Tampilkan postingan dengan label Children. Tampilkan semua postingan
Tampilkan postingan dengan label Children. Tampilkan semua postingan

Minggu, 23 Juli 2017

AGE APPROPRIATE CHORES FOR CHILDREN




Have you ever wondered what kind of chores you can give children and how soon you can begin doing so? Well, here is a guide given by Sheila Seifart on some personal and family chores that children of different ages can perform:

PS: The kind of chores one gives children are dependent on the kind of home environment/ setting that they live in.

Ages 2 and 3

Personal chores
  • Assist in making their beds
  • Pick up playthings with your supervision
Family chores
  • Take their dirty laundry to the laundry basket
  • Fill a pet's water and food bowls (with supervision)
  • Help a parent clean up spills and dirt
  • Dust


Ages 4 and 5

Note: This age can be trained to use a family chore chart.
Personal chores
  • Get dressed with minimal parental help
  • Make their bed with minimal parental help
  • Bring their things from the car to the house
Family chores
  • Set the table with supervision
  • Clear the table with supervision
  • Help a parent prepare food
  • Help a parent carry in the lighter groceries
  • Match socks in the laundry
  • Answer the phone with parental assistance
  • Be responsible for a pet's food and water bowl
  • Hang up towels in the bathroom
  • Clean floors with a dry mop


Ages 6 and 7

Note: This age can be supervised to use a family chore chart.
Personal chores
  • Make their bed every day
  • Brush teeth
  • Comb hair
  • Choose the day's outfit and get dressed
  • Write thank you notes with supervision
Family chores
  • Be responsible for a pet's food, water and exercise
  • Vacuum individual rooms
  • Wet mop individual rooms
  • Fold laundry with supervision
  • Put their laundry in their drawers and closets
  • Put away dishes from the dishwasher
  • Help prepare food with supervision
  • Empty indoor trash cans
  • Answer the phone with supervision

Ages 8 to 11

Note: This age benefits from using a family chore chart.
Personal chores
  • Take care of personal hygiene
  • Keep bedroom clean
  • Be responsible for homework
  • Be responsible for belongings
  • Write thank you notes for gifts
  • Wake up using an alarm clock
Family chores
  • Wash dishes
  • Wash the family car with supervision
  • Prepare a few easy meals on their own
  • Clean the bathroom with supervision
  • Rake leaves
  • Learn to use the washer and dryer
  • Put all laundry away with supervision
  • Take the trash can to the curb for pick up
  • Test smoke alarms once a month with supervision
  • Screen phone calls using caller ID and answer when appropriate

Ages 12 and 13

Personal chores
  • Take care of personal hygiene, belongings and homework
  • Write invitations and thank you notes
  • Set their alarm clock
  • Maintain personal items, such as recharging batteries
  • Change bed sheets
  • Keep their rooms tidy and do a biannual deep cleaning
Family chores
  • Change light bulbs
  • Change the vacuum bag
  • Dust, vacuum, clean bathrooms and do dishes
  • Clean mirrors
  • Mow the lawn with supervision
  • Baby sit (in most states)
  • Prepare an occasional family meal


    Ages 14 and 15

    Personal chores
    • Responsible for all personal chores for ages 12 and 13
    • Responsible for library card and books
    Family chores
    • Do assigned housework without prompting
    • Do yard work as needed
    • Baby sit
    • Prepare food — from making a grocery list and buying the items (with supervision) to serving a meal — occasionally
    • Wash windows with supervision

    Ages 16 to 18

    Personal chores
    • Responsible for all personal chores for ages 14 and 15
    • Responsible to earn spending money
    • Responsible for purchasing their own clothes
    • Responsible for maintaining any car they drive (e.g., gas, oil changes, tire pressure, etc.)
    Family chores
    • Do housework as needed
    • Do yard work as needed
    • Prepare family meals — from grocery list to serving it — as needed
    • Deep cleaning of household appliances, such as defrosting the freezer, as needed
    Reference:
    http://www.focusonthefamily.com/parenting/parenting-challenges/motivating-kids-to-clean-up/age-appropriate-chores#


    Minggu, 11 Juni 2017

    Antipsychotic Medication Used to Dope Up Unhappy Children






    There were two interesting editorials in the September 2015 issue of JAMA Psychiatry, a journal that used to be called the Archives of General Psychiatry and which is published by the American Medical Association. On the surface, the articles seem to address completely unrelated subjects, but on closer inspection, they both involve a common theme.

    The first one is entitled "Antipsychotic Use in Youth Without Psychosis: a Double Edged Sword." I have of course railed in many of my blog posts about the use of antipsychotic medication for patients who do not have psychosis, because these agents can have serious drawbacks, and because better alternatives exist. In many cases, the better alternative is psychotherapy that can help the anxiety and mood symptoms that used to considered to be part and parcel of, and caused by, neurosis- behavioral disorders based both on internal ambivalence about one's life choices as well as interpersonal conflicts.

    I have been particularly critical of the use of antipsychotic drugs in children who are almost never actually psychotic, and who are being diagnosed with bipolar disorder when they are in fact just misbehaving because of stress and family discord. As the JAMA Psychiatry editorial points out, the long term effects on the brains of developing children of antipsychotic drugs are unknown, although changes in the density of neurons have been observed.

    The editorial mentions recent statistics that really do prove that the medications are being used in children primarily to shut them up. I quote: "All signs suggest that [antipsychotic medication use] among children is chiefly in those with aggression and behavioral dyscontrol, ADHD, and disruptive behavior disorders, but not for those with psychosis, bipolar mania, Tourette's Syndrome, or autism spectrum disorders." They are also being combined more and more with stimulants. 

    Repeat after me, "Uppers and downers, and bears, oh my!"

    Fewer than 25% of the young people in this study had any recorded psychotherapy of any kind. 

    These drugs are effective for aggressive behavior - but not because they are specific for that problem, but because they are sedating and at times mind-numbing - as a side effect. Heroin would probably work just as well! After longer term use, however, the sedation side effect diminishes, so the drugs don't seem to work as well any more, which is when second and even third drugs are added.

    The second editorial is titled, "Why Are Children Who Exhibit Psychopathology at High Risk for Psychopathology and Dysfunction in Adulthood?" Somebody actually did a study about this question, which should be high on my all time list of studies appropriate for the journals Duh! and No Shit, Sherlock. The study wasted time and money actually investigating the question of whether or not the proposition in question was even true. Turns out it was. Surprise!

    Gee, childhood conduct disorder predicted antisocial tendencies. Who'd'a thunk? However, behavior problems in childhood predicted a wide range of different mental disorders, and was therefore a non-specific risk factor for a whole host of problems. 

    Even less surprising, "a subthreshold or threshold mental disorder at some time from late childhood through adolescence predicts lower levels of adaptive functioning." So poorly functioning children become poorly functioning adults. I wonder why?

    Actually, the question of why childhood behavior problems are non specific in being risk factors for various other psychiatric disorders is addressed in the editorial, and this part is where this editorial touches on the issues addressed by the other editorial discussed above. Three possible "causes" of why disturbed children become dysfunctional adults are listed. 

    While there is some truth to the possibilities, which are not mutually exclusive by any means, it is simply amazing to me how the editorial author studiously avoids any clear-cut mention of ongoing family dysfunction as the culprit.

    Family dysfunction is often chronic and ongoing and is rather widespread in our culture. To name just a few: parental drug abuse, divorces with multiple lovers coming and going and/or with children being passed around to different relatives, child abuse (physical, sexual, psychological), domestic violence, parenting issues (parents leaving children unattended or neglected for long periods, putting childcare entirely on the backs of older siblings, catering to children's every whim, invalidation, screaming and yelling, undermining the disciplinary efforts of one another), parents having multiple affairs, bad mouthing the other parent in front of the children and enlisting them as allies (triangulation), and general chaos at home. Is the author of the editorial really saying that none of these problems might explain the connection between childhood and adult psychiatric problems? Is that their argument?

    If you don't believe that these patterns are common, I have two words for you: country music.

    The closest the author of the editorial comes to this issue is reason #3. But notice the wording: ongoing instability is mentioned, but mostly things like poverty and living in bad neighborhoods. The nearest thing to family dysfunction that is mentioned is "lack of stable social support." Vague enough for you?

    In reason #1, the authors seem to be blaming the child for the problems of the adults, rather than the other way around! They say, "exhibiting the behaviors that define conduct disorder in childhood may alienate peers and family."

    Which do you think is more powerful and important: adults' behavior negatively impacting children, or children's behavior negatively impacting adults? This reminds me of a speaker touting Adderall at a grand rounds in our department who said, "If you had kids with ADHD, you might drink too much too!" In other words, he was saying that rambunctious children are a cause of alcoholism.

    In reason #2, the authors do refer to environmental factors, but over-emphasize earlyones. I guess the authors think either than family dysfunction ceases miraculously by virtue of a child turning 18, or that adults are not affected much any more at all by what their family members are doing to and with them. Sorry, but those assumptions are just plain nuts.

    Before I quote what they listed as the three reasons, what is the connection I am implying to the issue of antipsychotic use in kids? It is this: instead of recommending family therapy, the doctors are just drugging the kids who act out in response to these problems.

    Anyway, here are the reasons as they described:

    1. Child psychopathology and adult psychopathology could have different causes, but experiencing mental health problems in childhood may directly or indirectly increase the risk for adult psychopathology. For example, exhibiting the behaviors that define conduct disorder in childhood may alienate peers and family, lead to curtailed education and incarceration, and increase the risk of brain and spinal cord injuries. In turn, these adverse consequences of childhood conduct disorder may place the individual at increased risk for later psychopathology and compromised adaptive functioning during adulthood.

    2. It is possible that some or all of the causes of psychopathology across the life span operate early in life. That is, childhood psychopathology could predict psychopathology and compromised functioning in adulthood because they are both influenced by at least some of the same genetic and early environmental factors. Although there may also be later age specific causal influences, such enduring effects of early causal influences would foster the observed predictive association. At the level of mechanism, child and adult psychopathology would at least partly share atypical functioning in the same neurobiological processes in this case.


    3. The predictive association between child psychopathology and adult psychopathology could reflect chronic or intermittent exposures to conditions that give rise to psychopathology when encountered across a life span. For example, psychopathology at all ages may be fostered by chronic economic instability, pollution, living in disorganized and violent neighborhoods, and lack of stable social support. To the extent that these causal environmental factors are stable across a person’s life, childhood psychopathology would reliably predict adult psychopathology even in the absence of a shared causal or mechanistic link between them. 

    Minggu, 30 April 2017

    Your Children Like to Give You What You Seem to Expect From Them





    During the times when parents are making major parenting errors, they are often giving their children a double message in one way or another. The parents, usually because of their own ambivalence about rules they themselves learned in their own families of origin as they grew up, say one thing but seem to act in ways that contradict what is being said verbally.

    In this situation, children make sense of their parents’ confusing expectations of them by taking into account the entire context of the family’s interactions. They use three rules to sort out and hierarchically rank double messages that are given on a consistent basis. These rules are described in detail in my post of March 8, 2011, How Children Respond to Double Messages From Parents, Part I.

    The parents’ behavior may seem to indicate to children that the parents have certain expectations about how the children are supposed to turn out, and children will not want to disappoint the parents by defying their apparent expectations. This will happen in spite of the fact that the parents verbally instruct the children not to act in the way the parents seem to expect, and criticize and/or severely punish them when they do. Admonishments, especially verbal ones, will be disregarded. Actions speak louder than words (Principle #1 from the earlier post).

    In this post, I am going to list several examples of frequently-seen problematic parenting practices, as well as the consequences that such practices frequently lead to. They may cause relatively mild problems, but often they cause major issues. These patterns have been described to me over and over again by my adult patients as they discuss their family’s behavior over time.

    The problems I list all have a common theme: parents trying to micromanage their children's behavior in one way or another. Parents may protest: "I have to focus on my child's troublesome behavior because they won't stop it." They don't realize that it actually works the other way around: the child won't stop the behavior because the parent keeps focussing on it!

    After one of these problems goes on for a while, the situation gets more complicated. The parents and children begin to feed into one another's anxiety and compulsive behavior simultaneously.

    In order to solve such a problem, the parents have to be the ones who calm down about the issue first, or the children will be very unlikely to ever calm down and start behaving differently. When the parents do stop micromanaging, other difficult but solvable problems predictably ensue. These are discussed in the last paragraph of this post.

    In discussing any problematic parenting issues, there is always a rather devilish and perplexing conundrum that makes any such conversation frought with peril. Many troublesome parenting behaviors are driven by a parent's guilt over their own thoughts and feelings concerning their role as parents, and if one discusses what they may be doing wrong, this adds to their sense of guilt. They therefore often become very defensive and, if anything, dig in their heels. Their problematic practices then get even worse than before!

    On the other hand, if they do not really understand what they are doing wrong, they also continue doing it. 

    A real lose-lose proposition this.

    Parental guilt is often increased by negative comments about their parenting practices that come from their own parents, the children's grandparents. This in turn is caused by certain changes in western culture which have been rapidly evolving over the last few decades. I describe these cultural issues in more detail in my last book, in Chapter Two, Don't Blame Us.

    Really, looking for someone to blame for family problems is a complete waste of time. The most important questions is, which would you rather do: find fault with people, or actually solve the problems? It is damn near impossible to do both. To naysayers I say, "Grow up!" 

    The problems are created over several generations, so let's all just blame Adam and Eve, and be done with it.

    And so I proceed.

    Some additional points: Some psychologists and parenting experts intuitively understand the type of consequences that I list below, but IMO they miss the real reason why they occur. Most seem to think that the parents are somehow “gratifying” their children in a counterproductive way. However, in my experience, children who are in many of these situations are anything but gratified. 

    They are almost always quite miserable, and behave in self-destructive ways to boot. Feeling good and being self destructive are for the most part mutually exclusive.

    Rather than being gratified, I believe - as I have said many times in this blog - that the children are sacrificing themselves to give the parents what the parents seem, in the estimation of the child, to desperately need. 

    Another frequent explanation, particularly by cognitive-behavioral therapists, is that the problematic parenting practices prevent children from acquiring certain social skills. While that explanation may at times have some truth, many of the "skills" such children are supposed to lack are not exactly rocket science. And these same children often demonstrate in other interpersonal and environmental contexts the very skills they are not supposed to have ever learned!

    Critics of course will also point to examples in which the types of parental behavior described in the post do not or did not seem to be followed by the predicted negative consequences. As usual, I need to put in a disclaimer: The consequences of the parental behavior I mention do not alwaysresult in every situation in which the parenting problem is seen. They are not hard and fast. 

    Kids have minds of their own. Other adults in the house or even in the community may provide a counterweight. Some parents behave more consistently, others much less so. Some are consistently inconsistent. Parents might get sick and tone down their rhetoric for extended periods. A zillion other things may come into play.

    There is a chaos effect: small changes in initial conditions can lead to big changes down the line. However, if parents make the kind of errors I describe, the odds are very high that the predicted consequences will indeed occur. We’re talking probabilities here!

    So, without further ado, here’s a list of common parenting errors created by parental ambivalence about their own behavior. By no means is it a complete one:

    If you constantly try to fix a child, the child will find different ways to keep being broken so you can continue in your efforts.

    If you continually bail children out of their own messes, they will continue to make messes for you to bail them out of.

    If you give your kids money whenever they ask and almost never say no, they will continue to ask you for money, and may seem to develop problems supporting themselves when they grow up.

    If you constantly try to mediate disputes between your children, they will continue to fight one another so you can continue to mediate.

    If you blame yourself for your children’s failings, your children will blame you for their own woes. (In a perverse and ironic way, their problems are partly your doing. But it’s your guilt about your own behavior that creates the problem, not your basic character or intrinsic worth).

    If you repeatedly tear apart your child’s room looking for drugs when there is no evidence that he or she is using, just to make sure he or she is not using, the child is more likely to use drugs so you can find what you are looking for.

    If you continuously help children with their homework instead of telling then to figure it out for themselves, they will continuously need your help.

    If you keep making a huge deal about something your children do or say, they will keep repeating whatever it was so you can continue to obsess about it.

    If you instantly replace any items lost by your child, your child will continue to lose things.

    If you do nothing when your children disrespect you, or if you just whine and scream at them about it, they won’t ever respect you.

    If you look uncomfortable getting presents on holidays and birthdays, your children won’t give you any, or will give you thoughtless gifts. (If you then question them about it, they will get angry or passive aggressive, and may start giving you things, but looking as if they are only doing so because you asked, not because they care about you).



    If you seem to get a kick out of a child’s misbehavior, they will continue to misbehave, no matter what else you say about it.

    If you set a low bar in your expectations for your child (academically, for example), they may meet the bar, but they will not exceed it.

    If you compulsively pay more attention to your children's needs than you do to those of your spouse, they will make gallant efforts to regulate the amount of intimacy you have in your marriage by inserting themselves between the two of you.

    Last - and this is perhaps the most pernicious of all - if you constantly give in to your children's demands out of guilt, but then get angry at them because they are too demanding, then they will fear for your mental stability. In response, they will try to regulate your emotions like a thermostat: If you start to get too angry they will try to make you feel guilty, but if you start to feel too guilty, they will try to piss you off royally.

    Whenever you try to stop doing any of these things after having done them for a long time, expect a negative reaction, because you will be confusing your children. They thought they had you all figured out, and suddenly you are not performing to their expectations. Therefore, their behavior will get even worse in order to see if you really mean what you say and are going to continue to be different. Their behavior will, however, eventually get better if you stay the course.

    Minggu, 19 Maret 2017

    The Culture Wars Parental Guilt and Out of Control Children The Dilemma





     


    The following post comes mostly from chapter 2, Don’t Blame Us,  of my last book, How Dysfunctional Families Spur Mental Disorders:

    The women’s movement in the United States, combined with economic changes that made surviving on only one income increasingly difficult for families, led to one of the fastest and most massive cultural shifts in history. Almost overnight, women entered the workforce in huge numbers. Female ambition was fully unleashed for the first time ever, and flourished. However, women who wanted to get to the top in their field in business or the professions ran into a roadblock. 

    They found that, in the business and professional worlds, they were expected to act just like the men in one respect. They could not use the needs of their children as a reason for refusing to put in the long hours necessary in today’s economy to climb the corporate ladder. The United States had during this same period of time grown to become the most workaholic country on earth, eventually surpassing even Japan.
             
    Women who wanted to and who were told that they could “have it all” by the ambient culture found that doing so was not as easy as some famous women made it look. Since their husbands were only just beginning to share in child care, and were as much or more involved with their careers as they had ever been, who would be around to take care of the children? Horrific stories about bad things happening to children left to their own devices and locked in their homes without parental supervision after school (deemed latch-key children by the media), began to circulate widely.

    Debates over working mothers became one of the most important theaters of operations in the culture wars that continue to rage on to this day. Reactionary forces that never believed in equality for women in the first place began to spout off about all the damage being done by working mothers to their offspring. The voices of people like Phyllis Schlafly, a career woman who made a career out of attacking career women, became louder and more shrill. Unfortunately, researchers in major academic centers began to give more ammunition to voices like hers.

    Widely publicized studies showed that children in families in which at least one parent stayed home with them did, on the average, better in life on some dimensions than those children from families in which this was not the case. Of course, many children from two-career families do splendidly or even better than many of their more closely parented peers, while many children of stay-at-home mothers often fail spectacularly in life, but the press ignored the scatter and put most of its focus on the “average” end result.

    Of course, many families were able to negotiate the cultural changes successfully and continued to calmly set limits with their children while encouraging them to have egalitarian attitudes towards gender roles. Many others, however, were just feeling overcome by too much guilt to do that.        

    The most devastating source of guilt: Many career women found that they were faced with considerable criticism about their choices in life from within their own families. The baby boomers, who were the first large wave of career women, had themselves been raised by parents from the World War II “greatest” generation. This earlier generation of women had been, on the whole, raised to conform to the old female gender role stereotypes. 

    They were taught that they supposed to be totally fulfilled by being nothing but wives and mothers, as their mothers had been before them. However, as I described in the post of 9/21/11, unlike their own mothers, some of these women had had a taste of career fulfillment during the war, but had to give it up at the end of the war. 

    Since these women had been raised from birth to believe in the old roles, they accepted their fate, at least on the outside. Inside, many of them subconsciously resented having to give up the excitement of their careers. Some carried this covert resentment with them for the rest of their lives. As parents are wont to do, they tried to vicariously experience what they were missing through their children. 

    When they had daughters, they often pushed the girls to go out and get what had been denied to them – a satisfying career. Perhaps it was no accident that the baby boom generation was at the forefront of the feminist movement of the1960’s. Feminism had been an undercurrent in society for decades before then, but “women’s lib” virtually exploded.

    As the female boomers hobnobbed with one another and talked among themselves about how women could now do anything they wanted, many faced a rather disturbing negative reaction from both of their parents when they spoke about this at home. The parents would suddenly become hostile and/or withdrawn, sometimes for no apparent reason.

    Many male boomers, on the other hand, were the objects of some strange reactions from their parents as well. They had started to realize that sharing the burdens of being the family breadwinner was not such a bad idea after all. However, their fathers seemed to think less of them if they were not dominant over their wives, especially if they earned less money than their wives. 

    In the meantime, some of their mothers acted helpless and dependent around them at times, but because of the mothers’ covert resentment at males for keeping them from pursuing careers, emasculated the sons who tried to take care of them in any way. 

    For example, one of my patients told of an incident in which his World War II generation grandmother fell in the bathroom and broke her hip. When my patient tried to come to her aid, she refused to unlock the bathroom door. She said that she "did not want to be a bother."

    These parents were not being mean-spirited when they acted like this. The parents had grown up with certain gender role expectations and believed in them. They also worried, because of their own experiences, that successful women might have a difficult time finding a mate. They believed that men would find feminists too aggressive, and in any event would be threatened by any female who might be too able to manage her own life and finances without a husband. 

    These fears were stoked to near hysteria among both the boomers and their parents by a story in Newsweek in 1986, since discredited, which purported to show that college-educated women who were still single at the age of 35 had only a 5 percent chance of ever getting married.

    More important than the possible reactions of male chauvinist peers, the parents of the boomers, just like their children, worried about what might happen to their grandchildren if one of their parents were not in the home to raise them as much as in past generations. How would such children fare in life?

    In addition to this concern, a covert but pernicious issue lurked in the back of the minds of a significant number of the former riveting Rosies. When their daughters became successful in business, the mothers were reminded of what they themselves had given up right after the war. They had pretended for many years that having given up their jobs was really no big deal to them. Some became quiet, some became depressed, and others became actively critical of their daughters’ ambitions, especially when grandchildren came into the picture.

    Boomer females were extremely confused by their parents’ mixed message that seemed to say to them, “I’m so proud of you for your career success, but stop doing what you’re doing.” Many were left with a highly unsettling feeling caused by this strange lack of support. They wanted and planned to go on with their careers, but somehow they did not feel quite right about it. They became somewhat confused about exactly what their role in life should look like. 

    Men found that they were criticized by their girl friends if they opened a car door for a woman - or if they did not. Accompanying the role confusion for both sexes was the nagging, unnamed sense of guilt about their children that was mentioned above, which was then further increased by the other cultural developments.

    Paradoxically, the existence of parental guilt of this magnitude had effects on parenting behavior that may be the real reason why children of two career families do slightly worse on average than those with stay-at-home mothers. Changes in parenting styles driven by guilt are probably far more destructive to children than the fact that both parents are working per se.

    All of this confusion and ambivalence created two different groups of women who, while superficially polar opposites from one another, shared the exact same conflict. One group had careers but covertly envied the stay-at-home mothers, while a second group stayed at home with their children but covertly envied the career women. The latter group also had quite secret - or so they thought – deep-seated urges to escape the drudgery of doing housework and shuttling children around all day long.

    Many parents in two career families worried covertly but obsessively that they were short-changing their own children. Some stay-at-home mothers, on the other hand, subconsciously worried that their hidden resentment over their burdens and their choices in life might adversely affect their children. In response, both of these groups began to monitor their children carefully or any sign of distress that might indicate even the slightest parental failing. A good percentage of them became so obsessed with their children that they spent every spare moment with them, often at the expense of their marriages.


    This popular Facebook meme advocates gross over-parenting, and following this advice often leads to disastrous results.


    For the career women, the guiltier they felt, the more concerned they became with turning any time they did spend with their children into “quality time.” They tried to make up for their frequent absences to their children by catering to their every whim. The stay-at-home mothers began to do the exact same thing. They also became overcome with guilt as their resentment over the perceived drudgery of their life, as well as their hidden desires to escape from it, built up over time.

    Everything that happened in the home began to center around the children. John Rosemond’s nightmare world of non-traditional parenting was born.