Monday, January 28, 2013

Moments of Repair

In my effort to return to blogging and posting about teens and young adults and their myriad issues beyond head injury and concussion,  I am publishing the second installment of a wonderfully elegant piece on communicating with our teenage children.

This article which I am re-naming "Moments of Repair" because I think it is such a lovely thought for all of us to hold onto even when dealing with our adult peers was written by a colleague of mine, the clinical psychologist Kenneth Barish.  Dr Barish is Clinical Associate Professor of Psychology, Weill Medical College, Cornell University. He is the author of Pride and Joy: A Guide to Understanding Your Child’s Emotions and Solving Family Problems (Oxford University Press, 2012).  Dr Barish and I have shared experiences over the years with families and kids and his advice is always helpful. He is in private practice in Westchester County, New York.


When parents are often angry and critical of their children, children, in turn, become angry and argumentative, stubborn and defiant. Argument begets argument.  When we argue frequently with our children, children become good at arguing.

Here are some additional recommendations that have been helpful to many families in beginning to turn around vicious cycles of criticism, argument, and defiance:

·      Set aside time, every day, to listen to your child’s concerns.

In every family, especially when we are anxious and frustrated, parents will become critical and may say hurtful things to their children. At these times, it is important for us to take the lead and begin to repair these hurtful interactions.

In these moments, make a deliberate effort to set aside criticism and judgment as long as you can. Acknowledge your child’s or adolescent’s disappointments, frustrations, and hurt feelings, and every small gesture she makes toward cooperation and compromise.  The following advice is important enough to say again:  Tell her what is right about what she is saying or doing before you tell her what she is doing wrong.

Children learn invaluable lessons from moments of repair.  They learn that, although it is not always easy, moments of anger and misunderstanding are moments, and they can be repaired. This may be the most important lesson we can teach our children, the lesson that is most vital to their emotional health.  Disappointments are disappointments.  Bad feelings are not forever.

·      When you need to criticize, criticize thoughtfully and gently.

·      Express appreciation.
Criticism - and the resentment it creates - although necessary in small doses, is a toxin.  Appreciation is the antidote for resentment.

·      Give Them Time
In talking with children about any difficult problem, do not insist on an immediate response. Even minor criticisms evoke defensiveness in most children; a defensive wall quickly comes up. Children (and perhaps, especially adolescents) need time to think about, and eventually accept, our instruction and advice. When you bring up a problem, place the problem before your child, ask her to think about it, and then plan a discussion for the following day. You can always end with, “Let’s talk about this again tomorrow.”

 image from 
via Google images

Wednesday, January 23, 2013

Kobe Bryant on Concussions and Rest

It’s one thing when a state law or a policy that comes down from above says that resting is the best treatment for concussion.  But it’s another when a star player like Kobe Bryant has something to say about it.

Commenting in the LA Times and re-quoted on, Bryant said of his teammate, Paul Gasol who missed five games due to a concussion:

“I was a little angry with him the other day because he’s coming to practice and coming to the games,’ Bryant said. ‘Stay home. Cut all the lights off. Just rest. Let your brain rest. But he wants to be around [the team]. That’s the type of teammate he is.”

What Bryant is recognizing is that healing from a concussion requires athletes, especially at the NBA level to do something that often runs counter to who they are.  That’s to withdraw from the limelight, the locker room, the home territory with the friends and teammates and be quiet and REST.

According to the basketball blog site TrueHoops, the NBA has gotten serious about concussion management.  Even though the degree and frequency of hits may not be what we see in the NFL, they are implementing a multistep protocol to keep players safe in the short and, maybe most importantly, the long run.  Under the guidance of Dr Jeffrey Kutcher, the program is taking hold.  Kutcher is quoted on Slamonline as saying:  “the policies need to reflect the fact that it’s a team effort to diagnose concussions and look out for injuries, because the injured athletes oftentimes don’t know they're injured.”

 It does seem surprising that we have very little to offer injured players other than vigilance—no medication, no shots (meaning vaccinations), no therapy of any kind.  But as Bryant says: ‘It just takes time. There’s nothing you can do really to expedite it. It’s not a muscle. You can’t massage it. There’s nothing you can do. You just rest.’”

image from via Google images