Women on see-saw with child 390.
(photo credit: illustrative photo/Reuters)
What do parents do if an eight-year-old child suddenly refuses to go to school?
Dr. Amit Rotem, a pediatric psychologist at Maccabi Health Services, says that
the phenomenon – which has social, emotional and educational implications – is
not rare. It could involve depression and anxiety that may continue through
adolescence. He suggests that parents and school advisers cooperate with
the child to diagnose the problem early so the pupil can feel less stress and
short- and long-term difficulties, even run-ins with the law – can be
Writing in a recent issue of the Israeli Journal of Pediatrics,
Rotem gives a typical example – an eight-year-old girl, the youngest of four,
who attends third grade in a state school. Her parents had divorced before she
was born and she had always lived with her mother. The girl earned only moderate
grades and was suspected of having Attention-Deficit Disorder. She had missed
second grade classes quite often, claiming she was in pain, but doctors did not
find any physical cause. Since the beginning of the current year she has
declined to go to class. Her mother, who stayed home from work to be with her,
consulted a pediatrician.
The author said many days of absenteeism may
include insistence on going home early or missing all the classes.
child may suffer from anxiety about being abandoned, fear of exams, opposition
to changes and a rebellious personality. Physical complaints such as headaches,
stomach aches, nausea, fatigue and tremors could accompany the behavior. The
symptoms could disappear during the day if the child is allowed to remain at
home, Rotem wrote. If not treated, the problem can develop into family fights, a
decline in learning skills and poor social skills.
psychiatrist said that physical problems must first be ruled out. Then the
parents, teachers and medical professionals must consider whether absences can
be halted after only a few days, with the child helped to return to class
gradually. Present a calm environment in the morning; a parent should accompany
the child to school even if he/she knows how to get there alone; and remain in
phone contact until the school day ends. The school can assist by initially
cutting down homework assignments and offering private lessons to make up the
material that was missed.
The child’s mental state after return should be
carefully observed and a pediatric psychologist or psychologist should be
informed of progress. A truant officer from the educational authorities should
also be brought into the picture, the author concludes, if the child continues
to refuse to attend school.‘COMFORT WOMEN’ HAD NO COMFORT
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historians, it is likely that most people who didn’t live through World War II
would not remember the debasement of “comfort women,” who provided sexual
services against their will to the Japanese Imperial Military during that
Some of them are still alive and suffering from post-traumatic
stress disorder (PTSD), according to researchers at the psychiatry department at
Yonsei University College of Medicine in Seoul. The article was recently
published in the Israel Journal of Psychiatry and Related Sciences.
team evaluated 26 former comfort women’s life histories, cognitive functioning,
diagnosis of PTSD, depression, paranoid state, anger and Rorschach test results;
then they compared the data with those of 24 healthy women.
functioning was not significantly different between former comfort women and the
comparison group. All 26 former comfort women had undergone traumatic
experiences such as sexual slavery and had suffered PTSD symptoms at least once
in their lives. Nearly 31 percent were diagnosed as having PTSD, as
opposed to none in the comparison group. The women’s PTSD symptoms were
characterized by avoidance behavior, intrusive and distressing recollections and
anger. There were no significant differences in depression or paranoid state
between the two groups, but former comfort women had impairments in anger
control and were more depressed.. On the Rorschach test, former comfort women
revealed characteristic responses related not only to sex and morbidity but also
to anger and violence.
Although the study was small due to the passage of
the years, the results suggest that former comfort women are still suffering
from PTSD 60 years after the end of the war.
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