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Obsession: Separation Anxiety

Written by: Hong Kong Registered Psychologist, Ching Wai Keung

Around nine months of age, babies become unusually clingy. Even if the mother goes to the bathroom, the baby may appear extremely anxious, clinging tightly to the mother and even crying loudly.

Separation anxiety can lead to two different types of reactions. In some cases, when separated from the caregiver, the baby will exhibit attachment-seeking behaviors, such as clinging to the mother, trying every possible way to find the mother, or crawling wherever the mother goes (Ainsworth, Bell, & Stayton, 1971). Separation can also result in behaviors such as despair, resistance, and detachment, depending on the duration of the separation (Bowlby, 1960; Robertson & Robertson, 1989).

A child’s reaction to separation can also change depending on the environment. For example, in a familiar home environment, the child will exhibit less anxiety compared to being in an unfamiliar environment (Ross, Kagan, Zelazo, & Kotelchuck, 1975).

Around seven months of age, the concept of object permanence begins to emerge in children. They understand that even if they cannot see someone or something, it does not mean that the person or object has disappeared. When children are able to establish this concept, their separation anxiety will relatively decrease. If the mother can frequently communicate with the child, express positive emotions and feelings towards the infant, and provide appropriate stimulation and assistance, the child will more easily grasp and apply the concept of object permanence to both objects and people (Chazan, 1981).

Helping children cope with separation anxiety requires a certain amount of time, allowing the child and caregiver to develop a close, attached emotional relationship (Attachment), and waiting for the child’s own development to mature before it can be effective. For a two-year-old child, they can use photographs to alleviate their feelings of sorrow when separated from their caregiver (Passman & Longeway, 1982); a three-year-old child can even stay overnight at their grandparents’ house without their parents being present.

Whether a child can develop this kind of “resilience” depends on whether the caregiver and the child can establish a close emotional relationship. Once the mutual relationship is established, the child can soothe their anxiety caused by separation by imagining the image of their parents and recalling their parents’ love (Development Through Life, Barbara M. Newman, Philip R. Newman, Wadsworth, 2003).

Encountering a ‘mismatched’ child is an opportunity for parents to grow

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Written by: Lai Shun Mei, Family Dynamics Counselor and Global Career Developer

When a child is born, people like to discuss his appearance, using his resemblance to his parents as a topic of conversation, and talk about which attractive features he has inherited from them. As he grows older and his temperament begins to show, they also like to explore whose personality he resembles.

It is generally easier to get along with someone who has a similar temperament because similar personalities and preferences make it easier to connect. If a child has a temperament similar to their parents, it seems to make parenting easier. However, it often seems like God enjoys playing jokes on us by giving us “mismatched” children: an outgoing and lively mother ends up with a quiet and introverted daughter; a hot-tempered father faces a sensitive and sentimental son; a mother who doesn’t understand fun encounters a hedonistic son.

Parents who seek help often share the common issue of having difficulty getting along with their “mismatched” child. They cannot accept the child’s nature, do not understand the child’s behavior, and do not know how to properly guide their child.

The outgoing and lively mother “complained” to me: “My daughter dawdles, is hesitant, and doesn’t dare to make friends outside.” She couldn’t understand: “What’s so difficult about brushing teeth? What’s so scary about attending English class? What’s there to be shy about when meeting other kids?” Why is her daughter nothing like her but instead resembles her indecisive, introverted, timid, and unambitious father? As she spoke, she indirectly revealed to me that her problem was not accepting her spouse and projecting her dissatisfaction with her spouse onto their daughter. Therefore, the issue was not with her daughter but with their marital relationship.

The hot-tempered father had to come for advice because his son only got along with his mother and not with him. He deeply loved his son and did not want him to grow up being overly sensitive and tearful like a girl. The older the child got, the more anxious the father became. However, under insults and strict orders, the child did not become stronger but instead became more withdrawn, clinging to his mother and refusing to leave her side. It was only after understanding the situation that it became clear that this father had grown up amidst beatings and insults. He believed his own strength came from such an upbringing, not realizing that those painful experiences had become implicit memories affecting his relationship with his son.

The mother, who claimed she did not know how to play and did not need to play, was at a loss with her son, who was solely focused on playing. She said her son was careless with his studies but persistently focused on play. How could she change her son’s attitude towards his studies? I was curious about this mother’s claim—who wouldn’t like to play? Seeking happiness is human nature, so why did she insist she did not need entertainment? It turned out that she was also playful as a child but was strictly disciplined by her mother, who did not allow her to “waste” time. Gradually, her life lacked playmates, and when she played with her mother, her mother remained serious and uncompromising, often causing her to lose and feel sad. Over time, she grew to dislike playing games. Her mother “successfully” shaped her into someone who “did not like” to play, someone who appeared strong and focused on studies but was also rigid, insecure, and lacking in joy. No wonder she did not understand how to get along with her naturally joyful son.

It turns out that God “mismatched” children for us with a purpose. He wants us to reflect on our relationships with our spouses and parents, and our own growth experiences through the frustrations of interacting with our children, thereby sorting out these relationships and resolving these emotional knots.

Parents’ lack of acceptance of their children is a reflection of their lack of acceptance of themselves. A lack of confidence in their children is a lack of confidence in themselves. By taking care of “mismatched” children, parents feel challenged and then become aware of their own pain points. With the help of a therapist, they begin a journey of self-exploration. They clarify and straighten out their family relationships, gaining rebirth and growth in the process. Children are born as they are, and there is no mismatch. Let us make good use of this opportunity for growth!

Kindergarten Interview: Preparation Guide

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Written by: Mr. Chiu Wing Tak, Senior Education Specialist

When parents take their children to an interview, the most nerve-wracking moment is when the teacher asks the child a question, and the child sits there speechless, like a wooden dummy. When parents ask me afterward why such an embarrassing scene occurred, my answer is four words: “Not enough preparation!”

“Really? It’s just a kindergarten interview, why prepare?”

To this “modern” parent, I smiled and explained in detail: “Generally, children feel anxious and nervous when meeting strangers for the first time. If parents do not explain the reason for the school interview at home and just say they are going to play at school or chat with an auntie, the child will feel uneasy. This so-called auntie is clearly asking some ‘private’ questions, such as ‘What is your name?’, ‘How old are you?’, ‘Who brought you here?’, ‘What vehicle did you take?’, ‘Who usually takes you to and from school?’. Therefore, the child will panic and may even remain silent! So, isn’t it normal for the child not to speak?”

“I understand. So, Mr. Zhao, how should we prepare the child?”

Why is politeness so important? Because it shows whether the child has been well-taught at home.

“I will teach you in two parts. This time, we will talk about ‘psychological preparation,’ and next time, we will discuss practical preparation. There are four aspects to psychological preparation:

1.Dress Appropriately

What counts as dressing appropriately? Boys should wear collared shirts, and girls should wear dresses. A collar indicates refinement, and a dress is generally accepted attire by principals and teachers. As long as the colors are not too flashy and the clothes are clean and neat, it shows appropriateness. Clothing affects the teacher’s impression, so be careful with what the child wears!

2.Politeness and Good Manners

Why is politeness so important? Because it reflects whether a child has been well-taught at home. How do you train a child to be polite? The methods are: (1) Parents themselves must be polite first; (2) Practice daily, consistently greeting people with “Good morning!” and saying “Bye-bye!” when leaving, greeting with “Hello!” when meeting someone, saying “Thank you!” when receiving a gift, and saying “Please” when asking for help. Over time, these habits will become second nature, and your child will become a polite person.

3.Confidence

The training method is to encourage the child to take action. If the child wants to take a photo with the mascot at Ocean Park, encourage them to ask for it themselves. If they need the minibus to stop at the street corner, encourage them to loudly say, “Please stop at the corner!” With regular practice, the child will naturally become confident.

4.Answering Questions

Tell your child that they must answer the questions posed by the teacher, as it is a sign of politeness. As for how to answer, we will discuss that next time.

Obsession: Separation Anxiety

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Written by: Hong Kong Registered Psychologist, Ching Wai Keung

Around nine months of age, babies become unusually clingy. Even if the mother goes to the bathroom, the baby may appear extremely anxious, clinging tightly to the mother and even crying loudly.

Separation anxiety can lead to two different types of reactions. In some cases, when separated from the caregiver, the baby will exhibit attachment-seeking behaviors, such as clinging to the mother, trying every possible way to find the mother, or crawling wherever the mother goes (Ainsworth, Bell, & Stayton, 1971). Separation can also result in behaviors such as despair, resistance, and detachment, depending on the duration of the separation (Bowlby, 1960; Robertson & Robertson, 1989).

A child’s reaction to separation can also change depending on the environment. For example, in a familiar home environment, the child will exhibit less anxiety compared to being in an unfamiliar environment (Ross, Kagan, Zelazo, & Kotelchuck, 1975).

Around seven months of age, the concept of object permanence begins to emerge in children. They understand that even if they cannot see someone or something, it does not mean that the person or object has disappeared. When children are able to establish this concept, their separation anxiety will relatively decrease. If the mother can frequently communicate with the child, express positive emotions and feelings towards the infant, and provide appropriate stimulation and assistance, the child will more easily grasp and apply the concept of object permanence to both objects and people (Chazan, 1981).

Helping children cope with separation anxiety requires a certain amount of time, allowing the child and caregiver to develop a close, attached emotional relationship (Attachment), and waiting for the child’s own development to mature before it can be effective. For a two-year-old child, they can use photographs to alleviate their feelings of sorrow when separated from their caregiver (Passman & Longeway, 1982); a three-year-old child can even stay overnight at their grandparents’ house without their parents being present.

Whether a child can develop this kind of “resilience” depends on whether the caregiver and the child can establish a close emotional relationship. Once the mutual relationship is established, the child can soothe their anxiety caused by separation by imagining the image of their parents and recalling their parents’ love (Development Through Life, Barbara M. Newman, Philip R. Newman, Wadsworth, 2003).

Training Children’s “Brain Power” & “Intelligence”-Early Childhood Edition

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Written by: Ms. Carmen Leung, Specialist in Child Development Psychology

DHA only provides nutrients for children’s brain development. To make children smarter, their brains must receive proper exercise. This time, I will introduce some brain-training games that are very suitable for children aged 2 to primary school age!

1.Maze or Spot the Difference Brain Exercises

Although Maze and Spot the difference brain exercises were our childhood games, they are still good friends for children in this era. In addition to mazes and spot the difference, there are many different modes of brain exercises. In short, any image game that requires children to observe and focus to complete tasks belongs to brain exercises. Do you know Wally (translated as “Where’s Wally?” in Chinese)? It is one of the most popular brain games in the world.

In fact, brain games do not necessarily need to be purchased or printed in books. We can easily create brain games at home. For example, parents can place two Swiss candies in a pile of miscellaneous items, and the child will find them with great concentration!

2.Tidying Up and Categorizing Household Items

Everyday activities, such as tidying up and categorizing items, are excellent opportunities to exercise the brain. Organizing items systematically not only enhances children’s organizational skills but also stimulates their creativity. Sometimes, children’s methods of categorization may differ from those of adults, but they have their own logic. Parents should ask their children why they categorize items in a certain way, as this can reveal that children’s observational skills might be sharper than expected. They use the details they observe to categorize, so parents should avoid imposing adult methods of categorization to prevent discouraging their children’s initiative in problem-solving.

You might wonder, “What if my child doesn’t like tidying up?” If your child hasn’t yet developed the habit of tidying and categorizing household items, start with games to motivate them to complete the “mission.” For example, you can organize a “Room Tidy-Up Competition” or a “Cleaning Day” where family members help each other tidy up. These activities encourage children to tidy and categorize, while also exercising their “brain power.”

3.Memory Games

There are many memory game cards available, such as turning over a dozen cards and taking turns to flip two at a time. If the two cards match, you can keep them. Additionally, there are cards with different objects drawn on them. Parents can lay them out in a row, let the child look at them, then turn them over and ask the child to remember where a specific object is. These are excellent memory games, and both adults and children can get creative and change the rules to make the games more interesting.

Besides memory game cards, everyday life is full of rich memory games. For example, you can ask your child to find items they have seen you place somewhere before, or have them hide some items and then find them after a long period.

In summary, training children’s brain power and intelligence is not difficult at all. With a bit of thought and creativity, many everyday details can become opportunities for children to exercise their brains!

Improve reading and learning ability

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Written by: Founder and Volunteer Secretary-General of GLP, Lam Ho Pei Yee  

A child’s learning ability, whether strong or weak, is not innate; it is largely developed through training. Logical reasoning is a crucial component of reading methods. Some parents use “teaching reference books” intended for teachers, giving them a sneak peek at the lesson content prepared by the teacher. On the surface, this seems to help children grasp the key points of the teacher’s lessons and accurately understand the classroom content more easily. In reality, however, it deprives children of the valuable opportunity to enhance their own learning abilities. Most people agree that the purpose of education is to learn how to think and communicate. Classroom learning is a comprehensive process that requires children to follow the teacher’s thought process and instruction, step by step, to understand and accept the material. Therefore, learning is a dialectical process of thinking, involving active questioning rather than passive acceptance.

In fact, as long as parents find the right methods, a child’s learning ability can be easily improved. Parents should teach children to establish a system of thinking, and organizing information before storing it in the brain, rather than letting it become a chaotic mess. This way, the information becomes organized, systematic, and orderly, making it easier to retrieve and recall in the future.

Unfortunately, if parents only focus on exam results, feeling happy when the results are good and criticizing when they are not, rather than focusing on how to cultivate their child’s learning ability, then even if the child fails a hundred times, parents can only feel helpless and anxious.

Moreover, if one has acquired extensive knowledge but cannot use it or leverage it to discover more knowledge, what is the value of such learning? When exam results are poor, parents’ emotions can easily become tense and irritable, and these negative emotions make us focus only on the present moment, leading parents to resort to immediate reward and punishment methods (such as coaxing or scolding). On the contrary, cultivating a child’s attitude of “not being arrogant in victory and not being discouraged in defeat,” and believing that abilities can be changed through effort, is an important factor in developing perseverance and resilience. Once this principle is understood, the issue of whether a child is ahead or behind at the starting line becomes irrelevant.

Let us understand children’s behavior more from their needs. When a child is disobedient, let us gently remind ourselves: “Pause and think.” Consider whether the child needs more attention in terms of ability, autonomy, or relationships.

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Who sympathizes? A child’s voice

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Written by: Family Dynamics, Counseling Psychologist,  Shelly Mok

I met W in a social-emotional group. At that time, W was only 11 years old. In the group, although W would “follow the crowd” and engage in some disorderly behavior, he was the boy who could best understand the emotions behind others’ actions. Moreover, he was able to proactively offer help when others faced emotional difficulties. After the group ended, his mother requested a one-on-one meeting with W. Since entering the fourth grade, W’s grades had significantly declined, dropping from being at the top of his class in the lower grades to around 20th place in the fifth grade, with the most significant drop in his English grades. The teacher reported that he had started associating with the naughtiest kids in the grade and often talked back to the teacher. At home, he frequently argued with or ignored his parents. I was puzzled as to why such an empathetic child had suddenly lost his way.

During the therapy process, I discovered W’s inner world:

1.He felt very lonely and empty inside: During the first one-on-one meeting, W expressed his willingness to see me and cried about his grievances and loneliness. He said that his parents only cared about his grades, not his situation, interests, or hobbies, and did not spend time with him.

2.He valued interpersonal relationships: As the therapy progressed, he gradually began to share details of his school life with me, such as the attitudes and temperaments of different subject teachers and the interactions with students, and how these affected his grades in different subjects. Therefore, whether at school or at home, good interpersonal relationships and others’ understanding and acceptance of him would become his motivation for learning.

3.He liked to use his brain, was not afraid of difficulties and failures, and enjoyed games, toys, and creative writing that challenged his intelligence and patience. When playing board games in the playroom, the more I deliberately won, the more interested he became in understanding my strategies. However, rote learning methods made him lose his enthusiasm for studying.

Parental Care and Willingness to Open Up

Changing the curriculum and teachers at school is very difficult. Additionally, there are many practical considerations if one wants to transfer schools in the sixth grade. Therefore, W’s parents and I worked together to help W receive the attention, acceptance, understanding, and brainstorming at home that he could not get at school, making it a possible and key focus of therapeutic intervention.

W’s parents are not good at expressing love and care, but they genuinely care about W from the bottom of their hearts. They always take time off work to attend every parent consultation session. When I guided them to recall the moments of W’s growth, they quickly realized and accepted W’s psychological needs and committed to spending more time with W, trying to understand and participate in W’s interests and hobbies. After some time, they reported to me that W was much happier at home and had started to share some of his school experiences with his parents.

Discovering Strengths and Rediscovering the True Self

On the other hand, in the game room, I helped W discover his strengths through games, understand his desire to grow and improve, thereby building his self-esteem and confidence, and rediscovering his true self. This allowed him to choose a path for himself. I believe that human nature inherently desires growth and positive development. As long as we help children recognize their deep-seated desires, they will naturally move towards a brighter path. When the play therapy ended, W told me that his overall happiness index had significantly increased because he understood his strengths and some important values. His mother also told me that the teacher said he had reconnected with some well-behaved and academically better-performing friends at school, and his attitude towards teachers had improved. Although his interest in studying remained low, it had stabilized.

There are many underlying reasons for a child’s academic decline. As parents, if we focus solely on grades, we often miss the opportunity to help our children grow, which can lead to other behavioral problems and affect parent-child, peer, and teacher-student relationships. For children, it is a basic need for their parents to care for them from their perspective, cater to their interests, understand their difficulties, and affirm their strengths.

Ultimately, having a confidant is a deep-seated human desire. This world is filled with many unchangeable realities, such as teachers and curricula. However, deep resonance can always make life a bit easier, making our children’s hearts stronger, less likely to get lost, and reducing the possibility of behavioral deviations. As for grades, rankings alone cannot determine a child’s future success. W’s affirmation of his strengths, his fearlessness in the face of difficulties, and his willingness to delve into and improve can become his lifelong motto, accompanying him through the ups and downs of his future life.

Being unfocused when playing with toys, will it make it harder for them to concentrate on learning in the future?

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Source : Registered Clinical Psychologist, Yiu Fong Lee

 

Some parents may notice that their children, aged 4 to 5, often have trouble staying focused when playing with toys. For example, they may play with one toy for only 2 minutes before switching to another, and they might take out all the toys in the room without cleaning up afterward. Parents may worry that if their children are so unfocused now, how will they fare in exams or when studying in the future?

 

It turns out that when children’s brain development is not yet mature, their attention span can be a bit short. Research has found that mindfulness can help improve children’s focus, especially by training their frontal lobes, which can enhance their attention and concentration.

 

There are some mindfulness games that can be used as a reference. For example, parents can use certain apps with visual cues. Children can follow these apps, for instance, there might be an image of a balloon that inflates when they breathe in and deflates when they breathe out. This way, by following their breath, children can improve their ability to concentrate. Additionally, there’s a practice called ‘Statue,’ which many parents might remember from their own childhood. In this exercise, children must sit still and watch an app or a timer for a specific duration to see how long they can remain seated calmly.

玩玩具都唔專心,以後學習會更難專心嗎?

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Source : Registered Clinical Psychologist, Yiu Fong Lee

 

Some parents may notice that their children, aged 4 to 5, often have trouble staying focused when playing with toys. For example, they may play with one toy for only 2 minutes before switching to another, and they might take out all the toys in the room without cleaning up afterward. Parents may worry that if their children are so unfocused now, how will they fare in exams or when studying in the future?

 

It turns out that when children’s brain development is not yet mature, their attention span can be a bit short. Research has found that mindfulness can help improve children’s focus, especially by training their frontal lobes, which can enhance their attention and concentration.

 

There are some mindfulness games that can be used as a reference. For example, parents can use certain apps with visual cues. Children can follow these apps, for instance, there might be an image of a balloon that inflates when they breathe in and deflates when they breathe out. This way, by following their breath, children can improve their ability to concentrate. Additionally, there’s a practice called ‘Statue,’ which many parents might remember from their own childhood. In this exercise, children must sit still and watch an app or a timer for a specific duration to see how long they can remain seated calmly.

 

 

 

“Then, if children manage to do this, you can introduce an additional element, which is auditory distractions. For example, you can include some simple sounds, like calm music. If the children succeed with that, you can gradually introduce more challenging elements, such as cartoons or anything they enjoy, to see if they can stay focused on the app and their breathing in a more distracting environment. This helps train their concentration.

 

Secondly, we can try implementing some rules and visual reminders. You can tell the children that there is a rule when it comes to playing games or with toys: they have to finish playing with one thing before they start with another, and they should spend at least 5 to 10 minutes playing with each item before switching. You can use some pictures to show them one toy, then cleaning up that toy, and then moving on to the next. In between, you can indicate that they should play with each toy for 5 to 10 minutes.”

 

 

 

The third method is a behavioral consequence approach. When children are able to focus, parents can encourage them by saying, ‘You did a great job because you were so focused!’ or by telling them, ‘I appreciate your effort because you can sit still and enjoy one toy. You can actually have more fun while playing with your toys this way.’ If the child cannot do it, we can introduce consequences. For example, you can say, ‘You finished playing with one thing and then jumped to another and then to a third one. This means you couldn’t follow the rules, so now we need to take a break.’ This break could be, for instance, 5 minutes of not playing with any toys. You can use an app to help them sit quietly until they feel they can concentrate on one game, and then you can continue playing.

 

The fourth method is what we call the ‘Star Focus Reward Plan.’ For this, you can give the child a timer, clock, or hourglass, and the child watches the time while engaging in a focused activity, like 1 minute or 2 minutes. Parents can discuss with the child that for each session of focused attention, they will earn a star, which goes into a piggy bank. The child can see how long they can focus, and these stars accumulate, helping the child become more focused over time.

Stranger anxiety: Anxiety towards strangers

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Written by:  Hong Kong registered psychologist, Ching Wai Keung    

When discussing the formation of attachment, it is not difficult to observe that children, from infancy (approximately from birth to two years old), already exhibit feelings of anxiety, including stranger anxiety and separation anxiety. These anxieties typically begin to appear between six months and one year of age. This time, we will focus on discussing stranger anxiety.

Simply put, stranger anxiety is what parents often refer to as fear of strangers, and the behaviors derived from it are what we commonly call “recognizing people.” The intensity of fear of strangers can vary; mild cases may only show reluctance to be held by strangers or avoidance of strangers’ gazes, while severe cases can involve extreme discomfort or even crying loudly just from a stranger’s glance.

Firstly, I must explain that under normal circumstances, fear of strangers should be seen as a positive developmental signal, indicating that the child is capable of distinguishing between caregivers and others. Parents should not be overly concerned.

Secondly, an infant’s reaction to strangers often changes depending on the external environment, including the current objective environment, the stranger’s actions towards the infant, the distance between the infant and their primary caregiver, and the caregiver’s reaction to the stranger (Keltenbach, Weinraub, & Fullard, 1980). For example, if the primary caregiver interacts with the stranger in a positive manner, using friendly speech and tone, the child’s response is likely to be more positive as well (Feinman & Lewis, 1983).

Therefore, if parents want to reduce their child’s anxious behaviors when facing strangers, they can start by modifying their own behaviors. When interacting with others, they can increase their smiles, be more proactive, improve their tone of voice and body language. Don’t forget that parents are the lifelong teachers of their children! Of course, parents do not need to rush to change the behavior of infants and toddlers in a short time. As they develop the ability to self-regulate, their performance in managing anxiety may greatly improve!

The emotion of fear of strangers actually follows us throughout our lives. Are you able to speak freely in front of strangers? Do you feel anxious during job interviews? Therefore, a little anxiety is normal. The most important thing is how we can improve our performance when anxious.