Just Moody Or More? Are Your Child’s Moods Normal?
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Are your child’s moods normal? Lisa Meyers McClintick, USA TODAY Guide to Kids’ Health, USATODAY 8 Sept. 2013
Any parent knows: An evening can go to heck in a matter of minutes.
Our 9-year-old daughter pipes up suddenly that she needs a pink dress to play Sleeping Beauty in class the next morning. It has to be pink. It has to be pretty. And she needs it now!
Any sort of reasoning—like the suggestion to wear a wedding-worthy yellow dress—won’t work. Frustrations explode into shouting, timeouts and all-too-familiar rants of “this family sucks,” followed by heartbreaking rounds of “I hate myself!”
The next morning, when nerves calm, the yellow dress is perfectly fine and our daughter cheerfully chatters about Belle’s ball gown in Beauty and the Beast.
The difference? The anxiety attack is over.
Sneaky and insidious, anxiety seizes our daughter like a riptide pulling her out to sea. Her negative thoughts build like a tsunami, and it’s useless to swim against them with problem-solving logic.
Like a real riptide, the only escape seems to be diagonally. A surprise dose of humor—tough to summon in the midst of a blowup—can spring her free. As one therapist explained, “You can’t process anger and humor at the same time.”
It’s taken years of keen observation and research, plus the support of educators and psychologists to help our kids, ages 9 to 13, cope with mental health issues that also include Attention Deficit Hyperactive Disorder (ADHD) and depression.
Recognizing that something isn’t right and pursuing help isn’t an easy journey. But it’s necessary. In the same way you’d pursue cures and solutions to manage chronic physical conditions like cancer and diabetes for your child, you have to advocate for your child’s emotional well-being. It requires being proactive, persistent and patient.
“If you can intervene early and get proper treatment, the prognosis is so much better,” says Teri Brister, who directs the basic education program of the National Alliance on Mental Illness.
KNOW THE SIGNS
“One of the most difficult-to-recognize issues is anxiety,” says John Duby, director of Akron Children’s Hospitals Division of Developmental and Behavioral Pediatrics. “(Children) won’t say, ‘Hey, you know, I’m worried.’ You have to be tuned in.”
All-consuming worries—about parents’ safety, bullies or natural disasters, for instance—can look like a lack of focus at first. Some kids ask frequent questions about “what’s next” for meals or activities. Changes to the daily routine (a substitute teacher or a visit to a new doctor) can trigger headaches, stomachaches or a sleepless night.
At its most extreme, anxiety induces panic attacks. Kids break into sweats, have trouble breathing and feel their heart racing.
Depression may cause similar symptoms to anxiety with headaches, stomachaches, not being able to sleep or sleeping more than usual. “They may withdraw socially,” says Duby. Kids may head to their room after school and not emerge until morning. Some kids are constantly irritable and angry.
“We often think depression doesn’t happen in children, but it does,” he says.
GET HELP
Step 1: Trust your instincts
If you’re worried about your child’s mood, trust your instincts as a parent, recommends Brister.
The red flags of mental health disorders tend to pop up during school years when children have to navigate academic expectations, make friends and increase responsibilities at home.
“You have to look for (behavior) patterns,” says Brister. These can include impulsive acts, hyperactivity, outbursts, an inability to follow directions or recurring ailments that may impair how the child performs in class, extracurricular activities or simply sitting through dinner with the family.
Most concerned parents start with a visit to the pediatrician. (PETER’S EDIT For Australian parents your family GP is a good place to start) The family physician can help you analyze symptoms and understand whether there might be an underlying condition such as food allergies or a chronic lack of sleep.
Step 2: Seek professional help
(PETER’S EDIT: In Australia a referral from a GP to a psychologist via a mental health care plan or ATAPS will ensure an informed, appropriate and timely assessment. If the issue is developmental, a referral to a paediatrician may be preferred or if your GP has a serious concern a referral to a child psychiatrist may be made. Wait times for each option should be relatively short in the private sector.)
When our son was 5, we sought testing for ADHD with a referral from our pediatrician. Unfortunately, we couldn’t even get on a waiting list for a psychology appointment. We were told the list had backed up to a two-year wait, so it was eliminated. We had to call weekly and hope for an opening.
When our daughter needed help as her anxiety escalated, it took a school district triage nurse to get us an appointment with a psychiatric nurse.
This is, unfortunately, not an uncommon scenario for parents. You need to use all the leverage you have to access experts in the school system or mental health clinics to help with your situation. Stay persistent and be pleasant rather than pushy.
And when you do get an appointment, make the most of it by consistently tracking the concerns you have about your child’s behavior and putting them in writing for the physician to read. Have a list of questions ready, and always ask about additional resources you can tap into, from support groups to books.
Mental health practitioners will also be gathering resources and information about your child from report cards, checklists and questionnaires. These can help pinpoint whether a child has anxiety, depression, ADHD, bipolar disorder, is on the autism spectrum or may have a combination of these. “It allows us to have a more objective view,” says Duby.
Step 3: Find your normal
Once there is a diagnosis, families can decide how to move forward. That might mean trying medications, working with a psychologist or setting up an Individualized Education Program (IEP) at school.
Additional services that may help include occupational therapy, which can identify specific movements, such as swinging, spinning or brushing outer limbs with a soft brush that may help your child’s brain process and integrate sensory information.
These tools and approaches can help families be proactive about preventing and managing mental meltdowns. It’s also essential to help children feel a sense of belonging at school and in community groups. Families need to build up their children’s strengths so they have the self-esteem and confidence to move forward, says Duby.
And parents should stay on top of the situation, watching for changes in behavior and mood, especially as children get older, says Brister.
Hormones may help or worsen conditions, which makes it important to have a diagnosis and support network before the teen years hit.
“I can’t emphasize enough how essential it is to recognize symptoms early and treat them,” she says.
SIGNS OF DEPRESSION AND ANXIETY
Signs in children may differ from the symptoms we commonly associate with adults who have the disorders. Depression in kids may look like irritability, anger and self-criticism, says the National Alliance on Mental Illness. It could be as subtle as her making less eye contact with you than in the past.
School performance is another important indicator. Grades can drop off dramatically; students may also visit the school nurse more frequently with vague complaints of illness.
Children who suffer from an anxiety disorder may experience fear, nervousness and shyness, according to the Anxiety and Depression Association of America. They may worry excessively about things like grades and relationships with family and friends. They may strive for perfection and seek constant approval.
HOW TO CALM IT DOWN
Whether a child has mental health struggles or not, emotions inevitably boil over—especially as preteen dramas escalate. Here are ways to help de-escalate the situation and restore calm to your family life.
• Keep your body language non-threatening and stay as even-keeled as possible. Don’t get in the child’s face or use a raised voice.
• Teach kids how to breathe slowly through the nose, then exhale gently through the mouth as if cooling a hot bowl of soup.
• Create an “away space,” a place to cool down and take a break. Consider a quiet nook in a bedroom, a spot on the stairs for kids who don’t like separation or a backyard corner for those who find comfort in nature.
• Let kids know they can’t hit others, but it’s OK to punch a pillow or punching bag or to squeeze putty or a squishy toy.
• Figure out what’s physically comforting—feeling the softness of a blanket or stuffed animal, nuzzling the fur of a family pet or piling under heavy blankets.
• Listen to favorite tunes on a music player.
• Provide a journal for writing out frustrations or doodling when the words won’t come.
• When emotions simmer down, sit side by side to talk through how the situation could have been handled differently and work on solutions together.
ONLINE RESOURCES
(PETER’S EDIT: AUSTRALIA:
HeadSpace: headspace National Youth Mental Health Foundation Ltd is funded by the Australian Government Department of Health and Ageing under the Youth Mental Health Initiative Program. A great resource for parents and teens.
BeyondBlue : Resources for young people section )
OTHER:
HealthyChildren.org from the American Academy of Pediatrics has a section dedicated to “Emotional Problems.” Parents can tap into great information on how to help their child. Audio segments recorded by experts in the field can be used as a launching point for family discussions.
TheBalancedMindFoundation.org, founded by the mother of a daughter with bipolar disorder, provides help for families. Online, private support groups offer 24/7-support and online forums are a way for parents to connect.
WorryWiseKids.org, a service of the Children’s and Adult Center for OCD and Anxiety, has a wealth of information about the different types of anxiety disorders children can have, how to understand them and how to seek treatment for them.
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Dads And Kids: How Do Fathers Relate Best With Younger Children
With Father’s Day coming up on Sunday in Australia, I thought I’d post some topical articles. Here’s the first.
Source: Brigham Young University:
Dad’s task: Draw a sailboat with an Etch A Sketch in five minutes or less.
The twist (pun intended): Sketch the sailboat with your 6-year-old child controlling one of the toy’s two dials.
While it sounds like playtime, it’s really an extensive experiment on the relationship quality between fathers and children. Social scientists observed almost 600 dads in 10 cities attempt the joint sketch with their first graders.
But instead of awarding points for artistic quality, the researchers judged how well the pair worked with each other in a battery of team-play exercises including the Etch A Sketch challenge.
“By design, these tasks are too hard for first-graders to do on their own,” said Erin Holmes, a professor in Brigham Young University’s School of Family Life. “When a little conflict or stress occurred, we looked at dads’ ability to respond to their children’s feelings – negative or positive.”
The main conclusion of Holmes’ study? Children who had the best experience can thank their father’s child-centered parenting beliefs, which a statistical analysis showed to be among the most predictive factors of quality relationships. Child-centered parenting includes beliefs such as “Children learn best by doing things themselves” and “A child’s ideas should be seriously considered when making family decisions.”
More telling were factors that didn’t seem to matter: fathers’ income level, education, even the number of diapers they changed.* While these attributes have merit in other contexts, they didn’t influence fathers’ ability to engage their children in productive and positive ways.
Holmes is the lead author of the new study to be published by the academic journal Fathering. Aletha Huston of the University of Texas at Austin is a co-author.
The fathers who did not fare so well in the experiments hold more adult-centered parenting beliefs. These attitudes were measured by a questionnaire asking how strongly they agree with statements like “Preparing for the future is more important for a child than enjoying today” and “Children should be doing something useful at all times.”
If adult-centered fathers perceived their child to possess strong social skills, however, the pair scored well on relationship quality in the playtime experiment.
Being a child-centered father doesn’t mean giving up notions of obedience and accountability, Holmes notes.
“Even though teaching your child to be obedient is an important part of parenting, you need to be willing to listen to your child, too,” Holmes said. “When parents pay attention to their children’s cues about how children feel and what they like to do, it produces better quality relationships.”
The data for this study come from a 15-year longitudinal study funded by The Eunice Kennedy Shriver National Institute of Child Health and Human Development.
* Though not addressed by this particular study, avoiding nappy duty is suspected to impact dad’s relationship with mum.
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Helicopter Parenting? New Book Advocates That Firmer But Fair Is The Way To Go
There are times when parents have to stay tough and Nigel Latta explains how best to do it
A COMMON question among parents of young children is: ‘‘ When does raising children start to get better?’’ The answer could be that it doesn’t get any better, it just gets different.
MADE TO ORDER: Keeping a firm hand but not rule by fear is the recommended way to go.It’s a theme Nigel Latta explores in his new book, Politically Incorrect Parenting. Latta will soon present a show of the same name on Channel 9.
While the issues he explores are hardly new, this is not your average parenting book. It doesn’t trade on a parent’s fear but on the reassurance that there are ways you can survive, keep a semblance of sanity and still enjoy the company of your little home-grown terrorist.
It’s battlefield wisdom from a therapist who’s seen more than most of us could handle and has some commonsense tools to help ordinary parents who need a hand.
Some of the chapter headings might give you a clue to his approach.
The preface ‘‘Never Mind the Kids . . . Save Yourself’’ is a pretty good hint, but there are also gems such as ‘‘How to Make Time Out and Sticker Charts Actually Work’’. Then there’s ‘‘Why You Should Never Negotiate with a Terrorist’’.
‘‘I just think parenting is such bloody hard work and the last thing you want to do is read a book on raising your children that’s boring and just makes you feel worse,’’ Latta says.
‘‘You want to read something that feels like a bit of time off.
‘‘What I try to do in the TV show and the book is to give people useful things that they can actually use to make things better but also just reassure people that life is not that complicated.
‘‘We all worry about damaging our children if we say the wrong thing, or send them to the wrong school, or don’t read them enough stories. It’s not about any of that stuff because it’s not stuff that matters.’’
Latta fears the modern world has done away with a lot of common sense. ‘‘I understand common sense as wise thinking,’’ he says. ‘‘If people have a problem with their children most will Google it and they come up with 26 million different opinions . . . and a lot of scare tactics.
‘‘Scaring people is a way to sell books because it works, but I just think it sucks. You don’t need to make parents any more afraid because as soon as you have children you start to worry and it never stops.’’
After helping thousands of people crawl out of what they feared were bottomless pits, Latta has found a common theme running through the vast majority of cases.
‘‘By far the biggest issue is that people just need to toughen up and that invariably gets it sorted,’’ he says.
‘‘People come to me and say they have a four-year-old they just can’t control and I’m wondering if he’s a mutant six foot high fouryear-old.
‘‘And they become paralysed with all this modern doubt stuff that makes them wonder if they’re doing the right thing when really it’s pretty straightforward.’’
For example, what to do with a fussy eater.
Hungry children eat, Latta says, it’s as simple as that.
He has a key message for parents who are doing it tough. ‘‘Get tough on the behaviours you don’t like and praise them for stuff you do.
‘‘Do that and it fixes anything – a few simple things and it’ll all be fine.’’
Source: Tony Bartlett: The Courier Mail news.com.au
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A Spoonful Of Sugar DOES Makes The Medicine Go Down! Sweet Solutions Reduce Kids Experience Of Pain From Needles
Infants who receive sweet solutions before being immunised experience less pain and are more comfortable, reveals research published ahead of print in the Archives of Disease in Childhood.
Healthcare professionals should consider giving infants aged 1–12 months a sweet solution of sucrose or glucose before immunising a child, the international team of researchers recommended, because of the child’s improved reaction to injections.
Existing research shows the effectiveness of giving newborn infants and those beyond the newborn period, a small amount (e.g. a few drops to about half a teaspoon) of sucrose and glucose as analgesics during minor painful procedures.
Little is known, however, about the effect of such solutions on pain, so a team of researchers from Toronto in Canada, Melbourne in Australia and Sao Paulo in Brazil, funded by a Canadian Institutes of Health Research Knowledge Synthesis grant, collected the findings from 14 relevant trials involving 1,674 injections given to children aged 1–12 months.
They found that giving a child a small amount of sweet solution, compared to water or no treatment moderately decreased crying in the child during or following immunisation in 13 of the 14 studies (92.9%).
The authors conclude that infants aged 1–12 months given sucrose or glucose before immunisation had cried less often and for less time.
The amount of glucose or sucrose given made a difference and the researchers found that infants receiving 30% glucose in some trials were almost half as likely to cry following immunisation.
The researchers could not identify the ideal dose of sucrose or glucose because of the variety of volumes and concentrations used in the various trials.
Analgesic effects of sweet solutions given to older infants were more moderate than those in newborn infants.
They conclude: “Healthcare professionals responsible for administering immunisations should consider using sucrose or glucose during painful procedures.
“This information is important for healthcare professionals working with infants in both inpatient and out-patient settings, as sweet solutions are readily available, have a very short onset of time to analgesia, are inexpensive and are easy to administer.”
Source: Eurekalert
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TV For Toddlers: “The Wiggles” Or The Wobbles?
Want kids who are smarter and thinner? Keep them away from the television set as toddlers. A shocking study from child experts at the Université de Montréal, the Sainte-Justine University Hospital Research Center and the University of Michigan, published in the Archives of Pediatrics & Adolescent Medicine, has found that television exposure at age two forecasts negative consequences for kids, ranging from poor school adjustment to unhealthy habits.
“We found every additional hour of TV exposure among toddlers corresponded to a future decrease in classroom engagement and success at math, increased victimization by classmates, have a more sedentary lifestyle, higher consumption of junk food and, ultimately, higher body mass index,” says lead author Dr. Linda S. Pagani, a psychosocial professor at the Université de Montréal and researcher at the Sainte-Justine University Hospital Research Center.
The goal of the study was to determine the impact of TV exposure at age 2 on future academic success, lifestyle choices and general well being among children. “Between the ages of two and four, even incremental exposure to television delayed development,” says Dr. Pagani.
A total of 1,314 kids took part in the investigation, which was part of the Quebec Longitudinal Study of Child Development Main Exposure. Parents were asked to report how much TV their kids watched at 29 months and at 53 months in age. Teachers were asked to evaluate academic, psychosocial and health habits, while body mass index (BMI) was measured at 10 years old.
“Early childhood is a critical period for brain development and formation of behaviour,” warns Dr. Pagani. “High levels of TV consumption during this period can lead to future unhealthy habits. Despite clear recommendations from the American Academy of Pediatrics suggesting less than two hours of TV per day — beyond the age of two — parents show poor factual knowledge and awareness of such existing guidelines.”
According to the investigation, watching too much TV as toddlers later forecasted:
- a seven percent decrease in classroom engagement;
- a six percent decrease in math achievement (with no harmful effects on later reading);
- a 10 percent increase in victimization by classmates (peer rejection, being teased, assaulted or insulted by other students);
- a 13 percent decrease in weekend physical activity;
- a nine percent decrease in general physical activity;
- a none percent higher consumption of soft drinks;
- a 10 percent peak in snacks intake;
- a five percent increase in BMI.
“Although we expected the impact of early TV viewing to disappear after seven and a half years of childhood, the fact that negative outcomes remained is quite daunting,” says Dr. Pagani. “Our findings make a compelling public health argument against excessive TV viewing in early childhood and for parents to heed guidelines on TV exposure from the American Academy of Pediatrics.”
Since TV exposure encourages a sedentary lifestyle, Dr. Pagani says, television viewing must be curbed for toddlers to avoid the maintenance of passive mental and physical habits in later childhood: “Common sense would have it that TV exposure replaces time that could be spent engaging in other developmentally enriching activities and tasks which foster cognitive, behavioral, and motor development.”
“What’s special about this study is how it confirms suspicions that have been out there and shown by smaller projects on one outcome or another. This study takes a comprehensive approach and considers many parental, pediatric and societal factors simultaneously,” she adds.
This research was funded by the Social Science and Humanities Research Council of Canada.
The article, published in the Archives of Pediatrics & Adolescent Medicine, was authored by Linda S. Pagani, Caroline Fitzpatrick and Tracie A. Barnett of the Université de Montréal and its affiliated Sainte-Justine University Hospital Research Center in Canada in collaboration with Eric Dubow of the University of Michigan in the United States.
Source: Sciencedaily
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“My Kid Wouldn’t Go There”: Teens & Teen Sexuality
It can be difficult for parents of teenagers to come to terms with the fact their kids may have sex, particularly given widespread concerns about the consequences of teen sexual activity. In fact, a new study from North Carolina State University shows that many parents think that their children aren’t interested in sex – but that everyone else’s kids are.
“Parents I interviewed had a very hard time thinking about their own teen children as sexually desiring subjects,” says Dr. Sinikka Elliott, an assistant professor of sociology at NC State and author of the study. In other words, parents find it difficult to think that their teenagers want to have sex.
“At the same time,” Elliott says, “parents view their teens’ peers as highly sexual, even sexually predatory.” By taking this stance, the parents shift the responsibility for potential sexual activity to others – attributing any such behavior to peer pressure, coercion or even entrapment.
For example, Elliott says, parents of teenage boys were often concerned that their sons may be lured into sexual situations by teenage girls who, the parents felt, may use sex in an effort to solidify a relationship. The parents of teenage girls, meanwhile, expressed fears that their daughters would be taken advantage of by sexually driven teenage boys.
These beliefs contribute to stereotypes of sexual behavior that aren’t helpful to parents or kids.
“By using sexual stereotypes to absolve their children of responsibility for sexual activity, the parents effectively reinforce those same stereotypes,” Elliott says.
Parents’ use of these stereotypes also paints teen heterosexual relationships in an unflattering, adversarial light, Elliott says and notes the irony of this: “Although parents assume their kids are heterosexual, they don’t make heterosexual relationships sound very appealing.”
A paper describing the study is published in the May issue of Symbolic Interaction. Elliott is also the author of the forthcoming book, Not My Kid: Parents and Teen Sexuality, which will by published by New York University Press.
Source: ScienceDaily (May 3, 2010)
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Learning To Love: The Importance Of Empathy & How To Teach It To Your Kids
Credit: Maia Szalavitz: neuroscience journalist The Huffington Post 29 March 2010
One of the least-praised pleasures in life — and yet one that is probably most likely to bring lasting happiness — is the ability to be happy for others. When we think about empathy, we tend to think of feeling other people’s pain — but feeling other people’s joy gets short shrift That must change if we want to have a more empathetic society.
While working on our forthcoming book, Born for Love: Why Empathy Is Essential — and Endangered (my co-author is leading child trauma expert Bruce Perry, MD, PhD), one of the most common questions I’ve gotten is, “What can parents do to raise more empathetic children?”
And, as I talked about sharing joy with a friend last week, I thought again about just how important the pleasurable part of empathy is in parenting. Sharing pleasure is actually one of our earliest experiences: consider the way a baby’s smile lights up a room and all the silly things adults will do to elicit these little expressions of happiness and connection. Videos of laughing babies delight us for the same reason. [I dare you to resist the laughing quads!]
Cuteness is nature’s way of getting us through the most difficult and demanding parts of parenting: if babies weren’t so darn cute, few people would be able to take the dirty diapers and other drudgery of caring for them. But their smiles and laughs are overwhelmingly infectious.
It’s this same early dance between parent and child that instills empathy in the first place. We all have the natural capacity (in the absence of some brain disorders) for empathy. However, like language, empathy requires particular experiences to promote learning. The ‘words” and “grammar” of empathy are taught first via early nurturing experiences.
Without responsive parenting, though, babies don’t learn to connect people with pleasure. If your smiles aren’t returned with joy, it’s as though you are being asked to learn to speak without anyone ever talking to you. The brain expects certain experiences to guide its development — if these don’t occur at the right time, the capacity to learn them can be reduced or even lost.
So, most of us come into the world and receive parenting that implicitly teaches us that joy is shared. Babies don’t just smile spontaneously — they also smile radiantly back when people smile at them. The back and forth of these smiles, the connection, disconnection, reconnection and its rhythm teaches us that your happiness is mine, too.
Over time, unfortunately, we learn that we are separate beings and sometimes come to see other people’s happiness as a threat or a sign that we’ve lost a competition, rather than something we can share.
This, of course, is natural, too: we are also normally born with an acute sense of fairness and justice that makes us sensitive to say, whether our older brother’s toys are nicer than ours. While cries of “that’s not fair” are the bane of many parents’ existence, they’re not just selfish. They’re part of a social sense that we should
receive equal treatment.
How, then, can we help kids to develop both their sense of justice and the ability to share joy?
One key is making the implicit explicit. When we see kids smiling in response to others, point out how seeing someone else smile made them feel good; when we see that they enjoy our reaction to their artwork and gifts, praise them for being happy for us. Saying that “it’s better to give than receive,” may ring hollow — pointing out when children are actually experiencing the feeling of taking joy in giving is much more powerful.
Allowing children to own this ability and recognize it in themselves will also encourage it — helping them to define themselves as the kind of people who are happy for other people will make them feel like good people, too. Encouraging such an identity will reinforce other positive behaviors as well. Changing behavior to suit an identity you prefer is actually one of the easiest ways to make changes.
Further, rather than calling kids selfish or self-interested when they protest about someone else getting what seems like something better, reframe this as a concern for justice and ask them to look out for when what seems unfair is unfair in their own favor, too. Children who see themselves as being “bad” or “selfish” will unfortunately take on that identity, too — if they don’t recognize their own prosocial behavior, they can’t enhance it and may embrace a very negative view of their own desires and drives.
Sadly, as a society, for centuries we have embraced a view of human nature that is selfish and competitive — with evolution being described as a contest in which the most ruthless are always likely to be the winners. In fact, research is now showing that, at least in humans, kindness is also a critical part of fitness.
For one, both men and women typically describe kindness as one of the top three characteristics they seek in a mate (sense of humor and intelligence are the other top two picks; gender differences in valuing attractiveness and resources come lower on the list).
Second, the ability to nurture and connect is critical for the survival of human children: in hunter/gatherer societies, the presence of older siblings and grandmothers can be even more important to child survival than the presence of fathers according to Sarah Hrdy’s research, suggesting that cooperation in childrearing made genetic survival more likely — not competition.
This means that human nature isn’t the selfish, sociopathic murk we’ve been told it is. While we are certainly no angels, our altruistic side is equally real. To create a more empathetic world, we need to own this as adults as we teach it to our kids.
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