Child Psychiatry Observed. A Guide for Social Workers by Elizabeth Gore

By Elizabeth Gore

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9. Bodily restriction. B. Factors likely to reduce stress. 1. Familiar substitute caretaker 2. Known foods and routines. 3. Toilet demands unaltered. 4. Own belongings. 5. Unrestricted body movement. 6. Familiar environment. 7. Reassurance of eventual reunion. 8. Keeping apart fantasy and fact ('My Mummy doesn't love me'). 9. Reminding child of parental disciplines. 10. Support from father. 11. Willingness of caretakers to talk about parents and previous life. C. Child's psychological status which may increase or reduce overt distress during separation, may increase or decrease the overt upset after separation, may increase or decrease the long-term effects.

Some 'traumatic events' such as birth of a sibling or a separation are so well known that they may be presented by a parent or taken as causative by the doctor whereas some apparently insignificant happening such as the loss of a transitional object at a sensitive stage of development may be more important. Robert, an intelligent 7-year-old, was an only child who had recently become clinging, refusing to have his mother out of his sight and reluctant to go to school. He had regressed, was soiling, calling himself 'toddler' and wanting to climb into mother's bed.

Keeping apart fantasy and fact ('My Mummy doesn't love me'). 9. Reminding child of parental disciplines. 10. Support from father. 11. Willingness of caretakers to talk about parents and previous life. C. Child's psychological status which may increase or reduce overt distress during separation, may increase or decrease the overt upset after separation, may increase or decrease the long-term effects. 1. Ego maturity, level of. 2. Object constant, level of. 3. Quality of mother-child relationship, facets of.

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