IACAPAP Textbook of Child and Adolescent Mental Health

MISCELLANEOUS

Chapter

J.9

HISTORY OF CHILDHOOD
Peter N. Stearns

Peter N Stearns PhD
Provost Emeritus, George
Mason University, Fairfax, VA,
USAHouse-shrine (New Kingdom, Dynasty 18, ca. 1340 BC; Egyptian Museum, Berlin)

Conflict of interest: nonereported

This publication is intended for professionals training or practicing in mental health and not for the general public. The opinions
expressed are those of the authors and do not necessarily represent the views of the Editor or IACAPAP. This publication seeks todescribe the best treatments and practices based on the scientific evidence available at the time of writing as evaluated by the authorsand may change as a result of new research. Readers need to apply this knowledge to patients in accordance with the guidelines andlaws of their country of practice. Some medications may not be available in some countries and readers should consult the specific drug
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©IACAPAP 2015. This is an open-access publication under the Creative Commons Attribution Non-commercial License. Use,
distribution and reproduction in any medium are allowed without prior permission provided the original work is properly cited andthe use is non-commercial.
Suggested citation: Stearns PN. History of childhood. In Rey JM (ed), IACAPAP e-Textbook of Child and Adolescent Mental Health.
Geneva: International Association for Child and Adolescent Psychiatry and Allied Professions 2015.

History of childhood

J.91IACAPAP Textbook of Child and Adolescent Mental HealthThe history of childhood is a rich and growing field that reveals muchabout societies in the past but also about connections between pastconditions and current issues and trends. It can contribute thus to an
active, interdisciplinary discussion about the nature of childhood itself, and aboutvariations among regions, social classes and the two genders. The field has been
gaining strength and range during the past two decades. It boasts, among otherthings, its own journal (Journal of the History of Childhood and Youth) and scholarly
association, with an international scholarly board (Colon, 2001; Fass, 2004;
Stearns, 2010).
This essay seeks to highlight major findings and issues in the history ofchildhood, while suggesting areas of interest with professionals in the mental
health field. Thus a number of childhood disorders have a clear history, and aclear connection with the broader history of children: modern patterns of anorexia
nervosa are a case in point. Broader aspects of the history of childhood – forexample, the emergence of the concept and experience of adolescence, also flowfrom historical analysis and can contribute well beyond the discipline.

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Several important constraints apply to the history of childhood, thoughsome are beginning to yield. Most obviously, children themselves leave relatively
few records. Their existence is sometimes charted, as in registers of births anddeaths. Material artifacts such as toys may remain. But historians of childhood
are inevitably hampered by knowing less about how their subjects saw their own
experiences than is the case in most other historical fields. Historians of childhood
seek to deal with children directly, but inevitably they spend much of their time
analyzing adult approaches to and ideas about children. This is an important topic
area in its own right, embracing for example the economic roles of children or thehistory of schooling, but it offers some limitations.
The history of childhood has also been unevenly developed, geographically.
The richest studies apply to Western Europe and the United States, where the mostabundant literature has been developed. But work on the history of childhood in
China is advancing rapidly, and there is also important research on Latin America
and Russia. Individual studies apply to other regions, but it remains true thatseveral key regions, such as the Middle East and India, are underserved in thehistory of childhood (Kinney, 1995; Kinney, 2004; Hsiung, 2005). This situation
is gradually changing, but current levels of scholarship continue to hamper not
only the geographical range of inquiry, but also opportunities for comparison.
In practice, inevitably, one result is a series of questions about the applicability ofWestern patterns of childhood, particularly in the modern period, and graduallyhistorians are trying to address these issues through questions for example about
the relevance of adolescence (initially, at least, a Western concept) to the world
history of modern childhood.
The history of childhood is also the subject of considerable debate. This isa sign of scholarly health, but it can also complicate the use of historical findings
in other disciplines. A crucial debate arose several decades ago over the work of
the French scholar Philippe Ariès, and the uses to which his findings were put byother pioneering historians of childhood. Ariès argued that, in Western Europe,
the concept of childhood was a modern one, that premodern European society had
not clearly differentiated children from adults (at least after an infancy period). His

History of childhood

J.92IACAPAP Textbook of Child and Adolescent Mental Healthfindings encouraged other historians to see dramatic differences between modern
and premodern conditions, ranging from dramatic shifts in the uses of physicaldiscipline to the provision of love and emotional support or the experience ofgrief at the death of a child (Ariès, 1962; Koops & Zuckerman, 2003; Hunt,
1972; Pollock, 1983; Stone, 1977; Ozment, 2001). These claims, almost certainly
exaggerated and biased toward a simplistic idealization of modern patterns,
generated intense scholarly opposition from historians working for example on the
medieval period. Their arguments, sometimes exaggerated in the other direction,tended to claim that basic treatments of children, and adult reactions including
emotional reactions such as love, are human constants, immune to significant
historical change.
On the whole, more recent historical work seeks to operate with arecognition that some aspects of childhood involve invariable aspects of the humancondition, but that others can both vary and change, sometimes quite significantly.
Still, the history of childhood does raise fundamental issues about the extent ofchange possible in the experience of childhood and the treatment of children, and
it is important to keep these challenges in mind particularly in interdisciplinary
discussions.

BASIC FRAMEWORKS
The history of childhood features two massive, structural changes in theposition of children in society. The first occurred in the transitions from hunting
and gathering economies to agriculture. The second involved the equally dramatic
shift from agriculture to an urban, industrial economy. Obviously, remoteness intime limits our full understanding of the first transition, particularly in terms of
how human beings actually experienced it and how rapidly it took shape. The
second transition, deeply relevant to an understanding of trends and problems inchildhood today, is of course complicated by the fact that many societies are still
experiencing it, with some outcomes that are difficult to anticipate.
Much of the standard treatment of world history in fact involves theexperience of agricultural societies, and this is certainly true in the history ofchildhood. Grasping basic features of childhood in predominantly agriculturalsocieties is thus a crucial part of any large historical project in the field. At thesame time, attention inevitably moves to a consideration of the changes brought
by industrial conditions. This is where, among other things, careful attention to
the balance between continuity, including sociobiological continuity, and change
comes into play particularly.
Within the context of basic shifts to agriculture, and then from agriculture
to industry, several other factors have a role. One, obviously, involves the extent
to which other changes, though less sweeping than the structural transformations,deeply affect the experience of childhood. How much, to take a crucial example,
did the rise of new religions affect childhood during the long agricultural periodof world history? Or to take a modern example: how much did the emergenceof globalization generate additional changes in childhood within an increasingly
industrial context?

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Philippe Ariès (1914 – 1984)
was a French historian of
the family and childhood,
known for his statement that“in medieval society, theidea of childhood did notexist”. “Ariès was especiallyconcerned with counteringconservative claims thatthe 20th century family
was suffering a decline;
he sought to prove insteadthat the family as we know
it today – private, domestic
circle founded upon mutual
affection – is a relatively
new concept. To confirm thisclaim, Ariès chose to study
the figure now considered toexist at the very heart of thefamily: the child. Childhood,
Ariès argues, is a relatively
new concept that emerged
around the 17th century,
concomitant with suchdevelopments as a decrease
in infant mortality, changes
in the European educational
system, increasing classstratification, and a gradualwithdrawal of the family
from a wider web of social
relations.” (A Ulanowicz)
Ariès’ book, Centuriesof Childhood, is widely
considered the seminal text
in family history. However,
his ideas have been thesubject of severe criticism.

3IACAPAP Textbook of Child and Adolescent Mental HealthAlong with attention to sources of change, cultural and geographicalvariations generate the most important analytical challenge. World historians
spend a great deal of time assessing and comparing basic traditions of key complex
societies (sometimes called civilizations). As early civilizations took shape inNorth Africa, the Middle East, South Asia and China, were the treatment of, andideas about childhood a significant variable? Major missionary religions, such as
Islam, Buddhism and Christianity, may have generated some common changes
in childhood, such as greater attention to aspects of education, but were theyalso very different (Browning et al, 2009)? Are there basic and persistent regional
differences in approach to childhood that condition even common current trends
derived from industrialization and globalization? As noted, the comparative
analysis of childhood history is not as fully advanced as one might wish, but somerelevant findings are already established. Some of these also involve the explorationof common modern issues in childhood – for example, adolescent suicide – incomparative historical context.

Bushmen children (one of
the few remaining hunting
gathering societies).
kwekudee Trip Down Memory
Lane

THE IMPACT OF AGRICULTURE
Hunting and gathering societies, though quite varied in specifics as they
developed in particular regions, generated several characteristic features ofchildhood. Birth rates were normally limited, achieved in part by a prolonged
period of breastfeeding (up to 3-4 years) that reduced the chances of a newconception. The societies lacked the economic resources to handle too many
children per family, and caring for young children amid recurrent travel aroundthe region could be a problem as well. Young children did not have many assigned
functions. Contemporary studies suggest that mothers who take children with

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Gender inequality – as
opposed to differentiation– in hunting and gatheringsocieties was limited in thatboth sexes contributed vital
components to the family
and group economy.

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IACAPAP Textbook of Child and Adolescent Mental Healththem to gather nuts, seeds and berries are actually less productive than mothers
who leave them behind. Hunting and gathering societies did of course develop
fairly pronounced differences in function between boys and girls, which involved
training differentiations after early childhood; ceremonies to denote maturationemphasized the readiness of boys to begin to assume some hunting roles. At thesame time, gender inequality – as opposed to differentiation – was limited in thatboth sexes contributed vital components to the family and group economy.
Agriculture generated important changes for children and their roles,
though how quickly this occurred is simply not known. Agriculture developed,
presumably, because of some combination of population expansion or climateinduced limitations on available big game, along with the discovery – almost
certainly by women, as the food gatherers – of the possibility of deliberately
planting crops. Agriculture spread slowly but inexorably from its various placesof origin – around the Black Sea, after about 8000 BCE, in south China by 7000
around rice growing, in central America by 5000 around the cultivation of maize,
though of course a few regions developed an alternative nomadic economy or
maintained hunting and gathering until modern times.
The big advantage of agriculture over hunting and gathering was a greater
volume and reliability in food supplies (despite the recurrent local or generalcrop failures that bedeviled the system). More food meant the possibility of more
extensive population growth and, for individual families, greater opportunity
for sexual activity and a higher birth rate. Agricultural societies in fact began togenerate a distinctive demographic structure, with large numbers of young children
in the community, accompanied by relatively high rates of infant death (30%-50%
of all children born would die before age 2) as a result of various ailments but
particularly digestive disorders. The mortality rate would progressively diminish
after early childhood.
Population growth was not reckless in typical agricultural communities,
however, and it would ultimately reflect more than the improvement in normal
food supply. Characteristic agricultural families sought 6-8 children on average,
about half of the number a family can generate if it imposes no restrictions on
fertility. That number of children gave some hope of enough survivors (after
the infant death rate) to support parents in later age and maintain the family
thereafter. It provided some normal excess, which among other things could help
cover the roughly 20% of all couples in which one or both partners were infertile;
exchanges of children, through a variety of systems of sharing or servanthood,helped distribute a compensatory labor force. To be sure, individual families
might greatly exceed the average birthrate, and birthrates would also go up afterwidespread plagues or wars to generate population recovery (Baxter, 2005; Ardren& Hutsom, 2006; Burguière et al, 1996).
A further characteristic of agricultural societies was a pattern in whicharistocracies and, sometimes, the urban wealthy had higher birth rates than thepeasant and artisanal masses. More children represented one use of greater wealth,and the rich could also benefit from a larger brood to seed marriage relationships,
political outreach and so on. For the average person, the great desirability of having
several children was balanced against the great undesirability of having too many,and overwhelming the family economy. Various methods, including still fairly

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5IACAPAP Textbook of Child and Adolescent Mental Healthprolonged lactation (18-24 months, obviously shorter than in hunter-gatherer
communities), plus reductions in sexual activity as a couple aged, plus (in somecases, such as in early modern Western Europe) delays in marriage age helped limit
the birth rate. The great feature of childhood in agricultural societies, beyond the
expanded birth rate and relatively high infant death rate, was the new importanceof children as a source of work.

A key feature of childhood in
agricultural societies was theimportance of children as asource of labor.

Greater food supply provided a basis for larger numbers of children, but
the functions of agriculture provided the spur. In most agricultural societies thefamily became the key unit of production, supplemented perhaps by an occasional
worker, sometimes an older child from another family. Relatively young children
were expected to pick up some tasks, and labor obligations tended to grow withage. It was important to try to assure the labor of teenagers, whose productivity
would begin to exceed the resources needed to support them. Many agricultural
families embellished this basic pattern by deliberately seeking a final child when
the couple neared the end of fertility, with the goal of having one child’s labor
available should one or both of the parents survive until later age.
When agricultural societies also began to support an urban economy(though always with a large rural majority), artisanal families would reproduce
some of the work patterns of their rural counterparts. Children were expected toassist in production operations from a fairly young age. They might then be put inmore formal apprenticeship, usually with another family, during their teen years,
when training was combined with more productive labor. (Indeed, characteristic
tensions in the apprenticeship system pitted the training aspect with the hopeof getting some solid production assistance.) In contrast to peasant life, artisans
sometimes afforded late teenagers/young adults an opportunity for a year or twoof travel, to gain new experiences and let off steam – a feature as pronounced inJapan, for example, as in European artisanal life. Even in the countryside, use ofchildren as workers was combined with special roles for children during festivals
and opportunities for more informal village play.
The dependence on child labor, however modified, generated three or fourother characteristic features of childhood in agricultural societies, amid a great
variety of regional and cultural specifics. A strong emphasis on the importanceof obedience was one standard feature, often reinforced by religious beliefs.
Pronounced gender division was another common pattern, potentially affecting
children from a very young age; this would include particular effort to control girls’
sexuality. A distinctive emotional climate for children included the frequency ofdeath. Finally, a bit more amorphously, agricultural societies may have encouraged
a tendency to devalue childhood in favor of encouraging greater maturity, though
this is less easy to demonstrate and certainly permitted some exceptions.

Obedience in preindustrial childhood
The common emphasis on the importance of obedience rested on at least
two key features of preindustrial childhood: the need to encourage children towork at least fairly reliably, and the sheer size of the family itself. All agriculturalsocieties went to great lengths to insist on the importance of obeying parents, often
supplementing the basic directives with divine sanctions: family obedience could

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Across cultures, astrong emphasis on theimportance of obedience
was one standard feature in
upbringing, often reinforced
by religious beliefs.

6

IACAPAP Textbook of Child and Adolescent Mental Healthbe linked to larger religious or political systems. Many legal systems gave parents
great latitude in punishing disobedient children. China offers a clear example,
from the time of the Han dynasty: “when a father or mother prosecutes a son, theauthorities will acquiesce without question of trial”. Jewish law had potentiallyeven harsher provisions. Christianity insisted on the importance of honoring father
and mother. Chinese tradition, again, put the central point succinctly: “no parents
in the world are wrong.” A great deal of family discipline, even amid the great
variety of specific cultural systems, focused on instilling obedience, particularly toparents, and to adults in the community more generally (Ebrey, 1991; Pomeroy,
1997; Rawson, 1991; Rawson, 2006).
The point should not be pressed too far. Children in many agriculturalcommunities had time off from work, when they interacted with each other(often, across a wide age range) and were not under direct parental control. Overall
village supervision continued, but there was latitude. A number of cultural systems
offered considerable indulgence of very young children, with the fuller emphasison discipline entering the scene around age 5-7; this may have been true in India,
for example. Village festivals gave older children specific opportunities to escapenormal obligations, with days of “misrule” inverting standard authority; even actsof vandalism could be tolerated in the interests of allowing youth to let off steam.
Finally, some parents undoubtedly found the challenge of insisting on obediencea bit daunting. One of several reasons for practices such as sending older children
off to another family for work or training may have been the hope that other adults
would find it less painful to insist on obedience and impose necessary discipline
as children reached what we now call adolescence. The centrality of obedience
remains, but a variety of other practices or options might relieve its starkness while
indirectly confirming its importance.

Gender divisions
Agricultural societies famously insisted on the importance of genderdivisions and of the superiority of men over women. Power differentials were moreclear-cut than had been the case in hunting and gathering groups. With larger
numbers of children, wives and mothers had less opportunity to contribute equallyto the family economy; the earlier balance between the essential contributions ofgatherers, and those of hunters, was disrupted, with men now responsible (in mostcases) for assuring basic grain supplies. Agricultural families may also have felt
greater need to control female sexuality in the interests of assuring paternity: withproperty and inheritance now at stake, fathers may have tried to insist on greatercertainty that their children were indeed theirs.
Distinctions between boys and girls thus began fairly early, though again theinfant years might be an exception. Even here, Chinese advice literature urged that
infant girls be placed at the foot of the parental bed, in contrast to their brothers’
placement alongside. Work obligations differentiated male and female children
fairly early as well, with boys assisting fathers in the fields or artisanal shops.
Property systems varied, but boys always had greater property rights than girls – incase of death of parents, for example; and sometimes, as in some Christian regionsin Europe, girls had no rights at all. Where schooling was available, boys almost
always had greater access than girls. Sexual oversight of girls was characteristicallyHistory of childhood

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IACAPAP Textbook of Child and Adolescent Mental Healthstricter than that imposed on boys, though many villages kept tabs on malebehavior as well (Stearns, 2015; Wiesner-Hanks, 2010).
As with obedience, it is important not to overdo it. Gender distinctions
were far greater in upper-class families than amid the majority, where women’s
work (and therefore the work and familial training of girls) remained absolutely
essential. Individual parents might easily recognize the talents of a daughter andoffer either informal or formal education. Still, agricultural families in the main
trained their children to accept largely patriarchal gender relationships, in theirown lives and in anticipated adulthood.

Children’s emotional experiences
Distinctive emotional features for children in agricultural societies are
predictably harder to pinpoint, but there are at least a few clear elements. The
omnipresence of death is an obvious point. Very few families would not experience
the death of at least one or two children, which means that very few children
would not experience the death of siblings during their own formative years. Highrates of maternal mortality in childbirth (one in ten women would die during
one of their attempts to give birth), or the possibility of accidents or violence
for fathers, meant that many children also would live through the death of aparent. Historians once speculated that the frequency of death generated stoicism
among agricultural families, in which grief would not necessarily loom large.
Better evidence has challenged this view and we now know that parents were often

Pieter Bruegel the Elder. Children’s Games. (1560, Kunsthistorisches Museum, Vienna)

History of childhood

J.98IACAPAP Textbook of Child and Adolescent Mental Healthdevastated by what we can see were statistically normal losses. But what did thiscontext do to children? How did they experience and cope with grief? It’s clear that
there is a topic here, but its ramifications are challenging (Demos, 1986; Greven,
1991; Heywood, 2001).

Almost all families, andchildren, experienced thedeath of at least one or two
siblings.

Some historians have also claimed, for at least some agricultural societies
including premodern Western Europe, that agricultural childhoods were full of
fear, and deliberate adult efforts to inculcate fear. Fear could certainly be used to
enforce obedience. This might follow from the frequency of death. Some religions
may have played on children’s fears as part of socialization. Less formally, many
village families, in at least several cultural settings, invoked the threat of bogeymen
or other sources of fright as part of instilling discipline and also warning children
away from imprudent interactions with strangers or any tendency to wander too
far into the woods or other dangerous settings. Again, emotional regimes are hardto analyze, and with regard to fear there may have been cultural variations as well,
but the possibility of some distinctive patterns continues to stimulate historicalresearch (Delumeau, 1990).

Childhood as a period of life
Finally, and for fairly good reasons, it is clear that childhood was not a
preferred period of life in agricultural societies. To the extent that memoirs orother commentaries exist – for example, from the Roman republic and empire,from Han China, from early modern Japan – they feature (by modern standards)
a striking absence of references to childhood, positive or negative. At most,mothers might be singled out for great affection, with fathers sometimes referred
to as more distant, sterner figures. Correspondingly, while many adults playedwith children, particularly young children, there was a fairly clear preference(after infancy) for children capable of fairly adult demeanors and behaviors. The
Romans thus referred approvingly to the puer senex, or “old boy,” while the author
Pliny praised a girl for her “elderly sense of discretion, her matronly modesty”.
Parents in agricultural societies might not only permit children’s play but also

Francisco de Goya. The Seesaw (Cartoon for a tapestry in the Escorial 1791-92). Philadelphia Museum of Art.

History of childhood

J.99IACAPAP Textbook of Child and Adolescent Mental Healthhelp implement it by providing a few toys, but again there was a strong interestin encouraging seriousness. Adult attitudes toward childhood, possibly including
their own, were surely conditioned by the high rates of mortality. Many authors inmany societies commented on how risky it was to develop too much attachment
to children because of the uncertainty of their survival.
Emotional investment in children was clearly greater, however, for mothers
than for fathers. Whatever is believed about “natural” maternal sentiments,
agricultural societies encouraged particular attachments. Men were often
predominantly working outside the home itself, in the fields; they often had little
regular interaction with young children. Women might also have a particular stakein forming close ties, as an outlet given the unequal treatment they received inpatriarchal families and indeed as a protection for the future. Tight emotionalbonds between sons and mothers, even as the sons reached maturity, were acommon part of extended family life in agricultural societies, noted strongly, forexample, in historical work on childhood in China and also in Islam.

CHANGE AND VARIATION IN AGRICULTURAL
SOCIETIES
Basic patterns of childhood in agricultural societies deserve attention,
obviously in part because of changes that would later intervene. They should
not, however, be overdrawn. Differences in culture, variations in family structure,and changes over time, even within the agricultural context, are also part of thehistorical picture. The distinctions that result obviously improve the accuracy ofthe historical record, but they may also explain different reactions and patterns that
continue even into the present day.

The role of religion
Several examples highlight the importance of specific cultures in agriculturalsocieties. Not surprisingly, Chinese Confucianism created an unusual emphasison the importance of stylized manners and internal family hierarchies, at least in
principle – and particularly in upper-class settings. Children were instructed touse great formality when talking with their parents, particularly fathers, askingfor example if they were sufficiently warm in winter. Confucian values also
encouraged the practice of giving parents presents on a child’s or a young adult’s
key birthdays. Hierarchy showed in the way children should place themselves infamily gatherings, with pride of place (among the children) going to eldest sons.
The basic values here were common in agricultural societies, but the specifics werequite distinctive. At the same time, again particularly for the upper classes but also
for a few talented peasant boys, Confucianism also emphasized the importanceof education and successful test-taking, as means of entering bureaucratic service.
Finally, while Confucianism did not in fact prevent real affection for daughters, it
was under the guidance of Confucian values that China began to introduce footbinding for some girls, from the Tang dynasty onward, as a means of limiting theirability to walk freely in the interests of standards of beauty and deference.
A key issue, at least partly cultural, involves the impact of religious change
on childhood in agricultural societies. The spread of missionary religions such as

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IACAPAP Textbook of Child and Adolescent Mental Health

Buddhism and Islam unquestionably created new opportunities for education, forschools were seen as a vital source of religious values. By 1200 Islamic societies
almost certainly had the highest literacy rates in the world thanks to religious
training. While these opportunities were more available to boys than to girls, thelatter could find new opportunities as well.
The missionary religions, spreading widely during the first millennium CE,
also urged basic spiritual equality. Women as well as men had souls. This could in
principle reduce some of the gender inequality characteristic of agricultural societies– as in some of the new schools. In Buddhism and Christianity, particularly, therise of convents along with monasteries gave a minority of girls examples of life
without directly male dominance (though Buddha was careful to put convents
under monastic authority) and the opportunity to choose a spiritual life. Islam
offered some new protections for female children, for example in careful rules
about their access to inheritance. And all the newer religions worked hard toeliminate female infanticide as a common method of birth control. On the other
hand, the new religions did not in fact preach gender equality. Men controlled
the key religious offices, for example as Christian priests or Muslim imams. In
Islam, property protections gave boys larger inheritance allotments than girls. At
most, gender inequality in childhood was modified (Fernea, 1995; Gil’adi, 1992;
Nakosteen, 1984).
Other kinds of religious differences are worth exploring. Christianity inprinciple urged that children were tainted by original sin, that without purifying
ceremonies they would be sent to some kind of hell if they died. Islam on theother hand urged children’s innocence, while certainly worrying about human sin
in other respects. Did this important doctrinal distinction matter in real life? Did
it lead Christian communities to more sweeping efforts to create a negative aspect
to sexuality, and not just to regulate sexual behavior? Did it encourage harsher
discipline? When Christian European parents reached the Americas, their tendency
to punish their children physically startled and dismayed Native Americans: wasthis linked to religious doctrine (Browning et al, 2009)?

Family structure
Family structures also created important differentiations in the experience ofchildhood in agricultural societies. Some agricultural regions, but not all, featured
extensive slaveholding. This was not necessarily the harsh institution that would
develop in the New World with the African slave trade. Indeed, some parents,for example in the Roman Empire, tried to have their children accepted as slaves
on grounds that it would provide them more certain support. And slaves might
do a variety of tasks, even run shops or serve in the military, not simply the mostbackbreaking work. But slavery did limit a child’s freedom and expose him or her
to possible sale away from family (though Islam tried to prevent this where theslave family was Muslim). It could disrupt or constrain childhood in other ways –as in the Americas, where slave owners often deliberately tried to prevent access toany education. Here was the most extreme example of how social position createddifferent childhoods in agricultural society, though others situations, such as the
Indian caste system, could have similar impacts.

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Mamluks
Mamluk means “owned”.
The Mamluk system began
during the Abbasid caliphs
of 9th century Baghdad.
Boys of about thirteen were
captured from areas to thenorth of the Persian Empire
and trained to become elite
soldiers for the personaluse of the sultan oraristocrats. The Mamluks
therefore had no family ties
in their new homelands andwere personally dependent
on their masters, giving
them a solidity thatallowed them to survive
the tensions of tribalism
and personal ambition.
The Mamluks became
increasingly powerful, somuch so that they ruled
Egypt and Syria from 1250
until 1517.

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IACAPAP Textbook of Child and Adolescent Mental Health

Most agricultural societies featured extended family structures, usuallybased on a father’s relationships, though sometimes with matrilineal influence
as well. In Western Europe, however, from the later Middle Ages onward, adistinctive European-style family emerged. This emphasized a rather late marriageage (26-28) for ordinary people (younger for upper-class women), presumably in
the interests of protecting property by limiting the birth rate. The structure had
several results. It prolonged a period of youth, as people in their mid-20s were still
not fully adult in that they could not form families of their own. It severely limited
contacts between children and grandparents, who would not usually survive longafter children of such late marriages were born. Different family structures raise
important questions about variations in patterns and experiences of childhood(Creutziger, 1996; Hartman, 2004; Lynch, 2003).
Another source of differentiation among societies involved varied approaches
to some of the common tasks of motherhood. In some societies, for example, theSwaddling frees mothers
to work on a farm or in a
shop, without having to
pay constant attention to
an infant and it may help insoothing children.

Native American babyof the Nez Perce tribe,
1911 (Edward S. Curtis
Collection People 007).

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IACAPAP Textbook of Child and Adolescent Mental Healthuse of wet-nurses spread not only for upper-class women, fashionably eager toavoid breastfeeding, but for some urban working families seeking to maximize
women’s work. Several agricultural societies saw important debates over wetnursing and the (usually) higher rates of child mortality involved.
Swaddling was another variable. The practice might free mothers to workon a farm or in a shop, without having to pay constant attention to an infant; andit may have offered other advantages as well, in soothing children. But swaddlingmight also affect infant development: here is another case where historical andcontemporary debate can conjoin. Swaddling spread widely in Europe, Russia andelsewhere, but other regions found other options. African mothers, for example,
characteristically preferred to carry infants in front pouches, and this preference,
and arguments in its favor, also persist into the present day.
Finally, change happened, even within a basically agricultural framework.
The advent of new religions was a case in point; so, for the children seized byslave traders, was the imposition of the new slave trade on West Africa after 1500.
Ideas about swaddling might change: the practice came under increasing attackin Western Europe by 1700, though it persisted in southern and eastern parts ofthe continent. Needs for children’s labor might increase. It is widely believedthat the rise of a more commercial world economy after 1500, with increasingpressure to produce goods for sale and, in some cases, the impact of population
growth, increased pressures on child workers reducing play time and heightening
the discipline imposed for example on apprentices.
It is possible to offer only a sampling of differences in childhood thatmight emerge amid a common agricultural framework thanks to culture, regional
economic and family structure, or economic and demographic change. Many
historians will continue to devote great effort in tracing particular regional
patterns, as opposed to a focus on shared features of agricultural childhoods. Yet
the distinctions are not always easy to trace, particularly given disparities in thehistorical coverage of key regions to date. Above all, historians inevitably grapple
with the question of the significance of particular regional variants compared tothe common features of agricultural childhoods; debate continues.

CHANGING AGRICULTURAL PATTERNS
During the 19th and 20th centuries, an increasing number of societies
gradually began to introduce four important, ultimately related, changes in thepatterns of childhood that had long prevailed. These changes might have further
implications, but they were absolutely crucial in their own right.

Education
First, many societies, though hesitantly, began to shift the emphasisof childhood away from work. New ideas about children often encourageda heightened belief in the importance of education, but even more clearly thedemands of a changing economy seemed to argue in this direction. Growing
commerce and rising industry required a labor force that was increasingly literate
and numerate. Even peasants, somewhat hostile to education that put children
outside standard familial controls, came to realize that schooling was in their own

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IACAPAP Textbook of Child and Adolescent Mental Healthbest interest. At the same time, changes in the workplace could make children lessuseful or otherwise reduce interest in their employment. While children had a clear
role in very early factory industry, for example, particularly in Britain, their services
were less useful when machines became more sophisticated, taking over more
aspects of the production process. On another front, many working class families,
though accustomed to child labor, began to worry when their children came under
the supervision of strangers in the factory setting. And finally, new laws began tolimit child labor; early legislation was usually not strictly enforced and applied
only to factory industry, but over time both inspection and range expanded,along with increasing legal requirements for school attendance (Cunningham,
2001; Cunningham, 2005; Heywood, 1988; Maynes, 1985). Childhood, in otherwords, ultimately shifted from a primary responsibility to contribute to the family
economy through work, to a primary responsibility – to self, but also to family andsociety – to be schooled.

Birth rate
The second area of change involved the birth rate. Families began to
cut back in the number of children sought. As children shifted from economic
contributors to liabilities, as their costs increased, some change was inevitable.
In most cases it occurred in layers: middle classes preceded working classes, moresecular regions preceded more religious ones and so on. Methodologies also varied,
though ultimately the decline in birth rate involved some new opportunities forbirth control thanks to new devices, greater availability of abortion, or othercombinations. The change ultimately was widespread within societies adjusting toor preparing for the decline of agriculture. It also inverted the agricultural family
hierarchy: poorer families tended now to maintain higher birthrates than all but
the very wealthy (Mintz, 2004; Seccombe, 1993).

Infant mortality
Linked ultimately to changes in birth rate, as cause or effect, was the dramatic
decline in infant death rates (and also maternal mortality). In combination with theshifts in birth rates, this demographic transition saw dramatic changes in family size

Chinese citizens must
attend school for at leastnine years. The literacy rate
in China is now higher than95%.

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IACAPAP Textbook of Child and Adolescent Mental Healthbut also in expectations that children would survive. Death and childhood became
more separate than ever before in human history. Children grew up with fewer
siblings, which could have its own impact on the experience of childhood and,along with schooling, encouraged increasingly age-specific social relationships.

Growing state involvement
Finally, the state became more directly involved with aspects of childhood
than ever before (and often, the role of religious institutions declined accordingly).
Premodern states had relatively little direct relationship with children, whose care
was left to families and religious groups. Now, governments began to mandate
schooling, regulate labor, offer, and sometimes require certain kinds of healthservices, issue childrearing advice, deal with problem children, even remove
children from families found unfit to provide appropriate care.
These four great, interrelated changes might have further effects, thoughamid considerable variations. The kind of gender separations characteristic inagricultural societies would come under review. There were several reasons forthis. First, declining birth rates ultimately suggested changes in the training-formotherhood approach to girls’ informal or formal education, reducing differenceswith boys. Education itself was increasingly open to both genders. Girls mightlong be encouraged to pursue separate courses of study – for example, dissuaded
from too much mathematics. But in fact girls could do as well or better thanboys in modern schools overall, and certainly the spread of education reduced oreliminated gender gaps such as basic literacy. Over time, young women in fact
turned to education with a vengeance precisely because of hopes that it would
reduce traditional gender disadvantages; by the early 21st century 55% of thestudents in higher education, in societies as diverse as Iran, the United ArabEmirates, and the United States, were female.

By the early 21st century
55% of the students
in higher education, insocieties as diverse as Iran,the United Arab Emirates,
and the United States, werefemale.

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IACAPAP Textbook of Child and Adolescent Mental Health

Gender factors persisted in childhood, as in Chinese or Indian preference
for male children that led to disproportionate numbers of girls in orphanages
and (possibly) some renewed female infanticide. Many Islamic societies saw
new resistance to girls’ education, including attacks on schools and students
by extremists. Overall, however, gender factors in childhood declined without
disappearing, in connection with the wider shifts away from agricultural patterns.

Adolescence
Historians have also speculated about a global spread of the ideas andconcepts associated with adolescence. The idea of adolescence emerged in theWest in the 19th century, partly as a result of increasing research on children. The
idea corresponded with longer periods of schooling and dependence for teenagers,
initially particularly in the middle classes, and also with increasingly early onsetof puberty, probably as a result of better nutrition, and heterosexual contacts.
The concept explained some more difficult features of characteristic adolescentbehavior, and it also might encourage some such features as older children sought
to live up to stereotypes. A youth consumer culture began to emerge as early as thelate 19th century around consumer products such as cheap, sensationalist books
and, by the mid-20th century, music and film. All of these features might help
create at least elements of adolescence across cultural boundaries (Fass, 2006;
Gillis, 1974; Wegs, 1989).
Certainly new ideas about childhood encouraged some common policies
beyond the enforcement of school attendance or efforts to provide better medicalcare to pregnant women. Many societies, for example, such as Japan, developed
the idea of special treatment for juvenile offenders, which contradicted more
traditional practice which had lumped criminals regardless of age.

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IACAPAP Textbook of Child and Adolescent Mental Health

PROCESSES OF CHANGE: THE WEST
Many historians would worry about too much emphasis on common
features of modern childhood, urging more attention to the persistence of earlier
traditions – as in gender preferences – and the importance of significant regional
differences. They would warn against overuse of a largely Western model. One way
to introduce greater nuance is to note the different timing and specifics of changes
away from agricultural patterns of childhood.
Fundamental changes in childhood first developed in Western Europe andin “settler societies” like the United States and Australia. As the initial centers ofindustrialization and new types of commercial agriculture, these regions began toexperience some of the new pressures on child labor or the need for greater accessto education by the early to mid-19th century. Initial legislation limiting someforms of child labor began to be introduced by the 1830s and 1840s. National
school systems and, gradually, school attendance requirements emerged during
the middle decades of the century. On another front, middle-class families began
to take the lead in reducing birth rates, in some cases as early as the 1790s, as they
sought to adjust family size to new economic and demographic realities. These
regions were also the first to experience a full demographic transition. By the
1880s, declining birth rates began to be matched by dramatic reductions in infantmortality. Between 1880 and 1920 the “Western world” saw infant mortality
drop from 20%-30% to 5% or less, thanks to improving living standards and newefforts in public health. By the early 20th century Western childhood had been
substantially transformed. Child labor was now rare (in the United States, thesecond decade of the 20th century saw peak rates, but then very rapid decline aslaws banned the use of children not only in factories but in virtually all economic
sectors). School attendance was almost universal, at least through the primary
grades. And the pattern of low birth rate/low death rate became firmly establishedin virtually all social classes.
These various changes in Western childhood were accompanied, indeed
preceded, by important new ideas about children. As an offshoot of the scientificrevolution of the 17th century, leading thinkers, headed by John Locke in Britain,
began to reconsider some of the standard Christian or Protestant concepts ofchildhood. Locke fought against the idea of original sin, arguing that children were
“blank slates”, open to improvement and enlightenment through education. By thelater 19th century, guided by Enlightenment gurus such as Jean-Jacques Rousseau,
this blank slate approach had morphed into a positive statement of children’s basic
goodness and innocence. And, gradually, some of these concepts began to gain ahold in wider popular culture. In the new United States, for example, mainstream
Protestant churches conducted vigorous debates over the original sin/innocencedichotomy in the early decades of the century, emerging with a clear victory forthe innocence proposition though with an Evangelical minority clinging to earlier
ideas about sinfulness (Stearns, 1994).
From these new ideas, in turn, came a number of further shifts. Childrearing
advice, increasingly taken out of the hands of churchmen, altered. In the UnitedStates, from the 1820s onward, mainstream manuals began to insist on theimportance of avoiding fear in disciplining children. Interest in insisting on
obedience began to decline in favor of an attempt to view children as part of an

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IACAPAP Textbook of Child and Adolescent Mental Healthemotionally-rewarding, loving family; children in turn were now increasingly urged
to be cheerful. Traditional efforts to shame children began to yield (though more
slowly in school settings than in middle-class families), in favor of an inculcationof guilt. On a wider scale, these new ideas about children underwrote importantchanges in law. By the later 19th century, reformers were successfully promoting
the need to treat juvenile offenders as a separate category from adult criminals.
Juvenile courts and treatment centers began to proliferate.
Obviously, for many Westerners, reformers and ordinary families alike,key changes could seem part of a common package. New ideas about children,for example, readily supported the expansion of school requirements, which also
made sense in an increasingly industrial economy. Lower birth rates responded toeconomic changes, but also to beliefs that parents owed children more sensitiveand loving attention. Equally obviously, however, the Western “package” mightlook different to other societies, as the need to sponsor significant social change
became more widely recognized. Here, historians have explored more complex
patterns, in which some standard developments were accompanied by significant
regional distinctiveness.

OTHER PROCESSES OF CHANGE
Japan
Japan began its great reform process at the end of the 1860s. Reconsiderationof childhood was explicitly involved, as Japanese leaders sought to figure out
what elements of the new Western pattern were essential, particularly in order topromote industrialization.
Two elements quickly emerged. First, new attention was devoted to publichealth measures, in order to promote population strength. Infant death rates began
to drop, ultimately in a pattern similar to that in the West. Second, expansionof education was essential: not only Western example, but also considerable
Confucian commitment to schooling facilitated Japanese action here. The result
was the 1872 law mandating universal primary education for boys and girls alike.
Obviously the sweeping measure took time to implement and there was somepeasant resistance to the imposition. By the 1890s however literacy was widely
established in the relevant age groups, and the Japanese were also expanding into
further secondary and technical options (Stearns, 1998; Uno, 1999).
Measures of this sort brought childhood into more explicit focus than everbefore, particularly at the political level. One historian has argued that the result –rather like what Ariès once claimed for the West – was an unprecedented recognitionof childhood as a special state, clearly separate from adulthood. Other spillovers
included new government efforts to provide childrearing advice; traditional family
wisdom could not be trusted. And interest in special identification and treatment
for juvenile delinquents emerged as well.
But this was not simply the Western model transferred. The Japanese did
not move to limit birth rates as quickly as the West had done. This aspect of thedemographic transition would be completed only after World War II. In Japan,
as in many other parts of the world outside the West, mortality reductions came

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IACAPAP Textbook of Child and Adolescent Mental Healthfirst, birth rate adjustments later. Japanese leaders were also at pains to seek special
Japanese values for children, even amid new education and growing emphasis
on modifying Confucianism by a greater valuation for science and technology.
By the 1880s, educational leaders clearly established the importance of teachingnationalism, group loyalty, and reverence for the Emperor as alternatives to what
was seen as excessive Western individualism among children.

Communist countries
Yet another model for childhood change came from communist regimes
in the 20th century. Both in Russia and later in China, communist revolutionaries
turned surprisingly quickly to childhood after they gained political control. Motives
were twofold: a general desire to revamp childhood as a means of promoting
industrialization, but also an interest in shaping children, apart from their parents,
toward communist values and loyalty (Chan; 1985; Kelly, 2007; Kirschenbaum,2001).
Elements of this program were quickly recognizable. New attention to public
and maternal health began to reduce infant death rates. By 1960, infant mortality
rates in the Soviet Union had dropped well below 5%, a 900% reduction since1917. Education received equally prompt attention. A Decree on the Eradicationof Illiteracy, issued in 1919, ushered in a rapid expansion of schools from thenursery level on up. Schooling quickly became a core component of childhood.
In China, primary education enrollments would triple during the 1950s alone, ahuge investment for a still-poor nation.
Communist regimes at the same time sought their own definitions ofchildhood, within what might be seen as a standard modern model. Debates overbirth control could be fierce. The Soviet Union, under Stalin, opted for rather
conservative family policies including encouragement to large families. In fact,parents increasingly chose otherwise, amid the pressure of urban housing andexpanding industrialization, and a fairly standard demographic transition resulted.
China of course was different, continuing to encourage high birth rates until 1978,
then dramatically reversing course with the one-child policy.
Communist regimes sought to maintain some commitment to work as partof childhood, while imposing clear limits on conventional child labor. Communist
youth groups did labor service. Government efforts to inculcate new values
involved more explicit attacks on parental authority than had been common either
in Japan or the West, though the results were not always predictable.
China’s One Child Policy
This policy—sometimes described as the boldest experiment in population control in history—
was established in 1979 to limit China’s population growth. The policy applies particularly to
Han Chinese (91% of the population) living in urban areas. Should this policy remain in place,
China is expected to achieve zero population growth by 2025. Critics of the policy point to its
undesirable social consequences, such as China’s skewed gender ratio—currently there areabout 113 boys born for every 100 girls (globally the ratio is about 107 boys born for every
100 girls)—along with abandonment of female infants and infanticide, or the aging population.
The 4-2-1 (four grandparents, two parents, one child) family pattern that ensues is also seen
as a potential problem.

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IACAPAP Textbook of Child and Adolescent Mental Health

Other parts of the world
Patterns of change in other parts of the world, particularly over the past halfcentury, have reflected a mixture of standard emphases, particularly on expanding
education; regional value systems, such as Islam in many parts of the Middle East;and often the constraints of incomplete industrial development.
Latin America, for example, moved more gradually toward some of the key
changes in childhood. Urban and rural poverty constrained the process of change
and in some cases religious factors – for example, vigorous priestly opposition tobirth control – entered as well. Many Latin American countries also inheritedfrom colonial times a fairly high rate of illegitimate births, which could introduce
some instabilities for children as well. Yet change did occur. Schooling spread
steadily and by the 21st century Latin American literacy rates were above global
averages. Many Latin American countries experienced the demographic transitionby the 1970s with sharply falling birth rates (Hecht, 1998; Scheper-Hughes &Sargent, 1998).
South and Southeast Asia remained noteworthy into the early 21st century
for the high and sometimes rising rates of child labor, against overall global
trends. Many parents continued to find child labor both normal and essential,
resisting pressures for schooling. High levels of competition prompted many small
businesses to seek cheap workers. Only after 2000 did this region begin to display
the more common modern pattern of reduced child labor and growing rates ofschool attendance.
The basic theme is clear: for many decades, most regions of the world haveintroduced or begun to introduce important changes in childhood. The result
however was not a completely standard pattern, as local values, levels of economic
and political development, and other factors created important variants on theprocess of change.

CHILDHOOD IN CRISIS
The fairly complex, often gradual, movement away from the standard
patterns of agricultural childhood is not, of course, the only modern phenomenon
to trace in dealing with the recent history of childhood. At various points from the19th century to the present, other developments have taken precedence.
In reviewing the history of childhood over the past century, two points
deserve particular emphasis. First, the global economy has generated new pressuresand deteriorations for certain groups of children, along with the larger emphasison education and the decline in mortality. And second, other dislocations havecreated their own dynamic in certain key regions, clearly superseding the moregeneral changes in modern childhood (Goodenough & Immel, 2008; Hecht,
1998; Schlemmer, 2000; Singer, 2006).
We have already seen that the decline of child labor has not been uniform.
Multinational companies are not, in the main, direct exploiters of child workers,
but they may commission local producers who depend on child workers to keep
costs down. More traditional local industries, pressed by international competition,
may similarly make working conditions more severe for their child workers. The

History of childhood

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Click on the picture to watcha one-hour lecture by Professor Hugh Cunningham
on “What’s happened toChildhood?” (50:03)“Our understanding ofchildhood is shaped by two
narratives. The first describes
how children underwent
horrific experiences in thefactories and mines of theIndustrial Revolution, butwere then rescued for an
increasingly ‘healthy andhappy’ childhood. The
second, dominant since the1970s, tells how childhood
is getting worse, becoming‘toxic’, the deaths of James
Bulger, Victoria Climbié andBaby P evidence for it. How
far do these narratives aboutchildhood reflect the reality of
the lives of children past andpresent?”

20

IACAPAP Textbook of Child and Adolescent Mental HealthPhotograph of Bibb MillNo. 1, Macon, GA, by
Lewis Hine for the National
Child Labor Committee,
1/19/1909.

carpet industry in India, for example, now organized in factories, depends heavily
on the work of children, often migrants, some sold to the employer, working 15hour days in confined quarters.
Increasing economic inequality within key societies may bear on children
directly. The point needs careful treatment. Over the past two decades or more,income inequality has been dropping in the world as a whole, thanks to industrial
growth in places like China, Brazil and India; this was what has helped support
new health measures and expanded schooling. But within these countries, and inmany others, an impoverished sector of the population has often become poorer.
Even in industrial countries like the United States, the expansion of poverty has
disproportionately affected children (with up to a quarter falling below the poverty
line, according to some estimates).
The impoverishment of a portion of the child population in contemporary
world history generates deteriorations in child health and nutrition, even as overall
global standards may improve. It drives some parents to extreme measures, suchas selling some children into the expanding global sex trade or trying to market
some of their bodily organs. Growing poverty may also expose children to random
violence, as gangs take over sections of cities or countries. Death of children by
violence, and wider fears of violence, would become a fact of contemporary life insome United States cities and also in parts of Central America.
Children have also been disproportionately affected by another key
development in contemporary world history, the erosion of civilian-military
distinctions in cases of outright conflict. The change began to become visible in the
1930s and with the growth of aerial bombardments as part of military operations.
Attacks on civilians by Franco’s German and Italian allies during the Spanish Civil
War provided one example, as did the widespread assaults on civilians in Japan’s
invasion of China. The Holocaust, notoriously, targeted children extensively.

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And this pattern has continued, in many outright wars and in internal civil
violence alike. Attacks on civilians became a standard feature in Israeli-Palestinian
conflicts, with offenses on both sides. Warfare in the former Yugoslavia, during
the 1990s, involved extensive civilian casualties, exacerbated by attacks on certain
groups in the name of ethnic cleansing. Ethnic cleansing in Cambodia deliberately
targeted children, with pits filled with the bodies of hundreds of children killed.
A third of all those killed in civil strife in the Congo have been under five, andparamilitary forces also often deliberately maimed children (particularly girls), by
cutting off arms as well as rape. Growing use of land mines posed dangers forchildren even after wars ended. The list is long and it continues to expand.
Overall, it has been estimated that 150 million children have been killed bymilitary violence worldwide, since the 1970s, and another 150 million maimed.
Other estimates hold that 80% of the victims of collective violence in this same
period have been women and children.
Wars have always had the potential for dislocating civilian populations, but
this impact too has tended to expand. Blurring the line with civilian populations anddeliberate attacks on certain ethnic, religious or national groups clearly exacerbate
the potential here. Many children, with or without other family members, havebeen forced to flee conflict scenes. In many refugee camps in the later 20th century,
up to 65% of the population might consist of children. Poor material conditions,lack of systematic schooling, and the possibility of sexual or other violence arecommon companions in the life of child refugees.

The modern history ofchildhood involves twogroups of children divided
by economic conditions
and exposure to collective
violence.

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IACAPAP Textbook of Child and Adolescent Mental HealthAnd of course children themselves are sometimes pressed into conflicts. The
growing use of child soldiers, particularly in civil strife in Africa, drew growinginternational attention and reproof.
International agencies have tried, certainly, to provide assistance, andinternational groups have formally condemned child soldiering, rape, and otherextreme acts as contrary to children’s rights. Individual children, supported as
refugees or even given opportunities to emigrate, have sometimes found happy
endings.
On the whole, however, the modern history of childhood involves twogroups of children divided by economic conditions and exposure to collective
violence or its wider results. In some key cases – Iraq during and between two wars;
some regions in Africa – the results have actually reversed modern trends directly,with rising rates of child mortality and declining rates of education. In the case ofsome African regions the impact of disease, particularly the AIDS epidemic of thelate 20th century, has contributed to these trends as well.

PROBLEMS FOR CONTEMPORARY CHILDREN
Economic divisions and war already complicate the recent world historyof childhood, confounding any facile optimism about the benefits of modernity.
Another fascinating set of issues affecting children who are not impoverished or
direct victims of war is equally intriguing. This section sketches a number of child
maladies that form part of modern history, where historical research in fact sheds
light directly on the problems themselves and where, arguably, interdisciplinary
inquiry can lead to further understanding in the future.
••

It became already clear in the 19th century that modern conditions
could promote new psychological problems in certain children. In
Western Europe and the United States, a number of teenagers andyoung adults, almost exclusively female, became afflicted with hystericalparalysis, confined to their beds despite no discernible physical cause.
The disease was new (initial cases appeared in the 18th century) andmay have been a response to some of the stringent standards placed on
middle-class girls as part of respectable domesticity. The disease would
virtually disappear by the 1920s, perhaps because gender restrictions
yielded.
More durably, doctors in several Western countries began fromthe 1860s onward to identify cases of anorexia nervosa, mainly in
middle-class girls and young women. The disease seemed to differ
from earlier outbreaks of religiously-inspired food denial. In its initial
phases preceded the adoption of slenderness styles in fashion, thoughby the 20th century these would play a growing role. Apparently, thephenomenon reflected a desire for rebellion against family, particularlymaternal control, but in a situation where parental attention wasframed in terms of loving affection (laced with encouragement to eatwell), and so could not be protested directly. Anorexia nervosa rates
would go up and down for several decades, but remain an important
issue for a minority of young people in affluent societies (Brumberg,
2000).

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IACAPAP Textbook of Child and Adolescent Mental Health

•

•

•

•

•

New ailments cropped up in association with children’s role inconsumerism. New concepts of boredom reflected the increasing
expectation for active entertainment, and increasingly (particularly by
the 20th century) children could use boredom claims as a way to plead
for more adult indulgence. Kleptomania began to be identified by thelater 19th century, an indication of new shopping arrangements withthe rise of department stores, but also a new lust for unnecessary goods.
Initial kleptomaniacs were disproportionately adult, middle-classwomen, but the disease would spread to teenagers, again in affluent
societies, during the course of the 20th century.
Rigorous school demands provoked new problems. An early
identification of what would come to be called attention deficit disorderemerged in Germany in 1856, but discussion of the issue became morecommon from the 1920s onward. After World War II a perceived
increase in the school problems of overactive children (particularlyboys) led to greater impatience by parents and teachers, while new
drugs, headed by Ritalin® (methylphenidate), became available. Useof prescription medicine to help children cope with school problems
proved increasingly common, particularly in the United States.
Another school-related disorder cropped up in Japan, called hikikomori;thousands of children annually proved unable to leave home andfunction normally (Stearns, 2004).
Childhood obesity won growing attention from the later 20th century
onward. Headed by a large and growing minority in the United States,
Australia and most parts of Western Europe, weight problems soared.
The problem resulted from increasing reliance on commercial snacks
and fast foods, with large portions; an increasingly sedentary lifestylethat combined passive school attendance with immersion in television
watching and computer games. While the problem originated in theaffluent West, it spread rapidly among middle-class families in China,
India, and even urban Africa.
A global increase in asthma rates among children began to be reported
from the 1980s onward, and the trend has continued. Explanations
vary: some researchers believe that modern standards of cleanlinesscreated households that were too dust-free depriving young childrenof adequate opportunities to develop immunities. Other explanations
focus on over-medication of respiratory problems in young children, as
in inhalers used for wheezing. Pollution may be involved, but not in a
simple way: studies in West and East Germany in the 1980s (the lattermeasurably more polluted) showed higher asthma rates in the West.
Perhaps most troubling was the apparent rise of depression amongchildren. The disease was first identified in the West in the 1820s,
initially called “lypemania” and described as a “sadness which is often
debilitating and overwhelming.” Use of the term depression began in
the 1850s. Diagnoses became increasingly common from the 1920s
onward; some authorities claim that rates doubled in urban societies
in the second half of the 20th century. Here was a case, almost surely,in which modern circumstances including greater family instability
joined a new capacity to label and diagnose in producing distinctive
increases. Several studies suggest contrasts between more traditional
community settings (rural Canada, Indian villages) and urban lifestyles

History of childhood

J.9“One morning when hewas 15, Takeshi shut thedoor to his bedroom, andfor the next four years
he did not come out. He
didn’t go to school. He
didn’t have a job. He didn’t
have friends. Month aftermonth, he spent 23 hours
a day in a room no bigger
than a king-size mattress,
where he ate dumplings,
rice and other leftovers that
his mother had cooked,
watched TV game shows
and listened to Radiohead
and Nirvana. ‘Anything,’
he said, ‘that was dark andsounded desperate.’” Jones
M. NYTimes, January 15,
2006)
Hikikomori (pulling
inward, being confined) is aJapanese term to describe
a severe form of social
phobia common in Japan.
Adolescents (and adults)
with this condition refuse toleave their house, attend
school or participate insocial activities.

24IACAPAP Textbook of Child and Adolescent Mental Health”I don’t want to talk toanybody. I don’t want to
do anything. I don’t evenhave the will to pick up
the phone. Just what am I
supposed to do?”Welcome to NHK! wasa novel, comic bookand cartoon about thelife of a hikikomori.
(Copyright Tatsuhiko
Takimoto 2004, Kendi
Oiwa 2004. Published by
Kadokawashoten.)•in generating a higher incidence. Rates in industrializing settings like
Mexico and South Korea rose particularly rapidly after 1960. While
children were not initially a key group for depression, diagnosis
began to become increasingly common by the later 20th century –and with this, another source of increasing medication for those who
suffered. For reasons less clear – though more careful diagnosis was
surely involved here as well – rates of autism and related disorders also
increased (Kleinman & Good, 1986; Stearns, 2012).
Modern psychological issues of this sort shaded off into almost
certainly increasing suicide rates for a troubled minority of children,

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IACAPAP Textbook of Child and Adolescent Mental Healthspecially adolescents. Japan, South Korea and the United States showed
particularly high growth in suicide rates, though in some cases, after
the 1980s, improvements in awareness and in counseling services seemto have helped to stabilize this problem.
The modern history of childhood thus displayed complex patterns ofchange, in which some widely-hailed benefits, such as the reduction of mortality,
operate amid an impressive array of new signs of distress, physical but particularly
mental.

GLOBALIZATION AND CHILDHOOD
Many of the trends in modern childhood reflect increasing global contacts
and active imitation of developments like extensive schooling or public health.
Arguably, however, contact patterns intensified from the second half of the 20th
century onward in the network that came to be called globalization. This resulted
from new technologies, like satellite communication and jet travel; but also fromnew policies, from the establishment of a somewhat more effective international
body, the United Nations, to agreements on monetary coordination. Increasingly,
virtually all societies decided to participate in the growing array of contacts; by
2014 only North Korea really held out.
Globalization had two additional impacts on childhood besides encouraging
some common health provisions and educational measurements. Though notentirely new, a system of global consumerism that embraced children actively
arose, and the expanding human rights movement began to include rights forchildren, despite the many barriers involved.

Click on the image to hear
Professor Christopher
Carlsmith summarise thehistory of childhood (9:10)

Children’s consumerism expanded in new ways from the late 19th century
onward. Even earlier, materials expressly designed for children began to emerge inindustrial societies, for example in the category of children’s books. In the late 19th
century the practice of giving children allowances began to develop in the West,which in turn encouraged various commercial agents to seek to sell some goods tochildren directly; at the same time, middle-class parents began to feel a need to buy
more items for their offspring. Early in the 20th century, the practice of providing
dolls or other items, even to infants, came under some debate, with conservatives
warning against encouraging too much reliance on the acquisition of things; but
consumerism continued to expand.
Global elements emerged by the 1920s, as export-minded producers began
to expand their market. By this point Japanese and United States manufacturers
led the world in the creation of new toys and games, a position these nations havemaintained ever since. The establishment of companies like Disney, also in the
1920s, led to the marketing of movies for children. After World War II, DisneyWorlds would provide yet another target for child-centered family consumerism.
The parks became beacons for international tourists.
Consumer fads for children developed, again across national boundaries
though conditioned of course by available wealth. Items like Barbie dolls (US) or
Hello Kitty (Japan), or related imitations, were widely sought. Television showssuch as Sesame Street were widely disseminated and translated, winning substantial
audiences, for example, in countries like Egypt.

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Global consumer standards bore particularly on teenagers and young adults.
The proliferation of American-style fast food outlets gave this group a social outlet
independent from parents, a place to feel connected to global culture. This was
precisely the benefit a Shanghai teenager noted, as he explained his preference
for McDonalds – not the food itself, which he admitted he didn’t like as much ashome cooking. Music styles for teenagers similarly spread widely, encouraged by
global concert tours and satellite television. South Korean and Japanese, as well as
British and American groups won ecstatic audiences. Varying to some degree with
regional culture as well as with levels of economic development, attachment to a
global consumer community became an important aspect of later childhood.
The consumer evolution had interesting implications for parents and other
adult authorities. Most obviously, commercial productions for children provided
signals often independent of family control. They promoted the consolidation ofage-based peer groups. Parental, government and religious authorities developed
substantial anxieties about these outcomes, and various measures were introduced
to limit the external influences, but tensions persisted.
Advancing consumerism also promoted (and ultimately reflected) a growing
belief that children should be actively entertained as part of responsible parenting.
The spread of birthday celebrations was a revealing symptom. “Happy birthday”,
an American tune devised in the 1920s, was widely translated, and middle-classurban families in many countries began to lavish increasing attention on relatedparties and gifts for their offspring. This was a dramatically new tradition in many
cultures, as in China, but it gained ground among consumer-minded parents.
Commercial agencies sprang up in cities in China, the United Arab Emirates andelsewhere, to assist parents with the festivities. Overall, the increasing attention
to children as consumers responded to international example: it could be tocompensate children for the effort they were meant to put into their studies, andit became a means of demonstrating affection. Reductions in birth rates facilitatedmore spending on the individual child and, at the same time, may have made theindividual child more precious (Cross, 1997; Cross & Allison, 2006; Skelton &Valentine, 1998; Stearns, 2010).

The proliferation ofAmerican-style fast foodoutlets gave teenagers asocial outlet independent
from parents, a place to feel
connected to global culture.

CHILDREN’S RIGHTS
The effort to promote children’s rights as part of a larger global humanrights agenda expressed a different facet of globalization, gaining great attention
but possibly with less direct impact on actual childhoods than consumerism
had generated. The idea of children’s rights clearly challenged many of thebasic standards of agricultural societies, which had insisted on the primacy andindependent authority of parents. Of course this authority had been limited
somewhat by religious rules – as in Islamic protection of the property of orphans,or the efforts by all the missionary religions to prevent infanticide – and even moreby community oversight, which often guarded against abuse. But the notion thatchildren have rights was novel and, not surprisingly, it developed both graduallyand incompletely.
The first reference to children’s rights came in a pamphlet by the British
radical Thomas Spence, in the 1790s; children deserved protection against poverty
and abuse. The idea of rights advanced somewhat in the 19th century, particularly

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IACAPAP Textbook of Child and Adolescent Mental Healthin industrial countries, attached to laws against child labor or requirements foreducation. Thus Horace Mann, the American reformer, declaimed that “a humanbeing is not attaining his full heights until he is educated.” Ideas about special
treatment for juvenile delinquents could imply another category of rights. Reformmovements in other countries – for example, the growing movement in China
against footbinding, which gained ground from the later 19th century, also reflected
an expansion of the range of protections offered to children.
It was not until the 20th century, however, that notions of children’s rights
became more formal and began to extend, at least in principle, across nationalboundaries. Ellen Key, a Swedish school teacher, published a book called The
Century of the Child in 1900. Widely translated, the book essentially called
attention to the many ways that even leading societies were falling short in what
they owed their children. Growing concern stimulated global campaigns againstchild labor: this became a key theme of the Save the Children movement launchedby the Englishwoman Eglantyne Jebb, initially inspired by the horrors of WorldWar I. The new International Labor Office, linked to the League of Nations,began an arduous effort to win agreement on banning work for all children underage 15 (Alaimo & Klug, 2002; Christina, 2009; Mason, 1996). Jebb herself
sponsored a pioneering Declaration of the Rights of the Child, in 1923. This stressedthat children should have the first call on relief efforts in any kind of disaster;
they should be protected against poverty and ill-health; delinquents should beredeemed; children generally should be educated and shielded from exploitation.
Other rights statements emerged in the interwar decades, spurred also by thecommitment of the Soviet regime to children’s rights in areas like schooling (partof the Soviet constitution of 1936). In 1943 Franklin Roosevelt included children’s
rights, particularly to education, for the first time as he sketched the American
vision of a postwar world.
Various international programs to provide relief to children during andafter World War II, and the establishment of the United Nations, furthered the
movement. The General Assembly expanded on Jebb’s declaration in 1959, while
proclaiming a Universal Children’s Day. Children had rights to medical care,material and mental development including free primary education; they should
not work “before an appropriate age”; they had, interestingly, the right to be happy
and to be loved.

Thomas Spence
Thomas Spence (17501814), one of nineteen
children born to a poor
Scottish family andwithout formal education,
was the leading English
revolutionary of his day,spending long periods inprison. He had a strong
commitment to individual
and press freedom and thecommon ownership of theland, and is credited withbeing the first to raise theissue of children’s rights in
his booklet “The Rights ofInfants”.

Many new national constitutions now included statements on children’s
rights. A growing movement won the abolition of the death penalty for children
convicted of crimes (the United States adopted this measure only in the 21st
century, noting the new international standards). Other rights provisions insisted
that children not be forced to marry without their explicit consent (a provisionthat the People’s Republic of China had pointedly inserted in their constitution).
Repeated attempts to win global agreement on a firmer rights statement
long failed, particularly because several countries worried about the implicationsof a ban on child labor. The United States, nervous about binding international
agreements in general, wanted to preserve the child labor of migrant agricultural
workers; India opposed systematic measures. Only in 1989 was a United Nations
Convention on the Rights of the Child finally adopted. It was a compromise
measure, highlighting more extreme abuses. Thus it attacked sexual exploitation ofHistory of childhood

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IACAPAP Textbook of Child and Adolescent Mental Healthchildren, capital punishment for children, the use of child soldiers, sale of children
to pay off family debts, or more abusive forms of work (but not work in general).
Still, supporters noted the importance of establishing that children did have rights
as individuals, even against parents. And a really interesting provision, Article 12,
sought to assure children “the right to express his or her own views freely” and beheard in any decision affecting the child. By 2012 all but three nations (Somalia,
the United States, and South Sudan) had signed the Convention and most had also
agreed to a modest further expansion in 2000 (see Chapter J.7).

CONCLUSION
The past two centuries have seen massive changes in the nature of childhood
and in the lived experiences of many children. The rapidity and recency of change
apply even to countries where the process of altering agricultural practices began
early; key issues still require adjustment, for example in the area of gender standards
as part of the socialization of children. At the same time, regional differences ofvarious sorts continue to complicate generalizations about the nature and impact ofchange. And the downsides of change, the emergence of new and often unexpected
problems, obviously complicate evaluations as well.

••Eglanyne Jebb founded
the Save the Children
Fund in England in 1919 toaid children in war-ravaged
central Europe.

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IACAPAP Textbook of Child and Adolescent Mental Health

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IACAPAP Textbook of Child and Adolescent Mental HealthAppendix J.9.1
SELF-DIRECTED LEARNING EXERCISES
For each of the following questions sketch a one-page response
1. What are the most obvious problems and deficiencies in current historical work on children
and childhood? Can some of the problems be better addressed?
2. What are the most important things to know about the history of childhood for a nonhistorian professional dealing with children?
3. Does modern history help explain some of the key problems facing children in modern
societies? Does it help suggest solutions?
4. What are the main divisions among children in world history, taking into account regional,social class and gender factors?
5. Are childhoods likely to become more or less similar in future? Give three reasons for yourresponse.

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