The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
=Backward Children.=--_Enfants arrieres_--as the French call
them--constitute a class by no means seldom met with. They generally
attain their bodily development slowly, and the development of their
mind is equally tardy. They cut their teeth late, walk late, talk late,
are slow in learning to wash and dress themselves, are generally dull in
their perceptions, and do not lay aside the habits of infancy till far
advanced in childhood. When the time comes for positive instruction,
their slowness almost wears out everyone's patience; and among the poor
indeed the attempt at teaching such children is at length given up in
despair, and growing up in absolute ignorance, it is no wonder that they
should be regarded as idiots. Still, dull as such children are, there is
between them and the idiot an essential difference. The backward child,
unlike the idiot, does not remain stationary; his development goes on,
but more slowly than that of other children, he is behind them in the
whole course of their progress, and his delay increasing every day,
places at length an enormous distance between him and them--a distance
which in fact becomes insurmountable.
In some of its minor degrees even, this backwardness not infrequently
excites the solicitude of parents. It is sometimes observed in children
who had been ill-nourished in infancy or who had been weakened by some
serious or protracted illness, even though unattended by any special
affection of the brain; but it is also met with independent of any
special cause. The distinction, however, between such a case and one of
idiocy is this, that though at four years old the child may not seem to
be intellectually superior to most children at two, yet in manners,
habits, and intelligence it does agree with what might be expected from
the child at two; less bright perhaps, less joyous, but still
presenting nothing which if it were but younger would awaken
apprehension.
It is well in all cases of unusual backwardness to ascertain the
condition of the sense of hearing, and of the power of speech, for I
have known the existence of deafness long overlooked, and the child's
dulness and inability to speak referred to intellectual deficiency; and
have also observed mere difficulty of articulation, dependent partly on
malformation of the mouth, lead to a similar misapprehension. In both
instances I have seen this inability to keep up ready intercourse with
other children cast a shadow over the mind, and the little ones in
consequence be dull, suspicious, unchild-like. I have already referred
to a similar result as sometimes following serious illnesses. The child
will for months cease to walk, or forget to talk, if these had been but
comparatively recent acquirements; or will continue dull and unequal to
any mental effort for weeks or months together, and then the mind will
begin to develop itself once more, though slowly, possibly so slowly as
never altogether to make up for lost ground.
Public-domain text, read in full here on John Shaqi.
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