Showing posts with label speech. Show all posts
Showing posts with label speech. Show all posts

Wednesday, May 8, 2013

Watching What We Say To Our Kids

When my oldest, N, was young, probably toddler-aged, I read in a book or on a blog or in some article a very, very important bit of parenting advice that has stuck with me more than anything else I've read or tried, and applies regardless of what other parenting or discipline methods you subscribe to. It has to do with how we talk to our kids, both in praise and in displeasure.

It's a simple concept, really, but in practice it takes concentration and self-control. What it boils down to is, when we talk to our children about their behavior, positive or negative, good or bad, it's vital to talk about the action, not the character of the child. We need to reinforce actions we want them to take again, and we want to point out and correct actions we want them to change. What we don't want to do is praise or criticize things they can't change or traits they can't "do."

Let's look at a positive example first.

Let's say your kid is very smart (of course!), and they bring home their first report card, and it's straight A's (of course), and the teacher's comment is that your child is a pleasure to have in class and is above grade level in every subject. That's fantastic. You're ecstatic! You've always demanded academic excellence of your children, and you knew he had it in him, and you're thrilled that he's living up to all your expectations for him. You want to convey to your child that you are very happy with his performance in school and want him to continue to excel, put out effort, work hard, and enjoy learning.

What not to say: "You're so smart!"

Why not? He is smart! He should be proud of himself!

Yes, but "smart" isn't something he does or doesn't do. "Smart" isn't something he can change about himself. "Smart" isn't a lesson he can learn or an action he can repeat. And what happens when he fails his first test or forgets to do his homework or gets yelled at by a teacher? Is he suddenly not "smart"? How is he supposed to remedy any setbacks with "smart"?

What to say instead: "You worked hard and it shows! I'm so proud of the effort you made!"

Here, you're praising what he did, not the trait of "smartness." This way he knows that hard work and persistence is what's going to get him ahead in life and in school. "Smart" is all well and good, but it's what you do with "smart" that will make the difference. Plenty of smart people do poorly in school, fail out, or give up, either because they're bored or because they don't know how to deal with not understanding something or failing once. With praising the effort rather than the trait, he now knows that it's up to him to continue to put out that effort to do well, and that if there is a setback or failure, he can step it up and keep trying in order to succeed.

Now, let's look at the flip side - a negative example.

By negative, I mean a behavior you want to correct.

Let's say your kid has trouble getting ready for school on time. She dawdles when she's getting dressed, wastes time while eating breakfast, and takes twice as long as she should to pack up her backpack, and even then manages to forget stuff, and you find yourself constantly having to bring her lunch or homework to school for her later. This, understandably, causes frustration every morning, and in a moment of pique, you yell at her.

What not to say: "You're so lazy! What's wrong with you? It's the same every morning! Why are you so slow?!"

Why not? She is being lazy and slow! And it's annoying! And you're sick of it!

Yes, of course you're sick of it, and frustrated, and you can't understand why she hasn't learned yet. But telling her she's lazy and slow is reinforcing an image she's already created of herself. And if she's a lazy, slow kid, then that's just who she is - see, even Mom thinks so - and it's not going to change now. You even said so: it's the same every morning.

What to say instead: (And, yes, you can yell this if you need to!) "It takes so long for you to get ready in the morning! Why don't you get your stuff together the night before! That would save so much time, and I wouldn't have to constantly be bringing your things to you at school! You need to get dressed before you eat breakfast, and you need to eat more quickly."

Here, we're talking about specific actions she can take to improve the mornings. Suggesting, even yelling, that she get her backpack together in the evening gives her a goal, something clear she can do to help her along and save her time. Maybe she honestly hasn't thought of doing that, and having you plant the idea is all she needed. Knowing that she doesn't get breakfast until she's dressed might mean she'll get dressed more quickly, because she has a goal. And, if you're willing to go that far, you can even add in that if she doesn't get dressed fast enough, she won't have time for breakfast and will either have to skip it (not recommended) or take a banana or something along in the car or on the walk to school so she isn't starving.

It's very important in a scenario like this that when she does make a positive change, such as getting her backpack ready the night before, that you acknowledge it. And, referring to above, don't say, "Good job!" Say, "Wow, getting your things ready last night made it so much easier this morning. Look at that, you're ready to go 10 minutes early!" You don't actually have to praise her, but you definitely need to show that you noticed and point out what a difference it made. If she's anything like my kid, you'll see her swell with pride at having done something "right," and hopefully that's a feeling she'll want to recapture and will continue to improve.

Let's look at one more example of each.

First, the positive.

Let's say your teenage daughter is very pretty (of course!). People are always telling her, "You're so pretty!" Even you take pride in the fact that she's so beautiful and perfect. One day, she wears an outfit that suits her especially well. Her makeup is done just-so, her hair is shiny and perfect. You're so lucky to have such a pretty daughter.

What not to say: "You're so pretty!"

Why not? She is pretty!

Well, we all know that beauty can fade, and while girls can get by on their looks for a while, eventually they also need some substance to their character to be anything in life. I hope that beyond beauty, you have dreams for your daughter to succeed in areas that require persistence, intelligence, or kindness as well.

What to say instead: I think there's a twofold reaction needed here. First, if you want to express that she's looking especially good that day, start with, "Wow, I love that outfit on you. You pick out such nice clothing." This is praising the act of choosing an attractive outfit, rather than the trait of "being pretty." She can continue to choose flattering, appropriate clothing for herself even if something happens to alter her current looks. But it's also important that you don't emphasize beauty over everything else. Be sure you're praising her for other achievements or activities, such as acts of kindness, persistence, or academic excellence. She needs to know there's more to life than looks, and she also needs to know that you value her for more than her appearance.

And now something you want to change.

Your four-year-old son is having trouble with his behavior at preschool. He's been biting and pinching other kids, and finally the director calls you in and says that if there's one more incident, he'll be asked to leave. The violence, defiance, and other difficult behaviors have to stop, because it's causing too much of a disruption and other parents are angry that their children are being hurt. You know it's time for some serious action on your part.

What not to say: "You're such a bad kid! Look at you, four years old and getting kicked out of school! Why can't you behave?!"

Why not?

I hope this time it's obvious. At four years old, you've already told him he's "bad" and that he can't behave. He's going to internalize statements like these and just assume that it's true: He's a bad kid who can't behave. And guess what bad kids who can't behave do? They misbehave!

Calling names or assigning negative traits to your child will only make things worse. Instead, they need to know both the "don't"s and "do"s of what happened so that they can hopefully make corrections in the future.

What to say instead: "Biting and pinching hurts other kids and makes them sad. If you hurt other kids, you won't be allowed to go to school anymore, and I think that will make you sad. You always tell me how much you like going to school." That's the "don't" part. But he may need more help. Continue with, "If you don't like something another child does, you need to use your words to tell them. Say, 'Don't do that!' instead of pinching, or go tell the teacher if you're upset about something." Now he has an action he can take. You've given him an alternative to violence. You're telling him to use words, and not just a vague, "use words," but exactly what words to use.

It's important to model that behavior for him, too. If he tries to bite or pinch a sibling when he's angry, or he takes a swipe at you when you do something he doesn't like, that's your opportunity to show him, in the heat of the moment, how he should act. Stop the negative behavior first, physically if you have to (grab his wrist to stop a pinch, or pull him away from the sibling - not something violent, just stop it before he gets there, if possible), and then supply the words instead. "We don't pinch, remember?! Say, 'David, I was playing with that toy and you took it. Please give it back!'" Or, "We don't hit Mommy! If you're angry with me, you can say, 'Mommy, I'm mad that you won't let me watch TV!'" Then encourage him to try it. That doesn't mean you have to let him do whatever it was he wanted to do, but you're giving him words for his feelings and a healthy way to express those feelings, instead of hitting you.

I'm not saying you're going to see a change overnight in any of these scenarios. Indeed, if there are deeper issues affecting your child's behavior, it may take far more than simple words to make that change. But words are a great place to start, because kids take far more meaning from what we say than we think they will. They also imitate what they hear and internalize values based on what you say to them. If we show them the proper behavior, demonstrate it in context, and live according to the values we want them to absorb, most kids will live up to, or even exceed, the goals we have for them.

Monday, November 12, 2012

Learning to Talk

My baby is learning to talk. He's taking it slowly, like his brothers did, but judging from how verbal and bright they are now, at six and almost-four, I'm not worried. So let's talk a little bit about how babies learn to talk.

The young human mind is incredibly adept at learning a language. We are hard-wired to learn to talk, and at least up until about puberty, most of us have a remarkable facility for picking up languages, nuances of sounds and grammar, syntax variety, and so on. Babies who are exposed to more than one language simultaneously while developing will very quickly learn to differentiate languages, know which one to speak with whom, and easily switch between the languages. I believe that people who grew up speaking more than one language also tend to be better at learning new languages when they are older.

But even for those of us who are sadly monolingual (or happily monolingual), watching a baby learn to talk is a miraculous experience.

Most babies will start to recognize certain combinations of sounds as familiar quite early on. Almost from birth, they'll recognize their mother's and father's voices, and the voices of other people who are often around. Some babies already recognize their own names by six months of age. By a year, many babies can recognize the names of people around them (Mommy, Daddy, siblings), some body parts, and simple directions like "up", "down", and "eat." By one year, in fact, many babies are already uttering some words, like "Mama" or "cup." I was at the park several months ago and heard a 10-month-old say "down" when he wanted his grandmother to take him down the slide.

By early toddlerhood, most babies can understand simple instructions, like "sit down" or "get your shoes." I remember very clearly that NJ, at 15 months, could understand, "Get Mommy's shoes." He would go to the closet, pull out a pair of my shoes, and bring them to me. I was suitably impressed.

Once a baby learns that an utterance (or sign!) has meaning, it won't be long before they start saying more words or making more signs. There will be a language explosion, and it will seem like every day they're using three new words.

It's important to remember that babies understand long before they can speak. My 14-month-old obviously understands quite a lot. He understands "Grandma is here!" or "Say 'night-night' to your brothers," or "Where's your duck?" (in the bath). He understands "Time to take NJ to school." I know this because he'll very excitedly toddle over to the stroller and climb in! Even though he doesn't say any words yet, he is very definitely learning language!

I mentioned in my "Breastfeeding a Toddler" post a couple of weeks ago that I had taught GI a sign to use when he wanted to nurse. Making words with your mouth is actually quite complicated and involves fine motor skills to get your tongue, cheeks, lips, and throat in the right position to create the vowel and consonant sounds you need, in the right order, to form the word. I watch my almost-four-year-old still work very hard to say certain words clearly. He has to remember how to make each sound, in what order, and move smoothly from one sound to the next. Speech therapy helped him a lot with this, and I see how he'll stop to think about what sounds he needs to make and ready his lips and tongue accordingly. It's kind of cute. His speech clarity has improved markedly in the last year, and while he still has a cutesy "toddler-esque" feel to his pronunciation, and a pronounced lisp besides, it's encouraging to know that he's working it out. Which brings me to the value of sign language for a young toddler.

Babies develop the fine motor skills in their fingers and hands before their lips and tongue are able to form the complex shapes for the sounds of language. By teaching them a few signs, they can learn to express needs before they can accurately form the words verbally. GI even tries to work out new signs for himself when the two signs he has don't prove adequate. He couples this with pointing and an earnest "uh uh uh uh" to let me know he's desperately trying to communicate something to me.

Also, on Friday, he very clearly said "more!" when he wanted more of something. He only did it twice, and he's back to signing instead of speaking, but I know it's coming. That verbal explosion will be here within the next few months, and then there will be no stopping him. Neither NJ nor SB said any obvious words until about 16 or 17 months, but once they started talking, they kept right on going, graduating to phrases and sentences in a remarkably short period of time.

How do you teach your child to talk? Simple. Talk to him! Give an instruction and then demonstrate what you mean. Narrate your day. "Mommy is going to buy some apples. Do you like apples? Here are some nice red apples. Let's put some in a bag and put them in the cart." There, you've taught him "apple", "bag", "cart," and eventually "red". You've taught him "put". You've engaged him by using a question, which has a different inflection than a sentence. You've referred to yourself and to him. So much goes into a simple sentence like "Here are some nice red apples!"

Even before you're certain she understands what you're saying, talk to her. I like to simply have a running commentary about whatever is happening around my babies. "Look, there's the kitty cat! Oh, he said 'Meow!' Can you say 'Meow?' He's coming over here. Mommy's going to pet the cat. Do you hear him purring? He likes when Mommy pets him. Do you want to pet him? Use a gentle touch. Nice. Open hand. Don't pull his fur. He doesn't like that. Pet nicely." It may feel odd at first, or even a little silly, but it's so valuable. And you'll know when they start to understand and respond to specific things you say. Suddenly, you'll realize that when you say, "Here comes the kitty cat!", she'll look around for the cat and smile when she sees him, or even point. And when you see that she understands, you can take it a step farther. "Do you see the kitty cat? Where's the cat?" and wait as she looks around. When she spots him, "You found the kitty! There he is! Do you want to pet him?"

My favorite is to play the nose-beeping game. Whenever he's nursing, and his face is so close to mine, and his little nose is just right there for the tapping, I press it and say "beep!" As he starts to understand, he'll anticipate and smile. Eventually, he'll return the favor, pressing my nose and waiting for the "beep!" Of course, always name the body part! "I'm going to beep your nose! Can you beep Mommy's nose?" Now he learns the word nose, and he learns where it is, and, eventually, he learns "your nose" versus "my nose." You can also teach body parts while dressing him. "I'm putting your shirt over your head. Okay, let's put your arm in. Where's your hand? There it is! Here are your pants. Put your foot in. Okay, stand up. Where are your shoes? Let's put your shoes on. Sit down. Where's your foot? Good job! Okay, other foot!"

Finally, once they do start talking, you can correct and enhance their language by repeating back what they say in a full sentence. If they say, "Want wawa," you repeat, "You want water? Okay, I'll give you some water." This shows that you are listening to them and acknowledging what they're saying while at the same time providing correct grammar and syntax and the correct pronunciation of the word.

Watching babies acquire language is so much fun, and it makes life easier in so many ways when you know they can understand you and, even better, when you can understand them. Toddlers present many other challenges, of course, but it truly is a magical time.


Thursday, April 26, 2012

Speech Therapy

My three-year-old, SB, didn't start really speaking until he was about 17 months old, old enough for a little concern from most people. However, NJ, the oldest, also didn't start really talking until that age, and he went from a few signs and pointing to complex sentences in the space of about six months, maybe less; I figured SB would follow a similar pattern, so I didn't worry. At his 18-month well checkup, the doctor asked if he spoke at least 10 words. I had counted seven the day before, which is quite low for a bright 18-month-old, but I explained about NJ having been the same way and that I wasn't worried. I didn't get him evaluated by an audiologist or speech pathologist. I didn't take my doctor's referral to Regional Center. By 19 months, these were his words:



1) Moo ("What does a cow say?")
2) Moooor (More)
3) Moooooo (Moon)
4) Baa ("What does a sheep say?")
5) Mo-mo (Remote)
6) Bapa (iPod)
7) Mama
8) Derrrr (Truck, switch (as in, switch sides when nursing), train, among other things)


(Yes, one of his early words was iPod. He still loves that thing, too.)

In fact, I was right. Just a couple months after this appointment, SB suddenly started really talking, putting together two- and three-word phrases. By the time he was two years old, he was building complex sentences. There was one problem, though. His words were terribly unclear. NJ almost from the start spoke remarkably clearly. Complete strangers could have a conversation with him before he was three. There were very few words he said in a funny "learning to talk" way. (We remember a fond few, such as "battached" for "attached," but really, he spoke incredibly well.) SB not so much. I assumed it was just him still trying to figure out how to make the sounds, and surely by the time he was two or 2-1/2, he'd be speaking more clearly.

Alas, not. Some words gradually improved, or he'd suddenly begin saying something more clearly than he used to, but, for the most part, if you didn't live with him, you couldn't understand him, and even if you did live with him, you had to work pretty hard to understand him. I and NJ are the best at deciphering his speech, and other people will randomly catch words and sentences that I don't, but the faster he goes, the less clearly he speaks. I didn't know how to fix that, or if I should worry, or when I should worry, or what I should do.

At his three-year checkup, with a kid who spoke in totally unintelligible paragraphs, I expressed my concerns to his pediatrician, who referred us to an audiologist and speech pathologist. His hearing tested fine, so we went to the speech pathologist where she confirmed that his grammar, vocabulary, and syntax were quite advanced, but his enunciation problem was "severe." The good news was, it appeared he could make the various sounds, he just didn't always use them properly. Most consonants were "m", "n", or "d", and even some of his vowels were distorted. "Big" and "bridge" sounded like "buuuuh," for example. The speech therapist said we'd see her once or twice a month and she'd send us home with exercises to try to form new speech habits.

We have quite the task ahead of us. The goal is to create new habits and break the old ones. We need to get him to say the ending consonants: "ha-T," not "ha';" "Po-P" not "Po'." And so on. Then we have to fix initial "s" and initial "f" (he uses "d" for both). Then we have to work on other strident sounds, and reduce the lisp, and fix some other initial "s", and so on.

Fortunately, SB is very bright and realizes that it's hard for people to understand him. He will repeat himself over and over again in the hopes that this time you'll get it, but he doesn't know how to fix it himself. But he's getting there. A few things, he's already fixed on his own, and others he corrects when he remembers to. I can see that eventually, he'll be speaking more clearly. I just feel so bad for him, because he has so much to say and so many questions to ask and so much bubbling in his head that he wants to get out there, and he trips over his own tongue trying to express all the wonders of the world that an almost 3-1/2-year-old has discovered. And after a long descriptive paragraph, our response, more often than not, is, "I'm sorry, but I have no idea what you said."

I think it's hard to be willing to seek help when you think your child might have a problem. No one wants to think their child isn't "normal." But realizing that we could help SB to be better understood, which would improve all of our quality of life, made getting him evaluated and starting treatment totally worthwhile. I think there's a lot less stigma to various kinds of therapy than there used to be, and, in the end, when you see the change in your child when he's getting the help he needs, you know you've done the right thing.