Notes
Outline
What does it mean?
‘Ignorance is bliss’
‘Knowledge is power’
Sexual stereotypes
The problem with syndromes - internet
‘Forewarned is forearmed’
Protection
Telling Others
How and what parents are told
guilt, confusion - what does it mean - fears for the future
Accurate information
Telling your child
Fears that something is seriously wrong
Meaning of information
10-11
cells slightly different - additional X chromosome and what it means
not an illness
12
fertility, masculinity - testosterone
Privacy versus secrecy
What is KS
1/600 men
few diagnosed before puberty
gynaecomastia, genitals, tall stature, body proportions, obesity, muscle development, minor motor deficit, fertility
introverted, quiet, unassertive, passive, tendency to withdraw from group activities
Language difficulties, learning problems, behavioural difficulties, lack of co-ordination
OUTCOMES
34,380 screened (1967-79), follow-up 1995
19 XXY - parents not told fertility status
42% speech therapy, 77% difficulty learning to read, mathematical ability relatively poor, short and long term memory
difficulty relating to peers and siblings
psychological difficulties 26% (controls 9%)
ADOLESCENCE
Identity development - separation - peer relationships
Feeling different - why me?
Fears about relationships
FAMILY
Parents concerns different from childs
beliefs, values, understanding, experiences
who do you talk to ?
Children learn from their families
 values, beliefs, skills & strategies
What can we do?
Listen
language development, bullying
Contain - individual time
Model
Know the system
information to school - environment - collaboration - interest & curiosity - statementing
sources of support
Ideas for school
Expressive Language & Retrieval
putting thoughts, ideas & emotions into words
finding the right word - building vocabulary, categories
offering choices rather than open-ended questions, multiple choice
Auditory recall
visual cues, illustration, gesturing
Individual support
Self-esteem
Social skills - social cognition
Assertiveness
coloured glasses
locus of control
feelings, goals, metaphors
focus on positives