Tagged
emotional regulation


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Nap-deprived tots may be missing out on more than sleep

From Science Daily: 

The study shows toddlers between 2 and a half and 3 years old who miss only a single daily nap show more anxiety, less joy and interest and a poorer understanding of how to solve problems, said CU-Boulder Assistant Professor Monique LeBourgeois, who led the study. The results indicate insufficient sleep alters the facial expressions of toddlers — exciting events are responded to less positively and frustrating events are responded to more negatively, she said.

 “Many young children today are not getting enough sleep, and for toddlers, daytime naps are one way of making sure their ‘sleep tanks’ are set to full each day,” she said. “This study shows insufficient sleep in the form of missing a nap taxes the way toddlers express different feelings, and, over time, may shape their developing emotional brains and put them at risk for lifelong, mood-related problems.”

This assertion is perfectly intuitive to parents and professionals who work with toddlers, but researchers manufactured the circumstances to observe this phenomenon for themselves: 

 In the study, the toddlers’ faces were videotaped while they performed “kid-friendly” picture puzzles, including those of farm animals, sea creatures and insects. One puzzle each child worked had all of the correct pieces, which gave him or her the opportunity to experience and express positive emotion, she said. A second puzzle had a “wrong” piece and therefore was frustrating to the toddlers in the study because it was unsolvable.

Facial expressions of the toddlers were coded on a second-by-second basis for emotions like joy, interest, excitement, sadness, anger, anxiety, disgust, shame and confusion.

The study showed nap-deprived toddlers completing the solvable puzzles had a 34 percent decrease in positive emotional responses compared to the same children completing similar puzzles after their usual midday naps. The study also showed a 31 percent increase in negative emotional responses of nap-deprived toddlers when they attempted to complete unsolvable puzzles when compared with puzzle-solving attempts after they had napped.

In addition, the study found a 39 percent decrease in the expression of “confusion” when nap-deprived toddlers attempted to put together unsolvable puzzles. “Confusion is not bad — it’s a complex emotion showing a child knows something does not add up,” said LeBourgeois. “When well-slept toddlers experience confusion, they are more likely to elicit help from others, which is a positive, adaptive response indicating they are cognitively engaged with their world.”

(…) 

 “A sleepy child in a classroom or daycare environment may not be able to engage with others and benefit from positive interactions,” she said. “Their coping skills decrease and they may be more prone to tantrums or frustration, which would affect how other children and adults interact with them. This study shows that missing even a single nap causes them to be less positive, more negative and have decreased cognitive engagement.”

They’re currently recruiting families for a study to determine the potential impact on cognitive ability and executive function. 

With the high frequency of sleep disturbances in kids with autism and sensory processing disorders, this suggests another layer of complexity to consider in our assessment and intervention. 

Read the article here. 

09:59 pm: sharedattention65 notes

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Are the anxious oblivious?

From Science Daily:

Anxious people have long been classified as “hypersensitive” — they’re thought to be more fearful and feel threatened more easily than their counterparts. But new research from Tel Aviv University shows that the anxious may not be hypersensitive at all — in fact, they may not be sensitive enough.

As part of a study on how the brain processes fear in anxious and non-anxious individuals, Tahl Frenkel, a Ph.D. candidate in TAU’s School of Psychological Sciences and the Adler Center for Research in Child Developmental and Psychopathology, working with her supervisor Prof. Yair Bar-Haim, measured brain activity as study participants were shown images designed to induce fear and anxiety. Using an EEG to measure electrical activity caused by the neuronal activity that represents deep processing of these stimuli, the researchers discovered that the anxious group was actually less stimulated by the images than the non-anxious group.

Surprisingly, anxious study participants weren’t shown to be as physiologically sensitive to subtle changes in their environment as less fearful individuals, Frenkel explains. She theorizes that anxious people could have a deficit in their threat evaluation capabilities — necessary for effective decision-making and fear regulation — leading to an under-reaction to subtle threatening stimuli. Non-anxious individuals seem to have a subconscious “early warning system,” allowing them to prepare for evolving threats. Essentially, anxious people are “surprised” by fearful stimuli that non-anxious individuals have already subconsciously noticed, analyzed, and evaluated.

This supports our frequent observation of anxiety in children with poorly integrated sensory processing, who tend to selectively attend to one mode of sensation (typically vision) to the exclusion of the conflicting or incongruous input. They lack the kind of flexible shifting of attention that would allow them to alert and orient to the subtle environmental cues that would otherwise help them anticipate changes, transitions, and other events with enough time to generate a purposeful response. Instead, they tend to react with a fight/flight response and often make attempts to avoid this kind of ambiguity by adhering to predictable routines and controlling the actions of others with their own emotions and behavior. 

When confronted with a potential threat, Frenkel concluded, non-anxious people unconsciously notice subtle changes in the environment before they consciously recognize the threat. Lacking such preparation, anxious individuals often react more strongly, as the threat takes them more “by surprise.”

“The EEG results tell us that what looks like hypersensitivity on a behavioral level is in fact the anxious person’s attempt to compensate for a deficit in the sensitivity of their perception,” she explains.

Read the article here. 

10:05 am: sharedattention4 notes

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Secure attachment to moms helps irritable babies interact with others

This, from Science Daily, validates much of what we believe. 

Children with difficult temperaments are often the most affected by the quality of their relationships with their caregivers. New research suggests that highly irritable children who have secure attachments to their mothers are more likely to get along well with others than those who aren’t securely attached.

These findings, from researchers at the University of Maryland, are published in the journal Child Development.

Researchers followed 84 infants from birth to age 2. About a third were characterized as highly irritable, while two-thirds were characterized as moderately irritable. The study also included their mostly low-income mothers. Irritability was measured using a test administered in the home within a month of the babies’ births; the infants had to react to a series of events, including being undressed and hearing a bell ringing.

The researchers also measured infants’ attachment at 12 months, based primarily on the babies’ behavior when observed with their mothers. Securely attached infants were able to turn toward mom when distressed and use her for comfort, while insecurely attached infants were not.

When the children were 18 and 24 months, they were observed in a laboratory setting to assess how they responded to being around unfamiliar adults and toys.

The study found that for highly irritable babies, the quality of attachment between the children and their mothers predicted how the children responded to unfamiliar adults and toys. Highly irritable newborns were the most sociable as toddlers if they were securely attached and the least sociable as toddlers if they were insecurely attached. In addition, highly irritable infants who were insecurely attached were the least able to engage in exploration as toddlers. In contrast, the quality of infants’ attachment was not related to either exploration or sociability in toddlers who were moderately irritable as newborns.

These findings suggest that infants who are highly irritable and can’t use their mothers as a secure base have the greatest difficulty interacting with both people and objects. But highly irritable infants who can turn to their mothers for comfort and support have a greater tendency to be sociable in such situations.

The researchers suggest that interventions to help children become securely attached to their caregivers may be especially important for children who are highly irritable. Intervening in this way — for example, by using video feedback that helps parents become more aware of their infants’ needs and respond sensitively — may be important to irritable children’s ability to explore the world around them and engage with others.

The study was supported by the National Institute of Mental Health.

By focusing on supporting the relationship between parent and child, we can help the child to develop the confidence to overcome all manner of adversity. 

Read it here

07:38 am: sharedattention7 notes

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How to Land Your Kid in Therapy

An interesting perspective from The Atlantic, describing roads paved with good parental intentions. 

“Happiness as a byproduct of living your life is a great thing,” Barry Schwartz, a professor of social theory at Swarthmore College, told me. “But happiness as a goal is a recipe for disaster.” It’s precisely this goal, though, that many modern parents focus on obsessively—only to see it backfire. Observing this phenomenon, my colleagues and I began to wonder: Could it be that by protecting our kids from unhappiness as children, we’re depriving them of happiness as adults?

Paul Bohn, a psychiatrist at UCLA who came to speak at my clinic, says the answer may be yes. Based on what he sees in his practice, Bohn believes many parents will do anything to avoid having their kids experience even mild discomfort, anxiety, or disappointment—“anything less than pleasant,” as he puts it—with the result that when, as adults, they experience the normal frustrations of life, they think something must be terribly wrong.

Consider a toddler who’s running in the park and trips on a rock, Bohn says. Some parents swoop in immediately, pick up the toddler, and comfort her in that moment of shock, before she even starts crying. But, Bohn explains, this actually prevents her from feeling secure—not just on the playground, but in life. If you don’t let her experience that momentary confusion, give her the space to figure out what just happened (Oh, I tripped), and then briefly let her grapple with the frustration of having fallen and perhaps even try to pick herself up, she has no idea what discomfort feels like, and will have no framework for how to recover when she feels discomfort later in life. These toddlers become the college kids who text their parents with an SOS if the slightest thing goes wrong, instead of attempting to figure out how to deal with it themselves. If, on the other hand, the child trips on the rock, and the parents let her try to reorient for a second beforegoing over to comfort her, the child learns: That was scary for a second, but I’m okay now. If something unpleasant happens, I can get through it. In many cases, Bohn says, the child recovers fine on her own—but parents never learn this, because they’re too busy protecting their kid when she doesn’t need protection.

Which made me think, of course, of my own sprints across the sand the second my toddler would fall. And of the time when he was 4 and a friend of mine died of cancer and I considered … not telling him! After all, he didn’t even know she’d been sick (once, commenting on her head scarves, he’d asked me if she was an Orthodox Jew, and like a wuss, I said no, she just really likes scarves). I knew he might notice that we didn’t see her anymore, but all of the parenting listservs I consulted said that hearing about a parent’s death would be too scary for a child, and that, without lying (because God forbid that we enlightened, attuned parents ever lie to our children), I should sugarcoat it in all these ways that I knew would never withstand my preschooler’s onslaught of cross-examining 

whys.

In the end, I told my son the truth. He asked a lot of questions, but he did not faint from the shock. If anything, according to Bohn, my trusting him to handle the news probably made him more trusting of me, and ultimately more emotionally secure. By telling him, I was communicating that I believed he could tolerate sadness and anxiety, and that I was here to help him through it. Not telling him would have sent a very different message: that I didn’t feel he could handle discomfort. And that’s a message many of us send our kids in subtle ways every day.

This seems really relevant in two ways. First, it illustrates a concept that can be very difficult for parents of children who already experience more than their fair share of anxiety, fear, frustration, and other so-called negative emotions: our goal is not to ensure that children always feel happy, rather, our goal is to help children to feel safe, confident, and loved across the full range of human emotions.

It’s true that one of our first steps in supporting children with processing and praxis challenges is to join them in their ideas, sharing the burden of problem solving and scaffolding their success. These children need the deck to be stacked the deck and the scales to to tipped in their favor in order to bolster their sense of self-efficacy and agency in the world. However, as those underlying capacities grow, so must our support. Often, the best way to do support a child’s confidence and self-efficacy is to convey implicit message that “We know you can do this!” by standing by, allowing them to struggle, and being available to celebrate their successes or mourn their shortcomings.   

When ego-boosting parents exclaim “Great job!” not just the first time a young child puts on his shoes but every single morning he does this, the child learns to feel that everything he does is special. Likewise, if the kid participates in activities where he gets stickers for “good tries,” he never gets negative feedback on his performance. (All failures are reframed as “good tries.”) According to Twenge, indicators of self-esteem have risen consistently since the 1980s among middle-school, high-school, and college students. But, she says, what starts off as healthy self-esteem can quickly morph into an inflated view of oneself—a self-absorption and sense of entitlement that looks a lot like narcissism. In fact, rates of narcissism among college students have increased right along with self-esteem.

Meanwhile, rates of anxiety and depression have also risen in tandem with self-esteem. Why is this? “Narcissists are happy when they’re younger, because they’re the center of the universe,” Twenge explains. “Their parents act like their servants, shuttling them to any activity they choose and catering to their every desire. Parents are constantly telling their children how special and talented they are. This gives them an inflated view of their specialness compared to other human beings. Instead of feeling good about themselves, they feel better than everyone else.”

Perhaps the key here is to shift from support and feedback that bolsters the child’s self-esteem to support and feedback that builds a sense of self-efficacy; the differences in these concepts are subtle, but important. Where former is a measure of one’s overall worth and importance (“I’m smart!”), the latter is a measure of one’s feeling of competence and ability (“If I work hard, I can figure it out.”) The former is fragile, potentially shattered by adversity, but the latter is stable and resilient. 

The other concept that the article eludes to is the importance of expanding the child’s capacity to share attention, not exclusively around their own experience and ideas, but also with the experiences and ideas of others. Again, the distinction between self-esteem and self-efficacy is relevant: self-esteem is a comparative measure to which another’s success may be perceived as a threat. Self-efficacy is far less fragile and is often bolstered by observing and learning from the success and skill of others.  

In early adulthood, this becomes a big problem. “People who feel like they’re unusually special end up alienating those around them,” Twenge says. “They don’t know how to work on teams as well or deal with limits. They get into the workplace and expect to be stimulated all the time, because their worlds were so structured with activities. They don’t like being told by a boss that their work might need improvement, and they feel insecure if they don’t get a constant stream of praise. They grew up in a culture where everyone gets a trophy just for participating, which is ludicrous and makes no sense when you apply it to actual sports games or work performance. Who would watch an NBA game with no winners or losers? Should everyone get paid the same amount, or get promoted, when some people have superior performance? They grew up in a bubble, so they get out into the real world and they start to feel lost and helpless. Kids who always have problems solved for them believe that they don’t know how to solve problems. And they’re right—they don’t.”

Read the full article here. 

09:16 am: sharedattention6 notes

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PLAY

Play is a favorite topic (and primary occupation) around the office, so here’s a collection of expert opinions and research that demonstrates the important role of play in the development of emotional regulation, impulse control, creativity and invention, physical problem solving, and organization and sequencing of ideas… just to name a few. 

  • Scientific American’s The Serious Need for Play presents animal studies and human research which suggests that play is essential for the development of social skills, emotional regulation through stress reduction, and cognitive problem solving skills. (Sadly, this one is now hidden behind a pay wall. Ask me about this one.) 
  • If you prefer to listen, Radiolab’s The Science of Play podcast presents a similar collection of research from animal studies, neuroscience, and psychology about the evolutionary function of play behavior. 
  • The New York Times Magazine also looks at the evolutionary and developmental purpose of play in Taking Play Seriously. Of note is the attention to brain regions associated with play. For example, the “drive” to play comes from the thalamus, which is a relay point for incoming sensation to be routed to the cortex. Play behaviors are most apparent when the cerebellum is developing. Among other important functions, this area of the brain is responsible for the calibration of rhythm, force, timing, and other variations required for coordinated, precise movement. 
  • Most of these articles reference the work of Stuart Brown, who heads up the National Institute for Play. If you’d prefer to watch, his TED Talks lecture can be found here. 
  • NPR’s All Things Considered presents Old Fashioned Play Build Serious Skills, in which they discuss different kinds of play and the important role of play in developing emotional self regulation. 
  • This one has already been posted, but deserves to be included in this group. Public Radio International interviews Stuart Brown in The Science of P-L-A-Y
10:10 am: sharedattention3 notes

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For Comfort, Mom’s Voice Works as Well as a Hug

From Science Daily: 

Biological anthropologist Leslie Seltzer tested a group of seven- to 12-year-old girls with an impromptu speech and series of math problems in front of a panel of strangers, sending their hearts racing and levels of cortisol — a hormone associated with stress — soaring.

Subjects were divided into three conditions: some watched a 75 minute emotion-neutral video, some were provided physical comfort by their mothers, and some were provided cell phones to connect them to their mother. Cortisol levels were measured again, as were levels of oxytocin. 

In both “Mom” conditions, cortisol levels were greatly reduced and oxytocin levels rose.

“It was understood that oxytocin release in the context of social bonding usually required physical contact,” Seltzer says. “But it’s clear from these results that a mother’s voice can have the same effect as a hug, even if they’re not standing there.”

The researchers present these findings in support of a female “tend and befriend” evolutionary response to stressors, but it isn’t clear whether they believe that these findings would also hold true in male subjects.

It also makes me wonder what sort of mechanism is at work, i.e. is it the actual real-time physical contact or verbal content that raises oxytocin levels, or could any sensory input “tagged” with “Mom-ness” trigger this response? Could subjects also visualize their Mom’s response to self-calm? 

Read more HERE. 

11:09 am: sharedattention

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The Secret of Self-Control

From Jonah Lehrer and the New Yorker:

This article revisits Walter Mischel’s brilliant 1960’s research into delayed gratification and self-control, in which he discovered an apparent correlation between the ability to use cognitive strategies to delay gratification and future academic success.  

In the late nineteen-sixties, Carolyn Weisz, a four-year-old with long brown hair, was invited into a “game room” at the Bing Nursery School, on the campus of Stanford University. The room was little more than a large closet, containing a desk and a chair. Carolyn was asked to sit down in the chair and pick a treat from a tray of marshmallows, cookies, and pretzel sticks. Carolyn chose the marshmallow. Although she’s now forty-four, Carolyn still has a weakness for those air-puffed balls of corn syrup and gelatine. “I know I shouldn’t like them,” she says. “But they’re just so delicious!” A researcher then made Carolyn an offer: she could either eat one marshmallow right away or, if she was willing to wait while he stepped out for a few minutes, she could have two marshmallows when he returned. He said that if she rang a bell on the desk while he was away he would come running back, and she could eat one marshmallow but would forfeit the second. Then he left the room.

Mischel determined that those who were successful in not-eating the marshmallow were able to utilize metacognitive strategies, i.e. intentionally distracting themselves by directing their attention away from the temptation. (Click HERE for an amusing video). The most relevant aspect of this research to our practice, though, is Mischel’s most recent endeavor: he was approached by David Levin, founder of the KIPP Program, to create curriculum that would help children develop metacognitive strategies. (Incidentally, the KIPP program gives their students t-shirts that read, “Don’t Eat the Marshmallow.” I want one!)

Preliminary outcomes suggest that the curriculum, which primarily consists of watching a video of a child successfully distracting herself, has the potential to be successful, but he suggests that discrete training at school is not enough. He suggests that these skills must be internalized, developed into habits through multi-contextual practice. 

“This is where your parents are important,” Mischel says. “Have they established rituals that force you to delay on a daily basis? Do they encourage you to wait? And do they make waiting worthwhile?” According to Mischel, even the most mundane rituals of childhood- such as not snacking before dinner or saving up your allowance, or holding out until Christmas morning- are really sly exercises in cognitive training. But Mischel isn’t satisfied with such an informal approach. “We should give marshmallows to every kindergartener,” he says. “We should say, ‘You see this marshmallow? You don’t have to eat it. You can wait. Here’s how.’”

Those children who have difficulty managing their emotional experience and are challenged to organize their ideas and actions are likely to be especially vulnerable; they would likely benefit from support that empowers them to “not-eat the marshmallow.”

Read more HERE.

Or, if your individual differences are such that you would prefer to listen, check out the RadioLab podcast discussion HERE

09:08 am: sharedattention1 note