Out-of-Sync Child : Recognizing and Coping

NEWLY REVISED AND UPDATED The Out-of-Sync Childbroke new ground by identifying Sensory Processing Disorder, a common but frequently misdiagnosed problem in which the central nervous system misinterprets messages from the senses. This newly revised edition features additional information from recent research on vision and hearing deficits, motor skill problems, nutrition and picky eaters, ADHA, autism, and other related disorders.

Carol Stock Kranowitz, M.A., has been a preschool teacher for more than 25 years. She has developed an innovative program to screen young children for Sensory Processing Disorder, and writes and speaks regularly about the subject. She has an M.A. in Education and Human Development.

Preface by Lucy Jane Miller, PhD, OTR

ix

Foreword by Larry B. Silver, MD

xiii

Acknowledgments

xix

Introduction

xxi

How to Use This Book

xxvii

PART I: RECOGNIZING SENSORY PROCESSING DISORDER

1

(190)

1: Does Your Child Have Sensory Processing Disorder?

3

(48)

Four Out-of-Sync Children at Home and School

4

(5)

Sensory Processing Disorder: A Brief Definition

9

(4)

Common Symptoms of SPD

13

(8)

What SPD Is Not: "Look-Alike" Symptoms

21

(1)

Associated Problems

21

(16)

Possible Causes of SPD

37

(1)

Who Has Sensory Processing Disorder?

38

(2)

Don't We All Experience Sensory Processing Problems?

40

(1)

Sample Sensory-Motor History Questionnaire

40

(7)

Hope Is at Hand

47

(4)

2: Understanding Sensory Processing-and What Can Go Amiss

51

(29)

The Senses

51

(4)

What Is Sensory Processing?

55

(11)

The Typical Development of Sensory Processing in Infants and Children

66

(2)

So, What Is Sensory Processing Disorder?

68

(9)

Six Important Caveats

77

(2)

Comparison of Typical Sensory Processing and Sensory Processing Disorder

79

(1)

3: How to Tell if Your Child Has a Problem with the Tactile Sense

80

(30)

Three Kindergartners at Circle Time

80

(2)

The Smoothly Functioning Tactile Sense

82

(2)

The Out-of-Sync Tactile Sense

84

(7)

How the Tactile Sense Affects Everyday Skills

91

(10)

Characteristics of Tactile Dysfunction

101

(9)

4: How to Tell if Your Child Has a Problem with the Vestibular Sense

110

(24)

Two First-Graders at the Amusement Park

110

(3)

The Smoothly Functioning Vestibular Sense

113

(3)

The Out-of-Sync Vestibular Sense

116

(6)

How the Vestibular Sense Affects Everyday Skills

122

(7)

Characteristics of Vestibular Dysfunction

129

(5)

5: How to Tell if Your Child Has a Problem with the Proprioceptive Sense

134

(18)

One Nine-Year-Old at the Swimming Pool

134

(2)

The Smoothly Functioning Proprioceptive Sense

136

(3)

The Out-of-Sync Proprioceptive Sense

139

(5)

How the Proprioceptive Sense Affects Everyday Skills

144

(4)

Characteristics of Proprioceptive Dysfunction

148

(4)

6: How to Tell if Your Child Has a Problem with the Visual Sense

152

(22)

Two Seventh-Graders at School

152

(3)

The Smoothly Functioning Visual Sense

155

(7)

The Out-of-Sync Visual Sense

162

(7)

Characteristics of Visual Dysfunction

169

(5)

7: How to Tell if Your Child Has a Problem with the Auditory Sense

174

(17)

A Third-Grader in Music Class

174

(2)

The Smoothly Functioning Auditory Sense

176

(4)

The Out-of-Sync Auditory Sense

180

(6)

Characteristics of Auditory Dysfunction

186

(5)

PART II: COPING WITH SENSORY I'IZOCESSING DISORDER

191

(92)

8: Diagnosis and Treatment

193

(34)

A Parent's Search for Answers

193

(2)

Recognizing When Your Child Needs Professional Help

195

(3)

Documenting Your Child's Behavior

198

(14)

Diagnosing the Problem

212

(7)

Different Therapies, Different Approaches

219

(6)

Bringing Therapist and Child Together

225

(1)

Keeping a Record

226

(1)

9: Your Child at Home

227

(17)

A Parent's Revelation

227

(1)

A Balanced Sensory Diet

228

(3)

Promoting Healthy Sensory Processing at Home

231

(13)

10: Your Child at School

244

(17)

What a Difference Communication Makes!

244

(1)

If Only School Were More Like Home

245

(2)

Deciding Whom to Tell

247

(2)

A Good School-and-Child Match

249

(2)

Promoting Your Child's Success at School

251

(10)

11: Coping with Your Child's Emotions

261

(12)

A Typically Dreadful Morning

261

(2)

Other Experts' Advice

263

(4)

Dos and Don'ts for Coping

267

(6)

12: Looking at Your Child in a New Light

273

(10)

A Parent's Epiphany

273

(1)

Becoming Enlightened

274

(5)

A Parent's Encouraging Words

279

(4)

Appendix A: The Sensory Processing Machine

283

(16)

Appendix B: Dr. Ayres's Four Levels of Sensory Integration

299

(6)

Glossary

305

(18)

Resources

323

(8)

About the Author

331

(2)

Selected Bibliography

333

(14)

Index

347

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Out-of-Sync Child : Recognizing and Coping with Sensory Integration Dysfunction

Summary

Author Biography

Table of Contents

Supplemental Materials