Archive for the ‘Dr. Kyle Pruett’ Category

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.

The Grown Up Life: Marriage and Parenting

Monday, August 23rd, 2010

Parental and marital burnout is a common fellow traveler at the end of the third parental year.  It should not be ignored, any more than a lump or a polyp.  And it is just as important that you fix it while it is still benign.

It seems to show up now because we finally let ourselves relax a bit, having gotten our kids talking, potty-trained (or at least started), loving and human enough to believe they will at least have a life.  But that’s when we often begin wondering about our own life, sometimes for the first time in years.

Research on family development shows that marital satisfaction can get perilously low early in the lives of kids because they seem to be such huge energy sinks.  Thoughts of “Are-we-having-fun-yet?” guiltily badger mothers and fathers, especially if they keep these thoughts to themselves.  If you are not enjoying parenting, it may mean that you are working too hard at it.  You may be allowing yourself no savor time because you are too busy whipping the process of development into a frenzy.  My father’s favorite relevant quote: “Trying to teach a pig to sing is just a waste of time.  It frustrates the farmer and really irritates the pig.”  Return to being a parent, not a driver, and let your child return to growing instead of balking.

As for the marriage or partnership that spawned this child, it, too, is usually nurtured by a heart-mind connection that requires periodic preventive and reparative maintenance.  The three-year or 36,000-mile (stairs, chasing, cruise & snooze, shopping) check-up is critical for long-term endurance, because if that machine isn’t purring along, the wheels are going to eventually come off, given the road conditions ahead.

Take time to be together and uncover who you are as adults with minds, opinions, ideas, hobbies, yearnings and dreams.  Date, overnight away, lunch, whatever.  Pay someone else to feed or entertain you for a change, to reverse the energy flow.  Replenishing affection between adults takes conscious effort.  Childcare involves so much touching, holding, carrying, bathing and comforting that adult affection can simply get crowded out of a relationship.  But the replenishment of that affectional and intellectual tie between the adults will be especially important in the years to come when the older school-age child wouldn’t get caught dead kissing a parent on the cheek, much less discuss the idea!

Bottom line: you’ll be fine.  Meanwhile, celebrate how far you’ve come together, and whom you have uniquely become together.  These have been golden years to savor and adore.  None of us would amount to anything without each other, and these early parenting years show better than any others.

My daughter is currently cared for by my mom (her grandmother) while we are at work. I would like to move her to a center for a few days per week when she is 15 months old, mostly for additional stimulation and socialization. Can you please recommend steps we can take to make the transition the easiest on her?

Transitioning your child from home care to childcare is wrenching for every parent.  In fact, most babies and young children adapt to their new environment more easily than parents do.  And it’s important for parents to appreciate and care for their own emotions at this juncture.

As with so many things for young children, taking it slow and easy can work wonders.  If your child is moving into alternative childcare for the first time, make the transition gradual, providing lots of support.

  • Make sure your child meets the caregivers or teachers before moving into this new environment.  If you choose a childcare center or a preschool, make sure your child knows at least one other child in the class.  If your child doesn’t already know someone, ask the caregiver to suggest one or two children who might be good matches for your child, and set up a few play dates.
  • Talk to your child about the new arrangement, describing the friends to be made and the wonderful things to be done and learned.  Talk about being apart and getting back together.  Play games such as hide-and-seek that demonstrate being apart and together.
  • When moving to a new childcare arrangement, start gradually, if possible.  For example, allow your child to be alone at the childcare center for short periods at first, then slowly increase the time away from you.
  • Once the new arrangements are underway, get up a bit earlier so you have time together before you leave.  Also, make special family times in the evenings and on weekends.
  • Let your child take her favorite toy or “softie” to school.
  • Tell the caregiver or teacher of any factors that might influence your child’s behavior or needs for the day, such as a restless night, family illness or visits from relatives.
  • Be aware that separation anxiety may come and go in cycles.  You can ease your child’s upsets if you make your departure warm and smooth, staying long enough to let your child settle in, but without lingering.  And never sneak out or lie, telling your little one you “will be right back” just before you dash to the parking lot.  Your child needs to be able to rely on his trust in you as he navigates this new world.
  • When you pick your child up, ask the caregiver about what happened during the day.  Then discuss the day’s events with your child.

Siblings of Children with Special Needs

Wednesday, July 21st, 2010

Your experience as a sibling counts hugely in perpetually shaping and re-shaping your own perspectives and judgments (positive and negative) about how not to get stung in this hornet’s nest of competing interests, needs, and abilities.

I’m the middle of three sons, and have dozens of cousins. Several of them have special needs, but most don’t. I recall a riveting exchange from an Oklahoma Thanksgiving decades back where my loving (but daunting) grandmother chided one of her 7 year-old grandchildren for ‘cruelly teasing’ his sister; “Craig – you just can’t be that harsh with her. It’s your job to compromise – adjust yourself accordingly!”

He glared fiercely at her, went very still for a moment, and then burst into tears –“Yea, like I have choice. I’ve adjusted every day of my life for her!” and ran outside, seeking his comfort with the presumably less judgmental barn animals.

How many hours had Craig waited in waiting rooms while his sister received care? How many conversations had he overheard between his parents about her needs, compared to the ones they’d had about his? He loved her unconditionally, was incredibly proud of her, and protected her from insensitive peers. But wasn’t he entitled to think she could be a pain sometimes – just like all other sibling pairs from time immemorial? Couldn’t he not always have to try extra hard to make his parents proud of him since they worried so often about his sister? Couldn’t they talk to him about what was the matter with her and if she’d ever be normal?

These are the things that siblings of children with special needs struggle with every day, and here are some ideas about how to help them keep their balance (not to mention yours):

  • Let them know that you expect them to have many complicated feelings about their sibling, some loving and some not; and that you are open to listening without making them feel bad about it. They are feelings, after all, not explosives, and ambivalence is a thread woven into every relationship.
  • Avoid setting unrealistically high standards – emotional, social, spiritual, moral, athletic or academic. They are just who they are, not compensations for who they are not.
  • Expect them to reach their limit periodically (just like yourself), and try to avoid shaming them when they do. They need diversion and recovery time at such moments, not sermons. Guilt about ‘being normal’ is nearly universal in such children; making the sermons at such moments a kind of double-whammy of shame.
  • Nothing is more effective than mutually gratifying time alone with you, although careful listening is its equally effective clone.
  • As children develop, their understandings (and their worries) get more complex, so have periodic check-ins with them about their (ever-changing) questions about what is ‘the matter’ with and future for their sibling.

Ask the Expert: Battling Siblings

Tuesday, June 29th, 2010

I’m the mother of two daughters, ages seven and eight and a half, who fight constantly.  My husband and I differ about how to find out who is wrong and who should be punished.  Help!

One of the most frustrating and least useful things to do when children are fighting is to attempt to dispense justice.  Typically, older children hit harder and younger children scream louder.  Older ones are more clever and devious; young ones cry foul sooner than is necessary.  Boys threaten, while girls provoke more often.  Trying to decide who is wrong when you weren’t there tempts children to distort the evidence.  So try to catch your children being good and make a big deal out of it.  Real physical or emotional abuse is pretty rare in well-functioning families but needs to be dealt with by giving children a cooling-off period – then reviewing the family rules.

The Evolution of the Role of Fathers

Friday, June 18th, 2010

Dr. Kyle Pruett AAs I look back on my experiences as a father across a few decades, it is evident that the role of fathers and expectations in society has significantly changed.  More men today are physically and emotionally engaged with their children than before the industrial revolution, especially the younger ones. Co-parenting is the expectation among most newly marrying couples; the women want the help, and the men want to be closer to their kids than they were to their fathers. With support from women and society, increasingly active fathering is crossing many social and economic barriers.

And this is quite a good thing – for the men, the women, but most especially their children. Most men figure parenting out on the job (just like women) but they do it best when they don’t try to mother (which of course they really can’t) – comforting, disciplining, problem-solving, rough-housing, teasing in their own fashion. The science to date reassures these men – and maybe more importantly their spouses – that children respond positively to these differences, wind up able to manage and enjoy life better when they have a positively engaged dad or trusted fathering figure in their lives – the earlier the better.

Enjoy fatherhood — and know you are making a world of a difference.

The Birth of a New Sibling – What to Do?

Wednesday, June 16th, 2010

Nothing unsettles the lives of children quite like the birth of a sibling: special event for parents = profound disruption of familial bliss for children. Some children take it in stride, but the majority may not. Having a sibling forces children to share the wealth in an important and healthy adaptation to living in the real world. Here are a few ideas about how to ease the pain, and promote the joy:

  • ‘Me, myself and I’ – The mantra of toddler-hood reminds us that 18 to 24 months finds most kids falling short of being able to participate in the care of a younger sibling. They have just begun to take care of their own business, so looking after someone else’s (with whom you have to share mom and dad) is annoying to say the least.
  • By 48 months: Children are able to feel some ownership of a new baby – rocking, diapering, comforting, and playing with a baby are possible, if not always high on their list of fun things to do. They own enough familial territory by now that they can afford to share.
  • A younger sibling often adores an older sibling. Teach your older one (don’t ignore the boys) to be tender and gentle when holding or feeding the baby. This is great training for future intimacy and competent parenting.
  • Preserve time alone with your older children several times a week. They may no longer be the ‘only,’ but they are the still the ‘first,’ and certain privileges pertain, along with new responsibilities!
  • Don’t underestimate how your own experience as a sibling -in a particular birth order – affects your perception of your children’s experience. You may be off by a mile in your evaluation of your child’s jealousy of a new baby if you are the baby in your own family, or the first-born.Keep the dialogue open with your children about the shape of their sibling relationships and you will learn a lot.

Learn…Playfully!

Friday, June 4th, 2010

Excerpt from Me, Myself and I

With a lot of  focus on accelerated learning, parents may be tempted to do too much of a good thing, jettisoning playful games and enjoyable family events in favor of  boring early learning programs.  As with adults, too much input from the outside can cause children to tune out.

Young children have a fierce drive to learn, and they are thrilled with their new discoveries.  This is a wonderful time to strengthen the foundation for a child’s lifelong love of learning.  They key is to do it in a way that respects and responds to each child’s interests, pace and temperament, and not to some external need to keep up with the Joneses or their kids.

One well-documented trait of children who do well in school is that they love to learn.  Activities that build love of learning are money in the bank for a child’s educational success.  You don’t want to squelch that drive to learn by substituting joyless, skill-pushing memory activities for real exploration, discovery and learning.

So what do you do?  Follow your child’s cues.  Other than fatigue, cues are all emotional.  Children show interest or disinterest, curiosity or frustration, boredom or enjoyment, impatience or pleasure, anger or delight.  Pay attention to your child’s moods and heed his cues.  Sometimes parents find this hard to do.  If you are engaged in some activity you think is really worthwhile, it’s easy to push the envelope until your child seriously wants out.  There is no gain in this.  Much better to move on to something else or just give things a rest when your child begins to show disinterest or fatigue.  You know all the signs.  No one is as expert as you at reading your child.

Art - Painting Girl C

For young children, the best learning is filled with a blend of wonder, giggles, excitement, interest, concentration, a touch of manageable frustration, concerted effort and laughter – all signs of the most positive emotional states.  Lessons learned and achievements mastered in these states are gilt-edged in three ways:

  • The child learns something new.
  • The child learns more about how to learn.
  • The child enjoys learning.

The Symbols of Play

Thursday, May 13th, 2010

Excerpt from Me, Myself and I

Think about it.  Play helps children understand that things can stand for other things – that keys or shoes can stand for “Daddy,” that her purse or lipstick can stand for “Mommy,” that a leash or collar can stand for “dog.”  It is quite amazing, really, because there is no way we can ever achieve that for our kids.  They simply have to sort it out on their own.

Dramatic PlayHow?  As a child rummages through the bottom of the closet and pulls out a familiar pair of big, old shoes, someone who takes notice in the sequence of the child’s play will say the word “Daddy,” and probably more than once.  The child plays (with pleasure) as she pairs them up, hefts her weight, maybe even struggles to put on those size 12s.  And the “power” word she hears in this whole scenario is “Daddy.”  After the memory and pleasure centers in the brain connect with the word heard for this experience, the experience gets filed (pleasantly) under “Daddy” or “shoes” or “smelly feet” – probably all three.

But more importantly, the experience gets remembered (learned), and soon the play starts to symbolize the child’s experience with any or all of the parts of this scene.  Which experience is hard to predict, be it remembering her father when he is gone, classifying pairs of things that belong together, or the raw joy of exploring.  But the experience now has some kind of symbol connected to it, thanks to play.

Moreover, experience gets symbolized and images fixed through play in a way that the child can create new symbols over time.  He combines and reshapes old ones, or uses them in novel ways.  This capacity to manipulate and change them gives him wonderful new tools for elaborating his own experience and understanding of the world and his place in it.  This remarkable capacity it what we call “imagination.”