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Authors: Hillary Rodham Clinton

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Discussions of modern families often miss the point. Although the nuclear family, consisting of an adult mother and father and the children to whom they are biologically related, has proved to be the most durable and effective means of meeting children's needs over time, it is not the only form that has worked in the past or the present. I know many successful adults, like my mother and my husband, who were raised in families that did not fit the conventional mold. Others I know thrived in the care of biological and adoptive surrogates, and even in foster care or institutions. What a family looks like to outsiders is not as important as whether adults know what children need to develop positively, and work to fulfill their responsibilities to each other and to their children.

In addition, however, every society requires a critical mass of families that fit the traditional ideal, both to meet the needs of most children and to serve as a model for other adults who are raising children in difficult settings. We are at risk of losing that critical mass in America today. Parenting has never been easy, but today, when most adults consciously choose to become mothers and fathers, we owe an even higher degree of love and respect to the children we bring into this world.

Whatever the strengths and weaknesses of the families we grew up in, we get a second chance at domestic happiness when we create a family of our own. Bill and I have watched with joy as Roger and his wife, Molly, and my brother Tony and his wife, Nicole, have joined us in parenthood. We've been impressed with the willingness our brothers have shown to participate in the daily tasks of child care, and particularly with Roger, who learned by negative example the importance of a father's influence on a son's life. Every parent makes mistakes, sometimes serious ones. But if we find mediating influences along the way, as Roger found in his mother, brother, extended family, and wife, we can learn even from the painful lessons our upbringing has to teach us.

Those of us who work hard enough—and are lucky enough—to create a flourishing family life have a bounty of joy and security to share with others less fortunate. By extending our good fortune, we create a village that acknowledges children as our first allegiance and strives to ensure that every child has at least one champion.

The Bell Curve Is a Curve Ball

There is no defense or security for any of us
except in the highest intelligence and development of all.

BOOKER T
.
WASHINGTON

M
y brother Hugh once told me about a professional football coach who stands before his players at the first session of spring training, holds up a football, and says, “Gentlemen, this is a football.”

I am particularly fond of this story because it is a reminder that most of us could use a little coaching to do our best, even at long-accustomed tasks. That is at least as true of parenting as it is of football.

Recent discoveries in neuroscience, molecular biology, and psychology have given researchers a whole new understanding of when and how the human brain develops. Their findings are a crucial kind of coaching that can show parents and other caregivers how to elicit a child's full potential. The rest of the village can, if we listen in, pick up information and ideas that will help us to steer our communities' efforts and our nation's policies in a more productive direction for children. Above all, this new information makes clear that a child's character and potential are not already determined at birth.

 

T
HE BELIEFS
we hold about why children think, feel, and behave in certain ways have a tremendous impact on how we treat them. When those beliefs are inaccurate, the consequences can be dire.

During law school, I worked with the staff of the Yale–New Haven Hospital in Connecticut to help draft guidelines for the treatment of abused children. Sometimes these children were brought into the emergency room by parents who themselves had inflicted the injuries. Often the parents denied what they had done, but sometimes they tried to justify it. One father who brought in his badly injured three-year-old claimed that he had beaten the boy to “get the devil out of him.” Behind his horrifying actions lurked the belief that babies are born either good or bad. If their fundamental nature is “bad,” as evidenced by behavior like persistent crying, this crazy logic goes, they must be punished, beaten if necessary. (Never mind that the “remedy” generally has the perverse effect of encouraging “bad” children to live up to their label.)

That same year, I also studied children at the Yale Child Study Center. One of the people I was privileged to work with was the late Dr. Sally Provence, a pioneer in the field of infant behavior. I remember watching her work with a mother who had brought in her seven-month-old son because he was having trouble eating and sleeping. The mother was at her wits' end and feared she might hurt her baby. She didn't understand what was wrong with him, but instead of writing him off as a “bad” child, she'd had the wisdom to seek help.

Under Dr. Provence's gentle questioning, the woman revealed that her first pregnancy, which resulted in the birth of a girl, had been a joyous experience, and her daughter was an “easy” child. But her second pregnancy had been strained by marital and other tensions in her life, which had persisted. Dr. Provence helped the woman to see that even though her son had a different and more difficult temperament than her daughter, the problems she was having with him stemmed mostly from his keen awareness of her feelings of distress when she was around him. The two of them were caught in a cycle, and as the months went by, the baby's prospects for healthy development were spiraling downward.

With Dr. Provence's guidance, the mother learned to change the way she behaved around her son. She learned how to soothe him when he became fussy by holding him snugly. She talked to him more, in a gentler voice. Her new way with him allowed him to relax and become more manageable, which in turn softened her attitude toward him and restored her confidence in her abilities as a parent.

It is not only parents who need expert “coaching” in children's development. The rest of the village does too. In my years of work with children's organizations—the Carnegie Council on Children, the Children's Defense Fund, and the Arkansas Advocates for Children and Families, for example—I saw many dedicated souls trying to see that current knowledge guided practical decisions about children's welfare.

Once, about fifteen years ago, I represented an Arkansas couple who wanted to adopt a four-year-old boy who had been in their foster care for three years. The boy had been badly neglected as a baby by his biological mother, who was overwhelmed by psychological problems. When he was less than a year old, she turned him over to the local social service agency so she could follow her boyfriend to another state. At that point, the baby showed all the symptoms of severe mistreatment: he had gained little weight since birth, he was unresponsive, and he shied away from human contact.

In his foster family, however, the boy began to thrive. He put on weight and began to allow people to touch him. He learned to walk and began talking. His foster parents fell in love with him and decided they wanted to adopt him, even though they had signed the customary contract with the state, which at that time prohibited foster parents from trying to adopt children in their care. The state adoption agency, reluctant to break precedent, had refused their request. At the same time, however, the agency decided not to return the boy to his birth mother, who had filed suit to get him back, claiming she had overcome her psychological problems and was fit to care for him. Instead, the state planned to take him from the security of the family he knew and turn him over to strangers whose names were on the adoption lists.

I argued on behalf of the boy's foster parents that the best interests of the child should take precedence over both the birth mother's claims of her biological rights and the state's claims to its contractual agreement. I asked the judge to allow testimony from a child psychologist about the boy's progress while he had been in the care of his foster parents, and about the possible consequences to his physical, intellectual, and emotional development if he was now separated from them. The judge, who had children and grandchildren of his own, did not think that he had much to learn about child development, but he agreed to hear the testimony.

The psychologist explained how disrupting warm and secure attachments like those the boy had formed with his foster family could irreversibly damage his emotional development. He described the symptoms and stages of grief that would typically accompany so great a loss at this age: anger and hostility, renewed withdrawal from human contact, depression and emotional detachment. At his stage of psychological development, the boy would also be inclined to believe he had been deliberately rejected by the foster parents he had come to trust and love. The testimony of the child psychologist riveted the entire courtroom, and it weighed heavily in the judge's determination that allowing the foster parents to adopt the boy served his best interests.

The years since I had these experiences have been light-years in terms of the progress researchers have made in understanding children's emotional and cognitive development. Unfortunately, much of this information is not yet known to enough people. At the risk of grossly oversimplifying the research, I want to summarize what is known, with the hope of reaching people whose attitudes toward and treatment of children might benefit from it.

Some of the most significant headway has been made in the field of biology, where researchers have begun to grasp how the brain develops.

At birth, an infant's brain is far from fully formed. In the days and weeks that follow, vital connections begin to form among the brain cells. These connections, called synapses, create the brain's physical “maps,” the pathways along which learning will take place, allowing the brain to perform increasingly complicated tasks. A newborn's brain is like an orchestra just before the curtain goes up, the billions of instruments it will need to express itself in language, thought, and impulse furiously tuning up.

The first three years of life are crucial in establishing the brain cell connections. But they don't form in a vacuum. Babies need food for their brains as well as their bodies, not only good physical nourishment but loving, responsive caregiving from their parents and the other adults who tend to them. They need to see light and movement, to hear loving voices, and, above all, to be touched and held.

As science writer Ronald Kotulak explained in a series of Pulitzer Prize–winning articles in the
Chicago Tribune,
“The outside world is indeed the brain's real food…[which it] gobbles up…in bits and chunks through its sensory system: vision, hearing, smell, touch, and taste.” He quotes psychiatrist Felton Earls of Harvard University's School of Public Health, who elaborates, “Just as the digestive system can adapt to many types of diets, the brain adapts to many types of experiences.”

Kotulak uses an analogy from cyberspace to make the process clearer. If we conceive of the brain as the most powerful and sophisticated computer imaginable, the child's surroundings act like a keyboard, inputting experience. The computer comes with so much memory capacity that for the first three years it can store more information than an army of humans could possibly input. By the end of three or four years, however, the pace of learning slows. The computer will continue to accept new information, but at a decreasing rate. The process continues to slow as we mature, and as we age our brain cells and synapses begin to wither away.

What sets the brain apart from any computer in existence, however, is its fragile and ongoing relationship to the world around it. The brain is an organ, not a machine, and its “hardware” is still being wired at birth, and for a long time afterward. With proper stimulation, brain synapses will form at a rapid pace, reaching adult levels by the age of two and far surpassing them in the next several years. The quality of the nutrition, caregiving, and stimulation the child receives determines not only the eventual number of these synapses but also how they are “wired” for both cognitive and emotional intelligence. Synapses that are not used are destroyed.

As neuroscientist Bob Jacobs says, the bottom line is: “You have to use it or you lose it.” If we think of the brain as our most important muscle, we can appreciate that it requires activity in order to develop. Just as babies need to flex their arms and legs, they also need regular, varied stimulation to exercise all the parts of their brains.

When parents talk to their babies, for example, they are feeding the brain cells that process sound and helping to create the connections necessary for language development. A University of Chicago study showed that by the age of two, children whose mothers had talked to them frequently since infancy had bigger vocabularies than children from the same socioeconomic backgrounds whose mothers had been less talkative.

What I am passing along to you is a bare-bones description of what scientists believe happens within the developing brain; the processes are more complex than I can do justice to, and they are not yet fully understood. But it is clear that by the time most children begin preschool, the architecture of the brain has essentially been constructed. From that time until adolescence, the brain remains a relatively eager learner with occasional “growth spurts,” but it will never again attain the incredible pace of learning that occurs in the first few years.

Nevertheless, as long as our brain stays healthy, we will have plenty of synapses left for learning. Even late in life, and even after a long diet of mental “junk food,” the brain retains the capacity to respond to good nourishment and proper stimulation. But neurologically speaking, playing catch-up is vastly more difficult and costly, in terms of personal sacrifice and social resources, than getting children's brains off to a good start in the first place.

 

T
HE PICTURE
of the brain as a developing organ that has begun to emerge from biological research dovetails with some key findings from the world of psychology. Nowhere is this more welcome than in the study of what constitutes intelligence, an area of inquiry that has been clouded by controversy, misinformation, and misinterpretation.

It has become fashionable in some quarters to assert that intelligence is fixed at birth, part of our genetic makeup that is invulnerable to change, a claim promoted by Charles Murray and the late Richard Herrnstein in their 1994 book,
The Bell Curve.
This view is politically convenient: if nothing can alter intellectual potential, nothing need be offered to those who begin life with fewer resources or in less favorable environments. But research provides us with plenty of evidence that this perspective is not only unscientific but insidious. It is increasingly apparent that the nature-nurture question is not an “either/or” debate so much as a “both/and” proposition.

Dr. Frederick Goodwin, former director of the National Institute of Mental Health, cites studies in which children who could be described as being “at risk” for developmental problems were exposed at an early age to stimulating environments. The result: The children's IQ scores increased by as much as 20 points. A similar study, best known as the Abecedarian Project, examined this same process in a long and intensive research effort begun under the leadership of psychologist and educator Craig Ramey at the University of North Carolina in the early 1970s.

Ramey gathered together a group of more than a hundred newborns, most of them African-Americans. Their parents, most of whom had not graduated from high school, had an average IQ of 85. The majority of the families were living on welfare.

At the age of four months, half of the children were placed in a preschool with a very high ratio of adult staff to children. But it wasn't only the attention these children were given that was special. When adults spoke to them, they used words that were descriptive and that were suited to the child's stage of learning. They were doing precisely what responsive parents do when they communicate with their young sons and daughters.

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