Lessons
from the Movies
By Gwenn Schurgin
O’Keeffe, MD, FAAP
Your Childs’s
Health, Parents
and Kids and MetroWest
Daily News
April
26, 2004
Disney movies have a wonderful way of providing
something for everyone but are sometimes criticized
for content that may be too overwhelming for
children – parents dying, natural disasters,
and sickness in a friend or loved one. I was
particularly sensitive to these very issues
when my children were younger and would simply
fast-forward through “questionable”
scenes. Eventually my kids started insisting
on watching movies without interruptions regardless
of content. What’s interesting is my
kids did fine with the movies we felt were
“too intense” but had a tough
time with movies we assumed would be more
low-keyed. For example, in Bambi, my oldest
daughter figured out at age 5 that Bambi’s
mother was now gone but told us that Bambi
would be ok because his daddy and Flower were
around to help. In contrast, when my youngest
daughter was 3 she cried uncontrollably in
Elmo in Grouchland because Elmo’s favorite
blanket was lost. She had a much loved blanket
at the time called “kiki” which
she still has. The parallel to her life was
just too intense for her whereas my older
daughter was more able to process a tough
topic because her life was not at all like
Bambi’s – her mom and dad were
right there watching the movie with her.
We could not have predicted
these reactions if we tried – they were
completely opposite of what we anticipated.
And, according to child psychiatry experts,
my daughter’s reactions were not only
predictable but essential for their development.
According to Paula Rauch, MD, Director of
Massachusetts General Hospital’s Parenting
At a Challenging Time (PACT) Program, (www.mgh.harvard.edu/cancer/cancer_ptsupportedu_pact.htm ) “rather than "protecting"
children from loss related content, think
of them as opportunities. It is not protective
to exclude children from the reality that
people get sick, and people and animals die.
When parents do "protect" their
child, they ensure that a child's first experience
with loss will be more overwhelming. Having
a pet die, hearing about a friend's parent
dying, going to a family member's funeral
are sad experiences but they are also opportunities
to talk about feelings and observations and
hear a child's questions. When the experiences
are less overwhelming than a close family
member's death, the parents are likely to
be most emotionally available to hear a child's
full experience and a child to feel safe enough
to really talk about the loss and the ceremonies
associated with it or the treatment that was
involved.”
Additionally, Dr. Rauch
encouraged families to consider the PACT’s
“lessons learned” to help guide
them through challenging conversations with
children on illness and death. While originally
designed for use by cancer patient’s
and families, these tips are applicable to
most other situations that put stress on a
family and on children such as divorce, natural
disasters, terrorism and war.
Euphemisms lead to confusion.
Name the illness, e.g. "Breast Cancer,"
not "lump" or "boo-boo".
Facilitate honest communication.
The worst way to hear
news is to overhear it.
Describe what is happening and what to expect.
Welcome
all questions.
Learn the settings that work best for each
child, e.g. in the car, at the kitchen table
while a parent is cooking, at bedtime etc.
Figure
out what the real question is.
"What got you wondering about ...?"
The real question is often easier to answer
than the imagined one.
Questions
do not always require immediate answers.
"That is such a good question. I'll need
to think about it, or discuss with my (doctor,
nurse, social worker) and get back to you."
Children
shouldn't worry alone.
"Bring what you hear back home to us
for accuracy". Sometimes people say unhelpful
things with the kindest intentions.
Review your
child's support system.
Assign tasks, or appoint a person for each
child.
Keep the channels of communication open with
key caregivers.
Maintain
the child's usual schedule.
Try to preserve some time for kids to be kids.
Keep
a pulse on each child's experience.
Find reflective times to check in about hearing
too much/too little. "What is it like
having ..."
Respect
a child's wish not to talk.
Non-talkers need "News Bulletins".
There is information that the child needs
to hear, but may not want to discuss.
Bring
support people for hospital visits.
Adjust visit lengths to the comfort of the
child.
Learning to handle bitter life moments is
essential for savoring and appreciating the
sweet. Disney’s use of humor and grace
to portray the more fragile and difficult
aspects of life provides us with a blueprint
for managing difficult aspects of our own
lives. So, next time you feel the urge to
fast forward through a “tough”
scene in a show, sit on the remote, hand out
tissue, and allow your family to experience
the moment together. As often as art imitates
life, life will eventually imitate art - someday
that experience will help all of you enormously.
© 2005-2006 Pediatrics Now.
All rights reserved. PEDIATRICS NOW is a trademark
of Pediatrics Now.
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