Silver L B
Postgrad Med. 1986 Jun;79(8):285-96. doi: 10.1080/00325481.1986.11699438.
Learning disability is not just a school disability; it is a total life disability. The same dysfunctions that interfere with normal learning processes also impact on self-image, peer relationships, family relationships, and social interactions. If attention deficit disorder is present, the same hyperactivity or distractibility that creates problems for the child in the classroom interferes with peer and family relationships. From initial request for help to final implementation of a model of intervention, a multidisciplinary team effort is needed. Since many areas of difficulty may be involved, this team ideally should consist of a primary care physician, psychiatrist, neurologist, psychologist, social worker, special educator, and speech pathologist. Each professional contributes to a full understanding of the total child. The primary care physician may participate as part of such a team or refer the child to other professionals and then coordinate the recommendations. When a learning disability is properly recognized, diagnosed, and treated, the child has the potential for a reasonably successful future. Without help, the child's disabilities may become incapacitating and function as a major handicap throughout life.
学习障碍不仅仅是学校里的问题；它是一种影响整个人生的障碍。干扰正常学习过程的同样功能失调也会影响自我形象、同伴关系、家庭关系和社会交往。如果存在注意力缺陷障碍，那么在课堂上给孩子带来问题的多动或注意力不集中同样会干扰同伴和家庭关系。从最初寻求帮助到最终实施干预模式，需要多学科团队的共同努力。由于可能涉及许多困难领域，这个团队理想情况下应由一名初级保健医生、精神科医生、神经科医生、心理学家、社会工作者、特殊教育工作者和言语病理学家组成。每个专业人员都有助于全面了解孩子。初级保健医生可以作为这样一个团队的一员参与其中，或者将孩子转介给其他专业人员，然后协调各项建议。当学习障碍得到正确认识、诊断和治疗时，孩子有潜力拥有一个相当成功的未来。没有帮助的话，孩子的障碍可能会变得使人丧失能力，并在一生中成为主要的障碍。
