This might also mean that CNS would be more responsive in giving feedback on their actions to the trialists as they would only have to review the continuity assessments of patients with difficulties rather than all patients, as was the case in trial arm 3.
(For example, people with temporal lobe epilepsy may find that certain sounds trigger seizures, and some people have neurosensory issues that cause extraneous noise to be a severe difficulty rather than a mild annoyance).
In contrast to school counseling and guidance in the US and Asia [ 5], UK provision tends to be based around a humanistic, person-centred model of practice [ 6- 8], with a focus on young people's emotional difficulties (rather than educational attainment), and a predominance of one-to-one meetings with a counsellor rather than group therapy.
A Dutch study reported that attention switching difficulties, rather than social autistic traits, showed particularly strong genetic overlap with traits of ADHD [ 20].
The use of And to preface questions, use of multiple declaratives, optimised for confirmation, and a process of ellipsis whereby questions were shortened made this information gathering activity appear more as a checklist designed to rule out serious difficulties rather than orienting to the patient's specific presenting problem.
This has had little direct impact in Geneva so far, but that is only because the Doha negotiations are still mired in procedural difficulties rather than substance.
Of course, there are many children who have a combination of needs, but my school is equipped to support pupils whose learning difficulties – rather than emotional and behavioural problems – hamper their education.
After all, it is in foreign policy that a smart president (and no one doubts Mr Clinton's political intelligence) can find distraction from domestic difficulties, rather than vice versa.
Children, especially struggling ones, tend to act out their difficulties rather than share them in words.
