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Dads get depressed too

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There is some interesting research on the link between depressed dads and its effects on their children. This supports much of the posts I have written on the importance of father/child bond. The research is summarized by Child-Psych.org at http://bit.ly/mvo6nu: "The current study used a nationally representative sample of fathers of one year-olds, 1,746 dads in total.

The men answered questions in four different areas: interactive play (e.g., peek-a-boo), speech and language interactions, reading to the child, and spanking. Whether or not the fathers had talked with their child’s pediatrician during the past year was also assessed. Seven percent of the fathers in the study reported being depressed during the past year. Seventy-seven percent of these dads also had spoken with the pediatrician over the past year... there were no differences between fathers that were not depressed and those that were in their reports of playing interactive games and singing songs/nursery rhymes with their children. Depressed dads were less likely to read to their one year-olds and much more likely to spank them."

Conclusions of this study focused on the relationship between a fathers well-being and the child emotional and academic abilities later in life. As you might expect, the higher the depression in dad, the lower the functioning of the child. In addition, there is a connection between how aggressive dads were in their discipline. A higher percentage of dads spanked or acted out of anger with their children. Why do I keep harping on this topic? I want dads to be aware of and accept how vital there role is in the life of their children. I want others (moms and society in general) to be more mindful of the need to educate and support dads in this role. As men, we don't get the same amount of formal or informal training to be parents as moms. More focus is needed for men to rise to the challenge of parenting.

Depression and Parental Insightfulness

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Research articles often have a "duh" factor when it comes to outcomes in various studies. After you read them you think "I could have told you that!" The up side of academic studies is that they point a laser light of attention on areas of life that need attention. Society seems more willing to spend money and time on correcting problems when we draw a big circle around a social problem in the lab.

This was true, for me, of a study on the level of parental insightfulness and maternal depression (see clip below). The findings of the study was that mom's (why do we always study moms!) who were depressed are less likely to be able to see life from the vantage point of their children. This results in less emotional attachment and parenting effectiveness. The obviousness of this research is that mom's or dad's that are depressed are less likely to see much of anything outside of their own internal pain. This isn't a slam on depressed parents. I have experienced it and it isn't purposeful. Depression is usually due to a chemical imbalance and requires professional interventions that may or may not involve medications.

I mention this study on the blog because I want draw a big circle around this issue and say that the long-term effects of a poor attachment between parent and child can have some serious effects on self-esteem and future relationships. I guess this is a call to action for anyone who feels they are depressed, even occasionally. Help yourself and your child by getting some help. There is plenty of help available, from changing diets to clinical therapy. I have found that playing with my child lifts my mood even when I was tired and emotionally down.

"Insightfulness is seen as the mental capacity that provides the context for a secure child–parent attachment. It involves the ability to see things from the child's perspective and is based on insight into the child's motives, a complex view of the child and openness to new information about the child. To test our hypothesis that maternal insightfulness is related to maternal depression, we utilized the Insightfulness Assessment (IA) developed by Oppenheim and Koren-Karie to conduct and analyse interviews in which mothers discussed their perceptions of video segments of their interactions with their children. We compared the results of a control group of 30 mothers without a diagnosis of depression with a sample of 23 mothers diagnosed with depression (International Classification of Diseases, 10th Revision). As expected, depression was negatively related to maternal insightfulness."

Source: onlinelibrary.wiley.com Share what you have done to increase your mood and deal with depression by leaving a comment below or posting on our Facebook ParentingToolbox Page.

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17 Hugs A Day

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My wife and I have a joke that we tell each other and family members: It takes a minimum of 17 hugs a day to feel normal. I will confess that there is no scientific research that supports 17 hugs per day therapy...at least not yet. Nevertheless, we have come to recognize that need for touch and have adopted the idea that hugs, at least 17 is what gets us through the daily life hassles. At a recent conference on Attachment Theory, where there was some real scientific data, a presenter on Post Traumatic Stress Disorder stated that data suggests that the little stressors of everyday living can add up to the same effects of someone who has undergone a single, major life trauma, like a robbery or death of a loved one or car accident. We let these little incidents of life go by without any real concern. Perhaps we feel embarrassed to admit how much a poor marriage or teenager defiance or even workplace stress really does affect us. Can parents acts as prevention specialists for our children. As adults, we need 17 hugs just to maintain normal living. Our children need them to counter the cumulative effects of stress on their lives to avoid PTCS - Post Traumatic Childhood Stress. If you don't believe there is a such a thing, just observe children interacting on a play ground. There are some mean things thrown back and forth on the jungle gym, let me tell you! Add to that some homework pressures and the constant media bombardment of negative words and images and what child wouldn't feel slightly traumatized? As parents, the least we can do is give some touch therapy with a few hugs a day. John Bowlby, the great attachment theorist, stated that attachment is essential to normal development (see my blog post on this here). Guardians are supposed to be our safe haven from life. Home should be a place of refuge from the constant stress of school and work. Granted, there are chores and homework to be done but how can you carve our 30 minutes a day for some connection. Parents are quick to use Time-Out, how about some Time-In? It might be good for mom and dad too. Starting today, give a few more hugs than usual. It is OK to start slow and work your way up. And yes, teenagers love them too. You just have to be a little more crafty in your approach.  
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Putting your worst parenting foot forward

I have spent a lifetime being defensive. The world, frankly, is a harsh place to live and over time one can become quite hyper vigilant and self-protective. It takes some risk to put yourself out there after suffering rejection and betrayal. Unfortunately, that is the only way to live in an intimate relationship with other people, like your family. I get that there are abusers out there and it may not be wise counsel to open yourself to that. I am not asking for anyone to be a victim. I am addressing the more basic, day-to-day willingness to be open and non-defensive. I have spoken about the benefits of this in other posts on TransPARENTcy, etc. It may be worthwhile to read those posts. Try an experiment with me: Put your worst foot forward. Instead of covering up your mistakes or telling little white lies about your parenting performance, try sharing a parenting issue you really want to change about yourself. You will have to pick the right moment and to be safe, the right person at first. After you do that, ask for some honest feedback. I mean really honest. Look the person in the eye and don't talk until they are done. If they hedge their comments, ask for further clarification until you get to the bone of truth. Finally, state your appreciation and willingness to consider incorporating that information. Take the next 24 hours to do just that. I wonder what response this will initiate in others? I am curious what it will do to you if you can live in a non-defensive position? Protecting ourselves takes energy. Lots of it. What would happen with all that creative juice if you applied it to making your parenting better versus avoiding change? Change is uncomfortable but nothing real and satisfying is achieved by avoiding it. The biggest therapeutic truth I know (I didn't say I always practice it) is that you have to go through the pain to get to the other side. I wonder what that other side will look like for you in your closest relationships. Share your experiences with this by leaving us a comment or tweet us @ronhuxley or go to our Facebook page!
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Depressed Teenagers: The Problem, Risks, Signs, and Solutions

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Is your child sad or appear to have no affect at all? Is your child preoccupied with the topic of death or other morbid topics? Has your son or daughter expressed suicidal thoughts or ideas? Are they extremely moody or irritable beyond the normal hormonal twists and turns of childhood? Has there been a drastic change in your child’s eating or sleeping patterns? If you answered yes to any of these questions, your child may be suffering from a common but devastating mental health disorder, called depression. The Problem: Depression occurs in 8 percent of all adolescent lives. Research indicates that children, in general, are becoming depressed earlier in live. The implications of this is that the earlier the onset of the illness the longer and more chronic the problem. Studies suggest that depression often persists, recurs, and continues into adulthood, and indicates that depression in youth may also predict more severe illness in adult life. Depression in young people often co-occurs with other mental disorders, most commonly anxiety, disruptive behavior, or substance abuse disorders, and with physical illnesses, such as diabetes. The Risks: Teenagers often turn to substances to “self-medicate” the feelings of depression. They reject prescribed medications because of the way it makes them feel and because of the negative social implications of being labeled as depressed. Drinking alcohol and using other substances may make teenagers feel better for a short period of time but the need to continually use these substances to feel “high” creates dependence and poses a serious health risk. Depression in adolescence is also associated with an increased risk of suicidal behavior. Suicide is the third leading cause of death for 10 to 24-year-olds and as much as 7 percent of all depressed teens will make a suicide attempt. The Signs: Signs that frequently accompany depression in adolescence include: • Frequent vague, non-specific physical complaints such as headaches, muscle aches, stomachaches or tiredness • Frequent absences from school or poor school performance • Talk of or efforts to run away from home • Outbursts of shouting, complaining, unexplained irritability, or crying • Being bored • Lack of interest in playing with friends • Alcohol or substance abuse • Social isolation, poor communication • Fear of death • Extreme sensitivity to rejection or failure • Increased irritability, anger, or hostility • Reckless behavior • Difficulty with relationships Parents often witness these warning signs but fail to act on them. Why? Because some teens hide the symptoms from their parents or parents chalk it up to a stage or moodiness. Many teenagers go through a time of dark looking/acting behavior with all black clothing and bizarre hair arrangements. This can throw a parent off of the trail of depression by the bewilderment of teen actions and behaviors. In addition, many teens react aggressively when confronted about possible depression by their parents causing mom and dad to back off. The Solutions: When dealing with teen depression, it is always better to “be safe than sorry.” Coping with an adolescent’s anger is much easier to deal with then handling his or her successful suicide or overdose. When parents first notice the signs of depression, it is important to sit down with their teen and ask them, gently but firmly, if they are feeling depressed or suicidal. Contrary to popular belief, asking a child if he or she has had any thoughts of hurting or killing themselves does not cause them to act on that subject. If the teen rejects the idea that they are depressed and continues to show warning signs, it will be necessary to seek professional help. If the child acknowledges that he or she is depressed, immediately contact your physician and seek the assistance of a mental health professional that works with children and adolescents. In addition, parents can help their teen by confronting self-defeating behaviors and thoughts by pointing out their positive attributes and value. Parents may need to prompt their teen to eat, sleep, exercise, and perform basic hygiene tasks on a daily basis. Doing these daily routines can dramatically help improve mood. Try to direct the teen to hang out with positive peers. Steer them away from other depressed adolescents. Explore underlying feelings of anger, hurt, and loss. Even the smallest loss of a friend or pet can intensify feelings of sadness. Allow the teen to talk, draw, or journal about their feelings without judgment. And for suicidal teens, make a “no-harm” contract for 24 to 48 hours at a time when they will not hurt themselves. With proper care and treatment, depression can be alleviated and suicidal behaviors prevented. Parents and teen may even find a new, deeper relationship developing between them as they work through the dark feelings of depression. Reference: National Institute of Mental Health Web Site. “Children and Depression: A Fact Sheet for Physicians.” http://www.nimh.nih.gov/publicat/depchildresfact.cfm
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Parenting Guilt is a Waste of Time

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It was one of those lazy Sunday afternoons and the sky was beautiful blue. White, billowy clouds were floating by as I sat and watched them on my front porch. The only problem with this day was I felt guilty about not being more productive. I felt like I "should" be doing something. Pulling weeds, reading some important journal paper or updating my blog. I remember this feeling as a parent too. There always seem like there is so much to do and I was always so far behind on something. Shouldn't I be doing laundry instead of playing catch in the backyard with my kids or working on some craft? There were many times my guilt drove me to try and do household chores and play with the kids at the same time. Let's just say, it wasn't very effective in either area. Many of us NEED to listen to that inner voice. That bathroom really does need some more attention but for the majority of parents, guilt is a constant critic. It is driven by the need for perfection. It fears what others will think of us. It causes us to forget that our children are more important than a clean dish put away into the dishwasher. As a grandparent, you realize that the moments slip away into days into years into decades and then there are gone. When you realize all the magical moments missed with your child because you just had to prune the rose bush or scrub the shower (or for you working parents, work an extra hour or two in your home office), that is when the real guilt settles in. It is for what you could have done with your child if I wasn't just so tightly wound up over the little things. Here's my parenting expert, grandfatherly advice:  Spend an entire weekend just interacting with your children and let guilt go for two entire days! Just two days mind you. That means the beds don't get made, the dishes may stay in the sink (OK, you can put them away after they go to bed) and the home office door stays shut. Oh yeah, and the electronic devices are off. Yes, off! Tell me how the experience goes by posting a comment here or sharing on twitter or facebook.
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Attachment Disordered Children - Radio Show Interview with Ron Huxley

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If you didn't catch my radio show interview this morning you can listen to the archived mp3 at http://toginet.com/shows/theparentsplate/articles/1314 Brenda Nixon, host of the Parents Plate radio show, invited me to chat about the controversial diagnosis of Reactive Attachment Disorder (RAD) and the current state of mental health treatment of traumatized children today. I shared some great ideas in our hour long discussion that you will want to listen in on...everything from how children are diagnosed to attachment neuroscience to practical parenting tools. I even shared on why children with attachment impairments "Monster Up!" - a phrase I coined. Take a moment to download or stream the show at http://toginet.com/shows/theparentsplate/articles/1314
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How can you punish an abused child?

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I recently watched a movie called "Unthinkable" (CAUTION: Movie spoilers ahead) and was shocked by the intensity of the violence. At first I turned it off then later went back to finish watching the movie. There was something about the plot line that drew me back in. The subject matter was simple: A terrorist sets up nuclear bombs throughout America, is captured, and then tortured to tell their locations. Yes, tortured. Aside from the more obvious political messages here, there was a subtler, frightening psychological message. No matter how much the terrorist was tortured physically or mentally he never broke. He suffered but he continued to play mind games with this capturers till the very end. What would hold a person together despite such horrific punishments? I realized what the answer to this question was when the terrorist stated that "he deserved this" for all the bad things he had done. The movie never really described what these "bad things" were but it was enough of a mindset for him to endure unbelievable torture. His captors tried everything to break him: reason, empathy, brutality, mind games, more brutality and finally more brutality. They just kept upping the ante on the terrorist with the belief that eventually everyone breaks. He didn't. What struck such a cord in me was that many of the children I work with, who have been mistreated,  have this "terrorist" mindset. Their behavior says: "What can you possibly do to me that I have not already endured in a much younger, more vulnerable state as an infant or young child?" So many of the children who adopt this "defiant" attitude have a deeper narrative that they deserve the punishments they are getting. Children internalize their abuse and believe that they are responsible for what happened to them. In fact, they often believe that they are "damaged goods" unworthy of love or kindness or anything good. They may set up caregivers to make them angry and want to punish them. It is easy for an adult caregiver to play right into this narrative and reinforce the very thing they want to change in the child. They may not beat them or leave them in a closet for days but we do use other punishment-based techniques (lock them up, move them from home to home, shame them with words or actions, make them carry out sentences, etc) all with the hopes that they will express their guilt and shame and change their behaviors. I think the end goal is a worthy one. We want to help the child see things differently but our methods need some updating. Hope for this is coming from the field of neuroscience which is why you will see so much of this in this blog. It may not be the final answer but it is allowing us to see the small, hurting child behind the big terrorist mask. It is telling us that children's brains and minds are affected by their mistreatment and we must go back and redo attachment-based treatments to help them rebuild the mental and physical capacity for love and affection and moral reasoning too. I know it sounds like I am hard on the adult caregivers. I guess I am but we are the ones who have to do something different. We can't expect the child to "get it" and explain it to us. We have to look deeper to see the alternative narratives for the child to live out. That will take time and patience. Unfortunately, we caregivers are products of our own culture and parenting narratives. A shame-based approach to parenting is how many of us were raised and so, it is the only approach we  know how to use. If time out for an hour in a child's room doesn't work, what else is there? More time in the room? Perhaps we should yell louder or threaten more? Obviously not. The answer to my title: How can you punish an abused child, is simple. You can't. The mission of the Parenting Toolbox blog is to give parents more tools. I used to teach a lot of court-ordered parenting classes where parents where referred to learn non-punitive parenting skills. I quickly learned that you got no where trying to debate the punishment mindset. I realized that I couldn't really win the "spank/no spank" argument. I might get some compliance from the parent but there was no change in insight. My focus became teaching other things the parent could do by giving lots of parenting tools. This worked. It is my vision to see parents better equipped and hurt children healed with this blog as well. * Get some power parenting tools in our new premium newsletter. Subscribe today!
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Why can't your child pay attention?

In my last post I talked about how parents can change a child's brain. Hopefully you can begin to believe that this is possible. I think it suggest a very different approach to parenting. Instead of trying to "manage" a child's behavior, we can begin to explore how to "train" a child from the inside out. One of the areas parents might really benefit from this approach is to help them pay attention. I am not talking about dealing with diagnosable Attention Deficit Hyperactive Disorders but that might be applicable as well. I am simply thinking about ways to get your child to look up from the cell phone or hear your request to come in for dinner, the first time, when they are engaged in play outside. Would you like to say something the first time and be heard without repeating (yelling) it again? How about on a more personal level: Wouldn't you like to be able to focus on your families needs without feeling overwhelmed and stressed? How many things try to capture our attention in a day? How many times do our children have to ask a question before we turn to focus on them? This is what Amishi Jha, the brain scientist,  is talking about in the short video clip (see below).
People in today's society have so much demand on their attention that they are constantly battling what to pay attention to. This is true for our children as well as ourselves! Unfortunately, what occurs is that we live our life in "instant replay" mode. We are constantly having to go back and review what someone said or someone did.
We hear our children fighting from the other room and have to go back and rewind our mental tapes to understand what is going on and how we are going to intervene. We don't have the luxury to live in the moment and deal with only one thing at a time. Consequently, we engage in shortcut strategies to survive. Our children do the same. The brain has an Executive System to deploy attention and memory resources to problems as they occur around us. This is probably why so many of us parents work on crisis mode with our children. We may miss good things our children do as our emotional resources are concentrating on putting out fires. We feel we don't have the capacity to focus on what is working due to so much focus on what is going wrong. As you can imagine this creates a vicious cycle for parent and child.
How do we keep the play button of the brain on the present moment instead of being focused on the past moment or future moment (on what we need to do next)? Mindfulness researchers would ask this question by saying "how do we pay attention to our present moment without judgement and stay calm in the midst of stressful demands of life?" There are a lot of books that look at mindfulness out that can inform parents on this. My favorite is the book "Parenting from the inside out" by Daniel Siegel. We also have the knowledge of our spiritual practices that can inform a more mindful, present-focused parenting. It may be useful to start meditating on how to pay more attention to our children, in the moment, and model better attentional skills in our children simultaneously. Click link here to watch Amishi Jha talk about how to train brains to pay better attention: Amishi Jha: Building Attention Learn more on this topic and other real life parenting tools in our ParentingToolbox Newsletter. Click here now!

 

Parents can change a child's brain

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Some of the research listed below suggests that parents (and teachers) are in the brain changing business. Although parents might struggle with changing a child's "mind" they inevitably have a role in the child's developing brain. A child's experiences in life can alter the structures of the brain for good or ill. The most important experiences are those they share with their caretakers. This might put a lot of weight on parents already weighty lives and cause them to feel that can't do anything right. The only result, they might joke, is pay for the therapy latter! Fortunately, those therapists have long known that optimal is better than perfect. The idea of the "Good Enough" parent is a comforting one, to myself at least. We don't have to do everything perfect. It is more important that we try, even in the event of failures (blow our top, pick the child up late from preschool, can't help with a math assignment or get a divorce) a child can come out OK. It is our overall efforts and results that children judge us by and it is our consistent effort to provide structure and nurturing that create the healthiest brains/people. I will share more parenting tools that allow parents to manage this balancing act in the Parenting Toolbox's newsletter: The Family Work Bench. Get a subscription now!
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Source: http://committedparent.wordpress.com/2007/10/27/if-youre-in-the-parenting-business-youre-in-the-brain-change-business/ “No matter what business you’re involved in, first and foremost you’re in the brain change business.” So asserts Houston neuro-psychiatrist, Bruce Perry. In line with that premise, it makes great sense to know at least a few of the basics about how your own and other people’s brains grow and change in ways that could possibly help make them work like Einstein’s, Michelangelo’s and Mother Teresa’s all rolled into one!
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The brain is perhaps best thought of as a collection of interconnected endocrine glands – roughly 52 indiv- idual parts controlling different actions. They all must work together to “process energy and infor- mation.” Thinking about the brain in such terms – as a network of organs that must optimally process the energy and information of our daily lives – turns out to be a very useful template to help us understand our own and others’ reactions to the world, and to make good decisions in response to them. Ideally, we only want ourselves and our family and friends involved in activities that their brains are developmentally suited to handle, and perhaps a little bit more. It’s the “little bit more” that can become tricky, which is how we build resilience in ourselves and our kids. I’ll be discussing resilience often in these columns. Associations Make it Happen Another important way to think about our brain is as an associating organ. By that, I simply mean that it learns a lot by putting things together. Things like words and pictures, upand down, hot and cold, thoughts and feelings. By pairing things that make the brain feel good with things that we want ourselves or our children to learn, the neurons in the brain become richly connected. A variation of this is sometimes known as “Grandmother’s Rule: You may do what you want to do – when you’ve done what you need to do.” By pairing preferred actions with less exciting necessary duties, like brushing teeth and going to bed at a set, regular time, reinforced learning takes place Plastic is as Plastic Does Finally, one last thing to realize and remember about the brain and the business of trying to change it, is that the brain is exquisitely “plastic.
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