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<blockquote data-quote="Allan-Matlem" data-source="post: 172142" data-attributes="member: 10"><p>Hi,</p><p>in my humble opinion poor parenting does not explain the extreme behavior problems which kids over here have but poor parenting can make things a lot worse. When it comes to teenagers I tend to see a poor parent-child relationship playing a major role. The danger in ignoring the role of parents is place a emphasis on medication and behavior modification to treat the symptons and not be involved in helping the child develop cognitive skills and relationship building. Sara PA , the article you shared on the 4 parenting styles does not include the ' working with approaches such as CPS = explosive child , Unconditional parenting =Alfie Kohn , Myrna Shure series - raising a thinking child etc. Baumrind's criterea has been rejected putting authoratarian and authoratiitve parenting in basically the same box.</p><p></p><p>Here is part of a paper by a psychologist that refers mainly to teenagers </p><p></p><p></p><p></p><p></p><p></p><p></p><p>My own view is that in the vast majority of cases of acting-out adolescents, the</p><p>major causative factor is deficits in parenting and the resulting deficiencies in the parent </p><p>child relationship. (As discussed below in the Parental Attitudes section, the problem</p><p>is usually with parental attitudes more than with parenting skills). The many risk factors</p><p>noted in the above-mentioned report certainly contribute to the problem. In my opinion,</p><p>however, they do so mainly by making it more difficult for the parent to maintain a</p><p>positive and supportive attitude toward their children. In addition, many of the symptoms</p><p>noted in the report (e.g., anxiety, perfectionism, Oppositional Defiant Disorder), are most</p><p>often themselves reactions to poor parenting practices. The necessary ingredient that</p><p>actually causes a child to rebel is the anger and frustration resulting from feeling</p><p>unaccepted and rejected, by his or her parents</p><p></p><p></p><p></p><p>RESISTANCE TO ACKNOWLEDGING THE ROLE OF PARENTS</p><p>There is a great deal of resistance, both among professionals (frum and secular)</p><p>and the general public, to acknowledging the central role played by parents in the</p><p>development of emotional difficulties in their children. I will cite a few examples of this</p><p>reluctance; first in the secular, professional community:</p><p>Researchers have found clear evidence of the high degree of childhood sexual</p><p>victimization among severely mentally ill women. The reluctance to report these figures</p><p>was openly expressed by some of the major researchers in this area.</p><p>At the same time, clinical researchers working in the area of severe mental</p><p>illness have been understandably wary of focusing on the problem of early</p><p>abuse in this population. There has been a reluctance, for example, to</p><p>disinter the theoretical trend of blaming families for causing major</p><p>psychiatric disorders. Current treatment models emphasize enhancing</p><p>current adjustment rather than understanding past events (Rosenberg,</p><p>Drake, & Mueser, 1997, p. 261).</p><p>Can you imagine trying to treat an emotionally disturbed adult without relating to</p><p>the sexual abuse he or she suffered as a child!? How effective can such treatment be?</p><p>Yet this is what some experts are recommending.</p><p>Another example is research done in the area of expressed emotions [EE] and</p><p>psychiatric illness. Years of research clearly show that a psychiatric patient released from</p><p>the hospital to live with his or her high EE family is twice as likely to relapse and return</p><p>to the hospital as the patient returning to a low EE family. As noted by a prominent</p><p>researcher in this area (Hooley, 1998); The term EE [expressed emotion] is rather</p><p>misleading since EE is not a measure of how willing a relative is to express emotion or to</p><p>vent feelings. Rather EE is a reflection of the extent to which the relative expresses</p><p>critical, hostile, or emotionally over-involved attitudes toward the patient (p. 631). Note</p><p>the reluctance of researchers to be honest and open about the fact that they are speaking</p><p>about a critical family. Instead, they camouflage this information behind the euphemism</p><p>expressed emotion.</p><p>The above-mentioned researcher, after noting the powerful effect of EE on the</p><p>relapse rate of psychiatric patients, adds: These data do not, of course, mean that</p><p>families cause schizophrenia. I wrote to this researcher and asked if there was any</p><p>research evidence that high EE does not cause schizophrenia? She replied that the</p><p>appropriate studies have not been done [but] because of the past tradition of blaming</p><p>families for causing schizophrenia, it is important that researchers in this area dont go</p><p>beyond the science in making any unwarranted inferences. To me it seems highly</p><p>improbable that high EE should have such an impact in causing relapse of schizophrenia</p><p>and yet not be involved in causing the condition in the first place. The truth is that</p><p>contrary to this researchers assertion, there is evidence that children in high EE families</p><p>are more likely to suffer from serious mental illness in adolescence (see studies cited in</p><p>Karon & Widener, 1994).</p><p>There is more recent evidence of the connection between an emotionally</p><p>unhealthy childhood home environment and the development of schizophrenia. A recent</p><p>review of schizophrenia research in the prestigious journal Acta Psychiatrica</p><p>Scandinavica - described by many as earth shattering - provides evidence that at least</p><p>two-thirds (in some studies up to 97%) of the individuals suffering from schizophrenia</p><p>suffered childhood physical or sexual trauma.</p><p>The authors of this study (Read, van Os, Morrison, & Ross, 2005) cite many</p><p>studies that point to a significant overlap between the diagnostic constructs of</p><p>schizophrenia, dissociative disorders and post-traumatic stress disorder (PTSD). Since</p><p>many contemporary clinicians are biased in their perception of schizophrenia as a</p><p>biological disease - in my understanding, a bias reflecting the emotional resistance in the</p><p>community at large to acknowledge the trauma that many children suffer in their own</p><p>families - they dont ask the questions that would uncover the history of abuse that would</p><p>allow the diagnosis of PTSD. This bias has serious clinical implications as effective,</p><p>evidence-based psychosocial treatments for psychosis are abandoned for exclusively</p><p>psychopharmacological treatments. The authors report on a large, multi-centre study</p><p>13</p><p>[that found] that psychological approaches are more effective than medication for</p><p>psychotic people who suffered childhood trauma . For some, simply making a</p><p>connection between their life history and their previously incomprehensible symptoms</p><p>may have a significant therapeutic effect [p. 344]. Unfortunately, the traumatic history</p><p>underlying the psychosis is so often left undiscovered, depriving the patients of needed</p><p>psychological treatment.</p><p></p><p>Allan</p></blockquote><p></p>
[QUOTE="Allan-Matlem, post: 172142, member: 10"] Hi, in my humble opinion poor parenting does not explain the extreme behavior problems which kids over here have but poor parenting can make things a lot worse. When it comes to teenagers I tend to see a poor parent-child relationship playing a major role. The danger in ignoring the role of parents is place a emphasis on medication and behavior modification to treat the symptons and not be involved in helping the child develop cognitive skills and relationship building. Sara PA , the article you shared on the 4 parenting styles does not include the ' working with approaches such as CPS = explosive child , Unconditional parenting =Alfie Kohn , Myrna Shure series - raising a thinking child etc. Baumrind's criterea has been rejected putting authoratarian and authoratiitve parenting in basically the same box. Here is part of a paper by a psychologist that refers mainly to teenagers My own view is that in the vast majority of cases of acting-out adolescents, the major causative factor is deficits in parenting and the resulting deficiencies in the parent child relationship. (As discussed below in the Parental Attitudes section, the problem is usually with parental attitudes more than with parenting skills). The many risk factors noted in the above-mentioned report certainly contribute to the problem. In my opinion, however, they do so mainly by making it more difficult for the parent to maintain a positive and supportive attitude toward their children. In addition, many of the symptoms noted in the report (e.g., anxiety, perfectionism, Oppositional Defiant Disorder), are most often themselves reactions to poor parenting practices. The necessary ingredient that actually causes a child to rebel is the anger and frustration resulting from feeling unaccepted and rejected, by his or her parents RESISTANCE TO ACKNOWLEDGING THE ROLE OF PARENTS There is a great deal of resistance, both among professionals (frum and secular) and the general public, to acknowledging the central role played by parents in the development of emotional difficulties in their children. I will cite a few examples of this reluctance; first in the secular, professional community: Researchers have found clear evidence of the high degree of childhood sexual victimization among severely mentally ill women. The reluctance to report these figures was openly expressed by some of the major researchers in this area. At the same time, clinical researchers working in the area of severe mental illness have been understandably wary of focusing on the problem of early abuse in this population. There has been a reluctance, for example, to disinter the theoretical trend of blaming families for causing major psychiatric disorders. Current treatment models emphasize enhancing current adjustment rather than understanding past events (Rosenberg, Drake, & Mueser, 1997, p. 261). Can you imagine trying to treat an emotionally disturbed adult without relating to the sexual abuse he or she suffered as a child!? How effective can such treatment be? Yet this is what some experts are recommending. Another example is research done in the area of expressed emotions [EE] and psychiatric illness. Years of research clearly show that a psychiatric patient released from the hospital to live with his or her high EE family is twice as likely to relapse and return to the hospital as the patient returning to a low EE family. As noted by a prominent researcher in this area (Hooley, 1998); The term EE [expressed emotion] is rather misleading since EE is not a measure of how willing a relative is to express emotion or to vent feelings. Rather EE is a reflection of the extent to which the relative expresses critical, hostile, or emotionally over-involved attitudes toward the patient (p. 631). Note the reluctance of researchers to be honest and open about the fact that they are speaking about a critical family. Instead, they camouflage this information behind the euphemism expressed emotion. The above-mentioned researcher, after noting the powerful effect of EE on the relapse rate of psychiatric patients, adds: These data do not, of course, mean that families cause schizophrenia. I wrote to this researcher and asked if there was any research evidence that high EE does not cause schizophrenia? She replied that the appropriate studies have not been done [but] because of the past tradition of blaming families for causing schizophrenia, it is important that researchers in this area dont go beyond the science in making any unwarranted inferences. To me it seems highly improbable that high EE should have such an impact in causing relapse of schizophrenia and yet not be involved in causing the condition in the first place. The truth is that contrary to this researchers assertion, there is evidence that children in high EE families are more likely to suffer from serious mental illness in adolescence (see studies cited in Karon & Widener, 1994). There is more recent evidence of the connection between an emotionally unhealthy childhood home environment and the development of schizophrenia. A recent review of schizophrenia research in the prestigious journal Acta Psychiatrica Scandinavica - described by many as earth shattering - provides evidence that at least two-thirds (in some studies up to 97%) of the individuals suffering from schizophrenia suffered childhood physical or sexual trauma. The authors of this study (Read, van Os, Morrison, & Ross, 2005) cite many studies that point to a significant overlap between the diagnostic constructs of schizophrenia, dissociative disorders and post-traumatic stress disorder (PTSD). Since many contemporary clinicians are biased in their perception of schizophrenia as a biological disease - in my understanding, a bias reflecting the emotional resistance in the community at large to acknowledge the trauma that many children suffer in their own families - they dont ask the questions that would uncover the history of abuse that would allow the diagnosis of PTSD. This bias has serious clinical implications as effective, evidence-based psychosocial treatments for psychosis are abandoned for exclusively psychopharmacological treatments. The authors report on a large, multi-centre study 13 [that found] that psychological approaches are more effective than medication for psychotic people who suffered childhood trauma . For some, simply making a connection between their life history and their previously incomprehensible symptoms may have a significant therapeutic effect [p. 344]. Unfortunately, the traumatic history underlying the psychosis is so often left undiscovered, depriving the patients of needed psychological treatment. Allan [/QUOTE]
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