As a graduate psychology student in the early 1960s, I cameto the University of Iowa Hospital School with much energy,considerable naivety, and many questions. Do children withcerebral palsy (CP) have difficulties with psychologicaladjustment, what do their families need, can we really havean effect on their quality of life, do we know anything thatreally makes a difference in the long term? What do we meanby ‘they have to accept their disability’, what standard is thebaseline from which to best measure improvement, andwhat is ‘normal’ adjustment if a child has a physicaldisability? Over the last three decades, has practice changedfor the better for the child with CP? Have our perspectiveschanged on any of these questions?