You have to laugh where you can, I suppose. Some of my conversations with J are truly dysfunctional, in the sense of utterly disjointed. An example: at the moment I have a bad cold and chest infection; a neighbour picked J up from school as I didn't even feel up to going out. Tonight was the night he usually has his roller skating class. He wasn't aware of this - he doesn't really know days and what happens on days yet - but I thought I'd mention it and say that I was sorry he missed it and I would take him next week. At this news, J, who had been happily playing with his toys, threw himself on the ground and went into a kind of crying whine about how he wanted to go roller skating now. I completely ignored him (from past experience), picked up a lego toy he has been building and asked, as if nothing in the world were going on: "Does this piece go there?" "Oh yes," he instantly said in a bright tone, getting up from the floor... Dialogues from the madhouse!