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  Lawrence Kutner Ph.D.
  
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  Girl looking in mirror

Insights for Parents:
How to Reshape a Child's Poor Self-Concept?

One of the first signs that children are having difficulty with their self-concepts is a concern over some physical attribute. Almost all children, at some point, say that they don't like something about the way they look. "My nose is too big!" "I wish my ears didn't stick out!" "I'm too fat!" Why does the same nose that a parent finds cute loom so large in a teenager's mirror? Why do children choose a particular time to say something about them is wrong and should be fixed?

There are times when children's statements that they are fat or ugly are obvious cries for reassurance that they are worthy of love and that their roles in the family are safe. But often there is a hidden message. Rejecting their physical appearance may be a safe way for children to explain to themselves some larger problems in their lives.

One of the most common triggers for self-deprecating comments is the divorce of the child's parents. A young child is likely to assume that if his parents split up, it must be because there's something wrong with him. While some children will talk in terms of "never being a bad boy again," for others the thought that they might have been able to prevent the breakup is too threatening.

They are caught in a double bind. Since they believe that the divorce is their fault, they have failed. If they could have done something to stop it yet did not, they have failed even more miserably. They therefore decide that although they were responsible for their parents' divorce, it was for reasons they could not control: they were too short or too ugly or had red hair. Parents who readily dismiss such apparently outlandish claims by their children are often accidentally reinforcing the very thing the children fear most: that they are both culpable and powerless.

Such self-deprecating statements may also reflect the way children interpret how their parents view themselves. Pediatricians and psychiatrists regularly report seeing children who are not obese, but who believe they are too fat. Often these children come from families in which one or both parents are concerned about their own weight.

The children have simply internalized the parents' concern as a normal state of affairs and have accepted it as what they should be feeling. "Adults say they want to lose weight. If I say that I want to lose weight, then people will view me as more of an adult."

Parents' offhand comments like, "I can't do anything with my hair!" "I can't go out without my makeup on!" or "You have to be tough to survive in this world!" may have the same effect, especially since children often interpret such comments literally and without the cultural assumptions adults bring to understanding them. (Financial writer Andrew Tobias recounts how he earnestly told a preschooler, "It's a dog-eat-dog world out there," only to have the child beam with delight as he repeated the words he though he heard: "It's a doggy-dog world! It's a doggy-dog world!")

Among older children and teenagers, self-deprecating comments may be a sign that they are uncomfortable with something they're feeling that's completely unrelated to what they're saying; they don't know how to handle these strong and often conflicting emotions. Rather than express their discomfort or confusion directly, they turn it inward. Their frightening feelings become transposed onto their faces or bodies. It is easier for a teenager to say and, more important, easier to believe that his nose is ugly than to admit the "ugly" feelings of anger he has toward someone else.

Here are some guidelines to help children who complain that they are unattractive:

  • Recognize that many children won't tell their parents when they feel ugly or inept out of fear that their parents will agree with those conclusions. When children make self-disparaging statements to their parents, it usually means that they're ready to talk about other things that are bothering them as well.

  • Begin by accepting your child's feelings rather than refuting them. If you say, "That's ridiculous! You're beautiful!" the child will probably stop talking and shut you out of his or her emotions. Although the aim of such comments is to make the child feel better, by unintentionally belittling the child's emotions, parents may give a message that the child interprets as meaning that even her most heartfelt and painful emotions are not recognized by her parents.

  • On the other hand, don't agree with the child too quickly. If a boy complains that his nose is too large, replying that he can have it fixed when he gets a bit older will simply reinforce his belief that there's something fundamentally wrong with him. Instead of making the child feel better, it makes him feel terrible. Think of it this way: If a child said he though he wasn't lovable, what parent would respond by saying, "Let's wait a few years and then see if we can do something to make you more lovable"?

  • Ask your child why his or her ears or nose or weight is a problem. Did someone say so? Has the child just been rejected for something else? Is the child anxious about a coming event like a school dance? Often simply allowing children to express their feelings—without your trying to fix the problem—is enough to make the concern go away.

  • There are some adolescents who have valid concerns about their looks and for whom cosmetic surgery can make a significant difference in the way they perceive themselves. The problem is determining ahead of time which children will benefit. One clue appears to be how realistic the child is about the short-term physical and social changes expected from an operation. A child who believes that a reshaped nose by itself will bring new popularity may develop more serious self-image problems if this unrealistic goal is not instantly achieved.

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