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Childhood shyness and associated psychosocial difficulties can place pupils at risk of underperforming cognitively. Yet shyness is not regarded as a special need demanding a response from education professionals. In this article, drawing on data from a national study of how teachers support shy children, we trace how teachers negotiate this support from the networks of teachers and carers that are available to them. Data comprised post-observation recall interviews, individual interviews and focus groups with teachers, all of whom had successful experiences with shy students. Qualitative responses from a national teacher survey were also analyzed. Analyses were guided by three cultural-historical concepts which explain professional relationships. Four networks were identified: teacher teams; school resource teams; school leadership teams and families. With peers the negotiation was horizontal, drawing on shared concerns with children as learners; with resource teams teachers negotiated upwards by recognizing and addressing the priorities of the resource teams; with leadership teams the school Principals worked relationally and pedagogically with teachers to enable their agentic responses to challenges; while with families teachers worked sensitively to elicit the what mattered for the families and encourage relational collaborations with school professionals. The implications for professional learning and school leadership are discussed.

To detect post-traumatic vasospasm in patients with traumatic brain injury (TBI), we implemented a simplified transcranial Doppler (TCD) surveillance protocol in a neurointensive care setting. In this study, we evaluate the yield of this protocol.Adult patients with TBI admitted to the neurointensive care unit were examined with TCD by 2 intensive care nurses trained in TCD examinations. Flow velocities of the middle cerebral arteries were recorded. TCD suspected vasospasm was defined as the mean flow velocity120 cm/s, and when detected, the protocol recommended a supplementary computed tomography angiography. The rate of detection of TCD suspected vasospasm and the subsequent rate of radiological diagnosis of vasospasm were recorded. In multivariate logistic regression analysis, we evaluated age, initial Glasgow Coma Scale, craniotomy, and decompressive craniectomy as potential predictors of developing increased TCD velocity.A total of 84 patients with TBI with a median initial Glasgow Coma Scale score of 6 were examined by TCD. TCD suspected vasospasm was found in the middle cerebral arteries of 18% of examined patients. Two-thirds of patients with TCD suspected vasospasm were investigated with a subsequent computed tomography angiography, and 80% of these patients received a radiological diagnosis of vasospasm. In logistic regression analysis, decompressive craniectomy was significantly associated with increased risk of developing TCD suspected vasospasm (odds ratio: 11.57, 95% confidence interval: 2.59-51.73, P = 0.001).The implementation of a simplified TCD surveillance protocol in a neurointensive care setting yielded an 18% detection rate of TCD suspected vasospasm. In our cohort of patients with TBI, decompressive craniectomy was associated with increased risk of developing TCD suspected vasospasm.

The aim of this quantitative study was to analyze teachers’ most common and perceived effective strategies for reducing anxiety in shy elementary-school students. Participants were 275 elementary-school teachers, representative of the teacher population of Norway. Participants nominated a shy student they had taught and completed a questionnaire including strategies for reducing anxiety, reporting their use and effectiveness of each strategy. Latent class and profile models identified groups of teachers that differed in terms of how often they applied strategies and in how useful they found their attempts to intervene. Strategy use and usefulness ratings were consistent across participants although there was evidence of an association with student grade, student gender and school size on a number of strategies. A consistent theme across the strategies is the reliance on protective strategies, which may help a child cope with anxiety in the short term but can be less productive in the longer term. Results are discussed in terms of best practices for teachers in helping shy students cope with anxiety at school.

Shy children can find engaging with classroom demands challenging, inhibiting their development as agentic learners. In the present study, seven Norwegian elementary school teachers with acknowledged success with shy students were observed teaching and then interviewed about their observed pedagogies. A shy child in each class was also interviewed. Both sets of interviews were analysed drawing on concepts from cultural-historical theory: relational expertise, common knowledge and relational agency. Analyses revealed that teachers employed relational expertise to build common knowledge (understandings of their and the child's motive orientations) with each student. Common knowledge then mediated the unfolding of the child's agency as an engaged learner. The study offers unique insights into how shy children can be supported as learners.

The present study explored variations in the characteristics of teacher-nominated shy students. Participants were N = 329 teachers from 303 elementary schools across Norway. Teachers were first asked to select a current (or previously taught) student who was considered “shy,” and then rated different aspects of this child’s school adjustment. Among the results, teacher-nominated shy students were found to be a heterogeneous group, varying substantively across several domains of functioning at school. Teachers’ descriptions of shy students functioning did not vary significantly as a function of school characteristics (class/school size), teacher characteristics (gender/age/experience), or student grade. However, overall, teachers rated shy male students as evidencing more adjustment difficulties than shy female students. Results are discussed in terms of implications for educational practice.

We report on the support from senior leaders, outside agents and parents, experienced by Norwegian elementary school teachers while working with shy students. A national sample completed a questionnaire based on teacher interviews. A descriptive analysis examined experienced support; while a person-centered analysis revealed different profiles of teachers in relation to support. The findings show that teachers perceived some support in this work. But there were two profiles of teachers, one experienced significantly more support than the other. Class size was the only background variable that showed an effect on the profiles. Implications for schools and senior leadership are discussed. This work was supported by Research Council of Norway (Project No. 254982).

School shyness may have immediate and long-term detrimental effects. Drawing on cultural-historical understandings of motivated actions and conceptual and material tools, the study examined how ten school leaders in three Norwegian elementary schools interpreted and responded to the demands on the school in their work with shy children. Data comprised individual interviews and concluding school-based group conversations with leaders. The schools were recognized as enabling teachers’ responsive work with shy children in classrooms and presented a useful tension between central direction by school leaders and the professional discretion that enabled teachers’ responsive pedagogies. The leadership teams’ focus was school inclusion through adaptive pedagogies. This strong focus on inclusion emphasized classroom-based Tier 1 universal interventions. There were Tier 2 targeted interventions with shy children undertaken by social teachers, but they could seem ad-hoc by depending on teachers’ capacity to identify the need for them. The implications for school leadership are discussed.

Shy children can present challenges for teachers aiming at inclusive classrooms. Their educational attainments can be lower than their peers, they may have difficulties in adjustment to school and they can be at risk of meeting clinical criteria for social anxiety disorder. One recurrent finding is that they are often quiet across a range of school situations. The study reported here focused on teachers’ strategies to engage shy students in frequently occurring oral activities, such as group work, in elementary school classrooms. Data were gathered through post-observation stimulated-recall interviews with eight teachers who had experience of success with shy students and three focus groups with 11 similarly experienced teachers. The analysis examined teachers’ actions with these children to enhance their visible engagement in activities that require oral participation. The findings suggest that although teachers attended to the psychosocial aspects of student engagement, there was little emphasis on the pedagogic purposes of oral activities with these children. We conclude that more attention should be paid to the academic aspects of oral activities when aiming at inclusion for shy children.

In school, shyness is associated with psychosocial difficulties and has negative impacts on children’s academic performance and wellbeing. Even though there are different strategies and interventions to help children deal with shyness, there is currently no comprehensive systematic review of available interventions. This systematic review and meta-analysis aim to identify interventions for shy children and to evaluate the effectiveness in reducing psychosocial difficulties and other impacts. The methodology and reporting were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and checklist. A total of 4,864 studies were identified and 25 of these met the inclusion criteria. These studies employed interventions that were directed at school-aged children between six and twelve years of age and described both pre- and post-intervention measurement in target populations of at least five children. Most studies included an intervention undertaken in a school setting. The meta-analysis revealed interventions showing a large effect in reducing negative consequences of shyness, which is consistent with extant literature regarding shyness in school, suggesting school-age as an ideal developmental stage to target shyness. None of the interventions were delivered in a classroom setting, limiting the ability to make comparisons between in-class interventions and those delivered outside the classroom, but highlighting the effectiveness of interventions outside the classroom. The interventions were often conducted in group sessions, based at the school, and involved activities such as play, modelling and reinforcement and clinical methods such as social skills training, psychoeducation, and exposure. Traditionally, such methods have been confined to a clinic setting. The results of the current study show that, when such methods are used in a school-based setting and involve peers, the results can be effective in reducing negative effects of shyness. This is consistent with recommendations that interventions be age-appropriate, consider social development and utilise wide, school-based programs that address all students.

Shyness is not a recognised special educational need, yet studies reveal that shy children underperform academically and present psychosocial vulnerabilities. We present a Norwegian study of elementary school teachers who have experience in working with shy children. Framed by a cultural-historical understanding that concepts are tools employed by teachers as they work on problems of practice, the study examined (i) how shyness is a concept allowing teachers to interpret behaviours of children; and (ii) why they employ the concept, what demands were being addressed. Data were gathered through post-observation stimulated-recall interviews with eight teachers; and three focus group sessions with 11 teachers. Seeing shyness as a tool for identifying the demands made by children regarded as shy, revealed sets of child behaviours which required two distinct forms of differentiation: (i) augmenting cognitive support with psychosocial feedback to help the child overcome the behaviours impeding their engagement as active learners; and (ii) making extra efforts when eliciting children’s understandings in order to give formative feedback and support progress through pedagogic sequences. By identifying the behaviours underpinning broad descriptions of shyness, such as anxiety, the analyses show that teachers employ shyness as an over-arching concept which reveals psychosocial demands that may not be entirely addressed by the repertoires of responses available to them.