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Touchpoints for anticipatory guidance in pediatric consultations during the first three years

Par : Contributeur(s) : Type de matériel : TexteTexteLangue : français Détails de publication : 2018. Sujet(s) : Ressources en ligne : Abrégé : Touchpoints are predictable developmental regressions, often in the areas of sleep, feeding, and self-regulation that precede the emergence of new developmental capacities, but that are disorganizing for children and parents. Anticipation of these normative crises can help prevent parental overreactions that may inadvertently reinforce regressive behaviors and lead to developmental deviations. Parents find it reassuring that such regressions and bursts in development are to be expected. This new knowledge, and the respectful, supportive relationship with pediatric healthcare providers within which it is offered, will help parents feel less alone and more confident in themselves and in their child. When parents and providers know what to expect, the child’s negotiation of these touchpoints can no longer be seen only as a source of stress, but also as a source of satisfaction and encouragement for the family. Pediatric clinicians are typically trained to look for failures, and parents sense this. Yet when they start by focusing on the child’s strengths and those of the parents, clinicians can be far more effective in providing the support that families need as they grow together through the challenges and opportunities of a child’s development.
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Touchpoints are predictable developmental regressions, often in the areas of sleep, feeding, and self-regulation that precede the emergence of new developmental capacities, but that are disorganizing for children and parents. Anticipation of these normative crises can help prevent parental overreactions that may inadvertently reinforce regressive behaviors and lead to developmental deviations. Parents find it reassuring that such regressions and bursts in development are to be expected. This new knowledge, and the respectful, supportive relationship with pediatric healthcare providers within which it is offered, will help parents feel less alone and more confident in themselves and in their child. When parents and providers know what to expect, the child’s negotiation of these touchpoints can no longer be seen only as a source of stress, but also as a source of satisfaction and encouragement for the family. Pediatric clinicians are typically trained to look for failures, and parents sense this. Yet when they start by focusing on the child’s strengths and those of the parents, clinicians can be far more effective in providing the support that families need as they grow together through the challenges and opportunities of a child’s development.

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