I won't bore you with an extensive history, some of you will know it anyway.
DD1: 'MLD' 'Widespread subtle cortical dysplasia' 'epilepsy' 'gdd'
School intervention: Mum draws sad or happy face in book according to DD1 behaviour. DD1 has to explain why Mum is sad or happy (relay the behaviour).
Intention: DD1 sees that school and home are united about behaviour, so that DD1 can't just be 'good' at school and 'naughty' at home, and think that home doesn't matter as long as she is good at school.
Ok, so I thought it was perhaps just an expressive thing, but today, I had a frank discussion with DD1.
She started to take her shoe off in the car. I asked her not to, so that she could walk into the house. When I unlocked the door, I came back to find that she had not only continued to take her shoe off, but also her sock. I said 'DD1, I'm not very happy with that'.
She said 'that mean I get a sad face at school??'
I said 'No, that means that Mummy is feeling sad because you didn't do as I asked.'
She said 'Oh good, then I get happy face?'
I was a bit shell-shocked by the coldness with which she had analysed the situation, and I said 'Is that all you care about, that you don't get a sad face for school?
She said 'Yes'.
I said 'Aren't you bothered that Mummy is feeling sad because of what you did?'
She said 'NO.'
So, to me, that is a clear lack of empathy. But my question is:
-
Would an average NT child of 5.9 years have this empathy that I perceive to be missing from DD1?
-
If so, should I be considering DD1's developmental level rather than chronological age for whether the lack of empathy is 'age-appropriate'
or
- Is this a 'significant' impairment?
DD1 does have empathy, but I am increasingly noticing that it is very ego-centric. i.e. She doesn't like blood, so she will be very sympathetic if someone cuts themselves. She isn't so empathetic if someone is upset about something that wouldn't bother her, IYKWIM.