Gergely Katalin, Lakos Renáta
ELTE Pedagógiai és Pszichológiai Kar Neveléstudományi Doktori Iskola Gyógypedagógiai Alaprogram Budapest.
Orv Hetil. 2013 Feb 10;154(6):209-18. doi: 10.1556/OH.2013.29526.
Pediatricians play an important role in the diagnosis and therapy of children with dyslexia, dysgraphia or dyscalculia. These syndromes strongly affect children's school performance. Children with dyslexia, dysgraphia or dyscalculia show a significant underachievement in reading, writing or counting and their failure to meet the school requirements undermines their self confidence and positive self-concept. As a result, children with learning problems often become aggressive, frustrated or play the clown in the classroom. According to the Hungarian law children with any learning difficulties have the right to get special education by their specific symptoms. In the realisation of the law and equity the pediatrician's expertise is essential and has an important role in the therapeutical procedures. However, the pediatrician's role is more complex than writing an opinion. Pediatricians can help by giving a detailed description about these syndromes and explain them how they can help their child, what are the main difficulties during the child's studies, what kind of therapies can be efficient and how they can make their child's school years easier. During the assessment most of the parents ask the following questions: What does dyslexia, dyscalculia or dysgraphia exactly mean? Is it a handicap or a learning difficulty? Could the child live a normal life? With the proper answer and with an inclusive attitude pediatricians can help both the parents and the children to create a liveable lifestyle and make their children's schoolwork more successful. The authors' opinions are to close the medical and the pedagogical view, because without the cooperation of these two scientific fields, the theme affected parents, children and teachers cannot get proper help to find better solution and support for their problems. In the survey the authors intend to give a complex view about the symptoms of these syndromes and try to give useful advice for pediatricians how they can support their patients emphasizing the key role of pediatricians and clinical expertises in the early recognition and therapy.
儿科医生在诵读困难、书写障碍或计算障碍儿童的诊断和治疗中发挥着重要作用。这些综合征严重影响儿童的学业表现。患有诵读困难、书写障碍或计算障碍的儿童在阅读、写作或计算方面明显成绩不佳,他们无法达到学校要求,这会损害他们的自信心和积极的自我概念。因此,有学习问题的儿童在课堂上常常变得好斗、沮丧或行为滑稽。根据匈牙利法律,任何有学习困难的儿童都有权根据其特定症状接受特殊教育。在法律的实施和公平方面,儿科医生的专业知识至关重要,并且在治疗过程中发挥着重要作用。然而,儿科医生的角色比出具一份意见书更为复杂。儿科医生可以通过详细描述这些综合征来提供帮助,并向家长解释如何帮助他们的孩子,孩子学习过程中的主要困难是什么,哪种治疗方法可能有效,以及如何让孩子的学习时光更轻松。在评估过程中,大多数家长会问以下问题:诵读困难、计算障碍或书写障碍到底是什么意思?这是一种残疾还是学习困难?孩子能过正常生活吗?通过给出恰当的答案和采取包容的态度,儿科医生可以帮助家长和孩子创造一种宜居的生活方式,并使孩子的学业更成功。作者认为应将医学观点和教育学观点结合起来,因为如果没有这两个科学领域的合作,受该主题影响的家长、孩子和教师就无法获得适当的帮助来找到更好的解决方案并支持他们解决问题。在这项调查中,作者打算全面阐述这些综合征的症状,并试图为儿科医生提供有用的建议,说明他们如何支持患者,强调儿科医生和临床专业知识在早期识别和治疗中的关键作用。