#Childcare #Mother #India

Among other oppressive forces working against women, one that is most difficult to face is "children need mother in early years".

This leads to exclusion of women from workforce for long periods.

Let's look at this assumption about mother's role.
A baby needs mother figure for attachment and nourishment. This is undeniable.

Key question is - How long?
In most traditional households this responsibility is continued literally till kids become adults and marry. !!
First 6 months of life of a baby are essential for mother and baby to be near each other for nursing and caring.

As baby is weaned or other food is introduced, constant proximity with mother is not needed. Physically and mentally. Many babies manage this from 3rd month.
Breast feeding is recommended for as long as possible. But that doesn't have to be a millstone around mother's neck
Babies and children need to be looked after and that job can be done by any set of consistent caretakers in consistent environment.
In fact as children start walking and interacting, typically around 1-1.5yr of age, exposure to more adults and children is much better influence for development of language skills, social skills and self help.
A small child locked in a home with one adult or one caretaker is actually quite a bad idea. Especially if the care taker is an adolescent girl hired by family for "helping the mother".
Even from safety point of view (preventing abuse and Pre-emptying emergencies), a child is better of in a group looked after by more than one adult.
Many mothers are forced to stay at home till children start school. Their own parents and in-laws (seniors in the family) drilling in the guilt of leaving the child "alone" or "with child care" .
Most such seniors don't offer any practical help in child care. Mother is left at home looking after the child who needs exposure to wider world and self care skills.
So if you are member of a family, encourage mothers to pursue their chosen work and start outsourcing child care. In modern nuclear families and urban living, children fare better when brought up in a group.

We are called social animals for this reason.
Summary - let mothers take the call on need and extent of their role in child care without burdening them with guilt.
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More from @docbhooshan

Feb 28
#Thread
#India

If you have a child starting physical school or physical exams after a break of 2 years AND they are getting scared, please read this thread.
Many children are really happy to be back in school and have started school with all the enthusiasm that is contagious to entire household.

But some kids (especially exam facing kids) have developed fear / anxiety.
They report poor sleep, tiredness, restlessness and agitation, poor appetite and fluctuating mood. They seem to oversleep in the day or distract themselves with media binges.

Some also report forgetfulness and "blankness" esp about exams and studies.
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Feb 25
As a psychiatrist, I can't claim knowledge of world politics. What I understand a bit is about personalities and systems of people called society.

So when I hear people talking about "personalities" of leaders of nations, here is what comes to my mind.
#Thread
Some leaders are lucky to have right pedigree, being there at inflection point of history and some sense of opportunity.

They are not "fight and conquer" leaders. They pretty much get coronated as leaders.

If they are in a democracy or lead a country that is irrelevant
to larger forces of the world, they are generous, benevolent, liberal and talk of "integration" etc.

If such leaders are from a military dominated country, they need to be ruthless and cruel to section opposing them but generous and friendly to neutrals and supporters.
Read 9 tweets
Feb 24
This is an important moment.
Equality is not part of MBBS curriculum. Issues faced by LGBTQ+ community due to ignorance of doctors will hopefully be thing of the past.
I have been part of this effort with my colleague Bindumadhav Khire.
Pl read on -
This steps removed all the references pointing towards disease, disorder etc.
Established variations in sexuality and preferences as normal human sexuality.

MBBS students will get a chance to learn -
1. How to conduct an interview when sexuality is being discussed
2. How to do educative work with family
3. How to identify distress and how to help
4. Protecting vulnerable people from illegal conversion therapies etc.
Read 5 tweets
Feb 15
#Hijab
As a father of two young adults, I wanted to know their opinion about ongoing hijab issue.

What I heard from them was a great relief to me as a father.

They came to a conclusion that it is a multilayered question so answer changes
according to the specific question you decide to solve. And answers may even appear contradictory to each other. Some levels -
1. Who should decide what people choose to wear?
2. At what age do people become independent adults?
3. Is religion forced on children?
4. How does our constitution protect kids from religious compulsions of family (e.g. anti blood products views of certain sects)?
5. Do we live a segregated country? Is it inevitable?
6. How do children (majority and minority) look at other children practicing their religion?
Read 9 tweets
Feb 13
Thanks for voting.

Personal freedom makes space for religion. Does it work the other way around?
Most people believe that religion has a role to draw boundaries of personal freedom and prevent human race from descending into hedonistic chaos.
Ethical and co-operative beahviour actually predates religion.
Read 5 tweets
Jan 23
#thread
#violence
In this tweet I asked about need of legal action in cases of child-on-parent-violence.

Most answers are representative of our social beliefs.
Fellow CAP @VinayakChildPsy supported my stand. Gratitude.

Let me explain -
Myths -
1. Family conditions push boys to violence in "good" families
2. Violent adolescents need help from counsellors and psychiatrists and not be reported to police
3. If mother uses corporal punishment on a child, he is somehow justified in beating her up later
4. Juveniles get away with "anything". Law does not get involved at all.
Read 14 tweets

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