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A Child's View of Potty Training

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Suzanne Dixon
By Suzanne Dixon M.D., M.P.H.
"There is nothing so amazing as the development of a child," says Suzanne Dixon, M.D., a behavioral and developmental pediatrician who was one of the founding members of the Pampers Parenting Network. "Every day is a new adventure when you have a child around you. I never get tired of learning from the children who have been a part of my life, professionally and personally."Suzanne Dixon, M.D., M.P.H., was born and raised in Minnesota and graduated from the University of Minnesota, School of Medicine. She did her pediatric training at Massachusetts General Hospital in Boston and then completed a fellowship in Child Development at Boston's Children's Hospital. Dr. Dixon joined the faculty at the University of California, San Diego, and did patient care, teaching, and research for 20 years. She ran a large newborn service, performed research in early child development, and was involved in many community outreach activities in maternal child health. Throughout her entire professional life she has maintained an interest in cross-cultural activities, living and working in many parts of the world, including Mexico, India, Kenya, Indonesia, and several countries from the former U.S.S.R. Dr. Dixon is the author of numerous research articles, review articles, and textbook chapters in pediatrics, child and family development, and public health. Her textbook, written with Dr. Martin Stein, Encounters With Children: Pediatric Behavior and Development, has become a classic in child health education and is in its fourth edition. She is Editor in Chief of the Journal of Developmental and Behavioral Pediatrics, an international journal of high standing in the professional world. She also has served as an associate editor for Infant Mental Health and currently reviews for several major pediatric journals. Dr. Dixon is a fellow of the American Academy of Pediatrics and served in national positions in that organization. She is a member of the Society for Pediatric Research, the Society for Research in Child Development, the American Public Health Association, and the Executive Council of the Society for Developmental and Behavioral Pediatrics. She serves as consultant to several national and international organizations and has received an award from Healthy Mothers, Healthy Babies.Dr. Dixon continues to lecture and consult worldwide on aspects of maternal, child, and family health. She practices behavioral and developmental pediatrics in Montana and works with local advocacy groups on education and women''s health. Dr. Dixon has been married for over 30 years and has three sons. She and her husband travel frequently, are outdoor enthusiasts, and enjoy being amateur anthropologists.
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Although parents often think of their own challenges when they potty train their children, what a child goes through during the learning process is even more daunting. Understanding your child's perspective on potty training will help you clarify your role as teacher and help your child reach success.



Life Is Unfair
As he sees it, your child is being required to give up part of himself when he goes to the bathroom in the toilet; it's something he has made, and he has to put it in an arbitrary and often inconvenient place. Using the bathroom means he has to interrupt the best part of his day, playing, for a disruptive and time-consuming activity. If his stools are hard — or if they have been in the past — the process may even be painful or uncomfortable.

Toilet Terrors
Then your child has to deal with the indignity —— and even terror ——— of having his precious production flushed away, never to be seen again. The other things he makes are proudly displayed on the refrigerator. Why does this one have such a different destiny? This process raises some scary questions: Could the rest of him suffer the same fate? If he falls in, will the swirling noisy waters suck him down, too, never to be heard from again? Just where does it go, anyway? What's beyond the toilet bowl? Is there a monster down there, ready to grab his bottom at any second? (This last belief is nearly universal among children with older siblings, who are often all too happy to terrify their unsuspecting younger brothers and sisters.)

The Bottom Line
After he has successfully produced, he's forced to wipe his bottom (yuck!), and then wash his hands, a task very few children really enjoy. Then he has to struggle to pull his pants up correctly— without the elastic twisting and with one foot in each leg hole. It only gets worse if his trousers have snaps, a zipper, or buttons. (In their haste to get the job done and back to playing, most little boys quickly learn that pulling up a zipper can be a very risky proposition.)

If he has slightly wet or stained his underwear because he made a timing error, he has to either put it back on and hope the grownups don't notice or face the music. If they do notice, that will mean he's admitting partial failure, as well as letting himself in for looks of disappointment on the faces of those to whom this seems to mean so much.

He wants to please mom and dad, and he wonders if they'll still love him if he can't get this bothersome task just right. It was so easy to just have the diapers take care of it. Why all this worry and trouble now when life was so simple before?

All these things to remember, risk, and take time for ——— all simply to please those he cares about most. To him, it all seems so strange, complicated, scary, and full of chances to mess up. Putting it all together really is a tremendous accomplishment on his part. No wonder he'll feel so great when he masters potty training! Appreciate what he has done to please you and, ultimately, to feel good about himself.

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Scared of having bowel movement
My four year old daughter is fully potty trained but she will have the occasional accident which is ..

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