If that does not occur then the difficulties are compounded by the child's increasing demands on the caregiver and their inability to cope. While a measure of communication occurs there are large areas which are fraught with misunderstandings. The level of frustration, the anger resulting from constant injury, the lack of gratification in having such a difficult child, all contribute to the ensuing chaos. It is often at this point that children are referred for therapy. They are good readers, but have great difficulty with tasks involving writing or arithmetic.
Diagnostic interviews disclose social emotional distress.
Although they appear sophisticated there is a shallowness to the content of their expressions. Consequently, when they are asked to report on an event they give an account that appears disconnected and devoid of feeling. The social-emotional profile. They are unable to decode the emotional message conveyed by people's faces, and They are unable to read bodily gestures. It is hard to tell whether they are really happy or unhappy.