Blindness, Deprivation, and IQ: A Meta-Analysis Rionne van Rijk and Stephanie Kämper Master’s thesis University of Amsterdam Work and Organizational Psychology Supervisor: Dr. Jan te Nijenhuis Augustus 2007 Acknowledgement We would like to thank Dr. Jan te Nijenhuis, Dr. Riet Dekker, Prof. Dr. Paul Nater, and Prof. Dr. Helga Weinläder for their enthusiastic support and helpful guidance on our project. Table of contents SUMMARY ............................................................................................................................................................... 0 INTRODUCTION .................................................................................................................................................... 1 GROUP DIFFERENCES IN MEAN IQ......................................................................................................................... 1 VISUAL IMPAIRMENT: THE BLIND AND THE PARTIALLY SIGHTED ........................................................................ 2 VISUAL IMPAIRMENT NEGATIVELY IMPACTS COGNITIVE DEVELOPMENT ............................................................ 4 VISUAL IMPAIRMENT AS A NATURAL EXPERIMENT ............................................................................................... 5 RESEARCH HYPOTHESES ........................................................................................................................................ 6 METHOD .................................................................................................................................................................. 7 LITERATURE SEARCH ............................................................................................................................................. 7 CRITERIA FOR INCLUSION....................................................................................................................................... 8 DESCRIPTIVE STATISTICS ..................................................................................................................................... 10 ADJUSTMENT OF US DATA SETS FOR THE PERCENTAGE OF NONWHITES ........................................................... 11 ADJUSTMENT FOR THE FLYNN EFFECT ................................................................................................................ 11 PSYCHOMETRIC META-ANALYSIS ........................................................................................................................ 14 RESULTS ................................................................................................................................................................ 14 DISCUSSION.......................................................................................................................................................... 21 CONCLUSION ....................................................................................................................................................... 24 REFERENCES ....................................................................................................................................................... 25 Summary The genetic basis of individual within-group differences in intelligence among the majority populations of the industrial nations has been established through the use of twin studies and adoption studies. The question of the cause of the well documented difference in mean IQ test scores between ethnic groups, however, remains one of the most hotly debated issues in behavioral science. A major difficulty in resolving the question is that genetic differences and environmental (cultural, social, and economic differences) between the groups are usually confounded. The present study examines a different group: the blind and partially sighted. One major non-genetic hypothesis, cultural deprivation, argues that the deleterious effects of a poor and non-stimulating environment increase over time, leading to the full standard deviation difference in average test scores between Blacks and Whites in the US. The present study performed a meta-analysis of studies of the IQ of visually impaired children and adults. The results of our analysis demonstrated that visual deprivation showed no effect on the average IQ scores of a severely handicapped group, and therefore it disconfirmed the cumulative deficit hypothesis. Further disconfirmation of the cumulative deficit hypothesis comes from the finding that for the blind and partially sighted, any IQ deficit decreases with age, contrary to the predictions of cumulative deficit theory. Of course, the environment of visually impaired is not exactly the same as the environment of Blacks. However, it does not seem unreasonable to assume that the environment of the visually impaired is much more deprived than the environment of Blacks. If the severe deprivation caused by blindness does not impact IQ, it seems unlikely that the arguably lesser deprived environment of Black children is an important source of their lower average IQ score. Our meta-analytically based study makes environmental causes of group differences in IQ less plausible and therefore genetic causes less implausible. Introduction Children raised in the same family show large individual differences in scores on IQ tests. As genetic and environmental causes of IQ differences are fully confounded within families, twin and adoption designs are required to determine their separate effects. There is consensus among people who have studied the empirical findings that among the majority population of modern industrial societies, genetic causes are more powerful than environmental causes in explaining individual differences in IQ. However, there is no such consensus regarding the cause(s) of between-group differences in intelligence, primarily because genetic and environmental causes are strongly confounded in the large majority of studies. Environmental deprivation, for instance, has often been suggested as an important cause of group differences in mean IQ scores. It takes quasi-experimental designs, such as the traditional twin and adoption designs to test the deprivation hypothesis. However, the comparison of IQ data of visually impaired and sighted persons provides a potentially important additional quasi-experimental design. The present paper, the first to employ this methodology, provides a strong test of the deprivation hypothesis. The IQ data of samples of visually impaired persons offer a unique insight into the causes of between-group differences. Due to their lack of vision, visually impaired persons grow up in a world deprived of visual stimuli. Their environment differs markedly from that of sighted individuals. Visual impairment provides a natural experiment in deprivation on which to test the deprivation hypothesis of group differences. If visually impaired persons score substantially lower on IQ tests than sighted persons it would give strong support to the environmental deprivation hypothesis. We therefore carried out a meta-analysis of IQ scores of the visually impaired in order to determine the degree to which environmental deprivation affected intelligence test scores. Group Differences in Mean IQ Finding group differences in mean IQ scores is more the rule than the exception (see Berry, 1966; Jensen, 1980; Lynn, 1982, 1988, 1997; Lynn & Vanhanen, 2002; Ogbu, 1994; Reynolds & Murdoch-James, 1994; Shuey, 1966; Wright, Taylor, & Ruggiero, 1996; 1 Zeidner, 1987). The best studied group difference in mean IQ is the 15 IQ point difference between black people and white people (Jensen, 1998). Because test scores are the best predictor of economic success in Western society (Schmidt & Hunter, 1998, 2004), these group differences have important societal implications. Although there is a consensus among those who have studied the empirical findings that group differences in IQ scores exist and that they translate into real-world outcomes in educational and work achievement, there is no consensus regarding their cause. Throughout the history of psychology, no question has been so persistent, so resistant to resolution, or so heatedly debated as that of the relative roles of nature and nurture in causing group differences in cognitive ability. The numerous reviews and analyses include those by Loehlin, Lindzey, and Spuhler (1975), P.E. Vernon (1979), Herrnstein and Murray (1994), Brody (1992), the APA Task Force (Neisser et al., 1996), Nisbett (1998), Jensen (1998), and Lynn (2006). The IQ data of samples of visually impaired persons offer a unique opportunity to test the deprivation hypothesis of the causes of group differences in mean IQ scores. Visual Impairment: The Blind and the Partially Sighted Visual impairment entails a severe limitation of visual capability and includes both partial sightedness and blindness (Bailey & Hall, 1990). Visual acuity is the main characteristic used to assess visual impairment. It refers to the measurement of the ability to discriminate clearly the fine details of objects at a given distance (Lowenfeld, 1973). Descriptive indices are used such as having 20/70 vision, which means that a person must be able to see at a distance of 20 feet what a normally sighted person can see at a distance of 70 feet (Bishop, 1996). Various definitions of blindness can be found in the literature. In the present research we use the following (see Figure 1): Visual impairment is defined as having less than 20/70 vision and it includes the categories of partially sighted and blind; Partially sighted is defined as having visual acuity better than 20/200 up to and including 20/70 (Lowenfeld, 1973); Blind is defined as having less than 20/200 vision in the healthier eye (Bishop, 1996). Individuals who are blind must rely primarily or exclusively on senses other than sight, such as audition and touch to acquire information. The category of blind includes persons classified as totally blind, which ranges from complete lack of vision to having a severely limited residual vision 2 with which they are able to read using special aids. In the present research we focus on the blind and the partially sighted. Vision Sighted Visually impaired Blind Partially sighted Figure 1 Classification of Degree of Visual Impairment Visual impairment can be the result of either congenital or adventitious factors. Congenital visually impaired individuals are diagnosed as blind either at birth or during the first year of life. Their handicap is due to heredity, prenatal damage, or trauma at birth. Adventitious visual impairment happens after the age of four years, and such blindness may have a sudden onset, (as in the case of accidents), or it may develop progressively as a consequence of a disease (as it does in cases of retinitis pigmentosa; Bishop, 1996). Further, many blind individuals have additional handicaps such as mental retardation (Dekker, 1987). However, the present study is restricted to visually impaired individuals with no additional handicaps. 3 Age at onset does affect functioning and instructional needs of the visually impaired individual (Sandoval, Frisby, Geisinger, Scheuneman, & Grenier, 1998). Children who lost their sight before they were five to seven years of age do not retain useful visual or color imagery, so they rely completely upon their nonvisual senses. However, children who lose their sight after the age of five may retain visual and color imagery of which they make use in their learning processes (Lowenfeld, 1973, Sandoval et al., 1998). Visual Impairment Negatively Impacts Cognitive Development To what extent does visual impairment affect cognitive development? Vision is the feedback sense that helps the sighted child accumulate information by which to adapt to the environment. When vision is reduced or absent nearly all aspects of early development can be affected (Bishop, 1996). The development of the visually impaired individual from infancy to adulthood will be described using Piaget’s theory of cognitive development. Piaget’s sensorimotor period, which extends from birth to two years, is characterized by the progressive formation of sensory motor schemes. The gross and fine motor skills of blind children show a slower development compared to those of sighted children. This produces a reduced ability to manipulate objects, a deficiency of body image, and an inability of imitation, which results in sitting, crawling, and walking at a later age than sighted children. Also, visual deprivation retards the capacity for spatial representation (Hatwell, 1985). Moreover, blind children have to rely on ear-hand coordination in contrast to the eyehand coordination of sighted children. The development of the eye-hand coordination of the sighted starts at five months, whereas the development of the ear-hand coordination of the blind starts as late as nine months. In sum, the motor development of young blind children is severely delayed. Piaget's preoperational period, which generally extends from the age of two to seven years, is characterized by the development of language and symbolic functions. The underdevelopment of the sensorimotor skills of blind children, which started in the sensorimotor period, reduces their capacity to acquire speech and language, which results in a delay of one year on mastering verbal tasks (Hatwell, 1985). Children who became visually impaired before five to seven years of age do not retain a valuable imagery of symbols and therefore are forced to rely completely upon their nonvisual senses (Lowenfeld, 1973; 4 Sandoval et al., 1998). Taken together the factors cause visually impaired children to have an average delay of three years in school achievement compared to sighted children. In Piaget’s model the period of concrete operations, which generally extends from the age of seven to the age of twelve, is characterized by the progressive attainment of the notions basic to the comprehension of space, time, classification, seriation, and numbers. The final period in the model, termed formal operations, is characterized by reasoning based on verbal statements rather than on concrete manipulations (Hatwell, 1985). Delays of up to two and a half years on tasks of classification-seriation, volume-conservation, and spatial and formal abstract operational tasks have been reported for blind children (Dekker, 1987, 1990; Hatwell, 1985). In sum, visually impaired children are severely delayed in their cognitive development. School achievement is substantially delayed as well. Therefore, loss of vision produces a severe handicap in the development of visually impaired children. Visual Impairment as a Natural Experiment A fundamental problem in the study of individual differences in intelligence is that in the large majority of studies genetic and environmental causes are strongly confounded. Only a fraction of studies employ quasi-experimental research designs capable of distinguishing between the effects of genetic and environmental causes. In the quasi-experimental adoption design, for example, biological children and adopted children who grow up in the same family are compared. Unlike siblings, these children share the same home environment, but not the same genes. The study of visually impaired children should be regarded as a complement to the adoption design: visually impaired and sighted children growing up in the same family share the same genes, but not the same environment. Due to visual deprivation, the environment of visually impaired children is fundamentally different from that of sighted siblings. Comparing their average test scores offers a new quasi-experimental methodology to disentangle the influences of nature and nurture. Of course other groups of visually impaired and sighted can also be compared, as long as they are matched on important background variables, such as age. The present study is the first to use this new research design to test a specific hypothesis of the causes of between-group differences in intelligence, namely the cumulative 5 deficit theory (Jensen, 1974, 1977). This theory suggests that the deleterious effect of general environmental deprivation on IQ scores accumulate over time. It is assumed that early in life, individuals in deprived and enriched environments have similar IQs. However, over the course of time, the cumulative effects of the environmental conditions experienced by deprived and enriched groups gradually separate the distributions of IQ. In other words, those in an intellectually enriched environment have a faster, steeper growth curve of cognitive development relative to those in impoverished environments, which in turn leads to wider separation between groups as age increases. Simply stated, the effects of active environmental factors add up over time. Visual impairment provides a natural experiment in deprivation with which to test the cumulative deficit hypothesis of group differences. It is obvious and documented that visually impaired children grow up in a deprived environment and that their blindness is a severe handicap: both their cognitive development and their scholastic achievement lag far behind those of sighted children. The cumulative deficit hypothesis predicts that the IQs of visually impaired people and sighted people, growing up in divergent environments, will gradually diverge over time. Visually impaired persons scoring substantially lower on IQ tests than sighted persons would provide strong support for the environmental deprivation hypothesis. Research Hypotheses In this paper we test the cumulative deficit theory, which predicts that environmental deprivation negatively effects intelligence scores. This general theory leads to four specific research hypotheses to be tested. First, the visually impaired should have substantially lower mean IQ scores than the sighted. Second, the blind should have substantially lower mean IQ scores than the partially sighted. Third, the congenitally visually impaired should have substantially lower mean IQ scores than the adventitiously visually impaired. Fourth, younger visually impaired children should have substantially higher mean scores than older children and adults (who have experience more years of deprivation). 6 Method Literature Search To identify studies for inclusion in the meta-analysis, eight search strategies were used. 1) A computer search was conducted in PsycINFO, PiCarta, PubMed, ERIC, Scirus, ABIInform, and Tesionline. A number of keyword combinations were used to conduct the searches, for example: visually impaired/handicapped, congenital blind*, blind person*/subject*, legally blind* AND IQ, intelligence, cognitive functioning, IQ tests for the blind (* is a truncation symbol to represent multiple spellings or endings; AND is a Boolean operator that combines search terms so that the search result contains all of the terms). 2) A manual article by article search was carried out in a large number of journals, such as The International Journal for the Education of the Blind, Journal of Visual Impairment and Blindness, British Journal of Visual Impairment, Education of Visually Handicapped, Sehgeschädigte, Zeitschrift für das Blinden- und Sehbehindertenbildungswesen, and Research Bulletin: American Foundation for the Blind, from 1930-2007. Additionally, an electronic search of the journal Visual Impairment Research was conducted. 3) Manuals of tests for the assessment of visually impaired individuals were checked searching for mean IQs. 4) Several institutions for the blind, namely Bartimèus and Visio in the Netherlands, and Center of Learning for Visually Impaired and Blind [BBS–Nürnberg] in Germany were contacted and asked for studies that reported the mean IQ scores of blind and partially sighted individuals. 5) Libraries and test libraries of the Universiteit van Amsterdam, Vrije Universiteit Amsterdam, Universiteit Groningen, Universiteit Nijmegen, Universität Dortmund, Humboldt-Universität, and Universität Heidelberg were visited in order to search for relevant articles. 6) Several well-known researchers were contacted in order to obtain additional articles and supplementary information. 7) The reference lists of all currently included empirical studies were checked to identify articles of interest. 7 8) A citation search was conducted in which the reference section from previously gathered articles had been examined to identify any articles that may have potentially been missed by earlier search methods. Fourteen books, twelve test manuals, one dissertation, and more than two hundred articles were collected, yielding 72 data points. Approximately 85% of the data points were a result of searching manually article by article. A database was developed containing Dutch, Flemish, German, British, and American studies, which were used for the meta-analyses. Criteria for Inclusion Throughout the search for studies, the following criteria were used for selecting studies in the meta-analysis. 1) Articles had to include samples fitting the definitions of blind or partially sighted. 2) A study had to include a sample consisting of at least four research participants. 3) The study had to report sufficient data for the calculation of at least one mean IQ score. 4) The study had to describe the performance of a sample in quantitative fashion. Studies merely reporting that intelligence tests were reported, or those reporting statistical output that could not be converted into IQ scores were excluded from the analysis. 5) The study had to report data for persons with only a single handicap, namely visual impairment. Visually impaired persons with additional handicaps, known to result in lowered IQ scores, such as brain damage, were excluded. 6) The various versions of the Wechsler test batteries were the most used test battery in the present study. The manuals of the WISC (Wechsler, 1948) and the German WISC, the HAWIK (Hardesty & Priester, 1966) report nationally representative samples, including a certain percentage of mentally handicapped individuals. We therefore included samples that contained a percentage of visually impaired persons with IQs of 69 or lower, but groups consisting of more than five percent of mentally handicapped were excluded. 7) Samples included in the meta-analysis had to be homogeneous with regard to the mean IQ scores of their countries. Thus samples from Western Europe and the United States were combined, as they all have IQs close to 100. Samples from countries with mean IQs that differ substantially from the Western European and United States mean were not included in the 8 meta-analysis. Samples of minority groups from Western Europe and the US that scored lower on the general factor of mental ability (g) were also excluded from the meta-analysis. 8) Finally, studies had to be published in English, Dutch, or German or offer an abstract in one of these languages describing major results. Measures Used in the Meta-analysis The measures used in this meta-analysis can be divided into broad test batteries, verbal scales, and performance scales. Test authors are reported where that information was available; however, authorship of some tests remains unknown, despite thorough searches. With regard to broad test batteries, various forms of the Wechsler test batteries were used, such as WPPSI (Wechsler, 1967), WISC (Wechsler, 1948), WISC-R (Wechsler, 1974), WAIS (Wechsler, 1955), and WAIS-R (Wechsler, 1988), as well as the Dutch WISC, the German WISC, the Hamburg-Wechsler-Intelligenztest für Kinder [HAWIK] (Hardesty & Priester, 1956), and the British Ability Scale [BAS] (Elliott, 1983). Another broad test battery used in this study is the Dutch Intelligence Test for Visually Impaired Children [ITVIC] (Dekker, Drenth, & Zaal, 1989), which, for instance, uses various haptic subtests to measure Broad Visual Perception. The most commonly used tests of verbal IQ are the various versions of the Binet tests (Interim Hayes-Binet (1942) and the Perkins-Binet (1980)) and the verbal scales of the WISC. Two studies used only the vocabulary subscale of the WISC. The various versions of the Binet are based on forms L and M of the Stanford-Binet (1937; Goldman, 1970). Less commonly used tests of verbal IQ are the Intelligenztest für normalsichtige und sehgeschädigte Kinder und Jugenliche [INS] (Dortmund, 1970), the Slosson Intelligence Test [SIT] (Slosson, 1963), and the Williams Intelligence Test (Williams, 1956). The INS is based on the Williams, which in its turn was based on the Stanford-Binet and the WISC (Warren, 1984). One of the few performance tests used in this meta-analysis is Stanford-Ohwaki-Kohs Block Design Intelligence Test for the Blind (Suinn & Dauterman, 1966). This tactile version of the Kohs Block Design Test requires adult subjects to reproduce a stimulus design by assembling blocks. The stimulus designs are formed by combinations of four differing fabrics: flannel, silk, flax, and cotton, each with raised projection. Another performance test for blind adults is the Haptic Intelligence Scale [HIS] (Shurrager & Shurrager, 1964), which is modeled 9 on the Performance Scale of the WAIS. The Blind Learning Aptitude Test [BLAT] (Newland, 1971) is a performance test for blind children. Although it is based on learning potential theory, the correlation with total score on the Hayes-Binet and the WISC are high. Descriptive Statistics Mean IQs were computed for all datasets. First, when a study reported a mean IQ score it was included as a data point in the meta-analysis. Second, when a study reported two mean IQ scores, one of them was included as a data point in the meta-analysis. Third, when a study reported an IQ range for one test, the middle of the range was included as a data point. Fourth, when a study reported IQ ranges for two tests, the middle of one of the ranges was included as a data point in the meta-analysis. In certain datasets the research participants took two separate IQ tests. Our choice of independent data points leads to the following procedure. First, we choose the sample with the highest N. Second, when sample sizes were equal we chose the sample with the most recent version of a traditional intelligence test. Third, when both samples were of equal size and took the same test we choose the sample which took a whole test battery over the one that took only one or a few subtests. Data points were usually based on a test battery or a full scale, most often a verbal scale. Two studies reported only means on the WISC vocabulary subtest, but were included as data points in the meta-analysis because this subtest is an excellent measure of general intelligence. In the BLAT manual (Newland, 1971) mean scores for various groups of Whites and Nonwhites are reported. The effect sizes of the White/Nonwhite score differences were computed by subtracting the Nonwhite mean score from the White mean score and dividing the result by the combined White and Nonwhite SD. However, these differences cannot be directly compared to White/Nonwhite differences on, for instance, the Wechsler batteries, because the BLAT is not a complete test battery. The BLAT total score correlates only .71 with the score on the Verbal scale of the WISC, while the Verbal scale and the full scale score of the WISC correlate .91 (Wechsler, 1948). In order to put White/Nonwhite differences on the BLAT on a scale that is comparable to White/Nonwhite group differences on the 10 Wechsler full scale IQ, all effect sizes were multiplied by 1/ (.71 x .91); we assumed there were on other important differences between BLAT and WISC. Assuming a mean IQ of 100 for the White sample on the BLAT, the White/Nonwhite difference was expressed in IQ points, and these IQ points were subtracted from the White mean, resulting in an estimate of the mean IQ of blind Nonwhites in the U.S. Adjustment of US Data Sets for the Percentage of Nonwhites The U.S. population consists of a much higher percentage of Blacks and Hispanics than the European population, especially at the time most data sets for the meta-analysis were collected, namely the 1960s, the 1970s, and the early 1980s. Because the average score for U.S. Blacks is one SD lower than that for Whites, and that of U.S. Hispanics is 91, U.S. samples, which usually contain both Black, Hispanic, and White visually impaired, cannot be directly compared against the homogeneous European samples from the 1960s, 1970s, and early 1980s. Estimates of the percentage Nonwhites among the U.S. visually impaired were based upon data from the BLAT manual, which uses a norm group representative for all blind American children, yielding 15% Nonwhites. A percentage of 15% Nonwhites scoring 12 IQ points lower than Whites results in a 1.8 IQ points lower mean score, so we corrected the U.S. samples by this value. Only four studies actually reported the percentage White and Nonwhite. They were not corrected by using the standard value of 1.8 IQ points, but rather by using the percentage reported in the study. Adjustment for the Flynn Effect James Flynn (1984, 1987, 1998) was the first to show that average scores on intelligence tests have risen substantially and consistently, all over the world. Between 1930 and 1990 the gain on standard broad-spectrum IQ tests, such as the WISC and the WAIS, averaged three IQ points per decade. For verbal tests, or more precisely, tests with a content 11 that most reflects the traditional classroom subject matter, the gain is two IQ points per decade, and for non-verbal (Fluid and Visual) tests the gain is four IQ points per decade. When calculating IQ scores for blind test takers, an adjustment needs to be made for this increase in mean IQs in economically developed countries since the 1930s. In most of the studies of blind test takers the raw scores were compared to the scores of norm groups of the specific test taken, yielding estimated IQ scores for the blind. However, the various samples of blind test takers show a large variance in the number of years elapsed between the year in which the specific test was standardized and the year in which a specific test was taken. Tests were taken a few years up to a few decades after the tests were taken by the persons making up the standardization sample. For instance, the WISC-R was standardized in 1972, so samples of blind persons taking the WISC in 1975 show only a modest, three-year Flynn effect, whereas samples of blind persons taking the WISC in 1994 show a much larger, twenty-two-year Flynn effect. We adjusted verbal scales using the value of two IQ points per decade as a standard and non-verbal or performance scales using the value of four IQ points per decade as a standard. When studies employed test batteries for which the rate of secular increase in means is not known, we assumed an increase of three IQ points per decade. When the date at which standardization was carried out is not given, it was assumed to have taken place two years before the date of publication. When the collection of the standardization sample took several years we took the year in the middle. In cases where the subjects of a study took different tests we chose the most recent test. When the study did not report the test battery taken we chose the Wechsler batteries’ value of three IQ points per decade based on the fact that the various versions of the Wechsler test batteries are the most used test battery in the present study. Table 1 shows the value of the correction per decade, the publication date, and the date the standardization sample was collected for the manuals of each of the various tests used in the present study. 12 Table 1 Value of the Flynn Effect Correction per Decade, Publication Date, and the Date of the Collection of the Standardization Sample for the Manuals of All Tests Employed correction p.d. date publication stand. sample test WPPSI US 3 1967 1963-1966 WISC US 3 1948 1946* 2 1948 1946* 3 1974 1971-1973 2 1974 1972 3 1955 1953-1954 2 1955 1953-1954 3 1988 1986* 2 1988 1986* 3 1956 1954* 2 1956 1954* BAS 3 1983 1981* ITVIC 3 1989 1987* Perkins-Binet Flanders 3 Unk. 1973 Interim Hayes-Binet 2 1942 1940* INS 2 1970 1968* Williams Test 2 1956 1954* SIT 2 1971 1969* HIS 4 1964 1962* BLAT 4 1971 1969* Stanford Ohwaki Kohs Block Design 4 1960 1958* WISC US Verbal WISC-R US WISC-R US verbal WAIS US WAIS US Verbal WAIS-R US WAIS R US Verbal HAWIK Germany HAWIK Germany Verbal Note. * = year estimated. Unk. = unknown The modest amount of information available on the INS suggests it is a verbal test. 13 Psychometric Meta-analysis After the studies were collated and their characteristics recorded, we performed a barebones psychometric meta-analysis (Hunter & Schmidt, 2004), using the Schmidt and Le (2004) software package. A bare-bones psychometric meta-analysis estimates how much of the observed variance of findings across studies is due to sample size alone. To test the main hypothesis, we used all 72 data points based on studies that reported a mean IQ score or an IQ range. Additionally, various study characteristics were coded and treated as potential moderators of the relation between group membership and mean IQ scores. We tested the following moderators: age, blind versus partially sighted, and congenitally versus adventiously visually impaired. Age is hypothesized to play an import role due to the fact that young visually impaired children fall three years behind in their development when compared with sighted children. The BLAT manuals report mean IQ scores for ages six to nineteen. These show an increase of 4 IQ points after the age of twelve. Therefore, we separated young children up to the age of twelve from older children and adults. Blind versus partially sighted plays an important role in the actual amount of deprivation. Congenital versus adventitious blindness plays an important role in the amount of visual memories, which influences the development of mental concepts and is hypothesized to lower IQ scores. Results Table 2 summarizes the studies used in this research. Data are derived from 72 studies with a total number of 6,293 participants. The Table gives the reference for the study, the sample size, and the mean IQ scores of U.S. samples corrected for percentage Nonwhites, the mean IQ scores of all samples corrected for the Flynn effect, and the mean IQ scores as reported in the original studies. When the individual studies reported the specific data, the Table also reports the IQ range, the age range, the IQ test or tests used in the study, the category of blindness, the origin of the study (Europe or United States), and the cause of the blindness (congenital or adventitious). 14 Table 2 Dutch, Flemish, English, German , and US studies of Mean IQs of Visually Impaired Study N 1) Alford, Moore, & Simon (1979) 21 2) Baitinger & Bernd (1970) 135 3) Baker, Koenig, & Sowell (1995) 30 4) Bauman (1971) Mean IQ Corr. For FE + % Non-Wh 91.2 Mean IQ Corr. for Flynn eff. Mean IQ Range age Test Blindness category Additional information 89.4 90.4 WISC-R verbal Visually impaired US 102.3 105.1 HAWIK verbal Visually impaired Germany 92.8 91.0 97.3 WISC-R Blind US 5 106 104.2 109 Unknown Visually impaired US 5) Blackhurst, Marks, & Tisdall (1969) 152 104 102.2 106.4 Unknown Blind US 6) Blackhurst & Marks (1977) 152 101.9 100.1 106.7 Unknown Visually impaired US 7) Blasch (1978) 6 104.4 102.6 109.5* Unknown Visually impaired US 27 (A=8, B=19) 8 (A) 93.6 91.8 99.0 Unknown Visually impaired US 8) Bonfati (1979) 93.6 91.8 99.0 Unknown Visually impaired US Congenital 19 (B) 93.6 91.8 99.0 Unknown Visually impaired US Adventiously 89.6 100 BLAT Visually impaired UK Unknown Blind US WISC-R Visually impaired US 10-12 16-20 9) Boyer (1997) 28 10) Brothers (1971) 40 99.0 97.2 102 11) Chin (1988) 16 97.1 95.3 99.5* 12) Cleaves & Royal (1979) 24 (A=12, B=12) 99.9 98.1 102.9 WAIS verbal Visually impaired US 12 (A) 97.8 96.0 100.8 WAIS verbal Visually impaired US Congenital 12 (B) 102.0 100.2 105.0 WAIS verbal Visually impaired US Adventiously 99.1 103.0 BAS Visually impaired UK 97.0 95.2 103.0 Unknown Visually impaired US Congenital 89.7 87.9 95.7 Unknown Visually impaired US 13) Corley & Pring (1996) 11 14) Czerwinski & Tait (1981) 12 (A=3, B=4, C=4) 3 (A) 6-10 7-10 5-8 ( continued on next page) 15 Table 2 (continued) 15) Daugherty (1977) 4 (B) 102.5 100.7 108.5 9-12 Unknown Visually impaired Visually impaired Visually impaired US 4 (C) 97.0 95.2 103.0 13-17 Unknown 29 (A=10, B=19) 10 (A) 85.9 84.1 89.9 WISC verbal 83.3 81.5 87.3 WISC verbal Blind US 19 (B) 87.2 85.4 91.2 WISC verbal Partially sighted US 99.5 92.1 93.7 7-18 WISC-R verbal Visually impaired US 6-16 ITVIC Visually impaired The Netherlands PerkinsBinet Flaanders Blind Belgium US US 16) Daugherty & Moran (1982) 51 17) Dekker (1993) 155 98.8 100.0 18) Devos (1985) 40 101.2 104.2 19 91.8 94.8 13-20 PerkinsBinet Flaanders Blind Belgium 15 88.7 91.7 4-12 PerkinsBinet Flaanders Blind Belgium 93.6 97.8 6.411.8 WISC-R vocabulary Visually impaired UK 102.5 110.0* 17-42 Unknown Visually impaired US 110.0 111.0 INS Visually impaired Germany Unknown Visually impaired US 19) Dimcovic & Tobin (1995) 30 20) Everthart, Luzader, & Tullos (1980) 8 21) Fischer (1975) 40 22) Franks & Nolan (1971) 48 96.5 94.7 99.5 23) Gadbaw, Dolan, & De L’Aune (1977) 297 108.3 106.5 113.1 Unknown Visually impaired US 24) Gore (1969) 16 118.7 116.9 121.1 Unknown Blind US 25) Gutterman, Wart, & Genshaft (1985) 52 83.4 81.6 83.8 WISC-R verbal Partially sighted US 26) Hammill & Crandell (1969) 73 89.8 88.0 92.2 WISC verbal or SIT Visually impaired US 27) Harley & Rawls (1970) 39 80.3 78.2 82.7 Unknown Visually impaired US 28) Hasselt, Hersey, Simon, & Mastanuono (1983) 4 78.8 77.0 78.8 14-20 WISC-R verbal Visually impaired US Congenital 29) Herman, Herman, & Chatman (1983) 12 86.6 84.8 93.0 12.424.6 HayesBinet Visually impaired US Congenital 104.3 12-22 6.310.7 ( continued on next page) 16 Table 2 (continued) 30) Hill, Spencer, & Baybutt (1985) 28 85.4 94.4 31) Hopkins & McGuire (1967) 30 100.8 105.8 32) James & Gill (1974) 21 96.4 100.0 33) Jones (1983) 56 96.2 98.6 34) Klauer (1962) 62 92.9 94.7 35) Krüger (1974) 53 81.2 86.6 36) Lambert, Griffin, Pike, & Kurr (1980) 7 94.3 92.5 100.0* 37) MacCluskie, Tunick, Dial, & Paul (1998) 60 97.0 95.2 97.2 30 96.9 95.1 30 97.1 93.5 102.6 98.0 5-12 Unknown Visually impaired UK HayesBinet Blind US* Congenital 7.417.7 Williams Test Visually impaired UK 16-79 SIT Visually impaired US HAWIK Partially sighted Germany HAWIK Visually impaired Germany Unknown Visually impaired US 18-65 WAIS-R verbal Visually impaired US 97.1 18-65 WAIS-R verbal Visually impaired Congenital 95.3 97.3 18-65 WAIS-R verbal Visually impaired Adventiously 91.7 91.7 6-24 Unknown Visually impaired US 99.5 105.1 6-11.9 Williams Test Visually impaired UK Congenital 6-10 SIT Visually impaired US Congenital SOKTBD Blind US 6.116.1 38) Merry & KieferMerry (1933) 98 39) Millar (1984) 20 40) Miller (1969) 26 96.0 94.2 94.2 41) Mills & Adamshick (1969) 82 102.0 100.2 103.8 42) Monahan, Giddan, & Emener (1978) 200 111.6 109.8 114.4 17-19 WAIS verbal Visually impaired US 43) Mommers & Smits (1975) 95 99.1 98.3 ** ⅔ same sample 7-13 WISC verbal Blind The Netherlands 1970 44) Mommers & Smits (1975) 94 104.8 104.4 ** WISC verbal Blind The Netherlands 1972 45) Mommers (1977) 106 91.0 97.6 Unknown Visually impaired The Netherland 46) Myers (1978) 36 98.9 100.3 SIT Visually impaired US 47) Nater (1982) 68 101.0 106.2 HAWIK verbal Visually impaired Germany 100.7 14-22 ( continued on next page) 17 Table 2 (continued) 48) Nater (1984) 217 90.7 96.3* 49) Nelson, Dial, & Joyce (2002) 292 50) Newland (1971) 482 HAWIK verbal Visually impaired Germany 87.7 85.9 100.0 18-69 Unknown Visually impaired US 89.0 87.2 91.8 7-18 WISC verbal Blind US 158 80.1 78.3 82.9 7-12 WISC verbal Blind US 324 90.7 88.9 93.5 13-18 WISC verbal Blind US 51) Parke, Shallcross, & Anderson (1980) 21 94.3 92.5 100.0* 5-15 Unknown Visually impaired US 52) Parsons (1987) 17 96.6 90.4* 100* 6-19 Unknown Visually impaired US 53) Pring (1985) 10 104.0 113.0* Unknown Blind UK Congenital 54) Pring, Dewart, & Brockbank (1998) 16 108.5 116.9 Williams Test Visually impaired UK 55) Rath (1967) 46 90.6 92.8 HAWIK verbal Visually impaired Germany 56) Roeske (1969) 26 (A=10, B=16) 95.7 93.9 98.1 8-18 Unknown Blind US 10 (A) 92.6 90.8 95.0 8-11 Unknown Blind US 16 (B) 97.6 95.8 100.0 13-18 Unknown Blind US 98.5 96.7 99.4 12-18 WISC-R N=7; WISC N=2; PerkinsBinet N=1 Visually impaired US Congenital 105.8 105.8 WISC-R verbal Visually impaired Germany 12 (A) 108.0 108.0 WISC-R verbal Blind Germany 12 (B) 105.0 105.0 WISC-R verbal Visually impaired Germany 12 (C) 104.4 104.4 WISC-R verbal Partially sighted German 98.6 100.4 WISC-R vocabulary Visually impaired US 57) Sanford (1983) 10 58) Schindele (1974) 36 (A=12, B=12, C=12) 59) Schwartz (1983) 28 100.4 9.212.7 ( continued on next page) 18 Table 2 (continued) 60) Shurrager & Shurrager (1964) 994 108.2 106.4 106.4 61) Stephens & Grube (1982) 29 95.4 93.6 100.4 62) Suinn & Dauterman (1966) 170 115.8 114 116.4 63) Sykes (1971) 41 101.0 99.2 104.0 64) Teare & Thompson (1982) 28 88.2 86.4 14 (A) 87 14 (B) 16-64 HIS Blind US WISC verbal Blind US Congenital 16-55 SOKTBD Visually impaired US 13.320.1 Unknown Visually impaired US 88.8 WISC-R or WAIS Visually impaired US 85.2 87.6 WISC-R or WAIS Blind US 89.4 87.6 90.0 WISC-R or WAIS Partially sighted US 65)Thomas (1979) 61 80.1 78.3 85.5* 8-22 Unknown Visually impaired US 66) Tillman & Osborne (1969) 167 92.1 90.3 96.6 7-11 WISC Blind US 67) Tillman (1967) 110 90.0 88.2 92.0 7-13 WISCverbal Blind US 68) Tobin (1984) 21 109.1 114.3 9.1-15 BLAT Visually impaired UK 69) Tobin, Clarke, Lane, & Pittam (1970) 20 100.5 105.0 14-17 Unknown Blind UK 70) Vander Kolk (1977) 597 100.7 98.9 105.5 Unknown Visually impaired US 71) Wilhelm (1989) 139 90.8 89.0 92.0 6-16 WISC-R verbal Visually impaired US 72) Wormsley (1996) 20 90.0 88.2 100.5 6-12 Unknown Visually impaired US Note. *= estimated mean IQ **= studies used (partially) the same sample Table 3 shows the results of the psychometric meta-analysis of the 72 data points, and subsequent meta-analyses on subsets of data points. It shows (from left to right): the number of data points (K), total sample size (N), the mean IQ score (mean), the percentage of variance explained by sample size (% VE), and the 80% Credibility Interval (80% CI). 19 Table 3 Meta-analysis Results for Mean IQs K N Mean % VE 80% CI 72 6293 98.06 70.54 91.87-104.25 All minus age 4-12 56* 5162 99.39 68.06 92.93-105.87 Age 4-12 17 761 90.16 n.a. n.a. Age 13-79 16 2250 102.05 37.71 91.97-112.14 All Note. n.a. = not applicable: % VE could not be computed *The study by Czerwinski & Tait (1981) includes two different sets of data with the age range 4-12. The large number of data points and the large sample size indicate that we can have confidence in the outcomes of this meta-analysis. The estimated true IQ based on all 72 data points has a value of 98.06 and 71% of the variance in the observed IQ values is explained by sample size alone. Age has a substantial impact on the mean IQ of visually impaired individuals. Table 3 shows that the mean IQ of young visually impaired children is 11.9 IQ points below the mean scores of older children and adults. This strongly contradicts the cumulative deficit hypothesis, which predicts exactly the opposite pattern. The substantial differences between young children and older children and adults result in some heterogeneity in the data points in the meta-analysis. To get a more precise estimate of the mean IQ of older children and adults we performed an additional analysis on the dataset excluding young children. We estimated that the 17 data points (N = 864 or 15% of the reduced dataset with N = 5162) which contained both young children and older children and adults contained some 64% young children. Leaving out these low-scoring young children would increase the mean score of 99.4 with 1.1 IQ point (15% of 64% of 11.9 IQ points) yielding an adjusted mean of 100.5. Therefore, it appears that the mean IQ score of visually impaired older children and adults is virtually indistinguishable from the mean IQ of sighted older children and adults. This is again, contrary to the predictions of the cumulative deficit hypothesis. Separate meta-analyses were not carried out for blind versus partially sighted, and congenital versus adventitious blind, because most studies report only data for groups labeled visually impaired. There were twenty studies reporting data on groups of blind (total N = 20 2453), but only five small studies on partially sighted (total N = 159). Similarly, there were only ten small studies of the congenital blind (total N = 203) and only three small studies of the adventitious blind (total N = 61). We therefore only report means for these groups. The mean for the blind is 100.5, but partially sighted individuals have a mean IQ score of 90.1. Congenital and adventitiously visually impaired have mean IQ scores of 97.1 and 97.0, respectively. However, half of the small total sample of 61 of the adventitiously visually impaired is based on older children and adults, who as a group have a higher score than younger children. A more detailed analysis showed that three studies reported mean scores of both congenital and adventitious visually impaired. Most likely the two sub samples making up each of the three complete samples are quite comparable with regard to background variables, resulting in more reliable estimates of group differences. The weighted averages were 96.6 for the congenital visually impaired and 97.0 for the adventitious visually impaired. Both comparisons show there are virtually no differences between these two groups. Discussion In this research we tested the cumulative deficit theory, which predicts that environmental deprivation has a substantial and accumulating negative effect on intelligence test scores. A bare-bones meta-analysis of IQ scores of visually impaired individuals was carried out to see to what degree environmental deprivation affects intelligence. The most fundamental prediction from the theory was disconfirmed: older children and adults with a visual impairment have a mean IQ virtually identical to the sighted IQ. None of the other analyses provided any support for the deprivation theory. The cumulative deficit theory makes several predictions concerning the IQs of the total group of visually impaired and subgroups studied in this research. As to the mean IQ score of visually impaired individuals in comparison to sighted individuals, the results show that the visually impaired individuals have a slightly lower mean IQ than the sighted individuals (98.06 versus 100). The percentage of variance explained by artifacts is 71% which indicates that the large majority of the variance in the 72 data points can be explained by sample size. Some of the heterogeneity in the data points in the meta-analysis is attributable to the substantial difference between young children and older children and adults. Excluding datasets which included young children and applying a correction yielded 21 an estimated mean IQ score of 100.5 for older children and adults. This value is virtually indistinguishable from that for sighted individuals. The cumulative deficit theory predicts that the gap between visually impaired and sighted should increase with age. However, the data show the opposite, that is, the gap between visually impaired and sighted shrinks with about a third of an SD as age proceeds. Therefore, these findings clearly do not support the theory. For young children, the scores on the Piagetian tasks are much lower than the scores on the various IQ tests. It may be that the reliance on visual elements of many Piagetian tasks makes them biased against visually impaired children. Therefore it may be that the score of 90 on predominantly verbal tests is a better indicator of young visually impaired children’s capacities than the lower scores on the Piagetian tasks. For comparisons of blind against the partially sighted, deprivation theory predicts the blind should have lowest mean IQ score because they have the most severe deprivation. However, the mean for the blind is 100.5 (total N = 1971 based on 19 studies), which is similar to the overall mean IQ of 98.06. This means that the groups of visually impaired and the blind group have comparable IQs. The mean from the five small studies on the partially sighted (total N = 159) is substantially lower, namely 90.1. It possible that the empirical value of 90.1 is a result of statistical artifacts, such as small sample size and biased sampling. As the IQ score of the visually impaired and the blind are comparable it is not unreasonable to assume that the mean IQ of partially sighted is, most likely, also close to the value of 98.4. This would mean that blind and partially sighted have comparable mean IQ scores, again providing no support for the deprivation hypothesis. The deprivation hypothesis predicts that blind persons who have been handicapped since birth or during the first year of life should have substantially lower mean IQ scores than blind persons who have been disabled after the age of four. The mean score of the adventiously blind is based on only three small studies and therefore does not allow a solid comparison against the mean score of the congenitally blind. However, the studies which report mean scores for both groups show virtually no difference in their mean scores. Once again the data fail to support the deprivation hypothesis. Cumulative deficit theory predicts that blind Nonwhites should have an average IQ test score below 88, which value lies between the average of 85 for Blacks and 91 for Hispanics. However, the Nonwhite average IQ score that emerges from our analyses is 93.55, 22 which is higher than the values for sighted Nonwhites. Therefore, the findings from samples of Nonwhite visually impaired also do not support deprivation theory. It has frequently been postulated that visually disabled people develop strong physical and psychological features to compensate for their disability (see, for instance, Klauer, 1962). It has been proposed that visually impaired children may learn techniques with which to cope with their environment and thereby increase their IQ scores. However, there seems to be no support for compensation theory, either because: (1) the average IQ for the visually impaired is virtually indistinguishable from that for the sighted, and (2) most likely, blind and partially sighted have comparable average IQ scores. An alternative, less parsimonious explanation assumes a substantial effect of deprivation which is counteracted by an equally sized compensatory effect, for older children and adults. However, an empirical test of the deprivation hypothesis showed no support (Hengstler, 1975), making this alternative explanation implausible. It appears our meta-analysis provides no support for either environmental theory: deprivation or compensation. Every meta-analysis is as good as the quality of the data points. It’s best to consider every data point an estimate of the mean IQ of the group studied. For instance, we excluded visually impaired individuals with no additional handicaps. When a blind individual with brain damage has a low IQ score, is this caused by the brain damage or by the individual’s genes? The quality of the assessment of the effects of brain damage on the IQ score determines the value of the data point. The meta-analysis of IQ scores of the visually impaired disconfirms the cumulative deficit theory. A strongly deprived environment leads to a mean IQ score of about 100 for older children and adults with a visual impairment. Environmental deprivation has also been proposed to account for the difference in average IQ between Blacks and Whites in the US. Of course, the environment of visually impaired is not exactly the same as the environment of Blacks. However, it does not seem unreasonable to assume that the environment of the visually impaired is much more deprived than the environment of Blacks. If the severe deprivation caused by blindness does not impact IQ, it seems unlikely that the arguably lesser deprived environment of Black children is an important source of their lower average IQ score. 23 Conclusion Visual deprivation showed no effect on the average IQ scores of a severely handicapped group (the blind and the partially sighted). This implies the cumulative deficit hypothesis does not have empirical support. Young visually impaired children do have lower mean IQ scores when compared to sighted children. However, with increases in age the gap shrinks and then disappears, rather than the increasing gap predicted by cumulative deficit theory. The finding that the severely deprived environment of visually impaired shows no substantial impact on their average IQ score makes it less likely that the arguably less deprived environment of Blacks in the U.S. is a cause of their significantly lower mean IQs. 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