Your Child

Gender Identity Confusion

If your middle-years child seems to have distortions and confusions in gender identity, discuss boy and girl, male and female behavior directly with him or her. For instance, talk with your child about the specific gestures or behavior that may provoke reactions from others, and identify together some that might be more appropriate.On Wednesday,we talked about gender identity, and at what age children begin to understand the difference between being a boy or a girl. We also covered children who may not fit the stereotypical gender role.

An example would be little girls who love to play with trucks and climb trees, or young boys who might prefer reading instead of playing sports. These children may not feel comfortable with traditional gender role-playing activities, but that in itself, does not mean they are confused about their sexual identity. Gender confusion is more complicated. More than just lacking an interest in sports, for instance, some boys actually tend to identify with females. Likewise, some girls identify more with masculine traits. Conflicted about their gender, they may deny their sexuality. Rather than learn to accept themselves, they may come to dislike that part of themselves that is a boy or a girl. At the extreme, a boy may seem more effeminate and have one or more of the following characteristics: •   He wants to be a girl. •   He desires to grow up to be a woman. •   He has a marked interest in female activities, including playing with dolls or playing the roles of girls or women. •   He has an intense interest in cosmetics, jewelry, or girls' clothes and en­joys dressing up in girls' apparel. •   His favorite friends are girls. •   On rare occasions, he may cross-dress and actually consider himself to be a girl. An effeminate boy is sometimes ridiculed, teased as being "gay," and shunned by his peer group. This rejection may intensify, as the boy gets older. As a result, he may become anxious, insecure, or depressed and strug­gle with self-esteem and social relationships. On the other hand, girls who identify with boys are thought of as "tomboys." They usually encounter less social ridicule and peer difficulties than effeminate boys do. For many girls, some tomboy-ness seems to be a very natural course toward healthy adolescent gender identity. Yet there are rare girls who exhibit one or more of the following traits: •  They express a wish to be a boy. •  Their preferred peer group is male. •  When playing make-believe games, they prefer male roles over female ones. These traits suggest a conflict or confusion about gender and relationship with peers of the same sex. The possible causes of these variations are speculative and controversial. Research demonstrates a role for both biological factors and social learning in gender-identity confusion. What Should You Do? If you notice the above traits in your child, it’s normal to worry about your child’s happiness and their ability to fit in with society’s rules and roles. That’s what parents do. But, over-reacting or trying to force your child to change who they are, often brings about only more confusion and sadness. If your middle-years child seems to have distortions and confusions in gender identity, discuss boy and girl, male and female behavior directly with him or her. For instance, talk with your child about the specific gestures or behavior that may provoke reactions from others, and identify together some that might be more appropriate. Through a sensitive dialogue, you might be able to help your child better understand his or her behavior and why it gets the responses it does from peers. Providing a lot of support for your child can bolster his or her self-esteem and counteract the social and peer pressures he or she might be facing. In addition to your own efforts, talk with your pediatrician, who may suggest that you consult a child psychiatrist or child psychologist to help overcome the youngster's confusion and conflict. Sexual orientation cannot be changed. A child's heterosexuality or homosexuality is deeply ingrained as part of them. As a parent, your most important role is to offer understanding, respect, and support to your child. A non-judge-mental approach will gain your child's trust and put you in a better position to help him or her through difficult times.

Your Child

Heavy Children at Risk for Asthma Symptoms

Children who are overweight at age six to seven are at higher risk for having symptoms of asthma.Children who are overweight at age six to seven are at higher risk for having symptoms of asthma like shortness of breath and "twitchy" airways when they are eight years old a new study out of the Netherlands shows. However, children who are overweight at a younger age but reach a normal weight by age six or seven do not appear to have an increased risk for asthma symptoms.

"These findings suggest that being overweight may affect a child's development of asthma symptoms," Dr. Salome Scholtens from the National Institute for Public Health and the Environment in Bilthoven told Reuters Health. "However, if a previously overweight child develops a normal weight, then the asthma symptoms are less likely to persist. We propose that development of a normal weight might positively affect asthma symptoms in overweight children," Scholtens added. Each year until the age of 8, researchers had the parents of 3756 children report their children's weight and any episodes of wheezing or other breathing difficulties as well as the use of inhaled steroids. The researchers tested the children to see how sensitive their airways were to various inhaled allergens. When the children were eight years old, 7.3 percent wheezed, 9.6 percent had difficulty breathing and 7.1 percent had a prescription for an inhaled steroid in the preceding year. According to the investigators, children who were persistently heavy from a very young age and between ages six and seven were 68 percent more likely to have breathing difficulties and 66 percent more likely to have twitchy airways at age 8 than children who were leaner in childhood.

Your Child

Are Kid’s Sack Lunches Healthier?

2:00

For some kids who bring their lunch to school, a new study suggests that as far as nutrition goes, they’d be better off buying their meal at the school cafeteria.

Researchers found that student’s bag lunches typically contained foods that were higher in sodium and sugar with fewer vegetables and whole grains compared with standards set for school cafeterias.

The findings are not necessarily surprising, said the study's senior researcher, Karen Cullen, a professor at Baylor College of Medicine in Houston.

"Parents often pack lunches based on their children's preferences," she noted. Plus, she added, some other recent studies have found a similar pattern.

The study involved 12 elementary and middle schools in one Houston-area school district. Over two months, the researchers observed more than 300 students who brought their lunch from home -- noting what they ate and what they threw away.

On average, bag lunches were low on fruits and whole grains, and especially vegetables and milk.

School guidelines say kids should have three-quarters of a cup of vegetables (which really isn’t much) with every lunch. The average elementary school bag lunch had about one-tenth of that amount, according to the study.

Lunches brought from home also contained way too much sodium. The average bag lunch averaged 1,000 to 1,110 mg, versus a limit of 640 mg in elementary school lunches.

About 90 percent of the home lunches contained a dessert, sugary drink or snack chip. Guess what? Kids ate those items whereas between 20 and 30 percent of vegetables ended up in the garbage, according to the study.

Packing milk and palatable vegetables is tricky, noted Dr. Virginia Stallings, a pediatrician at Children's Hospital of Philadelphia who specializes in nutrition.

Giving your kids money to buy it at school can help solve the milk dilemma, said Stallings, who wrote an editorial published with the study. With vegetables, though, it can be challenging to go beyond carrot sticks, she added.

"I think that's one of the advantages of the school lunch," Stallings said. "Kids can have a hot meal, with cooked vegetables." She added that schools are working on making meals that are tasty without relying on salt, and expanding to include culturally diverse choices.

I don’t really think that kid’s attitudes have changed much about school lunches in the last few decades. As long as I can remember, kids eat what they want, trade foods with others and throw out the rest. They often gripe about their lunch food whether it comes from home or the school cafeteria.. That’s just what kids do.

So, if they are going to complain anyway you might as well fix them a lunch that will help them develop strong bones and hearts. The school systems have finally started paying attention to nutrition after all these years. They’re working on creative recipes that just might temp kids to eat better.

You already know that there are way too many American children that are eating poorly, not exercising and developing diabetes at a young age. It’s important what our children eat. Sometimes a school lunch is best and sometimes a lunch brought from home is best. Many times parents split the difference and do both.

Source: Amy Norton, http://consumer.healthday.com/kids-health-information-23/education-news-745/kids-bag-lunches-not-meeting-nutrition-guidelines-694048.html

Your Child

Bounce House Safety

2.00 to read

For many young kids, bounce houses are magical places where you can vault through the air, land on a pillow and take flight again.  They’ve become a very hot item for kid’s parties and backyard play areas. Many clubs, schools and organizations use them for fundraising.

While they can be great fun under the right circumstances, the rise in injuries to young children has increased an astonishing 1500 percent from 1995 to 2010.  In 2012, a team led by the Center for Injury Research and Policy published the first comprehensive study of such injuries in the journal Pediatrics. Researchers found that 31 children per day were seen in emergency departments for “an inflatable bouncer-related injury.”

On average, they found that the patient was about seven years old, and most commonly sustained some kind of fracture or sprain to a leg or an arm. Almost 20% of the cases involved head and neck injuries. Kids usually got hurt while falling inside the bouncer—rather than out of it—often into another kid of a different size.

Bounce houses and moonwalks have grown in popularity over the last two decades and can now be purchased at stores like Costco and Sam’s. These DYI items are typically not as well made as commercial houses and do not come with anchors that are long and strong enough to withstand robust winds.

Because bounce houses have become so popular, there are a lot more amusement rental companies sprouting up. Drew Tewksbury, a senior vice president at insurance broker Britton Gallagher, developed an insurance program for amusement rentals like bounce houses. He says that trying to set up such playthings without professional operators and attendants is a “recipe for disaster.” He also says that the question of liability is always determined on a case-by-case basis, depending on where the bouncy house is, who set it up, whether waivers were signed and whether instructions were followed.

Currently there are voluntary guidelines for how to set up and operate a bounce house set out by ASTM International. Nearly 20 states, Tewksbury says, have passed legislation making those guidelines mandatory, rules that cover everything from the number of attendants one must have present to how deeply stakes must be pounded into the ground and how strong winds can be before all children are forced to get out.

If you’re considering renting or purchasing a bounce house for your child, there are safety guidelines set by the Child Injury Prevention Alliance that should be applied.

Injury prevention tips:

  • Limit bouncer use to children 6 years of age and older.
  • Only allow a bouncer to be used when an adult trained on safe bouncer use is present.
  • The safest way to use a bouncer is to have only one child on it at a time.
  • If more than one child will be on the bouncer at the same time, make sure that the children are about the same age and size (weight).

Proper use:

  • Take off shoes, eyeglasses and jewelry and remove all sharp objects from your pockets before entering the bouncer.
  • No rough play, tumbling, wrestling or flips. Stay away from the entrance or exit and the sides or walls of the bouncer while you are inside of it.
  • If the bouncer begins to lose air, stop play and carefully exit the bouncer.

Two recent bounce house events have brought home how quickly fun can turn into tragedy.  In mid-May, New York kindergartners playing inside a bounce house, were suddenly tossed 15 feet into the air when the bounce house was picked up by a strong gust of wind. Three children were injured, two seriously. A similar incident occurred in Colorado where two children were also injured.

Despite what may seem like a new rash of freak accidents, children with bounce-house injuries have been regular customers in the nation’s emergency rooms for years—and they’re only getting more frequent. Safety experts have been arguing for years that tougher safety guidelines need to be in place.

When the weather turns warm and school is out, bounce houses and moonwalk rentals and purchases increase.  If you’re thinking about one of these for your kids this summer, make sure that there is a well trained attendant on site and follow the Child Injury Prevention Alliance’s guidelines. If the wind picks while your child is in a bounce house, have them get out. It’s better to be safe than sorry.

Sources: Kate Steinmetz, http://time.com/2811240/bounce-house-injuries-become-an-epidemic/

http://www.childinjurypreventionalliance.org/inflatablebouncers.aspx

Your Child

Returning to School After a Concussion

2.00 to read

Football legend, Brett Favre, recently talked about being concerned over memory lapses he’s been experiencing. He believes the lapses may be a result of the numerous concussions he suffered as a professional football player. He joins an ever-expanding group of ex-NFL players that report serious memory issues as well as depression, anxiety, suicidal thoughts and devastating diseases. Many of the ex-players believe that the frequent concussions they received are at the root of their mental health problems.

As more and more adult sports figures talk about their concussion related medical problems, the spotlight shifts to concern for young student athletes and protecting them from experiencing concussions.  From grade school through college, experts have been creating and implementing programs to prevent concussions as well as guidelines for when a student can return to participate in sports after receiving a concussion.

Researchers are now beginning to explore another side to student concussions – when should a student resume classwork?

The American Academy of Pediatrics (AAP) has issued recommendations for “return to learn”, a checklist to alert doctors, school administrators and parents to potential cognitive and academic challenges to students who have suffered concussions.

“They’re student athletes, and we have to worry about the student part first,” said Dr. Mark E. Halstead, the lead author of “Returning to Learning Following a Concussions,  a clinical report in this week’s Pediatrics.

People tend to associate children’s concussion only with sports related activities, but that leaves out a whole other group of kids that get concussions for a variety of reasons. From skateboarding to car-accidents, from tree climbing to slipping off a curb while texting and not watching where you’re walking – there are lots of ways you can sustain a brain injury.

The brain needs time to heal and requires rest after an injury. Experts have come up with a game plan for when to return to physical activities, but what about “cognitive rest” for tasks such as studying, taking tests and reading? Researchers aren’t sure how long the brain needs to rest before returning to schoolwork.

Experts have not identified at what point mental exertion impedes healing, when it actually helps, and when too much rest prolongs recovery. Although many doctors are concerned that a hasty return to a full school day could be harmful, this theory has not yet been confirmed by research.

The student’s pediatrician, parents and teachers should communicate about the incident, the recommendations said, and be watchful for when academic tasks aggravate symptoms such as headaches, dizziness, sensitivity to light and difficulty concentrating. The academy acknowledged that case management must be highly individualized: “Each concussion is unique and may encompass a different constellation and severity of symptoms.”

Most students have a full recovery within three weeks, the article said. But if the recovery seems protracted, specialists should be consulted.

Schools can have a positive impact on a child’s recovery by helping students ease back into the regular curriculum.  To alleviate a student’s headaches, for example, schedule rests in the school nurse’s office; for dizziness, allow extra time to get to class through crowded hallways; for light sensitivity, permit sunglasses to be worn indoors. Students accustomed to 45-minute classes might only be able to sit through 30 minutes at the outset, or attend school for a half-day.

“Parents need to follow up with schools and make sure plans are being followed,” Dr. Halstead said.

It may take a month before a child is ready to resume full school involvement.

Dr. Matthew F. Grady, a pediatric sports medicine specialist at Children’s Hospital of Philadelphia who may see 50 patients with concussions a week during the fall sports season, often suggests that before students return to class, they should first try modest amounts of school work at home, to identify if and when symptoms recur.

“But that ramping-up period will depend on the severity of the concussion and the cognitive demands on the student,” he said.

If your child has suffered a concussion, talk to your pediatrician or family doctor about a medical plan to help your child return to his or her studies. Notify your child’s school and let the proper authorities know about the concussion and your physician’s recommendations when your child is ready to return.

Source: Jan Hoffman, http://well.blogs.nytimes.com/2013/10/27/concussions-and-the-classroom/?_r=1&

Your Child

Protecting Your Family From The West Nile Virus

2.00 to read

On Monday, The Centers for Disease Control and Prevention (CDC) released a report saying that, in the United States, 2012 was the deadliest year on record for deaths attributed to the West Nile virus.

Texas led the nation, compromising 33 percent of all reported cases with 1,868 infections and 89 deaths. That was far above California, which had the second most reported cases at 479 and 20 deaths.

In the majority of West Nile virus cases, most people experience only minor symptoms such as fever and a mild headache. However, some people who become infected with the virus develop a life-threatening illness that includes inflammation of the brain.

Serious symptoms can include:

- High fever

- Severe headache

- Stiff neck

- Disorientation or confusion

- Stupor or coma

- Tremors or muscle jerking

- Lack of coordination

- Convulsions

- Pain

- Partial paralysis or sudden muscle weakness

Signs and symptoms of West Nile fever usually last a few days, but signs and symptoms of encephalitis or meningitis can linger for weeks, and certain neurological effects, such as muscle weakness, may be permanent.

If you or a family member experience any of these more severe symptoms see a physician immediately.

The CDC's Dr. Lyle Petersen says it's impossible to know what West Nile will do this summer. "It is very hard to predict," he said in a telephone interview with NBC News. "I can't tell you what the weather is going to be like this summer, for example." The virus is driven by weather; it's worse during hot, wet summers in temperate climates.

"What last summer's outbreak tells us is that West Nile is not going to go away," Petersen said. "Most places in the United States are at risk of having outbreaks."

Currently, there is no vaccine against the virus for people. Most infections occur in the warmer months when mosquitoes are active.

Adults over 50 are at the highest risk for serious infection, but if any family member is suspected of being infected with the virus he or she should be tested.

While children are typically at a much lower risk for infection (about 3 percent of cases reported) they are the most likely to be playing outside during the warmer months and should be protected against mosquito bites.

Some steps you can take to protect your children (and yourself) from mosquito bites are:

- Making sure to keep as much of their skin covered with clothing as possible, including a long sleeve shirt, long pants, socks, and a hat.

- Wearing light colored clothing, so as not to attract bugs.

- Avoiding using any scented soaps or other products on your children, since the fragrances can also attract insects.

- Using an insect repellent regularly. Commonly used insect repellents that can usually be safely used in children include those with less than 10% DEET, or others with citronella or soybean oil. New reports suggest that an insect repellent with 30% DEET is safe for kids too.

- Using window and door screens to prevent insects from getting inside your house.

- Empty standing water around your house where mosquitoes can breed.

- Avoid outdoor activities during peak mosquito biting times, from dusk (early evening) to dawn (early morning).

Parents shouldn’t be so fearful of their child getting the West Nile Virus that they don’t allow their children to play outside during the warm spring and summer months.  However, taking extra precautions to protect your child from mosquito bites just makes good sense.

Sources: Maggie Fox, http://vitals.nbcnews.com/_news/2013/05/13/18232095-2012-was-deadliest-year-for-west-nile-in-us-cdc-says

Vincent Iannelli, M.D.

http://pediatrics.about.com/cs/commoninfections/a/west_nile_virus.htm

http://www.mayoclinic.com/health/west-nile-virus/DS00438/DSECTION=symptoms

Your Child

Exercise Can Cut Kids Risk For Diabetes

2.00 to read

A little exercise can make a big difference in a child’s life.  Twenty minutes a day may help lessen the risk of diabetes in kids according to a new study published in the Journal of the American Medical Association.

The clinical trial randomly assigned 222 overweight and inactive kids to three different activity groups.

One group was assigned to 20 minutes of execise a day. Another group was assigned 40 minutes a day while the third set of kids was told to continue with their normal physical activity. This group served as a control group for the trial.

Children who did low and high amounts of aerobic exercise had greater reductions in insulin resistance than those in the control group, along with greater decreases in overall body fat and abdominal fat, said Catherine Davis, of the Medical College of Georgia, and colleagues, in a journal news release.

The exercise-related reductions in diabetes risk factors occurred in both boys and girls, and in children of different races.

What was surprising is that the kids who benefited the most from the exercise didn’t change what they ate.

"I hope these findings will provide an impetus for changes in communities around the U.S. and the rest of the world that will focus attention on children's health," Davis said. "This can be done by providing welcoming, safe physical activity programs for children of all skill levels."

Not surprisingly, the kids who exercised longer had better values for markers of diabetes risk and had less body fat.

"This study helps to isolate the benefit of exercise in cutting down on diabetes risk and obesity in kids," said study co-author, Dr. B. Adam Dennis, an endocrinology fellow at Georgia Health Sciences University in Augusta, Ga.

The study suggests that schools should add a short amount of time to exercise during the day, for students. 20 minutes a day could be added through recess and gym classes. A 40 minute exercise plan might require an after school program.

Davis added that exercise is not just useful in cutting back diabetes risk and obesity, but it is also good for kids' brains. She cited a related study that showed that exercise improved cognition and math skills in kids.

Some schools focus their attention on the more athletic kids and the less physically fit kids get left behind.  Designing a physical fitness program that includes all kids could help students not only avoid obesity and diabetes but may help improve their ability to learn as well. That becomes a definite win-win situation.

While some exercise is better than none, more exercise is best of all.

Over one-third of American elementary school children are obese or overweight. It’s truly a national epidemic. Type2 diabetes is also increasing.  According to the American Diabetes Association about 1 in every 400 children and adolescents has diabetes. The possible long-term affects of diabetes include heart disease and stroke, high blood pressure, kidney disease, blindness and nervous system damage.

In lieu of that, at least 20 minutes of exercise a day sounds like the much better option.

Source: http://news.yahoo.com/twenty-minutes-exercise-cuts-kids-diabetes-risk-202846289--abc-news-wellness.html?_esi=1

http://news.health.com/2012/09/18/aerobic-exercise-cuts-kids-diabetes-ri...

Your Child

Should Sugar Be Labeled a Toxin?

2.00 to read

Here’s a question for you. Should sugar be labeled a toxin and regulated like alcohol and tobacco? There are some in the scientific community that say absolutely.

Robert Lustig M.D, Laura Schmidt PhD. and Claire Brindis DPH, all researchers in health policy, argue in an opinion piece called “The Toxic Truth About Sugar” in the February issue of the journal Nature that sugar and other sweeteners are so toxic to the human body that access to them should be strictly regulated, especially for children.

Although not calling for a complete ban on sugar, Lustig and his colleagues say there are certain regulations the government could apply.

"For both alcohol and tobacco, there is robust evidence that gentle 'supply side' control strategies which stop short of all-out prohibition -- taxation, distribution controls, age limits -- lower both the consumption of the product and the accompanying health harms," they wrote.

Lustig has long been a proponent of labeling sugar a toxin. Lustig and colleagues noted that sugar poses dangers similar to those of alcohol. Fructose, specifically, can harm the liver, they wrote, and over-consumption has been linked with all the diseases involved with metabolic syndrome: hypertension, high triglycerides, insulin resistance, and diabetes.

It also has the potential for abuse, they wrote, as it interferes with the signaling of hunger hormones leptin and ghrelin and tinkers with dopamine pathways. It exacts a great cost, they said, with the U.S. spending $65 billion in lost productivity and $150 billion on healthcare every year for problems related to metabolic syndrome.

Sugar has been called “empty calories” for a long time, but the researchers write it’s more than that. “There is nothing empty about these calories. A growing body of scientific evidence is showing that fructose can trigger processes that lead to liver toxicity and a host of other chronic diseases. A little is not a problem, but a lot kills—slowly.”

The U.S. population is already more than two-thirds overweight and about 75 percent of U.S. health-are dollars are spent on diet-related diseases, Dr. Lustig explains. The risk of liver failure, obesity, heart disease and diabetes are rising rapidly, and it seems drastic measures needs to take place in order for change.

“We’re not talking prohibition,” Dr. Schmidt says in a statement. “We’re not advocating a major imposition of the government into people’s lives. We’re talking about gentle ways to make sugar consumption slightly less convenient, thereby moving people away from the concentrated dose. What we want is to actually increase people’s choices by making foods that aren’t loaded with sugar comparatively easier and cheaper to get.”

Other researchers argue that other substances may be the cause of the obesity epidemic.

Some say that saturated fat, not sugar, is the root cause of obesity and chronic disease. Others say that it is highly processed foods with simple carbohydrates. Still others argue that it is a lack of physical exercise. It could, of course, be a matter of all these issues.

Sources: http://www.medpagetoday.com/PrimaryCare/DietNutrition/30972  /  http://www.parenting.com/blogs/show-and-tell/jordan-parenting/sugar-toxic  / http://www.livescience.com/18244-sugar-toxic-regulations.html

 

Your Child

Self-Control May Lead to Future Success

The children who struggled with self-control as preschoolers were three times as likely to have problems as young adults. They were more prone to have a criminal record; more likely to be poor or have financial problems; and they were more likely to be single parents.A new study says that self-control makes the difference between getting a good job or going to jail — and we learn it in preschool!

"Children who had the greatest self-control in primary school and preschool ages were most likely to have fewer health problems when they reached their 30s," says Terrie Moffitt, a professor of psychology at Duke University and King's College London. Moffitt and a team of researchers studied a group of 1,000 people born in New Zealand in 1972 and 1973, tracking them from birth to age 32. The new study, published in the Proceedings of the National Academy of Sciences, is the best evidence yet on the payoff for learning self-discipline early on. The researchers define self-control as having skills like conscientiousness, self-discipline and perseverance, as well as being able to consider the consequences of actions in making decisions. The children who struggled with self-control as preschoolers were three times as likely to have problems as young adults. They were more prone to have a criminal record; more likely to be poor or have financial problems; and they were more likely to be single parents. This study doesn't prove that the lack of self-control in childhood caused these problems, but the large size of the study, and the fact that it followed one group of people over many years, makes a good case for an effect. Teaching Control Economists and public health officials want to know whether teaching self-control could improve a population's physical and financial health and reduce crime. Three factors appear to be key to a person's success in life: intelligence, family's socioeconomic status and self-control. Moffitt's study found that self-control predicted adult success, even after accounting for the participants' differences in social status and IQ. IQ and social status are hard to change. But Moffitt says there is evidence that self-control can be learned. "Identical twins are not identical on self-control," she says. "That tells us that it is something they have learned, not something they have inherited." Teaching self-control has become a big focus for early childhood education. At the Clara Barton Center for Children in Cabin John, Md., it starts with expecting a 4-year-old to hang up her coat without being asked. Director Linda Owen says the children are expected to be responsible for a series of actions when they arrive at school each morning, without help from Mom and Dad. The children sign in, put away their lunches, hang up their own clothes, wash their hands before they can play, and then choose activities in the classroom. "All those things help with self-management," Owen says. Mediating Conflict Of course, not all 4-year-olds are ready to manage that, so the classroom is loaded with cues and clues to help the preschoolers make their own decisions and be responsible. A series of seven photos over the sink shows the correct sequence for hand washing. A "solutions kit" poster shows techniques the children can use to resolve disagreements themselves, like sharing or playing with another toy. The two teachers give the children multiple cues when it's time to clean up: Lights flash, a bell rings and the children clap and count to 100. That makes it easier to switch gears without a meltdown. If a child has problems with self-management, the teachers make a customized "visual cue" card, with photos of the four play choices in the room, to make the decision easier. And teachers Cathie Morton and Daniela Capbert don't just supervise — they're in the thick of the children's play so that when the inevitable conflicts arise, they can redirect the children into other activities or help them talk through their feelings. When things do go wrong, there are consequences. Timeouts and apologies don't mean much to children at this age, Owen says, so the teachers try to match consequences to the deed. When one of the children accidentally knocks over a 2-foot-tall tower of blocks that several children had spent half the morning building, the teachers ask the builders what should happen next. "Help fix it," one boy says. And, with a little prompting from the adults, they all pitch in and rebuild. Self-Control At Home Parents can help their children learn self-control. Mary Alvord is a clinical psychologist in Silver Spring, Md., whose new book, Resilience Builder Program for Children and Adolescents, teaches self-control strategies. Take small steps, she says. For example, preschoolers can learn that they don't always get what they want immediately; they may need to wait for that treat. "I call it Grandma's rule," Alvord says. "No dessert until you finish your dinner." Parents can help teenagers learn self-control by making sure the family has clear rules for things like curfew or finishing homework before they have screen time. Teenager who have problems with impulsivity may benefit from special driving classes that let them practice controlling the car in difficult conditions on a racetrack. For all teens, clear rules such as curfews help them regulate themselves. Though self-control can be improved throughout life, Moffitt says the earlier children can learn these skills of self-discipline and perseverance, the better. "The later you wait in life to try to learn self-control skills, the more problems you have to reverse and overcome." All the more reason to start picking up blocks when you're very young.

Pages

Please fill in your e-mail address to be included in our newsletter.
You may opt out at any time.

 

DR SUE'S DAILY DOSE

Many parents asking if their child should receive MMR ahead of schedule to prevent measles.