The high level of satisfaction with disclosure in this study supports the claim made by earlier researchers that parental dissatisfaction with the disclosure process is not inevitable. The major determinants of parental satisfaction with disclosure are directness, understanding of parental concerns and good communication on the part of the disclosing professional, and receiving a large amount of information.

This paper describes an innovative teaching unit developed by staff at Monash University, Australia. The unit was designed to give jirst-year medical students insight into the impact of a developmental disability on an individual and hidher family. The students were given opportunities to learn directly from people with disabilities, their families and professionals working with them in the community about their health, educational and social needs. The teaching unit was well received by the students and pre-and post-course questionnaires revealed that considerable attitudinal development had occurred over the 12 weeks of the course.~ ~~ ~~ ~

There are good arguments to encourage inclusive education for children with disabilities. In advising parents, doctors should focus on how rather than where the child with a disability should be educated.

Demands for more and better therapy are, at best, simplistic and tend to detract from the real needs of the child and family. An ongoing ecological approach is more likely to produce positive outcomes.