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<p class="MsoNormal"><b>
<span style="font-size:10.0pt;font-family:Verdana;
color:black">A <a name="Special">Special</a> Question and Answer on Sleep</span></b><span style="font-size:10.0pt;font-family:Verdana;color:black">
<br>
In one issue of the e-newsletter, I asked readers for their
answers to the following questions about sleep. Selected answers
are below. <br>
<br>
1. When your children were babies, what methods did you try to
help them fall asleep, stay asleep, and sleep through the night?
<br>
2. How well (or not) did these methods work? <br>
3. How did you learn these methods? Books (which books?),
intuition, your parents, friends, pediatrician advice? <br>
</span>
<span style="font-size:10.0pt;font-family:Verdana;
color:black">4. Do you have any particular stories of successes or disasters
about sleep? <br>
5. As your children became toddlers and preschoolers, did you
(or they) deal with sleep any differently? <br>
6. If you have school aged children, how do they sleep now? <br>
7. We are particularly interested in the relationship between
sleeping and crying, so do you have any stories about that?</span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Here are a few highlights from the observations and stories
readers sent in as responses to those questions: </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
"One thing I always did with my babies was massage. After their
baths, I would lay them on the floor on a towel and gently
massage their naked little bodies with baby oil. As time went
on, they would smell the baby oil and literally relax. It was
almost Pavlovian!....One night I was giving my little boy a baby
oil massage after his bath and I was singing his lullaby to him.
My 14 year old daughter came in and asked for a massage which I
hadn't given her in years. As I massaged her back she said, 'How
come you only sing to him and not to me?' So as I gave her the
backrub I sang her special lullaby from when she was a baby.
Afterwards she said, 'Thanks, Mom, that was nice." I said to
her, 'Honey, if you want, I can sing to you every night at
bedtime like I used to do.' She looked at me in horror. 'Mom!"
she cried. 'We had a special moment there. Don't ruin it!' I
guess the lesson is, take each special moment and cherish it."
</span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
"Our 10 year old falls asleep on her own, and when she can't
it's usually because something is 'heavy' on her mind. Now I
recognize that and use it as an opportunity to listen and try to
zone in on what's bothering her, even if it is way past her
bedtime." </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
"I found that building 'special time' into the day or evening
helps with bedtime. Many times, kids don't want us to leave
their bed or their room because it's the first moment they've
gotten us all to themselves all day. They're warm, cozy and
sleepy and what a nice peaceful feeling it is laying near mom
and dad as they drift off to sleep. [if they can't get that at
bedtime then] special time fills in nicely." [Note-for more info
about special time, see Playful Parenting chapter 9, or go to
www.parentleaders.org] </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
"I often felt that not getting the kids to sleep through the
night was one of my big failures as a parent. However, one night
I was reading the picture book Time for Bed to my four year old,
and while looking at the pictures of all the animal mothers
putting their animal babies to bed, I realized that humans were
the only animals who put their babies to sleep all alone from
birth....I started to think about all the times I read that
babies don't need to eat during the night after four months, so
that any waking after that is 'only for security.' Well, isn't
that important too? I know if I were crying, alone and in the
dark, I'd want someone to let me know everything was okay, too.
Imagine crying for someone to comfort you, and nobody does, not
even your mother. So now I don't worry about it so much. Sleep
is overrated. Thomas Edison said the human body only needs four
hours of sleep a night. And he wasn't even a mother!"</span></p>
<p class="MsoNormal"><b>
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Summary of the informal sleep survey, along with my comments.
Some of the quotes have been slightly edited for length. </span>
</b>
<span style="font-size:10.0pt;
font-family:Verdana;color:black">Thanks for all the answers to the sleep
questions. I learned from you that many parents are quite
passionate about sleep--because of their parenting philosophies
and because of the desperation that comes from lack of sleep.
Several people said they ignored advice that didn't make sense
to them, for example, "Both our son and our daughter were rocked
to sleep, despite reading various sources stating that was a bad
thing. For who, I wonder." A lot of you described the importance
of knowing your child, and realizing that what worked for one
child often didn't work for the next. For example: "My son crabs
before bed but [unlike my daughter] it's so rare for him to
really cry hard after I close the door that I always go back and
check on him, as it is a sure sign that something's actually
wrong." </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
As for methods, there was a big split between the "let them cry
it out" group and the "comfort group." Many people had tried the
method of letting babies cry alone in their cribs or beds for
increasing amounts of time before going in to comfort them. This
is commonly called the Ferber method, after Dr. Ferber's popular
book. Survey respondents had mixed results with this method.
Some said it worked perfectly, and that their children now sleep
beautifully. Others said it worked, but their children
now--years later--have trouble sleeping. (This is in line with
what I have seen in my practice--when parents of school-age
children say their kids have sleep problems, I have found that
they were almost all "successfully Ferberized" as babies.) A
number of people said that the crying method worked, but it was
very difficult for them emotionally to listen to the crying
outside the door and not rush in to provide comfort. </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Among the people who tried the Ferber method, about half gave up
because they couldn't handle listening to the crying, or because
it simply didn't work. Some said it worked for one child but not
their next child. At the other end of the spectrum, there were
many responses from people who used nursing, co-sleeping, or
both, as their main sleeping technique. For the most part,
people who used these methods found them very effective, but
some had difficulty with night weaning or with getting a good
night's sleep themselves. </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
The very idea of the cry-alone technique was enough to bring out
very strong feelings in some parents: "My children have never,
ever been left to cry alone or to cry themselves to sleep. I
find this practice cruel. All the crying infant knows or feels
is their sadness and their need for a person they love. To deny
them that is not filling a basic need. That being said, I find
that having a good cry in my arms before bed often gives them a
much better night's sleep. Something about the evening: the
darkness, the warmth of mom or dad's body nearby, the undivided
attention, offers the child an opportunity to share what was
hard during the day." Of course, we need to balance that strong
feeling of protection for the child's emotional needs with the
parents' emotional need for sleep. </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Speaking of parents' needs, I think it is important to recognize
that WE need snuggling and connection with our kids as much as
they need it with us. As one mom said in the survey, after
explaining why the Ferber method didn't work for her: "It just
seemed to make more sense to comfort them, and even if we
snuggled them to sleep every night, we were sure they'd grow out
of it before they went to high school. And sure enough, finally
my ten year old will hardly let me pat her to sleep anymore, and
I miss it because it was a good time for us to chat. So I'm glad
I did it for so long even though it was frustrating at times
when I was sleepy or had other things to do." </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Aside from the nurse, co-sleep (family bed) or the cry it out
alone methods, parents suggested some specific ideas. One was a
matter of fact attitude of, "I patted them on the back and told
them to go back to sleep." One parent described using massage as
part of a nightly ritual: "As time went on, they would smell the
baby oil and literally relax, it was almost Pavlovian!" Another
helpful hint was to not run in to the baby at every tiny sound
(a condition I call "baby-monitoritis"). A few parents noted
that special time during the day (one-on-one time with each
child, letting them be in charge of the play) helped a lot when
it came to bedtime. Finally, some parents of older kids (5-10)
described giving children some control over bedtime--such as
setting a fixed time for being in bed, but letting the child
read or play quietly for as long as she wants before turning out
the light. </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
To return to the controversy between comforting children versus
letting them cry it out alone, I would like to propose an
alternative. I tend to agree with the parents above who don't
think it's right to leave children alone when they are horribly
unhappy and need us so badly. But many children do have a
backlog of uncried tears that they need to release before they
can relax and go to sleep. And parents have a need to get some
sleep themselves, not dedicate their entire life to the child's
bedtime ritual. Children need feelings of independence and
competence, not just safety and security. So my suggestion is to
let them cry if they need to, but in your arms, not alone in
their cribs or behind a locked door. Tell them you are going to
leave, but if they start to cry, then hold them until they are
done. This may take an hour or two the first couple of times you
try it, but if they get through the full expression of their
tears (which they can only do if they are with someone safe, not
alone), then they will fall asleep happily. </span></p>
<p class="MsoNormal">
<span style="font-size:10.0pt;font-family:Verdana;color:black">
Here's an example from a family friend of mine who happened to
run into me just as she was at the end of her rope with her
toddler's sleep difficulties: "Recently we were having problems
getting our two year old daughter to sleep in her own room. We
weren't able to even get her INTO her room without major
problems and crying and throwing up. I decided to go online and
do some research. I found a link to Dr. Ferber's book and read
from it and then got the book at the library. I realized that
while crying it out wasn't something my husband and I liked, we
were at our wits end and willing to try anything. Then at a
family gathering, Larry mentioned letting her cry but with one
of us present, not leaving her alone to 'fend for herself', but
also not getting into an endless power struggle. He suggested
that crying was necessary but the strong security we were
providing by being with her while she cried would go much
further in the long run. Well, we took that advice and also some
information I read about a 'sleep fairy' and I tried it. I told
her she would be sleeping in her room, that we would read one
book, brush our teeth, and then I was going to sit by her bed
until she fell asleep. We tried it, it worked. That was well
over a month ago, and we still are going strong. There have been
a few nights where she wakes up and wants to come in our room,
and as a last resort, we will allow it. But it doesn't change
our routine of her going to bed in her room.' </span><br>
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<font size="1" face="Verdana"><b>Larry Cohen</b><br>
phone: 617-713-0568</font><p style="margin-top: 0; margin-bottom: 0">
<font face="Verdana" size="1">email: </font>
<span style="font-family: Verdana; color: black">
<a style="color: #800080; text-decoration: underline; text-underline: single" href="mailto:[email protected]">
<font size="1">[email protected]</font></a></span></td>
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<font size="1" face="Verdana"><b>Larry Cohen</b><br>
1680A Beacon Street | Brookline, MA 02445 |
Tel/Fax: 617-713-0568</font><p style="margin-top: 0; margin-bottom: 0">
<font face="Verdana" size="1">email: </font>
<span style="font-family: Verdana; color: black">
<a style="color: #800080; text-decoration: underline; text-underline: single" href="mailto:[email protected]">
<font size="1">[email protected]</font></a></span><p> </td>
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