Social and emotional development
There is widespread recognition that children with specific learning difficulties may experience social and emotional problems because of their learning difficulties, but it is often not realized that impairment of social skills may itself be a form of learning difficulty. This is due to a limitation in the way that the brain is able to understand social conventions. This is called a social cognition (or social learning) deficit. In this chapter, I shall first discuss social cognition deficit, and then discuss a number of behaviour problems that may occur as a result of a specific learning difficulty. Social skills, like any other skills, have to be learned. Yet much of what children learn about socially appropriate behaviour is not actually taught to them; they simply pick it up as they go along. Some children of normal intelligence seem to be less able to learn these things, even when taught. This may be their only area of difficulty, but it is commonly associated with other learning difficulties. These children have been accurately described as being ‘socially tone deaf’. They do not pick up the same cues as other children of the same age. They do not seem to predict the social consequences of their actions. They may be uninhibited, undressing in public without the same embarrassment that their peers would experience. They may be overfriendly to strangers. They may frequently say very tactless things without realizing the effect they are having. They often do not read facial expressions and are oblivious to whether someone is angry or upset with them. They may kiss classmates at an age where this is no longer appropriate. They may make unusual sounds in public. They may be insatiable in their activities, not knowing when to stop in the way another child of their age would. Although such behaviour may be apparent to all who meet the child, the people who are most likely to notice it are the child’s peers. With them, the child often sticks out like a sore thumb. This is something that may not be apparent if the child is only observed in a one-to-one relationship at a clinic.