Spoiled child

A spoiled child, spoiled brat, or simply a brat is a derogatory term aimed at a child who exhibits behavioral problems from overindulgence by their parents. Children and teens who are perceived as spoiled may be described as "overindulged", "grandiose", "narcissistic" or "egocentric-regressed". Perception is an important term, because when the child is suffering from a disability such as autism, observers may judge them as "spoiled" without an understanding of the whole picture. There is no accepted scientific definition of what "spoiled" means, and professionals are often unwilling to use the label because it is considered vague, insulting and derogatory.^[1] Being spoiled is not recognized as a mental disorder in any of the medical manuals, such as the ICD-10^[2] or the DSM-IV,^[3] neither is it part of the proposed revision of this manual, the DSM-5.^[4]

Spoiled child syndrome

Richard Weaver, in his work Ideas Have Consequences, introduced the term “spoiled child psychology” in 1948. In 1989, Bruce McIntosh coined the term the "spoiled child syndrome".^[1] The syndrome is characterized by "excessive, self-centered, and immature behavior". It includes lack of consideration for other people, recurrent temper tantrums, an inability to handle the delay of gratification, demands for having one's own way, obstructiveness, and manipulation to get their way.^[5] McIntosh attributed the syndrome to "the failure of parents to enforce consistent, age-appropriate limits", but others, such as Aylward, note that temperament is probably a contributory factor.^[6] It is important to note that the temper tantrums are recurrent. McIntosh observes that "many of the problem behaviors that cause parental concern are unrelated to spoiling as properly understood". Children may have occasional temper tantrums without them falling under the umbrella of "spoiled". Extreme cases of spoiled child syndrome, in contrast, will involve frequent temper tantrums, physical aggression, defiance, destructive behavior, and refusal to comply with even the simple demands of daily tasks.^[6] This can be similar to the profile of children diagnosed with Pathological Demand Avoidance, which is part of the autism spectrum. http://www.autism.org.uk/about/what-is/pda.aspx

Etiology

• Failure of parents to enforce consistent, age-appropriate limits.^[5]
• Parents shielding the child from normal everyday frustrations.^[5]
• Provision of excessive material gifts, even when the child has not behaved appropriately.^[5]
• Improper role models provided by parents.^[5]
• Social disabilities, such as ADHD, Autism, ODD, and PDA, are not evidence of a child being spoiled.

Differential diagnosis

Children with underlying medical or mental health problems may exhibit some of the symptoms. Indeed, where the difficulties are not predicated in the parental-child nexus, many loving parents may be judged as "spoiling" instead of affirmed. Speech or hearing disorders, and attention deficit disorder, may lead to children's failing to understand the limits set by parents. Children who have recently experienced a stressful event, such as the separation of the parents (divorce) or the birth or death of a close family relative, may also exhibit some or all of the symptoms. Children of parents who themselves have psychiatric disorders may manifest some of the symptoms, because the parents behave erratically, sometimes failing to perceive their children's behavior correctly, and thus fail to properly or consistently define limits of normal behavior for them.^[5]

Prevention

Parents can seek advice, support, and encouragement to empower them in parenthood from diverse sources.

Treatment

Treatment by a physician involves assessing parental competence, and whether the parents set limits correctly and consistently. Physicians should rule out dysfunction in the family, referring dysfunctional families for family therapy and dysfunctional parents for parenting skills training, and counsel parents in methods for modifying their child's behavior.^[5]

Infants

In early infancy, a baby seeks food, contact, and comfort by crying. This behavior should be viewed as a distress signal indicating that some biological need is not being met. Although parents sometimes worry about spoiling their children by giving them too much attention, specialists in child development maintain that babies cannot be spoiled in the first six months of life.^[7][8] During the first year, children are developing a sense of basic trust and attachment. In general, the more attention and care they receive from their parents, the better.

Only children

Alfred Adler (1870–1937) believed that "only children" were likely to experience a variety of problems from their situation. Adler theorized that because only children have no rivals for their parents' affection, they will become pampered and spoiled, particularly by their mother. He suggested that this could later cause interpersonal difficulties if the person is not universally liked and admired.^[9]

A 1987 quantitative review of 141 studies on 16 different personality traits contradicted Adler's theory. This research found no evidence of any "spoilage" or other pattern of maladjustment in only children. The major finding was that only children are not very different from children with siblings. The main exception to this was the finding that only children are generally higher in achievement motivation.^[10] A second analysis revealed that only children, first-borns, and children with only one sibling score higher on tests of verbal ability than later-borns and children with multiple siblings.^[11]

Later life

Spoiling in early childhood tends to create characteristic reactions that persist, fixed, into later life. These can cause significant social problems. Spoiled children may have difficulty coping with situations such as teachers scolding them or refusing to grant extensions on homework assignments, playmates refusing to allow them to play with their toys and playmates refusing playdates with them, a loss in friends, failure in employment, and failure with personal relationships. As adults, spoiled children may experience problems with anger management, professionalism, and personal relationships; a link with adult psychopathy has been observed.^[12][13] Some of these observed difficulties may arise from undiagnosed disabilities including ADHD and Autism.

See also

• Child discipline
• Little Emperor Syndrome
• Oppositional defiant disorder
• Parenting

References

1. Bruce J. McIntosh (January 1989). "Spoiled Child Syndrome". Pediatrics 83 (1): 108–115. PMID 2642617.
2. "ICD 10". Priory.com. Retrieved 2013-05-05.
3. "APA Diagnostic Classification DSM-IV-TR". BehaveNet. Retrieved 2013-05-05.
4. http://www.dsm5.org/ProposedRevisions/Pages/InfancyChildhoodAdolescence.aspx
5. Vidya Bhushan Gupta (1999). "Spoiled Child Syndrome". Manual of Developmental and Behavioral Problems in Children. Inform Health Care. pp. 198–199. ISBN 0-8247-1938-7.
6. Glen P. Aylward (2003). Practitioner's Guide to Behavioral Problems in Children. Springer. p. 35. ISBN 0-306-47740-8.
7. Can an Infant be Spoiled? www.drspock.com Retrieved November 23, 2008.
8. Spoiling a Baby - DrGreen.com Retrieved November 23, 2008.
9. Adler, A. (1964). Problems of neurosis. New York: Harper and Row.
10. Polit, D. F. & Falbo, T. (1987). "Only children and personality development: A quantitative review". Journal of Marriage and the family 49 (2): 309–325. doi:10.2307/352302. JSTOR 352302.
11. Polit, D. F. & Falbo, T. (1988). "The intellectual achievement of only children". Journal of Biosocial Science 20 (3): 275–285. doi:10.1017/S0021932000006611. PMID 3063715.
12. Leslie D. Weatherhead (2007). Psychology Religion and Healing. READ BOOKS. p. 272. ISBN 1-4067-4769-6.
13. Michael Osit (2008). Generation Text. AMACOM Div American Mgmt Assn. p. 59. ISBN 0-8144-0932-6.

Further reading

• Bruce J. McIntosh (January 1989). "Spoiled Child Syndrome". Pediatrics 83 (1): 108–115. PMID 2642617.
• Eileen Gallo, Jon J. Gallo, and Kevin J. Gallo (2001). Silver Spoon Kids: How to Raise a Responsible Child in an Age of Affluence. McGraw-Hill Professional. ISBN 0-8092-9437-0.