“…It is possible that singly, or in combination, psychological and social problems may impede language acquisition and development. Immediate psychosocial aspects involve the parents and include: (a) the time at which the cleft was discovered ; (b) parental reaction to the birth of a defective child; and (c) parental concern and anxiety about appearance, surgical repair, speech and intellectual development, reactions of family and friends, financial problems, and reoccurrence (Kahn, 1956; Tisza, 1958;Williams, 1962). In view of the initial parental concern and anxiety, Goodstein (1961)~ studied later personality and adjustment of parents of children with cleft lip and palate.…”