Elementary School Years
Various guidance for 6 to 12 year old children
CHRISTIAN CHILD-REARING AND PERSONALITY DEVELOPMENT by Paul D. Meier, M.D. THOSE ELEMENTARY SCHOOL YEARS (Ages Six to Twelve) A. Developmental adaptations during the elementary school years. 1. Adjusting to school. If a child has been adequately prepared, and has developed sufficient independence from his mother, going to school for the first time will be more of a fulfillment than a fear. Parents can make first grade easier by giving their four-year-old some part-time nursery school experience, then giving their five-year-old half-days in kindergarten before placing their six-year-old in a full-time first grade. Unfortunately, some elementary school children have to be bussed across town, frequently spending an extra hour or more in a hot or cold bus traveling to and from school. I would avoid this if at all possible. The ideal situation would be to send elementary school children to a good, nearby Christian elementary school, where effective discipline is more likely to be upheld and where students learn Christian character as well as how to read and write. I would not send my children to a Christian school that has poor teachers, however. I would take special pains to check out my child's first-grade teachers, Christian or non-Christian, since they will affect the way he initially looks at the education process in general. Many children, especially boys, are somewhat late in the maturation of their nervous systems, particularly in the areas of brain responsible for reading and writing. Many boys, and some girls, will have some minor learning disabilities, like seeing or writing letters backwards, until the nerves associated with such activities are completely myelinated - that is, until they are covered with a fatty sheath, like the insulation around electrical wires. A hostile teacher can be critical of these children and make them feel stupid, in spite of the fact that most of them have average or better than average intelligence. In fact, Albert Einstein was one of these late developers. Once a child is labeled stupid, it's hard to live it down. So it's important that the first-grade teather be a loving, understanding teacher and at the same time a firm disciplinarian. Once I get to know the teacher, I won't hesitate in the least to give her permission to spank my child if he disobeys. If he complains about it when he gets home, he's likely to get another one from me, depending on the circumstances. It's important for the child to see the teacher and parents as a united front. 2. Sexual development. During the elementary school years, the child identifies strongly with significant persons in his environment. He identifies strongly with the parent of the same sex - if that parent makes himself available. This is essential for normal sexual development. He also identifies with other persons of the same sex. Hero worship is to be expected at this age, so it's important to provide the child with appropriate heroes. Parents can do this indirectly by praising certain individuals, such as athletes, ministers, and Bible heroes, with whom they would like the child to identify. Tell him whom he was named after and why, and tell him the meaning of his name. Dr.Eugene McDanald states that for a child, "there is no such thing as an irrelevant encounter with persons. His identification with persons is a vital process that determines what he becomes, and the quality of this becoming is dependent on the qualities of the persons he encounters." MaDanald adds further that "if the attitudes of others that become part of the child reflect tendencies toward self affirmation and self- renunciation compatible with self-respect and respect for others, they become an arch to new experience." It is vitally important for boys to identify with males and for girls to identify with females. Without such identificaton the child may become a homosexual or a lesbian, if the problem is severe, or have sexual maladjustments in marriage if the problem is less severe. It's unfortunate that we don't have more male elementary school teachers. So many boys go through life with either no father or an absent father, female school teachers, female Sunday School teachers, female babysitters, and so forth. It's no wonder that homosexuality is far more common in males than in females. I would strongly recommend that church leaders provide male Sunday School teachers for elementary boys and female Sunday School teachers for elementary school girls. This will provide both groups someone positive to identify with both sexually and spiritually. During the elementary school years, boys develop a contemptous attitude toward girls and girlish things. Nearly all boys and girls have some wishes at times of being the opposite sex, so they develop this healthy contempt to repress those wishes during these years. Both sexes need to see the advantages of being what they are, and that each sex has its own distinct advantages. Sex education is also important for elementary school children, and the best place for sex education is in the home. It should be done little by little, over the years, by answering questions that the child asks, and nothing more. But be sure to answer his questions truthfully, using adult terms, and niatter-of-factly. A child of average maturity should know all the facts of life by the time he is ten or eleven years of age. Menstruation should also be explained quite early to elementary school girls because the normal range for the onset of menses is anywhere from nine to sixteen years old, with the average being about thirteen years of age in the United States. Onset of puberty in boys is generally a little later - usually around thirteen to fifteen years of ages That's why seventh-grade girls are frequently bigger than boys. 3. Social development. During the elementary school years, the child develops a real sense of belonging. Group participation, especially with Christian children, should be encouraged. He also develops a real sense of responsibility as he shares the chores with his older brothers and sisters. The sense of belonging and responsibility are prerequisites to the development of leadership potential in the child. He must learn to obey before he can learn to lead effectively. His self-concept continues to develop as he sees himself through the eyes of his peers, and also through the eyes of his parents and other authority figures. Play among children of this age group - be it football, basketball, or baseball - is characterized by poor organization, heated disputes over the rules, lopsided scores, and accusations of cheating. They like to win, but must also learn teamwork - the precious ability to work together in a common cause with fellow human beings. They also like to play marbles for keeps and exchange count books. I would encourage you to buy your elementary school children some Christian comic books, which are available front the Fleming H.Revell Publishing Company and can be ordered at your local Christian book store. This will give your children a good opportunity to witness to other children about Christ. They're not too young to learn witnessing. B. Disciplining your elementary school child. I have been amazed in the past at how many Christians do not know what the Bible says about disciplining children. When I ask them what they think the correct way of disciplining is, many of my client directly contradict God's recommendations in Scripture. I could quote many verses on discipline, but I think Solomon's wise recommendations in Proverbs 13:24, 22:15, 23:13, and 29:15 are adequate to give the general idea. I do think we should analyze Solomon's instructions in light of what the Apostle Paul says in Ephesians, where he writes, "And fathers, do not provoke your children to anger; but bring them up in the discipline and instruction of the Lord" (Eph.6:4, NASV). The only means of discipline for young children mentioned in the Bible, to the best of my knowledge, are the rod and reproof (e.g., Proverbs 29:15). That doesn't mean that other forms of discipline shouldn't also be exercised, but I think it does mean that spanking with a stick and giving verbal reproofs should be the primary disciplinary tools with young children. Not only that, but according to Ecclesiastes 8:11 the sentence against an evil deed should be executed quickly. For a mother to tell her child that when his father gets home, his father will spank him for what he just did is definitely wrong, both scripturally and psychiatrically. It's wrong scripturally because this is not executing the discipline quickly - it's postponing it. It's wrong psychiatrically for two reasons. First, the average attention span of an elementary school child is about five to fifteen minutes, and by the time his father gets home and spanks him, he will have forgotten what it was that he did wrong. Even if the father reminds him of what it was, the spanking will have lost its effectiveness. Among the many studies confirming this, Ivan Pavlov's studies on dogs merit special attention. Pavlov rang a bell whenever he brought his dogs food. Soon, instead of waiting until they smelled the food, they learned to salivate as soon as they heard the bell. And whenever Pavlov punished the dogs for doing certain things, they soon learned not to do those things in order to avoid the pain. If your pet dog wets on your carpet, do you tell him that he is going to be punished several hours later when your husband gets home? Of course not! You hit him with your hand or newspaper, and put him outside the door. Well, it's just as useless to tell a child his father will spank him several hours later for something he just did. Second, delaying punishment until the father comes home is wrong because it separates the child from his father. Many women, in fact, unconsciously or even consciously use this technique exactly for this purpose - to separate the son or daughter from the father in order to win the child's undivided affection, thus setting up a neurotic relationship. This also makes the child think of his father as the sole disciplinarian, and will influence him as an adult to have a very legalistic view of what God is really like. This is so because no matter how much we read the Bible, our overall view of what God is like is to a large degree colored by how we viewed our own father during our childhood. If you grew up without any male authority figures, you will tend to think there isn't any God. It you have become a women's liberationist you might even think of God as a woman. The father and mother must stand together in the disciplining of their children, and the task of disciplining should be carried out by whoever saw the child disobey and can most quickly reprove or spank him. A verbal reproof is frequently all that is necessary, especially if the child is committing a particular offense for the first time. Sometimes a verbal reproof followed by sending the child to his room to think it over for five minutes will be effective. But I think isolating a child for long periods of time eventually falls into the category of provoking the child to anger, because after about fifteen minutes, he will either forget or misunderstand what it is that he is being punished for. Spanking is short and immediate, and ten or fifteen minutes later the child will get over any anger he might have felt toward the parent who spanked him. When I spank my own child, he sometimes will be angry with me initially, but within five or ten minutes he almost always comes back to me and says, "I'm sorry, daddy. I love you." I allow my child to tell me that he is angry, but if he hits me, throws something at me, or shows any disrespect, I spank him again. If you don't demand respect when a child is young, you won't get any respect - or deserve any, for that matter - when your child gets into his teens. And you certainly don't want your son to hit you back when he's bigger than you are! My father is 5'6" tall, and I'm 6'4 and 1/2". I was bigger than my dad by the time I was thirteen or fourteen years old. But I never dared speak impudently to my father in any way - I wouldn't even think of it, then or now. I still shudder if I think about saying something disrespectful to my dad, and I'm certain it is because he "shuddered" me a few times with a stick when I said something disrespectful at the age of two or three. And I can't imagine any father and son being closer to each other than my father and I are right now. I have thanked him a number of times for every spanking he gave me - except for one I didn't deserve, and I forgave him for that one. An excellent book to read on disciplining children, in my opinion, is "Dare to Discipline" by James Dobson. He emphasizes demanding respect, spanking for willful acts of disobedience, and the fact that every child is different. Some children want parental approval so much that a look of scorn brings repentance. A child like that requires very few spankings.(And maybe none at all - I've met such parents and children so pliable no spanking was needed, but their Mom or Dad being upset with them, would bring true tears of sorry - Keith Hunt). But others are born with more spirit and less concern for parental approval. For a child like this, many spankings for the same offense may be necessary before he finally decides that that particular type of behavior isn't profitable for him. And when you spank him, spank him hard enough so he'll feel it. It used to take quite a hard spanking to get my older son to cry, but after he turned three he cried whenever he saw me go after the stick. He's the spirited type, and required quite a few spankings when he was two years old; but after he turned three, he seldom needed one. I am very pleased with his overall attitude of love, respect and obedience. Parents frequently tell me that spanking simply doesn't work for their child, but I say it will work for any child unless he is severely mentally retarded. But you have to be consistent, the parents have to stick together, and the spanking has to hurt; and it may need to be repeated a number of times for the same offense. I am not advocating bruising the child; in fact I consider slapping his face or hitting him with a fist to be child abuse and provoking him to wrath (see Eph.6:4). But remember the words of Solomon: "Do not hold back discipline from the child. When you beat him with the rod, he will not die" (Prov.23:18, NASV). God is almost mocking us here for being afraid to spank. God also tells us that "he who spares his rod hates his son" (Prov.13:24). I have found that one way I, as a psychiatrist, can tell if parents really have genuine love for their children is to ask them how they discipline their children. Parents whose love is selfish and immature will either be weak disciplinarians, "sparing the rod," or they will physically abuse their children, beating them with their fists, thus "provoking them to wrath." But as Proverbs 13:24 says, "He who loves him disciplines him diligently." (But again, the reader is reminded that Solomon's instructions are "general statement" only - there can be many exceptions. The reader is strongly encouraged to read the study "An IMPORTANT Key" - general statements are all over the Bible. You need to understand this most basic teaching of the Bible, many verses will then take on a much wider meaning, and you'll put things into the right context of life and Bible maturity - Keith Hunt) If your child has average or better than average intelligence, and if his education has been adequate, he will begin to reason abstractly at about the age of ten or eleven. This was proven by the studies of Jean Piaget. Reasoning with a younger child about abstract concepts like the morality of certain behavior patterns is a relative waste of time, although simple, concrete reasoning can sometimes be quite effective in this age group. Some children are exceptionally bright, and may learn to reason abstractly sooner than age ten or eleven, but most children don't. When my children are eleven or twelve years old, I plan to do away with spankings and give them punishments that are related to the offense. I'll reason with them more, and try to communicate with them on an adult-to adult level. But I'll probably hang the paddle somewhere they can see it occasionally so they'll know it's available for special occasions. However, when they reach their teens, I will use other forms of discipline exclusively, punishments related to the offense. For minor things, reasoning with teenagers is frequently all that is needed. C. Social problems some elementary school children face. 1. Divorce or separation of the parents. Divorce is one of the most heartbreaking things in American society today, and it's nearly always the result of one or both parents being too selfish and proud to admit that their conflicts are resolvable. I have never yet seen any marital conflicts that were unresolvable, if both partners were willing to work at it. The argument about having incompatible personalities with unresolvable conflicts and differences is pure garbage! Any two people with normal intelligence can learn to enjoy life together if they are willing to humble themselves before Almighty God, swallowing their pride, and work out their conflicts." The easy way out is for a couple with marital and psychological conflicts to divorce each other and remarry. Then there are two couples with marital and psychological conflicts instead of one. Christ listed adultery as permissible grounds for a Christian to divorce (Matthew 5:32 and 19:9), but He didn't encourage divorce even under those circumstances. As already noted, more than six million children right now are living in fatherless homes in the United States. One extensive study of fatherless children showed that "hard core" fatherless children meaning those who have had to live two or more years without a father in the home - have significantly more psychiatric difficulties than do normal children who have fathers. Moreover, they have a much more fatalistic view of life. And the number of fatherless families is continuing to rise rapidly in America. These families have a significantly higher incidence of psychological depression, separation anxiety, grief, anger, sexual identity problems, and loneliness. In most cases, the divorce and resultant fatherless home cause more psychological damage to the children than would continued marital maladjustments. One study of 105 families that experienced divorce, for instance, showed that 52 percent continued to have hostile interactions even after the divorce, and 31 percent required from two to ten court interventions during a two-year follow-up period. This study showed that alliances between one it patent and child against the other parent were especially common. Whenever a married couple have conflicts - and all married couples will have some conflicts if they are human beings - they have three choices: one mature choice and two immature choices. The mature choice is to resolve the conflicts, even if outside help is needed to so. The two immature choices are to continue to live together unhappily or to get a divorce and live apart unhappily. Of the two immature choices, getting a divorce is definitely worse. In America today, nearly 40 percent of first marriages end in divorce, and the divorce rate for second marriages is 50 percent higher than the divorce rate for first marriages! Divorcees have more psychiatric problems than any other group of Americans. (But, let's not forget that if two will not learn to tango together, then divorce may needs be. And some marriages are beyong saving, they have reached so low (maybe physical violence and even just mental and emotional abuse is so strong), the marriage cannot be saved. Some children would suffer more in such out-of-control marriage, where it is obvious there will be no miracle of change. If you need to study the subject of Divorce and Re-marriage from the Bible, you will find it on this Website - Keith Hunt) 2. Death in the family. A death in the family, either of a parent or of a child, is another serious problem. But unlike divorce, which is a willful separation, a death in the family - if handled properly - can be a maturing experience for everyone involved, even though it is tragic. When I was a senior in high school, I had my first experience teaching Sunday School - it was a group of eight-and nine-year-old boys. After I had taught the class several months, and had come to know the boys fairly well, one of them developed a very serious form of cancer. I wept bitterly when I found out about it. The boy had already accepted Christ as his Savior, and was a rapidly developing young Christian. His doctors were honest with his parents, and the parents were honest with their son, explaining to him the best they knew how that he wouldn't have very much longer on this earth, and that they would miss him a great deal, but Jesus would take care of him in heaven, and they would join him again some day soon and spend the rest of eternity with him. (Of course those who have read and studied from this Website, know that going to heaven at death is not taught by the Word of God - Keith Hunt) He was only eight years old, but he understood. He was allowed to grieve over his eventual separation from his parents, but soon brightened up and accepted it. I visited him frequently in the hospital. When his leg was amputated, he became the favorite of many of the doctors and nurses. He witnessed to them, routinely, telling them about Jesus and His love, and how he was looking forward to living with Jesus. He had an obvious impact on the lives of those doctors and nurses. He had an obvious impact on my own life too. When he died, we all grieved: but as a result of boy's young life and death, his father finally accepted Christ as Savior and developed into a pillar of the church. His older brother, a teenager, also accepted Christ. We are told that "all things work together for good to then, that love God, to them who are the called according to his purpose" (Rom.8:28). Here are the usual steps people go through, whether children or adults, when they first find out about a death, or impending death in the family. First, they will deny it. They won'tbelieve it. When they are finally convinced that it is true, they generally go through a period of anger. So Second, they will be bitterly angry at God, or the doctor, or someone else. A young child who can't yet comprehend what death is all about may even become bitter at the dying or dead parent, because to his way of understanding, the parent has chosen to die and leave him. Thirdly, there will follow a guilt reaction, which is anger at the self-attempts to blame oneself for the other family member's death, or for not treating him right when he was still alive, or for not saying good-bye before the death occurred. It is to be hoped that the individual will then go through a period of genuine grief over the loss of the loved one. I say "it is to be hoped" because if he holds his feelings in, and pretends he isn't sad, he may carry around unresolved psychological conflicts the rest of his life. I have seen a number of psychological conflicts resolved by using various psychotherapeutic techniques to allow the patient to go ahead and grieve over the loss of a loved one who may have died many years earlier. After two or three weeks of grieving - sometimes less, and sometimes more - a healthy person who has gone through these stages will resolve his grief, and feel better toward God, himself, the deceased loved one, and the remaining family members. It's something we will all have to go through, and many of us will have to go through it several times in our lives. The most important thing is to be completely honest about it with everyone - and this includes a dying child - and to allow everyone involved to grieve. Holding back the tears is not bravery. Its a mistake. 3. Childhood depression. If a child is seriously depressed for several weeks, he will probably either become very withdrawn and frequently tearful, or else he may show his depression by becoming much more irritable and hard to get along with. I would encourage you as parents to try to get to the root of the problem and find out what it is that's bothering him, so something can be done about it. If serious enough, and if he doesn't get over it, he may need to see a child psychiatrist for a number of sessions, and may even need a short course of antidepressant medications. 4. Grandparents in the home. It is generally recommended that you not have your parents living in your home on a permanent basis, whether you have children or not. It's hard enough to keep normal marital conflicts resolved without having someone there to hear the arguments or even enter into some of them. The same goes for brothers or sisters or any other boarders. If you're married, it is best for you to live by yourselves, even though you may develop the urge to lend a helping hand from time to time by letting someone move in with you. But don't do it, especially if you have children. You'll be doing them a real disservice. They deserve your undivided attention, and so does your mate. The best thing a newly married couple can do for the sake of their marriage is to make the break from both sets of parents. This will force you to resolve conflicts instead of running to mother. In some cases, the mother would run to you, whether you ran to her or not. Later on, when you have children, I think it's fine for them to be able to live within driving range of their grandparents. Children have a very special relationship with their grandparents, and it's usually a very healthy one, involving a lot of identification with the grandparent of the same sex. But the grandparents shouldn't live in the same home, and preferably not next door. Grandparents are also better off living separately from their children, either in their own home or apartment, or else in an apartment-type home with other older people to whom they can relate. As Christians, it is our responsibility to take care of elderly parents who are no longer able to take care of themselves. In fact, it's a real opportunity for our children to watch us take care of our parents, teaching them to do the same for us when we are too old to take care of ourselves. The Apostle Paul said, "But if any provide not for his own, and specially for those of his own house, he hath denied the faith, and is worse than an infidel" (I Tim.5:8). Those are strong words, inspired by a God who loves people of all ages. But my personal opinion is that usually this does not have to mean moving parents into your house, although that does become a viable option in some circumstances. I have seen too many families regret making that decision, and it's hard to back out once you have made it. 5. Raising children in foreign lands. This is another sensitive subject, especially in the evangelical community where many of us have relatives or friends who are missionaries. If any parents feel called by God to go to a foreign mission field, they should go. But they should make their calling sure. A need does not constitute a call. There are needs everywhere. Remember the very old story about the farmer who while out in his field looked up at the clouds and noticed that they formed the letters "P" He quit farming and went into the ministry because he thought God was calling him to Preach Christ. His ministry wasn't very effective, because in reality God was calling him to get busy and Plow Corn. Now I would guess by the relative lack of evangelical witnesses in foreign lands that there are probably many more Christians who have disobeyed God's call to be foreign missionaries by staying home, than there are Christians who have misinterpreted God's call by going to foreign lands when God really wanted them to stay home. I think God calls all of us to be missionaries somewhere in some capacity. That's what the great commission is all about (see Matt.28:19-20). What I want to emphasize here is that if you have children, make your calling sure, because children who grow up in foreign lands have extra problems to face up to in addition to the usual ones. Many of these extra problems, however, can be avoided, minimized, or resolved, according to a research study by Sidney Werkman. His study showed that the additional problems involve (1) unusual child-rearing practices and customs, (2) problems with the caretakers of the children, (3) aberrant sexuality, (4) special fears, and (5) a sense of alienation. Dr.Werkman encourages parents to anticipate these potential problems, to discuss them openly, to make plans to avoid or minimize them, and to act decisively on their children's behalf. I believe our children are our first calling from God, no matter what occupation God may call us into. If God called me to go to some foreign mission field, I would assuredly go, but I would choose a mission board and a mission field where I wouldn't have to send my elementary school children five hundred miles away nine months a year. I might be wrong, but in light of Scripture, I really cannot see how I could possibly be following God's will if I did that. I have a good friend, however, whose parents felt called to do that, and he turned out to be an excellent Christian physician. He disagrees with me on this point, but I have counseled a number of patients whose missionary parents "farmed them out" and who have suffered severely as a result of this separation from their parents. Some have even become devout atheists as a reaction to parental rejection. Our family has to be our first and utmost calling from God. 6. Handicapped children. Handicapped children frequently become over-dependent, passive, and somewhat withdrawn. Parents may even unconsciously reward them for being weak. Parents should not deny the handicap, but they should make every effort to encourage their handicapped child's independence. He doesn't need their pity. He needs their genuine love, and he needs for them to trust his ability to overcome the handicap psychologically and to become responsible for himself. Elementary school children are very blunt and also tease a lot, a problem the handicapped child will almost certainly face. But being over-protective will only make matters worse. Sometimes a handicap will strengthen someone to a point that he never would have attained without it. God gave the Apostle Paul a handicap so Paul's pride wouldn't hold him back from accomplishing greatness for the Lord. John Milton wrote his best poetry after going blind. I know of a farm boy from a small southern town who made average grades in elementary school until he was afflicted with a handicap. That handicap gave him a real determination to prove himself and succeed in life. He was the valedictorian of his high school class, attained nearly straight A's in college, and has become an extraordinarily dedicated Christian physician. He probably never would have achieved what he has without that handicap. So don't pity your handicapped child. Try to figure out how God can use the handicap as a blessing to produce greatness in him. Dr.Klaus Minde carried out a valuable research study on forty-one physically handicapped children of elementary school age. This study showed that handicapped children have two main hurdles to cross between the ages of five and nine: (1) the conscious recognition that the handicap is not going to disappear suddenly, and (2) the psychological depression that usually follows this awareness. It is to he hoped that at this point the child can be brought to emotional readiness to accept his condition and incorporate it in his life plans. 7. School phobias. A school-phobic child is one who is afraid to go to school and stay there all day. He can't bear to be away from his mother that long. These children are altruist always overly dependent on their mothers, who never allowed them to exercise much independence prior to entering school. They are frequently the youngest of several children. a factor which gives the mothers added temptations to spoil them and to resist their growing up and leaving. These children become quite manipulative, since their mothers have usually let them have their own way and given them very little discipline. The best way to handle this problem is to refuse to allow them to stay home under any circumstances, even if they play sick. And the mothers should not go to school with them to keep an eye on them, as many of these mothers do. If the child runs away from school and comes home, give him a spanking he will never forget and take him back immediately. (Depending on the child a spanking may not be needed, but a strong firm voice of correction and returning him to the school may be all he needs. You have to know your child as to what correction and how it is applied - Keith Hunt) This may need to be repeated a number of times before his will is broken. Then both parents should sit down to re-evaluate their roles as parents, deciding what they can do to love and discipline their child more effectively so he will become more independent and learn to respect himself in a healthy way. 8. Miscellaneous problems. It will probably surprise many of you to find out that about 10 percent of first graders still wet their beds, and 20 percent still suck their thumbs. Bedwetting at this age can he due either to a small bladder or to psychological conflicts. About 90 percent of bedwetting after age six is considered to be psychological rather than a physical problem, usually representing over-dependence coupled with pent-up anger toward the parent the child is overly dependent upon. If the bladder is too small, have the child hold in his urine for several hours at a time to stretch the bladder. If his bladder is normal, it would be wise to evaluate whether you are doing things for the child that he should be doing for himself, like dressing him or cutting his foods for him. Don't shame a child for wetting the bed. He probably didn't do it on purpose. Don't become overly excited about it. Just calmly have him clean up his bed and I change his sheets. But be sure that he does it, even if you think he has a small bladder. He won't feel so guilty about it if he cleans it up himself; and also, if it is a subconscious way to get you upset, making him clean it up will take all the fun out of it, so he'll probably quit doing it. Medications are also available that will usually stop bedwetting promptly, but should be used only as a last resort. Most family doctors don't know about these medications, so a child psychiatrist should be consulted. Besides, the family might benefit by a few sessions to provide insight into what the problem is. Thumb-sucking after age six is common, but it is considered a sign of anxiety and a sign that the child and parents may need some counseling. Children of perfectionistic parents frequently develop nervous tics, like eye squints or other involuntary habits. This also indicates a need for family counseling and possibly a temporary course of tranquilizer medication for the child. Parents of obese children should also get some counseling. In many cases, food has become a substitute for genuine, intimate love. Frequent soiling of the pants is also a fairly serious symptom after age six, and parents should take their child to a child psychiatrist for evaluation if this is a frequent occurrence. Some pediatricians are also equipped to handle this problem. ................. To be continued with "Early Adolescenece." |
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