The Out-of-Sync Child

Do you know a child who plays too rough, is uncoordinated, hates being touched, is ultra-sensitive (or unusually insensitive) to noise or sensations of heat and cold? Many pediatricians and other experts are beginning to recognize a link between some of these apparently unrelated behavior patterns. Children with perfectly normal "far senses" (such as sight and hearing) may have, because of a poorly integrated nervous system, serious problems with their "near senses," including touch, balance, and internal muscle sensation. It's called Sensory Integration Dysfunction, or SI. The announcement of yet another new syndrome is bound to raise skeptical eyebrows--and with good reason. (How do we know which child really has SI, and which one just happens to share some of the same symptoms?) Author Carol Stock Kranowitz argues convincingly, however, that for some children SI is a real disorder, and that it is devastating partly because it so often looks like nothing so much as "being difficult." And, whatever the scientific status of SI, Kranowitz carefully details many routines and remedies that will help children--and the parents of children--who exhibit the behaviors described. This book is a must-read for all doctors, pediatricians, and (perhaps especially) childcare workers. --Richard Farr