New Office

I’ve just opened a new office. A fruitful and pleasant post-doc with Rose City Counseling Center has ended, and I’ve just completed my second week in private practice. The new office is in a beautiful old building near Old Town Pasadena, off Colorado, between the Paseo and Vroman’s. Here’s my new information:

Kalea Chapman, Psy.D.

16 S. Oakland Ave, Ste 216

Pasadena, CA 91101

Happy holidays.

Senior Care: Profit or Non-Profit?

Here’s an excerpt (courtesy of Ken Pope) from an article in U.S.A. Today. In brief, the finding is that for-profit elder care facilities deliver inferior care. The article includes a tool that enables you to find the specific rating of a given nursing home.

An analysis of nearly 16,000 nursing homes reveals for-profit homes are more likely to provide inferior care than their non-profit rivals, according to a USA TODAY examination of the federal government’s first ratings of the homes’ performance.

The new Zagat-like rating system, released today by the Centers for Medicare & Medicaid Services, assigns homes one to five stars for quality, staffing and health inspections, plus an overall score.

The scores reflect tens of thousands of inspection records, complaint investigations and quality measures, such as how many nursing staff hours were provided each day to patients, how many patients developed bedsores and how many were placed in restraints. Much of the data were collected in 2008.

Acting Medicare Administrator Kerry Weems says offering the data in a simple five-star format should prompt “a national conversation about nursing home quality” and spur homes to improve.

Strict, Lax, or Flexible Parenting Styles?

photo by abhisek sarda (creative commons)

Popular, popular, popular.
For some reason, this is consistently the most popular post on this blog.  I guess there are a lot of parents out there with questions. Perhaps it’s that parents, lacking a clear sense of what is the “right” way to parent, turn to books. Unfortunately parenting books so often tell you that there is only one way to parent — their way. So this kicks up a lot of anxiety. The truth is parents need to parent in the way that fits the best for their family, without heading toward the extremes. If you grew up in a lax household, you’re not likely to have much luck with being strict — you might — on the other hand, be able to set some boundaries…

With light edits, this is what was posted in July 2007 and May 2008.

(In terms of popularity the post on Bessel Van der Kolk and trauma comes a close second. And I would have thought the post on how to deal with a 3-year-old’s tantrum would have generated more interest.)

Strict, lax, and flexible.
In psychology, we say authoritarian, permissive, and authoritative. These terms based on the research of Baumrind (1971). Sharon Jablon, Ph.D., who runs a test prep workshop for the national licensing exam in psychology (EPPP), has a nice summary of these parenting styles, which I’m going to quote from:

Authoritarian parents expect unquestioned obedience, are demanding, controlling, threatening and punishing. [They] tend to be more detached and less warm than other parents. Children exposed to this parenting style are frequently moody, irritable, discontented, withdrawn, distrustful, and aggressive and tend to have more behavior disorders. …This parenting style was termed “conflicted-irritable” and led to children who were also termed “conflicted-irritable”.

Permissive parents value self-expression and self-regulation. [They] are either permissive-indifferent or permissive indulgent.

a) Permissive-indifferent parents set few limits, provide little monitoring, and are generally detached and uninvolved. Their children have poor self-control, are demanding, minimally compliant, and have poor interpersonal skills. [Apparently, Baumrind didn’t have a label for this sub-type of permissive parenting.]

b) Permissive-indulgent parents are loving and emotionally available, yet set few limits, demands or controls. Their children tend to be impulsive, immature, and out of control. …The permissive-indulgent parenting style was termed “impulsive” and led to children who were termed “impulsive-aggressive”.

Authoritative parents (not authoritarian) are caring and emotionally available, yet firm, fair, and reasonable. They set appropriate limits, and provide structure and reasonable expectations. Children with authoritative parents are usually competent, confident, independent, cooperative, and at ease in social situations. …This parenting style was termed “energetic-friendly” and led to children who were termed “energetic-friendly-self-reliant”.

What have you observed?
Safe to say, you have observed or participated in parenting that resembles one of these categories more than the others. Reflect upon your own upbringing. Does one of these fit? Do the outcomes of these parenting styles described fit with your own experience?

Striving to be the parent you want to be.
If you are a parent, do you fall under one of the categories? Most of us would prefer to be to be in the “authoritative” camp. But most of us tend to veer into one of the other styles, if left to our own devices. In other words, some of us struggle with being lax, while others struggle with being strict. This has to do with how we were raised. By default, we raise our kids how we were raised; or, quite often, we raise our kids in reaction to how we were raised. Many of us struggle with being inconsistent, one of the most difficult battles of parenting.

Just another set of labels.
Remember, these are just labels. People love to categorize the world and say, “There, that’s how it is.” When we do this we blind ourselves to other possibilities. Reality is usually much more complicated. Perhaps this scheme does not fit with your own experience. As with any system of thought, take it with a grain of salt. These things have their day, are useful for a time, are often replaced by more useful ways of thinking. Take what you can use. If you’re interested in reading more about this scheme, click here.