By Robert B. Johnston M.D. (auth.)
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Extra info for Attention Deficits, Learning Disabilities, and Ritalin™: A Practical Guide
In some cases, the physician may direct, coordinate, or orchestrate the efforts of this group. This may come about because of the physician's leadership qualities, unbiased overview of the child's total needs, and positive rapport with the family and school, or maybe just because nobody else wants to do it. In this position, the physician monitors the progress of diagnostic efforts and interventions, identifies appropriate personnel needs for additional services, attempts to maintain healthy communication between parents and involved professionals, and expedites team decisions when necessary.
In addition, in larger communities, child neurologists or child psychiatrists may be available to assume some of the physician roles just noted. Other members of the medical profession can offer subspecialty input into evaluation or treatment efforts. The ophthalmologist addresses a variety of visual concerns that may be influential in learning difficulties. The otolaryngologist (ear, nose, and throat [ENT] specialist), in collaboration with an audiologist, offers specialized help in identifying and treating hearing problems that may be associated with learning and attention disabilities.
Many children with significant learning disabilities show no signs of incomplete or mixed dominance. There are numerous learning~cient students who demonstrate so-called mixed dominance (Belmont and Birch, 1965). DIRECTIONAL CONFUSION ILEFT-RIGHT DISORIENTATION). Just because children don't know left from right doesn't mean that they are abnormal. Mter all, what if the child is only five years old? Expectations must be kept appropriate for age. This is a skill that improves with age. Most children learn to identify left or right on their own bodies by six years of age.
Attention Deficits, Learning Disabilities, and Ritalin™: A Practical Guide by Robert B. Johnston M.D. (auth.)