How about Is this Your Child? That one could be less threatening if Mom is having a hard time coming to terms with what might be going on.
Thanks for your advice. You are absolutely right. I've been trying to gently convince mom to seek help since the anger he displays at school is the same as the anger he displays at home - or at least whenever he plays with other children, including his siblings. Not always, but often enough. He just doesn't seem happy. It may be that he is not ready for school but he acts the same angry and defiant way at home. Maybe I can find a good book for her...any suggestions that may steer her towards the physician? Thanks again.
Smearing feces in children can be the result of exploration, or can be a passive aggressive behavior as well-- they know its gross and everyone will freak out, so they do it. This is why its unusual behavior- most children don't feel this way. Hitting and biting is definitely a way that young children have to communicate that they don't like what's going on around them-- their "fight or flight" instict is being put to use, and they are fighting. So in short, I think that his behavior indicates that this particular pre-school environment is not working so well for him.
It is possible that this child is simply not ready for preschool and his behavior is indicating this in a way that he cannot quite communicate using words. Its also possible that this child is displaying symptoms of some type of issue that requires professional treatment-- could be anything, really.
In general, if a child acts unhappy, and the school that he attends suggests to his/her parents that the child might need an evaluation, then the child should be evaluated. It can be tough for a parent to even admit that something might be "wrong" with their child.... but you know what? If something is wrong and the parent does nothing-- well -- that's irresponsible. If the child had diabetes and the parents refused insulin, they'd go to jail. So if the child is displaying emotional/ behavior issues, and the parents refuse to do anything-- is there much difference?
The best thing you can do for your friend is to be honest -- and let her know your concerns-- she may take this information better from you than from the school.