Potty Training: What Does “Ready” Really Mean?

Last week I talked about the trend toward later and later potty training and the role that the diaper industry has played in persuading parents that waiting is a good idea. After all, the longer children are in diapers, the more money they make! To help reverse this trend, we here at Baby Signs have developed a potty training program that uses signing to enable babies to signal the need to go long before they have words. In fact, our goal is to help parents get their children trained by age 24 – 30 months.

But are children “ready” that early? The question arises because parents frequently hear that it’s best to wait until a child is “ready” for potty training before beginning the process. But what exactly does the term “ready” mean? For the answer we turn to the American Academy of Pediatrics’ (AAP) Guide to Toilet Training (2003). According to the AAP, parents should watch for readiness in three specific developmental domains: physical, cognitive, and emotional. Over the next few postings, we’ll take a closer look at what’s required in each case starting with physical readiness.

According to the AAP, in order to actively participate in potty training, children must be physically able to:

• Sense when they need to eliminate
• Delay elimination long enough to get to the potty
• Sit independently on a potty chair

At what age do these skills typically appear? This is an easy question to answer based on the information about the history of potty training I described in my posting last week. If you’ve had a chance to read that entry you may remember the fact that before the invention of the disposable diaper in the early 1960s, children in the United States were routinely trained by 18 months! Is there any reason to suspect that children have changed so radically over the last 50 years that they’ve completely lost these physical abilities? Obviously not! If that was the norm up until the 1960s, then clearly children today are physically ready for potty training well before age 2.

In other words, it’s simply a cop out (as my son would say) to use a lack of “physical readiness” as an excuse to delay potty training until children are 3-years-old.

Stay tuned for discussion of cognitive and emotional “readiness.”

Happy Signing (and don’t forget to follow us on Facebook)!

Linda

Linda Acredolo, Ph.D.
Co-Founder, the Baby Signs Program
and
Professor Emeritus, UC Davis

Late Potty Training: Legacy of the Diaper Industry

Back in the 1980s when my children were young and not yet potty trained at 30 months, my mother-in-law would gently chastise me by saying that her kids were all trained by 18 months. At the time I thought that was pure exaggeration—the result of faulty memory or the desire to inspire me to get the kids trained. Now I know she was telling the absolute truth!

It turns out that before the 1960s children were routinely trained by 18 months—some estimates being as high as 95% of children. Given how distasteful and time-consuming it was to deal with the cloth diapers of the day, such an early age is understandable. Cloth diapers had to be rinsed out in the toilet, laundered in strong detergent and hot water, hung out to dry, folded and stacked—all steps that had to be repeated just a few days later. No wonder moms were eager to get their children out of diapers!

All this changed in the early 1960s with the invention of the disposable diaper. The good news was that their absorbency meant that babies stayed dryer and their ease of use meant that parents’ work was reduced. There was good news for the diaper industry’s bottom line, too, given the rapturous response parents had to this incredible new invention. It shouldn’t be a surprise, therefore, to hear that the industry began promoting the idea of later and later training.

By persuading both parents and pediatricians that later was better and by creating bigger and bigger diapers, the diaper industry has managed to move the average age of completion from younger than 18 months to over age 3—and still climbing! Most recently the industry introduced a size 7 diaper that can accommodate 6-year-old kids! And don’t let the name “pull-ups” fool you. They are simply disposable diapers in the shape of underpants.

The trend toward later and later training would be fine if it was good for children—but it’s not! It’s not good for children or their parents—and it’s definitely not good for the environment.

I’ll explain all this soon. Stay tuned. . . .

Linda

Linda Acredolo, Ph.D.
Co-Founder, the Baby Signs Program
and
Professor Emeritus, UC Davis

Maternal Depression

This week I'm taking a detour from talking about sign language for babies in order to address a very important topic: Maternal depression. Research shows that mothers who suffer from depression for extended periods during a child’s early years put their children at greater risk for emotional problems. There are many reasons for this greater vulnerability. One of them is the fact that depressed mothers are much less likely to engage in the lively face-to-face interaction that is so critical to helping babies feel secure and loved during their first year.

We know that the absence of this kind of interaction is upsetting to babies because of research by Professor Ed Tronick. In his classic study called “the Still Face” experiment, he first filmed parents and infants interacting face to face in whatever way was normal for them. After a bit of time had passed, the parents were instructed to assume a totally frozen face—neither smiling nor scowling—and remain totally passive and unresponsive to any bids for attention from the baby. The result? Babies as young as 4 months turned out to be exquisitely sensitive to the disruption and quickly become despondent when the disruption continued for more than a moment or two. Interestingly, the babies seemed to understand when Mom turned away to talk to someone else; it was when there seemed to be no good reason for the disruption that they became disheartened. Under those conditions, they seemed to perceive their mother’s behavior as rejection, and with that perception came the fear that they had lost their hold on a safe and predictable world.

As Professor Tronick points out, if a momentary “still face” in the laboratory can cause a baby to become despondent, just think what happens when such rejection occurs on a daily basis. Human babies crave interaction, and when it’s missing for long periods of time and they feel powerless to restore it, they become depressed too.

The research on the dangers of maternal depression has been pivotal in directing attention to the phenomenon of post-partum depression, a biologically-based reaction to giving birth that used to be considered totally psychological—that is, the fault of the mother—and treated with advice that inevitably made these new moms feel more guilty and more depressed. Fortunately, doctors now understand that post-partum depression is a real and serious phenomenon that needs attention.

Professor Tronick’s work, therefore, provides a good example of how research investigating the intricacies of development and the parent-child relationship often has profoundly positive effects on the lives of babies and their parents. That's research money well spent!

Happy Signing (and don’t forget to follow us on Facebook)!

Linda Acredolo, Ph.D.
Professor Emeritus, UC Davis
and
Co-Founder, The Baby Signs® Program

A Cat by Any Other Name is Still a Cat…Sort Of

Every once in a while, I use my weekly blog to share stories that have come to us from parents who have enjoyed our Baby Signs® Program, each one illustrating how creatively babies use signs. The following story is another example, this time demonstrating that a baby’s use of signs often provides a window into how smart babies can be.

Sixteen-month-old Sara had learned a sign for CAT that involved stroking the back of one hand and arm with the opposite hand, all the way from finger tips to elbow. She used the sign a lot, her cat “radar” being in evidence as her mom read her books or took her for walks in the neighborhood. It’s amazing how many cats there are in the world once a toddler starts looking for them!

On one occasion, however, it wasn’t a full grown cat that caught her attention. In the local vet’s waiting room was a box with four kittens. These were the first kittens Sara had ever seen, and she was clearly fascinated. As usual, Sara turned to her mom to tell her, with a sign, what was in the box. But it wasn’t the usual CAT sign. Instead of a full swipe from finger tips to elbow, with a smile of wonder on her face, Sara substituted a tiny swipe just the length of her fingers. Her message? Big sign is to big cats as tiny sign is to tiny cats! In formal logic terms, an analogy!

Happy Signing (and don’t forget to follow us on Facebook)!

Linda Acredolo, Ph.D.
Professor Emeritus, UC Davis
and
Co-Founder, The Baby Signs® Program

New Year’s Resolution: Potty Time!

The new year is closing in on us and, if you’re like me, your mind is gravitating toward “New Year’s Resolutions.” (It’s a given that two of mine will be to exercise more and eat less—and this year I mean it!)

But as I let my mind drift back, it returns to a New Years over 20 years ago—1988 to be exact--when my son, Kai, was 2 ½ and I was facing (no, dreading!) the challenge of potty training. I had been asked by my mother-in-law over Christmas why he wasn’t trained yet and I told her he “wasn’t ready” and that my pediatrician had assured me that Kai would let me know when the time was right. But darn it, he seemed perfectly content to let things continue as they were! The problem with this was that I needed to enroll him in a new child care program more convenient to the university where I taught and they wouldn’t let him in unless he was out of diapers.

So, I made a New Year’s Resolution to start in the Spring. Ready or not, here I come—with the potty! By that time he was closing in on 3 and really not interested in wasting time using the potty when he could be playing and just using his diaper as he had been doing for the past 30 months. Problem was that the child care enrollment deadline was looming and he simply had to get trained!

Fortunately, the passage of time has dimmed my memory of the struggles that ensued (and there were struggles)—with one exception. I remember vividly promising the director of the child care center that he was, indeed, trained—and then feigning surprise when they would inform me that he had had an accident again. “Oh, I’m sure it’s the stress of starting a new school,” I lied. I’m not proud of myself for lying to them, but, like many parents before and since, I was desperate!

Since that time I’ve learned a lot about potty training, enough in fact, to feel comfortable creating a whole program designed to make it easier for parent and child alike to get potty training done by age 2. It's called The Baby Signs® Potty Training Program and has been successfully used by thousands of parents. The secret? It includes both step by step instructions for parents and fun things to inspire the little one to get on board with the enterprise. That's what "ready" means, after all--willingness to cooperate.

So, for those of you thinking about Potty Training in 2013, I urge you to do as I say and not as I did some 20 years ago. In other words, climb on board the "potty training" sooner rather than later!
Happy Signing (and don’t forget to follow us on Facebook)!

Linda Acredolo, Ph.D.
Professor Emeritus, UC Davis
and
Co-Founder, The Baby Signs® Program

Helping Kids Cope with Tragedy

Here we are in what should be a joyous celebration of the holiday seasons with hearts full of good cheer, and instead I find my thoughts returning time and again to the families of the children and teachers who were slaughtered in Connecticut last week. Anyone who has parented a child will find it almost impossible to imagine the horror that has engulfed that community.

My thoughts also, however, turn to the living—to parents all over the country who are wondering how to help their own children deal with what has happened. To this end, in this week’s blog I share some strategies experts have been posting this week. Much of this advice will serve equally well for national tragedies like the current one and scary situations closer to home--like accidents, robberies, fires, or natural disasters.

Let your child’s questions guide the discussion. This is especially true for very young children who may be surprisingly oblivious to what’s going on around them. In fact, sometimes parents are upset that their children are not upset! If you find yourself feeling that way, keep in mind that children’s worlds are very narrow and revolve almost exclusively around what affects them personally. Remember, the last thing you want to do is create anxiety where none exists!

Limit viewing of television coverage. Although it’s natural for adults to want their children to empathize with others’ suffering, resist the impulse to use the heartbreaking coverage of a tragedy to generate such feelings. All you may be creating is fear and sadness that make your child feel helpless. Look instead for ways to foster empathy that involve situations that are easy for a young child to understand--and remedy (e.g., another child is hurt, an animal is cold and hungry, a relative is feeling lonely).

Reassure your child that he/she is safe. This is obviously a very important goal. The term “reassure” is important because it reflects the reality that it is natural for children to be afraid. Don’t dismiss these fears. Listen carefully, let them talk, try to see if they have specific fears or a general anxiety. If there are specific fears—for example, that their classroom is not safe—talk about specific steps the school is taking to ensure their safety. Emphasize the availability of trustworthy adults both at school and at home.

Watch for changes in behavior. Anxiety can reveal itself in many ways besides just words. Be aware of changes in appetite, sleep patterns, acting out, clinging, etc. that seem to coincide with the external situation.

Review safety precautions. Doing so will be reassuring for both of you. Simply knowing the ABCs of what to do and what not to do (and why) will help ease anxiety.

While it’s true that we can’t protect our children forever from the suffering that life can bring, at least we can use steps like these to ease them into reality.


Linda Acredolo, Ph.D.
Professor Emeritus, UC Davis
and
Co-Founder, The Baby Signs® Program

Tips for Keeping the Holidays Merry

(This week we have a guest author. The comments below were penned by a wonderful member of our Baby Signs staff, Bonita Broughton, as an article for one of our newsletters. Great advice worth sharing.)

A normal part of holiday activities for families includes visiting with friends and family. Many of these visitors are ones seldom seen by us throughout the year. Adults are often thrilled to see these faces and take joy in the experience. Children, however, can respond in a very different manner. For children, this experience can cause stress. They find themselves in unfamiliar places with unfamiliar faces and unfamiliar expectations. Helping your child prepare for holiday gatherings can help ward off some of the frustration that can arise for both parent and child.

Ideas for making gatherings successful:

Photo Time: Take some time prior to the gathering to look through old photos of the people you will be seeing. Try to find pictures which include the child as well. If your child uses signs for specific family members, use the signs to help make the connection between the person and the photo.

The Hand-off: Enthusiastic family members will be excited to see your little one and may immediately reach to take your child. Some children are fine with this and just need you to stay close until they are passed back. Other children will not have such a favorable response. Be prepared to take the lead by saying something like, "He takes a while to warm up, but he really likes for you to give a high-five." If your little one is signing, then you can encourage him with simple signs like GOOD JOB or I LOVE YOU. Don't forget to remind your child of the pictures you looked at and use the sign if appropriate.

It is moving time: One concern can be decorations placed down low. Even for the most well-behaved child, twinkling lights and shiny objects can be a strong temptation! Gently ask the host if you can move the item to a higher location. This can prevent you, your child, and the host a lot of unneeded stress. If it is not something that can be moved, use signs LIKE GENTLE, WAIT, STOP, and THANK YOU to help guide the child's behavior.

It’s in the Bag: With all the hustle and bustle of the season parents often forget to bring items to keep the little one busy. Simple toys, puzzles, and books can give the child a familiar item for comfort and provide some much needed distraction. Bringing a book with easy to sign words can also offer the child a chance to share her signing success with family members and help to get new family members onboard with your signing efforts.

Keep these tips from Bonita in mind as you look enjoy your holiday celebrations and the chance of adding happy memories to your scrapbook will definitely increase.

Happy Signing (and don’t forget to follow us on Facebook)!

Linda Acredolo, Ph.D.
Professor Emeritus, UC Davis
and
Co-Founder, The Baby Signs® Program