Pre-schoolers - 3 to 6 years
Many things to know about!
CHILD REARING AND PERSONALITY DEVELOPMENT by Paul Meier, M.D. PRE-SCHOOLERS (Ages Three to Six) A. Developmental adaptations during the preschool years. During the preschool years, rapid development takes place in the emotional life of the child, his socialization, language, and reasoning ability, independence, and sexual identity. 1. Emotions. Emotions play a very important part in the life of preschoolers. In fact emotions frequently find expression more freely in the preschooler than in many adults who have learned to suppress them. At about three years of age, children have many fears, fears of animals, fears of monsters, and even fears of "the big bad wolf." They have trouble differentiating between fact and fantasy, and need to be reassured over and over by their parents. Between three and four years of age, they may express their anger in the form of temper tantrums. If you give them what they want after a temper tantrum, they will continue to have tantrums all their lives. But if you grab them firmly by the shoulders and tell them to stop it, of even spank them if needed, their temper tantrums will cease, since they will serve no useful function. Preschoolers also experience anxiety, jealousy, curiosity, joy, and primitive forms of love. 2. Socialization. Again, remember that people need people, and that adults who don't have genuine love relationships with other adults do not have good mental health - they have loneliness, emptiness, purposelessness, and emotional pain. So teach your child to be a social creature by exposing him to other children his own age, especially of the same sex. Toward the beginning of the preschool years (age three), the child will not interact much with other children playing in the same area. This is known as parallel playing. But soon they will be running around together and talking to each other more. They eventually become less self centered, and learn to feel empathy with others. Nursery schools, if adequately staffed, can help speed up social development. And two or three mornings a week away from mother, at this age, will not only do the child some good but will give the mother a little break. Gary Collins (Gary Collins, "Man in Transition," p.50) states that childhood playing serves at least four useful functions: (1) it permits discharge of energy; (2) it provides needed stimulation; (3) it helps children develop motor skills; and (4) it enables the child to act out and learn to understand adult roles. 3. Language and reasoning ability. Language and reasoning ability are areas of very rapid growth between the ages of three and six. During these years, the child adds thousands of words to his vocabulary, and begins to be able to reason things out concretely. However, he continues to live in a small world in the sense that he still thinks most events center in some way around him, and that almost all people see things the same way he sees them. 4. Increasing independencc. During these crucial years, the child takes great strides in becoming more self-sufficient. He learns to feed himself and even cut must of his own food. He learns to dress himself, with perhaps some parental guidance on what to wear, rather than how to put it on. He becomes completely toilet-trained, using the bathroom when he needs and wants to, and cleaning himself afterwards. He becomes less dependent upon the mother socially, as he begins to make friends. In any Christian home, a boy's best friend, especially during these three years, should be his father. Christian fathers should spend much time with their sons and daughters, but especially with their sons, and mothers with their daughters. I have heard many fathers say that they think the quality of time is important - not the quantity. And all I can say to that is "nonsense." A large quantity of time is essential, and if you can improve the quality of time during that large quantity of time, that will be even better. 5. Solidification of sexual identity. The main reason fathers should spend quantities of time with their sons and mothers with their daughters during the preschool years is that these are the years in which sexual identities become solidified. Children need a parent of the same sex to identify with and to model themselves after. Today, it's hard to tell a boy from a girl, and that's not right. Boys should dress like boys and girls like girls, and that applies to their hair styles too (2. This does not mean, however, that girls should not play in bluejeans, and things of that nature). Although no chores are exclusively masculine or feminine, encourage your boys to help daddy with his chores and your girls to help mommy with hers. This will facilitate the sexual identification process. And remember to praise your child primarily for the quality of his behavior and character, not for his looks. It is also during these years that most children go through a stage in which they think that somehow they will grow up, the parent of the opposite sex will stay the same age, and they will somehow replace the parent of the same sex by marrying the parent of the opposite sex. This is known as the oedipal stage, and even though I think it was greatly overdone by Freud and others, it has been documented over and over again in probably a majority of children. That's why children this age should no longer sleep with a parent of the opposite sex, a practice that is more common than you would think, especially in one-parent homes. Continue to give your children of both sexes warmth and affection, but try not to be overly stimulating to them. When they were younger, they could follow you around when you dressed, used the restroom, and took baths, but now politely yet matter-of-factly wean them off these activities. The children usually won't object a great deal, and will react by demanding privacy themselves when they do these things. They'll understand that it is just part of growing up. I have seen many sons who were suffering front anxiety and other problems because their mothers were unhappily married, or no longer married, and had unconsciously made little husbands out of them. I have also seen cases where this occurred between father and daughter, such as in the case of hysteria I told you about earlier. Children should also have friends who are of the same sex. And when our children ask us questions about sex-related things, the healthy thing to do is to answer them truthfully and matter-of-factly without showing embarrassment. Don't go on and tell them things they didn't ask for, but answer their questions accurately and specifically. Teach them that some things are talked about privately and done privately, but don't become overly agitated about it. For instance, we shouldn't allow our children at this age to run around in the yard without any clothes on, but if our child is examining his genitals in bed at night when we happen to walk in on him, the best thing to do is ignore it, or politely ask him to leave his pajamas on. B. The preschooler's role in the family. 1. Effect of birth order. The role a child has within his own family structure will greatly influence the development of his personality. While there are definitely exceptions to every rule, especially in psychiatry, there are also general trends which have been observed in children who have different positions in the family. This includes their order of birth. There are advatages and disadvantages to being the oldest, a middle, or the youngest child, and there are special disadvantages to being the only child. Usually, more demands are placed on the oldest child, so he becomes more of a perfectionist. As an adult, he is more likely to achieve success in fife, but will probably enjoy it less, and always wish he had achieved even more. 1 have already mentioned that fifteen of the first sixteen American astronauts were first-born. Second-born children, especially if teased by the first-born, are sometimes more shy and polite, and try to please everybody. From the third child on, children are frequently less inhibited, more outgoing and extroverted, and generally enjoy life more than the first-born, even though they may be less successful. And the youngest child has a greater chance of being spoiled, more dependent, and less mature, depending a great deal on the maturity of his parents. Children of older parents tend to be more serious-minded than children of young parents. But again, there are exceptions to every rule. Alfred Adler wrote extensively about positions within the family and their importance. The Chinese have special terms of address for persons of each position within a family, with special status and rules for each position. A study of nineteen- year old men in the Netherlands revealed that the first-born had the highest I.Q. scores, and that I.Q. scores went very slowly but definitely down as birth order progressed. The diffference was not very great, however. Another study showed that menarch occurs later in girls front large families than in girls from small families. 2. Scapegoats. Children also have various special roles within the family, regardless of position, such as scapegoat, baby, pet, miniature husband, and peacemaker. Unfortunately, handicapped children some times become the scapegoat who is made fun of and rejected by the other children of his family, especially if the other children feel particularly inadequate themselves. 3. Roles parents play. The different roles parents play in the family also greatly influence the personality of each child growing up within that family. One research study, including personality testing, was done over a seventeen-year period on sixty-four young adults. The project was carried out by Charles H. Rousell and Carl N. Edward of Harvard University. Their study indicated that permissive home atmospheres tend to produce neurotic (including hypochondriacal) and psychotic disturbances, especially in female children. Cold, permissive home atmospheres tend to result in sociopathic personality disorders in young adult males. Cold, punitive homes tend to result in the production of phobic and psychotic males. Excessively warm, permissive homes tend to produce strong anxiety and psychotic reactions in males. 4. General trends. Other studies have shown that, in general, a weak father and a weak mother, especially if physically and emotionally quite cold, will develop children with schizophrenic tendencies. A domineering mother and weak father will generally result in various types of neurotic offspring. A strong-willed mother and a strong-willed father will tend to develop overly rebellious children. A weak mother and tyrannical father will tend to produce insecure daughters and tyrannical sons. But a mother with self worth, character, and genuine love, who is a co-leader in the home, and a father who has self-worth, character, genuine love, and makes the ultimate decisions in the home, will produce mentally healthy children with self worth, character, and genuine love for others. 5. Single-parent families: six million fatherless. Another very serious problem in American society today is the increasing number of single-parent families. They have problems all their own, such as separation anxiety, grief, anger, depression, loneliness, and sexual identity problems in the children. Unfortunately, there are presently more than six million children in the United States who are living in fatherless homes (this was way back when this book was being written - it is far more today in the 21st century - Keith Hunt). An extensive study on 120 children from fatherless homes was carried out by the Psychiatry Department of the University of Florida. They found out that the parent-child relationships are most impaired among "hard-core" fatherless children, meaning those who have been without a father for two or more years. These children are often psychotic or retarded, with severe pathology and a fatalistic view of life. Children who have been without a father for less than two years have fewer severe impairments than the "hard-core" fatherless, but more problems than children who have fathers. There are so many Christian fathers who are failing in their responsibilities before God that it makes me grieve. I can't repeat enough the fact that a father's first responsibility from God is his own family. All else comes in a distant second. Paul said that it anyone does not provide for the needs of his own household, he is "worse than an infidel" (I Tim.5:8). 6. Children of drug addicts. Another rising problem in American society today is the problem of drug addicts and the offspring they are producing. One study showed that many babies born to drug addicts have with- drawal symptoms at birth. Many need to be placed in foster homes. Almost all of the children of drug addicts are reared in fatherless homes, since most of the addicted fathers have abandoned the mother and child. Multi-child families which fall into this category are usually fathered by different men. Most of the children neglected by their addicted mothers develop a limited capacity for human relationships and have many other permanent psychological problems. C. Typical areas of concern regarding preschoolers. Lets turn our attention to typical areas of concern regarding preschoolers. These are everyday problems that we are likely to face in our own preschoolers. I would like to discuss both my own experiences and some research findings regarding fourteen common problem areas for parents of preschoolers. 1. TV violence. Psychiatric researchers at the University of Georgia recently conducted a much-needed study on emotional reactions of young children to TV violence. They showed three brief, violent TV episodes to four-and five-year-old children while continuously measuring the amount of emotional perspiration. The children were also shown two non-violent films. As measured by their skin resistance, the children responded more emotionally to the violent episodes and remembered them better one week later. When asked which of the five episodes (three violent and two non-violent) they liked the best, they chose one of the violent and one of the non-violent episodes, which happened to be the two cartoons they were shown. The emotion involved with the violent scenes appeared to be primarily fear. Violent scenes with human characters aroused more fear than did violent scenes with cartoon characters. The chilldren were able to recall twice as many details about the human violence than about anything else they saw. This implies a possible relationship between emotionality and the storage and retrieval of information. I think the main lesson we can learn from this and other similar studies is that our children's minds, like our own, are in reality quite complex computers, and what we feed into them is what will come out for years to come. Television can be a useful thing, or it can be a great hindrance to the emotional and spiritual maturation of our children. 2. Handicapped children. A recent study appearing in the "British Medical Journal" showed that "problems which children have with particular handicaps may well in their turn specifically affect aspects of their development and their parents attitude towards then." Other studies have shown that handicapped children frequently become overly dependent, passive, and somewhat withdrawn. They also frequently learn to get strong secondary gains from illness - which means that thier parents and others let them have their own way because they feel sorry for them. If you have a handicapped child, don't deny the handicap, but encourage his independence. And don't pity him - love him and trust his ability to overcome the handicap and to become a responsible individual. 3. How to treat twins. About one out of eighty six births produces twins, and about one thirde of these are identical twin. I think twins are a special blessing from the Lord. But having twins also gives the parents added responsibility. The American tradition is to dress twins alike and to have them do everything alike, so they'll be treated fairly. But studies have shown that this is not the best thing for them psychologically. It's best to deal with them in terms of separate individuality. Respect differences in their tastes and opinions. Don't reward, praise, or punish them at the same time, but do so individually. It is better it they wear different styles of clothing, depending on their own tastes. It is even recommended that they attend different classes in school. 4. More on bedwetting. Bedwetting is a very common problem during the preschool years. Statistics show that about 88 percent quit wetting their beds by the time they reach Four and one-half years of age, but about 8 to 10 percent will still be wetting their beds from time to time when they reach six years of age, and about I to 2 percent even after high school graduation. As I mentioned before, the best thing to do is have the child clean up his own bed, as much as is possible, without unnecessarily shaming him. Treatment methods have already been discussed. 5. More on encopresis (soiling). Soiling, like bedwetting, can be expected in the preschool years. I would encourage you to remember that the normal range for neurological readiness for toilet-training is anywhere between one and one half and four years of age. It's not considered abnormal, therefore, unless the child is more than four years old. If your child is over four and still soiling from time to time, it would be best to get treatment for him, preferably from a child psychiatrist, who will be best equipped to handle such a problem. 6. Thumb-sucking. Thumb-sucking has also been discussed to some extent. Let me say here that it is considered normal, and that about 20 percent still suck their thumbs even after their sixth birthday. However, if your child is over six, and still sucking his or her thumb regularly, it is usually considered to be a sign that the child is experiencing some anxiety; family counseling would probably be advisable. 7. Nail-biting, nervous tics, and stuttering. Don't worry about moderate nail-biting. About 20 percent of college students still bite their nails. Nervous tics, however, such as constant squinting of the eyes, various inappropriate jerky motions, and constant clearing of the throat, are signs of emotional conflicts requiring counseling, preferably by a trained psychiatrist. Tics usually go away as the conflicts are resolved? We also have medications, such as low doses of Haldol, that will eliminate them within twenty-four hours. Haldol has worked on my patients 100 percent of the time so far, but unless the conflicts are resolved, the tics will return when the medication is discontinued. Even lifelong stuttering in an adult can be eliminated 60 percent of the time within about forty-eight hours after taking low doses of Haldol. Stuttering in preschool children is considered normal and should just be ignored. It nearly always goes away by age six. The reason it is so common is that during the preschool years, the child's knowledge and vocabulary are increasing much more rapidly than his neurological ability to get all those words and thoughts expressed verbally. Becoming unduly excited about it only makes it worse, so just ignore stuttering unless the child is over six years old. 8. Animal fears. Animal fears are most common between the ages of three and five. Again, they are nothing to worry about, but they do require patience on the part of the parents who have to explain over and over again to the child that the big bad wolf won't get him! 9. Obesity. I've already said quite a bit about this subject. I would advise strongly that you avoid obesity in your child at any cost. It will greatly hamper his self worth, and limit the kind of respect he will get from his peers. Elementary school children are very tactless and will keep on broadcasting any defect they see in other children. It's not right, but that's the way it is, so let's deal with the problem realistically. 10. Warning: Daycare Centers may be hazardous to your child's health! I think I have already said enough for you to know my position on Day-care Centers, Basically, it is that some are all right for short periods of time, but most of them are psychologically damaging to a child who stays there five days a week, eight or nine hours a day. If you do put your child in a Day-care Center, be sure it has warm, loving, well-trained, multiple mother substitutes. Freedman, Kaplan, and Sadock's Modern Synopsis of Psychiatry states that "inadequate facilities or personnel may be destructive to the proper psychological growth and development of children." I think Daycare Centers should be required by the government to have that message printed over their doors, just like the warning on cigarettes. 11. Nightmares and night terrors. Nightmares and night terrors are also quite common in preschoolers. Because there are many things that a three-to six-year-old doesn't yet understand, he spends a large portion of his sleep-time in dreaming. Therefore, most children will have some nightmares or night terrors. Night terrors involve thrashing around in bed and crying out some, but unlike nightmares the children don't wake up. In fact, you may have a hard time waking them up during a night terror even if you shake them hard. Most children have them for only a short period of time; they go away as the conflicts become resolved. Medications can be given to eliminate night tenors during this period of time, but usually aren't necessary. I would recommend that you keep a nightlight in your preschooler's room, so he can see that there aren't any animals or bogeymen. If your child comes to your bed at night after a nightmare, he should be taken back to his own bed and calmly spoken to a few moments. Sleepwalking is also common in young children, and is nothing to worry about if they stay in the house! Medications can stop this also. 12. The housing problem. It might seem strange that I would list the type of housing a person lives in as a preschool problem, but it is just that. We lived in an apartment during college, graduate school, medical school, and psychiatric training, but I don't recommend apartment living for preschoolers or older children either for that matter, and I have statistics to back up my personal prejudices. Douglas Hooper found that apartment dwellers are more transient in their occupations and life-styles and that adults and children who live in private homes have much less mental illness than adults and children living in apartment complexes. As I said, though our family lived in an apartment, we moved into a house as soon as my schooling was completed. 13. Childhood depression. I have seen a number of cases of childhood depression. Frequently it follows the loss of a loved object, a divorce, the death of a parent, or the transfer of a father overseas. Weekly counseling sessions usually meet with success. I also like to facilitate counseling by using low doses of Tofranil, an antidepressant medication, if the depression seems very serious. Childhood depression is usually manifested by social withdrawal, prolonged sadness, and either a marked increase or decrease in activity level. 14. How to reduce stress in preschoolers. Stress is something people have at every age. Some of it is good for us, and necessary for our psychological development. Preschoolers have many adjustments to make, and are developing rapidly between the dependent toddler stage and the independent school-age stage. Simple events like going to Sunday School, to the pediatrician or to the dentist, moving into a new home, having a new baby brother or sister, can all be very stressful for a preschool child. As a matter of fact, going to the dentist is usually quite stressful for me! The best way we, as parents, can reduce these stresses for our children is to prepare them for these events by talking about them ahead of time in words that children will understand. Always be truthful. It can even be distressing for children to go to sleep at night, only to wake up to find a strange babysitter there and their parents gone. We always tell our children when we are going out, even if they will be asleep before the babysitter comes, so they won't be surprised. ................ To be continued with "From age Six to Eighteen: General Principles - Spiritual Development." |
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