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Lisa Uherick M.D. Carolinas Medical Center Grand Rounds March 24, 2004. What is Bullying?. A form of aggression in which one or more children repeatedly and intentionally intimidate, harass, or physically harm a victim who is perceived as unable to defend himself or herself.

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Lisa uherick m d carolinas medical center grand rounds march 24 2004

Lisa Uherick M.D.

Carolinas Medical Center

Grand Rounds

March 24, 2004


What is bullying
What is Bullying?

  • A form of aggression in which one or more children repeatedly and intentionally intimidate, harass, or physically harm a victim who is perceived as unable to defend himself or herself.


Direct bullying
Direct Bullying

  • Active confrontation between the bully and the victim

  • Peter


Indirect bullying
Indirect Bullying

  • Shunning or ignoring the victim

  • Tonya


Passive bullying
Passive Bullying

  • Other children provide support for the bully

  • Scott and Bill


What is the extent of the problem
What is the Extent of the Problem?

  • School Age Children

    • 15% are victims

    • 10% are bullies

    • 5% are both

  • Peak incidence at age 7

  • Boys > Girls

  • Involves children of all races and classes


Is bullying normal
Is Bullying Normal?

  • Rite of Passage?

  • Innocent teasing?

  • Toughen kids up?


Why do we care
Why do we care?

  • School Shootings

    • Shooters suffered

      bullying and isolation

    • Violent Retribution


Luke woodham
Luke Woodham

  • “I am not insane. I am angry. I killed because people like me are mistreated every day. I did this to show society: Push us and we will push back”



Bullies
Bullies standard for the general level of aggression that is thought to be acceptable in society!

  • Characteristics

    • Aggressive and violent

    • Little empathy for others

    • Physically strong

    • Crave power

    • CONFIDENT


Bullies1
Bullies standard for the general level of aggression that is thought to be acceptable in society!

  • Rewards

    • Prestige

    • Power

    • Material possessions


Bullies2
Bullies standard for the general level of aggression that is thought to be acceptable in society!

  • Consequences

    • Poor school performance, drop out

    • Peer rejection

    • Depression

    • Drink, smoke, fight

    • Criminal behavior as adults


Victims
Victims standard for the general level of aggression that is thought to be acceptable in society!

  • Characteristics

    • Anxious

    • Insecure

    • Physically smaller and weaker

    • Cautious

    • Quiet


Victims1
Victims standard for the general level of aggression that is thought to be acceptable in society!

  • Consequences

    • Fear and anxiety

    • Poor self esteem

    • Social isolation

    • Depression

    • School avoidance

    • Physical harm


The double whammy

The Double Whammy standard for the general level of aggression that is thought to be acceptable in society!


What is the pediatrician s role
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • 1. Identify the Problem!

    • Anticipatory guidance

    • Screening Questions


  • How are things going at school? standard for the general level of aggression that is thought to be acceptable in society!

  • Have you ever been teased at school?

  • At recess, do you play with other children?

  • How many days have you missed school? Why?


What is the pediatrician s role1
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • Know the signs for the victim

    • Depression

    • Behavior problems

    • Somatic complaints (Headache, Stomach Aches)

    • Enuresis

    • Sleep Difficulties


What is the pediatrician s role2
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • Know the signs for the bully

    • Strong negative moods

    • Slow adaptation to new situations

    • Violent reactions

    • Parents who display violence


What is the pediatrician s role3
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • 1. Identify the Problem

  • 2. Counsel

    • Parents

    • Children

    • School personnel


Counseling parents
Counseling Parents standard for the general level of aggression that is thought to be acceptable in society!

  • Victim

    • Role Play

  • Bully

    • Model aggression control

    • Do not tolerate violence

  • Both

    • Extracurricular activities

    • Mental Health Counseling


Counseling victims
Counseling Victims standard for the general level of aggression that is thought to be acceptable in society!

  • “WALK, TALK, SQUAWK!”

    • Walk away from the scene calmly (Not run)

    • Talk to the bully, looking him straight in the eye

    • Squawk to a teacher or parent!


Counseling school personnel
Counseling School Personnel standard for the general level of aggression that is thought to be acceptable in society!

  • Define bullying and it’s consequences

    • Involve parents and counselors

  • Encourage awareness and involvement

    • Increase adult supervision

  • Set a non-violent tone

    • “Peace at school day”


Caught in the act
Caught in the Act standard for the general level of aggression that is thought to be acceptable in society!

  • Remove the victim

  • Do not use aggression!

  • Tell the bully he will be dealt with later

    • Public or private or written apology?


Learning from our mistakes
Learning from our mistakes standard for the general level of aggression that is thought to be acceptable in society!

  • Every bullying episode is a FAILURE

    • Bully fails to learn that it is unacceptable

    • Parents failed to teach the bully aggression control

    • Victim failed to assertive enough

    • School failed to protect the victim


One exemplary school
One Exemplary School standard for the general level of aggression that is thought to be acceptable in society!

  • 4 steps to create a violence free environment

    • 1. Identify the school’s core values

      • The 5 bee’s (be respectful, be responsible, be honest, be ready to learn, and be your personal best)

    • 2. Create consistent rules and consequences

    • 3. Model those values

    • 4. Eliminate inappropriate interventions


  • Bee Theme standard for the general level of aggression that is thought to be acceptable in society!

  • The new school pledge

  • Teacher Training

  • Emphasis on name calling and teasing

    • “No Teasing,” “No Name Calling” signs

    • “Two put-ups for each put down”

  • Rewarded with the Beehive Café


Results of the 5 bee s
Results of the 5 Bee’s standard for the general level of aggression that is thought to be acceptable in society!

  • K-Grade 2

    • 40% reduction in self-reported aggression

    • 19% reduction in self-reported victimization

  • Grades 3-5

    • 23% reduction in self-reported victimization


What is the pediatrician s role4
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • 1. Identify the problem

  • 2. Counsel

  • 3. Screen for psychiatric co-morbidities

    • Bully

      • Conduct disorder

    • Victim

      • Depression, anxiety or panic disorders


What is the pediatrician s role5
What is the Pediatrician’s Role? standard for the general level of aggression that is thought to be acceptable in society!

  • 1. Identify the problem

  • 2. Counsel

  • 3. Screen for psychiatric co-morbidities

  • 4. ADVOCATE

    • The right of children to attend school and live free from the threat of violence by other children


What is happening locally
What is Happening Locally? standard for the general level of aggression that is thought to be acceptable in society!

  • Charlotte-Mecklenburg Schools

    • Student Rights, Responsibilities and Character Development Handbook

      • Assault, threatening or intimidating a student

    • Backpack Alert; “A Violent Age”

      • March 13 & 20 on


What is happening in
What is happening in standard for the general level of aggression that is thought to be acceptable in society!

  • Bullies Don’t Belong Campaign

    • NC DJJDP, Center for Prevention of School Violence, Attorney General’s Office

  • Bullying; Stop the Bully without Becoming One

    • NCMS Alliance


To report bullying

To Report Bullying… standard for the general level of aggression that is thought to be acceptable in society!

NC Safe Schools Tip Line

1-800-960-9600


What is happening nationally
What is Happening Nationally? standard for the general level of aggression that is thought to be acceptable in society!

  • 15 states have anti-bullying policies

  • “Take a Stand, Lend a Hand, Stop Bullying Now!”

    • National public health campaign


How can we advocate
How Can We Advocate? standard for the general level of aggression that is thought to be acceptable in society!

  • Help set the tone for a bullying-free community

  • Bullying prevention programs in our schools

    • School Board

  • State legislation

    • Vote, write or call your Representatives

    • Task forces


Who are our representatives
Who are our Representatives? standard for the general level of aggression that is thought to be acceptable in society!

  • Mecklenburg

    98:John W. Rhodes99:Drew P. Saunders100:James B. Black101:Beverly M. Earle102:Becky Carney103:Jim Gulley104:Constance K. Wilson105:W. Edwin McMahan106:Martha B. Alexander107:W. Pete Cunningham


Goals for nc anti bulling laws
Goals for NC Anti-Bulling Laws standard for the general level of aggression that is thought to be acceptable in society!

  • Clear Definition

  • Require local school boards to develop bullying policy

  • Provide the local schools with research based prevention programs that work


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