Archive for the ‘Dr. Kyle Pruett’ Category

Practical Steps for Language Development

Wednesday, April 27th, 2011
  • If your child is not talkative, pay close attention.  Quiet toddlers mean something with their quietness.  Is your child engaged in work, needing to remain verbally still to focus her effort?  Are they not enthusiastic enough about conversation in general?  Are you?  Are they temperamentally quiet?  Are you doing too much talking, or not enough?  Get yourself to think about it.  It generally helps quiet kids to gently encourage them to converse.  Humor is especially helpful for the shy ones, but never mock or shame their attempts at speech.
  • Reading - Infant & Teacher AFollow your toddler’s lead, and get on his bandwagon when he’s on a roll.  Narrate the scene and describe his own behavior back to him; “Sam loves to…,” or “Sam is sad his Mommy has to leave…,” or “Sam is so happy to play with his blocks.”  Don’t overdo, but do.  It shows your toddler that you understand him and appreciate his inner world, not just his blue eyes.  Soon enough it will be dialogue.
  • Funny as early speech may sound, don’t exploit the humor of it at your child’s expense.  Whenever a new skill emerges, it is at its most raw and tender (remember your first public poetry recital?).  Stuttering and stammering are normal when children are learning to speak.  Treat early language with the respect it deserves.  It has taken tremendous effort to get here.  Say it back correctly if you figure out what it is, but don’t “correct” too much.  Be patient.  She won’t be saying much if her first words always are being corrected.
  • Allow quiet play.  This may seem paradoxical when language is the goal, but rest and reflection that are restorative and interesting become important when so much effort is being expended in new skill.
  • Talk about your own feelings and how they got that way in a simple and straightforward manner.  Children who have never heard their parents talking about how or what they are feeling on a day-to-day basis face an uphill climb to develop useful understandings about language and emotion.  Say things like, “I felt happy to get that nice letter from Grandma…” or “It scared me when the truck got so close.”  Simple, clear, and to the point.  The feeling in your voice will capture your toddler’s interest, so don’t be too surprised to see her staring at you at first.  It gives her the words to match the emotion she reads in you and will eventually identify in herself.
  • Read, read, and read some more.  To them, to yourself, to each other.  Then talk about what you read.  It is the organic garden where new words grow.

Words do more than communicate thoughts and facts.  They allow us to organize and categorize those thoughts and facts – just as numbering systems allow us to do arithmetic after we’ve run out of fingers and toes to count on, or file names let us access previous work on a particular topic.

Infant & Teacher B

Children weeks old begin to bubble and coo, then move to squeals and squeaks, then repetitive tongue and lip movements, all in a fairly predictable sequence.  As children age, they spend a fair amount of time experimenting and playing with sounds.

They play with giggles, cooing, wailing, grunting, moaning, bubble blowing on their way to their first word, just as they play with their feet or body parts on their way to sitting up, crawling, and walking.  The pleasure gained in the mastery of sounds helps drive development forward.  Be honest.  You know those sounds are fun to make because you mimic them just to see that little face light up.

While infants begin uttering sounds for the sheer delight of doing so, they won’t attach meaning to those sounds until around 12 months.  Once this happens, children discover the power of words to cause action – saying “Mama” is likely to bring Mom to the scene.  Children also discover that words can call forth mental images of the people or things the words mean – saying or thinking “Mama” will bring up a mental picture of Mom.  Such images can be very comforting to a child when Mom isn’t physically present, such as at bedtime.  Most parents are familiar with children’s nighttime chants, a mix of words, syllables that call up images of the child’s world that are temporarily out of sight when the lights go out.  While the uttered name may not magically or instantly produce Mom, the mental image or picture attached to the name provides important comfort until she actually appears.

Picky Eaters

Thursday, February 10th, 2011

There is an important distinction between picky eaters who are children and picky eating by children.

Labeling children as ‘picky eaters’ implies that we think of picky eating as a core identity issue, not just a behavior they’re passing through. Whereas, calling the behavior ‘picky eating by children suggests that it’s a natural developmental phase and something to work through.

I’ve yet to hear of, or know, a child that has never hit a food bump. Maybe the same could be said of us parents. In fact, there may be some evolutionary sense to not trusting all the food nature has to offer. Familiar, sweeter and bland foods are less likely than the exotic to poison or make us sick or destroy our appetites.  From a more specific perspective, we’ve begun to understand genetic influences leading toward and away from particular food preferences. Certain children carry genes (which they may not share with their parents) that intensify the reaction to bitter foods, leaving these children with a preference for sweeter foods and drinks in general; not to mention a different palate than their parents.

A few years ago, many nurses and pediatricians noticed a parental ‘bump’ around the introduction of ‘staged’ food menus for prepared infant foods; parents worried that their children weren’t transitioning well from the younger to the older food stages. The source of this reluctance was difficult to verify. Was it hard for children to progress from one stage to the next because of the newer food’s taste, consistency, or was it simply its ‘newness’?  This brings us back around to the picky eating versus picky eater distinction…

Picky eating is common, especially in girls, and can occur with both familiar and unfamiliar foods. Picky eaters are less common, and tend to be reluctant eaters around new foods. Some clinicians are trying out the label ‘neophobia’ to categorize picky eater behavior in younger children as a way of improving research and communication about the phenomenon.  For instance, some researchers have found that pickiness was predicted primarily by environmental or experiential factors subject to changes; neophobia was predicted by more enduring and dispositional factors.  (Galloway, A. T., Lee, Y., Birch, L. L. (2003). Predictors and consequences of food neophobia and pickiness in young girls, Journal of the American Dietetic Association, 103(6), 692-698.).

There are some things that you can do to help your child’s food bump from becoming a pothole:

1)    Your infants and toddlers are such social beings; they are pre-wired to be interested in how you treat your food. New foods will be more acceptable to your toddler if they’ve seen you or another adult they care about eating it regularly. And that positive effect is increased if your talk (with feeling) about what you like about the food. Interestingly, if you eat more fruits and vegetables, even when your child is not watching, your child will be more likely to accept food.

2)    Match up familiar with the unfamiliar. Hummus or yogurt dips that your child already likes can be paired with the new zucchini slice or broccoli floret.

3)    Never pressure or rush to introduce new foods, and only introduce one new food at a time.

4)    Introduce new foods when your child is actually hungry – forcing a new food on a diminished appetite is going to be less successful.

5)    Give it time – most children, and their parents, grow through this phase.

Most blogs discuss the problem of biting from the perpetrator’s viewpoint.  They emphasize how to prevent, protect and process.  While these bloggers (including me) provide helpful suggestions, they largely ignore the problem from the perspective of the victim.  Bite victims don’t get much press, yet, for victims and their parents, the experience is more painful and equally problematic.

Infant Boy AToddlers (and to a lesser extent) preschoolers bite.  They always have and always will.  Teeth are ‘cool’—they help us talk, eat, get attention, brand us as ‘getting big’ and yes, inflict pain.  Biting isn’t always intentional, sadistic or aggressive.  Curiosity about dramatic cause and effect is nearly universal.  In general, however, once a biter appears, the environment must change.  The victim is almost always surprised the first time he or she is bitten, and from that moment on, to quote an experienced colleague educator, ‘the environment must be provisioned with vigilance.’  Adults must assist the victim in ‘learn[ing] from experience.’  They must shadow the biter, monitoring his or her moods, behavior and irritability.  Staying close enough to physically intervene, processing the experience with the victim, comforting him or her, and teaching skill building self-preservation techniques help the biting victim.

Children who are repeat victims sometimes want to forgive and forget, and sure enough, they wind up sitting too close to the perpetrator again and again.  These children seem to miss the warning signs that trouble is brewing.  They often don’t complain ‘nearly loud enough’ (according to the above educator).  Prepared adults can talk to such children about preventative actions as a learning opportunity.

Many adults tend to see repeat ‘bitees’ as innocent bystanders, helpless to protect themselves, and not a part of the solution.  With good adult collaboration, however, young victims can learn to increase their own watchfulness and use their growing language skills to think, “Are you going to bite me today? I don’t like it!” and to strengthen their self preservation.

Additionally, if the biting occurs at school, parents may get frustrated when the school does not sufficiently reprimand the repeat offender.  This is because teachers are trained to facilitate group growth and relationships.

So what is a parent to do?  Ask for the director’s plan to help keep your child safe.  Stay involved, give a second chance, and emphasize the positive.

Could We All Be Bullies?

Tuesday, January 25th, 2011

The majority of American parents have become increasingly worried about the probability that their children will be bullied, and they’ve begun to ask for solutions. A recent Harris poll found that two-thirds of parents worry that their preschool/kindergarten children will be bullied. Though bullying has been a part of human experience since before recorded time, our shrinking world increases its presence and possibly forecasts an increased toll to our children. My grandparents believed, ‘what didn’t break you, made you stronger’; today, we’re a little more worried about the ‘breaking’ coming before the ‘strengthening’ – especially among our youngsters.

Bullying is a problematic, but not inevitable, part of human interpersonal business. It differs from the usual scrapes and chafes of everyday life because of its intentional nature. Toddlers and preschoolers are busy working on their unique sense of self, using newly learned personal pronouns to announce what’s theirs. This includes their toys, body parts and random objects that catch the eye (see Toddler Property Laws in my book, ‘Me, Myself and I’). So, when someone unknowingly violates one of these property laws, ‘No, mine!’ gets screamed and a brief, small (in the scheme of things) social encounter of an aggressive nature may occur. A parent or teacher usually handles such incidents with some helpful words and – it’s on with the day.

Bullying, however, is an intentional, aggressive act – social or physical – with the sole aim of intimidating a peer. Such acts happen daily on the margins of adult supervision and as such are witnessed by most peers. Most of the children we know have either been a perpetrator, victim or bystander – since as long as they can remember, these three jobs may even be a continuum.

We are born with a drive to master the world around us, and a portion of selfishness and aggression seems to be part of everyone’s tool kit. Parents begin early by helping their children get the ‘dosage’ right, helped along by culture and society’s expectations. One of nature’s partners in this process is the innate capacity for empathy which shows up, developmentally, in the middle of the second year of life. Remember the toddler offering (temporarily) his binky or blankie to a sad friend?  How do we get from there to Michele Anthony’s descriptions of the painful social bullying in her Little Girls Can Be Mean: Four Steps to Bully-proof Girls in the Early Grades - in just a few short years? Well, we could go on forever, but in this article’s worth of advice, I know parents are pretty sure they’d like to strengthen their child’s defenses against distressing stuff.

Supporting an early drive to care for one another is the winning strategy. The brain –and its hormonal partners- treat acts of kindness and caring with the same special care as it does warm human relationships. The ‘relationship hormone’, oxytocin, increases whenever such acts are performed, improving our capacity to regulate our emotions and get our aggression and selfishness under control. If parents can ‘catch’ their children in small acts of kindness and add a few words to explain why this feels good – to them and to the child, and why they value it so highly – resilience to bullying when parents are not around is under construction.

Speaking up about how we treat each other is an especially powerful tool in anti-bullying strategies because it has the power of majority.  Bullying feeds on our silence. Let’s help each other and our children find our voices.

The thing about being the all-knowing parent is that there are two sides to that coin. And when a serious loss or death occurs in our children’s lives, those same point-blank questions they ask about babies/poop/lightening will come about death and dying.

What makes such questions so tough?

  • The meaning of death may still elude us personally.
  • The one certain thing in life seems to defy the certain answer.
  • If this particular loss is an emotionally hard issue for us, we will not be inclined to talk about something that upsets us – especially with our little ones and their unerring radar for our soft spots.

Death is a part of every life and even young children are aware of it. Road kill, dead bugs, fairy tale drama and screen time – all conspire to make it a daily event. But as a topic of conversation, few adults leap at the opportunity. And we should. Unemotional, scientific talk about death when it just shows up, helps to inoculate them and us for those more painful intrusions when something or someone beloved dies. Suggestions:

  • Reflect on your own questions about death with a trusted adult or partner so that the words don’t get so stuck in your throat or you mind. If there is a religious component to your understanding and that is part of what you want to convey to your children, be plain and clear. White lies have a way of not ringing true and can actually cause more uneasiness than they relieve. “I don’t have an answer to that question” is also better and less confusing than euphemisms about ‘eternal rest’ or ‘gone away.’
  • Break it down developmentally. The very young have a hard time taking death seriously –given how it’s depicted on screen – and tend to see it as short-lived and reversible. The slightly olders are beginning to get the hang of it as something more serious and complex, even ubiquitous, but it’s still hard for them to take it personally, or that it’s permanent/forever.
  • The talk: keep it simple, short and scientific. Since the young mind is so concrete, best to talk about death as a change in function; when [the dog/grandma] dies, they stop breathing, their eyes can’t see anymore, they don’t think or talk/bark, can’t feel anything either. Then let them go back to playing. They will be back. That is when it is good to check in with them about what they understood.
  • The ‘will you die’ question is usually asked by a child so young, she has no ability to comprehend that death is permanent. Consequently, try to get to the real point – which is usually about reassurance; ‘Are you worried that I won’t be able to take care of you?’ If so, then you can reassure and inform; ‘I won’t die for a very, very long time, so I’ll be here as long as you need me.’ An older child might press harder, and if so-‘If I did die, there are lots of people to take care of you, like Aunt Dot and Uncle Tom, or Grampa and Gramma.’

Young Kids, Summer’s End and Exercise

Monday, September 20th, 2010

Most parents count on summer itself to promote physical activity and raise-your-pulse exercise. The longer, warmer days beckon us and our kids outside and things just seem to happen. But then it’s back to school, logistics take over and couch potatoes (in both generations) often re-appear. It’s worth thinking about this transition now because now is when it’s happening. Many of us hit upon the idea of the logistical solution – find a class, join a team – if it’s in the schedule, it’s more likely to happen. And as we – and the preschools and kindergartens to which we send our children – all know, regular exercise is a very good idea. The old myths that young children are inherently sufficiently active, or that too much activity can harm the growing body – tales I heard from my grandmother – have been replaced with growing concern about shocking obesity levels in young children due to passive daily lives and unwise nutritional patterns. We know that there are short and long-term physical and mental benefits to regular exercise and that there are no short cuts to those benefits.

The American Academy of Pediatrics recommends the following for preschools:

  • An indoor play space should be available to allow sufficient running
  • Outdoor play should be scheduled twice a day
  • An outdoor play space should offer fixed and portable play equipment and a paved surface for wheeled toys
  • Active play time should never be withheld as punishment.

**Note to parents: are you sending your child off with the right clothing for such activities? This is a surprisingly frequent concern among teachers.

As for those scheduled team and class activities, keep a few things in mind. Preschoolers are not ready for competition. They won’t really understand winning vs. losing, ‘doing your best,’ ‘give the other kid a chance’ until they are in fourth grade. What they need now is for you to support the skills they are developing: running, chasing or hitting a ball, enjoying the water or snow and just beginning to understand that there is something called a ‘game’ or a ‘sport.’

But children learn better from what they see and experience, than from what they are told. So – as a family – keep fitness activity as a year-round habit.

  • Visit your playgrounds regularly and make it fun. Bring along some extra things like large balls, kites, ropes for jumping and (supervised!) tug-of-war. You can enrich the time by making an obstacle course (enjoyed by any child who can walk) through the playground and see who can remember it or finish it fastest.
  • Many families treasure weekly family walks. It generally takes some humoring for the more balky ones, but scavenger items usually work for our children.
  • When weather interferes, get out the large balls, exercise mats and Twister® games, or download some stretching and balancing exercises (to do together) from family fitness websites. Remember; keep your children away from exercise equipment for safety reasons.

Grandparents and Young Children

Wednesday, September 8th, 2010

Does the following aphorism strike you as cynical or enlightened? Grandparents are close to their grandchildren because they share a common enemy.

I didn’t much appreciate this irony until I became a grandparent myself. The middle generation is the reason the grandkids exist in the first place, but they are also the ‘common enemy’ against which the forces of wisdom (grandparent) and immortality (grandchild) are arrayed. Grandparenthood enjoys the privileges of age and experience, and grandchildren (seeming) agelessness and inexperience. Only the ‘middlers’ bear the ultimate responsibility for damage control, missed bedtimes and nutritional excesses. Everything else is just plain old fun seasoned with pride.

But is this traditional view of grandparenting changing along with the American family? About 10% of all grandparents are caring for their grandchildren over 30 hours a week and/or 90+ sleepovers a year. Does this take a toll? Interestingly, caring for the young seems not only to have few negative effects on the older generation’s health, babysitting for them may be especially beneficial for grandmothers (grandfathers – as usual – await study).  This is not to say it’s always a piece of cake to smoothly manage all these needs spanning three generations.

Having two sets of grandparents should be a blessing, right? More helping hands, assets, etc.? But what if the styles and values of the grandparents differ significantly? For example-one pair childproofs the house for young visitors while the other refuses to do so ‘because it’s not good to teach children that the world can be changed to accommodate their needs.’ One routinely takes them shopping and the other insists that when they come to visit, they bring their own toys ‘since they don’t intend to spoil anyone.’

The effects of such variations on the grandparenting theme are less toxic to kids than to their parents since they learn early that it’s ‘G’Mom/Dad’s loving that matters; the goods and services are nice, but it’s being adored so unconditionally that feels so great. Not that the latter can’t be taken to the extreme occasionally. When my wife and I were recently consulting to an owner of multiple childcare centers in Shanghai and Peking, we heard, with troubling frequency, of young children ‘behaving so imperiously, defying teacher authority repeatedly’ because – according his head teachers – they are ‘treated like little emperors/empresses by four doting grandparents’ per child (given China’s one child policy).

Some suggestions to avoid such pitfalls while establishing lasting closeness through unique grandparent/child activities are listed below:

  • pick a series of picture or chapter books that are shared only between grandparent and grandchild
  • chose a particular destination for the skipped generation pairing –a manageable museum, a public park, breakfast/desert outings
  • apprentice the grandchild to a grandparent’s passion – dominoes, cooking, card games, fishing, a team sport (fan or participant)
  • memory moments stimulated by old photos, or recollections of parental childhood, or just ‘when I was your age…’
  • a ‘treasure box’ of things kept at grandparent’s house that are only played with, or worn, there

I have an 18 month old who is into everything. I feel like I am always telling him “no.” What are the appropriate limits to set for him at this age?

If you are “always telling him ‘no,’” then you probably have that nagging feeling that you are not getting through or that he couldn’t care less. Some “experts” feel that 18 months is too young to set limits, given that children at that age have yet to understand the relationship between cause and effect, or the difference between right and wrong. I am not one of those “experts.” As you imply in your question, limits are necessary at this age, especially around the ever-present issue of safety.  However, saying “no” repeatedly just teaches your child to ignore you. This is called habituation – when the brain actually pays less attention to the familiar. For this reason, I am a big fan of distraction – not headbutting – at this age.

The tired old adage, “practice makes perfect,” is a cornerstone of teaching acceptable, responsible behavior to a child. Limit-setting for about the first two years of life rests on you – specifically on your ability to distract and, if needed, remove your child to ensure safety and socially acceptable behavior. These actions (plus child-proofing the premises as much as possible) have been shown over and over to be the most effective ways to keep behavior in check without quashing a toddler’s delight in exploring and learning.

What is being taught in distraction and removal (along with a firm “no”) are patterns of what’s acceptable and what’s not. When your actions are consistent, each repetition sinks a little deeper into the well of your child’s memory. This happens even before his cognitive powers are up to the task of understanding the whys of safety rules or of more complex concepts, such as value and ownership, which govern what he can and can’t do with objects.

The first sign of memory related to limits is when you see your child looking over his shoulder as he moves toward some forbidden object. You probably noticed some of these “catch me if you can” grins and challenges to your “no” back when your child was just crawling. You also have probably experienced many a bout when your child has dissolved into tears after spilling or breaking something. Herein lie the seeds of shame – healthy shame, the kind that regrets an error or mistake. And, yes, there is a conflict. Your child’s desire to please you at this stage runs head-on into his need to figure out the boundaries in his world.

Fortunately, the solution to both sides of the conflict is the same – consistency on your part in maintaining the rules. Consistent repetitions of the same words and acts by you enable your child to begin to feel embarrassment and shame when he breaks the rules. This is a very healthy development, one that is central to his ability to control his own behavior in the future, when you are not around to act as police officer. If this process goes as it should, by 36 months your child should show the beginnings of self-control as well as the first signs of a sense of right and wrong. These are the foundations of conscience.

Unlike physical skills, such as walking, a conscience doesn’t emerge on its own. It is a product of parental guidance and teaching, and its early signs are clear markers that you are getting the job done.

Key to your success is your child’s desire to please you. These are important assets for you to use in this 18-month period. The process is slow and time-consuming, but in the long run more than worth the investment of your patience, time, and effort. This is when your approval is a powerful tool to coax a child to verbalize his wants and needs rather than to act out his emotions. Conversely, withholding your approval and/or showing disapproval are strong motivators for little ones to stop unacceptable behavior.

There is no denying that there is a rise in negativism around 18 months. Maybe they start to “act no” more often because they hear it so often! It is hard to know which is “horse” and which is “cart” here, but the new motility of toddlerhood is a heck of a lot of fun for any ex-lap child. Regardless, it is our job to keep them safe; therefore limits matter.

There are, of course, limits to limits. You can’t force your children to sleep, eat, go to the bathroom, think the way you do, or speak on demand. There are also times when it is necessary to back off – when they are spent and you are exhausted, or when you are going to lose anyway.  Won’t eat any dinner? Okay, but no cookies. Don’t want to go to sleep? Fine, lie there then. This doesn’t mean you should NEVER cave, however. Surprise your toddler every once in a while, just for the sheer pleasure of seeing the amazement on his face. Saying “yes” occasionally will actually revitalize your “no.” Besides, perfect parenting is extinct.

Finally, and essentially, the way you set the limit is every bit as (and often more) important than what the limit actually is. Emotional intensity does not make limit setting more effective, it’s just the opposite. So keep it cool and business-like; limit setting should be customized, but never personal.

Setting Limits: Discipline & Action

Monday, August 30th, 2010

Teacher & GirlWhen setting limits, there are two key points to remember:

  • The fewer words the better.
  • Actions speak louder than words.

Fewer Words

My own decades of experience in clinical practice shows me that when parents use discipline phrases of more than 20 words, their children do not respond most of the time. If the emotional tone of that discipline is negative and nagging, children are particularly deaf. This is so hard for many parents because we feel we are so right (actually righteous), compared to our children. We want to believe that the more we correct them, the better they will behave. The data shows exactly the opposite.

Effective Actions

Few words only work in the self-control area if you back it up with action. Otherwise, internal shame will turn into the humiliation of being useless. When your child bites someone during a visit, take her home after a simple reprimand, and don’t endlessly berate her in her car seat. The action of losing her playtime speaks louder that anything you might say. Handing a spoon to a child who is mashing food into her mouth at dinner beats a lecture on manners.

Your love and opinion of your children matters deeply to them, especially when they are struggling to develop more self-control. Showing your children that their behavior affects the way you feel, helps children understand that you have feelings, too. Empathy and compassion begin to grow. When children see that their evolving self-control can make their parent feel good, the affirmation adds social and cognitive accomplishment to the achievement of controlling one’s behavior.