The most apparent is the growing number of teenagers and adolescents who need prescription medication (psychotropic drugs) to get through the day.
Teachers would be wise to read this study and consider how important it is for children to experience situations were things are less than ideal. Carefully moderated pretend "bad guy" play is just one way to prepare a child for the hardships that life has to offer.
In addition, the authors note that "previous work about bad guy play (e.g., Pellegrini, 1998) indicates that a small percentage of children in classrooms may escalate from pretend aggression into real aggression, but that most will not." So with very little risk, there's no reason not to let kids be kids.
Professional Position/Response to Content
The study makes many cogent points and raises many interesting questions.
The conclusion it makes are as follows, (1) children's pretend play can become complex when teachers support but do not direct it, (2) teachers' discomfort with certain play themes might inhibit play that could be valuable to children, (3) children's pretending to act aggressively is not the same as acting aggressively, and (4) play has a rhythm and structure that can be better understood through documentation and reflection.
In my profession opinion, a more laissez-faire type approach better suits...
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