During this lockdown, you’ve noticed that your child seems to struggle to focus attention on tasks or even conversation for any appropriate length of time.  You’ve also noticed that he or she daydreams during a task, takes too long to complete work, fidgets excessively and so on.

Seeking medical help usually results in a prescription for a stimulant drug, such as Ritalin, Concerta and Strattera.  We do know that behaviour can be changed using certain drugs.  On Ritalin, for example, children are better able to pay attention, stay on task and sit still but the results are temporary; only with repeated dosages and sustained-release tablets will the benefits last all day.  Increasing the dosage over time brings risk of potential side effects even if these don’t show immediately and prolonged use should be discouraged because of uncertainty about long-term effects.   In addition, the drugs don’t address the basic problem.  They may make children easier to manage but don’t make them smarter or happier.  Children don’t learn any better when on medication – in fact, their work may show a lack of thought and originality.  They help the children get through the day in a mechanistic way but don’t make them better prepared for tomorrow.  Unfortunately, the drugs are often used alone, with no on-going programme to help the child in other ways.  In short, they may be the quickest and easiest ‘solution’ for children with attention problems but they aren’t the best.

The reason is that drugs don’t affect the underlying problems.  Behavioural problems and inattentiveness are symptoms of other problems and the answer isn’t to be found in medication.   Let’s have a look at some case studies:

Little Anna was the smallest child in class and came across as being quiet, withdrawn and easily distracted.  She stares at other children and plays nervously with her crayons and books.  When evaluated for neurodevelopmental delays, she showed that her stress levels were very high.  She had some early developing irregularities that interfered with her brain’s ability to cope with the sights and sounds in the world.   She was simply overwhelmed by what she perceived as ‘threats’ from her environment.  Once these were addressed, her stress levels dropped and she became more responsive.

John never sits still.  His constant activity often makes him a nuisance in class and at home.  Under investigation, ILT found that due to hitches during his birth and early development, he had mixed dominance, and had failed to develop left-right preference because he hadn’t integrated the two sides of his body.  He also hadn’t developed the foundational systems needed for efficient motor functioning and stable posture.  As these were addressed, he became better able to keep his body still and use it in developmentally healthy movement activities that he could not master before.  This led to his behaviour becoming less annoying, increased ability to make friends and improvements in classroom learning.

Kevin is a daydreamer. He often stares out a window or at the television screen.  He is slow to complete his work.  He is clumsy and often drops things.  He has allergies and is often ill with sinusitis and colds. An ILT evaluation showed that his body didn’t work automatically.  He was using his mind to run his body so the brain’s higher levels, supposed to be used in learning and daily coping, were not available for cognitive functioning.  It would have been so easy for Kevin to slip through the cracks without achieving his potential.  A programme to help underdeveloped brain areas brought about noticeable improvements in his schoolwork and physical coordination.

Little Sam was asked to leave his nursery school because his ‘violent’ behaviour and tantrums became too much to manage.   A full neurodevelopmental evaluation by ILT showed no irregularities in development or sensory-motor system functioning.  What was suspected was a sensitivity to food colourants and preservatives.  On a trial basis following this suspicion, Sam’s family excluded any foods containing these additives and Sam almost immediately became calmer, eventually returning to his school as a happy, friendly little boy.

So drugs aren’t the answer to behavioural problems or inattentiveness.  Instead, these children need a comprehensive evaluation followed by an individualized programme that corrects identified areas of irregular functioning.

Interestingly, an ILT associate ran a programme with a group of over 50 children, all diagnosed with ADHD[1].  They were given daily certain sensory-motor stimulation and other movement activities designed to recreate the movement patterns that function to develop the brain in the early years.  About half these children were on Ritalin when they started the programme.  All were taken off Ritalin from three to six months later with no need to be put back on Ritalin or other behaviour-modifying medication.  For all children, the results showed the elimination of behaviour problems, better school results and dramatically improved coordination.  Social skills improved significantly as well but most importantly, the children were clearly happier.

Correcting behavioural and learning problems isn’t easy.  Effective intervention needs a holistic approach that reaches to the problems in the background and provides a supportive, encouraging environment.  For this reason, ILT is practiced in the family – no weekly visits to a therapist but ‘quality time’ spent in movements in which one or both parents can be involved.  The rewards are immeasurable. There is nothing better than watching a child who begins to feel good from the inside out!

[1][1][1] Shirley Randolph, Tree of Learning Centre, Boise, Idaho

Martin Doherty, writing for The Conversation, says that at the age of about four, children reach important milestones in brain development.

One of these is a huge improvement in understanding others’ thoughts and feelings. This is the start of empathy.  Another is in spatial thinking—understanding how objects are positioned and related. This is the beginning of the ability to read maps.

Martin and his colleague, Catherine Sayer, conducted a study with 175 two to five-year-olds to explore how children are able to use scale models to figure out where something is in the real world. At about four, children are able to use a scale model of a room to work out where something is. We thought that this might result from children’s understanding of how one thing can represent something else. But we actually found that four-year-olds’ ability to use scale models came from their spatial abilities.

At the same age, children start to understand that someone’s behaviour is due to what that person believes, not necessarily what is really the case. This has interesting consequences.

If you’ve played hide-and-seek with young children, you may have noticed that they aren’t always very good at it. They love the ritual of looking in all the wrong places first, but beforehand they may tell you where they are going to hide, hide in the same place every time, or not be especially hidden.

After their fourth birthday, they get much better at hide and seek. They understand that the seeker looks in the wrong places because they don’t know where the hider is.

At about three to four children also start to tell lies. They realize they can make someone believe something that isn’t true.

Understanding symbols

Martin’s earlier research with fellow psychologist Josef Perner suggests that four-year-olds don’t just start to understand how others’ minds work. Figuring this out is part of the development of an understanding of “representation”—that symbols, like thoughts, words, or pictures, can be used to stand for something else.

Children start to think about how words relate to objects. This means, for instance, knowing that “animal” can refer to something you already have a name for, such as “rabbit”. This might help children learn the new word.

Their ability to use a understand the components of pictures also improves around this age. Very young children use a lot of trial and error to complete a jigsaw, picking up random pieces to see if they fit. By the time they are about four years old, they start to use the picture as a guide, trying to connect lines and match bits of colour, while checking the guide picture on the box lid.

Developmental experiments

Another ability children develop at around four is using scale models. A classic set of developmental experiments involved a model of a regular household room. The real room had typical furniture—sofa, table, cupboard and so on—and the model had miniature versions laid out in the same way.

Children were shown where something was hidden in the model and told to find an object hidden in “the same place” in the room. Children of around four can find the object using the identical layouts. If shown a sticker under a particular chair in the model room, for example, they can go straight to the “same” chair in the other room. This is the fundamental understanding required to read maps.

Adults see scale models and maps as representations. Maps represent a town or a country. A scale model of, say, the Eiffel Tower represents the real thing. At first, Martin suspected children’s ability to use scale models is more evidence of understanding representation at this age.

He was wrong. Instead, the researchers found that this ability is based on a development in children’s spatial abilities that also occurs at about four. This is the ability to think about spaces and where objects are within them. Spatial abilities help with maths skills, and good spatial ability is linked to an interest in science, technology, engineering and mathematics.

Their experiment was simple. They compared the model room task with a test of understanding how representation works. The two abilities develop around the same age, but they found they were not related. Children who could do one task couldn’t necessarily do the other.

They also had a test of purely spatial ability. Children who passed the model room task also passed the spatial task. So it looks like the model room task relied on children‘s spatial thinking.

They don’t yet know why two important but apparently unrelated abilities arise at the same time. Perhaps it’s related to changes in the growing brain at this  interesting age.

Provided by The Conversation

Image supplied by Freepik.