Social distancing

But not forever

It is rather obvious that if children have any sort of developmental problem, clinicians need to look at it directly, face to face. But with social distancing this is impossible. Consultation can only be by some sort of video-conferencing, such as Zoom. This is a very poor second.

But trying to compensate as best I can I have out all the doll’s house people and furniture. or my Playmobil, or Lego, or Brio, or any of the other kits. We can discuss what is to be done with them. Or we can make a picture from some of my thousands of images.

Then one day, when social distancing is finally over, you will be able to bring your child to my clinic.


Speech, reading and writing

Problems that go together

It is well known that problems with speech and problems with reading and writing often go together. Many children with either or both of these issues often have difficulty perceiving words and bits of words. These are known ‘co-morbidities’.

With children off school, if they have any problems in any of these areas, the problems get thrust upon the parents. They may read or be told that what they should be doing is ‘synthetic phonics’. 

By the old ‘Look and Say’ approach children were supposed to learn to recognise just whole words without having any way of working out what a new word might be. Without suggesting that there might be any merit in Look and Say as a general approach, synthetic phonics does not work for the commonest words in the language, especially the two very commonest words, ‘a’ and ‘the’, which change in different ways according to whether the next sound begins with a vowel. Taking account of this and other similar issues, for the sake of good results rather than dogma, in many schools teachers teachers follow a judicious mix of approaches.