Tag Archives: emotional development

Pocket Full of Feelings: An Interview with co-creator Dr. Ann Corwin

By Rita Brhel, API’s publications coordinator, managing editor of Attached Family magazine and an API Leader (Hastings, Nebraska, USA).

Karin Lombardo
Karin Lombardo

 

Ann Corwin
Ann Corwin

Part of the core of Attachment Parenting is teaching our children about emotions—what they’re feeling and what to do about it, as well as how to empathize with others—a skill referred to as “emotional literacy” by parenting consultants like Ann Corwin, PhD, MEd, of Laguna Niguel, California, USA.

We know more than ever that emotional literacy is critical for healthy human development. Unfortunately it’s a skill that was not regularly nurtured in past generations, and many parents are learning about difficult emotions like jealousy and disappointment alongside their children. It was evident as I talked with Ann, mother to two grown children, that her life’s passion is in empowering parents in strengthening their relationships with their children and that emotional literacy is very much central to her work.

RITA: Thank you, Ann, for your time. Let’s start by learning how you came into your line of work?

ANN: I have my master’s degree in education with an emphasis in early child development and behavior. I started out very early in my career with an interest in relationships. In fact, my bachelor’s degree is in sociology. I went on to earn my PhD in marriage, family and child therapy.

I started out as a postpartum consultant in a hospital. I was also a childbirth educator, a Lamaze instructor. It was then when I started to make the psychological connection between birth and biology and neurobiology, and this naturally led to an interest in attachment. I was excited to learn how attachment affects our brain, how the amygdala—which manifests our emotional and relational responses—can regenerate itself, so that even if our attachment is crummy, it can be regenerated.

At the time, I was working with Dr. William Sears [pediatrician, author of the Sears parenting library and member of API’s Board of Directors] as well.

I wrote my [PhD] dissertation on parenting in pregnancy. Basically this is teaching parents how to parent during pregnancy, so while they’re learning about the stages and phases of pregnancy, they can also learn about the stages and phases of child development to know what to expect and what is required for healthy development.

RITA: And then you opened your private practice, The Parenting Doctor (www.theparentingdoctor.com).

ANN: I was inspired by Attachment Theory. I am fascinated by how we establish a relationship and how we maintain it and how you take that long term. For example, I have been married for 37 years to the same man and feel that we both really had to understand attachment to maintain our relationship through the rocky spots.

My whole career as a parenting consultant is driven by attachment.

RITA: And you are supportive of Attachment Parenting International (API).

ANN: I have always admired API and have always kept up with Barbara Nicholson and Lysa Parker [API’s cofounders]. I see Attachment Parenting as what I’m practicing. I may be on a little different road, but we’re associated—we’re both trying to get emotional literacy, which is steeped in Attachment Theory, rooted in the mainstream.

I don’t think Attachment Parenting is one way to parent—it’s the only way.

I’m eclectic in that I think you can take pieces from any parenting program and those pieces can be useful to parents. But attachment education is needed by every parent.

RITA: You have developed an emotional literacy curriculum called “Pocket Full of Feelings.” Can you share more about this?

ANN: Pocket Full of Feelings started 15 years ago.

The primary question people would ask me was how to help them keep their child from doing something. How can I keep my child from having tantrums? How can I keep my child from getting kicked out of preschool? How can I get my child to warm up to Grandma? Basically, help me with this immediate problem. I always ask them: Would you rather figure out why your child is doing this and how to have a better relationship with him or her, or do you just want to stop the behavior? Fortunately, 99 percent of parents say they’d like to have a better relationship with their child.

I teach how the most powerful part of the brain is the emotional brain, because in all circumstances we feel the feeling first and then act upon that feeling. Because while our number-one need is survival—food, water, shelter—our immediate number-two need is relationship with others. This is our need for attachment. The way we do this—attach to others—is through eye contact, touching and talking.

When we feed a baby, we are making eye contact with our baby, we are touching our baby and we are talking to our baby. If you were to put milk in a bottle, give it to your baby and turn your back on your baby without talking, your baby might begin to suckle on his own but he will stop after a couple of sucks. He needs connection with you or he will suffer from failure to thrive.

We have to have a relationship with another human being or we literally can’t survive.

My daughter handmade me a burlap pocket chart, and I would use little bears to demonstrate how we carry around our emotions and how these drive our behavior. Inevitably, everywhere I went, people would ask me where they could get one of those pocket charts. And they couldn’t get one anywhere because that was the only one there was.

Then, six years ago, I met Karin Lombardo, a mother seeking solutions for an undesirable behavior her daughter was expressing. I pointed out the feeling I thought was the root cause of her daughter’s undesirable behavior (envy), went through the  simple three-step emotional literacy process with Karin, and let her take the pocket chart home with her over the weekend to practice talking about the feeling at large (envy) with her daughter. When she brought it back, she said that every parent should learn this—that instead of saying “don’t be mad” or “don’t be sad,” to tell their child that these feelings are going to come and here’s how to deal with it.

It turned out that Karin has her MA in Narrative Psychology, so I asked her to go into business with me to develop this idea. We cofounded Generation-EQ, a company committed to providing tools and solutions to aid in the development of emotional literacy and home of Pocket Full of Feelings (www.pocketfulloffeelings.com).

Pocket Full of Feelings took several years to develop, as we had to write all of the content and then we had to test it. It’s now available everywhere.

RITA: How do you hope to benefit society?

ANN: Emotional literacy has been around actually for a long time. It’s emotional intelligence, that EQ we hear about. There have been a lot of books written about it, and a lot of people talk about it. But it’s not mainstream.

We hear parents say how they have to teach their child how to read, but we don’t hear how they need to be teaching emotional literacy. We need to make emotional literacy just as much a priority to parents as school readiness. There is absolutely and positively evidence now that kids do better academically if their social-emotional needs are met.

My goal really is for parents like you and me sitting at a park and having a conversation, and maybe we ask each other about preschools. Then, we move on to talk about how our children know their colors, and then how they’re learning what emotions go with those colors and what to do about it when they have those feelings.

I don’t want this to be just some kind of sideline thing.

In this Technology Age, especially with texting, we can communicate with one another without ever hearing tone of voice or seeing facial expressions, which are vital to relationships. I saw a dad and his three-year-old child the other day, and during the entire walk, the father and child never spoke. The child never looked at his dad, because he was looking at a handheld screen. We need emotional literacy even more now than before.

API Reads January and February 2014: The Science of Parenting

The-Science-of-ParentingWe started out 2014 talking about The Science of Parenting by Margot Sunderland. Some of the interesting sections from the remaining portions of the book are:

  • Those trying times in public, in the car, meals

  • When children fight

  • How not to raise a bully

  • Creating boundaries

  • The chemistry of love

  • Developing social skills

  • Looking after you

This has proven to be a very good read in which we’ve discovered some interesting facts along the way. Our discussions happen on GoodReads. We’ll be discussing The Science of Parenting for the remainder of February.

The next book up for discussion in March and April will be Giving the Love that Heals by Harville Hendrix and Helen LaKelly Hunt. We hope you’ll join us!

Join Us for API Reads in Dec 2013: Raising an Emotionally Intelligent Child

Raising and Emotionally Intelligent Child book cover“Parents should set limits on acts, but not on emotions and desires.” This is just one of many invaluable quotes we have found from the book. Do you know which kind of parenting style you practice? Come see what others have shared on this topic. In the remaining chapters we’ll be discussing:

  • Emotion coaching strategies
  • Your child’s emotional health
  • The father’s crucial role
  • Some final information on emotion coaching through the years

We’ll continue discussing these and other topics in the API Reads book club discussion of Raising an Emotionally Intelligent Child by John Gottman, PhD. Come join the discussion at GoodReads for the remaining month of December.

Coming up: In January and February we’ll be reading the book The Science of Parenting by Margot Sunderland. We hope you’ll join the discussion!

API Reads Nov & Dec 2013: Raising an Emotionally Intelligent Child

Do you know what Emotion Coaching is?Raising and Emotionally Intelligent Child book cover

Have you heard of the “scaffolding technique”?

Do you know the role of the father in our children’s lives?

How can you bring more empathy into your relationship with your children and partner?

We’ll be discussing these and other topics in the API Reads book club discussion of Raising an Emotionally Intelligent Child by John Gottman, PhD. Come join the discussion at GoodReads during November and December.

Modern parenting may hinder brain development, research shows

By Susan Guibert, reprinted with permission, Notre Dame News, http://newsinfo.nd.edu/

Social practices and cultural beliefs of modern life are preventing healthy brain and emotional development in children, according to an interdisciplinary body of research presented recently at a symposium at the University of Notre Dame.KONICA MINOLTA DIGITAL CAMERA

“Life outcomes for American youth are worsening, especially in comparison to 50 years ago,” says Darcia Narvaez, Notre Dame professor of psychology who specializes in moral development in children and how early life experiences can influence brain development.

“Ill-advised practices and beliefs have become commonplace in our culture, such as the use of infant formula, the isolation of infants in their own rooms or the belief that responding too quickly to a fussing baby will ‘spoil’ it,” Narvaez says. Continue reading Modern parenting may hinder brain development, research shows

The Link between Breastfeeding and Mental Health

By Kathleen Mitchell-Askar, Pregnancy & Birth and Feeding Editor for The Attached Family

A study published in the April 2010 issue of The Journal of Pediatrics by The Western Australian Pregnancy Cohort (Raine) Study suggests that breastfeeding may have a positive effect on children’s and adolescents’ mental health. A paper that appeared in the Journal of Child Psychology and Psychiatry listed children’s mental health as one of the six priority areas in need of attention to improve the health and development of children and adolescents across the globe. At a time when 10 to 20% of children worldwide suffer from emotional or behavioral problems, a possible solution as simple as breastfeeding is one that could prove both attainable and powerful.

For more than 50 years, breastfed babies have been shown to hold developmental and cognitive advantages over non-breastfed children. Some studies have even shown that breastfed infants are better able to cope with adverse stimuli with more control, and children who were breastfed as infants exhibited greater resilience against the stress and anxiety associated with parental separation and divorce. These previously published studies are limited, however, by their small, often nonrandom, samples.

The Australian study derives its strength from its large sample size, longitudinal nature, and excellent response fractions. From 1989 to 1992, the Western Australian Pregnancy Cohort enrolled 2,900 pregnant women during their second trimesters who went on to deliver at the major obstetric hospital in Perth. Researchers gathered data on both parents’ familial, social, economic, and demographic backgrounds, along with their medical and obstetric histories, and updated the data during the 34th gestational week. The newborns (both singletons and twins) were initially examined by a midwife or pediatrician at two days postpartum, and 2,868 live births were included in the study. These children were followed until age 14.

The study focused on the parent-report Child Behaviour Checklist (CBCL) as the outcome variable at the five-, eight-, ten-, and 14-year follow-ups. The two-year-old children were evaluated with a similar questionnaire, modified with appropriate sleep questions and other subtle differences relative to the age group. Parents completed the 118-item CBCL, which measures behavioral psychopathology in children according to eight syndrome constructs:

  • Withdrawn
  • Anxious/depressed
  • Somatic complaints
  • Social problems
  • Attention problems
  • Thought problems
  • Delinquent behavior
  • Aggressive behavior.

Withdrawn; anxious/depressed; and somatic complaints were grouped and scored as “internalizing problems.” Delinquent and aggressive behaviors were treated as “externalizing problems.” The results from the CBCL were converted into age/sex-appropriate scores. The higher the score, the more problematic the child’s mental health.

A little over half of all mothers in the study (52%) breastfed for six months or longer, and 11% never breastfed at all. Nineteen percent of the children were breastfed for less than three months, 19% for three to six months, 28% for six to 12 months, and 24% for 12 months or more. The study investigated the effects of exclusive breastfeeding but found it did not change the conclusions drawn from the data with “any” breastfeeding (breastfeeding with the addition of solid food).

The study’s findings point to a boon for breastfed children: The longer a baby fed at the breast, the lower the child’s score on the CBCL, and the trend continued through adolescence. The differences between breastfed and non-breastfed children were most distinct in the total and externalizing scores. Even after researchers controlled for such confounding factors as maternal age at birth, maternal education, maternal smoking, family structure (whether the biological father lived with the family), life stress events, and maternal postnatal depression — all of which have been linked with higher rates of mental health problems — shorter breastfeeding duration was “consistently associated with increased risks for mental health problems of clinical significance through childhood and into adolescence,” the study concludes.

Despite the promising findings on the effects of breastfeeding on mental health, whether the positive correlation was due to breastmilk itself or the maternal-child bond cultivated at the breast was unclear. It is known that the fatty acids and other bioactive components in breastmilk positively contribute to child development and health. The hormone leptin, also found in breastmilk, may reduce stress in infants through its effects on the hippocampus, hypothalamus, pituitary gland, and adrenal gland.

Breastfeeding mothers have also been shown to touch their babies and gaze into their eyes more often. Such stimulation has not been linked with better mental health in human studies yet, but the Australian researchers cite a study on rat pups, and those that received a greater amount of maternal contact were better able to cope with stress as adults.

According to the study, “Breastfeeding may also be an indicator of a secure attachment status, which is known to have a positive influence on the child’s psychological development into adulthood.”

Even though breastmilk is the healthiest first food for a child, if a mother cannot or chooses not to breastfeed, it is possible that the attachment between parent and child affects the child’s mental health more profoundly than does the food itself. By practicing Attachment Parenting, holding the baby close while bottle-feeding, and increasing the amount of touch through babywearing, the mother of a non-breastfed baby could give her child mental-health benefits similar to those enjoyed by a breastfed baby. Parents who give proper attention to their children and remain present with them, whether breastfeeding or not, will make their child feel cherished and have a positive effect on his or her self-esteem.

But, as the Western Australian Pregnancy Cohort (Raine) Study shows, “breastfeeding for a longer duration appears to have significant benefits for the onward mental health of the child into adolescence…Therefore, interventions aimed at increasing breastfeeding duration could be of long-term benefit for child and adolescent mental health.”

Why It’s Important to Help Children Make Friends

By Rita Brhel, managing editor and attachment parenting resource leader (API)

My four-year-old is exceptionally smart but has a tough time with social relationships due to developmental delays spurring from prematurity. In fact, she’s in a special school program designed to teach her social skills such as initiating interaction and maintaining conversation with peers. Some progress has been made, with much more to be done before she goes to Kindergarten.

Some people don’t understand why I put such emphasis on her social development, especially since academically she is well above her peers. But I remember having a tough time in school because of my lack of social skills, and I want my children to avoid that by learning all they can when they’re young. The ability to make and keep friendships is a life skill that will go on to determine part of their adult happiness.

Research (Hartup, 1990) shows that friendship serve many purposes, including:

AP is Good for Mom, Too

By Rita Brhel, managing editor and attachment parenting resource leader (API)

AP is Good for Your Emotional Regulation, TooExperts and parents agree – telling and retelling of a birth story is vital for a woman to overcome an emotionally traumatic birth. But there is certainly something to be said for the power of parenting in an attachment-promoting way in healing a mother’s feelings of disappointment, guilt, anger, and other strong and often confusing emotions that may surround her child’s entry into the world.

Women who are struggling with their emotions are not only grieving their lost dreams of what they had hoped for their labor and birth experience, but may also be battling with feelings of guilt and inadequacy as a mother. While we must take time to fully grieve our birth experiences, we must also find a way to move forward. It can be very fulfilling, and healing, to channel the strong emotions surrounding our child’s birth into caring for her in a loving, positive, attachment-promoting way. Just as a hobby or a phone call to a friend can give a release for our strong emotions in a healthy way, so can we heal through our parenting.

It must be noted, though, that by healing through our parenting, I do not mean that we transfer our strong emotions to our baby or that we attach onto our child in any other way than an appropriate parent-child relationship. What I’m referring to is using parenting as a healthy outlet for women to move forward. Harville Hendrix, PhD, and Helen LaKelly Hunt, PhD, explain this in their book, Giving the Love that Heals.

“In a conscious marriage, partners grow when they stretch to meet the needs of the other, and they heal when their needs are met by their partner,” they write. “The process is mutual. In marriage, it is appropriate for a partner to grow by meeting the needs of the other partner, but it is not appropriate for a parent to try to heal by having the child meet his needs. The process for parents and children is not mutual. The parent must heal his childhood wounds in an adult relationship and not in his relationship with his child.”

However, while healing through the parent-child relationship is not synonymous with the adult-adult relationship, Hendrix and LaKelly Hunt acknowledge that parenting can be a pathway to personal healing.

“The sense in which marriage can be healing is that partners restore their own wholeness when they stretch to meet each other’s needs, giving to the other what is often hardest to give,” they continue. “The sense in which parenting can be healing is that parents restore their own wholeness when they stretch to meet the needs of their children at precisely those stages at which their own development has been incomplete. Through marriage and parenting, partners and parents can recover parts of themselves that have been lost. Both marriage and parenting give people the chance to receive for themselves what they give to their partner or child. They get what they give. In this way, both marriage and parenting can be transformational, because the healing experiences these relationships can provide will change the very character of the people involved.”

Healing from birth trauma is, of course, not the same as healing from childhood wounds, but this excerpt is illustrative of the difference between a parent inappropriately leaning on her baby to provide emotional comfort and a parent appropriately using parenting her baby in an attachment-promoting way as an opportunity to heal through giving to another.

Virtually all Attachment Parenting (AP) practices can help a mother heal from her birth trauma by promoting a close, positive relationship between her and the baby, but there are a few that research has shown to be especially beneficial to the new mother – perhaps not in magically healing emotional trauma but in providing an atmosphere supportive of a mother’s own efforts in healing.

Breastfeeding

Breastfeeding is particularly powerful in jump-starting the mother-baby attachment bond. Attachment Parenting International (API) Co-founders Barbara Nicholson and Lysa Parker describe breastfeeding as the ideal model of attachment in their book, Attached at the Heart, for sale here. There are myriad benefits for the baby and mother, in regards to health and attachment, but what about helping mothers’ emotional well being?

Read API’s review of Attached at the Heart here.

“Breastfeeding triggers the release of the attachment-promoting hormone oxytocin into the mother’s body,” Nicholson and Parker explain. “Often called ‘the mothering hormone,’ oxytocin has a calming effect on both mother and baby. “

Futhermore, “research in depression is showing a correlation between lower levels of certain hormones in mothers who experience depression, so it appears that anything we can do to increase levels of these natural hormones may be a powerful aid in prevention,” Nicholson and Parker write.

Health psychologist and API Resource Advisory Council and API Editorial Review Board member Kathleen Kendall-Tackett echoed this research in her 2007 International Breastfeeding Journal article, “A New Paradigm for Depression in New Mothers: The Central Role of Inflammation and How Breastfeeding and Anti-inflammatory Treatments”: “…although women experience many stressors in the postpartum period, breastfeeding protects them by inducing calm, lessening maternal reactivity to stressors, and increasing nurturing behavior. …breastfeeding can protect mothers’ mental health and is worth preserving whenever possible.”

Responding with Sensitivity & Providing Consistent, Loving Care

Lack of sensitivity toward the baby is a hallmark effect of a mother who is dealing with emotional issues, but a mother who focuses on responding appropriately and quickly to her baby’s cries can improve her mood by reducing how much her baby cries. Nicholson and Parker explain that parents need to respond to their baby’s pre-cry cues; by waiting until the baby is crying, he will be much more difficult to console. Babies are not born with the ability to regulate their strong emotions – they rely on their caregivers to do this for them by responding quickly, appropriately, and consistently.

We don’t need a research study to show us how stressful it can be to listen to our child’s unrelieved cries, but I did want to share one study’s conclusion included in Attached at the Heart. According to a 1995 Pediatrics article, “Developmental Outcome as a Function of the Goodness of Fit Between the Infant’s Cry Characteristics and the Mother’s Perceptions of Her Infant’s Cry,” mothers who responded consistently and appropriately had higher self esteem than did mothers who were inconsistent in the responses to their baby’s cries.

In addition, “mothers who feel low, depressed, anxious, exhausted or angry, who have relationship problems with their partner, or who feel strongly rejected by their baby’s crying are more likely to have a baby who cries excessively,” according to Dr. Gillian Rice in his Netdoctor.co.uk article, “Why Do Babies Cry?” “This isn’t to say that the mother’s feelings caused her baby to become a frequent crier, but they may be a factor in perpetuating the baby’s crying.”

Nurturing Touch

Especially for mothers who are unable to breastfeed, nurturing touch stimulates the mother’s body to also release oxytocin.

“The good  news for a mother or caregiver who is not breastfeeding is that she can still receive oxytocin benefits from holding the baby skin-to-skin, and also by giving and receiving nurturing touch through massage and gentle caress,” explain Nicholson and Parker.

Louis Cozolino suggests through his book, The Healthy Aging Brain, that new mothers add nurturing touch as part of their regular infant care techniques, not just for the baby’s benefit but for their own mental health.

“Studies have found that teaching depressed mothers to massage their infants increased the amount of touching and bonding time between them, and decreased levels of stress hormones in both infants and mothers,” he writes. “The infants showed increased alertness, emotionality, and sociability, and they were easier to soothe. Touching their children not only activated smiles and positive expressions on the part of the infants, but also made the mothers feel happier and more effective.”

Cosleeping

I am amazed of how healing it can be at all stages of parenting to sleep in proximity of my children. For the new mother, cosleeping reduces stress and improves sleep by having the reassurance that the baby is nearby and safe as well as the convenience of caring for the baby in the same room rather than in another part of the house.

A study detailed in Sharon Heller’s book, The Vital Touch, describes how “mothers slept slightly better and slightly longer when their babies stayed with them.” Heller goes on to explain how a mother’s instinct is to protect her baby and separation and crying is contrary to this instinct – arousing a mother’s natural impulse to correct the situation.

“From a purely practical standpoint, parents report that they get more sleep with fewer interruptions when the cosleep,” write Nicholson and Parker. “They don’t need to get up to attend to baby’s needs, which keeps parents from having to wake up fully during feedings.”

Cosleeping enhances early mother-baby bonding, because nighttime parenting allows the mother to continue responding with sensitivity around the clock through breastfeeding, nurturing touch, and consistent and loving care.

“Babies feel warm, secure, and protected; therefore, they fret and cry less,” they continue. “Mothers worry less about their infants at night when they can reach out and touch the baby.”

Balance

Striving for balance between our personal and family lives is a must when seeking ways to decrease stress on new mothers and improve mood. Though it may not seem so, AP practices are in many ways just as helpful to maintaining balance in the mother’s life as they are in being compassionate and nurturing to the baby. AP practices aren’t solely for the child’s comfort – mothers receive hormonal benefits through breastfeeding and nurturing touch, more sleep through cosleeping, and reduced stress from crying through responding with sensitivity and providing consistent, loving care.

Still, especially for the first-time mother or for mothers who are going through a difficult postpartum recovery, balance can be an elusive goal. The key is to rely on others for their help in taking care of you. Postpartum Support International names social support as one of the most effective factors in prevention and treatment of postpartum depression. This social support may come in the form of your spouse, mother, friend, local API leader and API Support Group, or even through the virtual connection through the API Forums.

Nicholson and Parker describe the crucial importance of balance in a new mother’s life in Attached at the Heart, warning that “without support and other resources, we are taking a big risk for our children and ourselves. Margot Sunderland addresses the critical issue of stress and balance from a brain chemistry perspective in her power book, The Science of Parenting. She describes the positive effects of the hormone oxytocin and its role in helping calm all human beings. We are designed to help provide emotional regulation for children and each other. When a parent is alone most of the time without other caring adults to talk to, stress hormones rise, feelings get out of balance, and irritability and anger lash out.”

Sunderland’s advice: Mothers need to seek out nurturing touch from their partners, which triggers the release of oxytocin, which then gives a warm, calm feeling. And a sense of balance.

If you’re partner isn’t available or if you’re a single parent, talking to empathic friends can provide a much-needed outlet for stress. Other activities that can give you that oxytocin release include: meditation, acupuncture, massage, physical affection, yoga, warm bath, spending time in the sun or bright artificial lighting.

Discuss this topic with other API members and parents. Get advice for your parenting challenges, and share your tips with others on the API Forum.

Jackie’s Story: Growing Up with PDD

By Kandace Wright

**Originally published in the Fall 2007 Special Needs issue of The Journal of API

Jackie
Jackie

Jackie informed me yesterday that when she has her own children she will never tell them “no.” Never. I smiled and wished her luck with that. Then, today after school, she informed me that she thinks she might sometimes need to tell them “no.” Sometimes.

Jackie is a healthy, mostly happy 11-year-old child with special needs. What makes her unique is that she has pervasive developmental disorder. She has some autistic features mixed with a possible mood disorder, though some days I wonder if her mood swings are more related to her approaching coming-of-age. I do not believe there can be anything more emotional that impending menstrual cycles for a young pre-teen. Sigh. When did I become the mother of a pre-teen?

About PDD

The diagnostic category of pervasive developmental disorders (PDD) refers to a group of disorders characterized by delays in the development of socialization and communication skills. Parents may note symptoms as early as infancy, although the typical age of onset is before three years of age. Symptoms may include problems with using and understanding language; difficulty relating to people, objects, and events; unusual play with toys and other objects; difficulty with changes in routine or familiar surroundings; and repetitive body movements or behavior patterns.

Autism is the most characteristic and best-studied form of PDD. Other types of PDD include Asperger’s syndrome (a high-functioning form of autism in children who generally have high IQs), Childhood disintegrative disorder (in which a child may develop fairly normally until 18 to 36 months and then begin to regress, especially in speech and social interaction), and Rett’s syndrome (a neurodevelopmental disorder found almost exclusively in females and characterized by normal early development followed by loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, gut-associated lymphoid tissue abnormalities, seizures, and mental retardation).

Children with PDD vary widely in abilities, intelligence, and behaviors. Some children don’t speak at all, others speak in limited phrases or conversations, and some have relatively normal language development. Repetitive play skills and limited social skills are generally evident. Unusual responses to sensory information, such as loud noises and lights, are also common.

Practicing Attachment Parenting has enabled us to be more responsive and more intuitive to Jackie’s needs. My husband and I can often sense what she needs from us and her environment, which is key to our preventing meltdowns and struggles.

We also feel strongly that we help her by having a support system for us. We rely on a support team including family, friends, and people from the school system who work with Jackie. Sometimes we need respite care, an extra set of hands, or a parents’ night out. Our sitters are well trained to work with children like Jackie, and all of our kids look forward to the special playtime. We enjoy coming home relaxed and rejuvenated, and know we are in a better place to cope with any challenges that might arise.

Different is OK

One of the hardest challenges with raising a special needs child is trying to keep people, including us as her parents, from attempting to force her into being a “typical” child. Jackie is different. She will always be different, and I celebrate that difference.

That said, it’s not all roses. There are some thorns. We have struggled with defining what Jackie needs in her school environment. We have also struggled with therapists and psychiatrists who have tried a one-size-fits-all approach to Jackie’s challenges, including the use of medications.

A Trial of Medication

We resisted using any medications for a long time, despite the pressures. When we had our fourth child, things really bottomed out for her. She was in such emotional pain. We decided it was unfair to not at least investigate and try medications. We started out with high hopes, but soon realized that our daughter had become a proverbial guinea pig.

We tried half a dozen medications over the course of 18 months. I know some children receive relief from medication, but Jackie never did. In fact, they had a negative effect on her system and she seemed even worse. It was heartbreaking. We ended the experiment and weaned her off all medication.

Jackie hit a new low while weaning from the medications. Then, after a month, she seemed herself again. She became more in control of her emotions and behaviors, and her humor returned (something I hadn’t quite realized how much I’d missed). She seemed settled. I cannot quite explain it, but she just seemed more like the daughter that we knew and loved – quirks and all.

Two Steps Forward, One Step Back

It’s been about six months, and Jackie continues to improve. She takes two steps forward, then one back (sometimes three back), and then she makes progress again. She was recently able to transition from the special needs school bus to the regular school bus, which was an important milestone for her.

No matter how hard we attempt to prepare her to be confident with her special needs, as she gets older there will always be the pull to be more like a “typical” children. She will always want to be “normal.” We embrace Jackie as she is. We have taught all of our children that we are each unique, and we encourage them to be accepting of others, even those who face challenges that make them difficult to deal with.