ABSTRACT
If disability is difficult for a family with a single child, having a twin with a disability can be nearly overwhelming. All members of the family may, of course, suffer, but the very special needs of the healthy twin are often inadequately recognised. Parents who have two (or three) children plainly have two (or three) times the chance of having a child with special needs. The risk of disability is even higher with twins (or more) as many forms of disability, including congenital malformations, cerebral palsy and learning difficulties, are significantly more common among twins. Inevitably therefore, some parents find that both twins have special needs-a particularly heavy burden.
