Researching the Long-Term Damage of Romanian Orphanages

Read this excellent article that looks into the ethics of researching cognitive and neural development in Romanian children who live in orphanages. Even when adequate food, shelter, and medical care are provided, the children suffer from neglect; from a young age, they don’t interact much with caretakers, which stunts their development.

What practical benefit will this research have for the kids? Will the research itself be enough to change state policies? What is the research telling us that’s new? We already understand that growing up in these orphanages increase the chances of hurting cognition, emotional development, and other aspects of psychological health. What benefit will it bring to science, and to the kids, to investigate the effects on their brain, which includes decreased white matter?

Review of “Red Flags or Red Herrings? Predicting Who Your Child Will Become”

In her book Red Flags or Red Herrings? Predicting Who Your Child Will Become, Susan Engel raises three main points:

1) Parents can’t redesign their children’s basic personality and intelligence.

2) A number of behaviors that parents are quick to label as ‘red flags’ in young kids are usually normal; instead of ‘red flags’ they’re ‘red herrings,’ leading parents to make incorrect predictions about their child’s future or worry about minor or nonexistent problems.

3) The means to distinguish between red flags and red herrings can be derived from research. We’ve accumulated a body of research to-date that can help us distinguish between normal or less damaging circumstances and patterns of behavior, and those that are actually worrisome.

Regarding points 1 and 2, Engel presents some convincing arguments throughout the book. For instance, intelligence is a fairly stable trait; a child of average intelligence isn’t going to become a genius. However, this doesn’t mean that environmental influence doesn’t have an impact. A child’s intelligence can be enhanced or dampened. For instance, parents who give their children opportunities to learn, give them books, talk to them, help them discover things they love doing, and show their kids the importance of perseverance increase the chances of the kid succeeding later in life, more than if they fuss over IQ numbers and whether their kid is the most gifted one in the class. They give their kids the opportunity to behave intelligently, expand their knowledge and skills, and live to their fullest potential. This is in contrast to kids who, regardless of what their intellectual potential is, don’t get very many opportunities to grow and may start to behave unintelligently, suppressing their natural potential.

In regards to the third point, the books is less convincing. Engel covers a lot of research, much of it interesting, showing how what we consider ‘red flags’ may not necessarily hobble a child for life; for instance, children who grow up in unstable homes but have certain protective factors in their life may still become well-functioning adults. The tricky part comes in when Engel tries to show how you can make predictions about an individual child’s life based on the research. What are the problems with how she lays out her approach?

a. There are individual differences, and noise in the data, when it comes to any study, especially when you’re looking at complex traits such as shyness and intelligence, or studying various factors that influence development. Granted, I don’t think Engel ever says that you can predict 100% how your child will turn out, but I think the case is overstated in the book.

b. She doesn’t devote enough time to discuss the research methodology or study limitations, including possible flaws in study design. In a couple of places she does point out the issue of individual differences, but I think that for a book that is so heavily based on research, she should have spent more time discussing and explaining the research. Readers who don’t have familiarity with research methodology in this area are particularly in need of understanding the limitations of the work to help them make sense of the data and understand what it can and can’t tell us.

c. In each chapter, Engel mixes research results with individual ‘case studies’ of kids who seemed to have red flags but turned out ok (or children whose red flags went undetected). Though she talks a lot about how you can use the existing research to help you decipher the clues in your child’s life, her case studies rely on hindsight; she knows how the kid turns out, so it’s simpler for her to trace the course of his or her life to see what might have gone right or wrong, and what were possible influences. Even then, with the benefit of hindsight, she doesn’t always make the developmental trajectory clear; I didn’t always understand why it was a given that a particular child would turn out ok, while another child wouldn’t. For people who don’t have the benefit of hindsight, it’s not easy to “decipher the clues,” given that a kid’s developmental trajectory is influenced by a complex combination of factors; I don’t know how you can always tell, in the present moment, whether something is a red flag or a red herring.

The bottom line is, I wish she’d gone more into explaining the research, which is interesting, and developing her discussions of it; her chapters were sometimes a hodgepodge of research examples and personal examples that didn’t mesh well or develop into a clear argument (the chapter on adult romantic relationships comes to mind).

But ultimately, the message that parents can’t completely remake their kids’ personalities, but instead can help enhance strengths and give their kids tools to cope with potential weaknesses, is a reasonable one, as it encourages parents to see their kids as they are, and not constantly measure them against other kids or against some parental ideal that may be narcissistic at heart.

Deficits in working memory – but not ADHD

The go-to diagnosis for kids who have trouble learning, focusing and following directions in school is ADHD. Even leaving aside official diagnoses, when we look at the way parents and teachers talk about these children, it doesn’t take long for ADHD to pop up as the label of choice regardless of the actual problem.

In The Learning Brain by Torkel Klingberg, the author points out that kids who have deficits in working memory may be misdiagnosed with ADHD. People with ADHD often have problems with working memory, but not everyone with working memory issues has ADHD.

What’s working memory? There’s a colorful description of it here: “your brain’s Post-it note.”

Working memory helps you retain and process incoming information, such as a set of directions with multiple steps, the thread of a conversation, unfolding stories, math problems and other academic exercises. Even if most of this information never makes it to your long-term memory, you need to hold onto it for the present time to carry out different tasks successfully.

You can see why kids with working memory deficits struggle at school. And given that working memory and attention are closely intertwined, the label of ADHD hovers over these kids. It doesn’t help that when kids are struggling with schoolwork and falling behind their classmates, they often get restless, act out, or let their attention wander – which further reinforces the notion in people’s minds that they have ADHD.

And in kids with both ADHD and working memory deficits, the concern is that people will focus on controlling (medicating) any hyperactivity, at the expense of addressing the working memory problems.

Counting counts for young children’s math performance in school

The Count from Sesame Street

Does your preschooler know how to count from one to ten? How about from one to twenty?

And is the child really counting or just reciting the number sequence?

Preschool-aged children can know the order of numbers from one to ten or twenty, much as they know how to recite the letters of the alphabet in their proper order. But counting is not only about knowing the numbers in order; it involves assigning each number to an object being counted in a given set (e.g. the ducks on a page in a book) and understanding that the last number in the sequence is the total number of objects in the set.

One reason the distinction between recitation and counting is important on a practical level is that preschoolers who are able to both recite numbers and count with them perform better at math when they enter elementary school, according to this study.

Teaching counting can be a simple matter of integrating it into day-to-day activities, as the researchers recommend:

“When adults read books with children, they can count the ducks on the page. They might count the leaves that fall to the ground outside or the number of carrots at lunchtime.”

I think regularly using math in everyday life also teaches kids that math isn’t a weird and difficult subject. Many kids fear math and see numbers as abstract nonsense. Incorporating math into simple daily activities (counting money, telling time, sharing toys or candies equally among friends) may show them otherwise.

Studying musical training and brain development

A new study is underway to investigate the effects of 5 years of musical training on the brain, starting from when children are 6 or 7 years old. The children are participating in a program that gives kids a free education in music and free instruments; they’ll be compared to kids who are matched on age, socioeconomic background, and different cognitive measures but who don’t have a musical education.

This is an interesting study, but how will researchers interpret some of the findings? Let’s say the study shows improvements in various aspects of cognitive ability and social and emotional development throughout the five years of musical education. To what would we attribute this outcome? Is it something specific to music education, or would you see it in any long-term intensive extracurricular program that teaches kids something? Maybe you’d need to add a third group of kids to the study who are enrolled in a free non-musical education program that has a similar social/communal aspect to it.