Thursday, May 29, 2014

"When I Whisper, Everyone Listens"

Machiavelli, the Whisperer, and Her Baby Sister Jane. Wouldn't You Be Bamboozled?

For years I thanked God that Michelle, my second daughter, was so much easier than her confrontational older sister, Emma, two years older..But she had carefully observed Emma and realized charm worked much better than confrontation. When asking for something, Michelle would preface it with so many appreciative compliments that I was eager to do what she asked.

Michelle was almost grown before I realized that she had gotten her way much more than Emma had. She is the ultimate iron fist in a velvet glove. I was in awe how she handled doctors and nurses whenever my mom was hospitalized. Both my husband and I have named Michelle to be our health proxy. Once, when her dad and I were squabbling, teenage Michelle suggested, "Mom, you should wear more perfume." I have taken her advice in my second marriage.

Michelle has a BS from Yale, an MS from Harvard, and MBA from MIT. She is a  director of strategic planning at a leading biogenetics company. and the mother of a 3 year old girl and an 8-month-old son. She has been strategically planning since she was born on her due date after a labor of one hour and 45 minutes in 1975. None of my other labors were anything like that, but then her sisters' don't strategically plan as brilliantly.

My favorite Michelle story occurred when she had just turned 3. She fell in the playground and needed ten stitches in her head. The ER was a horror as I had to fight tooth and nail to stay with her. Right after the accident we went on vacation with my parents, my brother Joe, his wife, and their three kids from Kansas City. Michelle was very close to my parents and had no experience sharing them with anyone but Emma. Immediately upon arriving , my chatterbox ceased talking. After a day of absolute silence, she deigned to whisper, but only to me and my mom.

Her absolute command was terrifying. Even after she woke up from a nightmare, she remembered to whisper. When I was playing with her in the water, I could coax her to make sounds, but she refused to utter sounds that were words. I was frantic, convinced that her fall had caused brain damage or a lasting emotional trauma. Was she upset that I was 6 mothers pregnant with Jane?

When her grandma asked why she wouldn't talk, Michelle whispered. "With my cousins here, when I talk, nobody listens. But when I whisper, everyone listens." Her ingenious scheme worked wonders. Everyone spent the entire ten days trying to trick Michelle into talking. I had just gotten a tape recorder, and the impact of Michelle's silence is documented. The main topic of conversations recorded was the strange silence of a certain three year old. The minute Joe and his family drove away, Michelle started talking and has never stopped. Study those pictures. Would you suspect that sweet, smiling little girl in the green bathing suit was a junior Machiavelli?

Michelle told this story on her college applications. "It is rather funny to think that in my large family of overachievers, a three-year-old's decision not to speak in one of our fondest and most memorable stories. To this day, I cannot speak a word to my Uncle Joe without receiving the loud surprised reaction, "She talks." Harvard and Yale eagerly accepted her.

Have you ever tried not talking for an hour at an immediate family gathering of 11 people? As my first grandson turned 3, I appreciated again Michelle's incredible feat. When Michael isn't talking, he is asleep.

Monday, May 19, 2014

Drugging Kids Instead of Changing America

I am a psychiatric social worker and children's and young adult librarian. I  have 5 younger brothers, 4 grown daughters, 4  sons-in-law, 5 grandkids, 4 and under, 11 first cousins, 7 great nieces and nephews,  and 45 Younger first cousins, the mother of 4, the grandma of 4. I am also a manic depressive. It took ten years to find a medication that helped; I read about it on the Internet and shopped for a psychiatrist that would partner with me to experiment.   The other meds did far more harm than good.




I am not denying a role for medication.  I am not talking about ADHD drugs like ritalin. However, childhood bipolar disorder has only been discovered in the last 15 years, mostly in America. Many discovers have close ties to Big Pharm. Until 1995 conventional psychiatric wisdom was that bipolar disorder could only be diagnosed in the late teens.  There is no conclusive study that proves childhood bipolar disorder leads to adult bipolar disorder. Psychiatrists still debate whether it exists.

 I believe you should not decide to drug your kids before you  take the meds for at least a month. Too often kids are being given anti-psychotics for behavior problems, anti-psychotics not tested with children. I was given them when I was hospitalized for mania in 1973, between 87 and 96. They made me much crazier when they weren't obliterating whole days. My intellect and education have not been able to withstand their devastating cognitive effects. Giving such drugs to a young mind until all alternative have been exhausted seems like malpractice.

 Until all the usual mood stabilizers went generic, anti-psychotics were intended to treat schizophrenics and hospitalized manics.  There is a shameful record of using them on Alzheimer's sufferers. As recently as the 2004 American Psychiatric Meeting in NY, drug reps were marketing bestsellers such as abilify and seroquel for those patients. Now they are being heavily advertised for depression and bipolar disorder as maintenance drugs.  The newer atypical anti-psychotics are heavily implicated in causing huge weight gain and sudden onset diabetes.

When my kids were young, 25-30 years ago, even in therapy-obsessed Manhattan, preschool kids weren't seeing psychiatrists, weren't taking psychiatric medications, so I am skeptical about this epidemic of very young children with serious problems requiring psychiatric drugs. If our kids were having problems in nursery school, we might decide to wait another year and find a better school.

What is going wrong with the way we are raising children? Why do we look in children's brains for the answers to be found in social reform?  Who is blowing the whistle? Who is questioning the wisdom of babies and toddlers being cared for by strangers? Who is wondering whether group care is appropriate for most children under three or four? Thirty-five years ago, children were five or six before they were expected to adapt to group standards of behavior. Who is crusading for a shorter work week and greatly increased parental leaves? Who is is dedicated to make caring for preschoolers a viable career path for college graduates, comparable to teaching in salary and benefits?

Who is demanding the economic changes required to enable parents to care for their babies and toddlers themselves? Who is comparing our rate of childhood mental illness with rates in the rest of the Western world? Who is outraged about preschoolers taking multiple psychiatric drugs that have never been tested on children? Who is fighting to outlaw drugs ads in magazines and on TV? Why are we teaching our kids that drugs are the solution to every problem? Thirty years ago we felt like bad parents if we let our kids have caffeine.


The aggressive drug treatment of mental illness in the last 30 years hasn't been a success story. When yesterday's wonder drug becomes generic, its ineffectiveness is suddenly discovered and its dangerous side effects are no longer covered up. Today's expensive wonder drug will supposedly save your life after being tested for a shockingly short time on shockingly few people who don't share your diagnoses. 

Preschoolers are so unformed, so in process. This year's four year old can seem like a different creature than last year's three year old. These diagnoses disorder
imply lifelong, incurable brain disorders for which there are no medical tests, no verifiable proof of their existence. Why do we expect little boys to adapt to schools better suited to girls? Why don't we train and recruit more male teachers in preschools, who might be better role models for little boys and help create more welcoming schools?

Why would you accept that your young child has a permanently broken brain? Why not take him out of day care or fine a different one, investigate family day care, share a nanny with a friend, change nursery schools, reduce your working hours, live more frugally, borrow money and take a leave of absence from work, ask your parents and relatives for help, search out books and activities about his particular obsessions, learn the recommended interventions yourself?

Does your child need more relaxed time with his overscheduled parents rather than tense sessions with experts comfortable with diagnosing him after a few testing sessions?Why not wait until the picture becomes clearer? Why it is so urgent to find the answer when he is 2 or 3? We are not dealing with meningitis or childhood leukemia. When I hear a 7 year old rattle off all his psychiatric labels, it breaks my heart and makes me want to man the barricades. I would love to find some comrades.

Thursday, May 1, 2014

What Is Your Birth Order?

To Only Children: Being the oldest child dooms you to the responsibility chip, whether you have no siblings or 7. Until both your parents die, you are being parented by people who have no clue what they are doing. They get better with younger children, but they don't know how to parent a 25 year old, a 40 year old, a 55 year old anymore than they knew how to parent an infant or toddler. Their grandparenting skills are nonexistent. Children raise their parents to be grownups. Being outnumbered makes the job more challenging and stimulating, but you are always up to it.
MaryJoRichardOct47bigsister
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In the first picture, I am two and one half; Joe is one. In the second, I am four, Andrew is six months. In the third picture, I am seven; Bob is newborn. In the fourth picture, I am 12; Gerard is 1. In the fifth photo, I was 13, Brian was 1 month.

Studying the pictures helps me clarify my family dynamics. Sibling closeness has mattered more to me than to my brothers. I try much harder to keep the family connected. Being both the oldest and the only girl seems central. I was my adult height when my two younger brothers were born; they were only 5 and 7 when I left home for college. I must have seemed a maternal figure to them. In some pictures I look like their young mother.
We did not grow up in the same family. My mother returned to school full-time when Brian was 5; when he was 7, she started teaching high school. Joe, Andrew, and I had had a stay-at-home mother until we went to college. Brian doesn't remember my mom staying at home full-time. My father retired before Brian finished college.

We have very different perceptions of our parents. Joe, Andrew, and I remember our dad as a brilliant intellectual and mathematician; Gerard and Brian remember a grail old man who disappeared into Alzheimer's Disease. The three oldest remember our childhood perceptions of my mom as "just a housewife" who never went to college. My younger brothers remember her the way her obituary describes her: "teacher, activist, trailblazer."

With the death of my mom, Joe, 18 months younger, is my only collaborator for family history. Fortunately, Joe was too busy climbing on the roof as a kid to remember very much. I could write family fiction and convince everyone it is family history.

I struggled not to favor my first daughter Anne in sibling squabbles, because she, like me, is the oldest of several siblings. Both my first husband John and I were the oldest children of oldest children of oldest children--not the best recipe for marital harmony. Certainly Anne shows the same sense of responsibility for her younger siblings that I felt. John, Anne, and I thought younger siblings owe considerable gratitude to the oldest, who has fought all the battles necessary to whip parents into shape.

In my constant discussions with friends about baby spacing when my kids were young, I noticed that adult relationships with your siblings greatly influence you. If you love your sibs, you might think a brother or sister is the best gift you will give your kids. If you don't talk to your sib, you will feel guilty about the trauma you are inflicting on the oldest. As people only have two children, there will only be younger and older older. Middle children seem to have special gifts society will sorely lack. When I told 6 year old Michelle, I was pregnant with Carolyn, she rejoiced, "Now I won't be the only middle child."
Faced with the challenge of caring for my mother during the last years of her life, my brothers and I had to confront and heal lifelong conflicts and misunderstandings. It is so easy to fall into childhood roles. My mom was always the family switchboard. We would call her, not each other; she would relay the news to everyone. I struggle very hard not to play the same role.

I adore my brothers and wish we saw each other much more often. We are scattered from Maine to North Carolina. My mother had five brothers as well. As a teenager, I used to reproach her, "Mom, how could you do this to me? You knew what it was like." My mom, a long-term care activist, used to begin her speechs, "I have lived with 12 men--long pause--only one of them intimately." Growing up with my brothers, I acquired a lifelong comfort around men. Daughters were a challenge; sons would have been easier. Taking care of my grandson revives many wonderful memories of my brothers as children.

What is your birth order? What impact has it had on your life? Being the oldest is being the oldest, whether you have no siblings or 7 siblings. You were raised by parents who had no clue. And that will continue until the day both of them are dead. They get better with younger children, but they don't know how to parent a 25 year old, a 40 year old, a 55 year old anymore than they knew how to parent an infant or toddler. Children raise their parents to be grownups. Having no accomplices just makes the job more challenging.