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National Press Foundation Webinar and Dr. Shonkoff

The following is a letter I sent to Dr. Jack Shonkoff of Harvard University.

 

Dr. Shonkoff,

My name is David Dooley.  Wednesday during the National Press Foundation webinar you answered a question I submitted.  The question was…

”In an effort to prevent the aces associated with unsupportive and harmful parenting, should public health organizations be developing a new kind of parenting education...one that reaches everyone, everywhere, all the time.  Perhaps parenting education campaigns akin to the smoking and seatbelts campaigns of the past.  Perhaps multi-media public health messaging that teaches parenting behaviors and practices generally recognized as supporting the healthy development of children.”

You replied,

“I really appreciate that question. It's a very important question. We naturally gravitate toward the fact that providing information and education for people will do good, and that can, in this case, enhance the development and the health of young children. For parts of the population, that's absolutely correct. But for parts of the population, and this is not only is it good science here, but your grandmother could tell you this. So, if a parent is dealing with the stresses of not being able to put food on the table and not being able to keep a roof over your head, and dealing with violent relationships, providing information about how it's important to read to your child and talk to your child is... I'm not underestimating the importance of that information, but why would anybody expect that just providing that kind of information is going to turn people's lives around? If it did, we would be in a very different place.  The issue about parenting education is, parents have to be in a position to be able to use that information, use that education. If they're consumed with dealing with extraordinary stresses of everyday life, we need to do something about reducing those stresses in order to be able to benefit from the increased information.”

I have summarized your response in a couple of sentences.

You stated that the portion of the population who are in a safe relationship, have a roof over their heads, and enough to eat will benefit from this new kind of parenting education, and conversely that the portion of the population who aren’t in a safe relationship, who don’t have a roof over their heads, and who don’t have enough to eat won’t benefit.

Because you are a man of science and as someone who must be aware of the history of humankind I am very disappointed in your answer. 

Here are three of my concerns.

1.  Does this mean that we must wait for a utopia where everyone’s needs are met to commence this new kind of public health parenting education? 

2.  People have for thousands of years learned all sorts of things while experiencing hardships.  Indeed, often the most important lessons are learned during stressful times.  

3.  I believe you aren’t taking the long view.  Proactive, public health parenting education could become the defining characteristic of our culture...a characteristic that would prevent the trauma of unsupportive and harmful parenting five, ten, twenty, fifty years down the road.  In time it would transform communities.

Please thoughtfully consider my concerns.  Dismissing, without good reason, the idea of public health style parenting education would be a disservice to all children, families, and communities.

Yours,

David Dooley

Advancing Parenting

www.advancingparenting.org

661-477-1513

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Dr. Shonkoff responded...



Dear Mr. Dooley:

I’m not sure if my response to your question was unclear or if you and I are in a different place. I’m pretty sure it’s the former, not the latter.

I view parenting education as an important resource for all families and I fully agree with your position that it should be universally available. My comment was not in any way intended to denigrate its importance. I was simply trying to make the distinction between parenting education as “necessary” for everyone yet “insufficient” by itself for families whose life circumstances require far greater support in order to meet all of their children’s needs.

Stated simply, your summary of my response --- “the portion of the population who aren’t in a safe relationship, who don’t have a roof over their heads, and who don’t have enough to eat won’t benefit” --- is not an accurate representation of what I said. In no way was I saying that no benefits can be gained by families facing significant adversity. I was simply stating that parenting education alone is not a panacea for everyone.

I fully agree with the last sentence in your email:  “Dismissing, without good reason, the idea of public health style parenting education would be a disservice to all children, families, and communities.” I trust that my response to your message clears up the miscommunication between what I said and what you heard.

Jack P. Shonkoff, M.D.

Julius B. Richmond FAMRI Professor of Child Health and Development, Harvard T.H. Chan School of Public Health and Harvard Graduate School of Education.

Professor of Pediatrics, Harvard Medical School and Boston Children’s Hospital; Research Staff, Massachusetts General Hospital.

Director, Center on the Developing Child at Harvard University.

David,

I have interviewed nearly 250,000 individuals over 40 years with diverse primary care needs.

Specific to ACE events and clients with SUDs I would comment that many began care facing basic challenges regards shelter and food.

I have seen 25,000 with opiate use disorder.

Many had no real idea that there was a direct dose-response link between their likelihood of use or relapse and the parenting they had received. Most had never heard of ACEs or childhood trauma.

Almost none had ever heard of the neurobehavioral consequences of trauma.

Over time reinforcing the expectation that positive change can occur allows for it.

I respectfully disagree w Dr Shonkoff.

Dr Karen Derefinko and I showed reduced relapse risk w trauma informed care.

Our clients improved in the spheres of work ,relationships,and play.

As you point out,over time,given the opportunity to think about and live new principles, skills in selfcare and  parenting do evolve and families are strengthened.

 

 

 

 

 

 

 

Last edited by Jane Stevens
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