Both in my work as a pediatric occupational therapist and in my personal life, the issue of attention surfaces daily.
I attend to all aspects of the children I work with as we engage in therapeutic activities. I attend to their physical status, such as muscle atrophy, spasticity, joint alignment, sensorimotor responses, coordination and endurance. I attend to their emotional status through each activity–is the baby grimacing, averting her gaze or engaging and approaching with interest? Is the toddler afraid, uncomfortable, shy, angry, tired. . . or happily attempting the challenge I’m bringing? The environment gets my attention as well: Is the room too noisy, cold, hot, visually distracting? Does the environment support or hinder the child’s performance? I notice the posture and position of the child, the furnishings, lighting, sound level, scents, and features of the materials we’re working with. All of this, and more, either support or hinder a child’s success. My attention to these details can help the child attend to the activity that, in turn, helps them meet developmental goals.
The child lives in a family. The family also needs attention. When working with children who have special health care needs, I’ve yet to meet a family member who didn’t need some special attention. Families need help as they adjust to, cope with and grow through parenting their special child. If I come into a home to provide therapy for a child and fail to attend to the family’s status that day, I have missed an opportunity to not only help the family member, but also to better help their child. A family member who is overwhelmed, tired, lonely, afraid, or depressed is better able to connect with, enjoy and help their child when their personal concerns are addressed. A family member excited about their child’s new achievement enjoys having someone to share the good news with. If a parent feels uneasy with anything I’m doing with their child, their concerns merit my attention. If I ignore or slight their concerns, I’ve failed to respect the child’s greatest support system in life, the parent. If I give parents the attention they need, we can work as a team. The child benefits from this teamwork as much as we do.
At home, there is more to attend to. Each family member needs attention. The house, the yard, the dog, the laundry, the dishes, the food supply, the mail, the . . . what have I forgotten? . . . all need attention. I need attention too! I need to attend to balancing work, rest and play, tomake time to exercise, socialize, reflect and create (all things that rejuvenate me). Sometimes I get so caught up in noticing and attending to all the needs around me that I neglect my own needs. When self-neglect persists, it renders me incapable of helping others.
So, I’ve been thinking about this need for attention. The word
attend finds its origin in the Latin
attendere, which means
to notice, to bend to. Sensory systems are designed to notice. Peripheral vision reacts to a flutter of movement: What was that? Notice. Tiny hairs respond to light touch with fight or flight reaction: Was that a bug on me? Notice. Auditory systems translate sound wave vibrations: Was that my child’s cry? Notice. Bend to: Living things bend toward that which sustains life. Tender shoots grow through rocks and bend toward light. Grandparents bend to greet grandchildren, arms open wide. Lovers bend on one knee, to plead ‘be mine.’ Worshippers bend in adoration and appreciation for spirit revival. To attend, to notice, to bend to, is a natural and life-sustaining act. I would venture to guess that most of us feel emotionally nourished when someone notices and pays attention to us. Needing attention is not a fault, it is human.
Joan T. Warren: Heart to Heart 