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First get her used to antibiotics used to treat staph generic doxycycline 200mg fast delivery thickened liquids like custard antimicrobial body wash purchase genuine doxycycline on-line, soft porridge antibiotics kidney failure purchase doxycycline uk, fruit puree or yoghurt antibiotics for uti during first trimester buy genuine doxycycline on line. These are easier for her to handle because they flow more slowly and she is less likely to panic or choke. The child has limited or poorly controlled tongue movements so the tongue cannot be used to collect pieces of food that remain between the teeth. If a child only eats soft food and is not chewing there is less blood circulation to the gums which can make them unhealthy. Some medicines prescribed for children with cerebral palsy may affect the teeth and gums, making it even more important to keep the mouth clean. The child who drools a lot does not swallow properly and has an open mouth most of the time. Some children with cerebral palsy are very sensitive in their mouths which makes it difficult to clean their teeth well. If the child is starting to brush her own teeth, but does not have good hand function and cannot rinse her mouth well, the teeth may not be properly cleaned We see that a child with cerebral palsy is very much at risk of developing problems with her teeth and gums. Therefore, you should clean your childs teeth carefully after every meal and after sugary snacks and drinks! What specific steps would be helpful when cleaning the teeth of a child with cerebral palsy It is easier to use a small bowl for spitting out and rinsing, rather than a fixed basin. Giving firm pressure on the cheeks towards the lips could help the child to spit out. If there is any area with problems like pain or sensitivity, do those first so it can get done while your child is still relatively relaxed. We have learned in this module how important it is for a child to learn to close her lips. It will help your child to learn to close her lips if cleaning her face is done in such a way that it gives her the feeling of a closed mouth. This can also help to teach your child to swallow her saliva instead of letting it dribble out. To prepare for this, encourage her to play, taking her hands and toys to her mouth. If your child is developing some head and trunk control, reduce the support that you give, but make sure she still keeps a good sitting position. If she has difficulty controlling a cup with one hand, try using a cup with two handles. Getting to know cerebral palsy V2 Module 6: Feeding your child Page 23 Making a spoon easier for her to manage might increase her independence. Perhaps I should let her make a mess now, and maybe she wont need to be fed when she is that age. Children with cerebral palsy may mess more, but it is part of learning and developing control. Getting to know cerebral palsy V2 Module 6: Feeding your child Page 24 Answers to positioning quiz Getting to know cerebral palsy V2 Module 6: Feeding your child Page 25 Sources and References Ideas from many sources have helped us to develop the Hambisela programme. The following material and references have been particularly helpful, either as sources or as inspiration on how to present training, and we gratefully acknowledge their use. Where permission could not be obtained, the faces have been re-touched in order to protect identity. Prof John Rodda, Paediatric Neurologist, (Chris Hani Baragwanath Hospital and University of Witwatersrand). Trial Facilitators: Ms Neliswa Sokutu Ms Lizzie Holane Ms Anika Meyer Ms Vanessa Gouws Trial Participants: Mothers and caregivers from Motherwell, Port Elizabeth Material Design & Publishing Control Ms Karla Vermaak, Kyle Business Projects Ms Estee van Jaarsveld, Kyle Business Projects Getting to know cerebral palsy V2 Module 6: Feeding your child Page 27 Hambisela Contact Details: P O Box 12127 Centrahil Port Elizabeth 6006 South Africa Telephone: +27 41 583 2130 Fax: +27 41 583 2306 info@cerebralpalsy. These recom mendations provide a framework that allows physical therapists to increase their accountability and promote effective interventions for improved patient outcomes. The key components of this special report on clinical management are: a) the Major Recommendations that provide the background and evidence for clinical management; b) a flow chart to assist in clinical decision-making; and c) a Table of Tests and Measures for information on useful tools in the management of children with spastic diplegia. These recommendations are suggestions for clinical management, not an all-inclusive document on physical therapy for children with cerebral palsy. These recommendations may help therapists develop systematic approaches to service delivery and documentation. Clinical management is framework to enhance the organizational capacity of services; important in and across all service delivery settings including integrate evidence for best-practice; and improve outcomes. Because a ma Recommendations for clinical management can be an effec jority of pediatric physical therapy is provided in community tive method from which guidelines, pathways, and algorithms based settings, it is important that pediatric physical therapy can be developed to improve quality of care in a health care clinical management includes communication across service delivery settings to ensure quality patient care and maximize outcomes. Pediatric Physical Therapy Clinical Management of Children with Spastic Diplegia 49 Why Develop Task Specific Clinical Management management for children with cerebral palsy, spastic diple Recommendations For Children With Cerebral gia. General informa tion was gathered at focus groups to identify practice Cerebral palsy is a neurodevelopmental condition that patterns during the Section on Pediatrics Research Round begins in infancy or early childhood and is present through 2 table Meetings at the American Physical Therapy Associa the lifespan. Cerebral palsy is the most frequently reported tions Combined Sections Meetings in 1999 and 2000. Spastic diplegia is characterized by in from these meetings, available evidence on best practice, and clinical experience. Chil rative with recommendations and supporting references, dren with cerebral palsy most often receive physical 5 2) a general flow chart illustrating considerations in clini therapy in the home, school or community. Because large cal decision-making and management and 3) a Table of numbers of children with cerebral palsy receive physical Tests and Measures used in clinical management. Therapists are referred to these recommendations should assist the new physical both documents for detailed information. Potentially, more experienced pe function and sensory integrity associated with non-pro diatric therapists could use these recommendations as a gressive disorders of the central nervous system congen quick checklist or resource to confirm or refine their clin ital origin or acquired in infancy or childhood8 provided ical management of children with spastic diplegia. The fol oping clinical competence focusing on examination, eval lowing concepts also were integrated into these recom uation, anticipated goals, and interventions for children mendations: and adolescents with spastic diplegia. Three components of the examination are: the patient/client history; systems review; and tests and measures. Prognosis and Plan of Identification of the optimal improvement level expected through intervention and the time needed to reach this level. Care Plan of care includes definition of intensity of therapy (frequency and duration). This clinical management framework includes identification of preventive approaches to plans of care for children with cerebral palsy. Intervention the interaction between the therapist and the patient and other members of the patients health team as appropriate. Intervention may occur on three levels:communication, coordination, and documentation; patient related instruction; and procedural intervention. Outcomes and the results of physical therapy intervention during an episode of care. Outcomes include anticipated goals and Reexaminations expected outcomes as identified by the physical therapist and child/family. Reexaminations are conducted during intervention to determine change in patient status and to revise the intervention plan as indicated. Episode of Care A defined number or identified range of number of visits for physical therapy services provided by a physical therapist in an unbroken sequence and related to interventions for a specific condition/problem or related to a patient, family member or other providers request. The three components include: 1) Major Recommen dations (with references); 2) a Physical Therapy Clinical Conclusion Management Decision Making Flow Chart (Figure 1), and the Appendix A: a Table of Tests and Measures. Again we would like to caution users of these recom It is important to note that these are recommendations mendations for physical therapy clinical management that or suggestions for clinical management. This is not an all this document is a guide and not all-inclusive for providing inclusive document for providing physical therapy to chil physical therapy services to children with cerebral palsy. These recommendations were de We believe these recommendations will help therapists de veloped based on a specific task for which a physical velop systematic approaches to service delivery and docu therapist may be providing service. The specific task is mentation that will contribute to evidence-based practice functional mobility, which may take different forms de and enhanced outcomes. A task apists become even more reflective practitioners and pro driven model was chosen to provide more functional rele mote use of the most effective interventions. Pediatric Physical Therapy Clinical Management of Children with Spastic Diplegia 51 Fig. Written family permission is required for for ments depending on the childs age, family preference, the mal examinations in the school setting. Examination is a comprehensive process with three General Considerations for All Ages components, including: 1) Patient history interviewing Infants, children and youth may receive services in a or chart review to identify childs past and current func variety of settings (school, hospital, an outpatient facility tional and health needs; 2) Systems review brief screen or community agency). Inpatient hospital services are of ing to identify functional mobility needs, which is the spe ten indicated after surgery while outpatient, home health cific purpose of this task driven model and 3) Tests and or other community settings may be appropriate for spe measures gathering specific data to establish plan of cific episodes of care and for older children.


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This article is one of 11 in this special section on Visions for the Future of We propose that each practicing psychologist should possess a Professional Psychology infection belly button buy doxycycline 100 mg on line. She is currently a fifth year graduate student in the profession of psychology and how many individuals conceptualize doctoral program in clinical psychology at Loyola University Maryland health care and how they choose to bacteria hpf in urinalysis purchase generic doxycycline on line live their lives antibiotic resistance threats in the united states cdc order genuine doxycycline. Much of the United States Congress passed legislation to antibiotic medication list cheap doxycycline 200mg fast delivery provide two the research findings are variable with regard to dietary supple million dollars to establish an office within the National Institutes ments due to this lack of regulation. When meditating, Chinese Medicine, Ayurvedic Medicine, Naturopathy, and Home clients must focus their attention on breathing, or on repeating a opathy. Presently, there are several different forms of meditation, in a large national survey conducted for the National Institutes of each of which falls into one of two categories: mindfulness med Health (Barnes, Bloom, & Nahin, 2008): dietary supplements, itation and concentrative meditation. Meditation is used to treat a variety of symptoms such as elevated blood pressure, anxiety, stress, pain, and insomnia, as well as to promote overall health and wellbeing (Grossman, Ni Dietary Supplements emann, Schmidt, & Walach, 2007; Rainforth et al. There are risks associated with aroma are a variety of organizations that offer certification in specific therapy use related to toxicity, skin irritation, and dosing regula forms of meditation such as mindfulness-based meditation and tions that competent professionals will be aware of. Psychologists looking to integrate med itation into their practice will want to first assess the legitimacy of Massage Therapy particular organizations before seeking certification through them. Massage therapy is a manual procedure that involves manipu lating the soft tissue of the body as a way to relieve tension and Chiropractic pain as well as anxiety and depression (Moyer, Rounds, & Han the main theory behind the field of chiropractic is that nerve num, 2004; Rich, 2002). Massage therapists use their hands, fin and organ dysfunction is often the result of misaligned vertebrae of gers, and sometimes their forearms or their feet, as a way to the spine (Kuusisto, 2009, para 9). The purpose of these manipulations is to restore joint of massage, each utilizing slightly different techniques. Chiropractic is used by reported to have used massage therapy in the past year (Barnes et 8. However, this integra To practice chiropractic, one must obtain a doctor of chiroprac tion must be done by referral to qualified massage therapists even tic degree, which takes several years of graduate work to earn. The regulations for practicing mas doctor of chiropractic degree, it is important to recognize that even sage vary from state to state. Presently, there are 43 states that if certification is obtained, serving as a clients chiropractor at the regulate massage therapy but national certification can be obtained same time as serving as their psychologist would be inappropriate through the National Certification Board for Therapeutic Massage due to the type of touch needed for spinal manipulations. Clinical aromatherapy focuses on relieving Anusara, Bikram, Kundalini, and Viniyoga. In recent years, yoga symptoms that are typically addressed in psychotherapy, such as has been increasingly studied and it has been shown to be effective stress and anxiety. Holistic aromatherapy focuses on the whole at treating numerous symptoms including anxiety, depression, and person, aiming to improve overall well-being and quality of life. With such a wide range of uses, it is not surprising that in traditionally used in skin care (Metcalfe, 1989). In recent years aromatherapy has been increas of yoga does not require any physical manipulation of the client by ingly studied and has shown positive results when used to treat a the psychologist, it is an area that may be integrated into ongoing variety of symptoms to include pain, anxiety, and agitation specific treatment as appropriately trained psychologists may choose to to dementia (Han, Hur, Buckle, Choi, & Lee, 2006; Lehrner, begin a session by utilizing various poses to promote relaxation. Marwinski, Lehr, Johren, & Deecke, 2005; Lin, Chan, Ng, & Lam, Additionally, clients who might benefit from yoga in addition to 2007). Dance/movement therapists believe beneficial for clients who are experiencing anxiety, tension, or that the mind and the body do not function separately and that by stress-related symptoms. Typically, acu puncture involves penetrating the skin with needles, which are then According to the U. Clients may sicians who have completed additional training, acupuncturists, identify themselves as only spiritual or religious, and not both. Addi Spirituality, religion, and prayer are three areas that have been tionally, in some states, licensure is required to practice acupunc difficult to study. However, competence about the religion or Additionally, in some states, it is illegal for psychologists to faith-based practices being addressed is essential. While spirituality, religion, and prayer can be a part of ongoing practice, psychologists should not exceed their the term Reiki means spiritually guided life force energy clinical role and take on the role of clergy. Reiki interested in integrating spirituality, religion, and/or prayer into involves the passing of energy from a trained Reiki practitioners ongoing practice will want to first obtain the education and train body to the clients body as a method of healing. Thus, psychologists will want to educate clients about the Reiki practitioner utilizes a series of established hand positions as utility of hypnosis, while emphasizing that the purpose is not to a means for allowing the energy to move freely between the gain control over another human being. Despite this, Reiki has been shown to help with stress As an example, hypnosis is commonly used to treat pain and and pain management, as well as promoting relaxation (Bowden, fatigue, as well as nausea and vomiting that occur as a side effect Goddard, & Gruzelier, 2010; Olson, Hanson, & Michaud, 2003). Hypnosis can be integrated made for Reiki services, as opposed to integrating into ongoing into ongoing practice and one must obtain certification although practice, as the hand positions will likely result in a boundary this is not standardized. Even though there is no direct contact, the clinicians hands with one of the most well-known being the American Society of are placed very close to the clients body. Music therapy involves singing, writing music, making measure and receive information (feedback) about the clients music, listening to music, and lyric analysis, among many other body (Mayo Clinic, 2010a, para 1). Consistent with demographic trends in the the Society of Psychological Hypnosis defines hypnosis as a United States the population of the United States has been rapidly process by which one person (the subject) is guided by another diversifying in recent years (U. Many immigrant (the hypnotist) to respond to suggestions for changes in subjective communities have brought with them their beliefs and practices experience, alterations in perception, sensation, emotion, thought relevant to health promotion and health care. Further, these groups or behavior (Green, Barabasz, Barrett, & Montgomery, 2005, p. But, spirituality and religi health care are part of a larger movement in the United States (and osity, for example, are harder to operationalize and measure and, other Western nations) that focuses on more integrative and ho therefore, conducting research in this area is more challenging. Many individuals now seek the use of these modalities However, it is important to remember that a lack of studies, and either instead of or in addition to modern industrialized medicine therefore a lack of support, does not mean that a particular mo and are making known these preferences to health care practitio dality is not useful. While this is quite promising, ensure that needed support for research, to include funding, is psychologists should be cognizant of the potential limitations received. Recognizing when to utilizing random assignment, and thus there were several extra it is appropriate to integrate a specific modality into a clients neous participant variables that may have impacted the results psychological treatment as opposed to when to make referrals to (Rho, Han, Kim, & Lee, 2006). An additional area of concern is the lack of no-treatment condi Further, Eisenberg et al. They scientific literature relevant to clients treatment needs and helping found that 65% of respondents indicated that they had used at least to ensure adherence with Ethical Standard 3. Essential components of to provide the highest quality of care psychologists will find it the informed consent process include a review of reasonably important to be educated on various forms of treatment, both those available options and alternatives along with a discussion of the that many clients may already be using when they enter a psy potential risks and benefits of each. Accordingly, to fulfill this chologists care and those that may additionally be of benefit to ethical obligation, each psychologist will want to include discus them. Additionally, we must be aware of when clients should or sion of reasonably available treatment options. Thus, ethical psychologists will know about ments, contraindications, and its potential benefits. Not all skills to be able to practice effectively and to not practice outside psychologists will wish to become licensed or certified in each areas of demonstrated competence. A randomised controlled others, additional training in the form of continuing education single-blind trial of the effects of Reiki and positive imagery on well courses will be needed. What is diversifying population, in the future, we hope that all training music therapy The Duke encyclo References pedia of new medicine: Conventional & alternative medicine for all ages. Complementary careers/ctindex/ and alternative therapy use by psychotherapy clients. Kava treatment in patients with CertificationInformation/LevelsofCertification/tabid/171/Default anxiety. HomeAssociation for Applied Psychophysiology and Biofeed International Journal of Clinical and Experimental Hypnosis, 53, 259 back. Fatigue during breast cancer treatment of pain associated with endometriosis: Preliminary findings. Recovery from major depression: the role individuals with multiple sclerosis and chronic pain. Retrieved from heart rate variability biofeedback for the treatment of major depression. Journal of Pain randomized controlled trial of the effect of music therapy and verbal and Symptom Management, 26, 990997. A systemic review and meta patients to decrease pain, anxiety, and depression and to promote an analysis. Spirituality and transcendent meaning religious and spiritual orientations and their practice of psychotherapy. Yoga improved function and reduced symptoms of chronic low-back pain more than a self-care book. In its broadest definition the term telepractice refers to any contact with a client/patient other than face-to-face in person contact.

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My daughters Sigrid and Stina antibiotic resistance to gonorrhea effective doxycycline 100mg, who seem to antibiotic injection for strep order doxycycline toronto hold a solid belief in my capacity and who are always there for me virus ti snow discount doxycycline 200 mg mastercard. Last but not least antibiotics for uti augmentin generic doxycycline 200mg online, Nisse, who has always been willing to take me on a walk whenever I have been stuck with a problem. Financial support the project was financially supported through grants and scholarships by: Claes Groschinskys Minnesfond, Majblommans Riksforbund, Linnea och Josef Carls sons stiftelse, Sveriges Neuropsykologers Forening, Lions Skane, Lars Hofstedts fond and Jerringfonden. Gruppen bestod av 75 ungdomar mellan 14 och 25 ar som fick diagnosen dyslexi nagon gang mellan 1994 och 1999. Syftet med den forsta delstudien var att undersoka om gruppens resultat pa intelligenstest hade forandrats signifikant under perioden mellan diagnos och uppfoljningstillfallet. Kliniska erfarenheter och tidigare forskning rorande barn med inlarningssvarigheter (learning disabilities) pekade pa att ungdomar med dyslexi halkar efter sina jamnariga nar det galler verbal forstaelse och uttrycks formaga, men forskningsresultaten gallande barn med dyslexi var motsagelse fulla. Gruppen testades med Wechslers intelligenstest och resultaten jamfordes med tidigare testresultat. Den andra delstudien syftade till att genom intervjuer lata ungdomarna sjalva komma till tals och undersoka hur de upplevt sin skoltid med sarskild fokus pa dyslexin. Tidigare forskning har visat att sekundara problem i form av lag sjalv kansla, daliga kamratrelationer, angest och nedstamdhet ar vanliga. Resultaten visade att de forsta sex aren i skolan upplevs som svara for barn med dyslexi. De flesta hade goda kamratrelationer, men en del hade blivit mobbade och upplevde fortfarande att dyslexin paverkade dem mycket negativt. Med tiden hade emellertid prob lemen for majoriteten av ungdomarna kommit att inskranka sig till las och skrivsituationer, och de trivdes allt battre i skolan, framfor allt i gymnasiet, dar de 9 ocksa i hog grad upplevde att de lyckades val. Detta tolkades som ett resultat av dels formagan att se dyslexin som endast en del av sjalvet, och dels att ungdo marna hade gjort val nar det gallde utbildning och yrke som var i linje med deras begavning och talanger. Manga hade valt ett yrkesforberedande program i gymna siet eller ett specialprogram med idrotts eller musikinriktning. De som hade slutat skolan och arbetade uttryckte storre optimism an de som fortfarande stude rade. Det akademiska sjalvfortroendet bedomdes som lagt, eftersom endast en mycket liten del av gruppen jamfort med befolkningen i ovrigt hade valt att lasa vidare efter gymnasieskolan. Den tredje delstudien, som ar den forsta av sitt slag i Skandinavien, syftade till att avtacka salutogena faktorer for dyslektiker, d v s vilka faktorer som ar bety delsefulla for att ungdomar med dyslexi skall fa en god sjalvkansla och inte drab bas av sekundara emotionella problem. Genom tva frageformular, intervjuer med dem sjalva och en av deras foraldrar kunde tre grupper av individer urskiljas, vilka betecknades som de obekymrade, de uppgivna och kamparna. En slutsats var att ungdomar med dyslexi som har en sarskild talang eller ett starkt intresse och med en familj utan skolambitioner med tiden anpassar sig val. Dyslexi bedomdes vara en riskfaktor for lag sjalvkansla och emotionella problem i de fall da individerna aven upplevde daliga kamratrelationer och lite stod fran foraldrar, nagot som karaktariserade de uppgivna ungdomarna. Dessa individer syntes ha gatt igenom alla stadier av accepterande av de dyslektiska svarigheterna. Externa positiva faktorer var betydelsefulla vuxna, oftast modrar, som trodde pa ungdomarnas mojlighet att klara sig bra, goda kamrat och familjerelationer, samt ett starkt intresse, en hobby eller sport. Viktiga interna faktorer var en talang for sport, konst, musik eller teknik, att kunna isolera dyslexin till en mindre del av sjalvet samt den personliga egenskapen envishet. Envishet ar ett drag som aven forts fram som betydelsefullt i internationell forskning, och uppkomsten av detta karaktarsdrag diskuterades. De tio individer som bedomdes som bast anpassade hade inte forlorat i verbal formaga lika mycket som de ovriga, och det var en signifikant skillnad i jamforelse med de obekymrade och de uppgivna. Detta tolkades som ett resultat av att de varit mycket ambitiosa i sitt skolarbete. Several of the children who came to the clinic had been subjected to examination and tests long before they were referred to the clinic. For different reasons, the child was then referred to the clinic where I worked, either because the school required a renewed assessment, or because the childs parents or teachers felt the need for a second opinion. Testing the child, I found that the results were often quite different, and lower, than at first test. Talking to colleagues and teachers, I found a widespread conception that dyslexic students tend to lag behind their peers in the course of the school years. They maintained that this was the case not only as to the pupils proficiency in different school subjects, but in their general cognitive ability. Going through the published research on this subject, I found contradictory results in children diagnosed as dyslexic. Hence I decided to find out whether this widespread hunch was valid not only in the individual case, but in a larger group of dyslexic individuals. In the commonly-used intelligence tests, half of the scales are measurements of verbal ability, and consequently, if verbal ability does not develop normally, intelligence is affected, at least as intelligence is measured by tests. Another phenomenon that caught my interest was the socio-emotional outcome of dyslexia. Once again, turning to the research domain, I found an overwhelming amount of books and articles on the negative effects of dyslexia on social and emotional development. However, I and everyone else know that not all children with reading impairments turn into psychic wrecks or juvenile delinquents, which is why I decided to find out what 12 the factors would be that bring out happy and normally functioning dyslexic individuals. I found this perspective more useful in future contacts with young people with reading difficulties and their parents and teachers. It turned out that most of the young people that I met in this research project displayed an impressive persistence and ability to cope with their situation in the long run. After having started the research project, there emerged several other phenomena during the data collection and interpretation that I found very interesting, such as the young peoples experiences of school, especially their account of how they had experienced the first years of school. Ethics All subjects were asked to agree on participating in the study orally as well as by letter. In the cases where subjects were below 18 years of age, parents permission was also required. This thesis will not deal with this phenomenon, however, but with the possible secondary effects of dyslexia. It will treat the possible cognitive changes over the years in young people with dyslexia (Study I). It will also go into the socio-emotional effects of the disability, with two specific focal points. Several circumstances and concepts need some presentation before the empirical studies are described and discussed. Swedish school policy and research with relevance to the thesis are treated in short. Dyslexia is not an unambiguous concept and the definitions of dyslexia and their distinctive features are treated next, as well as how dyslexia was defined in the present study. The research on socio-emotional problems associated to dyslexia is then presented as well as a model of the process of acceptance of the disability. National and Local Issues and Settings the Swedish school system In Sweden, all children between the ages of seven and sixteen must attend school. If the parents wish, a child can start school one year earlier, at the age of six. The compulsory school is traditionally divided into three stages; elementary school (age 710 years), middle school (age 1013 years) and secondary school (age 1316 years). In upper secondary school there are 17 national programmes, all of which are 3-year programmes. The programmes provide a broad general educa tion and eligibility to study at the university or post-secondary level. Upper secondary school is not compulsory, but an overwhelming majority of the students who leave secondary 14 school attend upper secondary school (97. Students aged 20 or older may attend municipal adult education (Komvux, Folkhogskola) programmes at the upper secondary level, an option which is being chosen more and more, not seldom in order to improve marks from upper secondary school. Swedish school policy and research Over the past few decades there has been a considerable research interest in dyslexia in Sweden, and major efforts have been made to remedy childrens difficulties, as well as to work to improve societys attitudes to learning disabilities. Interestingly enough, although the importance of self-esteem is stressed, even in the title of the report, there has been little research in the field of self-image, self-esteem and associated concepts on Swedish students with dyslexia. Research in Sweden relevant to the present study was performed by Taube (1988), who showed that young students reading and spelling performance can affect their self-concept of ability. Zetterqvist-Nelson (2003) found that labelling children as dyslexic might have ambiguous effects on their self-image. Westling-Allodi (2002) analysed interactions between the comprehensive school organisation and students involved in special educational activities. Among other things, she found that good peer relations compensated for students difficulties.

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