Different Kind of Care

Different Kind of Care: The Social Pediatric Approach

Translated by Kathe Lieber
Copyright Date: 2004
Pages: 208
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  • Book Info
    Different Kind of Care
    Book Description:

    Social pediatrics complements the traditional practice of pediatrics by creating a network within the community that acts to empower children and their families. By enlisting the aid not only of doctors and nurses but teachers, lawyers, social workers, psychologists, politicians, family, friends, and neighbours, the physical, social, emotional, and spiritual needs of children can be met, assuring every child of a loving and stimulating environment, quality education, and the opportunity for growth and development. The first part of "A Different Kind of Care" describes the principles and concepts of the social pediatrics approach. The second part tells the stories of children living in appalling conditions who suffer from various forms of trauma and rejection. The book also includes a number of case studies that demonstrate the need for and effectiveness of the theory. Julien shows that such children, if given a chance, can not only become healthy but find new meaning in life.

    eISBN: 978-0-7735-7229-4
    Subjects: Sociology

Table of Contents

  1. Front Matter
    (pp. i-iv)
  2. Table of Contents
    (pp. v-vi)
  3. Acknowledgments
    (pp. vii-viii)
    Gilles Julien
  4. Foreword
    (pp. ix-xii)
    Nicholas Steinmetz

    We value the care, protection, and development of children, and with good reason. Vulnerable for many years, they need our protection. Attaining maturity and competence in our increasingly complex world is a lengthy process that requires education and prolonged guidance.

    As individuals, we take care of our children because we love them, and because we see our life flow into theirs. They carry our genetic heritage into the future. We intuitively feel what the Tao teaches: “In thy offspring, thou art born again. That, mortal, is thy immortality.”

    As a society, we value children because they ensure continuity. Beyond mere...

  5. Introduction
    (pp. xiii-2)

    Here we are in the third millennium, yet so much still remains to be done for our children. Although we have (in theory) improved child protection by making declarations and passing legislation at the provincial, national, and international levels, child poverty is rising and children’s rights often seem to be an illusion, even in relatively wealthy countries like Canada. At every level of society, children seem to be increasingly isolated. And with isolation come insecurity and neglect – all serious impediments to the development of children.

    In my pediatric practice over the past quarter-century and more, children have always been...

    • [PART ONE: Introduction]
      (pp. 3-8)

      Social pediatricsis a term used to describe the importance of caring for children in a way that reflects the social context in which they live. The term encompasses everything that relates to the child, society, and the community. It provides a much-needed link topreventive and curative health care and social servicesby taking a global approach that considers the child as a whole person in a specific context. Taking concrete steps to support the development, health, and well-being of children is a logical progression from scientific knowledge, based on special sensitivity to children and an acute sense of...

    • CHAPTER ONE The Best Interests of the Child
      (pp. 9-15)

      The importance society places on children has varied greatly over the centuries, even from decade to decade, and certainly from culture to culture. As societies change and evolve, social contexts shift and we see similar shifts in the degree of interest various societies take in their children. The role, value, and importance of children are dynamic concepts, rising or falling along with socioeconomic or political indicators. In the best interests of the child, we must give families every chance to fill their role fully, rather than leaping in to replace them at the first opportunity. Only parents can give their...

    • CHAPTER TWO The Child in Context
      (pp. 16-31)

      What children really need has not changed over the centuries. What has changed dramatically is the social context. Technology marches on, but children remain extremely vulnerable. However, risk factors, especially factors of a psychosocial nature, have increased exponentially, and it is not at all rare to find several such factors in the same child. This makes the child even more vulnerable and even more likely to develop “modern” health problems, such as adjustment disorders that lead to serious problems like delinquency, drug abuse, and suicide.

      The needs of children, as stated by Gustavson during the preparation process for theUnited...

    • CHAPTER THREE Applied Social Pediatrics: An Overview
      (pp. 32-65)

      Social pediatrics is an approach that brings together the major figures in the child’s life to gain a better understanding of the issues and values that are important to each person, with the goal of determining effective action to be taken concerning the child. To find the pathway that will help a child or family, the health-care professional needs to have the ability to seek, discover, and do what needs to be done. While this could be described as an ideal or a mission, the words don’t really matter. The essential point is that the helper must be motivated to...

    • CHAPTER FOUR Social Pediatrics: A New Approach
      (pp. 66-86)

      The challenges posed by theUnited Nations Convention on the Rights of the Childhave led various authors, including B. Lindstrom and N. Spencer,¹ to consider developing a different approach designed to achieve the new objectives of health set forth in the Convention. Since traditional pediatrics has in the past primarily concerned itself with children’s diseases, it is now suggested that, due to the complex factors that lie at the root of most children’s health problems, a new dimension should be integrated into health care and ways of doing things should be broadened by forming links with the environments in...

    • [PART TWO: Introduction]
      (pp. 87-90)

      Pediatricians practise pediatrics. Social pediatricians stick their noses into anything and everything that can help children, especially children in distress. This may lead to accusations of not “minding your own business,” being too “profamily,” or “failing to follow procedures.” I have been the target of every one of those accusations myself. But should we abstain from intervening if the measures required to help a needy child involve something special, something that is not “usual”? Especially when we know what a difference it can make to the child throughout his or her life?

      The stories in this section of the book...

    • CHAPTER FIVE The Search for Feelings
      (pp. 91-113)

      I was quite surprised the first time I met Mark, a lively, voluble, intelligent nine-year-old. Clearly concerned about his image, he was well dressed and groomed, with clean, well-cut hair. Quite a contrast to his mother, a frail, nervous young woman with rings on every finger, not to mention in her ears and through her nose. However, I could see that their relationship was extremely close. Why had they come to see me? Mark didn’t look sick at all. In fact, he was a breath of fresh air.

      It took a while for the problem to surface. After chatting pleasantly...

    • CHAPTER SIX The Search for Identity
      (pp. 114-135)

      At this point, let’s take a closer look at the matter of identity, which is to the individual what food is to the physical body. Earlier, we considered the question from the theoretical viewpoint; now it is time to look at some concrete illustrations of the search for identity, seen from the father-son standpoint.

      Having a father as a reference point gives a growing child a big advantage. For Ahmed, Steven, Mike, Johnny, and Paulo, the absence of such a reference point caused all kinds of symptoms and problems in their daily lives. While all were prone to moodiness and...

    • CHAPTER SEVEN The Search for Meaningful Connections
      (pp. 136-160)

      As we have seen, one of the most important sources of security in a child’s development is what we call theattachment base– all the meaningful connections the child has with those around him or her. That base is built up gradually through all the small daily connections with people the child trusts and loves. That trust is complete. The child can rest assured that they will be there for all the special moments, especially the milestones such as learning to walk or talk. They will be there to confide in and to share the child’s special joys. In...

    • CHAPTER EIGHT An Effective Approach: Further Considerations
      (pp. 161-177)

      As we’ve seen, the eeda approach really is quite different. It gets children – children who really need help – back on track and gives us effective tools to use to help them. The approach provides an overview of children in their natural surroundings, an understanding of the set of factors that affect their health and well-being, and sustained action from a network comprising the community and the family.

      The steps we take are first and foremost centredon the child, his or her personality, experience, capabilities, and aspirations. Then we work actively:

      1on the child’s family, living conditions,...

  8. CONCLUSION A Plea for Access to Services in the Community
    (pp. 178-180)

    Canadians live in a rich, developed country with a healthcare system that is the envy of many other countries around the world because it is so accessible. In reality, however, access to our health-care system can be very different for affluent citizens and those who are not so well to do. While access is indeed universal, the system is strained to its very limits. Some services are no longer insured, and waiting lists are getting longer every day, even for medical examinations or treatments that are absolutely necessary. The poor cannot use the private parallel systems that are springing up...

  9. Notes
    (pp. 181-187)