CHAPTER XXI

TRAINING THE NERVOUS CHILD

"When shall I begin to train my child?" said a young mother to an old

doctor.

"How old is the child, madam?"

"Two years, sir!"

"Then, madam, you have lost just two years," answered the old

physician, gravely.

Neuropathic children are super-emotional, and from them come prodigies,

geniuses, perverts and madmen. They are usually spare of build, with pale,

sallow complexions, and dark rings under the eyes.

They can never sit still, but wriggle restlessly about on their seats, pick

their nostrils, and bite their nails. They are always wanting to be doing

something, but soon tire of it, and start something else, which is as

quickly cast aside; their energy is feverish but fitful. They jump to

conclusions, quickly grasp ideas; as quickly forget them. Having no

capacity for calm, reasoned judgment, they are creatures of impulse,

imperative but timid, suffer from strange ideas, and worry over trifles.

The affections are strong and vehement, likes and dislikes are taken

without reason, while intense personal attachments--often

unrequited--occur, but not seldom swing round to indifference, or even

bitter enmity. The passions and emotions are all abnormal, for owing to

deficiency in the higher inhibitory centres, the victim is blown about by

every idle emotional wind that blows. The slightest irritation may provoke

an outburst of maniacal rage, or a fit. Consequently, they require the most

careful, but firm training, right from birth, to bring them up with a

minimum of nerve-strain. Twitchings, night or day terrors, sleep walking,

and incontinence of urine often trouble them. They should be examined by a

doctor once a year.

These children have no _balance_, and are usually selfish, always

garrulous, with a love of romancing, while a ready wit combined with

fertile imagination often gains them a bubble reputation for learning they

do not possess. Invention, poetry, music, artistic taste and originality

are occasionally of a high order, and the memory is sometimes phenomenal;

but desultory, half-finished work, and shiftlessness are the rule.

Their appetite is fitful and fanciful, they like unsuitable foods, and

their digestive system is easily upset. At puberty, sexual perversity is

common, and the animal appetite, is as a rule, very strong, though rarely,

it may be absent. During adolescence, there is excessive shyness or

bravado, always introspection, and exaggerated self-consciousness.

As they grow older, they readily contract hypochondria, neurasthenia,

hysteria, alcoholism, insomnia and drug habits, and react unduly to the

most trifling external causes, even to the weather, by which they are

exhilarated or depressed.

Education. Send them to school only when the law compels you, and observe

them closely while there, for health is far more important to them than

education. "Infant prodigies" lack the mental staying power and physical

robustness which real success demands, though they may do well for a time.

Go to your old school: the successes of to-day were dunces twenty years

ago; about those whose names are proudly emblazoned in fading gold on Rolls

of Honour, a discreet silence is maintained.

Keep a keen lookout for symptoms of over-effort. Sleepiness, languor, a

vacant expression, forehead wrinkled, eyebrows knit, eyes dull, sunken and

surrounded by dark rings, twitchings, restlessness, or loss of appetite are

all warnings that the pace is too strong for the child.

"These are the cases in which the School Board--who ordain that if

children are well enough to play or run errands, they are well enough

to attend school--should be defied."

This defiance must of course be reinforced by a doctor's certificate.

To the healthy, the strain of preparing for and enduring an examination is

tremendous; to highly strung children it is dangerous. Home-work should be

forbidden in spite of the authorities. Let the child join in the sports of

the school as much as possible.

School misdemeanours form a thorny problem, for discipline must be

maintained, and a stern but just discipline is very wholesome for this

type, who are too apt to assume that because they are abnormal, they can be

idle and refractory. On the other hand, parents should promptly and

vigorously object to their children being punished for errors in lessons,

or struck on the head.

Diet. Food, while being nourishing, and easily digested, must not be

stimulating or "pappy". Meat, condiments, tea, coffee and alcohol are

highly undesirable, a child's beverage being milk and water.

Meals should be ready at regular hours, and capricious appetites should

freely be humoured among suitable foods, served in appetizing form to tempt

the palate. Let them chatter, but see they do not get the time to talk by

bolting their food.

Most children can chew properly soon after they are two, but they are never

taught. Their food is "mushy", or is carefully cut, and gives them no

incentive to masticate. So long as food is digestible, the harder it is the

better, and plain biscuits, raw fruits, and foods like "Grape Nuts", are

splendid. Mastication helps digestion; it also prevents nasal troubles.

The desire for food at odd moments causes trouble, which is aggravated if

the meals are not ready at stated hours. Gently but firmly refuse the piece

of bread-and-butter they crave, explain why you do so, and though they

weep, or fly into a passion, do not lose your own temper, or beat, or give

way to them. When accustomed to regular hours and firm refusals they will

not crave for titbits between meals.

It is very hard for them to see other members of the family freely

partaking of condiments, drinks and unsuitable foods, and be told they are

the only ones who must refrain. A little personal self-sacrifice helps

immensely, and if your child _must_ refrain so _might_ you.

All foods must be pure. Avoid tinned goods, and cheap jams, which contain

mangels and glucose. Judged by the nutriment they contain--most cheap foods

are very expensive.

Lightly boil, poach, or scramble eggs; steam fish and vegetables; cook rice

and sago in the oven for three hours. See that milk puddings are chewed,

for usually they are bolted more quickly than anything else. The stomach is

expected to deal with unchewed rice pudding, because it is "nourishing". So

are walnuts, but you do not swallow them whole.

Fruit must be fresh, ripe and raw, with skin and core removed. Brown bread,

crisply toasted and buttered when cold, is best. Porridge is admirable, but

many children dislike it. Try to induce a taste by giving plenty of milk,

and sugar or syrup with it.

The starch-digesting ferments in the saliva and pancreas are not active

until the age of 18 months, before which infants must not be given starchy

foods like potatoes, cereals, puddings and bread.

All greenstuffs must be thoroughly washed, or worms may pass into the

system. Foul breath, picking the nose, restlessness, fever and startings

are often attributed to worms, when the real "worms" are mince pies,

raisins, sour apples, and even beer.

Never force fat on children in a form they do not like, for there are

plenty of palatable fats, as butter, dripping, lard and milk. Cream is as

cheap, as good, and far nicer than cod-liver oil.

Decide on your children's diet, but do not discuss it with or before them.

If a child _does_ dislike a dish, never force it on him, but try to induce

a liking by serving it in a more appetizing way. Never mix medicines with

food.

Worms. Various symptoms are due to intestinal worms, and a sharp lookout

should be kept for the appearance of any in the stools, and suitable

treatment given when necessary.

Treatment for thread and round worms:

R.

Santonini........................gr. ij.

Hydrarg. chloridi mitis..........gr. ij.

Pulv. aromatici..................gr. iv.

Mix and divide into four.

Take one at bedtime every other night,

followed by castor oil in the morning.

Tapeworms. These are rarer, being much more frequently talked or read about

than seen. A doctor should be consulted.

Moral Training. The road to hell is broad and easy; so is that to heaven,

for if bad habits are easily acquired, so are good ones.

Example is the best moral precept, and if the conduct of parents is good,

little moral exhortation is needed. "What is the moral ideal set before

children in most families? Not to be noisy, not to put the fingers in the

nose or mouth, not to help themselves with their hands at table, not to

walk in puddles when it rains, etc. To be 'good'!" To hedge in the child's

little world, the most wonderful it will ever know, by hidebound rules

enforced by severe punishments, is to repress a child, not to train it.

While the commonest error is to spoil a child, it is just as harmful to

crush it. Be firm, be kindly, and, above all, _be fair_.

Issue no command hastily, but only if necessary, and shun prohibitions

based on petulance or pique. Give the child what it wants if easily

obtainable and not harmful.

If the desire is harmful, explain why, but if a child asks for a toy, do

not pettishly reply: "It's nearly bedtime!" when it is not, or even if it

is.

Discipline is essential, but discipline does not consist in inconsistent

nagging; harshly insisting on unquestioning obedience to some unreasonable

command one moment, and weakly giving way--to avoid a scene--on some matter

vitally affecting the child's welfare the next.

There must be no coddling, and no inducement to self-pity. Such children

must be taught that they are capable of real success and real failure, and

that upon personal obedience to the laws of health of body and of mind,

this success or failure largely depends.

A child should be early accustomed to have confidence in himself. For this

purpose all about him must encourage him and receive with kindliness

whatever he does or says out of goodwill, only giving him gently to

understand, if necessary, that he might have done better and been more

successful if he had followed this or that other course. Nothing is more

apt to deprive a child of confidence in himself than to tell him brutally

that he does not understand, does not know how, cannot do this or that, or

to laugh at his attempts. His educators must persuade him that he _can_

understand, and that he _can_ do this thing or that, and must be pleased

with his slightest effort.

It seems a trifle to let a child have the run of cake plate or sweet-tray,

or to stay up "just another five minutes, Mummy!" to avoid a howl, but

these are the trifles that sow acts to reap habits, habits to reap

character, and character to fulfil destiny. It is selfish of parents to

avoid trouble by not teaching their children habits of obedience,

self-restraint, order and unselfishness. Between five and ten is the age of

greatest imitation, when habits are most readily contracted.

Come to no decision until hearing the child's wishes or statements, and

thinking the matter out; having come to it, _be inexorable_ despite the

wiles, whines and wails of a subtle child. Reduce both promises and threats

to a minimum, but _rigidly_ fulfil them, for a threat which can be ignored,

and a promise unfulfilled, are awful errors in training a child.

Persuade, rather than prohibit or prevent, a child from doing harmful

actions. If it wants to touch a hot iron, say clearly it is hot, and will

burn, but _do not move it_. Then, if the child persists, it will touch the

iron tentatively, and the small discomfort will teach it that obedience

would have been better. Let it learn as far as possible by the hard, but

wholesome, road of experience.

Makeshift answers must never be given to a child. Awkward questions require

truthful answers, even though these only suggest more "Whys?"

Sentimentality must be nipped promptly in the bud, and an imaginative and

humorous view of things encouraged. The child must be taught to keep the

passions under control, and to face pain (that great educator which

neurotic natures feel with exaggerated keenness) with fortitude.

Fear must be excluded from a child's experience. "Bogies!" "Ghosts!"

"Robbers!" and "Black-men!" if unintroduced, will not naturally be feared.

The mental harm a highly strung child does by rearing most fearsome

imaginings on small foundations is incalculable, and has led more than one

to an asylum.

Try to train the child to go to sleep in the dark, but if it is frightened

give it a nightlight. As Guthrie says, the comfort derived from the

assurance that Unseen Powers are watching over it, is small compared to

that given by a nightlight. He mentions a child who, when told she need not

fear the dark because God would be with her, said: "I wish you'd take God

away and leave the candle."

If the child wakes terrified, it is stupid and wicked to call upstairs: "Go

to sleep!" A child cannot go to sleep in that state, and a wise mother will

go up and softly soothe the frightened eyes to sleep.

Neuropathic children often have night terrors within an hour or two of

going to bed. Piercing screams cause a hasty rush upstairs, where the child

is found sitting up in bed, crouching in a corner, or trying to get out of

door or window. His face is distorted with fear and he stares wildly at the

part of the room in which he sees the terrifying apparition. He clings to

his mother but does not know her. After some time he recovers, but is in a

pitiful state and has to have his hand held while he dozes fitfully off. He

often wets the bed or passes a large amount of colourless urine. Medical

treatment is imperative.

Corporal punishment is unsuitable for neuropathic children, for the mere

suggestion of its application usually causes such excessive dread, mental

upset and terror as make it really dangerous. Such children are often said

to be "naughty" when in reality they are unable to exercise self-control,

owing to defective inhibitory power. Try patiently to inculcate obedience

from the desire to do right, and make chastisement efficacious from its

very exceptional character.

"The young child is too unconscious to have a deliberately perverse

intention; to ascribe to him the fixed determination to do evil, is to

judge him unjustly and often to develop in him an evil instinct. It is

better in such a case to tell him he has made a mistake, that he did not

foresee the consequences to which his action might lead, etc." Many parents

fall into a habit of shaking, ear-boxing, and such-like harmful minor

punishments for equally minor offences, which should be overlooked.

In all little troubles, keep _quite calm_. The child's nerve and

association centres have not yet got "hooked up", and you cannot expect it

to act reasonably instead of impulsively. This excuse does not apply to

you. One excitable person is more than enough, for if both get angry,

sensible measures will certainly not result.

The necessity for calmness cannot too strongly be urged. The treatment for

a fit of temper, is to give the unfortunate child a warm bath, and put it

to bed, with a few toys, when it will soon fall asleep, and awake refreshed

and calm.

Proceed gently but with absolute firmness, _start early_, and remember that

example is better than precept.

Religion. Offering advice on this subject is skating on very thin ice, and

we do so but to give grave warning against neuropathic youth being allowed

to contract religious "mania", "ecstasy", or "exaltation".

Neuropaths are given naturally to "see visions and dream dreams", and if

this tendency be exaggerated an unbalanced moral type results. Jones says:

"The epileptic is apt to be greatly influenced by the mystical or

awe-inspiring, and is disposed to morbid piety. He has an outer

religiousness without corresponding strictness of morals; indeed the

sentiment of religious exaltation may be in great contrast to his

habitual conduct, which is a mixture of irritability, vice and

perverted instincts."

Lay stress on the simple moral teaching of the New Testament, and avoid

cranky creeds, cross references, or Higher Criticism. Teach them to

practise the moral precepts, not to quote them by the page.

Without this practical bent, a "Revival" meeting is apt to result in a

transient but harmful "conversion"; a form of religious sentiment which

finds outlet, not so much in works as in morbid excitement. In these

people, as in the insane, there is often a weird mixing-up of religious and

sexual emotion.

Teach these children that the greatest good is not to sob over their

fancied sins at "salvation" meetings, but to love the just and good, to

hate the unjust and evil, and to do unto others as they would others should

do unto them.

It is better for them to join one of the great churches, than become

members of those small sects which maintain peculiar tenets.

A word of special warning must be given against Spiritualism. There may or

may not be a foundation for this belief, but it is highly abnormal, and has

led thousands into asylums.

The medium and the majority of her audience are highly neurotic, and a more

unwholesome environment for an actual or potential neuropath could not be

imagined.

The educated neuropath often peruses certain agnostic works, the result

usually being deplorable, for this class are dependent on some stable base

outside themselves, such as is found in a calm religion manifested in a

steadfast attempt to overcome the weakness of the flesh, by ordering life

in accordance with the teachings of the New Testament.

So long as abnormalities of character do not become too pronounced, friends

must be content.

Such children must be trained to express themselves in a practical manner,

not in weaving gorgeous phantasies in which they march to imaginary

victory. Day dreams form one of those unlatched doors of the madhouse that

swing open at a touch, the phantasy of to-day being written "emotional

dementia" on a lunacy certificate to-morrow.

Finally, remember that above them hangs the curse:

"Unstable as water, _thou shall not excel_."

"Go thou softly with them, all their days!" and whether your tears fall on

the ashes of a loved and loving, but weak and wilful one, or whether their

tears bedew the grave of the only friend they ever knew, you will not have

lacked a rich reward.

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Epilepsy, Hysteria, and Neurasthenia: Their Causes, Symptoms, & Treatment · 第 21 / 27 章