Ability of toddlers to recognise TV images

doi:10.1136/bmj.321.7257.385

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Clinical utility of this milestone is not established

Michael Hunter, specialist registrar in psychiatry (mhunter@doctors.org.uk)

Community Health Sheffield NHS Trust, Northlands Community Mental Health Centre, Sheffield S5 8BE
Royal Free Hospital, London NW3 2QG
Basildon Hospital, Basildon, Essex SS16 5NL

EDITOR—Lloyd and Brodie propose that the ability of an 18 month old child to recognise television images may be a useful milestone in the assessment of development.1 Their data derive from the examination of two conditions only: Down's syndrome and normality. To extend the concept to include learning disabilities in general, language disorders, and autism is not necessarily valid.

The authors found that their milestone had a high degree of specificity (96%): very few normal children were unable to recognise television images. …