Showing posts with label parenting. Show all posts
Showing posts with label parenting. Show all posts

Thursday, February 19, 2015

What Really Happened to Baby Johan?


Image result for what really happened to baby johan

One of the most read articles this month is What really happened to baby Johan?, written by Elizabeth Weil in Matter.

It's the story of a father who dropped his three-month-old son, which became a criminal case. The article highlights the complexities and controversies of child welfare.

Neglect Versus "Free-Range" Parenting

NPR has a report on the debate between neglect and "free-range" parenting in the US. Note the chart with the varying ages that a child can be left alone depending on the state: from 6 in Kansas to 12 in Colorado.

Sunday, August 25, 2013

One Million Syrian Children Refugees

UNHCR has just reported that one million Syrian children have crossed the Syrian border to seek safety from the uprising against President Assad, which began in March 2011. Three-quarters of those children are under the age of 11. An additional two million children are currently displaced within Syria. And more than 100,000 people have been killed in the conflict.
[Photo: UNHCR]
International news outlets were airing footage of an alleged chemical attack against Syrian civilians, which was recently confirmed by the US White House as being credible. One heartbreaking video I watched last night from Al-Jazeera showed a young father crying while cradling his two dead children, both of who looked no older than eight.

It is shameful that the world is standing by and letting Syrian civilians be slaughtered. I am certainly not one to rush towards military intervention, but there must be something that can be done to curb the human rights abuses. I look forward to hearing the US and other countries' plans for intervention; considering how many children are being affected in this conflict, a plan may be too little, too late.

Thursday, January 12, 2012

Parental Involvement with the Criminal Justice System and The Effects on their Children

My latest article details the effects of parental incarceration on children, and describes the collaborative model developed by the Child Psychiatric Epidemiology Group (CPEG) and The Bronx Defenders to research these families. The article can be downloaded here.

Tuesday, November 17, 2009

Parenting Program Effective in Improving Mothers’ Parenting and Child Well-Being

Empirical evidence indicates that poor parenting and child exposure to marital conflict are powerful predictors of psychological disorders in children. Yet, these two risk factors have been found to be mediated by preventive interventions. Bodenmann et al. (2008) conducted a randomized control trial in Switzerland to determine the effectiveness of a parenting program to improve parenting skills and children’s well-being. The Triple P-Positive Parenting Program is a multi-level program for parents to enhance their knowledge, skills, and confidence as caregivers. Researchers used public advertisements to recruit couples (N=150) with children between the ages of 2 and 12 years old. Couples were randomly assigned to one of three programs: a parenting-oriented program (Triple P), a marriage-oriented couples coping enhancement training (CCET), or a non-treatment control group. Data were gathered using self-report questionnaires measuring marital relationship, parenting, and child behavior. Questionnaires were administered to both parents at four separate times: (1) two weeks prior to intervention, (2) two weeks after completion of intervention, (3) six-months follow-up, and (4) one-year follow-up. The control group completed questionnaires at the same time as the other groups. Results indicated that mothers in the Triple P group showed improvements in parenting and parenting self-esteem, a decrease in parenting stressors, and lower rates of reports of child misbehavior as compared to the other two groups. Fathers in all three groups showed no improvements in parenting behaviors.

The strength of this study is in its randomized control design, allowing researchers to determine the effectiveness of Triple P, while ruling out the plausible competing hypothesis, a marriage-oriented program. Overall, the attrition rate was fairly small and heterogenous across groups, though there was a higher rate of dropout among fathers (13.3%) than mothers (10.7%). Furthermore, the lack of significant results from the fathers was surprising in that both mothers and fathers equally participated in the Triple P program. On the other hand, it was not surprising considering the authors’ hypothesis that mothers would benefit more from Triple P than fathers, because the former are more likely to be directly involved in child rearing, especially in the Swiss context. This raises an interesting question about the importance of paternal involvement in the efficacy of Triple P, which might indicate an area of future research. One limitation of the study is the single source of data relying on parent self-report. For example, the parent’s positive or negative views of their own parenting skills may have impacted how they rate their own child’s behavior. The study could have been strengthened if data included assessments from external sources (e.g., therapist, clinician) or even child self-reports, (although the authors do concede that the mean age of the children was 6.6 years). Overall, this study adds to the growing body of evidence about what programs are effective for improving parenting skills and child behavior.

Source:
Bodenmann, G., Cina, A., Ledermann, T., and Sanders, M.R. (2008). The efficacy of the Triple P-Positive Parenting Program in improving parenting and child behavior: a comparison with two other treatment conditions. Behavior Research and Therapy, 46, 411-427.

Monday, November 16, 2009

Risk & Society

The concept of risk society describes a modern worldview where tradition has broken down and scientific advances, rather than nature, are dominant. The consequences of human actions as a function of modernity and industrialization across a range of areas have introduced a wide array of risks and uncertainties, which exacerbate the risk of the everyday. A central paradox of risk society is that risks are generated by the very methods of modernization that are trying to control them. In this way, the traditional certainties and securities of the pre-modern society can no longer be relied upon. Fundamental to an understanding of risk society is the breakdown of the expert systems of trust in science, which has implications for how children and families function.

Beck (1992) focuses on this breakdown in the expert systems of science by drawing attention to the fact that science often draws different conclusions about the same thing, thus creating mistrust in a society that relies upon certainty and security. For example, as an element of traditional childrearing, there have been conflicting messages about breastfeeding throughout the world, with contradictions coming from both science and the media. On the one hand, this had disastrous consequences for many children in developing contexts, as many mothers chose the financially unsustainable method of formula feeding. Mothers were not able to sustain the expensive modern method of formula feeding, and therefore the baby’s nutrition and subsequent growth suffered. On the other hand, in some developed countries such as the United States, there have been breastfeeding advocacy campaigns aimed at mothers that have relied upon scare tactics rather than evidence-based advice. Mothers who use formula are portrayed as “bad mothers” who are actively harming their children, because they are not using “natural” methods to raise their children. Strong attitudes towards such childrearing practices are driven by ideology and politics and framed by blame, rather than concern for the individual. There are multiple examples of contradictions like this present in risk society.

This example proves that risk society has fundamentally changed the modern worldview, including the way children are raised. Claims about the risks to children’s health and well-being continue to proliferate and revolve around debates about what it means to be a “good parent”. This concept is more often linked to common perceptions of risk than to scientific evidence.

Similarly, Castel (1991) argues that many discourses on risk dissolve the notion of a subject or concrete individual, and put in its place risk factors. He critiques this modern view because it excludes any face-to-face relationship between the carer and the cared, the helper and the helped, the professional and the client. It clusters people as groups of risk factors, and only intervenes in cases when the risk factors produce dangerous combinations within individuals. Castel uses the example of the 1976 GAMIN system in France, when children were screened at a few days, a few months, and two years after birth. The combination of predetermined factors triggered automatic alerts, which prompted a social worker “to confirm or disconfirm the real presence of danger, on the basis of the probabilistic and abstract existence of risks” (p.287-288). Though Castel makes his distaste for such a system known, one must wonder if we are heading towards a global, and perhaps more intrusive, surveillance system such as GAMIN. The main question, however, is whether or not risk society or surveillance of risk factors, can account for the accidental and unpredictable nature of unique human beings.

Sources:
Beck, U. (1992). Risk Society: Towards a New Modernity. London: Sage Publications.
Castel, R. (1991). From dangerousness to risk. In G. Burchell, C. Gordon, and P. Miller (Eds.), The Foucault Effect: Studies in Governmentality. Chicago, IL: University of Chicago Press.

Monday, September 28, 2009

Parental Education Program Improves Mental Health and Adjustment in Parents of Children with Autism

Research indicates that parents of children with autism experience a high level of stress. Parent training interventions reflect an attempt to address this stress and improve parental mental health. In Tonge et al.’s (2006) study, parents of preschool children recently diagnosed with autism were sampled from four geographically separate metropolitan and rural regional assessment services for young children suspected of having autism. The sample was assigned to either the intervention group (n=70) or control group (n=35). Parents from the intervention group were further randomly assigned to a parent education and behavior management (PEBM) group (n=35) or a parent education and counseling (PEC) group (n=35). Subjects were administered a questionnaire at pre-intervention, post-intervention, and six-month follow-up. Parental health was determined using the General Health Questionnaire, a widely-used reliable, and valid self-administered adult screening test designed to detect mental health issues in community settings. Results showed that both interventions improved the mental health and well-being of parents with children recently diagnosed with autism, especially among parents who had preexisting mental health problems. There were no statistically significant results supporting the superiority of either PEBM or PEC.

The authors anticipate several potential threats to validity, and attempt to minimize these threats through the study design. First, by sampling populations in geographically distant rural and urban communities, the investigators attempted to control cross-contamination of groups as a threat to validity. Second, the investigators made attempts to control for any threats to internal or construct validity by training therapists to strictly follow guidelines for the specific interventions and providing supervision and training to therapists throughout the study. Therapists also administered both treatments and were rotated between therapies. The investigators videotaped a random 10% of the intervention group for content review and intervention adherence. Third, the authors address timing of measurement as a potential threat to external validity by testing all subjects six months after the study. Consequently, results showed that alleviation of symptoms became more apparent over the long-term, reflecting a possible cumulative effect of treatment. Nevertheless, the study also exhibits limitations. By selecting samples from rural and urban communities, access to services may have created notable differences between the groups. Because parents were included in the study based on their children’s diagnosis, the group may exhibit wide variation in regards to mental health. This diversity of subject characteristics made it difficult for the investigators to determine a difference between groups. Overall, the study reveals promising findings about the effectiveness of parent training as an important element of interventions for children with autism.

Reference:
Tonge, B., Brereton, A., Kiomall, M., Mackinnon, A., King, N., and Rinehart, N. (2006). Effects of parental mental health of an education and skills training program for parents of young children with autism: A randomized control trial. Journal of the American Academy of Child and Adoelscent Psychiatry, 45(5), 561-569.