椅子上。

IF 1.4 4区 医学 Q2 PEDIATRICS
Mick O'Keeffe
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引用次数: 0

摘要

多动症?推荐人简洁地问道。我仔细阅读了文件中包含的清单。我的目光落在这一行上;手或脚坐立不安或在座位上蠕动。我想了想。令人着迷的是,静坐不动、不感到不安的能力已成为现代生活的一项关键绩效指标。毫无疑问,在许多情况下,不坐着不动在社会上是不可接受的,这对这个主题来说是一种生活破坏者。在这种武断的社会结构中,我们称之为课堂。家庭用餐时间。作为剧院观众的一部分。在汽车的方向盘后面。在温布尔登中心球场裁判一场网球比赛。操作高层起重机……我想象着过去教师们的警告。“别在椅子上摇荡!”在我看来,这是保姆国家的禁令。这有什么大不了的吗?让孩子摇摆吧!我看了一眼时钟(时间管理),把自己从幻想中赶了出来(重新转移我的注意力),浏览了一下笔记(组织),邀请我的病人从候诊室和我一起。查理,一个刚上小学的朝气蓬勃的年轻人,蹦蹦跳跳地走进房间。他的母亲不那么热情地跟在他后面。在会诊过程中,我意识到我右边有动静。双腿跳了起来,起初是试探性的,后来更坚定了。手指伸向我的电脑键盘。查理的上半身开始剧烈摆动,就像旋风中的旗杆一样。与此同时,查理母亲的激动情绪也在上升。“静坐!她嘶嘶地说。又来了。饶了那个年轻人吧!“没关系,”我说,脸上带着安慰的微笑。几分钟之内,查理就爬到了座位的边缘。他继续扭动身体。突然间,一个转折点出现了。他和椅子都迅速地落在地板上。查理迟来的听从了母亲的建议,四肢颤抖着,拼命地想重新坐到座位上。椅子拒绝配合,以惊人的速度向后推着。我勘察了一下现场。查理四肢伸开躺在地板上。他母亲吓得哑口无言。那椅子呢?在一个不太可能的物理成就中,椅子的腿刺穿了诊所薄薄的墙壁,使它牢牢地悬挂在那里。一个变换。不再是一件平凡的办公家具。我现在自豪地成为了一件发人深省的装置艺术作品的策展人。这部作品可能的标题突然出现在我的脑海里。请入座。一个不同的视角。把我逼上绝路。然而,查理的母亲却没有心情欣赏这种美感。本已高度紧张的对峙又增加了一层紧张气氛。“别担心,这种事经常发生。”我说,口气不太令人信服。我们很快就结束了谈话,由于新摆放的椅子的闯入,我们的尴尬气氛一直挥之不去。回到标准上来。让我想想……经常在应该留在座位上的场合离开座位。查理提出了一个有力的理由。作者声明无利益冲突。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Chair

The Chair

ADHD? The referral questioned, succinctly.

I perused the checklist that had been included in the paperwork.

My eyes settled on this line item;

Fidgets with hands or feet or squirms in seat.

I pondered this. Fascinating that the capacity to sit still, squirm-free, has become a KPI of modern living.

No doubt there are myriad circumstances where not sitting still is socially unacceptable, a life disrupter for the subject.

In that arbitrary social construction we call a classroom. Family mealtimes. When part of a theatre audience. Behind the wheel of a car. Umpiring a tennis match on Wimbledon centre court. Operating a high-rise crane…

I pictured warnings from teachers' past. ‘Don't rock on your chair!’. This always seemed a nanny state prohibition to me. Is it a big deal, really? Let the child rock!

I glanced at the clock (time management), snapped myself out of my reverie (redirected my attention), skimmed my notes (organisation) and invited my patient to join me from the waiting room.

Charlie, a vibrant young man of early primary school age, bounded into the room. He was followed, less enthusiastically, by his mother.

As the consultation got underway, I became aware of movement to my right. Legs bounced, tentatively at first, then with more conviction. Fingers wandered towards my computer keyboard. Charlie's upper body started to sway dramatically, like a flagpole in a cyclone.

Rising in parallel was Charlie's mother's agitation.

‘Sit still!’ she hissed.

Here we go again. Give the young man a break!

‘It's okay’ I said, with a reassuring smile.

Within a few minutes, Charlie had worked his way to the edge of his seat. He continued to wriggle. Suddenly, a tipping point was reached. Both he and the chair descended rapidly towards the floor. In belated pursuit of his mother's advice, limbs flailing, Charlie desperately attempted to regain his seat. The chair refused to co-operate, and was propelled backwards with startling velocity.

I surveyed the scene.

Charlie lay spreadeagled on the floor. His mother had fallen silent, aghast.

And the chair?

In an unlikely physical achievement, the legs of the chair had pierced the thin clinic walls, leaving it suspended firmly in place.

A transformation. No longer a mundane item of office furniture. I was now the proud curator of a thought-provoking piece of installation art.

Potential titles for the work sprang to mind.

Please Take Your Seat.

A Different Perspective.

Driving Me Up the Wall.

Charlie's mother, however, was not in the mood to appreciate the aesthetic. An extra layer of tension had been added to an already highly-strung encounter.

‘Don't worry, this sort of thing happens all the time’ I said, unconvincingly.

We wrapped up soon after, a lingering awkwardness guaranteed by the intrusion of the newly positioned chair.

Back to the criteria.

Let's see now…

Often leaves seat in situations where remaining seated is expected.

Charlie had presented a strong case.

The author declares no conflicts of interest.

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来源期刊
CiteScore
2.90
自引率
5.90%
发文量
487
审稿时长
3-6 weeks
期刊介绍: The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.
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