two columns in which are recorded the measurements of the actual and of the average child. The norms of grip, dimensions of head, etc., for New Orleans children have not been ascertained. The results of Smed- ley, Boaz, West and McDonald were tentatively used for comparison. Measurements dealing with the proportions and physical characteristics of the human body are interest- ing in studying individual development, the effect of en- vironmental influence and of special training, as well as in the attempted differentiation of races and peoples. Un- questionably the matter of anatomical and physiological growth in children is of fundamental importance in educa- tion. 48 Careful anthropometric measures may point to stig- mata and to clues otherwise overlooked by teachers and parents interested in retarded, individual progress. The popularity and apparent simplicity of physical measure- ments have ted not a few students into error. For example, Professor Boaz takes note of the fojlowing : "A considerable number of tables and averages and of 'percentile grades' have been published, in which the measurements of each individual are so placed that the per cent of individuals of the whole series are given who have Jower values of the measurements than the individual in question, and it is then assumed that he should be in all respects on the same per- centile grade — an assumption that is entirely inadmissible," We print herewith a table of most of the measurements made during the year upon exceptional children. (See Table X.) 49 TABLE X ! a 1541 4453 1963 1782 2542 1221 2315 1421 5437 4516 3860 1018 4761 1313 5022 4619 1811 8922 4938 1672 5214 3751 4215 3565 3617 4111 3123 1111 4322 5125 2713 7111 4031 2232 3943 3073 3272 2835 5355 2631 2119 ,3309 '2018 2924 < 5.9 6.9 7.3 7.4 7.4 8.0 8.0 8.2 8.4 8.4 8.5 8.5 8.7 9.5 9.8 9.8 10.0 10.0 10.6 11.0 11.0 11.0 11.2 11.7 11.9 11.9 12.0 12.8 12.8 13.0 13.0 13.2 13.5 13.5 14.0 14.0 14.4 15.0 15.0 15.0 15.0 16.0 17.0 21.0 O K 1 K 1 1 1 K 1 2 2 1 A 1 2 2 1 2 2 2 2 2 3 1 5 4 3 4 2 2 2 1 A 5 2 3 3 1 5 6 2 9 2 6 S 3-0 bw D | b 52.8 52.6 5276 50.5 54.4 51.0 50.0 50.7 51.7 53.5 48.0 50 53.5 50.0 50.3 55.5 51 78 51.6 51.0 52.6 51.5 51.5 54.0 53.0 54.0 55.0 54.0 54.0 54.7 50.5 53.0 51.0 52.0 54.0 53.0 54.5 50.8 53.5 57.0 52.5 52.5 53.4 - = 17.3 17.2 16.9 17.6 15.9 16.8 16.1 16.6 16.8 17.0 17.8 15.2 16.0 17.7. 16.0 16.2 18.1 16.1 16.0 16.7 15.4 16.6 16.7 16.0 17.2 16.9 17.3 18.5 17.7 17.4 18.1 17.3 17.0 17.5 15.9 18.4 16.7 17.2 16.8 17.2 18.2 17.3 16.6 17.2 fflW 13.0 12.9 11.9 13.7 12.9 13.6 13.5 11.6 12.6 13.2 12.6 11.2 13.2 13.7 13.0 13.3 13.4 13.4 14.2 12.2 13.9 13.4 12.7 13.4 13.4 13.4 13.6 13.5 13.6 13.5 13.3 12.1 13.1 12.6 13.2 13.4 13.5 13.6 12.2 13.7 14.5 13.0 13.5 13.1 II 115.1 117.4 118.5 119.0 117.0 126.5 120.4 132.7 120.5 130.2 123.1 116.7 132.9 124.4 131.6 128.2 137.7 118.1 140.0 136.0 135.6 138.8 143.6 146.6 134.0 155.2 141.4 149.4 152.1 145.7 145.3 143.8 153.7 145.2 161.4 163.0 159.1 153.0 153.4 164.0 174.6 167.6 167.5 164.7 -g a> iaX 61.8 60.5 64.0 64.5 63.5 66.1 64.2 67.9 64.3 68.0 66.6 63.0 67.2 66.2 69.2 66.4 71.3 69.6 74.7 70.7 69.5 71.7 78.3 72.8 69.0 78.0 73.7 77.3 79.5 75.5 75.0 75.7 81.1 77.5 85.3 87.0 81.8 75.5 81.5 80.0 88.6 88.2 87.0 86.8 f£ kilo 23.4 22.2 21.7 24.0 21.2 30.9 21.7 24.7 25.0 27.7 22.8 19.4 27.1 25.7 25.1 22.2 42.4 27.5 46.0 29.5 25.4 33.7 34.4 31.8 30.8 32.8 36.6 40.3 48.2 36.0 36.7 34.5 39.5 34.3 48.4 51.8 45.3 39.8 42.9 49.0 64.5 47.2 47.8 61.0 OK kilo 7.4 8.0 3.3 11.5 f 10.0 9.3 8.7 12.9 12.5 10.7 7.5 8.5 15.3 13.7 4.6 14.0 14.0 15.6 19.5 6.5 15.5 19.3 14.8 13.0 19.5 19.3 15.5 21.5 15.5 25.0 11.8 23.6 18.0 29.5 32.5 22.1 18.3 18.8 23.5 48.0 30.0 23 .8 51.5 IS kilo 7.9 9.1 3.2 9.5 f 8.6 8.5 6.7 13.2 11.8 8.8 6.5 9.5 14.2 12.8 4.0 11.3 14.0 15.5 17.3 4.4 14.0 16.0 12.8 13.2 15.0 19.0 17.5 19.8 14.3 24.0 11.4 22.7 15.0 31.4 30.8 18.5 19.8 20.5 28.5 38.0 27.4 22.5 47.5 50 FORM F. Binet Test Blank (Goddard, 1911). It has been explained that the Binet and form board tests were used in connection with other psychological ob- servations for practically every case. Typical reports from the examiners, as included in paragraphs of the summaries delivered to the superintendent, suffice to illustrate this part of the studies. Case No. 4761. Psychological Report : Boy, aged eight years, nine months. First Grade. "This child is markedly inferior in the performance of all the tasks assigned him. In the form board work his time was abnormally slow and showed no improvement in four trials, either in time or the elimination of errors. Absurd blunders were repeated. He seemed to be incapable of form- ing and proceeding upon a method. The adaptation test was a partial failure. In the picture completion test he worked nervously and hard, but again wholly without method. He shows scant ability to adapt means to an end. He proceeds in a wholly haphazard style. His apparent lack of co-ordination seems to be due to lack of ideation rather than to lack of muscular control. He finally failed in the picture completion tests, leaving many small pieces in the largest spaces without appreciating the misfits. His speech is a stammer. According to Binet tests, his mental age is about five years." Case No. 8922. Psychological Report: Girl, aged ten years, three months. Ungraded class. "The laboratory tests show a mental age of seven; chronological age, ten. Her interest was keen and she mani- fested some ability at interpreting the significance of the ma- terial put into her hands. She has fair visual memory for objects, and also good auditory memory for the simple rote tests. Her attitude in the laboratory was good ; she showed a normal interest in what was being done, and at the same time a creditable distrust of herself. The form board showed steady improvement; she was very careful and her errors were very few." 51 , Case No. 1035. Psychological Report : Girl, aged eight years, six months. First Grade. "Two examinations were made of the child at the clinic, and each indicated a mentality, according to Binet, of four years; chronological age being eight and a half; this condi- tion represents a mental retardation of four and a half years. The picture completion tests show lack of apprecia- , tion of both form and significance. Square blocks were per- sistently put in wrong holes, etc. There was scarcely any ability to profit by experience. She is easily discouraged and proceeds altogether by random trial and error method. The form board showed lack of improvement. The second laboratory test of this kind was less favorable than the first, both in point of view of improvement and elimination of error. Attempts at copying geometrical forms were fail- ures. She showed a lack of comprehension of the task in hand andalso uncontrolled associations. In matters of sim- ple routine she was willing to do her best, but her mental grasp is so poor that it precluded success. In certain tests concentration and attention is bad and the ability to dis- criminate is slight." Case No. 3476. Psychological Report: Boy, ten years, three months. First Grade. "Attitude and interest good and well sustained. Visual object memory normal; Healy tests show fair discrimina- tion of forms and were successful in all but finer points. Speech shows stammering and lisping. The Aussage tests show a tendency to give name of objects rather than inter- pretation. Definitions were in terms of use only. Much subject to suggestion in giving answers. Range of informa- tion fairly good. Some mental alertness in handling of toys. Study as a whole shows mental retardation of some two years. This, taken together with the history of trauma and certain health conditions, tend toward a diagnosis of re- tardation rather than feeble-mindedness." 52 FORM G. School Report. This form, modified after Huey, contained spaces for data, supplied by teachers, concerning the child's character- istics, habits, morals, discipline, progress in studies, capaci- ties, play, intelligence, interests, co-operation. Abbreviated reports thus obtained are illustrated in the following para- graphs and others farther on. Case No. 1221. School Report: Girl, aged eight years. First Grade. This child is described by her teacher as being in dis- position cheerful, active, good-tempered, excitable, neat, cleanly, talkative, obedient, laughs without cause, awkward, very slow, noisy. "She learns superficially and apparently makes no definite headway." She can do errands, name some of the letters, count objects, add a little, but can neither multiply nor divide. She reads poorly in the first reader, apparently by heart, but can write fairly well. She does poorly in all branched. Her best work is in penmanship. She gets overexcited in play. After having been coached in the afternoon by kindergarten teachers, she was placed in the Auxiliary Class, but she remained in this class only two days and was then transferred back into the grades where her teacher reports she iis improving, and is now able to keep up .with her class. Case No. 4215. School Report: Boy, aged eleven years, two months. First Grade. The boy is described as being morose, quarrelsome, active, moody, excitable, changeable in mood or character, resentful, slovenly, talkative, lacking in self-control, awk- ward. He differs from others in being more restless, fussy and inattentive. He is most troublesome in annoying others; uses vulgar language. He can do errands, name some of the letters, count objects, but can neither add, mul- tiply nor divide. He can write fairly well, but cannot read at all. He does nothing in manual or industrial work; is good in athletics, poor in entertainment work; is best in writing and worst in reading. His teacher says : "Mental 53 deficiency prevents better work." He plays very little, does not take the lead ; shows interest in dramatizing stories ; is easily confused and loses control. He is chiefly interested in writing and story work, as is shown by his attention dur- ing story period. Does not show willingness to co-operate when aided, but will copy lesson from neighbor. Last year was helped by special teacher, with no fesults. Case No.. 4111. School Report: Girl, aged eleven yeari, eleven months. Third Grade. This child is described by her teacher as being in dis- position cheerful, quarrelsome, active, obstinate, good-tem- pered, excitable, changeable in mood or character, lazy, talkative, heedless of danger, inclined to laugh without cause, emotional, lacks self»control easily managed, awk- ward, very slow, nosy. Her teacher says : "If things around her are not clean and harmoniously arranged, she is greatly distressed, and causes disturbance in class by wishing to straighten out things herself. She is very antagonistic to her companions who litter their desks, and disturbs the teacher by calling attention repeatedly to this. She wishes to entertain her teacher and companions during school nours with news that she gathers in her neighborhood. She does well in copy work and is fond of copying. She learns easily (by rote) memory gems and Class recitations. She does manual work well and likes to do it; she is especially fond of drawing. She takes no interest in gymnastics, but all entertainment work appeals to her. We think that she suf- fers from eye strain. At times, her eyes are bloodshot, and lids very much inflamed; pupils of eyes seem occasionally abnormally dilated. She appears to suffer also from phy- sical weakness, becoming sometimes very pale, with dark circles under the eyes. There is also some speech defect. She delights in play, especially with little children. She does not seek those of her years, and in temperament is as young as a child of five years of age. She leads only when she is with little children. She likes to play school and is then very domineering. When excited she is incoherently talkative." * * * "She is willing to try and co-operate when aided. She has been coached for some months, but with no results." 54 A second school report, dated a month later, says the child seems stronger physically. "She seems more inter- ested, and shows more anxiety to learn than before. Her progress, however, is still very slow. This may be due to the nonwearing of glasses prescribed by oculist for constant use. They are either broken or forgotten at home." Case No. 3272. School Report : Boy, aged fifteen years, five months. First Grade. This boy is reported as being unable to carry on the studies of the first grade. He does not know the alphabet; he does not show any particular interest in anything; seems to be well, but is unable to do the work of the other children. He has been given extra attention in school, but without success ; his ability to write is poor; he plays very little, but manifests some interest in the play of others. In disposition he is reported as being sensitive, good-tempered, neat, cleanly, silent, obedient, easily managed, very stupid, very slow. He has changed schools a number of times and has been a constant repeater. FORM H. Home and Personal History — Social Report. This blank, also modified after Huey, is for the record of facts obtained by questioning parents and others who know the child well. In many cases this information was obtained by the social investigator after repeated visits to the home. As an addition to the blank we devised a simple chart to be printed on the back for checking essential facts regarding heredity. This chart is shown to the right of Form H in the picture, Figure V. Examples below of reports obtained from social investigators are in condensed form. Case No. 2631. .Social Report: Boy, aged fourteen years, three months. First Grade. This boy was brought to the laboratory by his father, who is an Italian and a barber. The father presents the appearance of being an energetic and strong-minded man. He is apparently successful in his work and seems keenly interested in his son, but in the laboratory he wafe uncertain 55 as to the details of the early history of the child and was unable to give the facts of heredity that were needed for that side of the study. There was even some uncertainty as to the age of the child. The father, however, reports con- vulsions at the age of five or six, also fainting spells and lack of nervous control. He also reported miscarriages of the mother and that she now is suffering wityi "chilliness" on one side, which requires massage. The mother was unable to nurse the child. As a baby the boy was a light sleeper — easily frightened. Chorea is reported. He is reported to have been struck by a street car at the age of six. From the father's report this accident does not seem to have been se- rious. No fracture of skull or unconsciousness was reported. The child remained in the hospital only one day. At home the boy seems to be very unreliable in the discharge of little tasks that are committed to him. On being sent on errands he forgets and returns several times for the commission to be repeated to him. He is unable to count change or tell the time of day, and does not know the alphabet. In general appearance the boy is rather awkward and flabby in muscu- lar control. As to disposition, the child presents some anom- alies. His father reports that he is good-humored and good- hearted (note the fact that whenever he gets any money at any time in any way he always take's it to his mother) , and yet he is a fighter and given to fits of temper. He is gossipy and tends to laugh without cause, is lazy and untruthful and seems to lack a sense of shame at home. He is generally troublesome, rather by reason of his incapacity than by reason of his disposition. Case No. 1313. Social Report : Boy, aged nine years, six months. Second Grade. "Boy, only child of German-American laborer and wife, an Irish girl. Mother died when child was two months old. Father, always wild, has become a confirmed drunkard, and is now dying of consumption, almost bed-ridden. Child cared for by paternal grandmother, who on first visit of so- cial worker was found too intoxicated to give reliable infor- mation. When sober, however, she seems to be good- natured, industrious, ignorant, but ambitious for the Child. 56 The family are on the charity list of the Church, tfhe home is a small cottage, scrupulously clean. There are evidences of poverty, and grandmother complains of difficulty of feeding invalid son and growing boy. Grandmother says child is neat about the house, a willing worker, takes pride in keeping shed clean and wood box filled. The child was born at full term, walked, talked and got his first teeth at average age. Has never had any -se- rious illness, and is apparently in good health, though, per- haps, a little underfed. The child reads everything he can get; attends Sunday school and is very fond of his teacher. Grandmother resents any implication in regard to the health of the boy. Partly because of this and partly because of her inability to leave her invalid son, the child has not been to the Touro for general physical examination, though ap- pointment was made." Case No. 3113. Social Report : Boy, aged twelve years. Fourth Grade. Information about heredity lacking. Instruments were used at birth. Began to walk at nearly two years. Has been under treatment for worms. Ran away twice. Re- cently expelled from school; has been taken back again on promises. Social investigation revealed the following : The parentage in this case is good, middle-class English stock. There is no record of any malignant disease in the family, nor of any confirmed habits. Parents were both born in England, and have been in America a little over ten yearis. Both parents and children seem unusually healthy and robust. The father is a worker in the cotton mills of an- other state, where he has been since the closing of the mills of New Orleans, now nearly three yeans ago. He is an Odd Fellow, an active churchman, and a steady workman. He sends a monthly remittance toward the support of his fam- ily, and by neighborhood verdict is "a good man and steady." The home is unusually well furnished, almost luxurious for a home of this type, and is scrupulously kept. The children are always well dressed, clean, and in manner, at least, show careful training. The mother has a violent temper and is abusive to children and neighbors, although 57 "she is that soft-spoken to her betters!" Of fourteen chil- dren, the mother has lolst three in babyhood. Of the sur- viving eleven, it has been impossible to obtain detailed data for the older members of the family,, the mother merely stating that they are all healthy, married, living out of town and "never gave her a moment's trouble." The record of those who are in town lays this last statement open to question. One daughter, twenty-nine years old, it is said, leads an immoral life and (outwardly, at least) is coun- tenanced in this by her mother. A younger daughter, twen- ty-three years old, is abusive, deceitful, dishonest, totally lacking in sense of gratitude— yet possesses .to an unusual degree personal charm and a surface gentleness. A son, aged seventeen, seems to have almost a dual personality. He sings in the church choir, is regular at rehearsal and service, has a good record at school, and seems anxious to "keep straight." He is easily appealed to — easily influ- enced. Yet, at intervals, he "breaks out," apparently against his own will, and during these periods will do the most abominable and unexpected things. In the opinion of an intelligent neighbor who has persistently befriended them, "there is something rotten about the whole family." The boy is a bright, intelligent boy, anxious to excel in school, although disliking study and resenting authority in any form. He can neither be coaxed or driven, but responds to straightforward treatment and is at times most affectionate. He is mischievous, a good mimic, and his impertinence savors of bragging rather than insolence. He is a leader among his fellows, has initiative, and is resourceful. Two years ago he organized and led a strike at school, in which the principal and teacher finally capitulated. He both smokes and drinks when possible (although necessarily not to excess), and has been implicated, but not convicted, in several petty larceny offenses. He is a sturdy, bright-faced boy, exceedingly restless and nervous. He has had a severe case of measles, but the mother knows of no after-effects from the disease. He sleeps badly and seems to find it hard to keep still, even at table. In other respects he is apparently normal. 58 Case No. 1963. Social Report : Girl, aged seven years, three months. Kindergarten. Social investigators report as follows: "Both parents are American born and in good health. Nor is there any record of disease or any abnormality for the last two gen- erations at least on either paternal or maternal side. There are five children, of which this child is the third. An older son has a very pronounced case of valvular heart trouble. According to the family physician, this boy's heart has grown to his backbone, and that he should be living at all is a miracle. This trouble is the result of a severe case of measles, during which the family physician treated him. The other children are normal, intelligent and hardly ever sick. The youngest child, however, has a very large head, peculiarly shaped — prominent, broad forehead, with nar- rowing face and pointed chin. The family live in a very attractive cottage with a pretty yard. The mother does her own work most efficiently, keeping her house immaculate and her children well dressed and clean. She has been told that she cannot raise either the older boy or this little girl, but trusts implicitly in her physician and her religion. The father is a little impatient with this child and a little ashamed of her, and this hurts the mother keenly. She understands the child, in spite of a decided speech defect, and encourages self-expression in her. No exceptional con- ditions at child's birth, nor was there anything unusual in her pre-natal history. The family physician, however, is convinced that the heart trouble is congenital, though he has never been able to find any specific cause for it in im- mediate or past heredity. In addition to heart trouble, child has a decided case of adenoids, defective speech, badly de- cayed teeth, a cast in one eye and is pigeon-toed. Her loco- motion is very poor. At times she talks rather distinctly, but is an exceedingly nervous child. She is responsive, however, soon gets over her timidity with strangers, and is apt to be most demonstrative. She is acutely aware of her retardation at school and is most anxious to advance. She is devoted to her teacher and wants to win her approval. 59 She likes manual work, and brings with great pride to her mother the things she has made at school. She has, how- ever, very little control over her bands." Some of the formal requests from teachers resulted in unfinished studies, owing to the close of the school session and termination of the Tulane-Public Schools agreement. The reports of the teachers upon thelse children were re- ceived, but the medical, sociological and psychological re- ports are not complete. Here are three of these children; the paragraphs are condensed from the teachers' reports. These pupils all are over-age for grades. These typical eases present some additional problems of exceptional chil- dren, as viewed by the teacher or parent, at wit's end. Case No. 6240. School Report: This boy is fifteen years of age, and is in the First Grade. He is described by his teacher as morose, quarrelsome, obstinate, good-tempered, changeable in mood, slovenly, talkative, obedient, heedless of danger, mouth usually open, anxious, lacks self-control, easily managed, superstitious, very stupid, generous, gossipy, awkward, very slow, truant. He differs most from other children in his unusual appear- ance, awkward manners and movements. Most trouble- some by his truancy and obstinacy. Never troubles any of the other children except to talk too much to them. He can do errands, name some of his letters, count objects, add a little, but can neither multiply nor divide. He cannot read at all, but can write very large. Does not do well in any kind of school work or in school studies of his class. His best work is in simple number work; worst work in read- ing. His feeble mind and defective vision prevent him from doing better, together with the treatment he receives at home, and the time spent on the streets. He does not play at all ; his time is spent wandering the streets or stand- ing around Union Station ; not able to speak correctly when excited. Can count money that he earns selling papers. His chief interests are selling papers and carrying grips in the Union Station. Gives very little co-operation. Efforts have been made to help him by Judge Wilson of the Juve- nile Court with very little results. 60 Case No. 5336. School Report : Girl of sixteen years, in Sixth Grade. She is described as "cheerful, quarrelsome, sensitive, neat, silent in schoolroom, talkative outside, obedient, cries and laughs without cause, lacks self-control, fearful, stupid, awkward. She does not take part in any class discussions or class activities. When asked a question during a lesson, her answer shows plainly that she is unable to follow what is being said. If anything funny happens in the school- room, she does not laugh with the other children, but seems to understand what has happened. If either a pupil or the teacher looks directly at her, she becomes very much ex- cited. This is shown by an automatic pulling of her sleeve, hiding her face, laughing and crying alternately. Aside from the extreme sensitiveness, she is not troublesome. She is an exceptionally good child at school. She can do er- rands, name all the letters, add, multiply and divide. Reads rapidly in the sixth reader, but seems not to understand what she reads. The little manual work done at school is not very successful, but she does some work at home, such as washing dishes, sweeping, etc. In gymnastics she is a failure, for she is unable, to interpret commands and seems to have difficulty in even the simplest movements. In en- tertainment work she is hopeless. It would be impossible to get her to relate a story or recite a poem. She is a very excellent speller, and her penmanship is exceptionally good. She is able to memorize a limited number of words, but has only a vague idea of a number of rules of grammar, with a fair degree of accuracy. In history, geography, arith- metic and literature she is a failure. Her general informa- tion is very meagre. She does not enter any games with other girls. She does not take the lead in anything, but tries to be as conspicuous as possible. She becomes very much embarrassed if singled out as an individual, and al- ways cries if attention is directed to her for a few minutes. When confused, the automatic movements of the arms, de- scribed on the first page, begin. Her head is usually bent forward and she laughs senselessly whenever she notices someone looking at her. She loses control very readily ; and 61 seems incapable of thinking at all. She tries to do well in everything, and will co-operate as far as she is able. She is very anxious To make the average required for promotion. After having answered a question, she asks one of the girls near her if she missed. She cannot judge whether her answer is inferior to the next answer given. She has been coached, particularly in arithmetic, before and after school hours, but with very poor results. The child entered School at eight years, a Catholic school at eleven years, and returned to at twelve years." Case No. 552. School Report: A boy, seven years, nine months, in First Grade. "Cheerful, quarrelsome, lazy, slovenly, talkative, de- structive, laughs without cause, mouth usually open, anx- ious, lacks self-control, apprehensive or fearful, very stupid, awkward, very slow, noisy. His attention cannot be held even by stories. He is most troublesome by not being able to concentrate or occupy his mind for any length of time. Does not use handkerchief, Masturbator. Continually fights with others. Seems to be bordering on chorea. He cannot do errands, but can name some of the let- ters. Can neither multiply nor divide. Can neither read nor write at all. He is not able to grasp any manual or in- dustrial work, gymnastics, etc. Does not do work of any kind. Plays continually. Not seclusive. Does not take the lead, nor make believe in play. Does not think what to do in emergencies. Bites finger nails when excited. Gets con- fused and loses control on any occasion. He is most inter- ested in games that call for a great deal of running. No special efforts have been made to help him." During the year there were some sixty-seven formal re- quests by parents or teachers for individual studies. Some of these were hurried solicitations upon the part of parents for advice about difficult problems concerning their chil- dren. Steadily the director of the laboratory was forced to resist the importunities of parents and others for pre- mature judgments. These cases, which could not under the 62 circumstances be studied thoroughly, present elements of pathos. Some of the cases do not come within the province of the school. Consider, for example, the following para- graphs, which describe several of these instances. Here are unsolved, concrete problems of extreme individual differ- ences. A letter from a mother solicited help in giving sugges- tions concerning the educational development of her in- fant, a boy of seven months, who suffered as follows: Due to early cerebral hemorrhage, and after surgical attendance, the right side of the body was affected, causing partial paresis. The surgeon had explained that nothing medical would be of benefit to him; that the problem was for the parents to assist with external stimuli the development of the brain centers affected. The mother and the father visited the laboratory, and on two occasions counsel and advice were given as well as possible under the circumstances. A prominent citizen called for consultation regarding relative, a boy of nineteen years. The boy has failed in several schools, and is having difficulty in holding an ordi- nary position in a commercial establishment. Our methods were explained as stressing complete personal, medical, so- ciological and school history, as well as the use of psycho- logical tests. The relative agreed to return after consul- tation with the mother. Nothing further heard. A mother called with son, age six, upon request of physician. The child is a stutterer and seems choreic Upon a second visit we were compelled to ask the mother to wait until the matter could be approached through the procedure being prepared for use in the schools. Another case brought before the organization was in position to study same adequately, was of a boy of nine years, brought by his guardian. He suffers from a speech defect. He has been in a special class for the deaf. The mother died at child's birth and the father died a few years later of pneumonia. Child is easily managed. Attended school for mutes last summer, but lip reading is not suited to his needs, and he cannot use fingers for sign language. The teacher wrote of the case as a pitiful one, as the boy's mind seems unaffected by disease, and recommends that 63 the guardian and the aunt be persuaded to get someone to teach the boy privately. It was reported that the child can- not feed or dress himself or tie a shoe lace. Manages limbs badly, drips at mouth, cannot speak, but seems to under- stand general conversation. Right hand and tips of fingers and lower jaw seem paralyzed. Child is sensitive when ap- pearance is noticed, and for this reason does not like to play with other children. There is no school class suited to his defect. A psychiatrist to whom the boy was sent re- ported hemiplegia with aphasia, and that his aphasia is of a type not usually amenable to treatment. He suggested, however, a trial by a special teacher in speech defects. The psychiatrist went over the case with a competent teacher and outlined the course of treatment. She reported the work discouraging, but at last account was continuing her effort to be of service to. him. No complete study was made of a youth of twenty, who was brought to us by his mother, laboring under great anx- iety. Thorough medical examinations were desired, but not obtained. She reported that a psychiatrist had declared him to be a high-grade imbecile. The boy smokes excessive- ly and is cultivated by boys of his own type where company does not seem profitable. Is selfish, ill-tempered, violent, inattentive. Failed at school, but has some talent with vio- lin. Has some ability with mechanical contrivances and likes telegraphy. At age of ten burned a small animal in fire and laughed. The mother is sorely troubled about the failure of the boy, fearing that he will marry ; that, when of age, he will not take care of an inheritance ; that he will get into serious trouble before long. The boy seems to love his mother. A letter of inquiry from Shreveport concerning a little girl who has never spoken. Questions answered and advice given in our reply. A prolonged study under observation necessary for anything more than suggestions. Another case, hardly falling within the scope of our undertaking, was brought at the urgent request of a step- mother, who, according to our information, seems to be the only person really interested in the welfare of the boy. No systematic study has been made further than as follows: 64 "He is a young man of almost sixteen years of age, and for some time has manifested a tendency to steal. The cursory mental examination and the nature of the articles stolen, usually money, together with the extreme provocation within the home, make it seem doubtful that this is really a pathological case. The father is a drunkard and is fre- quently abusive and sometimes cruel in the method of pun- ishing his son. The boy has recently been driven from home, and has taken into his companionship the type of boys that would tend to lead him astray rather than correct his habits. He has stated that he has joined "the gang." The report comes from the stepmother and from the boy that his plan is to join the navy, but until one month hence his age will not permit his doing so. The stepmother states that the boy has had some positions in stores, but, in one case particularly, he lost his position on account of stealing various articles from the store. He has attended a private high school in the city and failed, not on account of mental deficiency, but on account of his conduct meeting with the disapprobation of the school authorities. He was particu- larly untruthful and unreliable in his attitude toward the teachers, and was expelled from the school. On having his attention called to his misdeeds, he is reported to show no indication of remorse. Whether this is due to a stolid in- difference and a hardening against unfortunate treatment, or whether it is due to a real lack of moral sensibility, it is impossible to say at present. He is a cigarette smoker, spending his evenings away from home. His reading, so far as reported, seems to be confined to detective stories and a low type of novels. In physique the boy seems well de- veloped and well nourished. The story of an injury to his head on account of falling on a tack which penetrated his skull to within a quarter of an inch of his brain hardly seems to bear any relation to his present habits." "It seems inevitable that this young man is a criminal in the making and will drift possibly into the clutches of the law, unless some strong and manly control is taken over him." 65 A subsequent visit of the stepmother to the laboratory on behalf of her stepson gave us warrant for advising on the following points : "1. In view of the fact that a reported investigation at the Naval Office shows a spinal curvature which unfits the young man for the navy for at least a year (the naval au- thorities are reported to say that, witti proper treatment, the curvature might be corrected within a year) , it was ad- vised that the most urgent 4ieed for the present is a com- plete separation of the boy from his present environment. There appears to be a possibility of the boy's being sent to live with kinsfolk on a farm. 2. It was thought best to investigate the report is- sued at the Naval Office to ascertain whether or not there were other objections to the young man besides the spinal curvature. 3. It seemed best to urge that if further study be taken up at the laboratory, the boy's father be present at the next investigation." The stepmother called more than a month later. Says boy has stolen again and again. "She says he has taken her own rings. She tried to recover them through a de- tective, but failed. Says boy has associated with negroes a great deal. Suspects some woman in the case. She called in an officer, and Judge of the Juvenile Court had boy taken to Reformatory (Waifs' Home) . Swore he would get away, etc." A few weeks later father died suddenly. Through the efforts of the widow the boy has been sent to relatives on a farm. She is working hard to prepare for making a live- lihood. More questions than answers have appeared so far in unanswered ques- these discussions, whether about masses of children re- tarded and repeating, or about individual cases thoroughly examined by co-operating teachers, parents, physicians, so- ciologists and psychologists. The gravity of the problem before us and the comparative darkness in which we stand, appear plainer. A friend, who cursorily looked over some of our data, remarked with interest: "Well, now we have tions. 66 investigated everything, what is the remedy applicable? Let us apply it." The fact is, we have barely inaugurated the method of systematic investigation, and we shs L^er find a cure-all. Our educational difficulties are too intricately interwoven to be met by any one remedial effort, and the slow element of time must also work. We only know that, as in scores of other cities, with the growth of population there also multiplies in New Orleans the number of edu- cational problems for which there is available no precedent Remaining groups. Our preliminary census calls attention to the five general classes of exceptional children classified arbitrarily for reasons explained. Our individual studies, of which examples have been given in preceding pages, began in the middle of the past school year, and it was proposed that for the year there would be offered opportunity only for individual study of children in Class A. (Feeble-minded, as judged by teachers.) There remains the issue, what shall be done by citizens and school authorities about these and the other various groups of children in our schools, who present such extreme individual differences as to be pointed out by the teachers who deal with them daily? The merely back- In addition to children designated in Class A there are 2925 children, seven (7.7) per cent., in Class B who are called backward children, or "those who urgently need spe- cial educational methods within the public schools." Doubt- less a few of these children are feeble-minded. With re- gard to the greater number of them it would be desirable: (1) to ascertain the causes of their backwardness; (2) to adjust our school machinery to their needs with the ideal before us of developing most wisely whatever latent or un- discovered capacities for efficiency these children may pos- sess. The causes of backwardness are identical with some of the causes of repeating and slow progress, whether they be lack of physical or mental capacity in the child, ill health and defects, economic conditions, wrong home conditions, ir- regular attendance, smoking, excessive coffee drinking, in- sufficient sleep, poor teaching, unsuitable course of study, lack of interest and of "old-fashioned virtues of industry, regularity, promptness, patience." Some of these children 67 doubtless suffer from remediable physical defects, as of\ vision, hearing, adenoids, malnutrition, malaria, etc. It has \ not been proved that when you remove adenoids, supply glasses and give medicine to a child a miracle of school \ progress invariably follows; but the already proven general \ ' relation between such defects and the appraisal of intelli- \S ' gence demands careful attention to such defects. Not a few of so-called retarded children may be victims of faulty classifications made at the beginning of school. Our stand- ards may be artificial, gauge too few aspects of the child's capacities, allow not for individual variations or unrecog- nized potentialities. Some of the "backward" children may eventually belong to that well-known type of successful busi- ness men, writers and celebrities who, in childhood adjudged backward and dull by some pedagogue's standard, after- wards, according to the standards of efficiency, were fa- mously able. Such are some of the problems presented to us by the presence of these children who are called laggards by the schools, and whose actual condition is the resultant of so many factors out of school and in school. In New Orleans about 407 children among 37,824, or ^ te T C chUten * U y one per cent. (1.2), were designated as exceptionally able or gifted by their teachers. A comparison of the percent- ages of children thus designated as exceptionally able with the statistics of children under-age for the grades during the preceding year shows unmistakably that very few chil- dren in New Orleans are considered of exceptional ability, if they are to be ranked either by the criterion of being able to be in a grade above that usual for a given chrono- logical age, or by the classifications of the teachers — in fact, less than two per cent. (See Table XI:) Table XI. Children Exceptionally Able or Gifted. — Percentages — White. Colored. Preliminary Census — Class C 1. 1.5 (N. 0. 1913) Age-Grade Census — Under-age 1.9 0.1 (N. 0. 1911-12) 68 If we seek quantitative evidence of the relative num- bers of exceptionally bright children usually found in other public school systems, we find that evidence is rare. Strayer's study of American cities shows a median of about four' per cent for children who have reached their grade one or more years earlier than the allotted age. Ayres shows that for certain cities the number of children mak- ing more than normal progress is from one to five per cent, of the membership. Goddard tested 2000 "normal" chil- dren by the Binet scale, and found about four per cent more than one year ahead of "mental age" measured by that standard. The above and other evidence reviewed by Messrs. Vian Sickle, Witmer and Ayres (36) is the basis of the fol- lowing rough classifications offered by them of all chil- dren found in public schools : Talented 4 per cent. Bright ) Normal) 92 per cent. Slow ) Feeble-minded, capable of some training in special classes of public schools 3% per cent. Genuinely mentally deficient V£ per cent. We should be able to ascertain why so few pupils are termed "exceptionally able" in New Orleans; what are the predominant physical and mental characteristics of our gifted children; how and to what extent their seeming gifts might be nurtured by special means for the good of so- ciety. It would be interesting also to know if any of them resemble the savant idiot type of genius; or if they are ex- ceptionally able only to the extent of some special memory or other ability which may exist with low degree of gen- eral intelligence; or whether, masters at formal grammar or school arithmetic, they are mediocre at anything else, and, therefore, their high evaluation is purely fictitious. Possibly some of these children are just average children, who, under high stimulus of competition or reward, have surpassed their fellows at the expense both of extra effort 69 and of loss of their health. It may be also that amongst the 407 designated as exceptionally gifted, out of 37,824 chil- dren, there are potentially great men and women. The need in this phase of our situation made bare by our preliminary study is widely recognized, and to direct the consideration of teachers, parents and officials to this point seems necessary. In the March number of a Northern magazine a well-known popular writer, whose attention to our work evidently had been drawn by the Bulletin from the United States Education Bureau at Washington con- cerning our New Orleans undertaking, voices his sentiments in the following manner, although he misapprehends our larger interpretation of the term "exceptional child" — by which we designate any child who exhibits conditions markedly different from those of most children : "Fixing on the Affirmative." "In medicine, the truth seems to be that the study of the abnormal prevails. Pick up any medical journal — of which there are about forty published in America — and you will find that the diseased, the abnormal, the monstrous, the peculiar, the unusual, the toxic, afford a theme for both writers and artists. In school teaching we have had studies of the abnor- maL The defectives have been given great space and spe- cialists assigned to look after their needs. But one of the distinctive signs of the times is a bulletin sent out from the United States Bureau of Educa- tion giving memoranda of a plan that is being tried in the public schools of New Orleans to give information in ref- erence to the pupils who are exceptional. And this word 'exceptional' applies to those who are exceptionally talented, not those who are exceptionally dull. They are studying the apparently exceptional child and finding out why he is strong and well and happy and cheerful and helpful and progressive — a joy to his teacher and a joy to his parents. So it will be seen that the whole purpose of this most excellent plan is to fix the attention of teachers, school di- 70 rectors and parents on the exceptional, and to fill their minds with the ideal, if possible, to the end that these con- ditions that environed the exceptional child may be re- peated. Such information massed over a period of years Would do for the world what Darwin's 'Origin of Species' did for science. Darwin simply collected a vast amount of informa- tion in reference to animals and plants, with a multitude of significant facts. There is no doubt at all but that if we had, say, just one book containing brief and accurate data in reference to one hundred exceptional school children, it would be of im- mense value, and would be studied with great interest by parents, teachers and scholars themselves. Holding the ideal before the public, instead of the abnormal, is certainly a thing much to be desired." If emphasis should be placed upon helping gifted, ca- pable, strong pupils rather than upon forcing dull, weak pupils, then it is suggested that a practical beginning in our schools would be possible by experimenting with some of the plans in use elsewhere and adapting same carefully to our own conditions. Lincoln, Nebraska, makes provision for gifted children by placing them in a special room after the completion of the sixth grade. In this school during two years they complete the work of the grades, also one year of the high school. In Rochester, New York, capable children of eighth grade earn high school credits in certain studies. In Harrisburg, Pennsylvania, Superintendent Downes tried intensive group teaching at recess or for a half-hour or so after school by teachers, who were encour- aged to give such pupils individual attention both during and after school hours and to enlist the parents in the pro- ject. This plan he abandoned because of deleterious effects upon the vitality, health and efficiency of the teacher, as well as because of injustice to the majority of pupils who, he thinks, are entitled to her best mental and physical vigor. In Harrisburg, therefore, during 1910-1911, three special ' schools were opened for exceptionally gifted pupils. The pupils were expected to cover the eighth and ninth grades 71 during one year. Lately Mr. I. Shaer, of Manchester, Eng- land, has described a practical plan for special classes for bright children in an English elementary school. These activities are examples of practical efforts being made to meet this need. It should be noted, however, that there ap- pears in some of the contemporaneous schemes to heip gifted children, more of a tendency to facilitate for the child a conforming to the unquestioned curriculum of the school with its accumulation of fallacies than a tendency to modify the curriculum and the school wisely to meet the needs of the child as a social organism. Two other large groups are called to our attention in this census: Class D, incorrigible, habitually vicious chil- dren; Class E, children with obvious physical defects, but of good mentality. The teachers in the schools for white children designate incorrigible or ha- bitually VICIOUS. 294 children in the class of "habitually vicious." Do any of these belong to Class C, exceptionally able ? The 294 are subdivided into two groups, those of (a) apparently de- fective mentality, 107; (b) apparently normal mentality, 187. About 60 per cent of the white schools report such children. From the colored schools the number of children re- ported is 118; 50 are apparently of defective mentality; 68 of apparently normal mentality. About 70 per cent of the schools report one or more of these children. It is difficult for us to agree these days upon the mean- ing of the terms vicious, incorrigible. If the teachers are conservative in these estimates, it is a grave question as to the moral influence of these children scattered in more than 60 per cent of our schools. Of the white children thus designated, 246 are boys, 48 are girls. Of colored children, 84 are boys, 34 girls. A few of these cases were offered for individual study, but so far the data in hand are meagre. At this point we are at the tap roots of many of our social evils, penetrating into every condition and phase of the life of a city. Hand in hand with ameliorative efforts, by means of reformatories, juvenile courts, the public playgrounds, the churches and benevolent societies, may go our studies 72 Children with ob- vious physical de- fect. Vision. Deafness. Speech defects. of the exceptionally bad boy or girl, still in school before it is too late. Since there is no one remedy for ill doing, faults, crime, vice, sin, we might improve upon our dismal failure of the past in dealing with these irrepressible questions by painstaking study of the origins of specific evils in the con- crete boy or girl. Eventually we may be guided to some effective effort at prevention rather than cure. The remaining large group called to our attention for study and action (Class E) offers problems especially to the skilled physicians and to philanthropy. The group or class is subdivided into five : (1) Defective vision ; (2) deaf and semi-deaf; (3) speech defect; (4) crippled; (5) epi- leptic. The figures concerning defective vision are not satis- factory, as at least crude tests should have been made. There was no differentiation of cases "with" and "without glasses." If even only the most obvious and serious in- stances of eye trouble were noted, it is significant that 4 168 children are so designated. The same criticism applies to the data concerning the deaf and semi-deaf. Some 401 cases were reported. In connection with the maintenance of the class for the deaf it is important that the nature and number of reported cases be looked into. The result should indicate to what extent this disability is serious among our school children and help to suitable enlargement and adjustment of such classes. About the same number of boys and of girls are reported deaf or semi-deaf; total percentage, one per cent. Double as many children are reported with speech de- fects, some 842; total percentage of enrollment, 2.2 per cent. ; boys, 2.7 per cent. ; girls, 1.7 per cent. The designa- tion "speech defect" is very general, and may include stam- mering, stuttering, faulty articulation or modulation, mutism, lolling, aphonia, etc., or aphasia as a whole. The ability to speak is a highly complex capacity involving ac- cording to Baldwin (a) capacity to think or formulate ideas; (b) ability to recall and construct words expressive of the 73 ideas; (c) the actual articulation of conventional sounds. Ability to understand speech involves brain, eye, ear, mus- cles, a recognition of the particular sounds used and "in- telligence and training sufficient to appreciate their sig- nificance." The need increases of special teachers scien- tifically trained both in the physiology and the psychology of speech defects, as well as in most # approved pedagogical methods of remedying such difficulties. Each child presents a complex of difficulties challenging jointly the best efforts of the teacher, physician, parent and individual himself. There are cases of apparent mutism which will yield to skillful training, and apparent miracles of results have been" obtained, as in the case of Miss Keller. Stammering and stuttering in adults, where the defect or habit is fixed,, present both tragic and cruelly ridiculous aspects. No one can analyze accurately the mental condi- tion of a youth who has not overcome this distressing con- dition. Says Dresslar : "But there are certain fundamental aspects of emotional stress that can be somewhat clearly made out. He is keenly sensitive concerning his weakness ; he is in the grip of a fear that he cannot dispel; he is largely a slave to a suggestion that he cannot overcome ; he fears he cannot speak without hesitation, and that he will balk if he tries. In his calmer, intellectual moments the power and vividness of this suggestion is at its minimum. But with the advent of some emotional stimulus the ghost of this fear is ever present and doubly forceful. Just as objective ghosts, if this appellation can be allowed, are seen only at night, so subjective ghosts appear in the mind un- der the stress of emotion. * * * But it is one of the highest gifts of a teacher to look out through the eyes of her pupils, to hear with their ears, and understand with their hearts. Blessed is the unfortunate stammerer who has the help of a teacher with such insight and willing- ness to undertake an intelligent correction." Edward Conradi, writing from the standpoint of a teacher and scientist, summarizes these points concerning speech defects in school children, after reviewing the stu- 74 dies of Sigismund, Hall, Schultze, Gutzmann, Ament, Meumann, Arndt, Mygrind and many others : < 7 > "1. Inheritance seems to be a predisposing factor. 2. Anything that disturbs the nervous system of the child may be an immediate cause, especially acute disease. 3. Suggestion is a factor in the spread of the disease. 4. Stuttering is a children's disease. 5. Second dentition and puberty are periodte that fa- vor stuttering. 6. Boys are more subject to the trouble than girls. 7. It probably retards pupils in their school work. 8. Stutterers are not (naturally) mentally inferior. 9. Speech defects are often the source of severe psychical depressions. 10. The seriousness and the spread of the trouble i3 such that it deserves more attention from the public and the specialist than is given to it in this country at the pres- ent time. 11. Stuttering and stammering are, with probably a very few exceptions, curable." me crippled. One-half of one per cent, of the school children, white and colored, are crippled. To describe and name the de- fects adequately could be done only by patient and skillful physicians. Some of these children are obviously not handi- capped very seriously. Others may be curable through hygienic care, surgery and fresh air. Still others, if neg- lected, doubtless will grow to be dependent upon the com- munity—unhappy beggars and invalids. In some parts of the world it has been found possible to prevent much of the dependence and misery of cripples in adult life, as well as to reduce the cost of maintenance, by affording appropriate training with the aim of fitting crippled boys and girls to go out into the world self-supporting. In the New York public schools there are about twenty- three classes for crippled children. In Chicago during 1911 the two schools of the system had an enrollment of 195. There are many private institutions for such work in the United States. The model school of Europe for crippled 75 men, women and children is said to be the one founded in Copenhagen, Denmark, in 1812. According to Miss Gold- smith's analysis the divisions of the institutions are : (1) Workrooms. Bandage, mold and corset making, saddlery, forging, shoemaking, are taught, the articles made being for the use of cripples. Schools of handicraft and manual work consisting of wood carving, bookbinding, brush making, joinery, dressmaking, weaving, needlework, housekeeping, cooking and office work. Age of pupils, from 14 to 26 years. (2) Child's School. Rudimentary branches are taught, with emphasis upon music. (3) Clinic, where patients are treated and bandages, wooden legs, boots, etc., are supplied. They are made by pupils at the order of surgeons. (4) Home, where pupils from the country live dur- ing apprenticeship. The furnishings are made by the chil- dren. (5) Recreation Home, at the seashore, "for the most diseased patients." It is claimed that about 90 per cent, of the pupils who attended the Munich Institute for cripples from 1877 to 1902 were able afterwards to earn a livelihood. In Sweden stress seems to be laid upon "a good general educa- tion rather than a training for the trades." In Norway, at the "Sophie Minde" of Christiania intricate designs in furniture, elaborate and exquisite lace and other handi- crafts are produced by cripples. In England such schools are part of the public school system. There are schools in London, Liverpool, Glasgow, Birmingham, Manchester, etc. Thirty three children, about equal numbers of boys Epileptics. and girls, were said to be epileptics by their teachers. Only by scientific means can we diagnose true epilepsy, and its import is so significant that only tentative diagnoses should be made by anyone other than a specially trained doctor. Dr. Martin W. Barr writes : "Epilepsy, as undefinable as it is baffling, may yet be described as an imperfect or an en- feebled condition of certain nerve centers, producing an in- 76 sufficient or an ill-regulated supply of nervous energy which is given off in explosions at irregular intervals ; evi- denced in temporary suspension of motor co-ordination, in convulsive movements, ordinarily associated with loss of consciousness — total or partiaWand often followed by gen- eral prostration (more or less excessive or prolonged) of the entire nervous system, tending to a gradual but cer- tain diminution and degeneration of mental, moral and physical powers. Among the most ancient of recorded dis- eases — coeval almost with the history of man — epilepsy, like a haunting shadow, has through ages dogged the foot- steps of successive generations. * * * No, there is no cure. Epilepsy is due to a something so subtle and elusive that it has so far escaped us; a poison, so to speak, for • which we have no antidote." Epilepsy, or the "falling sickness," is generally char- acterized by a tendency to occasional convulsions accom- panied by loss of consciousness. It is a name denoting a disease or diseases closely resembling one another. It is of many varieties. The causes of epilepsy are not fully de- termined, but heredity appears to be an important factor. There have been cases noted, however, which at about the time of puberty followed convulsions of childhood due to di- gestive and dentition disturbances. Manifold causes are suggested by different authors; epileptic conditions have been found associated with the following possibly exciting causes: intoxication from alcohol, lead, morphine; general irritability due to eye strain, nasal obstructions, bad teeth, intestinal parasites, uterine diseases. care of epileptics. xhe epileptic is not properly a problem for the ordi- nary public school since severe cases should be cared for at home or in a colony under carefully provided conditions for hygiene, morality and occupation. To crowd such unfor- tunates into hospitals or asylums for the insane is unjust to the custodians, and also a wrong to the epileptic in coercing him into hurtful associations and in removing him from possible congenial and useful occupation. In the pub- lic school the child epileptic may cause panic both to pupils and teachers during an attack. It seems that a good noitte- 77 care with proper occupations is the best that can he done for these unfortunates. Some ten or twelve states have pro- vided colonies for epileptics. Of interest to the teacher are the following short ex- tracts from a summary on epilepsy prepared by Shepherd I. Franz, Ph. D., Scientific Director and Psychologist, Gov- ernment Hospital for the Insane (15 > • "The nervous factor is undoubtedly the important one. In fact, it has been found that the initial epileptic attack has been produced by mental injuries alone. The epileptic attack may take one of three forms : grand mal, petit mal, and the psychic equivalent. The grand mal type is com- mon, and consists of violent motor disturbances; the petit mal type is often associated with the grand mal, and con- sists of temporary unconsciousness with slight or no motor hyperkinesia ; and the psychic equivalents are less frequent than either of the other types, and consist of mental de- rangements of a periodic and temporary character. It is 'almost impossible to describe the psychic equiva- lents of epilepsy on account of their great variety and their inconsistency. They usually consist of abnormal acts, in- cluding speech, with an amnesia for the period during which the attack persists. During such an attack an individual may assail, and even kill, a friend, may become capricious and indecent, and in general do all kinds of unlawful acts. This condition may last for only a few minutes or hours, or it may continue for several* days, to be followed by a normal period with an amnesia for the time of the attack. It is of interest to note that migraine is believed by some authors to be a sensory equivalent of epilepsy. Mentally, epileptic children may be bright, even ab- normally so, but usually they are dull and behind the chil- dren of their age. The periods of confusion and of stupidity following convulsions make the child unfit for any mental work, and there is produced a condition of retardation on account of the loss of instruction and of the inability to make up the lost time. This is an added reason why such children should be segregated, for their mental wants may be best taken care of where their mental and physical con- ditions are best understood." Part III REMEDIES, AVAILABLE AND PROPOSED no panacea. No one of the difficulties and evils we have enumerated is isolated entirely from the others. From Plato to Hall, the long list of pedagogical recipes reveals no one cure-all for our conditions. It is a good sign that we are not com- placent, that we perceive along with the good results un- deniable in our school system also need for the elimination of waste and for better adjustment of the school to life. Live schools unceasingly need readjustment. obvious remedies. Lack of a general remedy and the further need of in- tensive research do not excuse us from doing the obvious,, easy things well known to make for betterment. For ex- ample; parents can secure more serious cooperation with the school, on the part of well-to-do people in their homes in matters of instruction of children, of sleep, clothing, play, morals, manners, ideals, and more intelligent atten- tion to remediable physical defects. There is altogether too much tendency to throw the burden of the home upon the school teacher. There are evil symptoms found in the school and in the family that may be traced directly to de- plorable economic conditions — where poverty, child and woman labor, idleness, bad housing conditions, etc., are , pulling against the efforts of the school teacher. Trained nurses — womanly and scientific. — to supplement the work of the medical inspectors are plainly needed. It is obvious also that we need better pay for efficient teachers and more liberal financial support of the enterprises of the schools by our citizenship. Assuming that school authorities earnestly attempt to improve conditions found in the schools when delivered into their keeping, it seldom fails that prompt and caustic criti- 79 cism arises when they err, and they cannot always obtain commendation and help from their critics when they hon- estly attempt to solve some of our difficulties. In American cities the public schools are often confronted by such trou- bles in our schools as these : a heterogeneous and increasing population, mixed racial, religious and commercial inter- ests ; confused and inconstant source? of revenue ; politics ; evasion of school laws ; importunities of those who think the school is the place for fads and cure-alls ; tenure of incom- petents who are wage-earners rather than professional teachers; heedless, destructive criticisms by exploiters of self; the opposition of certain narrow types of college and university men who selfishly cherish a delusion regarding the fabulous educational value of their own specialty and are indifferent or hostile to the needs and values in the edu- cation of the thronging thousands of children. We all agree that we need also humane and scientific measure 1 ? c * cticaL means of caring for the feeble-minded boy or girl who has not adequate home protection. There are surgeons who ad- vocate, as preventive measures to protect society from an increasing volume of mental defectives, oophorectomy in the female and testiectomy in the male, or the less radical operation of vasectomy. Laws for asexualization have been passed by some state, and undoubtedly should diminish the production of idiots. However, in the present state of our knowledge, we do not err in establishing training schools for the feeble-minded, where, instead of depending upon surgery, we may isolate these unfortunate girls and youths for the fourfold purposes of, (1) segregation for hu- mane care; (2) protection against evildoers and evildoing; (3) training in manual occupations and farm work for self- support at the institution ; (4) scientific observation and re- searches into the causes of their condition. Remedial changes and adjustments by school admin- edi ^ s isc ^ o a p n o e s e » s rem istrators are peculiarly difficult because of our lack of knowledge of true conditions and of the size and complexity of the school organization. Reacting from the so-called lock-step, eight-grade system, reformers have made nu- merous proposals, a few of which in trial have been good, 80 while others are puerile in conception. To lessen especially the evils of retardation and slow progress there are a score of suggestions. One impracticable proposal is to make time spent upon a subject the criterion of promotion. Another is to reduce the standard of the passing limit, which would probably lessen effort. Adjust the pace to the weaker pu- pils rather than to the average, says one. More attention to physiological rather than to chronological age, is urged. Still another is to disregard certain branches in promoting ; the question arises immediately, "Which?" In Cleveland it was found that the studies causing greatest slaughter in nonpromotion were grammar, arithmetic, Latin, algebra, geometry. 37 A Texas professor in a small college ad- vocates the making of Greek compulsory to relieve condi- • tions. There are demands to reduce the size of the class group, to appeal to parents to stop "molly coddling," to segregate boys and girls, to have more teachers, to do noth- ing but "let things go on easily and quietly." Definite plans to increase flexibility of promotion and adaptation of the work to the pupil have been practically demonstrated in cer- tain cities. "Every plan must be modified to meet local con- ditions. In many cities several modifications and even sev- eral different plans are needed." erim™i°i stratlve ex " Tlle most ind i vidual istic plan is probably that of Pueblo. It is provided that each pupil shall advance as rap- idly as he can accomplish his work. In some cities, as New York and Chicago, the "large school plan" has been tried. There are three or more classes in each grade. Each class completes the grade as soon as possible. The North Denver plan provides opportunity for the brighter children to do more "extended, more intensive and more individual work than the other members of the class." The Batavia plan endeavors to secure equality of progress by the coaching of slow pupils by an assistant teacher. suggestions of Pub- What immediate steps should be taken as relief meas- lic School Alliance e ures pointedly in behalf of children who exhibit extreme individual differences in the schools is a question pressing upon all cities. In the report of a committee of exceptional children adopted recently by the Alliance certain suggestions 81 were embodied. Considerably abbreviated, they are here re- produced in substance: I. Teachers of New Orleans who have demonstrated ability and intelligent sympathy with the work of attacking the questions of re- peating, elimination and maladjustment in the grades should be fur- ther encouraged to better preparation and effort. It is recognized that efficient teachers of all kinds should be protected from undue anxiety and hardship incident to low compensation, a danger immi- nent, owing to the financial deficit of the year and the policy of re- trenchment. II. Common observation as well as the results of some indi- vidual studies already in hand indicate that home environment is an inevitaDly potent factor in the progress of the school child. III. The immediate installation of any supposedly complete sys- tem of educational devices intended to solve the problems centering in the exceptional child is not recommended by this Committee. IV. However, the above paragraph does not mean that the gravity of the issue involved is to be forgotten. Repeating, elimina- tion and maladjustment in the grades, where there are 40,000 chil- dren, means the unrecognized cost of thousands of dollars and the loss of countless effort. The Committee therefore urges continued interest in these questions and particularly for a consideration of certain measures. The quick adoption of the whole plan about to be outlined, it would be Utopian to urge. Eventually it may prove eco- nomical to put into operation a reorganization including some such elements as follow (1 a-b-c). Such of these as may appear imme- diately available should be adopted as soon as practicable, in order to relieve the conditions revealed by the reports of the teachers and principals in the preliminary census. Measures recommended for special consideration are the following: (a) The health of all the children should be safeguarded. (b) Our course of study should never become static, but should be subjected to incessant revision by competent persons, looking to the especial needs of the great majority of children and not only of those exceptionally bright in mere book work. (c) The exceptional child is of significance as affecting all of the children. It seems that some such measures as are included in the following typical scheme should be gradually adopted by city and state authorities, measures intended especially for the markedly exceptional child. To put into effect some of the measures here indicated would involve much less expense than would appear at first readinc. 1. (a) School for the Training of Feeble-minded Children. For the protection, segregation, self-support and study of feeble-minded, imbecile and idiotic children who have not adequate home care, one institution is needed in the state, to be conducted scientifically and humanely without undue political or sectarian influence. (b) Hospital Schools. For another class of children there should be hospital schools in the city, where, under favorable environ- ment — physical, social and educational — certain children could be kept under observation while being given a chance to improve their physi- cal and mental status. ,,.,,, (cl Parental Schools. These are similar to. the hospital schools, except that they are intended for disciplinary cases, for the incorri- gible boy or girl for whom there remains hope and whose age and 82 possibility of betterment should prevent his or her being committed to a reformatory or penitentiary. Parental schools should, of course, have agriculture and industrial features and should utilize some of the pedagogical principles of the Junior Republic. 2. Special Day Schools. (a) For truants and incorrigibles — disciplinary cases. (b) For extremely backward children. (c) For the deaf and mute. (d) For the blind. (e) For the hopelessly crippled, to aid them toward self- support. 3. Auxiliary Classes Within Our Present School Buildings. (a) For coaching the temporarily backward or handicapped boy or girl. (b) For special attention to children reported as exception- ally capable or gifted. V. The Alliance should work for the permanence of the method • of educational research in attacking these problems." Betterment in the schools of New Orleans and many other Southern cities is slowly coming about by attempts at improvement all along the line— as to buildings, teachers., courses of study and health conditions. Inadequate utterly are our existing special means, as auxiliary classes, special schools, etc., but a beginning in New Orleans has been made in the auxiliary classes (two), a class for the deaf, a kind of disciplinary school — the Waifs' Home — enlargements of manual arts and science in the upper grades, and other changes in prospect. The activity in behalf of improved health conditions and supervised play has grown markedly. supplementary ed- The conservation of the health of teachers and pupils ucanon of teachers. _ xr l' is recognized as basal to success in education. The psycho- physical parallelism of mind and body, and common obser^ vation, attest that education, as learning to know and to do, avails little, if health be shattered. During the year 1912- 1913, under the Board of Education-Tulane agreement, op- portunities for instruction of New Orleans teachers in scien- tific hygiene were unusual. Dr. Creighton Wellman, Dean of the School of Hygiene and Tropical Medicine of Tulane, delivered thirty lectures in the New Orleans Normal School. He explained school hygiene from the standpoint of the phy- sician interested in the detection and prevention of commu- nicable diseases. His lectures were accompanied by appro- 83 priate demonstrations and some microscopy and were en- thusiastically received by the Normal students. Dr. Well- man gave a similar course of ten weeks as a part of Professor Hill's thirty weeks' course for teachers at New- comb, the basis of the latter being the contents of Shaw's School Hygiene and Ayres' Laggards in the Schools. At the Normal School, Wellman was followed, by Hill in thirty lec- tures on school hygiene in two more aspects: (1) adminis- trative; (2) hygiene of instruction. Assistant Professor John M. Fletcher completed the thirty weeks' course at the Normal School by a series of lectures during ten weeks, deal- ing principally with the mentally deficient child. Using as a basis Tredgold's "Mental Deficiency," a similar but more prolonged course was also offered by him to teachers at New- comb, in the extension courses of the University, and was attended by more than a score of city teachers. It has been arranged by the superintendent to continue for the year 1913-1914 the course in educational hygiene at the Normal School, under the supervision of the director of the new Department of Educational Research. In addition to these co-operative efforts to promote Prospective medi- cal inspectors. among teachers a scientific school hygiene, an attempt was made by Messrs. Wellman and Hill to introduce systemati- cally to the problems of educational science, senior medical students of Tulane, some of whom are prospective medical inspectors. The great dearth of training of most physi- cians in educational science has been made a matter of in- vestigation. It is known that at certain commpn points of training, skilled physicians and trained, progressive teach- ers may co-operate in preparing to care for the welfare of the individual child and of the community. To make a be- ginning, it was arranged therefore to have a series of lec- tures delivered before the advanced medical students of Tu- lane, to be delivered by the university professor of psychol- ogy and education. The lectures were prepared in syllabi and were received in an encouraging manner by the stu- dents. We reprint the announcement of the series, which suggests the scope of the lectures. One was delivered dur- ing each of five weeks. 84 SOME EDUCATIONAL PROBLEMS Of Interest to the MODERN PHYSICIAN AND SANITARIAN. A Series of Five Lectures by David Spence Hill, ph. d. Five of the following topics : I. introductory: Psychology, Philosophy and Pedagogy, Scope of Each and Practical Relations. II. Elimination, Retardation and Repeating in the Public Schools of America. HI- The Argument for and Conduct of Medical inspection. IV. The Discovery, . Significance and Educational Treatment of the Ex- ■ ceptional Child. V. Psychological and Practical Aspects of Habit. VI. Mental Work and Fatigue. The movement en- Encouraging as is the movement for 'betterment of our d 3 n ff p rsd schools by centering interest on problems that radiate about the education of the exceptional child, there are dangers. One is to make our school system even less pliable by adopt- ing some new form of organization, and by crystallizing the new system into a rigid mold. Another danger is ex- treme conservatism, found here and there, and adherence to one's prejudices and preconceived opinions in the face of fact-^-which. will keep us stationary or else lead us into waste. It is difficult enough to steer a straight course, even with a sufficient ballast of facts. One of the pioneers of America in this work said to the writer that the movement in behalf of exceptional children was threatened by extinc- tion because of two evils : One was the loading up of aux- iliary classes (intended merely for backwaixi children suf- fering from more or less remediable handicaps) , With im- beciles and idiots who belong at home or in an institution. The second danger is from half-baked students in psychology and pedagogy, Who after a summer school course here or there go abroad as "clinical experts," arid professing esoteric 85 knowledge in classifying and training children. In this work there is no place for the quack in teaching or in medicine, for the egotistic type of administrator, exploiters of self, or for the mere politician. We are trying with our ideals for social efficiency to schools fan with make boys and girls successful. What boys and girls do or the eliminate<1 think most frequently with attention, easily becomes fixed as a tendency to repeat, as habits and* character. The ques- tion has been raised seriously whether, in tolerating condi- tions necessitating so much repeating and slow progress in the grades, we are not training thousands of children to the "habit of being unsuccessful." We cannot deny that for those who are eliminated early the school is a failure. What becomes of the ninety per cent of boys and girls who enter the elementary schools and fail to graduate in the high schools of our American cities, cannot be answered without more numerous and careful studies than those that have been made. Important are the questions : Why do chil- dren leave school? Is it poverty, ill-health, to go to work, lack of interest, inappropriate curriculum, factors at home or in school? It has been found that the introduction of industrial er S E !?oflt e abi e e. of otl1 ' education, of studies and opportunities radically different from those of the well-known conventional type of high School, has resulted often in large enrollment and better preparation of boys and girls, otherwise eliminated from formal education. New Orleans and smaller southern ciies have the great advantage of being able to profit by the ex- perience of other cities before adopting some of these meas- ures. We might as logically think of inventing de novo and of ourselves making at home an electric motor whenever we need an electric fan, rather than to purchase easily the fin- ished product of a thousand hands and minds, as to dis- regard what is essentially needed locally and to ignore what has been done, and is being done, elsewhere, in introducing vocational education. Only thus can useless waste of effort, of hopes and money be diminished. The citizen needs to see more clearly and in their r ela-i oe la%on diUons k wei7 tions the chief features of the local educational and economic 86 situation. It would be of advantage to survey minutely as practicable our present educational system in order that we may know more definitely its organization, attendance,, distribution of educational centers both public and private, elimination, preparation that pupils actually get for the work they take up. Systematized information would be useful about the general character of the people around each center and their use of leisure time. Facts regarding in- dustries need formulating; regarding local commercial, manufacturing, agricultural or mining activities; local or outside capital ; products and markets ; skilled and unskilled labor employed and wages paid; attitude of employers toward 'boys trained in industrial and vocational schools and toward part-time system ; kinds and number of different oc- cupations and trades. In these considerations a score of questions arise, for example : Number of children and adults employed ; health conditions of workers ; demand for work- ers and pay ; tools and value ; need of academic training ; how do beginners learn ; how long remain in certain occupations ; workmen owning own homes ; married ; problem of dull sea- sons with regard to possible use for vocational classes. Trade unions ; organization ; methods ; relations to employer ; attitude toward industrial and vocational education. < 27 > Types of schools. With better comprehension of our local conditions we may then look abroad for the practices elsewhere found use- ful. In America, intended to meet different aspects of the needs for vocational and industrial education, are evening schools, technical schools, manual training, trade schools, preparatory trade schools, part-time and co-operative plans ; apprenticeship and corporation schools, etc. The record of the "older" countries — Germany, England and France — may be contemplated also before we attempt to launch a system comprising, if possible, the best of experience, but adapted skillfully to meet the deep needs of our own population. The philanthropy it is hoped that a consideration of these noteisi and ob- or Delgaao. servations will promote still more of the unselfish spirit of cooperation already manifested in many citizens and offi- cials toward solving the difficult questions of public educa- tion. We are approaching an extensive adoption of voca- 87 tional and trade education because of the opportunity af- forded by Mr. Delgado. The philanthropy of Mr. Isaac Del- gado in bequeathing nearly a million dollars for the estab- lishment of a central trade school for boys in New Orleans is both an example to philanthropists of New Orleans and other cities and also a challenge to educators to see that the best results to our people may be asSured upon this noble foundation. The scope of this brief study does not include consider- n0 ^ t ^e. 9Cl1001 ation of the thousands of boys and girls who pass through ' the schools successfully and become efficient, happy men and women. The pessimist cannot make us believe that the pub- lic school is an utter failure. Let us not forget that the public schools of America are performing the most stupen- dous educational task of any age of the world. REFERENCES. 1. Ayres, Leonard P. Laggards in Our Schools. (Revised.) 1913. 236 p. Relation of Physical Defects to School Progress. Pamphlet 61, Russell Sage Foundation, New York. The Binet-Simon Measuring Scale for Intelligence. Psychological Clinic, Vol. 5. 2. Bare, Martin W. Mental Defectives. Blakiston's Son & Co., Philadelphia. 1904. 368 p. 3. Bell, J. Carleton. Recent Literature on the Binet Tests. Journal Educational Psychology, Vol. 3. 4. Binet, Alfred. Nouvelles Recherches sur la Mesure du Niveau In- tellectuel Chez les Enfants d'Ecole. Annee Psychologique, 17, 1911. Pp. 145-201. 5. Bloomfield, Meyer. The Vocational Guidance of Youth. Miflin Co., Boston, 1911. 124 p. 88 6. BURT, C. Experimental Tests of General Intelligence. British Journal of Psychology, Vol. 3. 7. Ooneadi, Edward. Psychology and Pathology of Speech Development in the Child (with bibliography) . Pedagogical Seminary, Vol. 11. Pp. 328-380. 8. Cornell, Walter S. Health and Medical Inspection of School Children. Davis Company, Philadelphia. 1912. 614 p. 9. Crampton, C. Ward. The Differences Between Anatomical, Physiologi- cal, Psychological and Chronological Ages as Causes of Derailment. Proc. Nat. 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