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ON
WORKING WITH CHILDREN HAVING BEHAVIOURAL PROBLEMS:
A Talk by Dr. Raja
Muthukumar
To a behaviourist
everything under the sun is behaviour, some are learnt and
some are innate. Man is a complex creature, he is endowed
with a highly evolved mind which scores over and above every
other living being. Scientists are trying hard raking their
brains to unravel the mysteries of human mind and brain
for many years now. Despite all the advancement in science
the amount of information we have on this particular area
is rather very limited. It is really amazing to observe
the vibgyor range of behaviour a human is capable of; in
an 'average' or a 'normal' person much of his behaviour
is considered as normal or situation-specific, and the response
of the individual is by and large preceded by a stimulus
or a reason. In normal circumstances the range and variety
of bahvioural responses are also expected to be within 'normal'
or accepted limits. Most behavioural responses of an individual,
let it be a child or an adult, gets modified by his environment
or due to his past experiences; some of his responses can
be seen as desirable and some undesirable. Much of the behaviour
we see can also be derived from innate sources or could
be 'brain based'; this is particularly true in the case
of the physiological behaviour pattern which every human
being has. Behaviour in an individual gets altered or changed
due to various factors and thus modified behavioural responses
may not be situation-specific or the most desirable. Only
the consistent and continuous undesirable behaviour is considered
to be abnormal.
Pathway had
the great good fortune of a visit by Dr Raja Muthukumar,
who came to the centre along with his illustrious brother
Mr R Kirubhakaran IAS (Rtd), who shares with his brother
a love of working with the handicapped children. Dr Muthukumar
is a highly qualified paediatrician with MD(Paed) and FRCP.
He is currently with the Castleford Hospital, West Yorks,UK.
He has specialized in neurobehavioural and developmental
aspects of children.He has a great interest in serving children
with special needs as well as children with different beahvioural
manifestations. It is his cherished desire to serve children
in this country, particularly children at Pathway. His services
will be greatly needed not only for children who may have
special needs but also for 'normal' children who are being
assisted at our Agro Farm.
Utilizing
this great opportunity to us of his visit, Dr Muthukumar
was requested to address the Director and Staff, medical,
rehabilitation and special education staff, and volunteers
of Pathway, on his personal experiences in working with
behavioural challenges.
In his hour-long
highly interesting and rewarding over-view of his work in
the UK in the prevailing conditions there, Dr Muthukumar
described the key to promoting successful and desirable
behaviour and also the culture-specific behavioural responses
which are accepted and desirable in the UK. He also described
the various behavioural manifestations commonly seen in
the school-going children, right from the pre-school to
higher classes. Factors causing problems in interpersonal
relationships were also listed.
He discussed
the diagnostic methods as well as testing methods at great
length. The behavioural problems in children, such as, hyperactivity,
ADD, impulsive beahviour, often cause considerable learning
problems.He also described the mood disorders in children
and also problems of teenage girls and boys.
General problems
such as anti-social personality disorders, drug abuse, promiscuity,
teenage pregnancy etc were also discussed. To assist children
with such problems it is important that we reach them before
we teach, we need to showcase their specific talents, and
also see to it that each child has a charismatic adult as
his or her own model to emulate, and also positive reinforcements
with generous praise and appreciation is most important.
We need to empathize with and monitor all aspects of behaviour
in a wholistic manner, and not pitch upon particular undesirable
acts as the sole problem. In many cases children with behavioural
deviations obviously need medication, with judicious care
regarding its dosage, timings, side effects, efficacy, etc,
and the practising physician needs to constantly update
himself on the ongoing research and findings in this regard,
relating them meaningfully to his own experiences.
For the Pathway
Volunteers, including his own brother, who were present,
and the many friends who come frequently to spend their
valuable time with the children, he had a few interesting
suggestions. When he questioned them why they came to see
our children and what did they gain thereby, their replies
covered an interesting range: like, "I want to give away
my life to others as Jesus did!", "I love getting involved,
just the togetherness", "I want to prove and illustrate
the presence of God through what I do for these children,
a nice opportunity for me, a calling", "Just as Our Lord
Jesus came to serve, not to be served: I was inspired by
those words!", and "I keep praying that God opens everybody's
eyes to the needs of His children, and fills every heart
with compassion", and "If I take care of these children
God will take care of me!", and so on. Dr. M offered his
suggestions.
Being a friend
to a person with disability can bring a rich meaning to
your life. Many despair whether they have the gift or aptitude
or special skills that may be needed for serving the children,
but the fact is that you dont need any such thing, you can
be yourself. You will find out that you are with a person
who also wants love and acceptance as much as you do. A
general rule of thumb is that you should treat a disabled
person (specially abled person ) the same way you would
want to be treated. Do unto others as you want to be done
unto you.
Have your
eyes wide open. Be aware of what the Lord God wants to show
you everymoment everyday, what you can learn from the other
person. The child is the father of man, become like little
children, and so on, we read in the scripture. Reflect over
it. You will become childlike yourself. The very expression
of your face will change, you will be a more happy and pleasant
person.
And see the
ability in the person before you, not concentrate or focus
on the disability. Also, help him or her to discover his
or her ability. Painting, or singing, dancing, or just communicating.
Listen deeply, patiently, genuinely. If you simply pretend
to listen and your mind is elsewhere the child will find
out. Let him know that you care.
Take the
time to communicate. Ask questions, again and again if you
don't understand what he is trying to tell you. People with
disability want to be known and recognised as much as you
and I need to. Look into their eyes while speaking. Remember
they are people with real feelings, hopes, dreams. Dont
imagine they have less or nothing of them. If there is anything
in them that makes you uncomfortable, like some aspect of
physical appearance, like drool of saliva for instance,
dont focus your attention on it. Concentrate on the person
behind these external appearances. Don't be afraid to touch,
we say. The extent of social contacts of touching varies
from country to country, follow whatever is right. Shake
his hand if he offers his hand. Touching communicates acceptance
and warmth.
| Your voice
and tone should be appropriate to the age of the child.
In life we dont talk to a child and a lovely lady and
a dilapidated old man with the same single monotonous
unvarying tone and voice ( here Dr. M. made a mimicry,
to the great glee of everyone present including the
children, the various usual tones and voices ). There
are so many indescribable nuances. And when you are
not sure if the child is going to comprehend something
you want to say, it is safe to start from a higher plane
than from a lower level, and then slowly you can find
your way down to the right level. |
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The
other day I was playing with a five-year-old girl I
was meeting after a long time. I said, Good Morning,
Miss Jane, and How are you? I hear you have started
going to a new school, I hope you like it and the teachers
are good, and so on, talking to the child in a serious
matter-of-fact voice and tone as to an adult, till gradully
we got down to building castles on the beachsand and
collecting shells and you would hardly have guessed
from a distance which of the two was squabbling and
babbling |
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was
squabbling and babbling and prattling and gibbering
more.And never try to fake,
never try to pretend that you have understood what
the child is telling you and you would like to leave
or change the subject. Say, Sorry, I didn't understand
that one, can you please repeat? Could you say that
again for me? A total willingness to communicate.
And once you start being a friend you will stop seeing
him or her disabled. You will find mutual love, acceptance,
friendship, for which we all crave so much all the
time. Just relax, and enjoy the company of your friend.
--------Prasad
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