Monday, February 24, 2014

Heroin: A National Problem

Heroin has been in the news lately, due to the string of related deaths in Southwestern PA.  While those deaths have been traced to the toxicity of the heroin being used, there is no doubt that heroin-related overdose deaths are on the rise.  This article, especially its charts, illustrates the depths of the problem.

Monday, February 17, 2014

Helicopter Parenting has Crippled American Teenagers. Here’s How to Fix it.

By Dan Griffin

The key is figuring out how to get teenagers to tune into their own motivation.
Photo by Bevan Gold Swain/Thinkstock

Ian was sitting at his usual place during what his parents had decreed was his nightly homework time. But he had his chair turned away from his open books and calculator, and he was removing the fourth raw hot dog from the package. He gingerly placed it sideways on the family dog Walter’s muzzle and commanded him to “walk.” Ian got the idea after a liberal sampling of YouTube’s stupid pet trick videos.

Ian’s mother, Debbie, peeked in on her son and then turned around to stare at her husband. It was a look that said: “Your turn. Get him back to his homework. I’ve reached my limit today.”

“Ian, its almost 8, let’s get going!” Michael yelled.

Four minutes passed.

“Ian, if you don’t get started now, I will not help you with your math.”

Ian commenced homework but soon drifted to watching more dumb pet tricks on YouTube.

Michael and Debbie had realized early that Ian was extremely bright but that he couldn’t often work up to his capabilities. He was disorganized, easily distracted (the stupid pet tricks!), and discouraged by the slightest failure. So they did what many dedicated parents do these days: turn themselves into a rodeo tag team to keep him on track at his competitive Washington, D.C., private school. Every evening, they reviewed his homework assignments, made a list of priorities, kept track of upcoming tests, reviewed long-term projects, and made plans to get a tutor if the work was confusing. Then the next night, they did it again.

Lately, we have been schooled on the hell that is adolescence, and more specifically, the collateral damage this phase of life inflicts on parents. The recent New York magazine cover story includes several examples of families locked in the kinds of pointless battles I just described. The stories might leave parents who read them with a strong sense of recognition, and also hopelessness. But as a clinical psychologist specializing in family systems, my job is to help parents and kids get past the deadlock. The key, it turns out, is figuring out how to get kids like Ian to tune into their own motivation to get their work done, and to get the parents to tune out of their motivation to shield their kids from failure and disappointment.

“Ian” and his family are recent patients of mine at my private Washington, D.C., practice, and the teenager has the typical profile of many I see. They are often boys, smart but underachieving, possibly with some diagnosis—ADHD, a learning disability, or something on the autistic spectrum. Their parents work diligently to help them succeed: cajoling and pleading and threatening and occasionally employing more intrusive techniques copied from mob debt collectors. The worthy goal of these enormous efforts is to insure that these kids feel good about themselves, and failure to achieve that goal is often equated with failure as a parent. I consider it my job to teach every member of the family to succeed a little less and fail a lot more in the service of a greater goal, developing character. Teaching them to make space for failure is a monumental task and often requires begging on my part.

In my nearly 30 years as a psychologist and family therapist, I’ve learned that parents can only play one of two possible roles at any given time: cheerleader or Texas high-school football coach. The cheerleader’s main goal is to keep the spirits up. As soon as the child is born, he is offered fun activities that are sometimes mildly challenging, so long as they leave the glow of “something positive just happened” —stimulating crib toys, managed play dates, rec sports. The cheerleader has learned to “praise the effort, not the outcome” so mom and dad ignore the score and pass out prizes to all. The coach’s main job, on the other hand, is to build character. Built into that lesson is an assumption of challenge and possible, eventual failure. The aim is to develop a “character repertoire” that includes willpower and the ability to delay gratification and to accept hardship as part of life.

It won’t surprise anyone to hear that we live in an era of cheerleaders. Many sociologists and parenting experts have diagnosed (and complained) about this prevalent style. In my experience the approach works well in the younger years; there is something charming about encouraging effort over just winning, about boosting self-esteem. But then in the middle-school years it often all comes crashing down. The kids are wholly unprepared for what they’ll face and the parents, stuck in cheerleading mode, wind up like Michael and Debbie, like the parents Jennifer Senior profiles in the New York magazine cover story: desperate to “bring back that loving feeling”—the positive glow and sense of parental gratification.

Over the past decade Claudia Mueller and Carol Dweck have conducted six studies of 412 fifth graders, ages 10 through 12, comparing the goals and achievements of children praised for their intelligence with those of youngsters commended for making an effort. “Praising children's intelligence, far from boosting their self-esteem, encourages them to embrace self-defeating behaviors such as worrying about failure and avoiding risks,” said Dweck, lead author of the study. Po Bronson warned about the risks of this parenting error in his 2007 story “How Not to Talk to Your Kids.” Keep praising middle-school kids who are struggling and their grades might never recover, he writes, because they never learn strategies to deal with failure.

So what can parents do? Unfortunately, it’s really hard to motivate parents to shift from cheerleading to coaching mode this late in the game. It’s no fun, and it is not rewarding for parent nor child. It is also counterintuitive, particularly for parents who have spent more than a decade helping their child be as happy as possible and avoid pain. It requires parents to be witnesses to minor and possibly major train wrecks: getting F’s for missed homework, being sucked into the black hole of online games, discovering marijuana—things that make pet tricks look like harmless fun by comparison. The phase requires parents to tolerate anxiety, self-doubt, and failure, not just in their child but—even harder in some ways—in themselves as parents.

But it’s absolutely critical because parents and their kids construct a reality together that at this stage only the parents can undo. As parents, we can get caught in the day-to-day unfolding “story”—the simplest sequence of events in our lives. We find places for our child to have fun and succeed. He is happy. We are good parents. We are happy. End of story.

What I try to do is get parents to appreciate some grander “narrative” —a system of stories, related to each other, that extends the single “story,” say, a failure to prepare for a test, into a larger evolving narrative. Along with David Black, a clinician and research neuropsychologist at the National Institutes of Health, I am developing a program called “Transitions X: Working With Families to Build Autonomy” that includes many such experiments in teaching middle- and high-school parents and their at-risk kids independence. What’s hard is getting the parent commandos to commit to an exit strategy of gradual, real troop withdrawal because it feels to them like neglect or even abuse. We want them to evolve from what has been referred to as “Helicopter Parents” to “U-2 Parents”: observers instead of combatants—present, attentive, but largely undetected from such a distance.

So let’s say Ian spends the night before an exam doing pet tricks instead of studying, but this time, his parents, Michael and Debbie, refrain from the usual exhortations. (This is a true story, names changed) Ian fails the test, and he is demoralized. The next week he does the same thing again and still they don’t intervene. This time he’s also angry. “This really sucks, and it is your fault!” he yells at his parents. He is called into the dean’s office and asked to account for his drop in grades. The dean tells him he has to improve his performance or he’ll get placed in a lower math level.

Ian is still angry at his parents for “not caring” about him, but he really doesn’t want to get a math demotion. This is the first time it’s occurred to him that he might not get into a great college, which is what his parents have been signaling to him is his inevitable fate. It takes a lot of work to get his parents to stick with the program at this point. Michael and Debbie were really worried he would become overwhelmed or even break down. I convinced them that if they intervened now, they would only be delaying a train wreck until the first year of college. Sooner or later, he had to learn what to do when he failed.

Used to being bailed out by his parents, Ian was confused. Eventually he came up with the idea of asking his teacher for help. The teacher was willing to help but only if Ian made the appointments himself and showed up consistently. In these private meetings, Ian learned that his revered double honors math teacher had failed calculus the first time. The teacher was blunt in telling Ian that if he did not take responsibility for his own learning, he should give up on the idea of being a math or science major in college. Ian had been counting on this teacher for a strong recommendation. Once again, his sense of inevitable success was shaken, so he was scared into being responsible. Ian is still showing up for the appointments.

Motivating kids who have reached their teenage years without accruing much intrinsic motivation is a complicated affair. Some adolescents have been shown to dramatically increase their test scores with something as simple as the promise of M&M’s. For some kids—the confident ones—cheerleading by laying the compliments on thick spurs them to take on challenges. For the less confident kids, overpraising is disastrous.


The hardest part of the parents’ task is often the quid pro quo, insisting on getting some things from their kid up front, in return for the privilege—not the inevitability but the earned privilege—of going to college. Parents have to accept that the narratives are open-ended. One never knows which “failure” will be the tipping point for an adolescent toward more effort, self-reflection, assuming responsibility, in a word, discovering inner motivation.

The reason we need to make this shift is obvious if we think about our own lives. We can very often trace significant, unexpected growth in our adult lives as emerging out of disappointments and setbacks. Perhaps as a direct result of a failure, we encounter someone who becomes a pivotal mentor, who sees a spark in us we miss. We are denied admittance to what seems like the ticket to our early dream, only to discover our calling, more subtle but more configured to our values and strengths. If you need convincing, here is a blog that chronicles the unlikely ways that musicians, artists, and other creative types got their start. All of these experiences are painful in the short term, but ultimately, hopefully, lead to a shot at happiness.

Dan Griffin is a clinical psychologist and family therapist in the greater Washington area.

Friday, February 14, 2014

Leadership Coach to address local high school students and families at next Youth Connect event!

Youth Connect’s next community event, scheduled for Saturday, March 8th , will be a presentation by Dr. Leslie Braksick, entitled “#clarityandconfidence”.  Geared toward high school students and their families, Dr. Braksick’s conversation will offer a framework for avoiding stressors and navigating high school choices and trade-offs.  

The presentation is a recap and continuation of a very popular talk Dr. Braksick delivered to students and faculty at Sewickley Academy’s upper school last year that went viral in hard copy format. Touching on the highlights from that speech, and delving more deeply into the importance of good decision-making skills, #clarityandconfidence is sure to be another valuable Youth Connect presentation.

The talk is scheduled to run from 11 and until 12:15 pm on Saturday, 8 March 2014 in the dining hall of the Sewickley Presbyterian Church; Sewickley Academy’s Home and School Association will provide a complimentary lunch to attendees.