Be worried about boys, especially baby boys

ababyboy

We often hear that boys need to be toughened up so as not to be sissies. Parent toughness toward babies is celebrated as “not spoiling the baby.” Wrong! These ideas are based on a misunderstanding of how babies develop. Instead, babies rely on tender, responsive care to grow well—with self-control, social skills and concern for others.

A review of empirical research just came out by Allan N. Schore, called “All our sons: The developmental neurobiology and neuroendocrinology of boys at risk.”

This thorough review shows why we should be worried about how we treat boys early in their lives. Here are a few highlights:

Why does early life experience influence boys significantly more than girls?

  • Boys mature slower physically, socially and linguistically.
  • Stress-regulating brain circuitries mature slower in boys prenatally, perinatally and postnatally.
  • Boys are affected more negatively by early environmental stress, inside and outside the womb, than are girls. Girls have more built-in mechanisms that foster resiliency against stress.

How are boys affected more than girls?

  • Boys are more vulnerable to maternal stress and depression in the womb, birth trauma (e.g., separation from mother), and unresponsive caregiving (caregiving that leaves them in distress). These comprise attachment trauma and significantly impact right brain hemisphere development—which develops more rapidly in early life than the left brain hemisphere. The right hemisphere normally establishes self-regulatory brain circuitry related to self control and sociality.
  • Normal term newborn boys react differently to neonatal behavior assessment, showing higher cortisol levels (a mobilizing hormone indicating stress) afterward than girls.
  • At six months, boys show more frustration than girls do. At 12 months boys show a greater reaction to negative stimuli.
  • Schore cites the research of Tronick, who concluded that “Boys . . . are more demanding social partners, have more difficult times regulating their affective states, and may need more of their mothers support to help them regulate affect. This increased demandingness would affect the infant boys’ interactive partner” (p. 4).

What can we conclude from the data?

Boys are more vulnerable to neuropsychiatric disorders that appear developmentally (girls more vulnerable to disorders that appear later). These include autism, early onset schizophrenia, ADHD, and conduct disorders. These have been increasing in recent decades (interestingly, as more babies have been put into daycare settings, nearly all of which provide inadequate care for babies).

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Congressional briefing addresses public policy to improve response to ACEs

Room view with Senators Heitkamp & Durbin.jpg

In the final weeks of the 114th Congress, Senator Heidi Heitkamp (D-ND) welcomed her colleague Senator Dick Durbin (D-IL) as a new host for the third and final briefing on addressing adverse childhood experiences (ACEs). The December 1 briefing focused on public policies to improve coordination, prevention and response to childhood trauma.

ACEs comes from the CDC-Kaiser Permanente Adverse Childhood Experiences Study and subsequent surveys that show that most people in the U.S. have at least one ACE, and that people with an accumulation of childhood adversities — including divorce, racism, living with an alcoholic parent, and physical abuse — have a higher risk of adult onset of chronic health problems such as heart disease, cancer, diabetes, suicide, and alcoholism.

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I’m not cured, but I am healing

Donna Jackson Nakazawa

Donna Jackson Nakazawa

More than 133 million American adults — one in two of us — suffer from a chronic condition, including autoimmune disease, fibromyalgia, digestive disorders, migraines, back pain, depression, diabetes, cancer and chronic pain. A recent study published in JAMA Internal Medicine found that those of us in our 40s, 50s and 60s are twice as likely as our parents were to suffer from debilitating chronic conditions in middle age.

I’m one of those statistics. I’ve spent much of the past decade navigating my life around health crises. Twice I’ve been paralyzed by Guillain-Barre Syndrome, an autoimmune disease similar to multiple sclerosis, but with a more sudden onset and a wider array of possible outcomes. Other diagnoses — low blood cell counts, thyroiditis and the need for a pacemaker — have also complicated my health and my life.

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Dr. Nadine Burke Harris carries message about child trauma to White House and back

Nadine Burke Harris

Dr. Nadine Burke Harris

By Jeremy Loudenback

The efforts of pediatrician Nadine Burke Harris to address of trauma experienced early in life have vaulted her to national attention.

In September, Burke Harris earned recognition from the Heinz Foundation for her work to establish a system to screen and treat children who are dealing with toxic stress and adverse childhood experiences (ACEs), such as abuse, neglect, poverty and violence. The annual Heinz Award honors five “exceptional Americans, for their creativity and determination in finding solutions to critical issues.” The prestigious Heinz Award for the Human Condition comes with a $250,000 prize.

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7 ways childhood adversity changes a child’s brain

 

anakazawa

If you’ve ever wondered why you’ve been struggling a little too hard for a little too long with chronic emotional and physical health conditions that just won’t abate, or feeling as if you’ve been swimming against some invisible current that never ceases, a new field of scientific research may offer hope, answers, and healing insights.

“Resilience” premieres at Sundance Film Festival to sold-out houses

(l to r) Dr. Nadine Burke Harris, who appears in Resilience; Robert Redford, father of Resilience director James Redford; Clifford Beers Guidance Clinic site coordinator Laura Lawrence, who appears in Resilience; Resilience producer and director James Redford; Resilience co-producer Dana Schwartz

(l to r) Dr. Nadine Burke Harris, who appears in Resilience; Robert Redford, father of Resilience director James Redford; Clifford Beers Guidance Clinic site coordinator Laura Lawrence, who appears in Resilience; Resilience producer and director James Redford; Resilience co-producer Dana Schwartz

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Resilience, a documentary that looks at the birth of the CDC-Kaiser Permanente Adverse Childhood Experiences (ACE) Study and how it spawned a movement across the world, premiered at the Sundance Film Festival on Friday. The first two screenings — both on Friday — were sold out.

Not bad for a film whose director, James Redford, wasn’t even planning on submitting it to the festival.

The buzz started before the festival even began. Wired.com listed Resilience as No. 2 in the 25 documentaries not to miss. WhatNotToDoc.com also singled it out. Nonfictionfilm.com did a story about the documentary.

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$2.2 Million initiative highlights trauma policy push

By Jeremy Loudenback, ChronicleOfSocialChange.org

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Jennifer Jones

This month, the Alliance for Strong Families and Communities will kick off a multi-million initiative designed to help service providers translate scientific findings around child trauma, toxic stress and developmental brain science into public policy.

The Robert Wood Johnson Foundation and the Canada-based Palix Foundation have committed $2.2 million over three years for the Alliance, a powerful membership group of youth service providers, to sub-grant to 15 participating nonprofit organizations in the U.S. and Canada interested in leading child trauma-based reform. All sites will be funded $50,000 for two years, and a developmental evaluation will be conducted within the three-year period.

The “Change in Mind: Applying Neurosciences to Revitalize Communities” initiative is one of several recent efforts aimed at increasing the policy impact of trauma-related research.

According to Change in Mind Director Jennifer Jones, the 15 organizations will serve as leaders in their communities and across the public sector on how to apply trauma-related practices. While each organization may have a different set of policy and advocacy goals, they will share successful strategies with each other and participate with an outside organization to evaluate effectiveness. The initiative kicks off this month in Chicago with an organizing conference that will help develop collective goals to accompany the specific policy priorities of each site.

The moment is ripe, Jones said, for nonprofit service providers to take a leading role in encouraging adoption of trauma-informed practices.

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