2020年4月15日 星期三

Why Is My Big Kid Acting Like a Toddler?

Regressions are normal during stressful events. Here's how to identify and deal with them.

Why Is My Big Kid Acting Like a Toddler?

Monica Garwood

As we enter our second month of social distancing in the United States, I’m hearing reports from friends, readers and my own household about the different ways we fear our kids are regressing. There’s backsliding on potty use, and more tantrums. Bedtime is really going off the rails. So I wanted to ask the experts: Why is this happening, and can we do anything to help our children?

Let’s first define our terms. Regression, a term coined by Sigmund Freud, is a return to earlier stages of development as a defense mechanism during times of stress. Adults, as well as children, can experience regression. “It’s a self-protecting mechanism,” said Sally Beville Hunter, Ph.D., a clinical assistant professor at the University of Tennessee, Knoxville. “If kids are going to retreat back to safety, they’re going to retreat back to their parents and ask for additional comfort.”

With that in mind, Dr. Hunter also said that what we may perceive as setbacks in our children’s development may be typical, and have nothing to do with the coronavirus pandemic or the changes it has caused in their lives. Many of us are just with our children so much more than we used to be, and more intimately involved with their education than we were before. When adults learn, “we are typically acquiring new skills at a steady pace — we little by little pick up skills and retain them,” Dr. Hunter said. “For a child, the learning is not linear. It’s in spurts.” They may have periods of setbacks or little-to-no improvement, she said, and that is to be expected.

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Another thing that may not be an actual regression: setbacks in potty training. Many preschools and day cares “have set times of the day when they march them off and they go together,” said Dr. Aaron E. Carroll, M.D., a professor of pediatrics at Indiana University School of Medicine. Without the social cues and the peer pressure of their friends going with them, your preschoolers may simply be forgetting to go and having accidents.

That said, all the experts I spoke to acknowledged that regression is to be expected during significant times of change — and your child’s day-to-day has almost certainly changed since the coronavirus hit. Lauren Knickerbocker, Ph.D., a child psychologist at N.Y.U. Langone’s Child Study Center, said that some typical kinds of regression for kids are setbacks in toileting, not wanting to dress or feed themselves, becoming more clingy, having more tantrums, and having a host of sleep disturbances (dropped naps, nightmares, sleep pattern changes).

If you are observing these changes, you shouldn’t see it as “a five-alarm fire,” Dr. Knickerbocker said. It’s “just a signal your kid needs more support,” and possibly more of your attention, something she acknowledged is in short supply these days, as so many parents are struggling to work without child care, and trying to educate their kids, too.

So what can you do? I’m not going to tell you about the importance of routines again, because I keep saying it and it probably makes you want to slap me. But I will say that it’s nice to remind your kids of things that haven’t changed — maybe you still eat pizza every Friday night, like we do in our house — and that sense of normalcy is comforting.

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In terms of sleeping, you can read the article that Dr. Craig Canapari, M.D., an assistant professor of pediatrics at Yale University and the director of the Pediatric Sleep Center at Yale-New Haven Hospital, wrote for us on how to deal with pandemic-related sleep disturbances. One piece of advice from Dr. Canapari: Pushing your kids’ schedule, for example letting them sleep 9 p.m. to 9 a.m. instead of 8 p.m. to 8 a.m., will not hurt them in the long run, and if it helps you maintain sanity, that’s excellent.

Dr. Carroll recommends sticking with positive reinforcement as much as possible. Positive reinforcement is more effective than nagging and scolding even when we’re not living through a global crisis. And especially right now, “we don’t want to be punishing kids for reacting in appropriate ways to high-stress situations,” he said. “Be as sympathetic and nurturing as possible.”

We should also go easy on ourselves as parents, Dr. Carroll said. It’s OK to delay transitions like potty training, or moving your child to a big kid bed, for a few months, if you’re concerned about more disruption in your lives. And if things aren’t by the book right now, that’s just fine, too. “We shouldn’t be judgmental,” Dr. Carroll said, because with all the stresses on our lives, “we’re going figure out our own ways to get through.”

Want More on Dealing With Regression?

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Parenting can be a grind. Let’s celebrate the tiny victories.
For about a week, our 7-year-old and 5-year-old played along with pretending they were toys — toys that ate and went to the bathroom, toys that got dressed, toys that brushed their teeth and put away other toys. It was nice while it lasted. — Chris Kilburg, Pittsburgh

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2020年4月14日 星期二

Cronies, cranks and the coronavirus

Behind Trump’s push to reopen the economy.
Al Drago for The New York Times
Author Headshot

By Paul Krugman

Opinion Columnist

Trying to predict Trump administration actions really is like Kremlinology, updated for the age of social media. There’s clearly no formal policy process; Donald Trump acts on impulse and intuition, often shaped either by whoever he last met or what he last saw on Fox News, making no use of the vast expertise he could call on if he were willing to listen. Those of us on the outside, and from all accounts, even many people within the administration try to infer what’s coming next from tweets and statements by people presumed to be in favor at the moment.

So what does Trumplinology suggest right now? That Trump really, really wants to end the economy’s lockdown very soon. Early Monday Trump tweeted out an assertion that he has the power to overrule state governors who have imposed lockdown orders — which suggests that we may have a constitutional crisis brewing, because as far as anybody knows he has no such power. Meanwhile, in an interview with The New York Times, Peter Navarro, Trump’s trade czar, argued that a weak economy might kill more people than the virus.

The thing is, as far as I can tell epidemiologists are united in the belief that it’s far too soon to be considering any relaxation of social distancing. The lockdowns across America do seem to have flattened the curve, allowing us to avoid — just — completely overwhelming the health care system. New cases may have peaked. But you don’t want to let up until you’re in a position to do so without giving the pandemic a second wave. And we’re nowhere close to that point.

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So where’s this coming from? I’ve seen some people portray it as a conflict between epidemiologists and economists, but that’s all wrong. Serious economists know what they don’t know — they recognize and respect experts from other disciplines. A survey of economists found almost unanimous support for “tolerating a very large contraction in economic activity until the spread of infections has dropped significantly.”

No, this push to reopen is coming not from economists but from cranks and cronies. That is, it’s coming on one side from people who may describe themselves as economists but whom the professionals consider cranks — people like Navarro or Stephen Moore, who Trump tried unsuccessfully to appoint to the Federal Reserve Board. And on the other, it’s coming from business types with close ties to Trump who suffer from billionaire’s disease — the tendency to assume that just because you’re rich you’re also smarter than anyone else, even in areas like epidemiology (or, dare I say it, macroeconomics) that require a great deal of technical expertise.

And Trump, of course, who was planning to run on the strength of the economy, desperately wants to wish the coronavirus away.

The reality is that we shouldn’t consider opening the economy until we have both reduced infections dramatically and vastly increased testing, so we can crack down quickly on any potential re-emergence.

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The good news is that many governors seem to understand that, and that Trump probably can’t override their better judgment. The bad news is that America’s governors — who are turning out, on the whole, to be better than we deserve — are having to fight a two-front war. Not only are they having to fight a deadly disease, they’re having to fend off a national leader who is doing all he can to sabotage their efforts.

Quick Hits

Restarting the economy: the view from the center-left.

A surprisingly similar view from the center-right.

Big Brother is watching your quarantine, even in democratic Taiwan.

With gyms closed, I’ve been doing a lot of running. Am I social-distancing enough?

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Facing the Music

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