aimhigh
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Hi, what do you think of the following case: a 15-month-old otherwise happy child starts to cry anytime sent to the daycare. Is this separation or stranger anxiety?! Please give reasons for your decision. Tx
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| infliximab
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ANS SEPERATION ANXIETY, CHILD IS PAST THE AGE OF STRANGER ANXIETY
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| aimhigh
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Hi Infliximab, uw gave the answer of stranger anxiety which puzzled me too. It says that stranger anxiety appears at 6-8 months, peaking at 12-15 months. Separation anxiety occurs to older kids (how old? it did not say). Kaplan notes do not explain this well...
Any other people have any thoughts about this...please feel free to shoot.
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| achilles
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kaplan says stranger anxiety appears at 6 months, reaches its peak at 8 mths and disappears by 12 months.
in seperation anxiety the infant is distressed following seperation from a caretaker. it appears at 8-12 months and begins to disappear by 20-24 months.
so i would go for seperation anxiety too as in this case the chiild seems to have passed the age of stranger anxiety.
there have been a few explanations in UW(when i was doing surgery and obgyn) which were not synonymous with what kaplan had to say. what would you go by in such a scenario...UW or kaplan ??
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| aimhigh
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Hi Thanks, Achilles! You know I was just about to ask about the same question as you did: which one I should go with: kaplan or UW. It is quite dangerous to have doubts about the materials that we need to rely on for the exam.
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| achilles
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yes aimhigh, it scares me too when i discover that the two sources i am using for my exam are saying different things on the same topic. anyways lets keep working and checking the answers with our textbooks and post them too when we have discussed about them so that we all can benefit.
aimhigh, do you want to check my post on penile inury in the surgery forum. i still cant find the answer to that question. thanks buddy and good luck.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| aimhigh
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Hi Achilles, I really want to be "single-minded". I will go with kaplan for this matter...what do you think
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| srf
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i think it is sranger anxiety. separation anxiety presents with physical symptoms like stomach pain which is absent in this case, age may over lap .
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| aimhigh
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hey Srf, great to see you post...could you please elaborate this more? Do you mean separation anxiety would have some physical symptoms?
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| srf
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hi aimhigh,
behavioral science by barbara fadem says phyical symtoms like stomach pain ,headache
are often presents in separation anxiety.
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| achilles
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i just had a thought...if the child starts to cry everytime he is sent to the day care then i think he must be familiar with the surrondings and the teachers too then why would he have stranger anxiety. should'nt it be the first time he goes to the day care center. pls correct/enlighten me folks on this one.
and i guess we could rely on if physical symptoms are present or not considering the situation he is in and especially when the ages overlap. thanks for the info srf.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| srf
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Erick Erikson.
stage 1 trust versus mistrust up to 1yea
at around 7 months attachment to primary care giver.
stage 2
autonomy versus shame &doubt 1 to 3 years.
child gain sense of separation from others.starts exploring environment.
moves away from mother but returns to mother for assurance. that is rappochment 18 months.
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| achilles
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sorry srf but could'nt make much of it...can you pls explain what you were trying to say there.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| srf
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I think that looking to pshycogical development may offer us another way to solve the issue. till the age 18 months atleast child gets assurance from mother. he will looks to other as stranger only. he may inter act with them in presence of his mother. but mother' absence makes him fearful & may lead to crying.
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