Objective: This case report aims to highlight the importance of parental contribution to the school refusal problem. Methods: We report a case of a 9- year old boy who presented with school refusal behaviour. Results: There was no psychiatry diagnosis made in this patient. Parental issues such as ineffective and inconsistent parenting, and parental marital disharmony contribute significantly to the school refusal behaviour. Conclusion: Parents in particular are important team players in the management of school refusal. Parental issues need to be explored and managed accordingly to ensure good outcome. ASEAN Journal of Psychiatry, Vol. 15 (1): January - June 2014: 83-85.
During the early postwar years up to 1957, the three main races in Malaya - Malays, Chinese, and Indians - experienced some differences in their levels of fertility. The lowest fertility was recorded among the Malays, with Chinese and Indian fertility about 5 percent and 10 percent higher, respectively. The comparatively low fertility of the Malays was owing to the exceptionally high rate of divorce, which meant unstable marriages and shorter periods of exposure to the risk of childbearing.A fairly well-defined pattern of state differences in fertility levels is found to exist in Malaya. Briefly, fertility was on the high side in the northern states of Johore, Malacca, and Negri Sembilan, and on the low side in the northern states of Penanq, Kelantan, Perlis, Kedah, and Trengganu, with the central states of Perak, Selangor, and Pahang in the intermediate position.The usual rural-urban fertility differentials are seen to prevail in Malaya as a whole and in the smaller units at state levels. Finally, the three main races registered higher fertility in rural areas, and the greatest gap between rural and urban rates prevailed among the Chinese.