Ruth is a spirited 10-year-old who loves horse riding and wants to work in a stable when she grows up. She has lively exchanges with her class mates and teacher, chats enthusiastically about school and home activities, jokes, fantasises, gets embarrassed, has fun putting down friends or family, throws side-long glances at adults when she knows they are discussing her, is both keen and shy to take the stage. She is observant and sensitive and initiates conversation in just the ways you would expect of a girl approaching adolescence:

Ruth's open and interested demeanour only clouds over and closes up when her difficulties with language come into focus. At this point, she is likely to fire angry and conversation-closing words:

Once her difficulties are touched on, and especially if they become apparent in public, she is likely either to withdraw or to lash out with expressions of rejection. These negative feelings also surface in role-play games which are in her control. She often acts out aggressive fantasies through the roles she creates: