Category Archives: 5. The Adolescent

From age 10 to age 18.

Say Sorry

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

Force an apology?One of the hardest situations I face in my household is when one of my children hurts the other one, whether by accident or in play or out of anger. My knee-jerk reaction is to tell the offender to say sorry to her sister, just as my parents had me do when I was younger. My mom would tell me to say sorry and if I did it quickly to get it over with but didn’t really want to say it, she’d say, “Say it like you mean it.”

Now, I have to admit that I grew up knowing what it meant to say sorry. But I do realize that some people who were forced to apologize to their siblings grew up to use sorry as a quick fix for hurt feelings or as an afterthought. One man I know grew up being forced to say sorry when he and his siblings fought, but as an adult, he used apologies not because he was truly sorry but as a way to avoid dealing with uncomfortable feelings. In this way, he didn’t learn not to do the offending action again and would repeat it over and over, and getting frustrated because eventually people didn’t believe his so-called apologies.

There is a great debate among attached parents of whether or not to ask children to apologize when they hurt someone physically or emotionally. We want to teach our children empathy, and apologies are certainly a part of making restitution for a hurt but does forcing an apology hurt or help the development of empathy?

In my home, I choose not to force an apology but instead to encourage my children to comfort the hurt person on her own volition. I noticed that when I did ask for my three-year-old to apologize, she would do so but would quickly return to playing, without much regard for her sister’s crying. I re-evaluated what I wanted to teach her and readjusted my response during these situations.

Parents on both sides of the debate of saying sorry have great stories like mine to tell – of how their strategy works best for their family. Ultimately, that is what Attachment Parenting (AP) is supposed to be about – listening to your child, deciding what it is exactly you want to teach your child about the situation, and finding something that works best for your family. But, just what strategies regarding apologies are considered AP? Let’s take a look at what the experts have to say.

Attachment Parenting International Co-founders Barbara Nicholson and Lysa Parker in Attached at the Heart: “Apologies should come from the heart.”

Forcing a child to apologize may make the adult feel better but it doesn’t make the hurt child feel better and it doesn’t teach the offending child about an appropriate apology. Allow the child to apologize in his own way, even if it’s nonverbally. If your child is witnessing appropriate apologizing in her role models, she will begin to do so, too, when developmentally ready.

It’s important that children only apologize when they feel genuine remorse. The good news is, children raised in an attached way, which actively models and promotes the development of empathy, are more likely to begin feeling compassion early on and to spontaneously apologize on their own.

Canadian parent educator Judy Arnall in Discipline without Distress: “When the child needs to apologize to someone else: nudge, don’t force!”

Apologies need to come by the child’s own willpower and in the child’s own time. They almost never come when forced or in the emotional heat of the moment. Apologies are taught by modeling.

Parents want quick, forced apologies because of their own social embarrassment. If you’re dealing with a parent who expects a quick apology, explain your child’s feelings (“She’s so upset right now. We’ll deal with this later.”) or take the time to model what an appropriate apology looks like and apologize for your child on your own.

Massachusetts parent educator Alfie Kohn in Unconditional Parenting: “Compulsory apologies mostly train children to say things they don’t mean – that is, to lie.”

Parents must examine why they insist on their children apologizing – because they assume that by saying sorry, the child will magically feel remorse, or because they only care that their child has the manners to say sorry even if insincere? Parents who force apologies from their children are caring only about the behavior but not about the reason behind the behavior, and that reason is what will continue to fuel that child’s behavior as she grows.

University of Washington psychology professor John Gottman in Raising an Emotionally Intelligent Child: “From about age four, your child can understand the concept of ‘I’m sorry.’”

And the best way of teaching your child to apologize appropriately is by first modeling how to healthily handling feelings of regret and sorrow in your relationships, including in parent-child interactions.

To Force an Apology, or Not?

So what is API’s stance on asking your child to apologize?

  1. Be sure you’re modeling appropriate apologies in all your relationships.
  2. While you can encourage your child to apologize, it’s ultimately up to him. It’s more important to teach your child empathy and compassion – the reasons behind a healthy apology – than to hear the actual words, “I’m sorry.” It depends on your child’s development in being able to feel remorse and to handle this uncomfortable feeling.
  3. Realize that your child can apologize in ways besides saying sorry. A hug or kiss is just as much an apology as saying sorry.
  4. If your child isn’t going to apologize, and you really want him to, first think about your motivation, then take the moment to teach your child by modeling and appropriate apology on your own.

It can be difficult to practice AP and then see your child unwilling or unable to apologize to another person. We want our children to be empathic and compassionate, and we want to model to other people what AP looks like in our families. But, being an attached parent doesn’t mean that we never encounter hard situations like a child refusing to apologize – it means we are thinking about the deeper meaning of what we want to teach our children and finding ways to do that. Remember, the goal is to influence our children over time by getting to the emotional and cognitive roots of their actions, not to control their behavior now without regard for their willpower.

Letter to the Editor: The Truth about TV

By Joanna Glass, leader of API of Garner, North Carolina

Editor’s Note: This Letter to the Editor was written inTV time response to an article published on The Attached Family on July 28, 2009, “TV as a Teaching Tool?” The topics on The Attached Family are open for discussion, and readers are welcome to write articles in response to any of the articles published in this ezine. Attachment Parenting International will clarify any points related specifically to the Eight Principles of Parenting; but with topics that do not fall directly under the Eight Principles, we aim to foster a healthy discussion of ways that parents can strengthen their attachment with their child. To submit a response for publication, e-mail editor@attachmentparenting.org.

We all hear the negative about television. Television is associated with obesity, sleep problems, Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD), violent behavior, and poor school performance. Is there truth to it? Should we blame our problems on electronic media?

Author’s Note: I wrote to my fellow leaders and to API Headquarters asking about this issue and approached them with some of my feelings about what I have learned over the years. They were very open and receptive to hearing some of the alternatives to some of the negative information that is being brought up about this subject, so I wrote this article. It is a bit longer than I planned. The wonderful view of API is that families of varying beliefs can participate. It is open to everyone. It is an online community that has not created a homophily atmosphere, which has begun to plagues so many other sites and groups.

API groups and forums leave so much room for diversity, and with diversity, we have room to grow as people and as parents. If we homogenize everything and only associate with parents who believe the same thing, we are only hurting ourselves and our children, for our children are not us, they are their own person who craves exposure to new information.

ADD and ADHD

The information that the American Academy of Pedatrics based their statement on was shown not to be factual. This information can be obtained directly from the ADHD sites and the author of the “study” himself.

Dimitri Christakis, MD, an associate professor of pediatrics at the University of Washington and co-director of the school’s Institute for Child Health, admits that his study was limited. He based his research on a previous survey of about 1,300 mothers who recalled the television habits of their children in early childhood. Such after-the-fact reporting is considered highly fallible, because parents often over- or under-report the amount of TV watched.

What’s more, the study linked TV-viewing to general attention problems rather than to diagnosed ADD. Study participants were never asked whether their children had Attention Deficit Disorder. Instead, the study looked at five kinds of attention difficulties, including “obsessive concerns” and “confusion,” neither of which are core ADD symptoms.

Nor did the study consider the kinds of programs children watched. Educational programs, such as Blue’s Clues or Mr. Rogers, which have a slower pace, rely on storytelling, and avoid rapid zooms, abrupt cuts, and jarring noises, weren’t differentiated from more aggressive programming. Neither did the researchers consider whether TV-viewing and attention difficulties presented a chicken-or-egg situation. According to an article in ADDitude Magazine, “Living Well with ADD and Learning Disabilities,” some critics suggest that younger children with pre-existing attention deficits may be drawn to watching TV, while solving simple puzzles or concentrating on games would be an uphill battle. They add that parents of these children might turn to the TV for relief more frequently than parents of kids who have less trouble staying focused.

Another interesting article about ADD and technology by Joel Spolsky stated: “ADD is often marked by an inability to focus on a given task or, in the case of ADHD, a tendency to hyperfocus and then lose complete focus. Just as with multiple personality, mainstream media has made autism and ADD appear to be commonplace and everywhere.

Technologists have also adopted and promoted these concepts, marking them as valuable to the way of geek life. Many of you are staring at your laptops, multitasking. At computer conferences these days, like the one where this talk was given, it’s not unusual for 80% or 90% of the audience to be using laptops for something during the presentations.”

Our society requires that we be able to not have complete focus at all times. Many parents assume that their child sitting very focused on the television program is a lack of focus, when in fact it is not. We disrupt them and pull them away, which actually creates the problem with paying attention. Just because it may not be something that we are interested in doesn’t mean it is any less important.

Parents will excuse situations by commenting that if it is educational, then it is OK, but as a child who was brought up with this concept, I lacked one most important lesson: The lesson of doing something for the joy of it and because it was what I wanted, something I am learning to do now. For a child, play and joy are the first and most important lessons in life. As a parent, you may not learn something out of watching a children’s program or playing a computer game, but your child may: personal happiness – self happiness that was not created only because you told them it was something they could be happy about. Once I found out how important this was to my child, I found absolute joy in watching and participating with their digital life. I don’t always get it, but what I get is a connection and a bond with my child. They know I trust them enough to find their path and their own joy and that it doesn’t impact my personal beliefs or make either of us wrong.

Violence

Television does not promote violence. Children watching violent programs without their parents taking the time to explain things to them can create situations where violence can occur.

Dozens of books have been written, hundreds of studies published, and hundreds of thousands of invectives thrown by each side towards the other. Despite the extensive research, video games have not been proven to be harmful or to cause violence. The persistence of opponents in trying to pin society’s issues on television and video games is an unfair attempt to demonize a new media for issues that it has not caused.

What makes kids smack others and maybe grow into homicidal adults? Not the tube, says new research, but a lack of social skills – something that television can also provide as an increasing number of families have lost this ability, even down to the basic act of knowing how to invite someone to their home or even how to ready a home for company.

All babies are born with violent tendencies, which most kids learn to control as they grow older, a University of Montreal professor who has spent more than 20 years studying 35,000 Canadian children told ScientificAmerican.com. Those who don’t or can’t learn are the ones who become violent. Author
Richard Tremblay states: “It’s a natural behavior, and it’s surprising that the idea that children and adolescents learn aggression from the media is still relevant. Clearly, youth were violent before television appeared. We’re looking at to what extent the chronically aggressive individuals show differences in terms of gene expressions compared to those on the normal trajectory. The individuals that are chronically aggressive have more genes that are not expressed.” This is an indication “that the problem is at a very basic level,” he added.

A pregnant woman’s smoking, drinking, poor nutrition, or exposure to excessive stress can cause or contribute to a fetus’s abnormal genetic development, Tremblay said. Damaged genes can prevent a child from learning skills for self-expression, reducing his ability to interact socially, and thus make him prone to violence. Tremblay cited genes involved with language acquisition and development as an example; children who can’t speak well get frustrated easily and can erupt violently as a result.

Violence is also passed on. Parents who have violent tendencies pass these along to their children. The prisons are filled with people who were abused as children and grew up to be abusive adults. This is not caused by television but by the lack of intervention and education for families to not use violence as a means to raise their children or solve their problems. We are a country based on fear and violence. We tell our children that we solve our problems by hitting them or hitting each other, and then get upset when they do it and blame television or other media. Violence has been around longer than television.

The Bible has more violence in it than most television programs, and I don’t often hear people saying “close that, turn it off, don’t read that, or you may become violent.” They actually take the time to talk about it with their children.

And I have even seen parents and churches use violence to force belief. It isn’t just the Bible, but all literature. Humans are naturally drawn to violence because we are raised with so much of it. For more information about the history of it and how violence perpetuated in American homes, you may want to read Behind Closed Doors: Violence in the American Family.

Poor School Performance

Poor school performance has been blamed on so many things instead of what it really happening — that the American School systems are failing our children.

Children do not do well in school, because school has become a place where everything is controlled. Instead of children learning naturally and at their own pace, they are forced to learn information that they are not yet interested in or information is being put into them at a pace that they are not able to handle. The hours are too long and the methods being used are cookie-cutter ,not taking into account the individual. Children are being told what they can do from the moment they wake up until the moment they go to sleep. Even the simple act of using the bathroom has become an issue.

Having to ask for permission to use a bathroom is a humiliating and very strange thing to do, something we have gotten use do as adults.

School is a place where all of your rights are stripped when you walk through that door. This isn’t conducive to learning. I have heard parents say that if children had complete control over when they could use the bathroom, there would be chaos. Maybe now there would be, as children have lost the ability to control themselves because we as adults have told them they can’t.

Then there are teachers. Many are not qualified, because it is such a low-paying job. It used to be thought that people would teach because they loved the job, not for the money, but when a family can’t afford to pay their rent, why would they want to teach? So we lose many of the better qualified teachers to jobs that can pay them for that knowledge.

One of the reasons behind our choice to homeschool: My husband worked for the Board of Education on a very high level seeing how those people were paid in excess of over $100 an hour and teachers paid next to nothing and zero money being spent on books. Classrooms were forced to share one book per class of students.

The food in most of our schools is some of the lowest grade food available. We know that healthy foods create a healthier brain and learning environment, but yet we feed our children the lowest quality foods. They have created environments where they have taken disruptive students and children who were not learning well in regular schools and put them into a school where they served healthy organic foods and it was proven a success. The food in our school systems is also another reason why our children are obese, not television.

Parents can do more to make changes in the system. One or two parents may be, but as a community, it is not happening. There are parents who feel they can’t do anything to help, but they can. No matter how small it may seem, everything you do to help your school or community can add to the bigger mixture of everyone else doing something small. Parents can look into charter schools and other educational opportunities for their children. My older children did public school until we moved to where we now live, and then after a year of absolute horror of the public school system here, we opted for charter schools. For our youngest we are homeschooling, actually unschooling.

Some Other Personal Thoughts

Are boundaries an issue or an answer? Are limits? It is more that the parents are not interacting and not discussing with their children what they are viewing and what their feelings are about it. I am not saying a three year old should watch a horror movie, but a teen might want to and wouldn’t it be better for a parent to say learn how to explain these situations to their child instead of him getting that explanation from someone or somewhere else?

I prefer not to dictate what my child watches in bits and pieces. I used to feel that way, and I realized I was not allowing my child to find themselves. I was trying to force them to be clones of myself, something they did not want to be and it caused more problems. For me, this was controlled parenting.

I have seen children crushed by parents because they have told them, this show isn’t good or this part is not good and the child really liked them. They felt crushed, because the parents were disapproving of something they loved.

I have also watched children who have limited TV and the way some parents disrespect their child. They walk up to the television in a middle of a show and turn it off, saying that is enough, choosing what the child’s limits are, telling the child that she is incapable of knowing who she is and what she enjoys. I then have not only witnessed, but have been an unwilling participant in, the child’s outburst.

At more than one play date, the child starting hitting the other children who were allowed to continue watching programs that were playing on a public TV. The parents had set up a hostile angry environment. The parent’s reasoning was she was unable to control herself, so she knew her child would not, either. She had set up a self-fulfilling prophecy that she is passing onto her child. Perhaps the parent had not learned any self control because she never took the time to learn self control. I have also seen parents who fear that their child will become something they do not want them to be or learn that there is a lifestyle different than their own, creating a non-diverse household. Not all of us are supposed to like the same thing. That is why there is so much variety in life.

I had limited my older two children, and it backfired completely, just as every other family I knew who did the same thing had happen. Our children never learned to limit themselves or control themselves. I was always doing the controlling for them – the same way that I and so many others were raised.

With my son Ronnie, I have done the exact opposite. Some days he will watch a couple of hours and some days nothing at all, but I don’t say “no” or comment in any way. He doesn’t have access to violence, but he isn’t interested. He chooses what programs he wants to watch on Noggin and the Public Broadcasting Service, and some of them I may not “get” but he does and that is what is important.

He is not obese, but still, I don’t think the problem with obesity is television. It is lack of activity and lack of affordable activity for most families and so many families not being able to afford better quality foods. I don’t see the community centers like I used to back in New York when my girls were younger. Everything is a paid for activity that most families cannot afford or cannot get to, so children are stuck at home with little to do and with lower grade foods that tend to not build energy and promote activity. The schools have taken away most of the activities, and sports are such an expense for so many families. Not all children are great at soccer, hockey, basketball, and football where the last of the physical activity money is being spent, and most of that is coming from parents who raise funds for them. I would love to see that same passion of fundraising come into play for books. But, back on topic, maybe the schools should have nature hikes each day for an hour, something all students could participate in without feeling inadequate or being forced to compete.

Children who binge-eat are generally from households where control is in every part of their lives, including their choices in food. They never learn to control themselves, and I would like to say from day one, their parents are controlling what they eat when, but it usually starts the moment Mommy stops breastfeeding. That is the point where mothers no longer trust their children and tell them when they are hungry, what they are hungry for, and when they are full. They stop trusting them to know when they are tired and when and where they will sleep. This is very confusing to small children who, up until that point, have been given absolute trust. Just as with adults, for small children, this leads to depression, shame, and guilt, which then can lead to inactivity and overeating and other eating and sleeping disorders and anger.

Blaming television or digital media is easy to do. It is so easy to be anti-something, but being for something and finding real solutions instead of saying “no, don’t do this and don’t do that” would be much more effective.

Commercials and advertisement are important. If we truly do not believe in their use, we have no business using them ourselves. We project our fear of not being able to control ourselves around commercials onto our children.

We, as a society, have no right to dictate what advertisement is okay and which one isn’t. I don’t like fast food, but I have no business telling Sesame Street that they can’t take that grant from McDonald’s because parents are not giving enough to support them.

Or what about TV shows that create toys? They do so for a reason. Children like to identify with their surroundings, and those toys offer this possibility outside the moment they are watching the show. Also, these toys offer employment to the people who make them — in many cases keeping a roof over a family’ head. Not everyone has the luxury of living in a beautiful home being able to sit back and say, “Well, making a toy based on the movie is just consumerism and wrong. Can’t there just be a TV show and a movie without it?”

It may be fine for one family or in reality that one person, but what about what the child wants or another family wants, or the family who is dependent on the income from making that toy. Again, I was anti-toys based on movies, but thankfully my daughter Jackie, now 22 years old, helped me to see the light in the situation: the good that the toy brought to the economy, the jobs it provided throughout the process, and then most importantly, the joy it brought her and her little brother.

Turning off the TV while the commercials while they are on does not teach our children about the commercials and does nothing to change the way they are broadcast. Changing the channel does not either. It just teaches children to turn it off or turn away and do nothing to fix it. Even small children understand more than we give them credit for. If they can understand enough to want something they see on a commercial, why do we deny them an explanation of why commercials exist? At what point do we decide that we are just so much better or smarter than they are and should this be a message we project to our children?

For small children, yes, PBS and commercial-free channels are great, but if you are watching them, then hopefully you are supporting them, even if just a few dollars a year. Living in a commercial-free world has a price, and as parents, we need to be willing to pay for it. I asked more than 70 parents during one of our events last year and not one of them gave to PBS, but all of them watched it. I can’t say I was surprised when I said that our local group was in financial crisis, that no one wanted to help raise funds. There seems to be a disconnect where when people think free, it means it costs nothing. Someone always has to pay.

The problem with keeping the flow with this attraction and not opening our minds to other views and possibilities is that we are cutting ourselves off from reality and diversity.

What Parents Need to Know about Cell Phones

By Lisa Anthony, reprinted with permission from CellPhones.org

Cell phone safetyEditor’s Note: Attachment Parenting International doesn’t take a stance on cell phone use for children and adolescents. This article is to inform parents who do allow cell phone use, or who are considering it.

Each new generation of parents faces obstacles and menaces with which the previous generation never had to contend. The changing times have brought with them a new, more complicated world in which our children must learn to live, to thrive, and most importantly of all, to survive.

Contemporary problems arrive without guidelines on the best way to teach our children to stay safe and protect themselves or precedents to guide us in teaching them. It is our job as parents to define the method and provide clear guidelines our children can follow and live with. But when you are in uncharted waters whose depths and dangers frighten you, how are you supposed to steer your children towards safety when you aren’t certain that your directions won’t lead them into more treacherous areas or point them in the wrong direction?

With so much uncertainty, there is one point of which you can be sure: No directions or guidance is definitely more dangerous than any of the practical advice you can provide. Establish specific and clear rules for your child to follow. It is important that you do not leave room for interpretation or risk ambiguity. Your child needs to know what is expected of them and how to protect themselves. Continue reading What Parents Need to Know about Cell Phones

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

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

Parenting stylesI 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.

TV as a Parenting Tool?

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

TV timeMost 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.

Yelling Works…and Other Parenting Myths Busted

By Rita Brhel, managing editor and API Leader

Family MythsSusie 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?

A Win-Win Situation: How to Teach Sportsmanship

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

How to Teach SportsmanshipBoard 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:

  1. Observe without judgment – “You look upset.”
  2. Open the lines of communication – “I’m here if you want to talk about it.”
  3. When your child does describe the situation, empathize – “Gosh, that would be frustrating.”
  4. 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.”
  5. Take the pressure off your child – “I know you really wanted to win, but it’s more important that you have fun.”
  6. 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?

Regain “Control” of Your Teen

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

Get control of your teenHas your teenager stopped listening to you? Do you routinely catch him telling lies, or does she continually break curfew? You may be finding yourself tempted to make tighter rules and to pass out punishments when these rules are broken. But Christina Botto, author of Help Me with My Teenager!, says this strategy is likely to backfire.

“It is possible to regain control by restricting your teenager and forcing him to do as you say. You can monitor their every move and bombard them with questions,” writes Botto in her ParentingATeenager.net article, “Trust vs. Control.” “Your teen, however, will most likely respond by avoiding you and family time, lying, dropping grades, or even running away from home. He also will be very frustrated, feel confined, and count the days until he is 18 and out of the house.”

What most parents are looking for is not to control their teen’s every move but to discourage their teen’s inappropriate behaviors while encouraging more mature behavior, like coming to them for advice and input. Because of our culture’s tendency to punish, it’s easy for parents to get caught up in this approach, when the most effective way of “regaining control” is not to punish or to control but rather to find ways to reconnect while guiding good decision-making.

As parents begin to let go of their control on their teen, however, Botto said many parents are left wondering how much independence is too much. Parents know they need to continue to teach, they know their teen is not yet at a point of being completely independent, but they don’t know where to set boundaries without seeming too controlling. That feeling of unease can lead parents of teens, just as with parents of younger children, to becoming overly permissive or controlling.

To help parents find the right boundaries for their teen, here are a couple tips to try when faced with an area of conflict:

  • Allow your teen to make some decisions, such as what type of clothes to buy or when to do homework. This boosts confidence in himself and his decisions, as well as allows parents to gain confidence in his choices. This give-and-take in trust strengthens your attachment bond.
  • You may discover your teen is more mature in her decision-making than you thought, or you may realize this is not so. When she does make unwise decisions, this gives you the opportunity to support and guide her, which when done appropriately and compassionately also strengthens the attachment bond. Don’t scold or punish. Instead, work together to talk about and problem-solve the situation. By discussing the problem and analyzing the facts, your teen will gain confidence in your ability to empathize with her and offer helpful advice. And by allowing your teen to join you in problem-solving, you’re boosting her confidence by giving her the opportunity to come up with her own solutions.

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

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

America's Family CrisisDepression 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

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

Attachment as adults

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