Understanding Autonomy, Independence, and Adaptive Skills

Autonomy: The ability to perform basic activities of daily living independently.

Unit: Individuals who, due to physical, mental, or intellectual limitations, require assistance and/or aids to perform Activities of Daily Living (ADL). Types include physical dependence, social dependence, economic dependence, and mental dependence.

Independence: A disposition of mood and outlook on life that allows individuals to perform physical acts of daily living as, when, and with whom they choose.

Self-determination: The ability to control one’s own destiny, make decisions and choices about the quality of one’s own life, free from external influence or interference.

Capacity: The power of a person to engage in certain acts or conduct that allow them to function in their social environment.

Competence or Skill: A social attribution indicating a person’s ability to carry out an act.

Habit: Automation that promotes the acquisition of conduct for autonomy. A learned skill through repeated exercise (e.g., brushing teeth).

Deficiency: Loss or abnormality of a structure (member, organ, tissue, etc.) or psychological, physiological, or anatomical function.

Disability: Restrictions or absence (due to a deficiency) of the capacity to perform an act considered normal for a person.

Handicap: A disadvantage for an individual due to a deficiency resulting in a disability, which defines or prevents the fulfillment of a role that would be normal for them.

Conduct: A person’s behavior, channeled through actions performed to suit their environment.

  1. Conduct refers to what a person says or does, whether directly observable or not.
  2. Conduct is defined within the context in which it takes place.

Adaptive Skills Development

Adaptive skills are acquired throughout life in a continuous process from birth, eventually becoming refined. There are four age blocks:

0-6 Years

  • Communication: Begins at birth with the mother, starting in the fetal stage. By the end of this stage, oral communication has begun.
  • Social Skills: Begins pre-socially. Behavior starts to assume role identification and sexual identity, and good behavior must be maintained in meetings, family meals, classrooms, etc.
  • Self-Direction: The child should follow a schedule, be organized with their toys, take good care of their personal belongings and clothes, and seek and accept help if needed.
  • Personal Care: Must learn to dress themselves and collaborate with their individual hygiene, eating without help.
  • Health and Safety: Understand room safety and hygiene, learn not to touch electrical outlets, play near windows, or handle sharp objects.
  • Recreation: Playing with others, taking turns, and sharing toys.
  • Life at Home: Participating in tasks such as setting the table, simple food preparation, and collecting clothes, following repeated game rules.

6-12 Years

  • Communication: Acquires oral, written, and gestural communication skills. Understands and expresses feelings.
  • Social Skills: Respect for others, sharing, and accepting criticism from others.
  • Self-Direction: Knows how to follow a schedule designed for their daily activities, completing them, and knowing what to do in their spare time.
  • Personal Care: Knows how to dress without problems and follows a healthy, balanced diet.
  • Health and Safety: Uses seat belts, knows road safety rules, and avoids unnecessary risks.
  • Community Use: Uses transportation, shops in malls, goes to school alone, and attends social events.
  • Functional Academic Skills: Follows the appropriate learning process in school.
  • Leisure: Can distinguish what they like to do and knows how to use their free time.

12-16 Years

  • Communication: Expands vocabulary and social usage. Uses slang, mobile phones, and TV.
  • Social Skills: Broadens friendships and romantic relationships.
  • Self-Direction: Experiences confusion between what one wants and what one can or cannot do.
  • Personal Care: May adopt a position contrary to social norms (e.g., irregular showering, unsuitable clothing, illegal substances).
  • Health and Safety: Extreme situations may appear (unprotected sex, drug consumption, motorcycles).
  • Leisure: Prefers going out with friends and setting aside family gatherings (parties, concerts).
  • Home Life: Acts contrary to already acquired skills may occur (e.g., not making the bed, arguing).
  • Functional Academic Skills: By 16, mandatory training is nearly complete, and minimum learning standards should have been acquired.
  • Work: At 16, access to employment is permitted.