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Spina bifida, a congenital physical disability, is indirectly associated with difficulties in scholastic achievement, social development, and self‐determination. Environment can have an impact on psychosocial development and impede functioning academically, socially, and vocationally. Counselors must be aware of the societal atmosphere to identify potential difficulties and more efficiently meet the needs of children and adolescents with spina bifida.
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Dawn C. Brislin (2008) studied this question.
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