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Effects on Siblings
The siblings of a child with a severe illness have special needs and concerns that vary with gender, age, birth order, and temperament.In addition to recognizing age and gender differences, it is important to acknowledge that children, in general, have mixed feelings about their siblings with an illness.


Original text

Effects on Siblings
The siblings of a child with a severe illness have special needs and concerns that vary with gender, age, birth order, and temperament. Often, older male children seem to have an increased appreciation for children with an illness, while older female siblings show increased behavior problems (perhaps because of being overburdened with child care responsibilities). Near age siblings may have less contact with peers, and younger siblings may show increased anxiety.
Sibling concerns also appear to reflect such situational variables as whether their own needs are being met, how the parents are handling the diagnosis emotionally, what the children are being told, and how much they understand. In addition to recognizing age and gender differences, it is important to acknowledge that children, in general, have mixed feelings about their siblings with an illness. They may be glad that they are able bodied, yet also feel guilty that they do not have an illness. They may worry that they will "catch" the illness or fantasize that they actualy caused it by having bad thoughts about their- sibling-


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