PHYSICAL PROBLEMS
From the time of a baby's birth, we eagerly wait for the day when our child will start to roll over, crawl and then walk. Unlike speech and language development, these milestones are at first glance easily determined. Yet, what many parents do not know is that within the field of physical development there are separate areas of development and within those areas the manner in which a child is able to accomplish a certain task, can make a big difference in his life.
The area of physical development can be divided into two main areas:
There are also two areas, which can affect a child's ability to learn and may contribute to difficulty with physical tasks. These are:
Here is an explanation of each of these basic terms:
This is the area of physical development that most parents think of first - the child's general ability to move around and use the various parts of his body. Activities like rolling over; crawling, walking, running and jumping are gross motor skills. These skills usually involve using the entire body or several parts of the body at one time.
Some of the areas that are considered when evaluating the area of gross motor development are:
Muscle Tone: How tightly or loosely a person's body is put together? If a child's body is too tight (high tone) then his movements might be jerky or disconnected. If a child's body is too loose (low tone) then her movements might be slow and lack strength. Some technical terms that are associated with these areas are Hypertonic (someone who has high tone) and Hypotonic (associated with low tone). These are professional terms and do not apply to every child whose tone happens to be either a bit tight or a bit loose. Only a professional can decide if a child's skills fit these criteria.
Muscle strength: How much strength does a child have? How much pressure can she apply with her hands and legs? How much pressure can her body withstand?
Quality of movements: Are a child's movement's smooth or does she seem to jerk her limbs? Does she seem to move either particularly slow or fast? Does it take effort for her to move around?
Range of movement: An important area in physical development is a child's ability to make movements that span the entire length of her body. A significant milestone is the ability to make movements that go from one side of the body to the other, referred to as "crossing the midline." This skill is necessary for a child to do tasks such throwing a ball or passing an object from one hand to another. This concept is also important for the area of fine motor development.
This term refers to skills that require smaller movements and more intricate capabilities. A generalization that is often made is that fine motor activities are skills that a child does with his hands. While this is not totally accurate, it is true that most fine motor activities involve a child's ability to use his hands properly. Overall, when we say that a child has appropriate fine motor skills, it means that he can use his hands appropriately for a child of his age.
Here are terms that are used to describe specific fine motor skills.
- Visual Motor Skills
These skills require coordination between the child's ability to see (visual skills) and his hands. In early childhood, this includes activities such as putting together puzzles and building with construction toys. (blocks, leggos)
- Grapho-Motor Skills
Any task that involves using a writing tool is considered a grapho-motor skill. These tasks include drawing, coloring, and using a pencil. (Grapho-Motor skills are also visual motor skills.)
An important term related to these areas and fine motor development in general, is eye-hand coordination. This refers to a person's ability to coordinate the information that she sees with her eyes in order to tell her hands what to do.
- Motor Planning
Professionals use the term motor planing to describe a child's ability to interact successfully with his physical environment; which means to plan, organize and carry out unfamiliar motor actions. When a child sees a new puzzle for the first time, it is not enough to have the physical ability to move the pieces around and fit them together. He also needs to know how to organize the activity so that he will be successful. (i.e. start with the ends, put the ones of the same color together, etc…). If a child has difficulty with a task, it is important to consider if he is unable to physically complete the task or if he is unable to figure out how to go about doing so.
While you can evaluate a child's fine motor skills from a very young age, until age two, the line between fine and gross motor skills is often very difficult to ascertain. The skills most closely associated with fine motor skills (drawing, puzzles, building, etc…) generally start to develop in children from ages two and up. Up until age two, a young child is not able to use her hands in a more intricate way. Among infants, babies and toddlers, therefore, physical development difficulties are not always clearly defined as gross motor or fine motor difficulties. By age three, however, the difference between these two areas is more obvious and the tasks that the child has difficulty with are defined as falling into either only one or both of these areas.
When considering a child's motor skills the following factors need to be taken into consideration:
Another area that can contribute significantly to a child's ability to perform physical tasks is his attention span. In the last few years, a condition called Attention Deficit Disorder has become very well known and commonly diagnosed among both pre-school and school age children. While this condition can not be properly explained in a few lines, the main point is that a child's attention span can affect his ability to complete activities. It is important to point out that when a child is having difficulty learning to perform physical tasks, it is essential to consider if his abilities are affected by his ability to pay attention to what he is doing. Is he truly unable to build a tower of ten blocks -- Or is he simply too easily distracted by the child next to him who is coloring with markers?
While many parents have heard of attention deficit disorder, few parents are aware of how their child's relationship to his senses, can affect his physical development. All children and adults, in one way or another have sensory sensitivities. There will always be certain smells that make one person feel sick and do not bother someone else, or a certain sound that makes a person's skin crawl while it does not affect someone else. But what many parents and professionals do not realize, is that there are children for whom this sensitivity keeps them from learning in a classroom or at home.
In fact, in addition to the five senses of touch, taste, smell, hearing and sight, there are two more senses that are also essential to a child's development: the movement sense (vestibular) and position in space (propriception).
All seven of these senses need to properly take in information from the environment and organize them in a way that our bodies can use. This is called sensory integration. Sometimes there are imbalances in this system that can lead to over or under sensitivity in one or several of these areas.
Being either over or under sensitive in one or several of these seven areas can affect a child's ability to perform physical tasks.
Here are some examples:
- Touch - A child might be sensitive to the feel of objects against his skin. He might hate activities such as dress up, pretend play with makeup, or arts and craft activities that involve working with playdough or clay. A child who is overly sensitive to touch may overeact when touched even lightly on the shoulder by a teach or a friend. A child who is underly sensitive may have no reaction if he falls or hurts himself.
- Smell - A child might react strongly to unusual or strong smells or not seem to notice even unusual smells such as food burning or gas leaking.
- Taste - Some children are particularly sensitive to the taste of different foods.
- Sight - Strong lights or certain types of colors may bother a child.
- Hearing - A child may be disturbed by sudden or loud noises.
- Position in Space - Some children have difficulty evaluating how much space is needed to reach a certain item. This would include putting a pegboard down on the table without tipping it over, judging if there is room for a child to crawl underneath a jungle gym and sitting down on the center of the chair. A child who seems to eternally "miss the chair" when sitting down may be having difficulty in this area.
- Movement - an overly sensitive child may fear climbing on a jungle gym, and have difficulty with gross motor activities. An underly sensitive child may be fidgety, jump on the couch all afternoon, and have difficulty sitting down to do table activities such as a puzzle.
These are but a few examples of how a child's ability to use the information he receives from his environment is critical to his ability to perform physical tasks.
When a child is having difficulty in the area of physical development, it is essential for parents and professionals that treat a child to consider how his sensory environment affects his development. In this way a parent can determine if a child really "can't" put together that puzzle or if the lights or other sounds in the room are just so disturbing to him that he is unable to do so.
It is also important for parents to understand that sensory integration is a real issue and not just a child being "picky" or "fussy." While to some children a strong smell or bright lights might be annoying, to others, the experience can be unbearable.
Evaluating Contributing Factors:
How can a parent or professional know if a child's problem is a purely physical one or if it is being affected by contributing factors such as sensory integration or attention skills? Often, making this discrimination is the hardest task of all. The first tip off that a contributing factor is affecting a child's development, is if a child can perform a task in some situations, but not in others. If a child can sit and put together 20 piece puzzles at home, but in pre-school he just moves around the pieces, then clearly the problem is not just physical. Instead, a parent and professional should consider if the child's difficulty in school is in the area of attention (too much is going on) or if he has trouble with the sensory stimuli in school (i.e. the lights are too bright, the noise of the children is too loud.)
While it is often easy to determine if a child can or cannot do a particular physical skill it can be difficult to decide if this is an exclusively physical problem or if there are other factors contributing to the child's difficulty. The key for a parent and a professional is to determine how a child's physical skills are developing. Then, if there are any difficulties, it is essential to determine if this is purely a physical difficulty or if other factors may be affecting the child's development.
Emotional Problem
Children are precious; As parents we worry about their health. When our children have issues and crises, these issues and crises affect us just as much, if not more, than it affects them. We fear that which might bring them fear; we hurt when we see them hurt; and sometimes, we cry just seeing them cry. Writer Elizabeth Stone once said "Making the decision to have a child is momentous. It is to decide forever to have your heart go walking around outside your body." So, when it seems like something is not quite right with your children - perhaps they seem more afraid than other kids, or they seem to get a lot angrier than their playmates do over certain things - this odd or "off" behavior can be experienced as terrifying. In fact, a child's difficulty can be just the starting point for your parental worry and concern. You might not know what to do to help your child, or where to go for help. Possibly, you may worry because you don't even know if your child's problem is something you should be concerned about in the first place.
We've created this survey of childhood mental and emotional disorders to help worried parents better understand the various ways that mental illness can effect children; what it looks like and how it can be helped. Children's mental and emotional disorders are problems that affect not only their behavior, emotions, moods, or thoughts, but can also affect the entire family as well. These problems are often similar to other types of health problems that your child might have, and can generally be treated with medications or psychotherapy (or a combination of both).
Many childhood disorders are often labeled as developmental disorders or learning disorders, so you may have heard those terms as well. Generally, when we speak about childhood disorders, we are referring to mental and emotional problems that most often occur and are diagnosed when children are school aged or younger. Usually, symptoms start during infancy or in early childhood, although some of the disorders may develop throughout adolescence.
The diagnostic criteria for the childhood disorders specifically require that symptoms first appear at some point during childhood. Adults may find themselves relating to some of the symptoms characteristic of one or more childhood disorders, but unless those adults first experienced their symptoms as children themselves, whatever it is that they may have will not be a childhood disorder, but instead, some other adult diagnosis.
Though by definition, no disorder discussed in this document may begin in adulthood, it is possible for a childhood disorder to begin at a young age but continue to be problematic on into adulthood. Conversely, some childhood disorders tend to resolve by the time children enter adulthood. Or, prior to adulthood, children may developed a set of coping skills that allow them to compensate for their disorder(s) so that they can go on to lead a happy and productive life. This latter outcome is especially likely when the right type of professional intervention has been obtained (and followed consistently) from an early age.
INTELLECTUAL PROBLEMS
Bullying can take many forms; racial discrimination and sexual harassment are examples of abuse students can face. Childrearing influences, the characteristics of the child, and factors of the environment are cited as possible reasons why children bully. Most bullying occurs in the school environment so how schools respond to such interactions impacts the school climate.
Shyness is a common but little understood emotion. Everyone has felt ambivalent or self-conscious in new social situations. However, at times shyness may interfere with optimal social development and restrict children's learning. This digest (1) describes types and manifestations of shyness, (2) reviews research on genetic, temperamental, and environmental influences on shyness, (3) distinguishes between normal and problematic shyness, and (4) suggests ways to help the shy child.
Aggression and cooperation represent two critical features in the child's social domain. What do they have in common? Both emerge from the child's strong developmental push to initiate and maintain relationships with other children, beginning at a very early age. Peer relationships provide critical opportunities for children to learn to manage conflict and work towards establishing intimacy. Aggression and cooperation are two possible strategies for dealing with the normal conflicts of early peer interactions. Both have important roots in early family interactions, both are responsive to adult expectations and values, and both can be responsive to environmental factors.
- Perfectionism can lead to fear of failure, in turn causing a gifted child to avoid failure by refusing to even try something (including doing a homework assignment!)
- Keen observation, imagination, and ability to see beyond the obvious can cause a gifted child to appear shy, holding back in new situations in order to consider all the implications.
- A gifted child may require full details before answering questions or offering help, making him or her appear socially shy.
- Intense sensitivity can cause gifted children to take criticism, or even general anger, very personally. Childhood slights do not roll off their backs.
- Sensitivity and well-developed sense of right and wrong can lead to concern over wars, starving children, pollution and other injustice and violence. If they are overloaded with images and discussions of these issues, they can become introverted and withdrawn or even suffer from "existential depression.”
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