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THERAPIONNE HERAPIONNE
THE NERVOUS CHILD MATERNAL PESSIMISM AT THE BOTTOM OF THE TROUBLE."
Ini the section of Neurology nod Paychological Medicine at the British Medical Association meeting at Ports- mouth on July 29th, Dr. Hector - C. Cameron opened a discussion on "The Nervous Child." There was, he said, something about the carriage, bearing. and posture of the nervous child which arrested attention at the first glance. The ervous adult might be able by an effort to square his shoulders and assume a 'con- fident air which might deesive. With the young child that was never so.
The nervous child stood exactly as drill sergeants tried to prevent recruits from standing. It ended to lean against any support which offered a wall, the table, its mother. The facial muscles, as a rule, were in constant overplay; but complete exhaustion might produce a still face. The child was often restless, and showed what might be called "muscles vices." Pallor, constant or intermittent, was also a cominon, symptom. Many of those child- ren. had been operated on for appendicitis, Towing, perhaps, to the frequency of bodily Dain. The nervous child was a cold-catch- ing child.
가
Dr. Cameron proceeded: The study of the nervous child is to a great extent the study of his parents and of the powerful influences for good or evil which proceed from them to an unduly susceptible child. It is essential to realize the intimacy of the relationship between the mother's mind and the child's.
Consider first how open the young · child is to suggestion of all surts, He is quick to form idens as to what is or is not characteristic of himself, yet at the same time he is without power of self-dis erimination or self-analysis. He sees him- self only in the eyes of his elders. What- ever is thought of him, said of him, even feared for him, that he rapidly becomes. The symptoms of functional nervous dis turbance which are: most `rife among ner- vous children are those about which the mind of the ordinary, mother is most pre-' occupied It is in general not what one. Bays to children that matters at all..but what one says of them! Failure is to he taken lightly. It is the occasional saceras į which must arouse all the interest and Temark.
Unday timidity is perhaps the com monest fault of the only child. For his, the only our, so much is feared. Wher ever he goes the air is full of warning. It is natural that he should interpret this excess of precaution as indicating the con- stant presence of danger. As the big dog approaches the child, it is enough to make a little movement of protection to arouse in him the use of dangers. It is the parent who has unconsciously uttered the warning call. On the other hand, fool- hardiness no less than timidity is a re- etion to faulty management.. We all of us know children who are constantly performing strange
perturbing actions, climbing to great heights, running away from nurses, and so forth, and as the parents record the dreadful deed we are yet conscious all the time of a note of pride in the wrong-doing- We have the feeling that they ara, convinced that na ordinary child would have had the foref sight to plan and the daring to carry out so wild, & project.
It would not be difficult, I think, to show that this almost insane tendency to oppose plays a great part in the develop ment of many of the symptoms of nervous unrest in the child. Its treatment calls bath for a tightening and for a relaxation of discipline. The parents and nurser must pass more into the background aud. allow, the child free play. The cords. against which he is straining must be re- leased. Only rarely should the "parent make a stand and insist, and then the intervention should be in irresistable force. No child who is habitually upbraid- ed can respect himself. To indicate dis pleasure to a child ought to be a momen tous thing not easily passed over. It is significant that the first words which many children utter are words,of reproof,
ughty" or "dirty," and even, before The enn speaks he can scold himself" with
gusto in the tones of his elders.
. CHILD'S LOVE OF SELF-ASSERTION. Closely connected with the child's prone ness to the influences of suggestion_and
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with bis desire to uppose is his instinct SHANGHAI OFFICE:-- to awert himself, to attract attention to himself, and to make himself the centre of the picture. It is often the desire of children to produce what the newspapers call a "sensation" which leads to parti. cular disturbances, of conduct The natural sense of inferiority which they feel in the presence of their elders nòr- mally leads to shyness, or with certain temperaments it compensated for "by menng of what is called "slowing off In showing off we have na exaggerated desire to attract notice, and the devices. adopted to achieve this end are innumer- fable and often perturbing. "
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mothers, being exceedingly fond of their children, might spoil them, but in the cou child, was far from being nervous.
niting room the behaviour of the Jewish
MAN'S CORRECT FOSTURE
li Dr. Peter MacDonald (York) mentioned The particular form which the persist the discovery by Mr. F. M. Alexander, ent effort to attract attention Takes is not who was not a diætur, that man to-day dependent in the least upon inherited po- hnd largely forgotten the erect posture. cularities of disposition or tendencies to This discovery, he said, would be epoch- sinfuluese, but upon the personalities of making in the history of medicins 'and those who are in charge. The crying science. He asked the audence to observe child who endeavours to gain his way and the carringe of elderly pesiple, and "said dominate the household by the strength that the stoop was not due to old age, but of his lungs is always the child of parents caused old age. He denied that the cor who are unduly distressed by his crying. reet posture was that of the drill sergeant, The child who is jealous of his baby which he described as "a characteristic. brother and who makes ceaseles atterepta military deformity." As a result of being to do bin damage is often the child of a treated himself by Mr. Alexander threa mother who is unable to take him fears years ago he had thrown off decrepitude, lely to the newcomer. He is aware that which was "undertaking" him three years the best way to attract attention to him ago. (Laughter.) The effect of this self is to threaten his successor. Like the treatment on bealth and disease was per insane, the nervous child seeds forced to fectly astounding. Asthma could be rej do that which most distresses those who mediod, if not cured, and stammering was most love him, and he is commonly pas certainly curable. sessed of an almost uncanny sease of the vulnerable points of his parents,
Dr. Cameron, in, mp ving, said that in Guy's Hospital there was a class of child.
A doctor from the East-end of London in who were taught to strut and awagger aid that 80 per cant. of the children he shout and land wells As a result they dealt with were Jews, and he found very had thrown off any sense of nervousness, little nervousness among them, but among and were normal children. Maternal the. 20 per cent, of Gentiles there was desini was at the bottom of all the almost universal nervousnéex. Jewish trouble. They had to make the moller an
(Continued at foot of next Column.) 'optimist."
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