EMOTIONAL MANIFESTATION IN CHILDREN

LEARNING OUTCOME

At the end of this session student would be able to:

Give the definition of each emotional manifestation.

State the types of emotional manifestation List the causes of emotional manifestation

that shows by child. State the management for each emotional

manifestation that shows by child.

THUMB SUCKING

Definition:

Thumb sucking or finger sucking is a habit disorder due to feeling of insecurity and tension reducing activities.

THUMB SUCKING

Cause:

Its may develop due to inadequate oral satisfaction during early infancy as a result of poor breastfeeding. In older children, this habit may develop when they are tired, bored, frustated or at bed and want to sleep, but feel lonely.

THUMB SUCKING

Complication:

* Malocclussion and malalignment of teeth.* Difficulty in mastication and swallowing.* Deformity of thumb.* Facial distortion.* Speech difficulty with consonant (D & T).

THUMB SUCKING

Management:» THUMB SUCKING

Support from parent and family members.- Try not to become irritable, anxious and tense. Praising and encouraging child for breaking the

habit. Keep tumb or finger busy. Consultation with dentist and speech therapist

may be required to correct the complications. Hygienic measures to be followed and

infections to be treated promptly.

NAIL BITING

NAIL BITING

» Definition

Nail baiting is bad oral habit especially in schoolage children beyond 4 years old (5 - 7 years). It is sign of tension and self punishment to cope with the hostile feeling towards parents.

NAIL BITING

Cause:

Immitating the parent who also a nail biter. Unsecure feeling Conflict Hostility Pressurised study at school or home. Watching frightening violent scenes.

NAIL BITING

Management:

Keep hand busy with creative activities or play.

Praised for well breaking the habit. Avoid punishment. Parent need reassurance and assistance

to accept the situation and to help the child to overcome the problem.

ENURESIS ( BED WETTING )

» The repetitive involuntary passage of urine at inappropriate place especially at bed, during night time, beyond the age of 4 to 5 years. It is found in 3 to 10 percent school children.

Definition:

ENURESIS

Emotional factor:- Hostile or dependent parent.- Insecurity feeling- Parental death- Fear go to toilet, too cold wheater. Organic cause:- Spina bifida, neurogenic bladder, juvenile diabetes mellitus, seizures disorder

Cause:

ENURESIS

Small bladder capacity Improper toilet training Deep sleep with inability to receive the

signal from destended bladder to empty it

Cause:

ENURESIS

Organic causes - specific treatment. Non organic cause: - emotional support to child and parent.- Environmental modification.- Restriction of fluid after diner.- Voiding before bedtime and arising the child to

void.- Encourage and reward the child for dry nights.- Punishment and criticism cause embarrassment

and frustration.

Management:

MASTURBATION

Genital stimulation by handling the own genitals.

Definition:

MASTURBATION

Infant and toddler - Out of pure curiosity Older children- Due to anxiety or sexual feelings. (boys >10

years) Adolescent - Normal sign of prepubescent.Parent should be informed that masturbation is

normal response during prepubescent and pubescent stage and has a role in physical and emotional development.

Cause:

MASTURBATION

Facilities for recreation and diversion. Provide sex education and counseling. Parent - provide love, affection and attention to

the older children with specific concern about their feeling.

Management:

STRANGER ANXIETY

STRANGER ANXIETY

Definition:

Afraid or nervous feeling due to separation with parent or guardians.

STRANGER ANXIETY

Cause: Do not believe other person except

mother/guardians.

STRANGER ANXIETY

Management:

Shows love and caring to the child. Make child comfort. Give his favorite toys.

TEMPER TANTRUM

TEMPER TANTRUM

Defination:

A tantrum is the expression of a child's frustration with the physical, mental or emotional challenges of the moment.

TEMPER TANTRUMCause: Physical challenges - hunger and thirst. Mental challenges - child's difficulty learning or

performing a specific task, or difficulty using words to express thoughts and feelings.

Emotional challenges are more open to speculation. Still, whatever the challenge, frustration with the situation may fuel a child's anger — and erupt in a tantrum.

TEMPER TANTRUMManagement:

pretend to ignore the tantrum. If you lose your cool or give in to your child's demands, you've only taught your child that tantrums are effective.

you can act as if it's not interrupting things. After your child quiets down, you might say, "I noticed your behavior, but that won't get my attention. If you need to tell me something, you need to use your words."

TEMPER TANTRUMManagement:

In public, pretending to ignore the behavior is still the best policy. Any parent who witnesses the scene is likely to sympathize with you as you ignore the tantrum.

If the tantrum escalates or your child is in danger of hurting himself or herself, stop what you're doing and remove your child from the situation. If your child calms down, you may be able to return to your activity. If not, go home — even if it means leaving a cart full of groceries in the middle of the store.

discuss with your child the type of behavior you would have preferred.

TEMPER TANTRUMManagement:

remind him or her that tantrums aren't appropriate. Sometimes a simple reminder to "use your words" is adequate.

During a timeout, seat your child in a boring place — such as in a chair in the living room or on the floor in the hallway — for a certain length of time, usually one minute for each year of the child's age. You can pretend that you don't even see your child during the timeout, but you can still assure his or her safety. If your child begins to wander around, simply place him or her back in the designated timeout spot. Remind your child that he or she is in timeout, but don't offer any other attention.

TEMPER TANTRUMPrevention:There may be no foolproof way to prevent tantrums, but there's plenty you can do to encourage good behavior in even the youngest children:

Be consistent. Establish a daily routine so that your child knows what to expect. Stick to the routine as much as possible, including nap time and bedtime. It's also important to set reasonable limits and follow them consistently.

Plan ahead. If you need to run errands, go early in the day — when your child isn't likely to be hungry or tired. If you're expecting to wait in line, pack a small toy or snack to occupy your child.