social relationship problems faced by spina bifida children

Language- written, social use, appreciation of flow of language, narrative organization, vocab development, understanding humour

Personal-social skills- reflection, self-knowledge, rules, control of impluses, conscience

Cognitive- problem solving, multistep procedures

Social acceptance- by the age of 12, the search for friendship and popularity and avoiding humiliation may exceed pleasing parents and getting good grades.

Transitions between primary school and secondary school. May not understand that relationship requires discretion and careful pacing, and not make inappropriate gestures or action too early. Do not know how to interact with other children in different settings like bus stop, cafeteria, gymnasium.

4 types of children- generally depends on social skills:
- popular- sought after, looked-up to, respected by peers- know how to deal with different situation and have manipulation skills
- controversial- highly liked and disliked
- neglected- unnoticed
- rejected- ostracized/ stay away from

May encounter social isolation due to lack of social skills