Dinnertime Tantrums

				Q: My four-year-old sits down to dinner and says, "I don't like that." He either won't eat at all or won't eat his vegetables. He then gets annoyed, trying to leave the table, whining and refusing to eat. This happens five out of seven nights. How do I respond without consequences?
A: Meal times are clearly a stressful time for not only your child, but for you as well. I'm certain that for you at this point, even the thought of dinnertime creates a stress reaction in you. Create new experiences around food for you and your child (and your entire family). Have your child sit in your lap to eat. Feed him as you would feed a young toddler. Emotionally your child is probably much younger than four years old. Expecting him to be able to sit down at the table during mealtime is probably well beyond his developmental capabilities. You might even consider feeding him from a bottle during mealtimes. He may need you to allow him to regress all the way back to infancy in order to create a fresh start. Children with trauma around food missed some critical experiences that we need to recreate for them. It will give him a stronger foundation from which to grow and reach his full potential. Recognize that his behavior is being driven from fear and that it isn't about him rejecting your efforts as a mother to feed him and nurture him. When he says, "I don't like that!" what he is really saying is, "I'm too stressed out to eat this food right now!" We also need to recognize that we shouldn't eat when we are stressed anyway. Our bodies can't digest the food properly and it can become toxic in our bodies. More importantly, forcing children to eat during this time or giving consequences around food only creates negative food related issues as adults. The refusal to eat vegetables has a direct link to being stressed out. As a human species, we gravitate towards sweets, salts, and fats when we are stressed. What is your regulatory food? Chocolate or broccoli? When we are stressed, we have a difficult time eating vegetables. Think about the last time you were physically sick (where your body was stressed due to illness). Even the thought of eating a salad was enough to make you nauseous. Try feeding your child outside of mealtimes. Small snacks of carrots and celery during the day can provide nutricious intake for your child. Children are more apt to "graze" than they are to sit and eat an entire meal. While dinnertime is an important time for the entire family to come together, realize that expecting your four-year-old to be engaged at this point in his development is only creating a negative experience for everyone. As you gain a deeper understanding of the stress driving your child's behavior, you will find more solutions that work for your family. Stay focused on your child's needs and "listen" to his behavior and there you will find the answers. Keep focused on calming your child's environment around mealtime. This will in turn help your son settle his nervous system which will naturally bring back his appetite and desire to eat. -------------------------------------------------- Q: In many of your articles, you mention that the parent should calm a child down by creating security for the child. I understand that much of a child's stress and fear comes from the threat of being moved to another home. Yet as a foster mom, I can never honestly say, "You are safe. You aren't going anywhere." A: You're absolutely right. You would never want to say this to a foster child because the reality is that they probably would be moving on to another home in the future. Congratulations for being sensitive to giving your child only the truth! What you have working for you is the present moment. The only moment we have guaranteed to us is the moment we are in. Capture this moment with your child. Say to her, "You are safe, honey. You are right here with me now." You can give security and nurturing at that moment. Help your child learn how to stay present with you in this precious space in time. I recently had a foster mother relate a story to me that will help you understand the power of even short term loving relationships. This foster mother had a teenage foster child in her home for a period of only one month. Eight years later, after the child had aged out of the system and was on her own as an adult, she and the foster mother reconnected. The former foster child told this foster mother that the turning point in her life was when she was at her home. The love, safety, security, and acceptance that she was given by this foster mother changed her life and gave this former foster child the ability to move forward. She relayed how this placement, only one month in length, was the best placement she had EVER had. You are an important part of your foster child's journey. Never underestimate the importance of your time with her, whether it is short or long term, and your ability to create safety and security in each moment, despite an uncertain future.

Perception Is Everything

						I have recently had several phone consults with therapists and case workers seeking advice on how to help children exhibiting difficult behaviors. Listening to their descriptions of these children has painfully reinforced to me how one's perception of a child is paramount. It directly influences whether the child has a chance for healing or whether he will be targeted as the "problem" before he even enters the starting gates. Traditionally, when a child misbehaves, he is viewed as the "Identified Patient" in therapy. The approach is to describe the child's behaviors and then determine how to "fix" or "change" the behaviors.
While this traditional approach is designed to be accomplished from a strictly objective perspective, the reality is that the perspective taken is the adult's. Herein lies the problem. The behaviors are viewed through the lenses of the adult, not the child. The behaviors are viewed as acts against the adults, against the rules, and against what is age appropriate. When these behaviors do include the emotional context of the child, the interpretation of how the child is feeling is again viewed from the perspective of the adult, not the child. Let us take an example of a description of a 10-year-old boy to give more definition to the idea that perception is everything: Traditional View
		This is a 10-year-old boy who is out of control. He lives with his mother and stepfather. He demonstrates defiant and aggressive behaviors towards his stepfather. The child works hard to divide and conquer his mother and stepfather. This child is demanding all of the time. He sabotages everything that his mother tries to do to make things better for her son. He is dangerously manipulative at home and at school. His history includes abuse by his biological father. His mother left him with his father who physically and sexually abused him. However, this was years ago and his father's parental rights have been terminated. This child has been in a safe environment with his mother for the past five years, yet he continues to be destructive and his mother is exhausted. The family is looking at placing this child in a residential treatment center. Would this be the best course of action?
New View The description above is not an objective description of this child. It is judgmental. It is saying in short, "This child is acting badly and he needs to change." Some would even go so far as to say, "This is a bad child and he needs to be shape up or ship out." Instead, from the child's perspective, a more comprehensive and accurate description would be as follows:
		This is a 10-year-old boy in need of healing. He is communicating his level of fear and pain through his behaviors. Due to a past trauma history that has not been processed, heard, or understood, he is insecure, scared, and does not feel safe in his world. His behaviors towards his mother and stepfather are showing that he is scared of his mother abandoning him to another father. He is working to separate the mother from the stepfather in order to ensure his connection to his mother. He is scared she loves his stepfather more than she loves him. From this child's perspective, his mother left him to the abusive hands of his biological father. His mother did not keep him safe and he is trying to voice this to his mother through his behaviors. Additionally, he feels very unsafe with his stepfather (because of his history of being abused by his biological father). While his stepfather may be a loving and kind person, the child's perception from his past tells him differently. His aggressive behaviors towards the stepfather are reflective of this fear of being hurt by him. The child's philosophy is, "I will hurt you before you hurt me. I will NEVER be vulnerable or helpless ever again." The mother has been raising a child with challenging behaviors for several years now, doing the best she can but without much success. She is tired, frustrated, and worn down. She is more than likely not even wanting this child in her home because she is feeling unsafe and scared his behavior will split up her new marriage.
With the correct perception, the answers about what to do and what not to do become clear. Sending this child away to a residential treatment center would only create more of what he is already fearing--abandonment. It would confirm his fear that his mother would choose his stepfather over him (as he would be the one sent away, not the stepfather). In short, this course of action would recreate the child's original trauma. This is an issue within the dynamics of the family, not with the child alone. First course of treatment would be to work with the mother to help her get back to a place of recapturing her desire to be a mother to this child, flushing out her guilt for what happened in the past, and allowing her space to acknowledge her feeling like an unsuccessful parent. She needs support, love, and validation, as well as education to understand what is driving her child's behaviors. This child needs help in processing the past trauma with his father. He needs to be able to express the helplessness, powerlessness, and hopelessness that occurred during that time. He also needs to have a voice about his current fears and have these received by his mother in order to create more security in their relationship. He needs empathy instead of blame. One of my favorite quotes of all time is from Dr. Wayne Dyer: "When you change the way you look at things, the things you look at change." For this little boy, when we change the way we look at his behaviors, it changes everything. His acting out begins to make perfect sense. Perception is truly EVERYTHING. If we are going to effectively help our children, we must first see and feel things from their perspective. Once we understand what is driving the child's behavior, the "what to do" will unfold with clarity.