ANY physical handicaps have been described and classified as to anatom-M ical and physiological characteristics, but little emphasis has been put on the person who experiences the handicap and how it is experienced. Strabismus interested us, among other reasons, because it is a common defect which is correctable to a large degree. This lends itself to a study of the personal and social adjustments of the individual before and after the defect.A search of our medical records uncovered ten cross-eyed children in our group at Sunny Hills (San Francisco Presbyterian Orphanage and Farm). These children, like all others admitted to this organization, had a complete ,anamnesis. Prior to admission of the child a history was obtained by the social worker from the parents and all social agencies which were active on the case. Following admission, periodic medical examinations were made. Continuation notes covering the observations of the child's personality were made monthly, so thorough as to give a good idea of the child's intramural adjustments. Frequent reports as to the extramural adjustments were obtained from the schools, 4-H Club, Scout organizations, etc. In our Clinic an evaluation of the personal adjustments of the child were made. At the frequent staff meetings an opportunity was provided to discuss the functioning of a growing totally-integrated person in his changing environment.With such a setup it was possible to compare clearly the progressive adaptations occasioned by changes in the ocular status in our unselected strabismus children. Of these there were six girls and four boys. Ages ranged from 5 to 15;

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