hmm, this mystery deserves a bit of speculation!
maybe a word game can be made out of it like "fill in the blank"
Quite often, what is construed as trouble in *the middle east* is simply a lack of enthusiasm on the child's part.
Quite often, what is construed as trouble in *attention span* is simply a lack of enthusiasm on the child's part.
Quite often, what is construed as trouble in *the bed room* is simply a lack of enthusiasm on the child's part.
ok, that last one was far from politically correct.. but it was to obvious to resist.