Category Archives: 4. The Growing Child

From age 4 to age 9.

2. The Infant, 3. The Toddler, 4. The Growing Child, 5. The Adolescent, Secondary Attachments: Fathers, Grandparents & Other Loved Ones

The 4 Parenting Styles: What Works and What Doesn’t

August 4, 2009 The Attached Family 20 Comments

By Dr. Maryann Rosenthal, co-author of Be A Parent, Not A Pushover, reprinted with permission from DrMA.com

I believe it’s that overall style or pattern of action — rather than a specific decision — that will most affect a child’s behavior. Generally, psychologists have found that there are two main components of parenting styles.

One is responsiveness, or how much independence you’re willing to grant. The other, for lack of a better word, is demandingness — how much strict obedience you require. How much obedience parents demand, how much freedom they grant, and how these two behaviors mesh go a long way toward defining the parents’ style.

These parenting styles fall into a generally accepted four broad categories. Though different researchers give different names to them, the styles usually are said to be: Authoritarian, Authoritative, Permissive, and Uninvolved.

Authoritarian

Authoritarian parents are very strict and controlling. They have a strong sense of justice and of the need for obedience. They’re big believers in clearly stated rules. If their kids don’t “see the light” (behave as ordered), then those teens will “feel the heat” (be punished). Such parents take a dim view of being challenged. Give-and-take with their children is discouraged.

Thus, these parents are highly demanding but not very responsive. Researchers believe children of authoritarian parents tend to be timid, have lower self-esteem, lack spontaneity, and rely to an unusual degree on the voice of authority.

Authoritative

While retaining authority and control, these parents are warmer and more communicative than Authoritarian parents. Authoritative parents seek a balance between the teens’ desire for independence and the parents’ desire to be listened to. These parents are demanding and responsive. They’re assertive but not intrusive or restrictive. They want their children to be assertive as well as socially responsible and self-regulated as well as cooperative.

The best-adjusted children, researchers have found, often have parents with an Authoritative style. Both the Authoritarian and the Authoritative parents have high expectations for their children, but the Authoritative parent encourages more freedom of expression. So the child more likely develops a sense of independence. Such kids tend to develop into more competent adults than children brought up in the other styles.

Permissive

Permissive parents, while often warm and accepting, make few demands on their children. They’re lenient, avoid confrontation, and allow considerable self-regulation. They may worry about thwarting the child’s creativity and sense of self. They’re much more responsive than they are demanding.

Sometimes the Permissive style is based on confusion. The parents are so out of touch with the pre-adolescent and adolescent world that the best they can do is to try to be a pal to their child. So they tend to give their kids what they ask for and hope that they are loved for their accommodating style.

Other Permissive parents want to compensate for what they themselves lacked as children. Perhaps they grew up in poverty and/or had parents who were overly strict. So as a result, seeing themselves as an ally to their child, these parents bend over backwards to give the child both the freedom and the material goods they lacked. Yet other Permissive parents act conditionally. They view the maturing child as a mini-adult and give him or her what he or she wants, provided the child satisfies certain parental demands. Making good grades, for example, may be linked to freedom and material benefits.

Or, at its most lax extreme, permissiveness may take the form of indifference. The parents are just too busy, poor, troubled, or self-involved to exert much control. They may give material goods and freedom in return for the child’s implicit promise not to demand much from the parent.

Uninvolved

The uninvolved parent demands almost nothing and gives almost nothing in return, except near-absolute freedom. This style is low in both demandingness and responsiveness. At its worst, it can verge into neglect.

How would these parenting styles work in practice? For example, a teen wants to go with a bunch of friends on a weekend outing to Mexico where, the parent suspects, wild partying is on the agenda because of younger drinking-age requirements there:

An Authoritarian parent might say: “No way! And if I ever catch you going down there without my OK, you’ll be in big trouble.”
An Authoritative parent may respond: “No, I don’t want you to go down there right now with your friends. But let’s you and I go down soon, though, and check it out. If it looks OK, maybe you can go later with your buddies.”
A Permissive parent would say: “Sure, go and have fun, but be careful.”
An Uninvolved parent may reply: “Whatever.”

Parenting style has been found to predict child well-being in a number of areas, including social skills, academic performance, and the degree of problem behavior. The Authoritarian, Permissive, and Uninvolved styles can carry a high cost:

Children of Authoritarian parents, for example, may do well in school and not engage in problem behavior, but they tend to have poorer social skills, lower self-esteem, and higher levels of depression. They may grow up to be highly anxious people who don’t realize their full potential because, figuratively speaking, they’re always looking over their shoulder for that overly-demanding parent.
The children of Permissive parents may come to feel entitled to privileges and material goods. If the parents try to regain control, the older child probably will perceive that effort to be a power struggle. He or she may fight back in dangerous ways, including sexual rebellion, unsavory associates, or substance abuse. Thus, they’re more likely to be involved in problem behavior and perform less well in school, though they have higher self-esteem, better social skills, and lower levels of depression than Authoritarian children.
And Uninvolved parents, of course, can sow a lifetime of havoc by their indifference or inability to deal with their children.

Authoritative parenting, which balances clear, high parental demands with emotional responsiveness and recognition of the child’s need for autonomy, is one of the most consistent predictors of social competence. Thus, the child of Authoritative parents typically does well in school, develops good social skills, and avoids problem behaviors.

Studies show that the benefits of Authoritative parenting and the disadvantages of Uninvolved parenting are evident as early as the preschool years and continue throughout adolescence and into early adulthood. A recent study of 1,000 teens, for instance, by the National Center on Addiction and Substance Abuse evaluated a “hands-on” (roughly equivalent to the Authoritarian or Authoritative styles) approach versus a “hands-off ” (akin to the Permissive or Uninvolved styles) approach to parenting and found that teens living with “hands-on” parents are at only 25% of the risk for drug abuse than those living in “hands-off ” households. Similarly, 47% of teens in “hands-on” households reported having an excellent relationship with their fathers and 57% an excellent relationship with their mothers. By contrast, 13% of teens with “hands-off” parents reported an excellent relationship with their fathers and 24% with their mothers.

“Moms and dads should be parents to their children, not pals,” said Joseph Califano Jr., former Secretary of Health, Education, and Welfare, in summing up the study. “Mothers and fathers who are parents rather than pals can greatly reduce the risk of children smoking, drinking, and using drugs.”

Editor’s Note: Attachment Parenting International advocates a certain approach to parenting in order to develop close, healthy emotional bonds between the parent and child, and this looks different in different families, but it is ideal for attached families to strive toward the science-backed Authoritative parenting style.

3. The Toddler, 4. The Growing Child, 5. The Adolescent, The Editor's Desk

TV as a Parenting Tool?

July 28, 2009 The Attached Family 5 Comments

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

TV time Most parenting experts advise that parents use extreme caution in allowing their child to watch television, especially younger children, and even with educational programming. And many attached parents either don’t allow television at all or only sparingly. But there are some of us who do allow our children to watch TV and are OK with it.

What Makes TV Bad

A study by the University of Washington and the Seattle Children’s Research Institute, published in Pediatrics and Adolescent Medicine in June 2009, determines that television-watching significantly delays language development in young children. The reason is, children learn to talk from listening to their parents and when the television is turned on and is audible, parents are less likely to talk to their children.

TV-watching is also associated with obesity, sleep problems, Attention Deficit Hyperactivity Disorder, violent behavior, and poor school performance.

But what exactly about TV puts children at risk for these problems? The reason is because TV is meant to be a source of entertainment, not a teacher or babysitter. Yes, television captivates children’s attention and can keep them from busy for long periods of time – long enough for a parent to get some chores, work, or a hobby done. But, it’s because TV makes it so easy for parents why it makes it so wrong. It’s not the TV in and of itself putting children at risk of these problems; it’s the parents who aren’t interacting with their children and who aren’t setting boundaries on what their children view, as in the case of violence, sexual behavior, and bad language.

According to the National Institute on Media and the Family, media exposure on children affects their brain development as any other influence, such as parents and teachers. Allowing children to watch sexual or violent material isn’t entertainment – it’s education. As parents, we need to be careful what we’re allowing our children to learn.

So, why not just turn off the TV? Well, many parents do choose this option. But, TV is a part of our culture, just as are cell phones and Internet, and all of these electronics are being incorporated into more of our lives. We can just turn the TV off, or we can teach our children how to use the TV appropriately.

When TV is Good

Regarded for what it is, mostly entertainment, families can use television much as they would a book – helping to provide children exposure to new ideas. As long as the show is developmentally appropriate, small doses of television aren’t harmful. For example, my children enjoy watching Nature on the Public Broadcasting Service which takes viewers all over the world to see wildlife and natural habitat.

Some educational programming is OK, too. According to the Center for Media Literacy, some educational programming each week improves preschoolers’ standardized test scores. Many a foreign-speaking family credits television to learning their home country’s language. And, obviously, the older the child, the more she can learn from watching television, such as keeping up on current events or watching shows that explore science or history. Although many experts don’t give too much credit to TV, educational shows are created using child development specialists and on the back of research studies.

Still, parents should screen all shows before allowing their children to view it, including so-called kid-friendly cartoons, and also watch their child’s reaction to the show. For example, I only let me children watch the “Elmo’s World” on Sesame Street because some of the rest of show didn’t sit well with me. There is sometimes a play on a popular song whose original lyrics I know are not kid-friendly. Plus, while my children were entertained, I would rather have a television program that engages my children enough that they are excited to tell me what they learned later. I am a big fan of Word World on the Public Broadcasting Service, which literally taught my three-year-old her alphabet, and Barney because it inspires my children to get up and dance to the music, and not just sit passively watching the TV.

Used appropriately, television can help some families bond. My family has a movie night each week. We make homemade popcorn together, snuggle up on the couch, and turn on a movie, sometimes a DVD and sometimes on a television network. If the movie is on the television network, we mute commercials and take that time to talk to each other. My children look forward to movie night as a time to do something together just like when we go on a bicycle ride or do another family activity.

The big take-home message is, watch what your kids are watching and know the influence of the content they’re viewing. Also, it’s very important to put some limits on your child’s viewing time. The American Academy of Pediatrics and other experts recommend no TV time the first two years of life and a limit of two hours for children ages two years old and older, no TV in children’s bedrooms, and no TV during family mealtimes.

A Word about Commercials

There is a component to television that all parents must beware, and that is the advertisements. We can screen television shows and choose age-appropriate programming, and we can limit our children’s time watching television, but commercials are insidious. You may think your children are safe watching Dora the Explorer, and up pops a commercial touting the deliciousness of some unhealthy snack.

Advertisements are designed to persuade. Many commercials aimed at children are to sell a product, such as a toy or food, and besides when your children bother you about wanting to buy such and such, you may not think much more about it. But it’s important, if you allow your children to watch TV, to realize just what the television is exposing your child to. Start to study the commercials that interrupt the shows your child and your family watch. From sexual innuendos to sell clothing to a promo for a violent movie, you’ll start to notice what advertisers are using to try to influence you – and your children – to do what they want you to do.

According to the Campaign for a Commercial-Free Childhood, marketing is directly linked to childhood obesity and is a factor in the development of eating disorders, precocious sexuality, youth violence, family stress, and children’s reduced ability to play imaginatively. And advertisers want our children’s minds: Companies spend about $17 billion each year marketing to children. TV alone bombards children ages two to 11 years old with more than 25,000 advertisements, which doesn’t include placement of products within television shows and movies. Children under 12 years old influence about $500 billion in purchases every year. Children under 14 years old spend $40 billion each year, and teens spend $159 billion.

There are a number of ways you can reduce influence from commercials while watching the television:

Turn off the TV while commercials are on.
Change the channel.
Mute the TV during commercial time.
Watch a TV network without commercials, such as the Public Broadcasting Service.
Educate yourself on the influence of marketing. For example, children younger than eight years old are developmentally unable to understand advertising’s intent and therefore rely on their caregivers to regulate marketing exposure for them. With older children, advertisers tend to denigrate adults and exploit children’s desires to fit in with their peers and rebel against authority figures.
Teach your older child how to use critical thinking tools to decipher what an advertiser is trying to persuade him to do, how to find the truth in the advertising message, and to take charge of his own buying habits using family values as a basis. To learn more, read the article in the upcoming Summer 2009 “Feeding Our Children” issue of The Attached Family magazine.
Use videos/DVDs.

3. The Toddler, 4. The Growing Child, 5. The Adolescent, Striving for Balance: Personal & Family, The Editor's Desk

Yelling Works…and Other Parenting Myths Busted

July 28, 2009 The Attached Family 1 Comment

By Rita Brhel, managing editor and API Leader

Family Myths Susie Walton used to yell at her kids – a lot.

“The older they got, the more I yelled,” recalled Walton, an International Network for Children and Families (INCAF) parent educator and author of Key to Personal Freedom who busted a few of the powerful myths outlined in her book during an INCAF teleseminar last week.

When her four boys – all within five years – were younger, yelling was a somewhat effective discipline, she admits. But that changed when they hit their teen years. Yelling no longer worked at all, and Walton was forced to find another way to interact with her children. She turned to positive discipline. As she acquired new skills and a new philosophy of parenting her children, one truth stood out among the others: that 95% of what children learn comes from what their parents model.

What was Walton teaching her sons by yelling? To solve problems, especially interpersonal conflicts, through exerting control over others.

Myth Busted: Validation Works Better Than Yelling

What Walton learned is that the strongest tool parents can use during a moment of conflict with their children is validation. Children, like adults, want to be heard and understood, even if the answer is still “no.”

For example, say a girl asks her father if she can turn on the television and he believes she has watched enough TV for the day. So, she begins to have a tantrum. What does Dad do? What is not helpful is saying, “No, you can’t.” While the girl certainly wants the TV on, the way to resolve the situation is not to engage her in a power struggle over the on/off button. An example of an appropriate validation here is, “I know you want to watch the TV, but you’ve already watched two hours worth today and that is enough.”

Just as with yelling, the certainty of mainstream culture that spanking and other fear-based forms of punishment are effective at disciplining children is a myth. Parents don’t need to use punishments to get the behavior they seek in their children. The first challenge is for parents to realize this truth; the second, and harder, challenge is for the parents to adopt new ways of disciplining their children. Walton suggested parents first place limits on their behavior, making it a rule that they will not use threats, bribes, or other fear-based discipline tools on their children. With this rule in place, parents can then begin using the positive, teaching- and guidance-based discipline tools they can learn through books such as Attached at the Heart by Attachment Parenting International Co-founders Barbara Nicholson and Lysa Parker, local API Support Group meetings, and other API resources.

It’s important, though, for parents to realize that it does take longer for children to learn a concept through positive discipline than through punishments, Walton said. However, once that child learns the concept, he is truly competent in it. Whereas, with punishments, a child behaves out of fear and does not learn the concept for the long term.

For example, a listener at the teleseminar described how her three-year-old son pushes and hits his 15-month-old sister. The mother is having a difficult time dealing with this sibling rivalry without resorting to spankings. Walton suggested she instead try validating her son’s feelings, acknowledging that his acting-out behavior is actually a cry for attention. To do so, Walton suggested the mother to give additional one-on-one attention to her son when he is not acting out, and when he does, to explain to him that it’s not OK to hit his sister and, if she wants more attention, all he needs to do is ask Mommy.

Myth Busted: Mistakes are Opportunities to Strengthen Connection with Our Children

No parent is perfect. We all make mistakes in relating to and interacting with our children. The key is learning to forgive ourselves but also learn from our mistakes – important not only for ourselves but for our children to learn. Walton explained how helpful it is for parents to look upon their children’s undesirable behavior not as something to be feared or ashamed of, but instead as opportunities for learning.

For example, a listener at the teleseminar described how her three-year-old daughter makes grocery shopping difficult because she grabs items off the shelf. She tells her daughter over and over not to touch things on the shelf. Walton suggested that the mother set up a mock grocery store at home and role play the behaviors she wishes to see first at home before going out to the store. Then, before going into the store, the mother would explain to her daughter that she isn’t to touch anything without Mom saying OK, just like when they play at home. Finally, when her daughter starts knocking items off the shelf, the mother should continue to focus on teaching her daughter to clean up and put the items back.

“Teach, teach, teach,” Walton said. “And when she does make a mistake, say ‘I love you, and we’re going to be OK,’ and help her clean up.”

Myth Busted: No One Knows Your Child Better Than You

One of Walton’s favorite parenting tools is to allow children to be children. She recalls a neighbor telling her, when her boys were young, that she needed to exert more control over them. She opted not to take this advice, because she enjoyed her time with her sons. She thought it was fun to let them be who they were, instead of trying to force them into certain behaviors to please those outside her family.

Walton said new parents are barraged constantly with advice from their family, friends, pediatrician, neighbors, and even strangers. But, no matter what others may claim, the real parenting expert for your child and in your family is you. And parents do best to only embrace the parenting tools and philosophies that they find are best for their individual family. For example, parents who cosleep with their children shouldn’t do it because a book said to and shouldn’t stop doing it because they saw a television ad that said so. Each family should be cosleeping or not because that is what they have found works best for their family.

In another example, it is Walton’s belief that parents cannot love their child too much. Others criticize this parenting approach, saying that they will spoil their children. Walton said they can spoil their children by teaching them that love equals material possessions, rather than being derived from emotionally healthy relationships. This parenting approach works for Walton, and no one’s criticism, or approval, weighs as much as on the decision to continue a nurturing parenting approach as what Walton sees working for her children.

Myth Busted: You Can Be Friends with Your Children

Many parents don’t like the thought of being friends with their children, because they connect that idea with an image of overly permissiveness. We know that children need discipline. They need boundaries.

Children also need parents who care and who are willing to listen when they talk about the joys and challenges of their day. The myth that parents can’t be friends with their kids stems from the image of a parent buying alcoholic beverages for their underage teens and perhaps even partying with them. What Walton is meaning is that parents need to give of their time to be with their children and, as was the theme of the 2008 Attachment Parenting Month, to give presence instead of presents.

Being friends with your children doesn’t mean that parents give up striving for personal and family life or not setting and maintaining boundaries and limits for their children’s behaviors, as outlined by the Attachment Parenting International’s Eight Principles of Parenting. Parents still need to maintain their self-respect by keeping their parenting approach family-centered rather than child-centered, and parents must remember that discipline is a vital parenting tool.

For example, Walton said her sons used to tell dirty jokes around her, so she talked to them about her concerns. Walton didn’t let her children do all that they wanted, as it was affecting her sense of balance. Motherhood martyrdom eventually breeds resentment.

The Price Families Pay for Myths

Too many families are stuck living according to these and other myths about parenting and child behavior. They’re trapped by their expectations that children should “act their age” and fears of spoiling their children, Walton said. They cannot truly enjoy parenthood and family life.

“What it can cost is that freedom to create the family we aspire to,” Walton said. And it can cost the child’s development of creativity, emotional regulation and ability to healthily attach to others, and other life skills. Walton calls on parents to bust the myths that constrict their family life – to break free of the bonds of fear and expectations, so that they can experience fulfillment in their parenting roles and reap the rewards of a close, connected family: “When we let go of these myths, it creates so much freedom.”

What myths have you busted in your family life?

4. The Growing Child, 5. The Adolescent, The Editor's Desk

A Win-Win Situation: How to Teach Sportsmanship

July 28, 2009 The Attached Family Leave a comment

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

How to Teach Sportsmanship Board games, sports, and other competitive activities can bring families closer together as well as teach children important lessons about character. A friend of mine has a nephew who is so unpleasant when he loses, that she refuses to play board games with him anymore. He pounds on the table, calling the other players cheaters or making excuses that it wasn’t his fault he lost the game.

It’s naturally for children and teens to feel disappointment when they lose a game — especially in a society where winning gets attention and attention boosts self-esteem.

The Dangers of Poor Sportsmanship Go Beyond the Game

Without a parent to teach the child how to handle wins and losses gracefully, as well as healthy ways to boost self-esteem, competitive children can turn to winning to feel good about themselves. And it’s not just winning by skills alone on the volleyball team, but winning at all costs in other areas of life where they may be tempted to turn to stealing clothes to win peer acceptance, cheating on a test to get parental approval, or badmouthing a teammate to win attention from the coach.

Teaching Sportsmanship Begins at Home

Teaching good sportsmanship is like teaching anything else. Children learn primarily from what their parents model in their behavior. In her Life.FamilyEducation.com article, “When Good Kids are Bad Sports,” Susan Linn lists these questions for parents to ask themselves when they notice poor sportsmanship in their child’s behavior:

How do I behave when I’m playing games with my child? How do I react when my child makes a mistake, when he wins, when she loses?
How do I behave at my child’s sports games? Do I ever get visibly angry at the coach or the referee?

What to Do When It Happens

In the moment when your child is displaying poor sportsmanship, it’s important to react with calm empathy and to focus on teaching the behaviors you wish to see, just as you would when your child is having a tantrum or upset with something else. Here is an example of how to do this:

Observe without judgment – “You look upset.”
Open the lines of communication – “I’m here if you want to talk about it.”
When your child does describe the situation, empathize – “Gosh, that would be frustrating.”
Problem-solve with your child, letting him take the lead but clarifying any family values – “Let’s come up with some ideas about what to do if this would happen again.”
Take the pressure off your child – “I know you really wanted to win, but it’s more important that you have fun.”
Share examples from your life of feelings after you won or lost, and the choices you made in displaying those feelings – “I remember playing soccer when I was younger, and we lost our last game of the season. I was so disappointed, I even cried! So I decided to practice more, and when the next year came, our team played a lot better.”

How do you resolve feelings of disappointment in your child when he loses a competition or game?

4. The Growing Child

Unschooling: Learning through Play

July 21, 2009 The Attached Family 2 Comments

By Jan Hunt, member of API’s Advisory Board and API’s Editorial Review Board. Reprinted with permission from www.naturalchild.org

Unschooling: Learning through Play My son Jason, now a young adult, has been unschooled from the beginning – we were fortunate to have discovered John Holt’s books when Jason was two, and never looked back.

Jason was a very inquisitive child, who loved learning new words and playing with numbers. He had an extensive vocabulary by 18 months, understood the concept of infinity at two years old, and taught himself squares and square roots at three. In spite of all this, I still wondered if I should use a curriculum, especially for math. It was hard not to worry when taking a path that was so different from the one I had taken in childhood. It was also hard not to be affected by my parents’ doubts, even though I understood the reasons for their skepticism.

When Jason was seven years old, he asked for a math book as his special holiday gift that year. We had recently read John Holt’s glowing review of Harold Jacobs’ book, Mathematics: A Human Endeavor, in Growing Without Schooling. The book proved to be as wonderful as John Holt had said, and we enjoyed it a lot. But a few months later, I noticed that Jason hadn’t looked at it for a while. I decided to suggest reading a chapter per week together. Fortunately, I was busy that day and didn’t get around to asking him. That evening, Jason came up to me, book in hand, saying, “Let’s play math.” My first thought was, “Whew, that was a close one.” Had I made my offer, he probably would have accepted it, and even learned from it, but where would the concept of math as play have gone? Continue reading Unschooling: Learning through Play →

3. The Toddler, 4. The Growing Child

A Resource for Parents of Picky Eaters

July 14, 2009 The Attached Family Leave a comment

By Heidi Green ©, reprinted with permission from BabyGooRoo.com

MyPyramid for Preschoolers Five years ago, I had very firm ideas about childhood nutrition. “Balanced meals” was my mantra. I presented plates with foods of different colors (indicating different nutrients), and I sought out whole foods, natural foods, and organic foods. My firstborn stuck up his nose at much of it. Even the foods children are “supposed” to love – macaroni and cheese, pizza, and hot dogs – earned his disdain.

I quickly went through what I now think of as the Five Stages of Preschooler Feeding Grief:

Denial – “He’ll eat it next time.”
Anger – “Why won’t he eat this?!”
Bargaining – “Eat this if you want dessert.”
Depression – “What’s the point in cooking good foods if he won’t eat them?”
Acceptance – “Well, he is a healthy boy in spite of being picky.”

And that’s the important truth: my now five-year-old son is a healthy child. He’s lean and active, energetic, and funny. And while he still prefers the foods he accepted easily, he has broadened his palate some. A little bit.

MyPyramid for Preschoolers

The title of this U.S. federal government’s subpopulation-specific nutrition pyramid, MyPyramid for Preschoolers available at ChooseMyPlate.gov, is something of a misnomer. After all, preschoolers won’t use it themselves. Most don’t read. It’s a sure bet that none are planning their own meals! So this tool is, more accurately, for parents of preschoolers. Still, those who are planning meals for children between the ages of two and five may find it helpful.

Like the other MyPyramid modules, the preschoolers’ site is customizable. Parents can enter in their children’s information, and find out information related to:

Growth charts – Body Mass Index and height-for-age charts are available. Unfortunately, although the site does acknowledge that there is a “wide range of normal growth,” it still encourages parents to “see where your child compares to other [children].” Truly, growth charts should compare a child to himself, over time. Also, the growth charts provided here are the typical NHANES (National Health and Nutrition Examination Survey) charts and not those developed by the World Health Organization as a result of a seven-year, international study of optimally-fed infants. No mention is made of those charts.
Eating habits – Some pretty common-sense information will give parents a starting place. Suggestions include: set a good example, offer a variety of foods, start with small portions, help them know when they’ve had enough, follow a meal and snack schedule, make mealtime a family time, and more.
Feeding picky eaters – If the toddlers I have known are any indication, I predict this will be the most-visited part of the site! Parents can look here for guidance about common types of picky eating, how to cope with it, and how to get preschoolers to try new foods.
Physical activity – Again, the suggestions seem to be largely common sense. Do parents really need to be told that they should be role models in this area? Do they need to be told that engaging in family activities leads to more activity for their children? The section on how to keep your active preschooler safe sounds promising, but actually only links to the Centers for Disease Control and Prevention site with just six tips.
Food safety rules – Clean, chill, separate, and cook are rules that apply to food preparation for any eaters, but tips about choking hazards and prevention may be helpful.

Of Note for Parents

Childhood obesity is a serious problem – and I can’t help but think that maybe the physical activity page should have been above the growth charts. Since physical activity is important for everyone, I’d rather have parents focus on what their children are doing than on these numbers!

Still, this site might be helpful as a discussion-starter for parents who are starting to grapple with the problem of picky eating in their preschoolers. If nothing else, it might help parents move from the Stages of Preschooler Feeding Grief to a more practical, problem-solving construct.

Even if it doesn’t, take heart. A friend told me of a child she once knew who seemed to survive on just doughnuts and pizza. Try as his parents might, they faced insurmountable opposition to other foods! What happened to the child? These days, he’s a strong, healthy pediatrician.

This brings us back to the final stage of Preschooler Feeding Grief: Acceptance. Parents, look at your children. Most times, they turn out healthy in spite of picky eating.

2. The Infant, 3. The Toddler, 4. The Growing Child

Use Massage to Reconnect at the End of the Work Day

July 7, 2009 The Attached Family 1 Comment

By Tina Allen, LMT, CPMMT, CPMT, CIMT

Infant massage In today’s world economy, we often find that most parents are working outside of the home. This may mean a two parent home has both parents working outside of the home to keep their bills paid and food on the table. This may also mean that we see a reversal of roles, as compared to our 1950s ideals of families, where a father may stay at home with the children while the mother works outside of the home. Or the traditional stay-at-home mother while the father is working.

In any case, we find that the children are missing out on valuable nurturing and bonding time with their parents.

While it is essential that parents work to support their families, it is also essential that parents find ways to connect and bond with their children. To support children, show them they are loved and provide care and attention. Continue reading Use Massage to Reconnect at the End of the Work Day →

2. The Infant, 3. The Toddler, 4. The Growing Child, The Editor's Desk

Parenting without Spoiling

June 30, 2009 The Attached Family Leave a comment

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

Neighbor: “Oh, your children are always so wonderful to be around! I can tell that you take parenting seriously.”

Parent: “Thank you! I think they’re wonderful, too, but of course I’m a little biased, so it’s nice to hear compliments from others. Thanks again!”

Neighbor: “I just don’t know what’s wrong with the world today. What don’t more parents be parents? Back in my day, parents didn’t put up with what they put up with now. We weren’t afraid to discipline our children. I’m so glad there’s someone in this younger generation who spanks their children.”

Parent: “Oh, but I don’t spank.”

Neighbor, surprised: “Oh, oh, of course not. Too controversial. Well, those timeouts must certainly be working then. I wouldn’t have thought it, you know, since the paddle worked so well for my children. I guess the point is that you’re punishing your children when they need it.”

Parent, calmly: “I don’t use timeouts, either. In fact, I don’t use any sort of punishment.”

Neighbor, obviously disapproving: “Well! You’re going to ruin your children! They’re going to grow up to be spoiled brats like all the other kids in this neighborhood!”

Parent, firmly but also calm and empathic of Neighbor’s view: “I may not punish, but I choose to use gentle discipline. I focus on teaching my children calmly and lovingly. I find this is best for my family, and as you had said, my children’s behavior show that it’s just as effective – if not more so – than other discipline forms that focus on punishments.”

Neighbor, defensively and indignantly: “I don’t know what you’re talking about. What you’re doing is not discipline. You’re spoiling your children. You’re an irresponsible, selfish parent, and you’re going to pay for it as your children grow older and walk all over you and turn into drug users and criminals. If you really loved your children, you’d spank them or at least use timeouts.”

Oh, how quickly, this real conversation turned sour once the neighbor learned of the parent’s childrearing approach and began to apply her judgments on the situation. How ironic that the neighbor began by praising the children’s behavior but couldn’t accept the parenting style responsible for it.

What is this fear of spoiling? Much of it is probably rooted in religious doctrines as well as in past generations’ cultural norms, but there is definitely a pervasive fear that if parents choose certain parenting approaches that don’t align with the popular childrearing techniques, that they’re going to spoil their children – and apparently bring the whole of society to a ruin. Continue reading Parenting without Spoiling →

1. Pregnancy & Birth, 2. The Infant, 3. The Toddler, 4. The Growing Child, 5. The Adolescent, Secondary Attachments: Fathers, Grandparents & Other Loved Ones, Solo Parenting: Divorced & Single Parents, Special Circumstances: Multiples, Adoption & Special Needs, Striving for Balance: Personal & Family, The Editor's Desk

America’s Family Crisis: Parental Depression Putting 15 Million U.S. Children at Risk

June 16, 2009 The Attached Family Leave a comment

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

America's Family Crisis Depression is beyond epidemic proportions, not only in the United States but in many societies around the world. People like to blame more recent economic downturns, but these high rates of depression have been an ongoing concern for many years from before the stock markets took a dive.

If depression was the H1N1 Influenza virus (a.k.a. swine flu), no one would venture to the streets or grocery store without a face mask for fear of transmission, schools and businesses would be closed indefinitely, and medical clinics and hospital emergency rooms would be packed with people clamoring for screening and treatment.

But depression isn’t contagious like the flu – although it certainly is more debilitating and has just as much potential to kill. It doesn’t spread by sneezing and coughing, but it is still “contagious” in that people living with a depressed significant attachment figure, whether adult-adult or parent-child, are more likely to develop depression themselves and all that comes with this illness – the hopelessness, the sorrow or anger depending on the person’s response, the suicidal thoughts and possible attempts.

Depression is pervasive in the United States, and it is devastating to families – to marital relationships and to children’s development. We know through attachment research and neuroscience that the way we are parented not only affects the behavior we use in reaction to stressful events but also changes the way our brains work and our genes express brain chemistry reactions to stress. This means that if we are parented in such a way that consistently teaches us to react poorly to stress and conditions our brain to release stress chemicals at high rates, we are literally creating a child who will grow up into an adult who is prone to depression and all that comes with it.

Our families are in crisis.

New Report Brings to Light the Impact of Parental Depression

A new report, Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention, was released by the National Research Council and Institute of Medicine of the National Academies last week at a public briefing in Washington, D.C. Attachment Parenting International attended via webcast.

The National Academies consist of the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council. They are private, nonprofit institutes that provide science, technology, and health policy advice to the United States under a congressional charter.

Depression in Parents, Parenting, and Children explores the interaction of depressed parents and their parenting practices, and the impact on children. It also proposes strategies to promote more effective interventions, as well as recommendations for improving the quality of care for depressed parents and their children. The study was funded by the Annie E. Casey Foundation, The California Endowment, the Robert Wood Johnson Foundation, the U.S. Health Resources and Services Administration, and the U.S. Substance Abuse and Mental Health Services Administration.

Report committee members who attended the briefing included: Chair Mary Jane England, MD, president of Regis College in Weston, Massachusetts; William Beardslee, MD, professor of child psychiatry at Children’s Hospital in Boston, Massachusetts; Mareasa Isaacs, PhD, executive director of the National Alliance of Multi-Ethnic Behavioral Health Associations in Bethesda, Maryland; and Frank Putnam, MD, professor of pediatrics and psychiatry at the Cincinnati Children’s Hospital Medical Center in Cincinnati, Ohio.

The Prevalence of Depression

The briefing opened with an overview of depression in the United States, presented by Isaacs. The exact number of people affected with depression is difficult to pinpoint, but it’s estimated that only one-third of adults with the illness actually receive treatment. In some sample communities, as many as 70% of people with depression go without treatment. Although depression treatment is very effective, there are a number of factors preventing people from seeking help: the stigma of mental illness, lack of transportation, inability to afford services and medication, language and cultural barriers, and lack of providers or at least those with training in identifying and treating depression.

Despite not knowing the full extent of depression, there are several tendencies that Isaacs pointed out:

Women have double the rate of depression as men.
Caregivers are more likely to have depression.
Depression typically first shows in adolescence or young adulthood.
Those living in poverty are more likely to have depression.
Depression is more common among adults who are separated or divorced than those who are married.
Depression rarely appears alone – 75% of people who suffer from depression also suffer from traumatic histories such as sexual abuse or exposure to early childhood violence, substance abuse, a medical condition, or another mental health disorder especially anxiety or post-traumatic stress disorder.
The development of depression rests in a combination of genetic susceptibility, environmental factors, and individual vulnerability. Depression is as much the result of other issues in a person’s life, as it is the indicator that there are additional problems.
The majority of adults suffering from depression are parents.

The Impact of Parental Depression

It is this last point – that the majority of adults suffering from depression are parents – that is the take-home message. It is estimated that in the United States alone, one in five parents are affected by depression each year, or approximately 7.5 million. Here’s the kicker: 15.6 million children under age 18 live in these households where at least one parent is depressed, Isaacs said. Depending on the age of the child, they can be as much as 40% more likely to develop depression themselves with just one depressed parent in the home, said Putnam said – let alone both parents. “Mothers and fathers are often depressed together,” Beardslee added.

Remember what we know about attachment and how this affects the development of our children. For more than 15 million children in the United States, either their primary attachment figure or a strong secondary attachment figure is depressed and modeling all that comes with it.

“Depression is primarily a family issue,” Isaacs said. “It affects not only the individual but also children and other members of the family. It affects parenting.”

While the majority of research in parental depression has included mothers only, the few studies that have been conducted on fathers shows that the impact of children living with a depressed secondary attachment figure is just as devastating as living in a home with only the primary attachment figure suffering from depression, she said.

“Many people don’t get treatment, and those who do, don’t for years,” said Beardslee. “This makes a great impact on the family.”

Depressed parents tend to raise their children in an emotionally detached, withdrawn parenting style that affects the development of attachment, Putnam said. People with depression use fewer positive parenting approaches and more intrusive handling of children, and the end result is a child who is himself withdrawn.

“Depression causes terrible suffering,” in both parents and children, Beardslee said. Depression effectively destroys the attachment between a parent and child. The inconsistencies in parenting by depressed parents leads to a break in trust between the child and his parent. Long-standing depression causes neglect and often abuse. While depression symptoms manifest themselves differently in each person, women tend to be sad and withdrawn while men tend to be irritable and acting out.

Beardslee told of one mother who described what depression does to her parenting: When she isn’t depressed, she has very positive, emotionally close, and healthy interactions with her 12-year-old son, and when he comes home from school, they go through a routine of talking with, playing, and otherwise spending time with one another. But, when she is depressed, all that positive parenting disappears – she puts her son in front of the television and ignores the routine and his emotional and physical needs.

This break in routine, which is so important especially for older children, greatly affects the mental health of the child, Beardslee said. He feels inadequate, as though he is to be blamed for his mother’s withdrawal. Her depression affects his self esteem and models her poor responses to stress – significantly increasing the risk that he will eventually develop depression himself and unhealthy coping mechanisms expressed through social, behavioral, and other mental problems. He will feel the effects of chronic parental depression long after his mother’s depression is treated.

Not every parent with depression will inadvertently or deliberately cause harm to their children, but parental depression increases the risks for spillover consequences during critical periods of child and adolescent development.

“We’re very concerned about the impact on children,” Putnam said. While there is only a 2-4% risk of a small child developing depression when there is a depressed parent in the home, this risk jumps up to 20-40% in adolescents. “What also comes with this is the risk of substance abuse,” which is predominant among depressed individuals, Putnam added.

“To break the vicious circle of depression, we need to refocus our view of this illness through a broader lens that sees the whole family, not just the individual with depression,” England said. Beardslee added: “We need to think about people who are depressed as parents first, and individuals with depression second.”

This goes beyond postpartum maternal and infant depression – the screening and treatment of which is becoming increasingly more commonplace in the medical care community: “The first few years of life are crucial, but we need to look more into the long term,” Beardslee said.

The Report Committee’s Recommended Solution

Currently, most screening and treatment of depression happens in primary medical care settings, Beardslee said. However, because depression is more typical in families living in poverty and perhaps without the means to see a doctor, there must be more avenues for depressed parents to find help. Because depressed parents are often withdrawn and difficult to engage, more types of service providers outside the mental health system need to be trained to spot the symptoms of depression and to direct those who need help to accessible entries into the health care system.

Once parents seek treatment, the mental health care system must change the way it treats this illness. Because of the impact on children, interventions should adopt a two-generational approach – parent and child – to effectively treat depression in families, Beardslee said.

Putnam listed these critical components to an effective model of family-centered treatment for depression:

Integrative – meaning that all factors contributing toward the depression must be identified, whether this includes poverty, marital issues, health problems, etc.

Comprehensive – meaning that all co-occurring conditions must be identified and addressed, such as substance abuse and anxiety disorders.

Multi-generational – which encompasses screening and treatment for both parents and children by one mental health care provider rather than by separate providers who often don’t know the full extent of depression on the family members.

Preventive – which includes teaching parents positive parenting skills and skills to cope better with stress.

Developmentally appropriate – any treatment should appropriate to the particular age group of the children involved.

Accessible – screening should be available through programs frequently used by at-risk families such as home visitation, Headstart and other school-based programs, federal nutrition programs, etc., and those parents who are identified as depressed should then be assisted in navigating the mental health system to receive treatment. In addition, the financial barriers of at-risk families must be addressed – many may not have insurance or income, and those who are able to afford services may have difficulty paying for services for more than one person in the family. Also, the mental health system must look into ways of delivering services in nontraditional settings to be able to reach at-risk families, including schools, prisons, community programs, and even homes.

Culturally sensitive – which includes techniques to overcome language barriers, stigmas, etc.

“There are a number of exciting initiatives with parts of these features, but no program yet has all of these features,” Putnam said. As it is now, “parents with depression are like orphans” in the mental health system, he added.

To jump-start this model, Putnam suggested the mental health system focus first on implementing a two-generational, more comprehensive focus. More health care providers need to receive training specifically in multi-generational depression. Practices should look into ways that would reduce the financial impact on at-risk families such as charging on a sliding scale, combining children and parent charges into one office visit instead of two, and negotiating with insurance companies to provide same-day reimbursements on medical care services. Once programs are in place that effectively treat family depression, they should be included in training models for other providers.

In addition, more research dollars need to be allocated toward studies that look at the impact of parental depression on children as well as the differences between the impact of depression in fathers and mothers, Putnam said.

The report committee said this report represents a call for urgency from the U.S. Surgeon General and the various mental health organizations and agencies – a major mental health concern that needs to have a working plan in place in the next six to eight months.

What is API Doing?

API actively helps parents who are prone to depression or are depressed by teaching parenting skills and providing resources to help parents develop better ways of coping with stress and strong emotions. According to researchers at the University of Michigan, who reviewed the numerous studies on the subject, there is a link between social support and wellness. Support networks are vital not only in preventing depression but also in its treatment. Local API Support Groups provide parents with a way to develop a solid support system that can follow them through their child’s many developmental stages and the challenges that come with them.

And if parents do fall into depression, API Leaders can help direct parents to the treatment they need as well as continue providing support through the local group or personal consultations, free of charge.

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.

What Attachment Parenting Does for Your Child’s Future

June 16, 2009 The Attached Family 1 Comment

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

Especially if you’re new to Attachment Parenting, you may be wondering what does parenting have to do with your adult relationships. Quite a lot, if you understand the impact of healthy and unhealthy parent-child attachments on the child. In fact, you could say it has to do with everything about our adult relationships.

The attachment bond you had with your primary caregiver – most likely your mother – is your model for how a relationship should work for the rest of your life. For some of us, that attachment bond was loving and nurturing and we find our adult relationships relatively easy. For many of us, we may have some difficulties in our adult relationships, mainly in trust issues, indicating that there were inconsistencies in the response by our primary caregiver when we were younger. And for some of us, our childhood homes were downright neglectful and abusive and our natural tendency in our adult relationships is not to have a relationship at all.

Because humans are social beings, having close relationships is an essence of life. Without working relationships, we are at risk for depression and anxiety, substance abuse, eating disorders, and other unhealthy and risky behaviors that we use to fill a void in our lives left by the needs left unmet in our first loving relationship – that with our parents. The success of this first attachment bond in our lives is what shapes the way our brain works, influencing the way we cope to stress, how we see ourselves, our expectations of others, and our ability to maintain healthy relationships all through our lives. Continue reading What Attachment Parenting Does for Your Child’s Future →

Connecting with our children for a more compassionate world.