The very name of illness should be banished from such nurseries.
Everything should be done to reassure the child and to make light of
his symptoms, and we can keep the most scrupulous watch over his
health without allowing him to perceive at all that our eye is on him.
With older children the evil results of suggestions, unconsciously
conveyed to them by the apprehension of their parents, become very
obvious. The visit of the doctor, to whom in the child's hearing all
the symptoms are related, is often followed by an aggravation which is
apt to be attributed to his well-meant prescription. The harm done by
examinations, which are specially calculated to appeal to the child's
imagination, as, for instance, an X-ray examination, is often clearly
apparent. I remember a schoolboy of thirteen who was sent to me
because he had constantly complained of severe abdominal pain. He was
a nervous child with a habit spasm, the son of a highly neurotic
father and an overanxious mother. An X-ray examination was made, but
showed nothing amiss. The child's interest and preoccupation in the
examination was painfully obvious. That night his restraint broke down
altogether, and he screamed with pain, declaring that it had become
insupportable. Younger children, less imaginative but equally
perverse, noticing how anxiously their mothers view their symptoms,
will often make complaint merely to attract attention and to excite
expressions of pity or condolence. Sometimes they will enforce their
will by an appeal to their symptoms. I have had a little patient of no
more than thirteen months of age who suffered severely and for a long
time from eczema, and who in this way used his affliction to ensure
that he got his own way. If he was not given what he wanted
immediately he would fall to scratching, with an expression upon his
face which could not be mistaken. To him, poor child, the grown-up
people around seemed possessed of but one desire--to stop his
scratching; and he had learnt that if he showed himself determined to
scratch they would give way on every other point.
Public-domain text, read in full here on John Shaqi.
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