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Selasa, 29 Agustus 2017

Genetic Programming Makes Nurture the Most Important Factor in our Behavior Another Paradox





Claudia Gold, on a post on her Child in Mind blog, mentioned in passing that 700 new connections per second are made in the brains of newborns within the context of caregiving relationships. 700 per second! 

One of the basic theories behind my psychotherapy treatment method (unified therapy) for repetitive self destructive or self-defeating behavior patterns is that the behavior of primary attachment figures - in most cases, the parents - are, from a cognitive-behavioral standpoint, simply the most important environmental factor in triggering and reinforcing the problematic patterns. And not only when we our children, but throughout life. Certainly more powerful than a therapist could ever be.

I argue that babies come into the world completely helpless and with absolutely no knowledge about how the universe operates. We remain helpless far longer than the young of most species. Therefore, evolution likely proceeded in a way that resulted in our being biologically programmed to wire our automatic and repetitive  behavioral responses in most environmental contests - in particular social contexts - in accordance with what we learn from our interactions with those attachment figures. 

There is much evidence from neuroscience that the brain wiring that develops in this context and remains in the brain is particularly resistant to change through the normal process of neural plasticity. While it is true that later in childhood and adolescence the number of these connections is greatly reduced through a process called pruning, I suspect the ones that are lost are those that are not continually reinforced by the attachment figures.

In the nature-nurture debate about psychological behavior problems, for most of them I come down on the side of nurture being far more important than nature. Nature just provides us with a rangeof possible behaviors and reactions, while both nurture (and thinking - don't forget about that) allow us to choose where in that range we would prefer to reside.

But our nature as determined by our genes apparently does have one all-important function. Interestingly, it is the same influence no matter what the rest of our individual genome (assuming we have intact neural functioning) contains: it dictates that we are highly likely to respond to our nurture in accordance with the feedback provided to us by our parents. Paradoxically, it is nature that makes nurture so damned important in determining our behavior.

So learning about those 700 connections per second seemed to me to be good evidence for this point of view. So I looked up the source and found an articlepublished by  Harvard's Center on the Developing Child. It said that those neural connections "...are formed through the interaction of genes and a baby’s environment and experiences, especially “serve and return” interaction with adults, or what developmental researchers call contingent reciprocity. These are the connections that build brain architecture – the foundation upon which all later learning, behavior, and health depend."

Serve and return was further explained as interactions that shape brain architecture: "When an infant or young child babbles, gestures, or cries, and an adult responds appropriately with eye contact, words, or a hug, neural connections are built and strengthened in the child’s brain that support the development of communication and social skills. Much like a lively game of tennis, volleyball, or Ping-Pong, this back-and-forth is both fun and capacity-building. When caregivers are sensitive and responsive to a young child’s signals and needs, they provide an environment rich in serve and return experiences."

Kamis, 11 Agustus 2016

The Concept of Resilience Another Way to Marginalize the Effects of Family Dysfunction on Children





Some people are just born hardier and tougher than others. Such individuals are better able to process, handle, and bounce back from stress and can handle more of it - on the average - than other people. They are said to be more resilient. No denying it. 

However, it is also true that at least some of any apparent resilience does not come from having been born with a better innate temperament, but results from having had at least one supportive and nurturing adult family member who buoyed up the person's coping skills as a child. Dysfunctional families may contain some of these folks in addition to other adult members who are more, shall we say, problematic. This helps to reduce the adverse consequences created by the latter.

Adverse Childhood Experiences, or ACE's, are clearly shown by a variety of research methodologies to be, overall, the most important risk factors for the development of personality dysfunction (as well as being major risk factors for a wide variety of other health problems). Somehow, however, in reading the personality disorders literature, you might think that defective brains were instead the biggest factor. 

In many previous posts I have discussed several different ways in which this latter idea is falsely argued - such as by looking at how a normal brain processes trauma physiologically and declaring, ex cathedra, that those processes represent some sort of abnormality. I have also discussed one of the major reasons this sleight-of-hand is employed: to avoid holding parents responsible for their problematic parenting and chaotic family interactions. 

It's just not popular to discuss the role of dysfunctional parenting in creating psychological problems in their offspring. The poor dears just cannot take it! Better to blame the victim.

Of course, it is also true that bashing parents and making them feel guiltier, more defensive or angrier than they already do is counterproductive, as doing so often causes them to double down on whatever dysfunctional interactions they had been routinely engaging in previously. Nonetheless, pretending that their behavior has nothing at all to do with their child's problems is just a big fat, ugly lie.

The blog Aces Too High is devoted to discussing the effects of childhood trauma. It usually puts the family environment in the proper perspective in discussing the relative effects of children's inherent, genetic capabilities, the problems their child's innate tendencies present to parents, and the effects on children of ongoing interpersonal trauma and dysfunction.

A recent posting in the ACES blog by Christine Cissy White contains a highly informative and wide-ranging discussion about how vague a concept resilience actually is, as well as about how difficult it is to measure. I recommend reading it. 

She also points out how the concept of resilience can be used as another device for the purpose of blaming the child victims of severe family dysfunction for their predicament and pretending that the parents' behavior is hardly important at all, if not completely irrelevant:

"Many trauma survivors, with experiences that are often minimized, marginalized or medicalized, are often frustrated by what seems like excessive funding for or fascination with resilience. It can seem as though resilience and protective factors can get overemphasized while the prevention and treatment of ACEs ends up sidelined – as though human suffering might be optional if it’s served up with enough resilience." 

Well said.