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Indian Pediatr 2019;56: 361-362 |
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Pediatrician, Parenting and Peace
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Digant Shastri
National President, Indian Academy of Pediatrics,
2019.
Email:
[email protected]
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C hildren are highly receptive. What a child learns
at young age gets imprinted almost permanently. Pruning of unused part
of the brain and exponential growth of neural synapses happen at rapid
pace for the experiences at younger age. It is strongly believed that be
it love or hate/violence, children will give back multiple times what
they had received in childhood. If children are handled without
aggression or violence and receive due attention, they will be able to
be nonviolent throughout the life, even during most difficult
situations. Positive or negative role model will be reflected throughout
the life of a child.
Data suggest that worldwide nearly 40 million
children suffer from child abuse [1]. Neglect is even more prevalent
form of maltreatment. Neglect [2]
and Abuse [3,4] are closely associated with learning
problems (cognitive delays, executive functioning skills impairment),
mental health problems (social adjustment difficulties),
emotional/behavioral problems, physical/developmental abnormalities
(attention deficits and hyperactivity, academic struggles, poorer
impulse control, reduced enthusiasm and confidence, assertiveness,
antisocial behavior, growth restriction, impaired gross motor and
coordination skills), chronic diseases, and immune system imbalance.
Such toxic stress in childhood is the topic of research in vogue [5].
Genetic imprinting and encrypting of stress can be perpetuated through
generations. But equally, its outcomes can be modified by proper child
rearing as suggested by epigenetic theories. WHO and UNICEF have Early
Childhood Development (ECD) in top agenda with specific domain of
working as "ECD and Peace Building" [6].
We live in a society that is far from ideal. There is
violence, communal riots, war, terrorism, inequality, injustice, unsafe
environment, malnutrition and indiscipline. As we know prevention of a
disease is better than a cure, so is the case for unhappiness and
violence in the society. How do we prevent these social ills? Is it
possible to transform adults? Many saints and prophets have tried but
failed to get the desired outcomes. Famous Gujarati literate Manubhai
Pancholi and Mahatma Gandhi emphasized that early childhood training
works diligently to thwart the seeds of aggression from taking root in
the children. Positive parenting is a way forward for preventing the
negative issues cited above.
For answering how parenting would help in addressing
the issues cited above, let us take a look into the determinants of
psychosocial outcome for a child. They are: negative childhood
experiences; genetic endowment; parenting styles and support; family
micro environment and happiness; school, peer group and society
environment like mass-mentality and stress; bias in term of gender,
religion, caste or creed; and life skills learning. It is obvious that
apart from nature (genetic), outcome mostly depends on nurture by
parents – not only biological parents, but also any other adult who
affects a child’s life.
Pediatricians across the world play a crucial part in
the optimum growth and development of children, and thereby their health
and happiness. Society is looking towards pediatricians for best future
of children; hence, social contribution becomes an integral part of
professional role and duty of a pediatrician. One such role of a
pediatrician is guiding the parents in rearing their children in the
best scientific way in its all domains.
It is assumed that once a couple becomes parents,
parenting would be automatic. We leave everything to either their
experiences as children themselves or just to chance. But, then how do
we spread the awareness about the right parenting skills? There is a
need to focus on widespread teaching of scientific skills and art of
parenting at every nook and corner for getting the best outcome.
Parenting skill course should be an integral part of study for all the
prospective parents, more detailed in the medical curriculum.
There may be many professional organizations or
private counselors trying to address this need, but one movement that
has attracted and has found many takers amongst members of Indian
Academy of Pediatrics (IAP) is ‘Parenting for Peace’ (P4P) movement,
which is totally voluntary, value-driven, selfless, and is based on
leadership, handholding and free sharing. Inspired by an Indian Police
Service (IPS) officer, the foundation of this movement took place in the
city of Surat with the help of many of our pediatrician colleagues. Over
a short period, this movement has got support of many pediatricians,
psychiatrists, psychologists and academicians from many parts of India.
Its basic aim is to support and promote parenting in such dimensions of
physical, mental-emotional, social and spiritual wellbeing, which
contributes to loving, joyful and skillful childhood, and leads to
peaceful society and world at large, through multiple modes of
communication, advocacy and multi-stake-holders. This is to be achieved
by good parenting, not only by biological parents but also by elders,
immediately related people, the teachers, the community and the society
as a whole who influence the children (or childhood) in any form. This
surely drives a point that pediatricians have the key role to play in
bringing world peace!
References
1. Butchart A, Harvey AP. Preventing Child
Maltreatment: A Guide to Taking Action and Generating Evidence. World
Health Organization and International Society for Prevention of Child
Abuse and Neglect, 2006. Available from:http://whqlibdoc.who.int/publications/2006/9241594365
eng.pdf. Accessed April 18, 2019.
2. Spratt EG1, Friedenberg SL, Swenson CC, Larosa A,
De Bellis MD, Macias MM, et al. The effects of early neglect on
cognitive, language, and behavioral functioning in childhood. Psychology
(Irvine). 2012;3:175-82.
3. Cahill IT, Kaminer RK, Johnson PG. Developmental
cognitive and behavioural squeal of child abuse. Child Adolesc Psychiatr
Clin North Am. 1999;8:827-43.
4. Dubowitz H, Papas MA, Black MM, Starr RH Jr. Child
neglect: Outcomes in high-risk urban preschoolers. Pediatrics.
2002;109:1100-7.
5. Shonkoff JP, Garner AS; Committee on Psychosocial
Aspects of Child and family Health; Committee on Early Childhood,
Adoption and Dependent Care; Section on Developmental and Behavioral
Pediatrics. The lifelong effects of early childhood adversity and toxic
stress. Pediatrics. 2012;129;e232-46.
6. UNICEF. ECD and Peace Building. Available from:
https://www.unicef.org/earlychildhood/index_69852.html. Accessed
April 18, 2019.
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