A Schema for the Clinical Study of Mentally And Educationally Unusual Children

Cover A Schema for the Clinical Study of Mentally And Educationally Unusual Children
A Schema for the Clinical Study of Mentally And Educationally Unusual Children
J E Wallace John Edward Wallace Wallin
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Seeks what kinds of amusements (games, plays, loafing, running around, ball, gambling, crap playing, immoral practices, selling papers, theaters, picture shows, etc). Plays with boys or girls, older or yoimger. Attends picture shows or theaters, how often What kind of shows preferred Effects of on child RECOSCMElf DATIOKS : Results of RBOOKBCEKDATioiirs (from later investigations): Siohaturb: 10 Digitized by VjOOQIC FORM IV SCHOOL HISTORY Teachers' Reports ok Pedagogical, Pstcholooical, Social ...and Moral Traits No. Diagnosis Reported by (with position) Date Full name Sex Age: yrs. mos. Birthday Address (with 'phone) Parents' or guardian's name (and address.
if different from child's) and religion of father Language spoken in child's home Nationality, language mother By whom referred (Underscore iU>propriate words: once for 'moderate,* twice for 'marked,* and thrice for 'extreme* degree. Also fill in data in blanlc spaces.) Attendance Record: Age on entering first school (kindergarten included) Names of schools attended, in correct time order Location of School Time, from to No.


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