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The Merck Manual--Second Home Edition logo
 
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Chapter 287. Social Issues Affecting Children and Their Families
Topics: Introduction | Illness and Death in Infants | Illness in Children | Divorce | Childcare | Foster Care | Adoption
 
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Introduction

In order to thrive, a child must experience the consistent and ongoing care of a loving, nurturing caregiver, whether it be a parent or someone else. The security and support that such an adult can provide give a child the self-confidence and resiliency to cope effectively with stress.

In order to mature emotionally and socially, children must interact with people outside the home. These interactions typically occur with close relatives; friends; neighbors; and people at childcare sites, schools, churches, and sports teams or other activities. By coping with the minor stresses and conflicts of these interactions, children gradually acquire the skills to handle more significant ones.

However, certain major events, such as illness and divorce, may challenge a child's abilities to cope. These events may also interfere with the child's emotional and social development. For example, a chronic illness may prevent a child from participating in activities and also impair performance in school.

Events affecting the child may also have adverse consequences for people close to the child. Everyone who cares for a sick child is under stress. The consequences of such stress vary with the nature and severity of the illness and with the family's emotional and other resources and supports.

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