Emotional inteligence
462/661more severe episodes later in life. 26 This challenges theold assumption that depression in childhood does notmatter in the long run, since children supposedly "growout of it." Of course, every child gets sad from time totime; childhood and adolescence are, like adulthood,times of occasional disappointments and losses largeand small with the attendant grief. The need for preventionis not for these times, but for those children forwhom sadness spirals downward into a gloom thatleaves them despairing, irritable, and withdrawn—a farmore severe melancholy.Among children whose depression was severe enoughthat they were referred for treatment, three quarters hada subsequent episode of severe depression, according todata collected by Maria Kovacs, a psychologist atWestern Psychiatric Institute and Clinic in Pittsburgh. 27.Kovacs studied children diagnosed with depressionwhen they were as young as eight years old, assessingthem every few years until some were as old as twentyfour.The children with major depression had episodes lastingabout eleven months on average, though in one insix of them it persisted for as long as eighteen months.Mild depression, which began as early as age five insome children, was less incapacitating but lasted farlonger—an average of about four years. And, Kovacs
463/661found, children who have a minor depression are morelikely to have it intensify into major depression—a socalleddouble depression. Those who develop double depressionare much more prone to suffer recurring episodesas the years go on. As children who had an episodeof depression grew into adolescence and early adulthood,they suffered from depression or manic-depressivedisorder, on average, one year in three.The cost to children goes beyond the suffering causedby depression itself. Kovacs told me, "Kids learn socialskills in their peer relations—for example, what to do ifyou want something and aren't getting it, seeing howother children handle the situation and then trying ityourself. But depressed kids are likely to be among theneglected children in a school, the ones other kids don'tplay with much." 28The sullenness or sadness such children feel leadsthem to avoid initiating social contacts, or to look awaywhen another child is trying to engage them—a socialsignal the other child only takes as a rebuff; the end resultis that depressed children end up rejected or neglectedon the playground. This lacuna in their interpersonalexperience means they miss out on what theywould normally learn in the rough-and-tumble of play,and so can leave them social and emotional laggards,with much catching up to do after the depression lifts. 29
- Page 412 and 413: 412/661habits of the heart learned
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- Page 418 and 419: 418/661five infants falls into the
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- Page 480 and 481: make the difference—even when all
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463/661
found, children who have a minor depression are more
likely to have it intensify into major depression—a socalled
double depression. Those who develop double depression
are much more prone to suffer recurring episodes
as the years go on. As children who had an episode
of depression grew into adolescence and early adulthood,
they suffered from depression or manic-depressive
disorder, on average, one year in three.
The cost to children goes beyond the suffering caused
by depression itself. Kovacs told me, "Kids learn social
skills in their peer relations—for example, what to do if
you want something and aren't getting it, seeing how
other children handle the situation and then trying it
yourself. But depressed kids are likely to be among the
neglected children in a school, the ones other kids don't
play with much." 28
The sullenness or sadness such children feel leads
them to avoid initiating social contacts, or to look away
when another child is trying to engage them—a social
signal the other child only takes as a rebuff; the end result
is that depressed children end up rejected or neglected
on the playground. This lacuna in their interpersonal
experience means they miss out on what they
would normally learn in the rough-and-tumble of play,
and so can leave them social and emotional laggards,
with much catching up to do after the depression lifts. 29