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grown up and which contributes to the formation of his psycho-physical personality; and scholastic antecedents or scholarship, regarding the previous schooling of the child under examination. The biopathological antecedents are certainly of fundamental importance. They are called remote when we refer to the hereditary antecedents of the subject, and near when we have reference to his personal antecedents.

Remote Antecedents.โ€”These include an investigation regarding the ancestors, the brothers and sisters, and the collateral relations. The age of the parents (since we know that too immature or too advanced an age, or a disparity in age between the parents may result in the birth of weak children). Degree of relationship between the parents (since we know that the offspring of parents related to each other may be weak). Maladies incurred by them or prevalent in their families, incidental vices of the parent (since we know that constitutional maladies, such as syphilis, tuberculosis, gout, pellagra, malaria, mental and nervous diseases, etc., alcoholism or an irregular life of excesses, may lead to the procreation of degenerates). Furthermore, since it is known that according to the laws of collateral heredity, maladies may reappear in nephews which previously occurred in uncles and not in the parents, information should be sought, so far as possible, from all members of the family. Information regarding the brothers of the subject offers an interest of a very particular kind, because this gives us an insight into the generative capacity of the parents: for instance, if there were abortions, children who died at an early age of convulsions, meningitis, etc., this argues unfavourably for the normality of the subject.

Near Biopathological Antecedents: Mother, Child.โ€”Our inquiries should centre first of all upon the mother, in order to know the conditions of conception, pregnancy, delivery and lactation, in the case of the child under examination, because we know that frequently an error at the time of conception may produce a degenerate or a weakling. For example, a child generated in a state of physical or mental exhaustionโ€”e.g., after a long trip on a bicycle, or after passing an examinationโ€”may be born feeble, predisposed to nervous diseases (idiocy, meningitis), just as he may be born abnormal (epilepsy, anomalies of character, criminal tendencies) if generated by the father during an alcoholic excess, or by the mother while suffering from hypochondria, illness, etc. The history of the pregnancy is also of interest: whether it proceeded regularly to the close of the nine months, whether the mother suffered especially from mental anxiety, illness or received any blow on the abdomen.

Other causes which may affect the health of the child have reference to birth and to lactation. If the delivery requires an operation, it may, for instance, deform the skull; while a hired wet-nurse, or artificial feeding are more or less apt to cause deterioration in the child.

Having completed this first enquiry, we pass on to consider the child itself, from the time of birth onward, lingering especially over its early development and more particularly over the cutting of the teeth, learning to walk and learning to speak, which are the three first obstacles to infantile development. The healthy child overcomes them according to normal laws, while the child of tardy development shows the first characteristic anomaly in these three fundamental points of its early existence (tardiness of development, incomplete and defective development, development accompanied by diseases, etc.).

Usually a tardiness in the development of the teeth denotes general weakness and more especially skeletal weakness (rachitis, syphilis); tardiness in learning to walk may occur in connection with the above-named causes (weakness of the lower limbs); or with difficulty in attaining an equilibrium (of cerebral origin; witness the case of idiots who, without being paralytic, cannot walk, because they cannot learn how to walk); or with paresis, more or less partial or diffused, of the muscles controlling the act of walking (infantile paralysis, Little's disease, etc.). A tardy development of speech is sometimes found together with a notable intellectual development and the child will not begin to speak until he can express thoughts and speak well; but more frequently such delayed development is due to partial deafness; or it originates in the association centres of the brain (the idiot child cannot learn to speak).

It will also be helpful to know whether the child was ever ill. It is very important in this connection to find out whether the child ever suffered from infantile eclampsia in early life (convulsions, or "fits" as the mothers of the lower classes call them). This is an indication of a cerebral malady which leaves behind it permanent alterations of the brain and of its functions. The child may be an idiot, or may belong to one of the various catagories of children who go under the name of defectives; or he may be abnormal in character (cerebroplegic forms). Another important fact to record is nocturnal enuresis (loss of urine during sleep subsequent to the normal age); this is considered by some authorities as a pre-epileptic stateโ€”that is, a child that suffers such losses may in the future become subject to epilepsy, and quite probably, if studied, will show various anomalies of the nervous system, such, for example, as too deep sleep, slowness of intelligence, etc. Repeated attacks of infective diseases, even though they are survived, also denote organic weakness, with facile predisposition to infective agenciesโ€”in other words, deficient powers of immunity.

Prolonged intestinal maladies or typhus in the early months (denutrition from pathological causes, exhaustive diseases) may, in themselves, be the cause of the child's enfeeblement and its consequent arrest in development.

But in the interpretation of such observations, the physician should be the guide and the direct judge.

The most salient symptoms in regard to the childโ€”intelligence, conduct, character, endurance, etc.โ€”are, for the most part, expressed with great clearness by the mothers. Prof. De Sanctis, for example, has noted that the mother's first words might serve the purpose of a diagnosis; for instance, the mother says of an idiot child: "he doesn't understand," of a child retarded in development, "he is stupid," of an abnormal child, "he understands but he is bad." Accordingly, Prof. De Sanctis begins his diagnostic researches by registering the maternal judgments, because the mother is struck by the salient characteristics of her child; and even if she is uneducated she always finds concise and effective phrases to express her judgment.

To the end of rendering the research into antecedents surer and more complete so far as regards the personal antecedents of the child, certain anthropological tablets are being introduced to serve as maternal diaries. In this way the mothers have a guide for studying their children, and this forms one of the first practical attempts toward the "education of the mothers."

Here is a form of chart for keeping a record of the dentition. The significance of the letters is as follows:

U. r.: upper right, i.e., the right half of the upper jaw. U. l.: upper left. L. r.: lower right. L. l.: lower left. (The fact must be borne in mind that in the first dentition there are twenty teeth.)

FIRST DENTITION

Teeth Dates Observations of first appearance of complete development of shedding U. r. 1 2 3 4 5 U. l. 1 2 3 4 5 L. r. 1 2 3 4 5 L. l. 1 2 3 4 5

In this way we have an analytical and exact chart of the development of the teeth. Analogous tables are made for the second dentition, for the growth of the stature, for increase in weight, for certain physiological notes, etc. When the first period of growth is ended, the mother's note-books contain annual notes, like the following:

YEAR 190....

Date January February March April May June July August September October November December Weight Stature

Special annual diaries are now employed for keeping a minute record of maladies incurred, symptoms, treatment, etc.

These note-books, similar to those hitherto kept by ladies for their house accounts, or for sentimental notes, would be of great service and aid to pedagogic anthropology, even though their use could not be extended to all mothers (the mothers of the proletariat, immoral women, etc., either could not or would not give similar contributions). The institution of "Children's Houses," if more widespread, could easily facilitate the education of the mothers and the diffusion of "Maternal Note-books" throughout all grades of society. But at most these mother's diaries furnish us only with notes of the near antecedents and not of the remote, which are of extreme importance.

Sociological Antecedents: Vocation, Morality, Culture.โ€”Before all else, in inquiring into the sociological antecedents, it is necessary to know in what sort of an environment the child has grown, and whether it is an environment favorable, or otherwise, to his physical, psychic, intellectual and moral development. This is an exceedingly important matter to determine for the purposes of a clinical history, since the child's moral conduct and the profit derived from study depend to a large extent upon the environment in which the child has grown and lived. To this end inquiries should be made into the economic circumstances of the child's parents, their vocation, moral standards and degree of education, and also into the child's mode of life, whether with the parents or other relations, or with persons not related to him, whether he plays in the street, keeps company with street children, etc.

School Record: Judgments of Teachers.โ€”This is the history of the pupil as made by his teachers, beginning with the first day that he enters school. The judgments of teachers, although not always so precise and so fair as those of mothers, nevertheless have an importance of their own. Inquiry should be made into the child's conduct in school and the profit he derives from his studies.

Illustrative Cases.โ€”There are, for example, certain families so infected with a degenerative or pathological taint that the remote antecedents are sufficient in themselves to stigmatise the biological condition of an abnormal subject. This may be seen in the genealogy of the Misdea family (taken from Lombroso's work):

Grandfather: MICHELE MISDEA
(Not very intelligent, but very active)

โ†“ โ†“ โ†“ โ†“ โ†“ 1st uncle Guiseppe (imbecile) 2nd uncle Domenico (eccentric and violent)
โ†“ 3d uncle Cosimo (quick-tempered killed in a quarrel) 4th uncle Michele (semi-imbecile) Misdea the father (alcoholic, spendthrift, married to an hysterical woman, one of whose brotherswas a brigand and another a thief).
โ†“ โ†“ โ†“ โ†“ โ†“ โ†“ 1st cousin (idiot) 2d cousin (madman) 3d cousin (imbecile) 4th cousin (imbecile) โ†“ โ†“ โ†“ โ†“ โ†“ โ†“ โ†“ 1st brother Cosimo (obscene, Misdea epileptic, drunkard, convicted of assault).
โ†“ 2d brother Salvatore 3d brother (sane) 4th brother (alcoholic) 5th brother (incorrigible) โ†“ grandson (obscene)

Similarly extraordinary is the genealogy of Ada Tรผrcker, an alcoholic, thief and vagabond, born in 1740, a large part of whose numerous descendants it has been possible to trace. Out of the 834 individuals derived from this degenerate woman, the lives of no less than 709 have been followed up, and among these are included 143 mendicants, 64 inmates of asylums, 181 prostitutes, 69 criminals, and 7 murderers, who altogether cost the state upward of seven million francs!

Besides families like these there are others infected with a pathological taint, in which phthisis and gout alternate with epilepsy and insanity. Then again there are other families in which the pathological taint is scarcely perceptible, as for example, the family of an epileptic child with criminal tendencies, personally studied by me; all the members of this family are long-lived and enjoy good health; the father alone is a sufferer from articular rheumatism. Lastly there are families in which there is no sign of pathological or degenerative weakness; and in such cases we say that there is nothing noteworthy in the genealogy, and the near antecedents assume the highest degree of importance.

The study of antecedents not only has a scientific importance, in so far as it contributes to a knowledge of anthropological varieties of mankind (due to adaptation); but it also has an immediate pedagogic importance through its useful application to

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