Thursday, June 19, 2008

What's Normal?

http://img.dailymail.co.uk/i/pix/2007/08_01/puberty_468x730.jpg


What do you think these girls are thinking about?
Do you remember going through puberty and constantly wondering to yourself, "Are these bodily changes normal?" "Are other girls/boys changing in the same ways that I'm changing?" As they stand in front of the mirror together, comparing each other's bodies, these girls are wondering "What's normal?", "What's going to be accepted in school?" "If I don't look like her, will I be an outsider at school?"
These types of questions are at the root of shame. Shame is feeling like an outsider, not belonging. It is the fear of being disconnected. What do you think these girls need to hear from their moms, dads, and the people that care for them at home?
What would you want them to know so they don't feel unworthy?

Wednesday, June 18, 2008

Let's Understand First

Shame:
Is the intensely painful feeling or believing we are flawed and therefore unworthy of acceptance and belonging.

Empathy:
The skill or ability to tap into our own experiences in order to connect with an experience someone is relating

Shame Resilience:
The ability to recognize shame when we experience it, and move through it in a constructive way that allows us to maintain our authenticity and grow from our experiences.

Authenticity:
Something that we revere in others and strive to maintain in our own lives.

Puberty:
The time of life when a child experiences physical and hormonal changes that mark a transition into adulthood. The child develops secondary sexual characteristics and becomes able to have children. Secondary sexual characteristics include growth of pubic, armpit, and leg hair; breast enlargement; and increased hip width in girls. In boys, they include growth of pubic, face, chest and armpit hair; voice changes; penis and testicle growth, and increased shoulder width.

Information received from www.cancer.gov

Fact or Fiction

Myths

- If a boy has not started puberty by age 13, he should see a doctor because there might be something wrong with his endocrine system.

- You can tell whether a girl has begun menstruating by looking at her.

- Girls should not use tampons until they are grown.

- Adolescent and teenage acne is worsened by eating greasy foods.

- Hormones in milk causes puberty in girls to begin earlier than it did in the past. (The average age at menarche (12.8 years) has not fallen in the past 60 years.)


Facts

- Girls may start puberty any time between the ages of 8 and 13.

- Boys generally begin puberty between 10 and 14.

- The pituitary gland, in the brain, tells the body when to begin puberty.

- Boys often have some breast growth during puberty.

- It is common for boys to have nocturnal emissions at puberty, but it is also healthy not to.

- If you started puberty early, your kids might, too.

- A girl's first period is called menarche.

- There is normally a growth spurt at puberty, often with the hands and feet growing larger first, then the arms and legs, then the rest of the body catching up. Not everyone notices this, but it may explain why some people appear to be rather clumsy around puberty, although in general co-ordination is not affected.

- Men usually have deeper voices than women, because their voice boxes (larynx) grow larger.

- The appearance of pubic hair does not necessarily mean that true puberty has started.

- The isolated development of breasts in girls younger than 6 years old without other changes is most likely benign premature thelarche.

- Breast development is the earliest sign of true puberty and may occur in healthy white girls as early as age 7 and even earlier in African American girls.

- Girls with normal early menarche (age 10) will grow an average of 4 inches more.

- Boys who are distressed by pubertal delay may be treated with low doses of testosterone to accelerate growth and pubertal development without affecting their final height.

A Poem For Puberty

through life, seemed so simple.

then it all started, with just one pimple.

about that time, my voice started changing.

then i told my dad, "you've got some explaining".

he then told me, things must change.

that is when i started, feeling strange.

it's not just me, the girls look great.

i even asked one out on a date.

feeling a little different, the I did before.

this time nervous as i knocked on her door.

she looked so beautiful, her hair so pretty.

her eyes lighting up, like lights in the city.

I held her hand, it sweated a little.

then she blushed, and started to giggle.

not knowing what to do, after all of this.

even thinking about trying, to steal a kiss.

not knowing how to leave, or say goodnight.

not wanting it to end, in sorrow or fight.

I thought as i walked away, it seemed so complex.

I'll wait till i'm older, to worry about sex.

By: mac_daddy2k1

Monday, June 16, 2008

Let's Talk About It

**Below are some interviews done with various individuals on the issues around shame and puberty.

Female Social Worker

1. Concerns expressed are the same for boys and girls: mostly pertaining to shame towards families; she works a lot with kids with alcohol/drugs issues - these kids feel remorse, and worry about how to repair the relationship with their parents; what they have to do to make-up for the damage they did.

2. Actually, shame and guilt are what often leads these kids to alcohol/drug abuse...generally, males have a higher rate of abuse than females.

3. Shame is caused by either trying to live up to parents' and society's expectations, but also by being too restricted by parents. The general process of individualizing can cause for feelings of shame too.

4. For both male and female pubescent children: parents need to communicate, build a strong relationship with their son/daughter, be supportive, get educated, and do their own therapy/work!

5. Her story is about a male pubescent client, who was struggling with his sexual identity; he was trying to find out whether he was gay or bi-sexual. He reported being ridiculed by his peers. His parents, however, were supportive, apart from the fact that they apparently would have supported him being gay, but not bi-sexual. Since the parents could label him being gay, but didn't understand bi-sexuality, they opposed to him being bi-sexual.

Male (11-year-old) Child Interview

Q What is puberty?
A Puberty is growing up


Q How do you feel about your body changes?
A Fine; I don’t mind that my body is changing

Q Who would you talk to if you had questions or concerns about puberty?
A My mom

Q Would you trust that information – where it is coming from?
A Yes

Q How do you feel you are perceived at school? (how other students “see” you)
A As a friend




14 year old female

What is puberty?

Like a change from adolescent.

What changes have you seen with your body?

The development of boobies, change of voice, the outside look for your body & menstral cycle.

Are other kids talking about it?

Yes

What are other kids talking about?

Mostly about being on their periods.

Who do u talk to about puberty?

Mom

Do you trust that information?

Yes




11 year old female

What is puberty?
Like when you start your menstral cycle and get zits on my face.

What changes have you seen with your body?

Lots of zits, nothing else.

Are other kids talking about it?

Yes

What are other kids talking about?

My friends come to me for advice since I was the first one to start my cycle (about a year ago). They ask me about methods to stop cramps and I tell them hot chocolate or warm tea. They also ask me about the best pads to use.

Who do u talk to about puberty?

Mom

Do you trust that information?

Yes



Kevin, Washington Heights, NYC 4th grade teacher

Q:Do you feel like shame plays a role in puberty? If so, why and how?

A:Absolutely! Here’s an example: My first year teaching, I led an afternoon session about puberty with the boys of the 5th grade. I was told to teach solely about the ways in which, and the reasons why their bodies would change, not sexual relations. I remember a few sex-related questions, which I had to promptly deflect, commanding, "You will have to speak to an adult." Their questions about puberty surprisingly centered on penis size.

A few boys were afraid that getting hit in that area might stunt the growth of their penises. One question stood out primarily. A Dominican-American boy, who would be considered an English Language Learner, asked, "When will we start throwing milk?" I was momentarily confused. Then, I remembered that this population of children often applies the verb, "throw," to many actions. For example, "Can you throw a picture of me and my mom?" or "Eww, he threw a fart!" This made the "milk" reference easier to understand, as then I realized he was referring to semen.

I have found that the girls in my school do not approach male teachers with questions or concerns regarding puberty. They instead seek out female teachers. This may seem obvious, but I was rather surprised when one 5th grader often used the rationale, "It's a girl problem," when convincing me that she needed to see the nurse.

Q:In your experience working with children in a school setting, what are some of their most common concerns, fears, and questions about puberty?

A: For the past two years I have taught 4th graders. At this mostly prepubescent age, I have seen boys ashamed of their body odor. These children come from disadvantaged families. Some wear the same clothing for more than one day. Many do not live with a father at home. Perhaps they do not receive the necessary education about bodily changes. I have seen girls nervous to take part in certain gym class activities. Perhaps this is due to feeling uncomfortable with their changing bodies in an active state in front of others.

Q: How can parents help children become more resilient during this stage in development?

A: Foster a sense of comfort at home by asking questions from an early age. That way, later in adolescence, when puberty hits, the boy will hopefully feel less shame when he has questions. He could feel more comfortable with an open dialogue of this kind. If a male father figure is not present in the home, I do think mothers should locate a male role model who could fill that void.

As a former adolescent myself, I find it hard to believe that a boy could feel shameless approaching his mother with questions or concerns about puberty. I think that daughters have more puberty-related issues to deal with than boys do, so an outlet at home is crucial. The worst source of information is a peer who knows just as little as she or he does!

Q:Please share a story that illustrates feelings of shame surrounding puberty.

A: This is unfortunately a personal story. 6th grade. When gym class was over, I started noticing some boys using spray deodorant. I didn't want to be left out of the deodorant craze, and I was worried that the others would think I wasn't as mature, so I took care of the situation as quickly as I could.

In the morning before school a few days later, I grabbed the only deodorant available in my house at the time - my mother's Secret Deodorant, "Strong enough for a man, but PH balanced for a woman." That's right. Without cable at home, I had seen few commercials. The feminine nature of this deodorant was lost on me. Luckily all the other boys knew the "Secret" and let me have it. I was royally ashamed.




JoAnna, 3rd grade teacher, Harlem, NYC

Q:Do you feel like shame plays a role in puberty? If so, why and how?

A:Definitely. For boys, I find they have a lot of shame around being short/small, being non-athletic. For the girls I’ve taught, shame is about weight, and body odor: be it from menstruation, or from just being “smelly”, and, while they’ve never articulated it to me explicitly, several of my African girls seem to feel shame surrounding their ethnicity.

Where do you think these feelings of shame come from?
Bullying. Schools aren’t preaching a message of “acceptance” as rigorously as they need to be. We need to teach our children to be tolerant, and accepting of others. Bullies “bully” because they don’t understand that “different is good”.

I am constantly preaching messages of tolerance and acceptance to my children be it through literature we read in September, our small projects we do throughout the year. I just don’t know if this is going on enough in all schools, and in all homes. Teaching tolerance, in my opinion, should really be mandated like other curricula are.

Q:How can parents help children become more resilient during this stage in development?

A:If we are talking about shame associated with certain “fixable” problems, then parents can certainly address the specific issue causing shame. For example, for boys, if there is shame surrounding body odor, mom/dad can buy the child some deodorant and educate them on how to properly clean themselves. For girls, if they are feeling shame about having their periods, mom/dad can talk to them about how it’s totally normal for a girl, and mom/dad can show them how to use a pad or a tampon properly.

I think a lot of times though there is not a gender specific or easy fix. In many cases the child feels shame about certain unchangeable elements of who they are, be it race, ethnicity, height, religion. In these situations, it is a parent’s duty to help them overcome this shame by empowering them to embrace their identity.

While yes, sticks and stones break bones, AND names can really hurt, children need to hear the message over and over again at home that they are unique, beautiful inside and out, and loveable. If they hear the message at home enough, it might help them to believe it even if they get bullied at school.

Q:Please share a story that illustrates feelings of shame surrounding puberty.

A:In September of my first month ever teaching, one of my third graders, a pretty little girl with long braids, came to me pointing to her inner thigh. She told me he was bleeding, so I sent her to the nurse immediately, worried that she had begun menstruating in class. The nurse called and confirmed that this was the case, and she was as shocked as I was to hear of a third grader getting her period.

The child was sent home, and did not return to school for two days.
Upon her return, I was shocked to see that her beautiful braids had been shaved off. Left in their place were small, short, and frankly, unattractive knobs of hair. I asked the little girl what happened to her braids, and she told me her father cut them off.

A few hours later the girl called me over to her desk, almost in tears, to tell me that the boy next to hear touched her. I asked the boy what he did to her, and he said “I only took a pencil from her!”. The little girl replied “Yes, but you touched me. And my father said no boys are allowed to touch me now”. I told the little boy he should never take things out of anyone’s hands, and walked away stunned by what I had heard.

Clearly, having heard that she started her period, the father, her primary caretaker, cut off her hair and told her that she is no longer allowed to touch boys, or be touched by boys. I can’t think of a more shameful way of transitioning into womanhood, however young she was when it happened. Her long hair was a symbol of her femininity, and her father stripped her of it. And while yes, biologically, getting your period does mean you can now give birth to a child, by no means should she go the rest of her life avoiding any and all contact with boys.

Clearly her father did not explain this situation to her well. Granted it may be hard for a father to have these types of conversations, but I know that he had female relatives around to help him, including the girl’s mother. I can only imagine the amount of shame she feels surrounding her period and perhaps her own sexual identity.




Interview with Dr. Brene Brown

As I'm sure you know, we're a group of Social Work students at the University of Houston Graduate College of Social Work who are currently taking Dr. Brene Brown's Shame, Empathy and Resilience course. This class project is aimed at creating a blog- a safe space online to educate, inform and increase empathy around the issue of shame and puberty for parents, teachers and other significant adults in children's lives.

Dr. Brene Brown’s course on Shame, Empathy and Resilience is focuses on the issue of shame and the importance of developing shame resilience. As an expert in the field of pediatrics, we'd like to know about your experiences working with pubescent boys and girls. Specifically, we are interested in gaining a better understanding of what pubescent boys and girls go through and the possible shame that they endure during this stage of development.

As students, we are interested in understanding the role that shame plays in puberty. We describe shame as feeling rejected, excluded, less-than and inadequate. Shame is the intensely painful feeling or experience of believing we are flawed and therefore unworthy of acceptance and belonging. (Brown, 2006)

1. Do you feel like shame plays a role in puberty? If so, why and how?

I don’t think puberty is inherently shaming; however, our reluctance to talk openly about our bodies and sexuality can make these normal changes feel shameful.

2. In your experience with children as a mother, what are some of their most common concerns, fears, and questions about puberty?

I’m a mother and a shame researcher, so my experiences are filtered through both of these roles. I think the most common concern, fear, and question is “Is this normal?” “Am I normal?” For children and adults, “being normal” is tied to feeling accepted and belonging.

3. As a mother, how do you respond to these types of concerns, fears, and questions?

Normalize. Normalize. Normalize. Then, educate, explain, and share your own experiences. This is why silence around puberty can be shaming. Children don’t know what’s happening and they don’t know if it’s supposed to be happening. I think good information is critical.Research shows that parenting has a significant impact on a child's experience of both shame and shame resilience.

Dr. Brown’s shame resilience theory proposes that we can develop healthy, constructive ways to deal with shame, including recognizing and naming what shames us and our triggers, reality-checking myths and stereotypes, sharing our stories, and experiencing empathy.

4. In your experiences, how do parents (knowingly and unknowingly) contribute to shame around puberty?

When we don’t talk openly to our children, it sends the message that “bodies are off limits.” Not talking is not neutral. Silence is its own powerful message. If parents communicate disgust or disdain for their own bodies – that shame is often passed down. There is also a lot of blatant shaming, teasing, and name calling about appearance and “being cool.” Parents sometimes do this in reaction to their own discomfort.

5. How can parents help children become more resilient during this stage in development?

Again, I think it’s about normalizing, educating and explaining. I think it’s also very important to share our imperfections and awkwardness with our children. It offers them perspective and fosters connection. We’ve all been there.



STEVE ALLEY MD
FANNIN PEDIATRICS
HOUSTON, TEXAS

1. Do you feel like shame plays a role in puberty? If so, why and how?

It really depends on the family, their level of communication, and their level of openness about body issues and sexuality.

2. In your experience working with children in a medical setting, what are some of their most common concerns, fears, and questions about puberty?

I rarely have patients ask me about puberty (although I'm sure they have questions). It's really my job to probe and ask questions to get a sense of what's going on in their lives and in their families. My goal is to foster a conversations that continue after children and parents leave my office. The biggest piece for me is giving good information and facilitating communication.

3. As a pediatrician, how do you respond to these types of concerns, fears, and questions?

Again, my role is to probe, give good information and foster communication. I want to bring up and normalize issues that children can continue to discuss with their parent(s).

--Research shows that parenting has a significant impact on a child's experience of both shame and shame resilience. Dr. Brown’s shame resilience theory proposes that we can develop healthy, constructive ways to deal with shame, including recognizing and naming what shames us and our triggers, reality-checking myths and stereotypes, sharing our stories, and experiencing empathy.

4. In your experiences, how do parents (knowingly and unknowingly) contribute to shame around puberty?

Unknowingly, parents send the message that body issues and sexuality are off-limits. This automatically puts a negative value judgment on this process. Unfortunately, parents still focus too much on their daughters appearance and weight. Health and nutrition are very important, but outward appearance should never be the goal. This still happens a lot. With boys, I have parents "whispering" behind their sons' backs, "He's too little, will he grow?" Kids pick up on these comments and it can be very shaming.

5. How can parents help children become more resilient during this stage in development?

Keep the communication open and honest, be a safe place to ask questions, and normalize this awkward period by sharing some of your own "growing pain" experiences.

Sunday, June 15, 2008

Let Your Mind Soar


Puberty

By Edvard Munch















At thirteen
And fourteen
And fifteen
And older

Cracks begin
To appear
In our lives

Can you hear them?

Cracks can be like
Crisp spider webs
Or
Long rusty wires

Cracks can feel like

Whispers in your wall
Or
Lightning through your window

Cracks can break wide open

In your face
And your shell
And your soul

- Habel, N. (1969). For mature adults only. Philadelphia: Fortress Press.




L'adolescence... mauvais moment a passer - ( Puberty )













What are the growing ones saying? Take a look at these links below to give you an idea as to what is on the growing childs' mind. This may give you a base as to what you will or should talk about.
http://www.youtube.com/watch?v=KQeNHeAgmJs (This video is in another language but the images are quite powerful)

That Hurt

Below are some anonymous stories of individuals who experienced shame around their puberty.


I experienced a lot of shame around puberty. I was one of the first girls at my school to start her period. I was in the 4th grade. I was not ready! I did not want it! I felt like a child that was not ready to let go. I didn’t feel fair! Why did I have to go through this first? I felt alone. I felt ashamed. I think it would have been easier if I knew I was not alone, if I had friends that were going through it at the same time as me. I felt like I had this big secret that I did not want anyone to know.

I remember going to the pediatrician with my mom and younger sister. The doctor asked me some routine questions, all of which I could answer, except for the last question. The doctor asked, “Have you started menstruating?” I thought to myself “what’s that?” “What does that mean?” I was so confused. I looked at my mom for the answer. My mom replied for me and answered “Yes”.

I asked my mom what menstruating means and she said it means period. Obviously my mom knew I started my period, but not my sister. From the moment we left the doctor’s office my sister began teasing me, “Suuz-y wears tampons, Suuz-y wears tampons, Fraan-cis wears tampons”. First of all I did not even wear tampons then; I was way too terrified to stick those things inside me! I was so angry and insecure by what had happened.

~ F. ~


When I was younger I always felt alone and different. I was always was able to find situations that would help reinforce negative beliefs about myself (e.g. I went to a “special school” when I was little or I was held back in kindergarten). When I started growing pubic hair in the third grade, the beliefs about “there’s something wrong with me”, “I am different”, “I really am alone” were once again reinforced.

The good thing about just growing pubic hair was that no one had to know! However, I forgot about going away to summer camp and taking showers where people could see me. I remember coming to this realization just before I went off to Camp Mystic. I wanted to hide the fact that I had pubic hair. I felt a sense of relief when I came up with the idea to get rid of it by shaving it all off. The shaving helped, but it looked kind of funny. I remember hoping that no one at camp would notice.

~ Anonymous ~


I remember being in the 7th grade, and during the last class of the day (math, ugh!), I realized I had bled through my pants, which were very light in color. I didn't want to get up from my seat when class ended because I knew that it was going to be impossible to conceal my bloodstained pants. So I sat there until everyone had left the class and then bolted to the bathroom to avoid the teacher.

As I sat in the bathroom swimming in shame and anxiety, I realized I couldn't go home on the bus because I couldn't subject myself to the humiliation I would endure as I got up from my seat in front of everyone when we arrived at my stop. I waited until I thought the school would be deserted and called my mom in tears.

As I waited for her, I was still tramatized, but was relieved to know that once she came and got me, I would be relatively safe from my peers. I couldn't wait to get home, change clothes and take a shower.

When she picked me up, she was mad and basically told me I'd overreacted and that no one would have noticed. I was stunned and hurt by her reaction, and really didn't have the maturity or skills to process what I was experiencing much less how I was feeling.

~Anonymous~


A female middle school student.

The teacher assigned boys to sit on one side of the room and girls on the other. Since this student tended to talk a lot in class, she had to sit away from her female friends. This meant she sat with the boys on their side of the classroom. This particular event happened during a time when she started to get her menstral cycle so she stayed prepared by keeping feminine products in her purse.


This was before all of the fancy and individual packaging was created. She reached into her purse to pull something out and out came flying a pantiliner. She hadn’t noticed it came out until a boy in the class started yell “Eww what is that?” She quickly picked it up and threw it inside a binder in her desk. The student felt mortified and embarrassed. Luckily, it happened right before the class settled down from changing classes in the hallway. This is a moment she’ll never forget.

~Anonymous~

Saturday, June 14, 2008

Give Credit

Brown, Brene (2007). I Thought It Was Just Me (but it isn't): Telling the Truth About Perfectionism, Inadequacy, and Power. New York: Gotham Books.

www.kidzworld.com/quiz/4933-quiz-health-and-body-myths-busted

http://resources.student.com/index.php?c=8

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1070801

www.metrokc.gov/health/famplan/flash