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有关小儿多动症# Parenting - 为人父母
d*a
1
小侄子8岁,在国内,下学期就3年级了,成绩一直不大好,上课写作业都不怎么专心
为此哥嫂专门找专家看了多动症,至于结果怎样不大清楚
小侄子很乖,但是因为学习不好一直被父母教训,别说爷爷奶奶,连我都跟着难受
不知道美国的多动症娃都是怎么治疗的,需要专门治疗吗?我觉得不是啥大问题呀,大
了自然就好了
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r*y
2
我知道一个孩子就是多动症,也是成绩不大好,家里人觉得大了就好了,所以孩子一直
没有用药,现在20岁了,除了游戏和电视,没有任何别的兴趣,成绩差到不行,因为完
全没有读书的习惯和爱好。美国很多孩子是用药的。

★ 发自iPhone App: ChineseWeb 7.3.1

【在 d***a 的大作中提到】
: 小侄子8岁,在国内,下学期就3年级了,成绩一直不大好,上课写作业都不怎么专心
: 为此哥嫂专门找专家看了多动症,至于结果怎样不大清楚
: 小侄子很乖,但是因为学习不好一直被父母教训,别说爷爷奶奶,连我都跟着难受
: 不知道美国的多动症娃都是怎么治疗的,需要专门治疗吗?我觉得不是啥大问题呀,大
: 了自然就好了

avatar
w*e
3
说我自己的观察:我的(北美)学生里有好几个是吃药的ADHD孩子。药物的确是老师的
救星,尤其是hyperactive的孩子,吃了药以后课堂表现就能好很多。但是药物除了生
理上的副作用以外,还有就是心理上的。很多孩子心理上很依赖药物,有的则喜欢用药
物当逃避责罚的理由。有时用早上没有吃药做课堂上不用功的挡箭牌,有时也用吃了药
,但有副作用当理由,比如身上累,不想吃饭,等等。老师琢磨不透,又不能随便猜疑
,也挺难办的。
虽然吃不吃药是家长的决定,但是我个人不赞同吃药。尤其你说侄子很乖,只是学习不
好,集中力差。如果家长本身是倾向与吃药的,那一般很难劝服他们不给孩子用药。
国内的教育制度对ADHD的孩子很不利。如果家长不能好好在家诱导,开小灶,打好基础
,孩子的心理和智利发育都要受损。
家长首先要正视孩子的情况,不能责怪孩子和自己。暑假是补习的好机会,首先搞清楚
突击重点,和孩子每周制定进步目标,不罚,但是达标就赏。可以以游戏的方式开展学
习。坐下学习的时间一次不得超过10分钟,以后可以慢慢考虑延长坐下的时间。可以坐
在那种健身充气球上面学习,这样孩子可以在上面动来动去,帮助他的大脑注意力集中
。(很多地方都建议这种方法。我自己的attention span 也不长,坐这个球对我也有
帮助。)
游戏的方法有很多种,比如坐着的有纸牌算数,三张牌,眼前一闪,算加法。也可以让
孩子一边动一边学,比如单脚跳,数笔画,加强对常见错别字的记忆。静与动的学习方
法交叉起来,加上适当的休息和鼓励,孩子应该会有所进步。如果有合适学习的电脑游
戏,我想也并非不可,但是只作为10分钟的静学习,而且可以当作奖励。另外,对于注
意力部集中的孩子,让他们养成不拖拉的习惯很重要,如果能雷厉风行,在预定的时间
内完成任务,要格外表扬。
另外,加强运动,保持良好的作息和饮食习惯也是非常关键的。要少吃糖(包括多糖的
水果以及白米面,零食,junk food),多吃蔬菜。也许可以实施适当的晨跑。
最怕就是不成熟的家长,经常数落孩子,一味告诫,甚至恐吓孩子上课要集中,其实什
么用也不管啊。
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y*n
4
MM 说的真好

【在 w*********e 的大作中提到】
: 说我自己的观察:我的(北美)学生里有好几个是吃药的ADHD孩子。药物的确是老师的
: 救星,尤其是hyperactive的孩子,吃了药以后课堂表现就能好很多。但是药物除了生
: 理上的副作用以外,还有就是心理上的。很多孩子心理上很依赖药物,有的则喜欢用药
: 物当逃避责罚的理由。有时用早上没有吃药做课堂上不用功的挡箭牌,有时也用吃了药
: ,但有副作用当理由,比如身上累,不想吃饭,等等。老师琢磨不透,又不能随便猜疑
: ,也挺难办的。
: 虽然吃不吃药是家长的决定,但是我个人不赞同吃药。尤其你说侄子很乖,只是学习不
: 好,集中力差。如果家长本身是倾向与吃药的,那一般很难劝服他们不给孩子用药。
: 国内的教育制度对ADHD的孩子很不利。如果家长不能好好在家诱导,开小灶,打好基础
: ,孩子的心理和智利发育都要受损。

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y*n
5
我觉得孩子不能老骂,特别你侄子肯定在学校也不被老师待见,回家还得挨说,处处受
气,想想孩子多可怜。

【在 d***a 的大作中提到】
: 小侄子8岁,在国内,下学期就3年级了,成绩一直不大好,上课写作业都不怎么专心
: 为此哥嫂专门找专家看了多动症,至于结果怎样不大清楚
: 小侄子很乖,但是因为学习不好一直被父母教训,别说爷爷奶奶,连我都跟着难受
: 不知道美国的多动症娃都是怎么治疗的,需要专门治疗吗?我觉得不是啥大问题呀,大
: 了自然就好了

avatar
d*a
6
多谢楼上的mm们,尤其是二楼的mm比较专业
我因为2年没见小侄子,现在的情况也不是特别清楚,就想打听美国这边对于这类儿童
的治疗希望能提供一点信息
我自认为小侄子不算很严重的那种,不至于到吃药的地步,只是觉得是需要专业的心理
医生的长时间的帮助
avatar
w*2
7


【在 w*********e 的大作中提到】
: 说我自己的观察:我的(北美)学生里有好几个是吃药的ADHD孩子。药物的确是老师的
: 救星,尤其是hyperactive的孩子,吃了药以后课堂表现就能好很多。但是药物除了生
: 理上的副作用以外,还有就是心理上的。很多孩子心理上很依赖药物,有的则喜欢用药
: 物当逃避责罚的理由。有时用早上没有吃药做课堂上不用功的挡箭牌,有时也用吃了药
: ,但有副作用当理由,比如身上累,不想吃饭,等等。老师琢磨不透,又不能随便猜疑
: ,也挺难办的。
: 虽然吃不吃药是家长的决定,但是我个人不赞同吃药。尤其你说侄子很乖,只是学习不
: 好,集中力差。如果家长本身是倾向与吃药的,那一般很难劝服他们不给孩子用药。
: 国内的教育制度对ADHD的孩子很不利。如果家长不能好好在家诱导,开小灶,打好基础
: ,孩子的心理和智利发育都要受损。

avatar
w*e
8
小朋友不需要医生,我觉得,也不需要治疗,要的是成人的了解,理解,耐心和智慧。
成人要不断尝试,帮助他找到自己可以发展的兴趣点,这个很重要,不然很容易就是平
平庸庸,糊里糊涂一辈子,书读不好,白白耗时间和精力,别的方面也没特长。另外,
孩子也需要时间,渐渐成熟。
就像上面video里说的,fast food and fast drug society,大人急功近利,孩子成长
中出现状况,就想找专家解决。我想还是先自己深入了解一下孩子的好。千万不要再数
落孩子了,这种distress只能让孩子更紧张,或者慢慢麻木了,那就没法沟通了。
一般这样的孩子发散思维好,他的创造力怎样?比如讲故事,画画,表演?

【在 d***a 的大作中提到】
: 多谢楼上的mm们,尤其是二楼的mm比较专业
: 我因为2年没见小侄子,现在的情况也不是特别清楚,就想打听美国这边对于这类儿童
: 的治疗希望能提供一点信息
: 我自认为小侄子不算很严重的那种,不至于到吃药的地步,只是觉得是需要专业的心理
: 医生的长时间的帮助

avatar
k*r
9
真的是多动症的话,大脑frontal lobe控制attention的能力与常人会有比较大的区别,
不是“心理”问题就能解释的。
这种无法控制attention span的感觉就像人不能控制自己什么时候感到饥饿一样,
不可能单纯靠毅力或者几条规矩就获得改变。
虽然改变环境,辅助治疗有些效果,但很难有特别大的改变。
药物是target大脑功能的,对加强attention span有直接的作用。
avatar
r*n
10
attention 不在front lobe吧 在reticular formation似乎。。
adhd的最终成因似乎也还不大清楚 恩。。而且variation也很多。

别,

【在 k*****r 的大作中提到】
: 真的是多动症的话,大脑frontal lobe控制attention的能力与常人会有比较大的区别,
: 不是“心理”问题就能解释的。
: 这种无法控制attention span的感觉就像人不能控制自己什么时候感到饥饿一样,
: 不可能单纯靠毅力或者几条规矩就获得改变。
: 虽然改变环境,辅助治疗有些效果,但很难有特别大的改变。
: 药物是target大脑功能的,对加强attention span有直接的作用。

avatar
k*r
11
多动症的孩子,家长和老师可以帮他做一个清晰的时间表
每天什么时间做什么事情,做完了在时间表上打个勾,然后再做下一项
学习时最好有人能在旁边辅导,主要是温和的提醒他:
“现在应该做什么,有几道题,几本书,还差多少就完成了”
多动症的小孩对有兴趣的事情还是比较能投入的
但是还是容易被周围的事情打断思路,所以学习的环境要安静
这是我个人在帮助这样的小孩学习时的一些经验
这样的方法是治标不治本,但是有人辅导时小孩表现还是不错的
辅导也要讲究技巧,不能一味的责备,要理解小孩困难所在
他们不是故意不集中精力
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k*r
12
wiki说The reticular activating system also helps mediate transitions from
relaxed wakefulness to periods of high attention. 这部分貌似对arousal影响比
较大。现在对大脑的研究越来越细了,每一部分都有确切的功能对应,记清楚也越来越
不容易。
我们学TBI/RHD康复治疗的时候,强调frontal lobe injury/disorder对各种attention
,working memory,executive functions的影响,这些在ADHD患者也有很多的对应。
虽然injury不一样,但查到很多资料也说ADHD患者frontal lobe工作与他人不同。
我的专业不是neurologist,不过也希望能多了解一些病理。

【在 r******n 的大作中提到】
: attention 不在front lobe吧 在reticular formation似乎。。
: adhd的最终成因似乎也还不大清楚 恩。。而且variation也很多。
:
: 别,

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D*R
13
我对多动症了解不多,但还是感觉你的结论下得太武断了。
你说的好像是一般的好动不专心的孩子,真正的多动症应该不是心理辅导能解决的吧。

【在 w*********e 的大作中提到】
: 小朋友不需要医生,我觉得,也不需要治疗,要的是成人的了解,理解,耐心和智慧。
: 成人要不断尝试,帮助他找到自己可以发展的兴趣点,这个很重要,不然很容易就是平
: 平庸庸,糊里糊涂一辈子,书读不好,白白耗时间和精力,别的方面也没特长。另外,
: 孩子也需要时间,渐渐成熟。
: 就像上面video里说的,fast food and fast drug society,大人急功近利,孩子成长
: 中出现状况,就想找专家解决。我想还是先自己深入了解一下孩子的好。千万不要再数
: 落孩子了,这种distress只能让孩子更紧张,或者慢慢麻木了,那就没法沟通了。
: 一般这样的孩子发散思维好,他的创造力怎样?比如讲故事,画画,表演?

avatar
m*7
14
ADHD是一种神经系统的病变,是先天的,跟家长的教养方式无关。
如果真的有这种病,一定要寻求专业人士的帮助,虽然不一定每个孩子都需要用药。事
实上不管是心理医生还是行为疗法方面的专家,都不会否认家长在孩子康复过程中不可
替代的作用。
同意你说的,孩子注意力不集中,不是他的选择,所以不应该批评他。

【在 w*********e 的大作中提到】
: 小朋友不需要医生,我觉得,也不需要治疗,要的是成人的了解,理解,耐心和智慧。
: 成人要不断尝试,帮助他找到自己可以发展的兴趣点,这个很重要,不然很容易就是平
: 平庸庸,糊里糊涂一辈子,书读不好,白白耗时间和精力,别的方面也没特长。另外,
: 孩子也需要时间,渐渐成熟。
: 就像上面video里说的,fast food and fast drug society,大人急功近利,孩子成长
: 中出现状况,就想找专家解决。我想还是先自己深入了解一下孩子的好。千万不要再数
: 落孩子了,这种distress只能让孩子更紧张,或者慢慢麻木了,那就没法沟通了。
: 一般这样的孩子发散思维好,他的创造力怎样?比如讲故事,画画,表演?

avatar
r*n
15
variation很大 有的intervention就可以了 有的就必须药物
但是药物依赖确实也是个问题 常常也不知道是真的机体依赖了 还是心理上依赖了。
我觉稀饭的意思是 有些个家长喜欢blame children,觉得是小孩的问题,但是很少去
思考到底是不是自己有些地方做的不够细致,第一时间就把解决方法定位药物解决了,
那样显然是不好的。

【在 D**********R 的大作中提到】
: 我对多动症了解不多,但还是感觉你的结论下得太武断了。
: 你说的好像是一般的好动不专心的孩子,真正的多动症应该不是心理辅导能解决的吧。

avatar
D*R
16
据说那种药物可以让人精力百倍的,参见绝望主妇。。。。
我认识的多动症娃家长不多,ASD家长挺多,没见过不blame自己而是blame娃的,都是
思考过头的。

【在 r******n 的大作中提到】
: variation很大 有的intervention就可以了 有的就必须药物
: 但是药物依赖确实也是个问题 常常也不知道是真的机体依赖了 还是心理上依赖了。
: 我觉稀饭的意思是 有些个家长喜欢blame children,觉得是小孩的问题,但是很少去
: 思考到底是不是自己有些地方做的不够细致,第一时间就把解决方法定位药物解决了,
: 那样显然是不好的。

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w*e
17
(no Chinese input system here)
Maybe you and I encountered parents from different cultures and generations,
but the parents I met mostly blamed their children for their lack of
attention and hyperactivity. They also threatened to removed the kids'
favorite extracurricular activities if they don't "pull their acts together.
" (what I consider the worst possible parental decision for children having
ADHD like behaviors.) The results were distraught children who still could
not focus much more, rather more anxious than they were, medicated or not.
I am sure I have not seen the the worst ADHD cases, but the worst I've seen
was really a spoiled kid who had no idea about boundaries and thought he
could manipulate anyone. He had been put on the pill so he could stay "
mellow" and out of trouble. This was great for everyone, except for the kid
on meds, because he kept blaming his ADHD and medication for everything he
did and didn't do, and getting absolutely no help from adults about his bad
behaviors which many were his conscious decisions, not the result of his
diagnosed disease.
Regarding LZ's nephew, I don't think we are looking at a little destroyer
here, but you are right, it was hasty to say that he doesn't need a doctor,
especially we know so little about the case. But I don't think it's healthy
to think every out-of-ordinary and undesirable behavior/tendency (whatever
the parents define it to be) means there is a problem and there should be a
scientific fix. I am sure you agree with this.
A lot of times, parents want to hear a diagnosis, because they think once
they do, they will have an answer, a closure of some sort, so then they can
move on and deal with the problem. Plus, someone will tell them what to do.
But is it REALLY the right answer?? Are these answers from an expert of this
the disease or experts of YOUR children?
What also might be comforting for parents to know is that, well, if they
followed the expert's advice, and things still don't work they way they
should, then at least there is someone to blame, right? "I did my best, kid.
I didn't fail you, science did."
I am sure a parent as observant as DarkMatter, who has the critical thinking
skills to figure things out for herself, balancing tender loving care with
other forms of therapies and treatments (I am being totally sincere, not
at all sarcastic, I read most of your posts). But most people out there
don't have the maturity to take matter into their own hands, observe and be
patient, take time to educate themselves, accept their children
wholeheartedly, and allow their children lead them into a new world and a
new perspective.
To be frank, none of the kids I encountered became better learners because
they took the medicine, they may have temporarily improved their coping
skills in schools, but what they really lack and need is to learn how to
learn based on their true characters and strengths. These are kids with
spontaneity, creativity, and great INTUITIONS (which are some highly
desirable intellectual abilities), waiting to be discovered, tapped and
developed. Utilize them!! Don't nip them in the bud, because without these,
these kids would wither away. In most cases, it's a gift not a curse, and
don't let school and our stubbornness turn it into a curse , please.
-- from a young at heart with a minor challenge in paying attention, but
learned (and still learning) to live life the fullest with this blessing.
avatar
m*i
18
S
Re

generations,
together.
having
could
seen

【在 w*********e 的大作中提到】
: (no Chinese input system here)
: Maybe you and I encountered parents from different cultures and generations,
: but the parents I met mostly blamed their children for their lack of
: attention and hyperactivity. They also threatened to removed the kids'
: favorite extracurricular activities if they don't "pull their acts together.
: " (what I consider the worst possible parental decision for children having
: ADHD like behaviors.) The results were distraught children who still could
: not focus much more, rather more anxious than they were, medicated or not.
: I am sure I have not seen the the worst ADHD cases, but the worst I've seen
: was really a spoiled kid who had no idea about boundaries and thought he

avatar
w*2
19
Right on!

generations,
together.
having
could
seen

【在 w*********e 的大作中提到】
: (no Chinese input system here)
: Maybe you and I encountered parents from different cultures and generations,
: but the parents I met mostly blamed their children for their lack of
: attention and hyperactivity. They also threatened to removed the kids'
: favorite extracurricular activities if they don't "pull their acts together.
: " (what I consider the worst possible parental decision for children having
: ADHD like behaviors.) The results were distraught children who still could
: not focus much more, rather more anxious than they were, medicated or not.
: I am sure I have not seen the the worst ADHD cases, but the worst I've seen
: was really a spoiled kid who had no idea about boundaries and thought he

avatar
r*n
20
中国国内有些家长就是喜欢blame 小孩。。
顺序是这样的
blame 老师 〉blame 学校 〉 blame 小孩朋友 〉blame 小孩 〉结束
一般觉得自己做的都是对的
除非小孩极端了 比如坐牢 跳楼 自杀了 才开始blame 自己。。

generations,
together.
having
seen

【在 w*********e 的大作中提到】
: (no Chinese input system here)
: Maybe you and I encountered parents from different cultures and generations,
: but the parents I met mostly blamed their children for their lack of
: attention and hyperactivity. They also threatened to removed the kids'
: favorite extracurricular activities if they don't "pull their acts together.
: " (what I consider the worst possible parental decision for children having
: ADHD like behaviors.) The results were distraught children who still could
: not focus much more, rather more anxious than they were, medicated or not.
: I am sure I have not seen the the worst ADHD cases, but the worst I've seen
: was really a spoiled kid who had no idea about boundaries and thought he

avatar
r*n
21
电视剧嘛。。有当无拉。。
国内家长喜欢blame 小孩 其实blame 小孩的根本原因是他们想以最快最简单直接的方
式解决问题 殊不知小孩的问题往往就是复杂和长期的。

【在 D**********R 的大作中提到】
: 据说那种药物可以让人精力百倍的,参见绝望主妇。。。。
: 我认识的多动症娃家长不多,ASD家长挺多,没见过不blame自己而是blame娃的,都是
: 思考过头的。

avatar
m*7
22
“but most people out there don't have the maturity to take matter into
their own hands, to observe and be patient, to accept their children whole
heartedly, and to allow their children lead them into a new world and a new
perspective.”
-- Seriously, you under-estimate most parents here.
And if the kid you talked about is really "spoiled", then he may not have
ADHD, and he may be misdiagnosed. ADHD is a neurological condition that has
nothing to do with whether a child is spoiled or not. That being said, a
misdiagnosis doesn't mean this condition does not exist, nor does it mean
that taking a child to the doctor is the wrong thing to do. If you don't
believe the doctor, you can always seek 2nd or 3rd opinions. But if the
child is really suffering but parents refuse to get help, then it is the
parents' failure to fulfill their responsibilities.
I don't know why you equate "getting professional help" with "getting
closure". When a child's health is concerned, most parents will focus on
making the child feel better, instead of making themselves feel better. If
their is an underlying medical condition, then treat it. If there is not,
then focus on positive parenting. What does "closure" have to do with
anything?

generations,
together.
having
seen

【在 w*********e 的大作中提到】
: (no Chinese input system here)
: Maybe you and I encountered parents from different cultures and generations,
: but the parents I met mostly blamed their children for their lack of
: attention and hyperactivity. They also threatened to removed the kids'
: favorite extracurricular activities if they don't "pull their acts together.
: " (what I consider the worst possible parental decision for children having
: ADHD like behaviors.) The results were distraught children who still could
: not focus much more, rather more anxious than they were, medicated or not.
: I am sure I have not seen the the worst ADHD cases, but the worst I've seen
: was really a spoiled kid who had no idea about boundaries and thought he

avatar
w*2
23

new
Don't over-estimate most parents here either :)

【在 m*********7 的大作中提到】
: “but most people out there don't have the maturity to take matter into
: their own hands, to observe and be patient, to accept their children whole
: heartedly, and to allow their children lead them into a new world and a new
: perspective.”
: -- Seriously, you under-estimate most parents here.
: And if the kid you talked about is really "spoiled", then he may not have
: ADHD, and he may be misdiagnosed. ADHD is a neurological condition that has
: nothing to do with whether a child is spoiled or not. That being said, a
: misdiagnosis doesn't mean this condition does not exist, nor does it mean
: that taking a child to the doctor is the wrong thing to do. If you don't

avatar
w*e
24
MM是学什么的?Special Ed? 那个checklist好像很多Special Ed 老师都会推荐。我现
在还得用,没办法,感兴趣的事情太多,一分心,该做的都没做。但是我需要有
background noise,跟你说的安静环境不一样。你观察的medicated ADHD孩子什么样的
?我的可能是小样品,如果你是搞这个的,可以都讲讲吗?
现在很多教育前线的老师都想更多了解一些neuroscience的新发展,也希望相关学科的
可以从孩子的长远教育方面多考虑问题,treating the kids as a whole and growing
being.

attention

【在 k*****r 的大作中提到】
: wiki说The reticular activating system also helps mediate transitions from
: relaxed wakefulness to periods of high attention. 这部分貌似对arousal影响比
: 较大。现在对大脑的研究越来越细了,每一部分都有确切的功能对应,记清楚也越来越
: 不容易。
: 我们学TBI/RHD康复治疗的时候,强调frontal lobe injury/disorder对各种attention
: ,working memory,executive functions的影响,这些在ADHD患者也有很多的对应。
: 虽然injury不一样,但查到很多资料也说ADHD患者frontal lobe工作与他人不同。
: 我的专业不是neurologist,不过也希望能多了解一些病理。

avatar
w*e
25
我们看到的父母群可能很不一样。我见到的父母真正 strong and wise的太太少了。好
多父母都是“药到病除”的概念,并没有更多的关心孩子。很多孩子在家得不到精神上
的支柱,都是在学校老师弥补的。我花了很多心思在学生上面,有时刚好几天,就又被
家长在家破坏了。
“And if the kid you talked about is really "spoiled", then he may not have
ADHD, and he may be misdiagnosed. ADHD is a neurological condition that has
nothing to do with whether a child is spoiled or not. That being said, a
misdiagnosis doesn't mean this condition does not exist, nor does it mean
that taking a child to the doctor is the wrong thing to do. If you don't
believe the doctor, you can always seek 2nd or 3rd opinions. But if the
child is really suffering but parents refuse to get help, then it is the
parents' failure to fulfill their responsibilities.”
你说的对,如果家长没能全面考虑孩子的问题,是他们的错。问题是,作为老师,我天
天看着这种错误不断滋长,想弥补,但是那不是我的孩子,我只能做这么多,心理很难
受。我不愿意看到孩子的种种 learning difficulties 和 attitude problem 被一个
诊断和几种药物掩盖。
病理上的ADHD的确跟被宠坏了的孩子没直接关系,但是的确有这样的孩子因为他们好动
不是一天两天,家长管不了的时候可能就会助长一些problematic social behaviour,
还有learning difficulties,需要家长跟进。 这个在医生给药片的时候会提及多少?
如何跟进?我知道special ed 老师也会跟医生和therapist联系,但是我看到的结果都
不是很显著。也许我的样品太小,但是作为老师来说,即使有1% 的孩子有副作用,且
效果不显著,我不愿意看见,因为那是一个活生生的孩子在我面前。
我以前教的学校还是不错的, 但是special ed老师都忙不过来,对于孩子们如何待自
己的“病”情和药物,special ed老师会跟进,但是孩子是敏感的,他们对自己的这个
诊断和种种心理生理上的情况到底是什么想的,我一无所知。
“I don't know why you equate "getting professional help" with "getting
closure". When a child's health is concerned, most parents will focus on
making the child feel better, instead of making themselves feel better. If
their is an underlying medical condition, then treat it. If there is not,
then focus on positive parenting. What does "closure" have to do with
anything?”
我以前教初中孩子,可能小一点孩子的父母过给予更多的关爱,但是一些初中孩子的家
长,恨不得把问题都扔给老师和学校,给我 closure 这个联想。可能说起来不好听,
对家长不公平,我自己的感情掺进取太多了。所以现在不做老师了。我熟悉的几个年轻
的“退役”老师也跟我提及过类似的困扰,自己的感情付出太多。现在的专业以后还是
在教育界里做,但是没有和孩子们那么多长时间的紧密接触了。

new
has

【在 m*********7 的大作中提到】
: “but most people out there don't have the maturity to take matter into
: their own hands, to observe and be patient, to accept their children whole
: heartedly, and to allow their children lead them into a new world and a new
: perspective.”
: -- Seriously, you under-estimate most parents here.
: And if the kid you talked about is really "spoiled", then he may not have
: ADHD, and he may be misdiagnosed. ADHD is a neurological condition that has
: nothing to do with whether a child is spoiled or not. That being said, a
: misdiagnosis doesn't mean this condition does not exist, nor does it mean
: that taking a child to the doctor is the wrong thing to do. If you don't

avatar
w*e
26
not trying to underestimate people HERE as in on this forum. I said "out
there". For all I know people on this forum are mostly really conscientious
parents who put their children's needs first. They are passionate about
education and sharing ideas. That's why they are here. I understand all that.

new
has

【在 m*********7 的大作中提到】
: “but most people out there don't have the maturity to take matter into
: their own hands, to observe and be patient, to accept their children whole
: heartedly, and to allow their children lead them into a new world and a new
: perspective.”
: -- Seriously, you under-estimate most parents here.
: And if the kid you talked about is really "spoiled", then he may not have
: ADHD, and he may be misdiagnosed. ADHD is a neurological condition that has
: nothing to do with whether a child is spoiled or not. That being said, a
: misdiagnosis doesn't mean this condition does not exist, nor does it mean
: that taking a child to the doctor is the wrong thing to do. If you don't

avatar
k*r
27
我是学speech therapy的,我不敢说见过多少案例,现在是书本上的知识和实践上的知
识我都愿意接受这个阶段,最新的研究动向一般要看reliable的研究成果,pubmed上搜
,然后自己读这样。具体到每个小孩,还是要仔细观察他的特点,效果不理想的尝试不
同的方法。
比如说安静,意思是在做事情的时候周围不要突然发出其他意想不到的声音,这边做着
游戏,外面突然传出小孩的笑声,ADHD的小孩就会忘记自己手头的游戏,开始琢磨外面
的事情。不是说其他小朋友不会分心,但是他们一般会很快回归到原来没有做完的游戏
,ADHD的小孩就需要有人提醒一下。
你说的有些人学习时需要background noise,反应了人和人之间学习方法的区别
有些人需要有音乐或者其他声音作背景才能更好的concentrate,
有人要绝对安静,有人要学一会站起来动一动
有些人记知识要通过诵读,有些人要通过默写
这些都是正常的,没有对错,一个人的方法不一定适合其他人
有兴趣可以去这个网站测试一下:www.berghuis.co.nz/abiator/lsi/lsiframe.html

growing

【在 w*********e 的大作中提到】
: MM是学什么的?Special Ed? 那个checklist好像很多Special Ed 老师都会推荐。我现
: 在还得用,没办法,感兴趣的事情太多,一分心,该做的都没做。但是我需要有
: background noise,跟你说的安静环境不一样。你观察的medicated ADHD孩子什么样的
: ?我的可能是小样品,如果你是搞这个的,可以都讲讲吗?
: 现在很多教育前线的老师都想更多了解一些neuroscience的新发展,也希望相关学科的
: 可以从孩子的长远教育方面多考虑问题,treating the kids as a whole and growing
: being.
:
: attention

avatar
k*r
28
不敢说有多少家长是希望药到病除,但是中国的习惯是能不吃药就不吃,也是不科学的
药物的作用有科学系统的研究,和其他的治疗方法一样,都是提供可能性
药物合适的时候好处挺明显的,直接作用与dopamine level
不过药物为什么有作用,ADHD究竟是大脑哪个部分哪种chemical level异常
都是正在研究的议题
这个quick quiz很适合老师和家长,有很多basic facts,
webmd上的内容也比较有公信力
http://www.webmd.com/add-adhd/rm-quiz-truth-childhood-adhd
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