Posts Tagged ‘Early childhood development’

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.

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: Reluctant Reader

Monday, July 12th, 2010

We’ve always been a family of readers and take turns reading aloud together for a half hour every evening.  This couldn’t be more painful for our eight year old.  He’s bright but loves just about everything else better than reading.  Are we pushing too hard?

By third grade, children develop their own learning style, drawn from their early patterns of exploring the world.  Some explore by looking, others by listening, tasting, moving, or touching.  The favored mode of exploring shapes later preferred learning styles.  Your child may resent reading because it draws on one of his less-preferred exploration modes.  Give him a break and let him strut his stuff instead.  Can he teach the family a game or share a discovery?  We can’t all be bookworms – we’re simply not born that way.

Don’t pretend you’re fine when you’re not.

It’s much better to acknowledge your feelings.  It’s normal to feel grief at this change.  You will come through sooner and better if you face your feelings head on.

Sensory Table with Teacher & Young GirlDon’t believe you are a bad parent for choosing childcare.

If you have chosen a good center or caregiver, you can be confident that your child is in good hands, so there is no logical reason to feel guilty.  But if you continue to feel guilty, it’s important to come to grips with these feelings.  Be especially alert if you are tempted to change your parenting style.  For example, some parents start easing up on setting limits to compensate for their guilt.  Such behavior leads nowhere you or your child want to go.

Don’t become critical of your child’s caregiver.

It’s important to have a good relationship with caregivers.  Their observations and advice can be extremely helpful to your parenting.  If you find you feel critical even though the caregiver’s work doesn’t merit such an attitude, recognize that your feelings are a part of the separation process.  Then begin to focus on the caregiver’s talents and good qualities.  Rest assured that no caregiver will take your place in your child’s life or heart.  The new attachments to other warm and loving caregivers are beneficial.  They also are good signs of your child’s emotional maturity and your achievement in nurturing that maturity.

Don’t underestimate the importance of the transition to childcare.

If you pretend the new routine doesn’t matter, you may underestimate the good things that can come from this new experience for your child and you – new friends, new learning, new sources of information and new ideas on parenting.

Child Care Prep Tips for Parents-to-Be

Wednesday, June 9th, 2010

Expectant parents have a lot on their minds from shopping for playpens, to stocking up on diapers, to baby proofing the house. They also have to make a decision about child care. If both parents are going back to work after the baby’s arrival, one thing that must be added to the checklist is finding high-quality child care.

Infant & Teacher AStart Early
The best time to begin researching child care providers for your infant is before your child is born. It might sound a little silly to begin your search so early, but there are a few good reasons to do so. Many families reserve their children’s spots early on, creating long waiting lists at many child care providers. A mom-to-be who waits until the last trimester may encounter some restriction in going out and taking a tour, especially if she needs bed rest. The sooner you find a provider that you are comfortable with, the sooner you can relax and enjoy the time with your newborn.

Location
Another factor to consider is location. You may feel more comfortable having a child care provider close to home, but you’ll need to think about whether this creates problems with picking your child up on time after work due to traffic. You could also choose a location closer to your work, but this could create problems if you ever work from home. If you choose to breast feed, it is more practical to pick a location near your workplace, this way you may be able to go to your baby and nurse. Find out the designated area for breast feeding and if there is a quiet place where you can do this. A few other questions to ask is which parent will be primarily responsible for dropping off and picking up your child, or will you share that role. If you’re sharing the role perhaps you should find a child care provider that is centrally located.

Health & Safety
There is nothing more important than your child’s safety, and when it comes to health and safety there is no question too big or small. Find out if proper hand washing techniques are being utilized. Go ahead and ask about diapering procedures, and whether the location is cleaned every day by a professional. Be clear about any illness policy that determines when children are too ill to attend. Take a tour and see for yourself if the environment is clean and inviting. With all of the concern over immunizations these days, it’s important to ask if the school requires a medical screen and updated immunizations in order to enroll a child, and if the teachers have to provide a medical screen as well.

Director and Teacher Qualifications
You’ll certainly want to find out if the school employs teachers with education and experience in Early Childhood Education. Don’t assume that the school requires ongoing teacher training and development, ask about their plans for ongoing professional development. Make sure to inquire whether teachers are required to have first aid/CPR training. It’s important to know if children are supervised by sight and sound at all times and if the group sizes are small. Smaller group sizes and low teacher-to-child ratios ensure better supervision and safety. These ratios vary from state to state, so inquire about regulations.

Getting a third party opinion is not a bad idea either. You shouldn’t base your decision solely on that, but getting input from friends and family definitely helps in making a decision. To get a real sense of what the typical day is like at the child care provider, you should also make it a point to visit during hours of operation. Plan ahead by asking about other classrooms as well so that you can see the program that your child will attend as he/she grows.

Separation Anxiety

Friday, May 28th, 2010

Separation anxiety is a common element of early childhood development.  Though it is a perfectly normal, it can be upsetting to parents and children.

Separation anxiety typically begins around a child’s first birthday and can persist until the child is two-and-a-half years old.  It is important to note that a child’s unwillingness to leave a parent is actually a positive sign of a healthy parent/child relationship.

The following strategies may help families manage separation anxiety:

  • Practice being apart from one other and introduce new people and places slowly.  Make a few visits to your preschool/childcare center before your scheduled start date.  This allows your child to adjust to the idea that you and he will be away from one another.
  • Explain how long it will be before you will return.  Use concepts that your child will understand (e.g., at lunch or after naptime).  It is extremely important that you follow through on your promises.  You should return when you say you will.
  • Be calm and consistent.  Resist the urge to run back to your child at the sight of her tears.  It’s as essential to create a ‘separation routine’ as it is to reassure your child that you will return.  Work with your child’s teacher to establish this routine and have confidence that your child’s teacher has the ability to handle the situation.  After you’ve said your goodbyes, most teachers will probably engage your child in an activity or with a toy so you can depart.
  • For your sake, establish a time to call the school to check on your child’s well-being.  By the time you make this call, your child will most likely have calmed down and adjusted to the day’s routine.
  • You may also want to check with your school’s policy regarding a doll or blanket from home.  These comfort items may assist with transitions.

by Dr. Michele Borba
Reality Check: Blogging About Parenting Issues and the Solutions to Solve Them
Posted on May 14, 2010

OK, you’ve read the results. You recognize know that the study says the key to reap academic and behavior gains for your child’s success is to find a QUALITY care giver. Of course you want a great day care for your child. But how do you know which facility is the best one for your child? How do you know which is a quality care facility? My strongest recommendation: Observe a few. And always observe when children are there. It will help you decide if it’s a place you want your child to spend part of his or her day.

Here are a few questions to ask yourself and the staff in making your final decision:

1. Does this seem like a place my child would like to be?
Use your instinct on this one. Can you see your child fitting in and being comfortable in this environment? Are the children enjoying themselves? Do they appear to be happy and active? Is there a variety of activities that are age-appropriate for the children? You know your child better than anyone, so rely on your instincts.

2. Are there rich, interactive language experiences?
Watch the staff interaction with the children closely. Are they talking with the children? Are the children communicating with the staff? Are there rich language experiences and if so are they “hands-on” (not just paper and pencil)? For instance, is the staff reading, speaking, listening to the children? Are there outings, art, dress up, and play type of activities in which children can communicate with peers? Is there a television and if so, is it being used as a “baby sitter”?

3. Is the staff knowledgeable about child development?
Ask the staff what their philosophy about early childhood education is (don’t worry if you don’t know their answer – make sure they have one). Ask how the staff is trained in child development and how frequently? How many of the staff are credentialed in early childhood education? How do they stay current on the latest child development research (such as this study)? What is the educational background and credentials of the supervisor?

4. What is the daily schedule?
There should be a consistent daily structure where children know what is expected. Is there a balance between physical activities and quieter ones? Watch the children. Are they doing the kinds of activities your child would enjoy doing? There must be rich language experiences and activities that stimulate cognitive growth to reap those gains. Make sure children are actively engaged in creative play, interacting with adults, and are not just sitting and doing paper and pencil tasks. Make sure the television is not used as a baby sitter! Then visualize your child in this setting: Is this a good match for your child’s needs, temperament and abilities?

5. What is the ratio between staff and children?
It’s always best to have a smaller number of staff to children. You want to make sure your child is being closely watched. You also want to make sure there is positive interaction (face-to-face!!) between that caregiver and your child.

6. Is the staff “kid friendly?”
Watch the interaction between the staff and children. Do they enjoy kids? Are they patient and kid-oriented? Are they respectful towards them? And (most importantly) do the children appear to enjoy the staff? The “kid friendly” rule has always been the one I was the pickiest about when choosing a school for my own children. A key to the study was that a “High Quality Caregiver” was warm, supportive and provided quality cognitive stimulation. Watch for those traits!

7. What is the discipline policy?
Ask what their discipline approach is for inappropriate children’s behavior – especially for hitting or biting. Ask, “How do you deal with aggressive children?”  Make sure they have a thought-out plan and you agree with their plan. Watch how the children interact with one another: are they caring or aggressive? If you witness an aggressive child, how does the staff respond? The NIH report found that the longer a child was in day care the more likely he would be impulsive at age 15. Habits are formed early. Make sure the facility has a proactive approach to behavior and knows how to replace acting out, aggressive behaviors with more appropriate ones.

8. Is the Day Care within my budget?
Are there any additional costs for the program such as materials or transportation? Find out the entire budget. Is it worth the cost?

9. Will my child fit in and be safe here?
Is it well gated? Are electrical sockets covered? Are fire extinguishers available? How well are they equipped to deal with accidents? Is the staff trained in CPR? Hopefully, there will never be a safety issue, but a good day care makes sure that children’s safety is a primary focus. What do you when my child or other children are ill? Find out what the policy is when children are ill at the center. Is there a supervised location where they can be removed from the other children? Could I see my child in this facility or with this care giver? Is this a place where he would fit in, feel comfortable and thrive? (Use your instinct! Get into the shoes of your child and see the caregiver or facility from your child’s eyes!)

10. Does the staff share the same values as I do?
These people will be sharing their lives with your child, so you want them to hopefully share a few similar values. Think through what are your core beliefs about raising your child and watch to see if the staff models them. For instance: Are they respectful? Do they require children to be courteous and are they courteous to children? Are they dressed neat and appropriately?

For more parenting strategies on this and 101 other issues refer to my latest book, The Big Book of Parenting Solutions: 101 Answers to Your Everyday Challenges and Wildest Worries. You can also follow me on twitter @MicheleBorba and subscribe to my daily blog, Dr. Borba’s Reality Check on my website, MicheleBorba.

Family - Father DaughterMothers and fathers care for their children in very unique ways.  Children can recognize the differences between mother and father care, which actually enhances their development.  This article focuses on the critical role fathers play in a child’s development.

Newborns can differentiate between mom’s voice and touch and dad’s voice and touch.  Although mom may have gotten a head start on the bonding process with the baby, dads have their chance, too.  By six weeks old an infant can distinguish a father’s voice from a mother’s, and while a quiet baby may pay more attention to mom’s voice, an upset baby will calm more readily to his father’s handling.  Mothers usually are very consistent in the way that they handle their children, often picking them up in the same manner, saying the same thing before they handle them, for example, at bath or bedtime.  Dads rarely approach the baby with such consistency.  Each time they pick up the baby, they usually do so in a different manner than before, but this helps the baby recognize that it is dad who is holding him.

Time with dad is typically less structured and more play-oriented than with mom.  Most of mother’s time with her children is dedicated to care-giving tasks or educational play, while dad’s time is less structured and full of impromptu play.  Where mom uses toys, dad tends to use his body.  Dads are typically more physical with the kids and they love it.  Physical play helps to stimulate both physical and brain development.  Dads also have a tendency to make any situation educational, even if they don’t realize it themselves, so that a father’s tasks around the house might be an adventure for the child.

Fathers challenge their children to learn.  Obviously, both mom and dad want to help their child learn in any way they can, but they do this differently also.  For example, when teaching a frustrated child, a mother tends to assist her in finding the answer; whereas, a father is more likely to guide the child through the frustration and challenge her longer to find the answer on her own.  Fathers also encourage more exploration and boundary pushing than moms do.  A father’s way of teaching his child persistence in the face of adversity results in positive academic and social performance in the long run.  Certainly, one style is not better than the other, and children absolutely benefit from both.

Sleep Patterns in Children

Friday, March 12th, 2010

Children’s sleep issues are among the more challenging developmental stages for parents to master.  But biology is on the parents’ side in this one, because sleep patterns mature over time just like other developmental skills.

  • Polls tell us that one-third of American children and their parents sleep together some or most of the time before children start school. Co-sleeping varies hugely by culture and ethnicity. So think about what you want to do, and discuss the pros and cons with your pediatrician.
  • Make sure your crib is safe (locking rails), that your older child’s ‘big bed’ has side rails, and if you are co-sleeping, that there is plenty of room.
  • The human brain is active during sleep, but the deepest sleep is typically at the beginning of the night.  Babies spend more time than older children in stimulating REM sleep, with eye movements and irregular breathing. Don’t worry about all that action in your child’s body – it too is growth.
  • Start them young – do not ignore the importance of naps, watch for the yawn, and start bedtime early in the evening.
  • The transition from crib to bed is also a time of sleep pattern changes, but most kids want it to work.
  • To instill good sleep habits remember that consistency matters so much:
    • Bath Time
    • Goodnights
    • Tuck and Talk Bedtime Story
    • Lullabye (yours are best)
    • Goodnights

This all sounds well and good, but it is a rare family that hasn’t had to handle some sleep trouble along the way.  If your family is trying to re-establish a lapsed routine, stay calm and reassuring.  We almost all need more sleep than we get, and it is a tremendous gift to our children to teach them how to sleep well.

Biting

Friday, March 5th, 2010

Why does a nearly universal event in a child’s development evoke such strong feelings? Odds are – as children we were either a biter or a victim – and often both. Plus, biting hurts and frightens us a lot. And though we know aggression is a normal part of development, regular cruelty is not, and we fear the connection between the two.

Some thoughts to help us manage:

  • Infant Boy AWhen children first bite, it is often their mother while breast-feeding, and their motive is most probably curiosity – not aggression. Mothers should send the following message to their infant: “Ouch, no and if you bite, you lose the breast – end of discussion.”
  • Biting often begins as exploration, but may be quickly associated with out-of-control feelings or feelings of being overwhelmed – with excitement, fear or curiosity. Parents should manage these feelings by staying as calm as possible and firmly saying:
    • “No one likes biting, especially me.”
    • “You just cannot bite.”
    • “I’ll help you stop until you stop yourself.”
  • Parents often fear biting at school most. Peers, especially close ones, are fascinated by each other’s aggression, and the dramatic reactions it evokes. Adult overreaction just makes things more exciting! Experienced teachers have radar for when ‘the chompies’ are in the air and become particularly vigilant.
  • If all adults involved in a biting incident are convinced that it was not an isolated but willful, premeditated event, both children should be kept safe.  Adults should explore the language of what went on and be able to offer alternative responses.

Finally, it bears stating – parents should never bite children back. Believe me, I understand the impulse, but all you accomplish is establishing mutual violence as an acceptable value in your family, embarrassing yourself, and degrading the natural authority you have with your children.  They want your help with this stuff, not your indulgence.