Mental Health – Regarding Baby

Meditation on Motherhood

My girl is adopted. She is my biological niece, and my daughter. We are four and a half years into our relationship together. I unexpectedly became her mother at the age of forty nine years old, (after twenty five years of being a professional infant toddler caregiver and educator), under the most unusual and trying of circumstances. We have had quite the journey together. Late last year, she was diagnosed as autistic. This is a short meditation on what becoming and being her mother has meant to me, what I have struggled with, and what I am learning from her. I am sharing it with hope that it might speak to and inspire you, no matter what your story or your circumstances.

I am my child’s mother. She chose me. I chose her. I am a good mother to and for my child. I am not a perfect person or a perfect mother, but I am the perfect mother to and for my child. I love my child. More importantly, I am committed to parenting her respectfully. I show up and do my best every day. I try to see her and understand her for who she is, apart from me. I try to honor her and her unique person-hood and journey and to give her what she needs to survive and thrive. I observe and listen to her closely, and let my intuition guide me to meet her true needs in the way that serves her best.

I remain open. In meeting her needs, I also try to honor myself, to be real and authentic in relationship to her. I recognize that I have needs, limits, and boundaries, and it is OK and important to assert them. I can’t always meet all of her needs or demands in a perfect or total way, as she would wish, and sometimes, she may be upset with me for setting limits, and that is OK. I need only to acknowledge her feelings, and to continue to be open, to listen, to observe.

I continue to seek, to question, to do my best for her and for myself. I won’t quit. I won’t leave. I won’t give up on either of us. I won’t stop loving her, listening to her, or trying to understand her. I will make mistakes. I will fall. I will fail. I will misunderstand. But I will learn from my mistakes. I will admit them. I will apologize. I will seek, ask for, and accept help for both of us, if need be. I will move on. And so will she.

I choose to believe that my love, my commitment, my trying is enough. Good enough. Enough to make a difference for her and for me. Enough to bond us together. Enough to nurture her and launch her into the world in a happy (enough), healthy (enough) way so that she can survive and thrive. Her journey, her experience of life, of people, will be different than mine, and that, I believe, is a good thing. Although she has experienced much struggle in her short life, I hope that our relationship will be a bedrock for her, even when I am no longer present on this earth. I hope she will learn and feel that although I am not perfect, although I often feel inadequate, broken, lost, and alone, although I often make mistakes, I show up for her. I seek to see her for who she is, to celebrate her unique strengths. I believe in her. I am there as a guide, and on her side, not hovering, but available. I am her greatest advocate and cheerleader. She is my greatest teacher. I aim to make better and different choices for both of us, than were made for me when I was growing up. I strive to understand myself and my past in order not to revisit upon her what was done to me.

Again, I am not perfect. I fall. I fail. I make mistakes. But always, I get up and try again. I lead with love. I lead with a desire to know, understand, and celebrate her for exactly who she is. I lead with an open heart and an open mind. I continue to learn and grow so that she can learn and grow. We are a work in progress, both of us, and our relationship. It is perfect as it is, even when it doesn’t look pretty from the outside, or the sailing isn’t smooth.

I love. I love. I love. I show up. I try. I try. I try. I trust. I let go. She lights the way for both of us. And that is enough. That is all. May she grow up to know this. May she feel it. May it be enough. It is enough. It is all.

On Children
Kahlil Gibran

Your children are not your children.
They are the sons and daughters of Life’s longing for itself.
They come through you but not from you,
And though they are with you yet they belong not to you.

You may give them your love but not your thoughts,
For they have their own thoughts.
You may house their bodies but not their souls,
For their souls dwell in the house of tomorrow,
which you cannot visit, not even in your dreams.
You may strive to be like them,
but seek not to make them like you.
For life goes not backward nor tarries with yesterday.

You are the bows from which your children
as living arrows are sent forth.
The archer sees the mark upon the path of the infinite,
and He bends you with His might
that His arrows may go swift and far.
Let your bending in the archer’s hand be for gladness;
For even as He loves the arrow that flies,
so He loves also the bow that is stable.

With love and thanks to the many therapists, teachers, friends, and families, too numerous to mention, who have prepared me, guided me, inspired me, and supported me in this journey, but most especially, to Magda Gerber, and Janet Lansbury.

Take a CALMS Approach to Your Crying Baby

Is The “Happiest Baby On The Block” the Most Oppressed? Why I’m Not A Fan of the “5S” Method Of Calming Crying Babies, continues to generate a lot of interest and (sometimes) heated discussion, eight months after it was first published.

One of the biggest arguments in favor of Dr. Karp’s “Happiest Baby” books and videos, is that the technique works to calm babies and gives desperate parents useful tools, and some relief from infant crying, which is often referred to as colic, but is more accurately described as The Period of PURPLE Crying.

Some of you may be interested to know that the only published research regarding the usefulness of the “Happiest Baby” method indicates: “The behavioral intervention, when (training for parents is) provided via videotape, does not seem to be efficacious in decreasing total crying among normal infants.”

It was a small study, but it was randomized and controlled, and what stood out for me was that the babies who received intervention actually had slightly INCREASED (though not enough to make a significant statistical difference), overall daily crying times, and slightly SHORTER overall sleep times, and this was consistent across time, from 1 week to 12 weeks.

Additionally, there was no difference in the Parent Stress Index between the intervention and nonintervention groups at the 6 week mark.

So, if the 5 S’s don’t work to help soothe babies, and they don’t help to reduce parental stress, and they do nothing to help you build your relationship with your baby, what does help? I think maybe what we need is a whole new understanding of, and approach to infant crying.

First, it may help for all health care professionals to educate potential and new parents regarding what to expect in terms of normal infant crying.

Next, it may help for all of us to examine our own attitudes and feelings about babies crying.

Magda Gerber suggested:

“You expected to have a magic formula to always know what your baby needs – your baby cries and cries, it alarms you, you do not know what she needs or what to do. Realistically, had you watched parents with very young children, you would not feel so alien. You would have learned that all babies cry.

Of course, nothing really prepares you to experience your own feelings of empathy, irritability, helplessness and maybe even rage when you hear your baby cry. (Interesting article here explaining what happens in adult brains when babies cry.) However, it may help to remember that your baby comes into a world where everything is brand new. She is equipped with an immature physiological sphere. She needs to sort out sensations coming from within and a barrage of stimuli coming from the outer world. Her body looks tense, her movements spasmodic. She expresses her discomfort by crying.

It will take her some time to function more smoothly, to relax, to anticipate and respond to your care. How can you help? First, do accept that you don’t understand instinctively what exactly makes your baby cry, nor what to do about it. Next, rather than responding mechanically with one of the usual routines of holding, feeding or changing your baby to stop the crying, start a dialogue with her. Tell her, “I see you’re uncomfortable, and hearing you cry really upsets me. I want to find out what you need. Tell me. I will try to understand your cues and, in time, you will learn to give them to me so I do.”

This is the start of lifelong honest communication. For a long time it may feel as if it is only one-sided, but delightful surprises in your baby’s responsiveness will convince you how she was putting together all your words, gestures, and facial expressions all along.

Eventually, you and your baby will develop a peaceful, predictable rhythm of life. Infants who do not need to adjust to too much unnecessary stimulation will regulate their sleeping and eating patterns. This, in turn, will give their parents some predictable time for their own needs and interests.”

One of the most helpful things you can do for yourself and your child is to maintain your own sense of calm, which I recognize is sometimes easier said than done, but pays off in a more peaceful baby, and a stronger relationship with your baby.

A resource that I can highly recommend is this little gem of a book called CALMS, A Guide to Soothing Your Baby, written by Debby Takikawa, DC, and Carrie Contey, Ph.D.

There is a lot of gentle wisdom packed into this short (100 page), easy read that explains an alternative to reacting or responding with a prescribed technique when your baby cries.

Very briefly, the authors suggest that when adults are faced with a crying baby, they take the following five steps to restore harmony:

C- Check in with yourself.

A- Allow a breath.

L- Listen to your baby.

M- Make contact and mirror feelings.

S- Soothe your baby.

Each chapter of the book explains in simple, clear detail the how and why of each step, giving you practical tools, exercises, and words you can use to help yourself and your baby. There is a list of commonly asked parenting questions, and two pull out sheets so you can tape one on the fridge to remind yourself, and share one with others.

You might notice that the first three steps ask you to focus on yourself and to listen to your baby, before making contact and trying to take steps to soothe your baby. The reason for calming yourself first, before trying to calm or soothe your baby: “Babies understand and actually mimic and internalize their parents’ inner states by reading their subtle expressions and body language cues…If you are feeling stressed or unsettled, your baby is tuning into that. When you are calm and settled, your baby will know that she is safe (the first, and most basic need), which will help her settle too.”

I particularly appreciated the chapter entitled Why Do Calms?, where the authors share their view of babies and contrast it to our accepted cultural view. They write,”Typically, babies are seen as passive passengers in the womb and for some time after birth, not possessing enough brain structure to express meaningful communication and learn or maintain memories before they are able to speak.”

Now, research is confirming what some (like Magda Gerber), have long maintained, which is that “babies are sensitive and aware in the womb and beyond; the newborn arrives as a whole person on a lifelong continuum of development; memory is being created through the emotions and senses from the very beginning; experiences before, during, and after birth have a direct effect on lifelong physical and psychological health; and a baby’s earliest experiences and interactions with parents and caregivers influence how the brain and nervous system develop.”

If we accept and adopt this view of babies, maybe it’s just possible that we can replace the 5 S approach with CALM(S), and respect for what a baby needs and is capable of. And just possibly, we might all coexist a little more peacefully. What do you think?

Help! My Daughter Is Out of Control

“My daughter is out of control, and I don’t know what to do. She screams and screams, and there’s no way to stop her. There’s no talking with her, no reasoning with her, no bribing her, no distracting her, no consoling her. I’m at my wits’ end. I admit, I often resort to yelling at her or spanking her, because I don’t know what else to do. Nothing we have tried has worked. Yesterday, it was because she didn’t want to get in her car seat to go to school. We had to go, or I was going to be late for work, so I wrestled her into the seat while she was kicking and flailing. She screamed throughout the twenty minute ride to preschool. She was fine once we got there. She doesn’t act like this at school, just at home with my husband and me. I just don’t understand it. Why is she like this? My daughter is three. I thought temper tantrums were supposed to become less frequent and less severe once the “terrible twos” were past, but my daughter’s temper tantrums are getting worse and more frequent. Can you help me?”

I understand the frustration you are feeling, but in this situation, your “out of control” child is in need of just as much understanding, support, and compassion as you are. A three year old child who is screaming and melting down on a frequent basis is a child in crisis. She is literally screaming for attention and asking for your help in the only way she knows how to.

Doctor Gordon Neufeld says that the pre-frontal cortex (the thinking, reasoning part of the brain- the “wise leader”) begins to develop from five to seven years of age. Therefore, our expectations are unrealistic if we are expecting our two, three, or four year old children to make sense of their emotions or be reasonable when they are upset. Even children who are five to seven years of age are just in the beginning stages of learning how to regulate their emotions. It is our role to help young children develop the skills to make good decisions, control their emotions and bodies, and develop empathy and self-understanding.

Young children do not have the ability to think rationally about their experiences and feelings and then calmly explain to adults what is troubling them. They are just developing an “emotional” vocabulary; they are prone to experiencing poweful, overwhelming emotions, and they may not know why they are feeling so out of sorts. They rely on the adults in their lives to observe, to listen, to interpret, and to help them manage and express emotions appropriately. When things get too out of balance, they may “act out” their pain, anger, and frustration, or “flip their lids” as Doctor Daniel Siegel (author of The Whole Brain Child) says.

Doctor Siegel does a great job of explaining what is happening in our brains when a melt down or tantrum occurs. He suggests closing your fingers around your thumb to make a fist. Think of this as your brain. The hidden thumb in the center of your palm represents the “downstairs” brain – the amygdala – the “alarm center” and area of big emotions. The fingers that close over the thumb represent the “upstairs” thinking part of the brain. As children grow, they slowly develop the ability to be upset but express feelings calmly, but only if the thinking, “upstairs” part of the brain is still in connection with the “downstairs” emotion/instinct area. When we (a child or an adult) get really upset, we literally “flip our lids”! The fingers rise up and the “upstairs” brain is no longer in connection with the “downstairs” part of the brain, and that’s when a child or an adult may lose control.

A screaming, out of control child (or adult) is begging for help. Most likely your daughter is feeling extremely powerless a lot of the time. Let me share a personal story that may help to illustrate. I am currently in the process of trying to gain custody of my niece who is in the foster care system in the state of Florida. Today, I found myself veering towards a complete and utter loss of control. This has been an arduous process that has involved leaving my home, my job, my friends, and moving across the country. I am coping with time changes, climate changes, diet changes, lack of sleep, lack of any usual daily structure or routine, family illness and stress, and I am desperately missing my husband, my friends, and my cat, who are far, far away.

Given that I am an adult who has a fair amount of experience with loss and change, a fair amount of insight and coping ability, a fair ability to communicate well, and a fair ability to self regulate and self soothe, and given that this move was my choice, and I was prepared for a rough patch, I’ve been doing Okay.

What precipitated today’s melt down was experiencing a feeling of utter powerlessness with regard to the process involved in gaining custody of R. There have been an endless number of hoops to jump through, and we are stalled, three weeks into what should be a fairly straightforward and quick process.

Waiting to be with R. is hard, but I’m capable of waiting patiently if I know that everything possible is being done as quickly as possible to move R. into my care. Unfortunately, this is not the case. Nothing is moving forward, and the reason nothing is moving forward is not because of a lack of cooperation, communication, or effort on my part, but a lack of cooperation, communication, and effort on the part of the social worker involved in the case. Emails and phone calls go unanswered for days. Questions are not responded to with clear answers. Answers to questions change from day to day. Careless mistakes have been made. (My name was spelled incorrectly on a form, which has delayed the results of my fingerprint report which I submitted to days after arriving in Florida. No one notified me, or followed up, and now the whole process has to begin again, and there is another delay.)

There is no one to complain to; there is no one who cares to listen. I am at the mercy of the system, and the system is broken. It is an awful, frustrating feeling. Days go by, and R. remains in foster care, far from me. I don’t know what to expect. I don’t know when this is going to be over. I can’t count on the people who are in power to help, or to advocate for me and R. I can’t even count on them to give me straight answers about what to expect and when. Today, as I screamed and ranted and cried, I realized, “This is a feeling babies and toddlers must experience all the time. No wonder they have temper tantrums.”

Little children have so little control or say over what happens to them. Their experience in the world is limited. They may often feel confused and frustrated- especially if they don’t understand what is happening or why, or they don’t know what is expected of them. If you sometimes hold firm to a limit, and other times, you give in because your daughter wails too loudly, or you lose control of yourself, it may be hard for your little girl to know what to expect and to feel safe. Children are easily overwhelmed and overstimulated. When a child’s behavior is out of control, you can be sure the child is in emotional pain. Your child most needs your support, understanding and empathy when her behavior is most out of control, and it may appear that she least “deserves” it.

What can you to do help your daughter (and yourself)?

You’ve taken the first step, which is to reach out and ask for help and support. That’s a brave and courageous thing to do, and I commend you. You have to understand and take care of yourself so you can understand and take care of your daughter.

Next, ask yourself what stressors (beyond developmental normalcy) might be contributing to your daughter’s melt downs. What is it about the preschool environment that helps her to be able to function well there? Is she getting adequate rest, good nutrition, plenty of active, outdoor play? Are there any changes going on in your family that might be contributing to her stress? Marital or financial problems? A new sibling? Changes in routine? A recent illness? Any or all of these things can contribute to your daughter feeling out of control and overwhelmed. How much TV does she watch? Does she have the opportunity to have some control and choice over things that matter to her? Does she have enough, and regular, unstructured free play time? Have you checked with your pediatrician and ruled out food allergies and/or sensory issues?

If you haven’t already created daily routines and rituals, now is a good time to begin. Young children cope best when they know what to expect and what is expected of them. They can cooperate and participate when they have clear boundaries. Simple, unchanging routines that they can count on give young children a sense of safety and security. Get into the habit of telling your daughter what to expect before it happens, invite her participation, and give her time to transition from one activity to the next.

Make a commitment to respond calmly and with empathy when your girl is “losing it”. Not only is this good modeling, it lets her know that you are on her side, and she can count on you to be the “calm” in a storm. Time out, punishment, yelling, or bribing will do nothing but continue the cycle, because these responses do nothing to address the underlying issues that are causing the behavior.

Finally, I’m including a resource list of suggested reading that I hope will be helpful to you. I’m wishing you the very best, and please do let me know how things are going!

Biting, Hitting,Kicking And Other Challenging Behavior – Janet Lansbury, Elevating Childcare

When Mama Has A Bad Day, and For The Love of A Tantrum– Darci Walker, Core Parenting

Books To Share With Your Daughter To Begin To Build Emotional Literacy– Some of My Recommendations

Emptying Our Minds in Order to Be More Present With Babies

This was a good reminder for me. It’s hard to be present and responsive and enjoy what’s right in front of us if our mind is full of thoughts and worries about other things. I wish I knew who to credit for this drawing, but I don’t. I found it on facebook, and tried to trace it to its origins, and while it appears in many places on the web, it’s always without attribution.

If I could draw even simple stick figures, I’d replicate it, but I’d depict an adult and a child walking together. I think small children are naturals when it comes to being fully present and engaged in the moment. This picture also reminds me of the importance and healing quality of spending time in nature, which can help to quiet our minds. I had the opportunity to experiment with quieting my mind and awakening my senses to all that was around me just two weeks ago during a hiking trip into the wilds of Big Sur. Each morning before beginning our hike, our leader would help to set a tone and focus our attention by reading a selected poem, and inviting us to join in a simple ritual of “bowing in”, after which we’d spend the first leg of our hike walking in silence.

When I studied with Magda Gerber, she often talked about the importance of the quality of attention adults brought to interactions with children. She stressed the necessity of slowing down, and really focusing, and bringing our full attention to the child.

In her post Magda Gerber’s Gift To Grown Ups, Janet Lansbury writes about two kinds of quality time we can spend with babies and toddlers:

“One of the gifts that I am most grateful for is Magda Gerber’s description of two types of ‘quality time.’ The first kind: “wants something” quality time is when we have a task to do with a baby like diapering, feeding, bathing, or clipping his toenails, and we challenge ourselves to slow down, ignoring our instinct to zip through it as quickly as possible. We try to focus on the experience, talking the baby through each step, asking for cooperation, sometimes dealing with resistance. It suddenly occurs to us, “What’s the rush? Is there anything more important than this time together right now? Why are these moments with a child any less important than his ‘play time’?” The child looks into our eyes as if to ask us what will happen next, and we realize that we are indeed having an intimate moment together.

The second kind of quality time, “wants nothing,” can encompass a wide range of experiences, but all we are asked to do is pay attention and have no agenda of our own. It can mean being quietly available as a baby explores patterns of light on a blanket beneath him, or standing nearby while he has a screaming meltdown because he cannot have another cookie. It may be trickier to see the benefit for parents and caregivers in this latter scenario, but it is clarity. When we pay full attention to our child for intervals each day, no matter what the tone of our exchange or the outcome is, we are giving him the quality time he needs. We are doing our job.”

Magda taught an exercise that I find helpful to this day in achieving this quiet, present state of mind. She suggested that before entering a parent/infant class, or before beginning a care giving task with babies, adults should take a moment to consciously slow down, and empty the contents of their minds into a basket (real or imaginary). Imagine depositing all of your worries, your lists of things that need to be done, your thoughts about what to make for dinner, into that basket, and saying to yourself, “I am leaving you here now, but I promise I’ll be back to pick you up soon.” It’s such a simple thing to do, but for me, has been very powerful.

Do you have a favorite way to bring yourself more fully into the present moment? Do you notice a difference in the way your baby or toddler responds when you are able to be more slow and focused in your interactions?

Mind In The Making: Seven Essential Life Skills Every Child Needs

What can we do to keep the fire in our children’s eyes burning brightly? How can families and teachers give children the life skills they need to cope in our multi-tasking, multimedia, modern world? These are the central questions Ellen Galinsky explores in the book, Mind In The Making: Seven Essential Life Skills Every Child Needs.

I had read Mind In The Making shortly after it was published in 2010, and was avidly following Amanda Morgan’s (Not Just Cute) series of “read along” posts delving deeply into the contents of the book, so I was thrilled to have the opportunity to meet Ellen during a recent talk she gave about the book. Ellen introduced Mind In The Making as an “accidental book”- one that took over ten years to write. She explained, “I didn’t set out to write a book. I started with the idea of doing a study on Youth and Learning. But- “In the course of interviewing young people (from many different backgrounds) for the study, I found far too many of them were turned off by learning, which is in stark contrast to very young children, who are driven to learn. I postponed the study on Youth & Learning and began a journey to answer the following questions: 1) How do children learn best? 2) What makes them stay motivated and engaged in learning? 3) What makes them see themselves as learners, and how do they become ongoing, life-long learners? 4) What can be done to rekindle their motivation if it has been dulled?”

Ellen then decided to make a documentary exploring the best science on children’s learning. But, after a few months of interviewing researchers and working with a production company to film experiments, the documentary grew to become a series. Four to five years later, after examining research across many disciplines, Ellen said she began to see a certain set of skills that emerge in all children who are motivated, engaged learners. She could also see, from looking at longitudinal research, that if parents and teachers promoted these skills, it made a critical difference, and helped children to thrive throughout their lives, which is why she defined the seven skills she identified as life skills. She quipped, “Everyone does something. Some people kayak, and others climb mountains for adventure. I follow research and call it adventure.” My kind of lady!

All seven of the skills Ellen identified involve what scientists call executive functions of the brain. (Executive functions all involve the prefrontal cortex of the brain, and we use them to manage our attention, our emotions, and our behavior in order to reach our goals. They aren’t just intellectual skills (what we typically think of as IQ), but also encompass social and emotional capacities, and “go beyond what we know, to tap into how we use what we know.” The seven life skills are as follows:

Focus and Self Control

Perspective Taking

Communicating

Making Connections

Critical Thinking

Taking On Challenges

Self Directed, Engaged Learning

Ellen went on to explain that she wanted to write a book that would bring the research alive in an interesting and engaging way, and not guilt parents, but instead, be hopeful and help them to see how they could nurture their children’s development of these seven life skills through everyday interactions and activities. I’d say she succeeded brilliantly in her goal.

She stressed that these skills are as important for adults as they are for children, and that when we practice them ourselves (modeling), we help promote them in children. “We don’t need expensive programs, materials, or equipment to promote these skills- they can be promoted through the everyday things we do with children, and it’s never too late to help children learn these skills- no matter what their age.” During her talk she used video clips to introduce various researchers and bring the research alive, by bringing us into the lab to watch experiments in action, and in the book, she shares numerous examples that translate the research into “real life” situations. She provides a parent’s perspective, and shares some of her own experiences and lessons she learned from parenting her two (now grown) children. She also offers short experiential exercises for adults, and many suggestions for enjoyable and easy ways for parents and teachers to encourage and support children in developing the seven life skills- through the conversations we have, the games we play, the routines and rituals we develop, and even through the difficulties and disagreements that naturally occur between siblings or between parents and children. (Sibling relationships provide fertile ground for helping children to develop their skills in perspective taking or “understanding the other”, communication, and problem solving!)

There was a group of early childhood educators seated behind me in the auditorium, and I had to grin when one of them couldn’t contain an enthusiastic, “Uh huh! What took them so long to figure that out?”, as Ellen underscored the point that young children learn and solidify focus and self control through active movement of their bodies. What is often very obvious and “known” to those of us who care for, teach, and observe young children on a daily basis is just now being studied, understood, and quantified by researchers.

What was exciting to me as I was reading the book and listening to Ellen speak, is what the researchers are now discovering about babies and toddlers and how they learn. Most people don’t think to pair the word “competent” with infants, yet, they are competent to begin participating in relationship and learning from their first moments, and the research provides some striking examples of ways we can support even the youngest and most fragile of babies to begin to develop the skills they will need and use for life. I am especially interested in making connections between the current research and my practice of Magda Gerber’s philosophy of educaring (educaring = teaching while caring).

Particularly fascinating to me, and what I want to highlight in this post and the next, is Heidelise Als’s (of Harvard University) research with preterm infants (born ten to twelve weeks before their due date) in neonatal intensive care units. Als’s work points to the tremendous competence and resilience even the most fragile baby is born with. Ellen shares in her book that her son Philip was born premature, so Als’s research was of particular interest to her, as well. Ellen believes Als’s work has important implications for all children, because it is instructive in how we can work with children to help them to thrive and cope in the face of challenges, becoming stronger in the process.

This short video clip provides a brief interview with Als, highlights how her ideas are benefiting some premature infants, and suggests why her findings might be helpful to all of us interested in helping children to develop their inborn abilities to take on challenges and cope with stress. I invite you to take a moment to watch.

In my next post, I will share more about Als’s discoveries and approach, which she describes as a developmental, relationship based, respectful way to support even the youngest infants to manage their own stress, by encouraging them “to use the abilities that they are born with for coping and calming down.”

I’ll leave you with this quote from Als, which is where I begin my next post….

“If we can understand the ‘words’ the baby is saying, maybe we can fill in the meaning of the sentence and understand the message.”

Is “The Happiest Baby On The Block” the Most Oppressed? Why I’m Not a Fan of The “5 S” Method of Calming Crying Babies

Is it just possible that the Happiest Baby On The Block is the most oppressed? If a parent responds to a baby’s cries as Doctor Harvey Karp suggests, from her earliest moments, the baby may be getting the message that her cries won’t be tolerated or taken seriously. I know this is absolutely the last message in the world that loving, caring parents intend to send to their babies, which is why I have a difficult time tolerating it when professionals package and sell programs to unsuspecting and vulnerable parents who only want to understand and offer comfort to their babies.

Consider: What messages might a baby be receiving if we respond to their cries in the way Doctor Harvey Karp demonstrates in this video?

https://youtube.com/watch?v=guRi6zyFHtwframeborder%3D0allowfullscreen

Doctor Karp teaches new parents to “recreate the conditions of the womb” in order to comfort and quiet babies through using a method he refers to as the “5 S’s“:

Tight Swaddling: Karp says, “Tight swaddling provides the continuous touching and support your baby is used to experiencing within the womb.” ( I don’t recommend tight swaddling because I believe babies need and deserve to be free to move their arms and legs, which is one of the ways they discharge energy. Additionally, tight swaddling can cause or aggravate existing hip problems. A better alternative is a sleep sack.)
Side/stomach position: “The infant is placed on their left side to assist in digestion, or on their stomach to provide reassuring support. “But never use the stomach position for putting your baby to sleep,” cautions Karp. Sudden Infant Death Syndrome (SIDS) is linked to stomach-down sleep positions. When a baby is in a stomach down position do not leave them even for a moment.” ( I’ve written about the drawbacks of placing babies on their stomachs before they can move into this position independently. It’s not worth the risk to your baby’s health, development, or safety to place her into a side or stomach position in the hopes that it will stop her crying.)
Shushing sounds: “These imitate the continual whooshing sound made by the blood flowing through arteries near the womb.” ( I don’t believe loudly shushing a baby sends the message that I’m present, available, and listening.)
Swinging: Newborns are used to the swinging motions within their mother’s womb, so entering the gravity driven world of the outside is like a sailor adapting to land after nine months at sea. “It’s disorienting and unnatural,” says Karp. Rocking, car rides, and other swinging movements all can help. ( Babies quickly get used to and become dependent on rocking, car rides, bouncing, or swinging to lull them and to put them to sleep, and then come to need these things. I believe it best to comfort babies with a minimum amount of movement. Rocking, swaying, or walking with a crying baby is often comforting for the adult, but I’d avoid taking the baby for car rides in the hopes of quieting them. Magda Gerber suggested, “All the many forms of what we call comforting, bouncing a child on one’s knee or rocking her in a rocking chair, often express our own nervous energy and frustration when confronted with a crying baby.”)
Sucking: “Sucking has its effects deep within the nervous system,” notes Karp, “and triggers the calming reflex and releases natural chemicals within the brain.” (It’s true that babies derive comfort from sucking, but they find their hands or thumbs quickly when given an opportunity.)

Karp suggests using these “techniques” in the first weeks and months of a baby’s life, and all at once! I don’t know about you, but I didn’t observe that baby Maya was comforted by having the “5 S’s” administered. To my eyes, she appeared to be shocked into silence. Not only that, but she was being “handled” and manipulated as if she was an object, not a human being. In fact, when I viewed the video for the first time, I didn’t realize that Doctor Karp was “using” an actual baby to “demonstrate” his method- I thought he was shaking a doll. I heard Janet Lansbury’s gentle admonishment, “If you wouldn’t want it done to you, don’t do it to your baby. In fact, don’t do things to your baby, do things with your baby.”

Even more upsetting and insulting, Maya is being talked about as if she’s not there, as Karp goes on to advise the trusting mom how to “trick” her baby into holding onto the pacifier, by “pretending” to pull it away from her. When he asks Mom if Maya might be hungry, and the reply is “Yes,” he allows that it’s natural for Maya to be fussy, and “If you were at home and not doing a little class, you’d feed her.” So- the baby is expressing a need, and the mother is understanding the baby’s communication, and the good doctor advises the mom to ignore her baby’s communication in the interest of continuing to demonstrate how well his calming technique works- for the cameras and all the world to see.

Again I ask, what message is Maya receiving? Wouldn’t it be better to help mom and baby to build their relationship by encouraging mom to listen, respond to, and honor Maya’s expressed need to eat? I would have been less incensed had Dr. Karp at least acknowledged or talked to the baby about what was happening. The infant was completely left out of the equation here.

Another difficulty I have with programs like Dr. Karp’s, which are meant to teach parents to “magically” stop a baby’s crying, is that they set up unrealistic expectations for parents. All soothing “strategies” may work some of the time, but nothing works all of the time.

This should not be a surprise; after all, babies are not machines, and do not act like machines. The problem is, of course, that programs that claim to be successful, especially when you “do it right,” can raise expectations that you should be able to soothe your infant. Then, if you can’t, and the infant continues to cry, you can feel even worse than you felt from the crying alone, because you have now “failed” somehow. The saddest thing is to hear about parents who say, even when they have done all the things they were promised would work, but their baby keeps crying, “I feel like such a failure.” Ronald G. Barr, MDCM, FRCP(C)

“Many babies cry a lot during the first weeks, even the first three months. There can be several reasons; most likely the premature organism does not yet function smoothly and babies have to learn to adapt to a very different life from the one that they were accustomed to in the womb.” Magda Gerber

I believe babies (even the most fragile) are up to the challenge of adapting, thriving, and participating in their own process when given a bit of gentle, calm support. Every effort should be made to understand and respond sensitively to a baby’s cry (which I see as communication), but I do not believe that we should try to (or need to) artificially recreate the conditions of the womb in order to quiet a crying baby.

In fact, quieting a crying baby should never be the goal. I suggest taking a deep breath, slowing and calming yourself before responding. Listen and try to understand why the baby is crying. You might say, “I hear you crying. I wonder what you might be saying?” If there is a need that can be met, like hunger, or the need for sleep, then it makes sense to respond by meeting the need. If baby is crying, and you can’t discern an obvious reason, then it can be helpful to reduce stimulation to a minimum, and just gently hold him, or lie her down. Skin to skin contact, gently swaying your body while cuddling baby in your arms, talking softly or quietly humming a song, may comfort your baby (or maybe it comforts you), but sometimes, you may find that nothing you do has a calming effect.

What is important for all parents to understand (but especially new parents), is that it is normal and natural for babies to cry. In fact, this is what is sometimes referred to as The Period of PURPLE Crying which “begins at about 2 weeks of age and continues until about 3-4 months. There are common characteristics of this phase, or period, which are described by the acronym PURPLE. All babies go through this Period; it is just that during this time some can cry a lot, some far less, but they all do go through it,” writes Marilyn Barr, Founder/Executive Director, NCSBS

I want to help all adults and new parents to understand that each day, newborn babies mature and “settle” a bit more, and that from the very beginning, babies are learning about themselves, about us, and about their world through their interactions with us. Babies are dependent on adults to meet their needs, but this doesn’t mean that they are not conscious human beings. Babies deserve to be treated with dignity and respect, and as partners in relationship from their very first moments.

I’m passionate about helping new parents to understand their babies’ cries, and encouraging them to feel confident in responding in ways that will strengthen and build the relationship and communication between them and their baby. To that end, I’m offering some further resources here, and as always, I welcome all questions and comments.

Period of Purple Crying, A New Way To Understand Your Baby’s Crying

What Is All That Crying About? Ronald G. Barr, MDCM, FRCPC

The Truth About Infant Self Soothing Janet Lansbury

7 Reasons To Calm Down About Babies Crying Janet Lansbury

The Secret Language of Babies Janet Lansbury

It’s Okay to Let Your Baby Cry Gracelings

Babies and Crying: What’s a parent to do? Lisa Sunbury

Soothing Your Baby the Calms Way Parenting With Love

8 Ways To Go “Commercial Free” and Give Play Back to Babies

On February 15, 2012, I had the pleasure of (finally) meeting Susan Linn (and her puppet Audrey), at The Third Place in Los Altos, California. Susan began her talk, The Case For Make Believe, by sharing a bit about how she came to be “an activist and advocate for the rights and freedoms of children to play and to grow up without being undermined by the greed of corporations.”

3778_200_150.jpg (200×150) — Susan Linn with Audrey

Dr. Linn is also an award winning ventriloquist and puppeteer who once performed on Mister Rogers’ Neighborhood, an instructor in psychiatry at Harvard Medical School, and co-founder and director of the small but mighty Boston based advocacy group, Campaign For A Commercial-Free Childhood, or CCFC for short. (I refer to CCFC as the little organization whose roar Disney couldn’t ignore. More about that in a minute.) Susan Linn has written two books I have read and highly recommend: The Case for Make Believe:Saving Play in a Commercialized World, and Consuming Kids: The Hostile Takeover of Childhood.

During her talk, Susan explored three main questions: Why do children need to play? How is technology and media influencing their play? And what can we do about it? She began by explaining, “Play is the foundation upon which children build critical thinking skills, creativity, self regulation, delayed gratification, follow through, and the ability to wrestle with life and make it meaningful.”

“Losing — or never acquiring — the ability to play may not sound like much until you realize that play is both the foundation of learning and essential to mental health. Initiative, curiosity, active exploration, problem solving and creativity are capacities that develop through play, as are the more ephemeral qualities of self-reflection, empathy, and the ability to find meaning in life.”

We know that babies are born with an intrinsic drive and ability to participate in relationships, to learn, and to actively engage in understanding their world and the people in it through their own exploration and play. There is an impressive and ever growing body of research that supports the belief that in the first years of life, beginning at birth, optimal intellectual, social and emotional development occurs through a baby’s direct engagement with his world and the people in it. Dr. Linn said, “As human beings, we need to make meaning of things, and we do this through play.” (Magda Gerber developed the basic principles of Resources For Infant Educarers (RIE) on exactly these beliefs.)

Susan continued, “It would seem that as a society, we are doing everything in our power to discourage or undermine children’s play. Witness: academics in preschool,”teaching to the test”, art, music, drama, and physical education programs disappearing from our schools, recess being cut, over scheduled children, free play being replaced by organized sports and formal lessons, outdoor play disappearing due to fear (stranger danger), and the ubiquitous and widespread use of screen media (A Vinci Touchscreen Mobile Learning Tablet for babies, anyone?) beginning in infancy.”

One of CCFC’s goals is to stop companies from luring babies to screens by making unfounded claims that their products are educational. CCFC encourages parents to follow the American Academy of Pediatrics’ recommendation to keep babies and toddlers under the age of two away from screen media.

Whether you choose to allow your baby to watch TV or not, Susan Linn believes you, as a parent, have the following rights:

a right to decide when to introduce your children to screen media.
a right to accurate information about the pros and cons of that choice.
a right to raise children without being undermined by commercial interests.

Which brings us to Baby Einstein and Disney. As reported in the New York Times, “Baby Einstein, founded in 1997, was one of the earliest players in what has become a huge electronic media market for babies and toddlers. Acquired by Disney in 2001, the company expanded to a full line of books, toys, flashcards and apparel, along with DVDs including “Baby Mozart,” “Baby Shakespeare” and “Baby Galileo.”

By targeting babies, companies are marketing not just products but lifelong habits, values and behaviors — hardwiring dependence on media before babies even have a chance to grow and develop and removing them further and further from the very experiences that are essential for healthy development. Susan Linn

CCFC filed a complaint with the U.S. Federal Trade Commission against Disney and Brainy Baby for false and deceptive marketing of baby media in 2006. In response, Disney offered refunds of $15.99 for up to four “Baby Einstein” DVDs per household, purchased between June 5, 2004, and Sept. 5, 2009, and returned to the company. Although the company admitted no wrong doing, the New York Times said “the unusual refunds appear to be a tacit admission that they did not increase infant intellect.”

For a simple demonstration of how children’s creative play may be influenced and truncated by rampant commercialization and early exposure to screens, I invite you to participate in the following brief play exercise. (Susan Linn did a similar demonstration during the talk I attended.)

Interesting to note: When I showed this video clip to 36 month old J. (without the sound and without any prompting questions), when he saw the first toy he said, “Hey, that’s a froggy. A Daddy froggy who says ‘Ribbit Ribbit’, and I play with him.” When he saw the second toy, he said, “I ride him. He’s a horsie who says ‘Neigh’, and he chomps!” When, he saw the third he said, “Hey, that’s Elmo, but why he’s not singing ‘La La La, La, La, La’?”

Susan asserts, “The best toys are 10% toy and 90% child. This means the toy just lies there until the child picks it up and makes it do something. And yet, the best selling toys are 5% child, and 95% toy (think:Tickle Me Elmo). Babies aren’t born thinking Elmo is important- babies are trained to have Elmo be important.”

(Speaking of early “training”– in January of 2011, Disney reached a new low by trying to “brand” babies at birth by “hiring Our365–a newborn photography service/marketing firm–to promote its new Disney Baby line in maternity hospitals around the country. Moms who request a newborn portrait during their hospital stay are pitched Disney Baby by their photographer, given a branded onesie, and encouraged to sign up for email alerts from DisneyBaby.com.”)

Again, Susan’s words echo Magda Gerber’s who believed children should be the “main producers, script writers, and actors” in their own play, as Janet Lansbury explains in Better Toys for Busy Babies:

Magda Gerber believed in “busy babies rather than busy toys”. She suggested we keep toys simple so that our babies could investigate them thoroughly, use them imaginatively in multiple ways, and be encouraged to be active explorers. As she explains in Dear Parent – Caring For Infants With Respect, “…entertaining kinds of toys (such as mobiles or, later on, wind-up toys or battery-operated items) cause a passive child to watch an active toy. This trains the child to expect to be amused and entertained and sets the scene for later TV watching.”

Alas, CCFC, along with the American Academy of Pediatrics and many early childhood professionals and play advocates, including me, are facing an uphill struggle, not only against corporate marketers, but with reaching parents with this crucial message.

Consider these statistics quoted by Dr. Linn: 19% of babies have TVS in their bedrooms, 40% of three month old babies are regular viewers of TV, and 90% of children under the age of two years old have some involvement with screens.

This, despite the fact that there is “NO EVIDENCE, NONE that TV viewing is educational,” and “recent research indicates screen time for babies may be habit forming, contribute to sleep disturbances, inhibit the development of language, contribute to attention deficits, and leave less time for hands-on, active and creative play, or fewer interactions with parents. Another concern is that “screen-saturated babies will never learn how to soothe or amuse themselves independently.”

The question that most interests me is this one:Why do loving, conscientious, well intentioned parents ignore the AAP guidelines? Susan has conjectured,

“Today’s overworked, over stressed, under-supported parents don’t really want to hear that videos such as Baby Einstein and Brainy Baby are not educational and that screen time may even be harmful. By believing they’re beneficial, parents can justify using electronic media to get what may be a much-needed break from hands-on child care.”

Certainly, the conversations I’ve had with parents over many years of working with families would seem to indicate that this is indeed the case. Janet Lansbury writes, “parents desperately need breaks from the 24/7 job of baby care, especially in those first years (been there!). Sometimes TV can seem the easiest or only answer.”

Further, many parents DO believe that shows like Sesame Street, and videos like Baby Einstein and the ilk are educational, and some fear that their babies may be left out or left behind if they don’t have access to them, a point poignantly brought home to me when I was working as the supervisor of an Infant/Toddler Center and a young Mom came to ask me if I knew of anyone at the Center who had purchased the Baby Einstein videos and would maybe allow her to borrow them to make copies, so she could show them to her young son. This Mom shyly explained that she and her husband spoke only Spanish to their baby at home, and they had no income to spare to purchase videos, but she wanted her baby to have the advantages that other children had, and she felt the videos would help her baby learn to speak English better than she and her husband could. I was happy to be able to help her to understand that her baby wasn’t missing out on a thing by not having access to such videos.

Susan concluded her talk by saying,”This is an issue for our society, not just an individual issue. We pass on our values with the stories we tell, and the toys we give children. We tell them- ‘We like this.’ ‘This is what men and women should aspire to.’ ”

But do we want to buy the bill of goods corporate America is selling to us and our children? It’s an important question to consider, especially since our “boys are being sold violence”, and our “girls are being sold princess culture and sexualization.” It’s a somewhat bleak picture, but not one that we can’t change if we choose. Let’s return childhood and play to our children, shall we?

If you are interested in learning more, or wondering what you can you do to support, encourage, and protect your baby’s innate ability to play and learn without the use of screen media, or undue influence from corporate marketers, here are some suggestions and resources:

1) Become aware and informed. CCFC offers reliable, trustworthy information through their web site and newsletter, and an incredible number of free resources for families, educators, and advocates, outlining what the issues are, and offering ways to be proactive in fighting the over commercialization of childhood. They also offer resources for families and educators who wish to be intentional and conscious in the use of screen media with children.

2) Consider following the American Academy of Pediatrics’ advice, and don’t expose children under the age of two to any TV at all. Limit TV viewing and screen time for preschool aged children to no more than one hour per day of educational programming, and try to watch with them, if you do allow them to watch.

3) If you are a parent struggling with the question of how to keep the TV off while still managing to cook a meal or take a breath once in awhile, I can’t recommend Janet Lansbury’s posts No Need For TV, Baby, and A Creative Alternative to TV Time, highly enough. She gives concrete, solid guidance and suggestions that help to address the very real dilemma parents face.

4) Consider purchasing toys, books, clothing, food, diapers, and accessories that do not feature Disney, Sesame Street, or other cartoon characters. Look here for good ideas about toys for babies and young children that are 10% toy, and 90% child.

5) You can watch the documentary Consuming Kids for free online.

6) Don’t put a TV in your child’s bedroom, and don’t turn on the TV during meal-times.

7) Consider participating in Screen Free Week (which falls on April 30th – May 6th this year). Susan says it’s not necessary to give up the use of all screens for the week in order to participate, although CCFC will “go dark” on their site, facebook page, and twitter account for the week. You can use Screen Free Week as an opportunity to evaluate and assess your family’s use of screen media, and to experiment with ways to enjoy time together as a family without the distraction of screens. For the first time ever, CCFC is offering a free organizers kit. Get yours today!

8) Finally, I invite you to share your thoughts, challenges, resources, and what has worked for your family in the comments below.

Babies and Crying: What’s a parent to do?

“Crying must be responded to. But how is a more complicated issue. To follow the advice, “do not let your baby cry,” is practically impossible. At times the harder a mother or father tries to stop the baby’s crying, the more anxious everyone becomes.” Magda Gerber

In The Dangers Of “Crying It Out“, published this week in Psychology Today, psychologist Darcia Narvaez argues not only should babies never be left to cry for any reason, but in fact, parents have an obligation to parent in a way that will prevent any crying at all, lest the baby suffer a whole host of emotional and physical repercussions, including brain damage.

She argues that it’s not normal for babies to cry: “A crying baby in our ancestral environment would have signaled predators to tasty morsels. So our evolved parenting practices alleviated baby distress and precluded crying except in emergencies. Babies are built to expect the equivalent of an “external womb” after birth. What is the external womb? —being held constantly, breastfed on demand, needs met quickly. These practices are known to facilitate good brain and body development. When babies display discomfort, it signals that a need is not getting met, a need of their rapidly growing systems.”

Reading the article, I found myself asking “Really, Doctor Narvaez?”

Apparently Narvaez is not familiar with the period of Purple Crying, which is an evidence-based infant abuse prevention program which aims to educate parents about normal infant crying and its relation as a trigger for abuse. Purple refers not to the color the baby turns when he or she cries, but to:

P–Peak of crying. The worst crying tends of occur around 2 months of age and decline from 3-5 months.

U–Unexpected. The crying often comes on and stops for no apparent reason.

R–Resists soothing. The baby is often difficult to soothe.

P–Pain-like face. The baby may appear to be in pain even if they are not.

L–Long-lasting. The crying may go on for several hours a day.

E–Evening. The baby often cries more in the late afternoon or evening.

The goal of the Click For Babies project which is being organized by the National Center on Shaken Baby Syndrome (NCSBS) is to help parents understand that frequent and sometimes intense crying is often normal in the first few months of life, and does not necessarily mean anything is wrong with the baby, nor does it mean the parent is inadequate or doing anything wrong if they aren’t able to stop their baby from crying. The hope is that by educating parents about this common developmental stage, many may be helped to learn to respond sensitively, while preventing cases of Shaken Baby Syndrome, which occur more commonly when babies are especially fussy.

Doctor Heather Wittenberg, “The Baby Shrink” (and mother of four), was similarly outraged by the polarizing tone and misinformation in Narvaez’s article, and she wrote a short, but pointed response, in which she concluded:

“The fact is, there is no evidence whatsoever that occasional CIO in typically developing babies causes any damage. PERIOD. More importantly, there IS evidence that severely sleep-deprived mothers are at much higher risk of developing an already common –and dangerous — condition: postpartum depression. And PPD certainly CAN lead to long-term damage to both baby — and the entire family. CIO is a method that, when implemented thoughtfully, can often lead to improved sleep (and health and happiness) for everyone.”

Janet Lansbury posted Dr. Heather’s response to the Psychology Today article on her Facebook page, prefacing it with a note that asked: “What do you think?” Within a few hours 58 responses had been logged, which speaks to the very strong feelings aroused when people hear the words baby and crying (or “crying it out”) in the same sentence. Dr. Heather received an equally overwhelming and intense response on her site, and some of the responses were barely civil. It seems this is a conversation that needs to continue to happen. There is so much emotion, judgment, misinformation, and misunderstanding around this issue, and that’s not good for parents or babies. Also, the question of how to respond to a baby’s cries goes right to the core of how we view babies, and how sensitively and respectfully we care for them.

Janet Lansbury has written eloquently on the topic on numerous occasions, most recently in 7 Reasons To Calm Down About Babies Crying where she says: “When babies cry, our job is to tune in, provide help, love and support as needed, but not necessarily stop the crying.”

The number one question and concern new parents have is this one: “Why does my baby cry? What’s the best way to respond when s/he cries?” I also have parents come to me who are beyond exhausted, and desperate for some sleep (when their babies are a year old or 15 months old, and still waking many times a night), but fear they will somehow be harming their baby if they allow so much as a whimper. What’s a parent to do?

One of the responses to this discussion was penned by Carla Prosch, who is an early childhood professional currently working as a nanny for two families in Seattle Washington, and is herself the mother of two children. Her response was so thoughtful, and so closely mirrors my own progression of thinking, feeling, and understanding about babies and crying, that I asked her if (and she graciously agreed) I might share her words here:

“I really appreciate the dialogue going on here because I find it all very fascinating. It seems that it would be so much easier if there was ONE WAY to handle all situations with all children at each developmental stage. Imagine if there was only one book to be used and we all took that book home in our diaper bags when we left the hospital. That would be too easy (and probably kind of boring).

A few months ago I wrote some thoughts about babies and crying and had decided that I had many more thoughts to include. I recently realized that when I have worked with babies and toddlers in a group care situation, I have to fight against a deep ingrained (belief? feeling? cultural norm?) that I have learned. This subtle belief that I have is that when babies/toddlers are crying, it’s my job to get them to stop (I don’t really believe that, but I think I FEEL that deep down, subconsciously). Or, perhaps to even prevent the crying from happening in the first place! If they continue to cry, I must not be doing my job well (subconscious feeling, I don’t truly believe this). Now here’s the switch (a truth for me) – when babies cry, it’s my job to figure out why and to support them in whatever way is necessary while they cry for as long as they need. I believe in observing them and then sensitively responding to them.

Think of it this way; imagine the director of a program is walking through your classroom with a tour of prospective parents. If the children in the room are actively engaged and relatively calm, as a teacher it feels very different than if the children are actively engaged in other ways that are not so calm, grabbing a toy from somebody, crying because a limit was set (typical, developmentally appropriate infant/toddler behaviors). There seems to be so much more “stuff” that has to be explained in the second scenario. You usually don’t hear something like this from the first scenario, “Parents, I know what you are observing now is something that might feel a little uncomfortable to you, the children are actively engaged and calm. That’s because the teachers in this room have set up a stimulating environment and are keenly observing the children to support them as they play.” Both scenarios happen and to me, both scenarios are healthy but scenario #1 is always easier to feel confident about. I think a lot of that has been learned within our culture.

So that is my recent personal journey about crying in general. What about CIO? I think, as we all know, there are many different ways to approach situations with children. What matters most is that each of us can make informed, thoughtful, intentional decisions based upon multiple factors within each family (the child’s temperament, family culture, the level of support families are receiving, etc). I believe in four key goals: 1) Striving to build a caring community of loving support with one another, 2) Sharing our thoughts and feelings with each other genuinely and authentically, 3) Being heard without judgment, and 4) Respectfully agreeing to disagree when necessary.

What is very important to me is empowering families to make each choice for their own child, realizing that they are the only true expert on their child. Nobody will ever know a baby as well as the mother and/or father know him/her. And in the end, when our children are grown and we look back on the personal choices we made, we will (hopefully) know that each choice was made in the spirit of good intention and genuine thoughtfulness.

Looking back at choices my husband and I made together, we realize now many things that we would have done differently because of experiences we have had as we have gotten older. However, we are confident that we did the best we knew how to do at that given moment in time with the very best intentions (adding into this equation – imperfect humanness). We did not do CIO with our two children (now 13 years and 8 years old), but if we were to do it over, we would definitely choose to use the CIO approach, as appropriate, while observing our children in the process.

I say all of this not from a place of knowing but from a place of “this is where I am right now”. The topic of crying really stirs up a lot of discussion in people.”

And now, it is your turn. What are your thoughts on babies and crying?

It IS Possible To Discipline Children Effectively Without Shame- A Very Personal Post

One of the things I appreciate about social media is the opportunity to connect with so many wonderful people, and to learn so much from them. One of the ways I connect and learn is through participating in chats on twitter. There are chats on any number of subjects on any given day, and each chat has it’s own purpose and feel. Chats can range from light and informal, to serious and educational. All chats provide a great opportunity to network, and interact with a number of others who have an interest in the same subject matter. #pschat is one I participate in on a fairly regular basis (as my work with children allows). It is hosted by the lovely Lela Davidson who is the author of Blacklisted From The PTA, and editor of the parenting squad site.

The majority of the women (and a few men) who participate in the chat are parents, and the topic each week varies, but it usually centers around a current “hot button issue” in parenting. The conversation is lively, and the tone is often lighthearted and funny, and I’ve made some lovely connections. Most of all, I enjoy “listening in” and hearing from parents regarding their honest thoughts on their parenting challenges and joys. As is my wont, I often play devil’s advocate and bring my own unique point of view to the arena.

This week, the topic and the conversation took a more serious turn than usual, as the discussion centered on a news story that has been making the rounds recently. The story is about Jessica Beagley, more commonly referred to as the “Hot Sauce Mom.” She lives in Alaska with her children, two of them adopted from Russia. In this segment, which aired on national television, and was filmed by her daughter, Jessica punishes her seven year old son for misbehaving at school and lying about it, by washing his mouth out with hot sauce, and forcing him to take a cold shower. Jessica is now being investigated for and charged with child abuse.

Needless to say, there were strong reactions and varying opinions on this topic, and the conversation quickly veered toward this general question: “What are effective ways to discipline children?” Everyone participating in the conversation seemed to agree that it is necessary to “teach” discipline, but there was disagreement as to the best approach, with some advocating for the use of “judicious” spanking, others for time out, some for consequences such as the removal of TV and computer privileges, and still others advocating for more gentle and respectful ways of instilling discipline.

It was clear that we weren’t all going to reach an agreement, but to me, that’s fine. What is important, as far as I’m concerned, is that the conversation is taking place. As my friend Suchada says, “The more people talk, the more the word is out there. It’s the only way change will happen.” One Mom, who is a believer in spanking as a form of teaching discipline, ended up asking those of us who believed discipline was possible without spanking for resources that gave alternative (effective) ways to discipline children. My final comment, which was passed on by many was this: “We’ve GOT to separate “discipline” from physical punishment, and shame. You can accomplish one without the other!”

Lela concluded with a question to me which inspired this post: ” How do you instill authority? Because at some point the kid has to STOP when you say so, instead of running in the street.” There is no answer to Lela’s question that can be given in 140 characters, which is what one is limited to on twitter. It so happens I wrote a series of posts on the topic a few years ago (before anyone knew I even had a blog). So, over the course of this week, I am going to share those posts, but I am also going to be writing some new ones on the topic, because this chat made me realize that I have more to say about disciplining children, and the story of the “Hot Sauce Mom” made me realize that parents really need (more) support and specific guidance regarding how to accomplish their goal of teaching children to behave in socially acceptable ways, without using physical punishment or shame.

My goal is to support families and teachers of young children to find ways to discipline that are both respectful to the child, and that work! I want to be clear that I’m not coming from a place of judgment, nor am I a (self proclaimed) expert. I believe people love their children, and do the very best they can as parents (even Hot Sauce Mom) given their own childhood and life experiences. I also believe that there are effective ways to discipline children that don’t involve using physical punishment, instilling fear, threatening disconnection, shaming, or intimidating them. Not only do I believe this, I know it to be true, based on my (ongoing) education, personal observation, and professional practice and experience.

Why am I so passionate about sharing this message, information, and resources for alternatives to physical punishment as a means to discipline? The answer is borne out of my own experience as a child. I was disciplined in very traditional ways: “Do as I say, not as I do.” “If you don’t follow the rules, you will be punished.” I was bribed to be “good” – “You won’t get xyz if you behave like that.” “You’ll get $5.00 for every ‘A” on your report card.” “You won’t get dessert if you don’t eat all your dinner.” “Why can’t you be more like your sister?” I was shamed, and told I was a “bad child,” when I did “wrong,” and I was hit with a wooden spoon for general “disobedience,” slapped across the face for being “fresh” and sassing back, and I had my mouth washed out with soap for saying bad words.

I am forty eight years old, and I still remember the pain (both emotional and physical) and the outrage I felt when these “punishments” were meted out. I both loved and feared (and sometimes hated) my parents. The message I received and internalized was this one: “I am inherently bad.” I learned to be outwardly compliant, and to cover my tracks and lie very well. (In fact, much to my embarrassment, I was voted “Best Alibi Artist” my senior year of high school.) I also learned to be dependent on outside evaluation, and to look outside of myself to decide how to conduct myself and how to live my life, as opposed to developing an inner moral compass to use as a guide. As I shared during the chat, the way my parents chose to discipline me… “may have kept me out of trouble as a kid, but kept me in therapy for most of my adult life.” (My brother and sister didn’t fare as well. My sister committed suicide at the age of fifteen. My brother is still alive, but lost to his addiction to alcohol and drugs.)

Please understand that I love my parents, and I know and believe that they love me. I understand they did their very best to raise me (and my sister and brother) in the only way they knew how, and the way they thought would ensure my happiness and success in life. This is not about blaming or bashing anyone- least of all my parents. In fact, I believe I have my parents to thank for leading me to study with Magda Gerber, and to my ultimate passion, which is the work I do to support children and families. I believe my experiences as a child have also helped to make me a less judgmental, more compassionate person, in general. (I’d just like to see more children get to where I am today, with a little more joy and ease, and a little less shame, and I’d like the same for parents!)

I’d like to end this post with two questions that I hope you will respond to, so that I can make the next posts I write as empowering and helpful to you as possible: 1) What is (or should be) the goal of discipline? 2) What is your biggest challenge, fear, or question when it comes to teaching your child discipline?

Myth Busting- Babies and Depression

Baby sad.

Today is National Children’s Mental Health Awareness Day, so I thought it might be appropriate to do some myth-busting around babies and mental health issues:

Myth: Infants and Toddlers aren’t at risk for developing mental health problems such as depression.

Fact: In February of this year, the American Psychological Association published research indicating that infants and toddlers can suffer serious mental health disorders, such as depression, yet they are unlikely to receive treatment that could prevent lasting problems.

Myth: Young children are naturally resilient, and usually grow out of behavioral problems and emotional difficulties.

Fact: According to Joy D. Osofsky, Ph.D., of Louisiana State University, and Alicia F. Lieberman, Ph.D., of the University of California, San Francisco, “Mental health risks to infants are magnified by the fact that “the youngest children, from birth to age 5, suffer disproportionately high rates of maltreatment with long-term consequences for mental and physical health, but pediatric health and child care providers seldom identify or refer children under 5 years old to mental health services.”

Myth: Infants cannot have mental health problems “because they lack a mental life.”

Fact: Even young infants can react to the meaning of others’ intentions and emotions because they have their own rudimentary intentions and motivating emotions, according to an article by Ed Tronick, Ph.D., of the University of Massachusetts, Boston, and Marjorie Beeghly, Ph.D., of Wayne State University.

Myth: Trauma is the main cause of mental illness in babies and toddlers.

Fact: The everyday life and ongoing interactions between infants and parents or other caregivers, has a huge impact on the development of mental health issues in babies because, “Infants make meaning about themselves and their relation to the world of people and things, and when that “meaning-making” goes wrong, it can lead to the development of mental health problems. Some infants may come to make meaning of themselves as helpless and hopeless and may become apathetic, depressed, and withdrawn. Others seem to feel threatened by the world and may become hyper-vigilant and anxious. Apparent sadness, anger, withdrawal, and disengagement can occur “when infants have difficulty gaining meaning in the context of relationships.” (Tronick and Beeghly)

In recent years, there has been a huge focus on understanding and optimizing the development of children, but often the emphasis is on developing their cognitive (thinking or reasoning) skills. While strong cognitive abilities are necessary for academic success, there is a growing awareness of how crucial it is for young children to develop social–emotional competence in order for them to thrive in school and in life.

Awareness and education are the keys to making a positive difference in the lives of all young children. It is imperative that both parents and caregivers be aware of the need, and learn strategies for fostering the nurturing adult–child relationships that lead to social competence, mental health, and resilience in young children.

Magda Gerber’s approach to child care nurtures the development of resilient, emotionally healthy babies, and their ability to develop social competence through mutual respect, trust, and acceptance. It is “like preventative medicine, and it’s therapeutic for both parent and child.”

This year, the 22 Annual RIE Infant/Toddler Conference to be held on Saturday, May 14, 2011, in Los Angeles, will feature a keynote address by Alicia F. Lieberman Ph.D., entitled “Helping Young Children Cope with Stress and Trauma.”

Please see Amy Webb’s post at The Thoughtful Parent for further information and reading about National Children’s Mental Health Awareness Day.

The best gift