Wednesday, December 19, 2012

Rejection sensitivity - rejecting an unwanted lover safely

rejecting an unwanted lover

Rejecting an unwanted lover unceremoniously can be dangerous. Rejection sensitivity and aggression by the scorned male can have disastrous consequences. Last week a college girl was attacked with a sickle for doing so. The demographic profile of students at our clinic is probably a representation of the Pune student population. Many students feel socially and culturally alienated while having to cope on their own with minimal family support. Some have no one to express their feelings or thoughts to. A smile or other facial expressions from a classmate or a single phrase while watching a game are viewed as tokens of intimacy. Subsequent fantasising invests these facial expressions and interactions with an excessive significance. That the girl does not initiate or acknowledge further interaction is rationalised as shyness and considered a virtue, further embedding the myth of intimacy.

The concept of gender equality may be alien in the culture of the student. It comes as a great shock to the lover, when he gathers up his courage to proclaim his love only to find it discarded unceremoniously. His reaction will depend on his attachment style - the behavioural response to separation developed in childhood. Mostly he will withdraw further into his shell, but in some cases, especially when he is high on the personality characteristic of rejection sensitivity and has a fearful attachment style, he will harbour and act out thoughts of revenge.These vengeful thoughts smoulder unrecognised until they burst forth in as dramatic and unexpected action as the initial profession of love.

Rejecting an unwanted lover

Rejection sensitivity is always a concern when rejecting an unwanted lover. The independent modern woman needs to learn how to handle this situation without involving family or other third parties. Rejecting an unwanted lover can be considered as a form of breaking bad news. For this there is no better technique than the SPIKES 6-step protocol which is used to break bad news in medicine.
Setting
Make sure there is privacy. No matter how startled you are by his profession of love, do not blurt out a summary dismissal in front of everyone. Stay in a public place, but take him to one side.
Perception
Ask him to clarify what he has just said, and what lead him to say that. This  will help you to place him, if you haven't already done so.
Invitation
Ask whether you can tell him your point of view on the subject
giving Knowledge
Warning before giving the bad news helps the person process the information imparted without  getting angry or feeling isolated. Start by saying "I am sorry to say that I don't feel that way". Don't be rude or excessively blunt  Responses such as "who do you think you are?",  "why should I have feelings for you?" or laughing contemptuously are bound to turn love into the other end of the stick - hate, especially if he is high on rejection sensitivity. Check his reactions and modify  what you are saying so he can understand.
Empathise
Identify his emotion - sadness, anger, hurt. Closely monitor his facial expressions. Acknowledge it. "I can see that you are feeling hurt. Anyone in your position might feel like that".
Strategy
Discussing what comes next. Start from his Perception of the relationship to help vent his emotions. Deal with these Empathically, again the facial expressions are important. The goal should be to politely but firmly communicate "I don't feel that way" so "we cant take this any further, don't take this personally".
The aim is to stay polite while rejecting an unwanted lover without humiliating him. It should not take more than 5-10 minutes of time spent reading facial expressions and showing concern while firmly putting forward your own lack of 'spark' in the relationship.

Reference
  1. Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. SPIKES-A six-step protocol for delivering bad news: application to the patient with cancer. Oncologist. 2000;5(4):302-11.

Thursday, September 8, 2011

Parental supervision of children and adolescents

parental supervision and injuries in children with high intensity behaviour
Parental supervision protects boisterous children from injury:
More time unsupervised corresponds to more injury 
“To my parents we were just two girls in the bedroom”. What exactly was going on? Without adequate supervision the parents of this teenager never found out; the memories returned to haunt her in adulthood. Studies comparing children with and without parental supervision show that lax parental supervision is associated with injury in toddlers and preschoolers; conduct problems in school going children; and road accidents, addictions, gambling and sexual risk taking in teenagers.

Parental supervision has three dimensions (Gitanjali 2004)
  1. Attention - watching or listening 
  2. Proximity - within or beyond reach 
  3. Continuity - constant, intermittent, or not at all 

Two factors determine the degree to which a child would be left unsupervised (Morrongiello 2008)
  1. Parent’s conscientiousness - the more conscientious the parent more the supervision
  2. Child’s propensity for risky behaviour - the more impulsive and sensation seeking the child the more likely the child will be kept in direct view. 

Distinguishing adequate from neglectful supervision is not straight forward. The consequences of lower levels of supervision are not uniform for all children. The consequences depend to a great extent on child attributes. For children with high sensation seeking, even close supervision is not adequate to prevent injury. For children who are high in behavioural control, even not supervising does not elevate risk of injury.

Whether or not children comply with their parents’ requests to behave in safe ways is a complex interaction of parenting style, attachment style,  and child temperament. The level of supervision necessary to ensure a child’s safety should finally be based on the child’s characteristics. The only reliable maxim is that the time children could be safely left unsupervised generally increases with child age.

Parental supervision of an adolescent differs from supervising a younger child (DeVore 2005). Direct parental observation gradually gives way to indirect parental ‘‘monitoring’. This indirect supervision involves ongoing communication between parents and adolescents about the adolescents’
  • Whereabouts
  • Friends they are with
  • Schedule to return home
  • Contact information enabling parents to directly communicate with adolescents. 
Effective supervision entails active participation of the adolescent, and honest communication between adolescent and parents.

Parental monitoring buffers negative peer influence. Strong peer attachments and increasing independence from the family is a normal part of adolescent development. Unfortunately, youth whose peers engage in high-risk behaviour are at high risk for the development of similar behaviours. Not only are high levels of monitoring protective, low levels of parental monitoring have been associated with numerous risk behaviours.

More unsupervised time is associated with more sexual activity in youth (Cohen 2002). In one urban study more than half of sexually active youth had sex at home after school. For boys, sex and drug-related risks increase with amount of unsupervised time. Trust and communication did not predict decreases in problem behaviour as strongly as did monitoring. Parental monitoring may be particularly protective for high-risk young urban adolescents; those who spend a significant amount of non-school time unsupervised. 

References 
  1. Cohen DA, Farley TA, Taylor SN, et al. When and where do youths have sex? The potential role of adult supervision. Pediatrics 2002; 110:e66 
  2. DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005 Aug;17(4):460-5. 
  3. Gitanjali S, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng T. The role of supervision in child injury risk: Definition, conceptual, and measurement issues. Journal of Injury Control & Safety Promotion 2004;11(1):17-22. 
  4. Morrongiello BA, Klemencic N, Corbett M. Interactions between child behavior patterns and parent supervision: Implications for children’s risk of unintentional injury. Child Development 2008;79(3):627-638.