Can the "Learning Difficult" outpatient, can it relieve learning difficulties?

At the Children's Children's Psychological Health Service Station in Jiaxing City, Zhejiang Province, students are experiencing "brain wave balls". Xinhua News Agency

The Child Health Center of the First People's Hospital of Lianyungang City, Jiangsu Province is studying difficult clinics. Doctors communicate with children and parents. Geng Yu and Photo/Bright Picture

The Tongzha School of Hanshan County, Anhui Province organized students to carry out the "Experience Game Care for Psychological Health" activities. Ou Zongtao Photo/Guangming Picture

Not long ago, the "Learning Difficulty" clinic of the Pediatric Hospital affiliated to Fudan University appeared on the hot search. Many netizens were interested in and expressed their hate late- "How can the effect" "Come and help me see" "If me It's fine when I was a kid "...

The outpatient clinic for more than two years was suddenly followed, and Zhu Daqian, director of the Psychology Department of Fudan University Affiliated Pediatric Hospital, frankly said that "I didn't expect." She told reporters that after the outpatient clinic was "fire", the most direct change brought was more people who came to add. Some children who are lighter and not "difficulty" have also followed their parents. "If the popularity of attention can drive more family science to understand learning difficulties and improve parent -child relationships, it is also a good thing."

What are learning difficulties and which factors can cause learning difficulties? Can learning difficulties be cured? What kind of experience is it? With these questions, the reporter came to the Pediatric Hospital of Fudan University to visit.

Can studying difficulties, can you "cure"?

Fudan University Pediatric Hospital opened a psychology department as early as 1998. In September 2020, the hospital opened a difficult outpatient clinic. The main reason is that the parent -child conflict in the psychological clinic is very related to learning, but whether the child is unwilling to learn or it is really unable to learn. The reason should be subdivided.

Zhu Daqian introduced that learning difficulties have been opened in many hospitals across the country. However, because parents have different understanding of this, many times they have a serious situation and "have no way to go" before they come to the hospital for treatment. The situation has been changing in recent years. "From the experience of my own consultation, there were many patients with intellectual obstacles and dynamic diseases, accounting for about 70 %, and in the past five years, there have been more cases of emotional disorders."

"To figure out the reason, in fact, many situations don't have to worry about it." Zhu Daqian took a child on the afternoon of the interview. "This junior high school student is actually not a difficult learning difficulty. After talking to him, he also realized that his main problem was to be inaccurate. We analyzed that this was related to the long period of online lessons. So I agreed with the child, and I agreed to, and I agreed with the child. By the beginning of the school in September, I met again a month. After the chat, the child was relaxed, and the parents were very happy. "

Zhu Daqian believes that it is necessary to have a scientific and comprehensive understanding of "learning difficulties". "Difficulties in learning are a result of poor learning state and poor grades under the role of many factors. The incidence of learning difficulties at home and abroad is about 20 %, and there are more boys than girls." Zhu Daqian introduced "There are many reasons for children's learning difficulties. In addition to family education reasons, learning difficulties may be caused by various neurological problems, emotions and psychological disorders, cultural and environmental adverse factors."

神经发育问题造成的“学习困难”孩子中，患有“注意缺陷多动障碍”是门诊最常见的情况，这些孩子因为神经发育不完善，难以集中注意力，造成学习时易分心、发呆、 Fear of difficulties affecting academic performance. Another common situation is that although children are normal, they have backward development in a specific learning ability, which will affect the corresponding subject scores. These two types of children are often misunderstood as "primary school scum" or "little lazy worms" who do not like to learn. In fact, after regular treatment, including drug treatment, behavior therapy, professional rehabilitation training, etc. The great improvement can even be counterattacked from "learning scum" into "learning hegemony".

Zhu Daqian specially reminded that about one -third of the children who study outpatient clinics have some emotional and mental and psychological disorders, such as "school adaptation disorders" and "anxiety depression" and so on. Especially among the children who come to the doctor at the middle school stage, the proportion of emotional problems is high.

"Many children have lost their interest in their learning interests, and they are misunderstood by parents and teachers as 'adolescent rebellion' by parents and teachers." Zhu Daqian said that we will mobilize children's families and schools to give their children psychological support, cooperate with the profession Drugs and psychotherapy can also achieve good improvement.

What kind of experience is it to go to the clinic?

Every Thursday afternoon, the "Learning Difficulty" clinic for the Pediatric Hospital of Fudan University is limited to 20 people. These days, the outpatient clinic has always been full.

After the child with the "learning difficulty" clinic, the doctor will interview with the family in detail to understand the child's learning, living conditions, and the child's emotions and development status, etc., to fully collect information and find out possible problems. Then, according to the results of the interview, some standardized assessment and inspections are issued to identify the difficulties of the child and obtain some quantitative indicators.

After completing the examination, the doctor will help parents to interpret the results of the examination, distinguish whether the child is "unable to learn" or "unwilling to learn", help parents understand the problem, and choose the right treatment method with parents. After the treatment starts, the doctor will constantly adjust the treatment plan through regular retransmit to ensure that the child achieves a good learning effect.

Zhu Daqian said that families who come to the doctor usually benefit, because through a series of interviews and inspections, parents can distinguish whether the child can "learn well" or "unwilling to learn". There are clear goals in the direction. In the outpatient clinic, some children who are considered "learning difficulties" are actually not much difficulty in themselves, but they have not achieved their ideal learning status under the influence of parents' inappropriate education methods or inappropriate learning environment. For example, some families have a heavy learning burden on their children, without exercise and play time. Some families have a noisy learning environment, and it is difficult for children to enter learning quietly. Zhu Daqian said that in this case, he will patiently guide parents to adjust the education method to help children exert their learning potential.

"Difficulties in learning" requires scientific understanding

"In the past two years, the" Learning Difficulties "outpatient has received and helped more than 1,500 children with difficulties in learning. There are many successful treatment cases." Zhu Daqian told reporters.

"We once encountered a child with a dysfunction and attention to multiple impairments at the same time. The Chinese test can only take a dozen points. Mathematical results are struggling to pass the edge of the grid. After determining the difficulties, we helped parents formulate a gradual improvement plan. "Zhu Daqian introduced that because the child has severe attention defects, first uses drugs to treat the child's attention. At the same time, cooperate with behavioral therapy, guide parents to adjust education methods, and do some attention training. We also encourage parents to use explanations to cooperate with reading to help children learn important knowledge points and make up for the shortcomings of their children's reading. At the same time, cooperate with the doctor of the rehabilitation department to conduct rehabilitation training for children's obstacles. Under such a plan, parents first realized that their children were studying with such difficulties, so they turned from the previous criticism and scolding to understand and help. After communicating with the school teacher, the teacher can also understand the children's difficulties. In this way, he created a supportive environment for children, and he was not so scared and disgusted with learning. After a few months, the child is obviously able to learn more focused. Although the reading speed is still slow, they can actively try and work hard to complete the learning tasks. They have played their own advantages in mathematics. Near pass.

Zhu Daqian was impressed by a child who came to the third grade in the third grade. Parents feedback their children's addiction to the game, sleep in class, do not listen to lectures, and do not do it at night. Children who were originally active and excellent grades were like changing individuals. After an interview with the child, she found that the child has been suffering from severe depression in the past year, and has lost interest in learning and exercise. She feels emotional, no energy, and even negative thoughts. In addition, the child's parental relationship is not very harmonious, and the children and friends in school are also contradictory. These factors have aggravated depression.

"After discovering these problems, we communicated with the family so that parents were willing to let go of their concerns about learning. First of all, helping children adjust their emotions. When the child's emotions are adjusted, his original learning ability can naturally be exerted." Zhu Daqian said Essence One year later, the child recovered his studies smoothly, his grades also improved steadily, and he was admitted to his favorite high school.

According to Zhu Daqian, some children also found that they had extensive neurostellous problems after the evaluation, such as slow mental development, and might not be able to change greatly in intellectual development. These children are often difficult to keep up with normal learning progress in ordinary classes. Parents have invested a lot of energy and have little effect. At this time, we will guide parents to adjust the direction of education, reduce the high pursuit of excessive academic performance, and pay attention to the development of other abilities, help children grow into a person with independent living ability.

"In general, learning difficulties are a thing that is worthy of attention and requires scientific understanding." Zhu Daqian said that learning is important, but parents cannot just stare at learning. When children encounter difficulties in learning, they should help them find the cause and see where the problem is. Finding difficulties can provide effective intervention and support.

(Reporter Yan Weiqi)

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