Hello, Dr.T speaking...

monkeymama

Dr. T ,

Welcome Back !

Dr.T

1. 最少喺佢字典裡面都重有"朋友"兩個字...

2. 可以角色扮演一吓點為之唔粗魯...有時啲牛皮燈籠真係要捉住隻手至點得明 :

俗語有話"寃豬頭都有崩鼻菩薩",即使最無人緣嘅人都一定有佢嘅fans.

個人性格,無需要改.勉強無幸福.

令我諗起當年我有個學生(果時叫自閉症,而家時興會叫亞斯伯格症),講嘢成日有佢講無佢講,最鍾意睇書...後面啲年表.不過亦令我回憶起我自己小學三年級時先生問有關犀牛嘅嘢,我清楚記得(30年前...)我有理無理講咗一大輪犀牛鳥嘅資料,攪到老師都唔知點反應...所以我至覺得自閉症絕對係一個spectrum,人人都會或多或少有d,但最緊要係能應付日常生活.

stellacl 寫道:
1...阿仔尋日無端端話佢在學校無朋友...
2. 我應該點同佢講...

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DR. T.
我外甥１６歲,就要會考,不過,他整日惰惰閑﹐
給壓力,又話壓力太大,驚到唔想讀﹐（因為他本性騰雞）
唔給壓力,又惰在床上發白日夢,請問要如何是好？
      

Dr.T

有無傾得埋之親戚朋友可以同佢傾吓佢對未來點睇 ,實在這亦是唯一的方法...實情我自己亦面對同樣情況-我唯一果半個女(姨甥女)今年會考,好在我太太同佢非常close,當佢發吽哣時都可以撻翻著佢

Share 寫道:
我外甥１６歲,就要會考,不過,他整日惰惰閑﹐
給壓力,又話壓力太大,驚到唔想讀﹐（因為他本性騰雞）
唔給壓力,又惰在床上發白日夢,請問要如何是好？
      

pamam

wewangwang and stellacl,

my son is talkative(non-stop) and 9唔搭8, but he is ok with adult, and very affectionate. what about your sons, do they get on well with adult? My son started to tell lies now, I thought asperger kids don't tell lies, or may be I am wrong?

Pamam

Dr.T

但可能佢之所謂講大話都是見人做過又過到骨,所以便記住照跟 :wink:

pamam 寫道:
...My son started to tell lies now, I thought asperger kids don't tell lies, or may be I am wrong?

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Dr. T.
哎,我同他都傾得下,不過,說到將來,他話他想做御宅族，
    
整日在家打機,唔做野,等人養.
嘔血呢？
點都唔明他？正經他在名校,成績中上,老師幾惜,唔知點解,攪成咁？


    

wewangwang

pamam,

my son likes to chat with adult and gets along with adult well. He gets along with girl classmates better than the boys.Today I talked to his teacher, he said when the kids grow older, the problem will become more complicated as some boys are really naughty.Our kids should learn how to protect himself such as to find a peer group when being bullied by others rather than stay alone.

Dr.T

大師艾力遜話齋,呢啲叫做迷失自我(identity crisis)...由細到大都係人叫做乜就乖乖照做-但現在忽然發現原來唔做都得...當年考會考前嘅我都同我亞媽講"無心戀戰",結果我都混咗好多年至"的"起心肝讀書,因為果時卒之有目標,知道自己想做乜...

御宅族...個名真係好聽

Share 寫道:
...哎,我同他都傾得下,不過,說到將來,他話他想做御宅族，
    
整日在家打機,唔做野,等人養.
嘔血呢？
點都唔明他？正經他在名校,成績中上,老師幾惜,唔知點解,攪成咁？

Dr.T

小朋友幾多歲?

issacmama 寫道:
Dr T,
My son is always stubborn.  For example, when I helped him break his big chicken wing into two pieces, he would yell and cry like crazy and kept saying "Chicken wings are not like that, I don't want it to be broken." for an hour.  Another example, we usually like using blue playdough to make an elephant, but one time I tried to make it a different colour, he just could play it anymore.  He kept asking me to change the colour, because the elephant should not be like that.  I've taken him to see the specialist in government's centre, but they said he's fine.  No more follow up appointments should be make.  Should I belive them?  Or should I seek for some more help?  (By the way, he's fine in all other aspects, but he has bad temper and very stuborn only.)  Thanks.

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御宅族...個名係好好聽,不過背后意思就     

其實,我都曾經有少許迷失自我(identity crisis).應該每個人都有這種經歷,但我怕他要去外國讀書,就慘了,因為他是那種十足十的大少爺，如果大些才去,會放心些。

而且,眼見他有能力而唔去做,有些為他著急,又怕他會似我當年,行多很多錯路,哎,我知我太緊張？     

fhmum

Dear Dr. T and all,

I'm worry about my baby and would like to seek your kind advice.

My baby is 18 months old.  He didn't speak neither baba, mama nor other words, just talking in his "baby language".  He will point to what he wants.  When we tell me the name of the object and ask him to repeat, he dare not follows and becomes very angry.  He's very active, keep on moving and only stop when he's burn out.  He follows our instruction or respond to us only when he wants (sometimes I'm not sure if he doesn't understand or simply just don't want to follow).  He will smile and wave "hi" to people if he likes them (even to stranger).  He's quite stubborn.  He likes us to follow his way and will shout/cry hard until he gets what he wants.  

We took him to playgroup since he was 10 months old and he usually is the only one in class who did not follow instruction of the teacher. He likes to do things to attract attention, like standing in the middle when everyone sit and form a circle or just shout.  But we found him having a good observation.  He likes to observe and follows what we're doing.

We took him to the MCH and the nurse there just tell us follow up check-up will be done when he's two, according to their guideline.  I'm worry, especially as my baby doesn't talk so far.  We and our maid talk to him mainly in English while the grandparents (who come several hours per day) talk in Cantonese.  Friends and relatives say the bi-lingual environment may cause his delay in speech development..... Should I take him to have further assessment and where can I do this???

Dr.T

言語發展不是我的強項,所以有待高人指點...但歲半小朋友連一般常用單字也未能掌握,這是令人擔心的.你所描述的情況是有此可能,因為不是所有小朋友都能夠在一個語言混亂(又中又英)的環境快速學習-故此能統一語言環境是較安全的做法.

但另一個考慮點是小朋友的聽覺會否影響他的語言發展-這也許是這個階段值得評估的地方.

Oh...邊度有呢類評估...個人理解是屬於聽力學家的範疇,可嘗試在網上找一下

fhmum 寫道:
...Friends and relatives say the bi-lingual environment may cause his delay in speech development..... Should I take him to have further assessment and where can I do this???

fhmum

Dr. T,

Thanks.  My other worry is, the delay of speech is only one of the "symptom"...... I'm not sure if his other behaviour, e.g. not want to follow instruction, active, short attention span is also problem.... since he's different from other kids in every playgroup he attended so far  

Dr.T

由於小朋友的年紀太小,實在有太多的可能性會導致他現時的情況,所以擔心亦是於事無補-暫時較實質可做的是檢查聽覺是否有問題及開始由專業人士定期觀察

fhmum 寫道:
...My other worry is, the delay of speech is only one of the "symptom"...... I'm not sure if his other behaviour, e.g. not want to follow instruction, active, short attention span is also problem.... since he's different from other kids in every playgroup he attended so far  

稚言治語

姑娘搭咀：

18個月大的小朋友，語言發展的差別很大。暫時仍未正式用單字，雖說也算有點慢了，但仍未能肯定是否語言發展遲緩。

從你的描述，可以看到他做得不錯的地方有：
1. 用手指指著想要的東西(是用食指指的嗎？指的時候有沒有望著你？)
2. 會和別人打招呼。
3. 會觀察別人的活動，並模仿。

雙語(甚至三語)發展是大部分香港家長對孩子的期望。誠然，一般小朋友雖然會在雙語發展初期有點混淆，但最終都能掌握。但對那些懷疑，或者證實有語言發展遲緩的孩子來說，我相信絕大部分的言語治療師(包括我)，都不主張雙語發展。因為這樣做會進一步拖慢小朋友的進度。因為這些孩子學習語言的能力本來已經稍弱，別人用一分鐘學懂的字，他可能要兩、三天。假如同一件物件還要記兩個不同的詞彙，對他們來說不是百上加斤嗎？

此外，孩子拼合詞語成為短句的能力，與其字庫內的詞語數目有關。舉例來說，原本可以容納100個詞彙的字庫，只能夠記著50件「物件」，便不足運用這些詞語去拼合成為短句，令語言發展更慢了﹗

也有不少研究顯示，即使是正常的孩子，雙語發展會令他們混亂，尤其是三歲之前。而且會出現一些語法、發音上的錯誤，例如：「畀我蘋果。」(相對於英文的"Give me an apple.")。

也許你會問，不是說學語言應及早開始的嗎？那麼我應該什麼時候才開始教孩子英文呢？到時會不會已經太遲呢？

跟據我的經驗(順帶一提，我執業已超過十年，相當「老」了﹗)，我會建議家長先選定一種語言，除非有特別的情況，否則最好是家長自己在家中使用的那一種。我們可先訓練孩子運用這種語言，直至他/她能純熟地運用，即可以用來作一般溝通、學習、表達情緒、思考、解決困難後才開始學另一種比較好。當然，偶然教一些英語的詞彙是不會構成大問題的。

我明白現時很多家長聘有外籍家傭，這樣，難免有雙語溝通。這跟父母其中一方是外籍的情況差不多。如果真的無可避免，我會建議用「一人一語」原則，即每人只講一種語言，切忌中英夾雜。

我有一份教家長如何在家訓練小朋友語言的資料，你可以把電郵地址pm給我。你試試照著做，過三個月再看看效果如何。

如果有懷疑，我還是認為找言語治療師評估一下較好。雖然孩子還小，未必能進行標準化評估，但有經驗的言語治療師都能從觀察中告訴你孩子的進度，以及孩子是否有可能在另外的一些問題(即如你所說，語言慢只是其中一個症狀)，並且教你一些平時需要注意的要點，讓你在家人先行訓練。

P.S.: Dr. T，抱歉"霸"佔了你的地盆。

fhmum 寫道:

My baby is 18 months old. .... Should I take him to have further assessment and where can I do this???

Dr.T

你肯出手,自然求之不得

稚言治語 寫道:
...P.S.: Dr. T，抱歉"霸"佔了你的地盆。

fhmum

稚姑娘,

Thanks for your kind advice.  I have pm you my email address and kindly send your advice to me.

Yes, my baby is communicating to me what he wants by pointing to the object (using his index finger) .... sometimes we pretend not understand him, ask him questions (e.g. do you want the banana, or the biscuit) and wait for his answer.... but my baby will become "angry" and just shout and cry until we give him what he wants  

Recently, he loves to take books to me, pointing to the objects in the book (seems like asking me about that object).... I will then tell him the name of that object and describe it  .....but his attention span is so short that he usually run away after a while.... it's hard for us to teach him, but anyway, I'll keep on trying and hope the situation will improve  

I will consult my boy's paediatrics when taking him to have the vaccine next week and ask for referral, if required..... thanks again