ADHD: Signs,Symptoms, and Research

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder associated with difficulties such as inattention, disorganization, and/or hyperactivity-impulsivity. Symptoms of ADHD typically begins in childhood and causes problems across multiple settings areas (e.g., home, public,and school). I recently wrote a blog on Psychology Today discussing medication and treatment. Below is a video providing education about ADHD from the National Institute of Mental Health. 

To Spank or Not to Spank: What the Research Supports

Last month, I had the opportunity to attend the American Psychological Association (APA) convention in Honolulu. As usual, I am re-energized after attending the sessions and learning about new perspectives on science and psychological practice. While attending a talk on spanking and children, it made me think back to all the conversations that I’ve had with parents in my practice around the use of corporal punishment (which includes domestic, school, and judicial). During the talk, Dr. Shawna Lee (assistant professor at University of Michigan) and her colleagues presented data on the frequency of parents that use spanking as a parenting strategy and highlighted the effects of spanking on childhood outcomes (e.g., aggression and compliance). Surprisingly, a high percentage of parents use spanking despite if not being an effective long-term strategy to change behavior.

As a child psychologist, I often discuss the impacts of spanking with parents. First, spanking tends to increase aggressive behavior in children. Secondly, the research shows that spanking is less effective to increase compliance than positive reinforcement. The pros and cons of spanking have been discussed for decades yet many still see it as a viable parenting strategy. Many times when I bring this up with parents they respond, "I was spanked as a child and I turned out fine". But what does the research support? 

During the APA symposium, Dr. Lee, stated that “spanking has the iatrogenic effect of increasing the very child behaviors it is often trying to reduce”.  In a recent study published in Development Psychology (Lee, S. J., Altschul, I., & Gershoff, E. T., 2013), the authors found that maternal spanking  at age 1 was associated with higher levels of child aggression at age 3; and continues to be associated with aggression by age 5. Furthermore, the study found that maternal warmth does not serve as a protective factor against child behavior problems. 

Being someone who is interested in early intervention to prevent more severe behavior difficulties I felt armed with new research findings that I could use in my own life and clinical practice. Overall, the research does not support the use of spanking as an effective parenting strategy and shows that it has significant negative outcomes for children. Currently 31 countries (not including the United States) have recognized the detrimental effects of spanking and have banned the use of corporal punishment in the home. Yet, the U.S. does not have a national policy against spanking. Furthermore, only a small percentage of states ban the use of corporal punishment in school. What are your thoughts on spanking and corporal punishment?

Copyright 2013 Erlanger A. Turner, Ph.D. 

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Note: A version of this was submitted to the Richmond Times Dispatch. 

Understanding ADHD: Overview and treatment

Attention-Deficit Hyperactivity Disorder (ADHD) is a common childhood problem associated with impairments in school functioning and difficulties with interpersonal relationships (with peers and family members). As noted in my blog post on Psychology Today, approximately 9% of children in the United States are diagnosed with ADHD each year. The video clip below provides a brief overview of ADHD and treatment.

Featured presenter:

Kimberly Levering, Ph.D.

Licensed Psychologist

Children's Hosptial & Medical Center

Children's Behavioral Health

Omaha, Nebraska

Dr. Levering’s Bio:

http://childrensomaha.org/KimberlyLevering

Temper Tantrums: Tips for Parents

A recent article in the Monitor on Psychology, a publication by the American Psychological Association, discussed temper tantrums in preschool children. According to the article, “daily tantrums only occur in less than 10 percent of preschool children, regardless of gender, socioeconomic status or ethnicity.” This was based on a study conducted at Northwestern University Feinberg School of Medicine.

In my practice over the years, I have encountered many parents who come to my office to cope with their child’s tantrums. Often times, many parents may not seek help for this issue because tantrums are seen as a common behavior among toddlers. However, based on research you can see that only a small number of children exhibit tantrums at a high rate. As a behavioral psychologist, there are a number of ways to manage tantrums. The following tips may be useful.

• Establish a sleep routine. For many children, their moods are dependent on how much or little sleep they have had the previous night. Children who often have poor sleep habits tend to be more irritable and may exhibit more tantrum behavior. To help prevent tantrums make sure your child gets adequate sleep.
• Don’t fall into the attention trap. Children often get additional attention when they exhibit tantrums. To decrease tantrum behaviors avoid giving attention to your child when they have a tantrum. For example, if your child has a tantrum, remove attention by looking away and remaining silent. Do not scold the child or tell them to stop crying.
• Reward appropriate behavior. Occasionally, children exhibit tantrums as a way to communicate their wants and desires. By using rewards, you can shape your child’s appropriate behavior. For example, reward your child for using their words to request objects or for sharing with others if tantrums occur during play.
• Talk to a psychologist. If tantrum behavior occur more days than not, seek professional help from a behavior therapist or psychologist. Child psychologist and/or behavior therapist are specifically trained to analyze behavior and determine what the function of that behavior is. You can seek an evaluation or functional behavior assessment by a professional who can work with you and your family to determine the best approach to improve your child’s functioning.

Copyright 2012 Erlanger A. Turner, Ph.D.

Note: The following information is intended to be general advice for managing behavior. Please consult with a mental health professional in your area if treatment is desired. You can find a brief list of psychologist at http://locator.apa.org/ provided by the American Psychological Association. 

Everyday Discipline for Toddlers

New feature: Video post on Everyday Discipline for Toddlers (approximately 72 minutes)

Featured presenter:

Ashley Harlow, Ph.D.

Licensed Psychologist

Nationally Certified School Psychologist 

Children's Hosptial & Medical Center

Children's Behavioral Health

Omaha, Nebraska

Dr. Harlow's Bio:

http://www.childrensomaha.org/AshleyGibbPhD