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	<title>Stephen E. Walker, PhD &#187; learned behavior</title>
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	<link>http://www.drstephenwalker.com</link>
	<description>Athletic and personal performance consultant; Health and Sport Psychology</description>
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		<title>Winning Parents &#8211; Who is? Who isn&#8217;t? &#8211; And Why.</title>
		<link>http://www.drstephenwalker.com/2010/02/19/winning-parents-who-is-who-isnt-and-why/</link>
		<comments>http://www.drstephenwalker.com/2010/02/19/winning-parents-who-is-who-isnt-and-why/#comments</comments>
		<pubDate>Fri, 19 Feb 2010 14:27:17 +0000</pubDate>
		<dc:creator>Stephen Walker, Ph.D.</dc:creator>
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		<category><![CDATA[healthy happy kids]]></category>
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		<description><![CDATA[He was doing his best to keep from breaking down, but the tears filled his eyes, the emotions were raw and he was lost. “Whatever I do it’s never good enough”… was what he uttered, but the pain in his body was palpable.  His name was Kyle &#8211; Wolfie to his teammates.  He just turned [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.drstephenwalker.com/wp/wp-content/uploads/2010/02/Dylan-Makes-a-Save-at-Silver-Sticks1.jpg"><img class="alignnone size-full wp-image-365" title="Dylan Makes a Save at Silver Sticks" src="http://www.drstephenwalker.com/wp/wp-content/uploads/2010/02/Dylan-Makes-a-Save-at-Silver-Sticks1.jpg" alt="" width="604" height="473" /></a></p>
<p>He was doing his best to keep from breaking down, but the tears filled his eyes, the emotions were raw and he was lost. “Whatever I do it’s never good enough”… was what he uttered, but the pain in his body was palpable.  His name was Kyle &#8211; Wolfie to his teammates.  He just turned 12.  He was a gifted goalie – rated number one in the state, and he was playing competitive hockey for a AAA team engaged in a travel schedule as busy as the local Division I team.  For him, the pressure was over-the-top.  Not just because the competition was intense, which it was, but he was afraid to let his hero down.</p>
<p>In tonight’s game, he’d let in a good goal on a 2-on-1 breakaway when the save rebounded in the wrong direction.  His team won, and they celebrated, but he’d lost the shut-out and he was sure to hear about it.  The pressure to please his father had even hurt his game because he found himself losing focus on the ice by glancing in his dad’s direction…hoping for a smile or a “thumbs up”…or anything other than the frown he saw much of the time.  But then, the glare was nothing compared to getting reamed.  One time he almost threw up when his dad had screamed in his face like a drill sergeant he’d seen in the movies.  Boy!  He hated that.</p>
<p>Hockey is as intense a game as there is.  Hockey ‘moms’ and ‘dads’ are known to be passionate.  But this behavior is so over-the-top, it’s also risky.</p>
<p><strong>Putting Things in Perspective</strong></p>
<p>Kyle was referred to me by his goalie coach.  He had witnessed some of his dad’s critical behavior, and, he had noticed that Kyle was losing some of his snap… seemed distracted and wasn’t playing up to his potential.</p>
<p>As it turns out, Kyle’s Dad came from a family where much of the pressure to perform rested on his shoulders.  He played linebacker on his Varsity Football team and readily confessed to me an experience that gave me hope for this father-son duo.  The story goes like this:</p>
<p>In an important game he’d played against a league rival, he had registered 13 unassisted tackles, 2 more assists, defended a pass in coverage, knocked down a pass on a blitz, caused an opponent to fumble and generally wreaked havoc on the opposing team’s offense.  At the end of the game he remembered his dad fixating on one play….one where he had taken the fake on a reverse play and lost contain.  It resulted in an 8 yard gain for their rivals.  Geez, a game like that and the only thing his dad could talk about after the game was him blowing that play.</p>
<p>Parental behavior like this is emotionally abusive and it easily runs from generation to generation.  Too many parents from the mold of this scenario consider me one of those ‘touchy feely’ types.  They fail to recognize the impact of their behavior on their children – and – they tend to discount feedback from “others” who might weigh-in on “their” situation.  That often includes coaches, teachers, other parents who witness the abuse….worse still….even when that other person is their spouse.  Parents like this listen to no one, and as such, they often undermine their athletes’ coaches.</p>
<p><strong>Priority One: Becoming Aware – Recognizing Where Passion Stops and Abuse Begins</strong></p>
<p>Truth be told, this kind of situation exists more often than any of us would like to admit.  And those passionate about their sport have not only seen it, but likely been a guilty party themselves once or twice.  The gut check required to get this pattern under control is not for sissies.  And that’s why so many continue to perpetuate the tribulations of abuse.</p>
<p>People who have difficulty with boundaries are at greatest risk.  It’s probably been a factor elsewhere in their life, but when it involves a child learning, and growing and becoming – there is more at risk.  Rather than helping the child athlete discover for themselves what coaches are trained to teach them, these parents tend to take over.  They might not even communicate their thoughts with the coach – but they don’t hesitate to put forward their opinions at home.  What’s worse is that parents like this often don’t have enough insight to recognize their own limitations.  In extreme cases, they treat their child athlete like a possession where they alone control their child’s experiences.</p>
<p>If I were to tell parents like this their kids will likely drop out of sport in rebellion, or find really dysfunctional ways to get by – they’d deny it.  But the fact is: When the fear of reprisal, discouragement and disappointment expressed by one or both parents &#8211; outweigh the joy of ‘team’ cohesion, sense of accomplishment and personal pride in seeing your game improve – the formula gets so far out of balance that there isn’t enough to play for. By the time an athlete stops having fun and starts to think that what they do “is never good enough” &#8211; they’re in trouble.  It is incumbent on every coach, trainer, manager, league administrator and parent to be attuned to situations like this and do their best to prevent it. Why?  Because they can…and…if they don’t try &#8211; they become part of the problem.</p>
<h3>The Styles of Parenting Continuum</h3>
<p>Imagine six parents, each with a different parenting style, sitting in the dentist&#8217;s waiting room with their six children. The kids are running wild, acting out, and getting into trouble. Here&#8217;s what the parents might say and do:</p>
<ul>
<li>The abusive parent says, “Get      your ugly butt over here you stupid little creep!” (smacks, screams,      tears).</li>
<li>The conditional parent says,      “I can&#8217;t believe you would behave like this, you&#8217;re embarrassing me, we&#8217;re      leaving. I told you we were going to go get ice cream later but I changed      my mind. You won&#8217;t be having ice cream for three weeks!”</li>
<li>The assertive parent says,      “Sarah, this behavior is out of line. Sit down right next to me. <em>Now</em> please. And now might be a good time to start that homework you brought.”</li>
<li>The supportive parent says,      “Tommy, what&#8217;s up? You can&#8217;t behave like that, honey. Please sit down now.      Are you bored?  I brought your book      and some stuff to play with.”</li>
<li>The indulgent parent says,      “Ah, let them run, they&#8217;re just kids having a good time.”</li>
<li>The neglectful parent says,      well, <em>nothing.</em> The neglectful parent doesn&#8217;t notice his kid; he&#8217;s      too busy reading <em>People Magazine</em>.</li>
</ul>
<p><strong>Child Development – How Point-of-View and Experience Contribute</strong></p>
<p>Child development goes through a variety of stages.  Parents will remember the ‘terrible twos’ and other phases their children all went through – and – they will even recognize that cognitive development undergoes a tremendous shift in adolescence.  However, they’re not as good at remembering “how their own point-of-view shifted” as they went through these stages, largely because of so many other “experiences” they had at many different ages, times and circumstance.  The evolving innovation of qualitative research is now beginning to contribute extensively in the developmental and sport psychology literature.</p>
<p>Of course, each person’s genetic makeup plays a huge role in establishing the basic template from which the rest of their development takes place.  Its not just medical history that’s at work here – personality traits evolve from the make up of both biological parents. However, within that template there are thousands of experiences – and &#8211; shifts in behavioral emphasis that ultimately form a child’s personality.</p>
<p><strong>Exactly How Does Parenting Factor in?</strong></p>
<p><strong>1)  Kids Learn by Watching their Parents:</strong></p>
<p>Parents will readily acknowledge that modeling plays a role in how their kids turn out.  However, they rarely see it from their child’s perspective.  Kids experience their parents as being generally critical or nurturing…sometimes functional – and &#8211; sometimes dysfunctional &#8211; in regard to what their child remembers.  How that ultimately influences the child’s developing personality looks something like this:</p>
<p><strong>Critical Parent</strong></p>
<p>Functional –    “Good effort Kyle, but you need to stay with it a little longer to be successful.”</p>
<p>“Stretch a bit more – here &#8211; and you’ll reach your goal.”</p>
<p>Dysfunctional -  “No, no, no forget it! You’ll never get it that way.”</p>
<p>“What the heck is wrong with you, can’t you do anything right?”</p>
<p>The functional side of the critical parent recognizes effort, and, specifies the direction and level of work required for success – hence setting standards.  The dysfunctional side is demeaning and attacks the core of the child – intimating that the child is defective and likely never to measure up.</p>
<p><strong>Nurturing Parent</strong></p>
<p>Functional -     “Wow! You took a big hit, that cut is likely to need attention…lets get it looked at so you can get out there and play again. – Alright, you’re good to go. Have fun.”</p>
<p>Dysfunctional – “Oh no you don’t – this is dangerous…I’m not letting you get yourself hurt.”</p>
<p>The functional side of the nurturing parent acknowledges that life can be tough, and you need to recover even as you train…but when you’ve done so… it’s important to get back to your work so you can learn from it.  The dysfunctional side is over-protective and tends to supersede a child’s choice and opportunities to challenge him or herself.</p>
<p>Of course, the greatest challenge in parenting is KNOWING WHAT to do and WHEN to DO IT.  The Parenting Continuum above is comprised of a large number of experiences that ultimately shape the child’s behavior.  This parenting can be consciously focused and deliberately crafted – or not.  A great many parents, even to their own dismay, do exactly what their parents did even though they SWORE they’d NEVER do so.  Modeling is the key.  Our kids observe everything that we do, and their patterns are learned through repetition.</p>
<p><strong>2)  Kids Learn through Their Own Interactions with the World:</strong></p>
<p>It is also true that children learn from their point-of-view interactive experiences with the world at large and not exclusively from our parents’ tutelage.  There are three primary aspects of how the child experiences the environment that can have significant impact on how they develop.  As you might expect, there is a functional and dysfunctional side to each of these developmental centers of personality:</p>
<p><strong>Playful Child</strong></p>
<p>Functional-      “Oh boy, this is really fun!  I get to play until I have to do my homework.”</p>
<p>Dysfunctional- “How much fun can you have?  If a little bit is great, then a whole lot more must be that much better.”</p>
<p>The playful child can and usually does develop appreciation for opportunities, light-hearted encounters and positive experiences…when there is balance in understanding the proper time and place for play.  However, when one’s developing playful child evolves without a sense of limits ….self-indulgent behavior often follows.  In the extreme these kids acquire the inability to set limits and boundaries – and oftentimes they are quite susceptible to addictive disease.</p>
<p><strong>Adaptive Child</strong></p>
<p>Functional -     “This looks like it could be fun. I wonder who the leader is? Maybe the coach will show me how and I’ll find a way to join in.?”</p>
<p>Dysfunctional – “Uh-oh.  This looks scary.  I’d better hang next to the teacher/coach and do whatever they say.  Hopefully they will look after me and keep me safe.”</p>
<p>The adaptive child is really good at fitting in and can master social graces, learn patience and establish really useful mentorships with those who offer them skills and training.  On the other hand, the adaptive child can become a doormat afraid to go their own way or think for themselves, dependent on other people to excess.</p>
<p><strong>Rebellious Child</strong></p>
<p>Functional -     “They want us all to stand in line, but the leaders get to go first…so I’m going to lead.”</p>
<p>Dysfunctional – “So what if I get in trouble, to heck with them – I’m gonna do what I want to do.”</p>
<p>The rebellious child can functionally establish the proper rudiments of independent thinking – or – if dysfunction, become oppositional and, in the extreme, sociopathic.</p>
<p>Thankfully, personalities continue to develop throughout adolescence.  Children tend to integrate thousands of experiences within these parameters over several years.  Significant emotional events, traumas, injuries, betrayals, successes, and both fun and not-so-fun situations contribute to the lessons learned and patterns of response to life’s ups and downs.</p>
<p><strong>The Emerging Adult – “Learning the Best Practices in Life”</strong></p>
<p><strong>3)  Kids Learn through Experimentation:</strong></p>
<p>During the adolescent years, each child’s brain experiences a surge in development. The powers of logic, understanding, recognition of exceptions to the rule, subtleties that can determine the fine line between success and failure – are all established.  The process of integration makes big strides in the teen years.</p>
<p>This process of maturation affects every part of the person physically, emotionally, socially and morally.  The adult part of the personality is the one we hope every child develops through maturity, with the positive experiences and knowledgeable tutelage of great parents, coaches, teachers, team captains and leaders of all kinds.  Ultimately, one can learn to mitigate all manner of experiences in life – and balance the influences from our parents (good or bad)  as well as the lessons experienced through interacting with the universe in a positive way &#8211; or not.</p>
<p>If the adult part of our personality develops properly our children will grow to be both capable and lovable – competent people, great partners &amp; teammates and good citizens.  If it doesn’t…our children may mature with an unbalanced personality. Perhaps the dysfunctional side of the critical parent will manifest – driven by anger and unrealistic expectations for what a 12 year old should be able to do.  Hence, we meet Kyle’s dad. Helicopter moms, doormat personalities, good time Charlie’s and all manner of dysfunctional people become that way for myriad of influences both genetic and experiential.  Hence, learning becomes paramount and as the gatekeepers to our children’s early life experiences &#8211; parents set the bar.</p>
<p>Skill building is huge and specific training regimens are key to facilitating success.  During these early adolescent years athletes learn to train.  They learn the benefit of hard work and they begin to experiment with every aspect of their work ethic.  Some will go all-out-all-of-the-time.  Some will “fake it” because it looks alright on the outside, but on the inside they feel like they are getting away with being lazy.</p>
<p>It is the internal recognition of effort and execution that registers the true value of training &#8211; whether in academics or learning a slap shot.  Malcolm Gladwell illustrates in hundreds of ways how those who succeed and master an endeavor will train upwards of 10,000 hours to achieve that success.  Young adolescents are at the stage where they are learning to train – older adolescents are learning to win.</p>
<p>As parents, coaches and mentors of athletes at every age – how we approach our athletes makes a big difference.  For when we act “in the best interests” of our athletes – we will do the right thing more often than not.  Below are some guidelines designed to help parents do a better job…giving their child athletes a better opportunity for success at every level.</p>
<p><strong>Top 10 List of Things Parents Can Do to Raise a Healthy Happy Athlete</strong></p>
<p>1.)    FIRST &amp; FOREMOST &#8211; DO NO HARM!  It can be a pretty helpless feeling when you are watching your kid in the trenches, especially if you’ve got a lot of playing experience yourself.  However, criticism &#8211; expressions of anger &#8211; negativity &#8211; including unsolicited coaching tips are likely to be counterproductive – and can undermine your athletes’ coach.  Yelling, taunting, and intimidation of any kind is expressly discouraged.  Parents who do so are being abusive and engaging in behavior likely to be harmful to their child athlete.</p>
<p>2.)    DISCHARGE YOUR EMOTIONS IN A POSITIVE WAY.  No one expects you to observe without being fully engaged…but what you do with those emotions is important and requires care.  Just as your child athlete has assignments and a defined role on the field they are expected to practice – you have an assignment and defined role as a spectator, and as supportive parent.  PRACTICE BEING A SUPPORTIVE SPECTATOR. I’m a proponent of engaged parents getting in involved productively – keep notes of key events in the game, find an official way to help…keep stats for the team, etc. If you’ve got something productive to do during a contest – your thinking will be channeled in a positive direction.</p>
<p>3.)    WRITE A GAME SUMMARY after the contest.  Keep it positive.  Remember, these athletes are developing skills at EVERY level.  Key events, clock usage, reviews of stats, productive assessment of the competition, productive assessment of your team’s strengths and weaknesses can help. <span style="text-decoration: underline;">These are to be provided to the COACH</span>.  Remember to make them as objective as possible.  These are observations of what happened. (If you make an interpretation – put the notes in parentheses and label them as your personal point of view.)  You can show this to the coach and ask them if this type of summary is helpful.  If it is, you now have a job supportive to the coach AND the team.  If your son or daughter wants to see the summary – it should be neutral enough for every player on the team to benefit from.  If your child WANTS you to write a summary of THEIR play – ASK them what they would want you to include in it.  Then it will truly be a resource FOR them.</p>
<p>4.)    IN PARENTING an athlete CONSIDER THEIR ABILITY LEVEL &amp; WILLINGNESS TO LEARN.  If your athlete is not sure how to do something – ask the coach if they have a drill, video, or recommended mentor your athlete can work with on developing the skills in question.  If your athlete has ability but isn’t willing to put in the training time to master a skill – you <strong><span style="text-decoration: underline;">can not</span></strong> do it for them.  You can support them by playing with them…offering practice opportunities…look for position coaches who specialize in those skills…show highlights of pros YOUR athlete admires who put in the time and got the results.</p>
<p>Rule of thumb:  If your athlete wants to learn but doesn’t know how – they need direction. If your athlete is able but not willing (lazy, poor practice habits, inattentive) – they need support.  Think FUNdamentals: If they aren’t having FUN they won’t want to learn.  If you are on their case about it, they may become even LESS motivated (remember the rebellious child and adolescence.)  Others are likely to be able to encourage and restore the FUN in mastering those skills &#8211; AND &#8211; Once that momentum is established in your athlete’s training regimen – you can rest a bit because your child’s motivation has been tapped.  Intrinsic motivation is huge – and – it is the birthplace of our love of sport.</p>
<p>5.)    BE POSITIVE FOLLOWING COMPETITIONS.  Emphasize the effort. Emphasize the fun.  If your athlete is upset, it is likely best to WAIT awhile before talking about at contest.  When the timing is right you can empathize and compassionately acknowledge how it’s sometimes hard to put in a great effort and not get the desired outcome…but always positively recognize the EFFORT and any other positives you can offer up.  A great game is a great game even if your team comes up short.  We tend to learn more when challenged to the max.</p>
<p>6.)    LONG AFTER a contest (hours) you can ASK YOUR ATHLETE if they would like some FEEDBACK.  IF they DO – ASK THEM WHEN. Make an appointment.  They will have had time to process it some, and, so will you.  This will take much of the emotion out of the exchange….so the focus can remain on lessons learned, skills applied, and highlights to feel good about. BE POSITIVE &#8211; Very important.</p>
<p>7.)    PICK NO MORE THAN 1-2 POINTS TO REVIEW.  ALWAYS START WITH POSITIVE OBSERVATIONS (both general and specific.)  Ask your athlete how they experienced the contest in the trenches.  What did they notice?  What were they focused on doing?  Did they have a specific emphasis or skill they were working on?  What was the game plan?  These kinds of questions allow you to collaborate with your athlete and understand THEIR EXPERIENCE of the contest.  If they get defensive at all – drop it immediately – because you will lose and your child will lose the gains you’ve made in establishing a collaborative exchange.  If they are confused about something, make a note to tell the coach…or better yet…if your athlete is developing the kind of confidence and personal motivation to be successful – let them experiment with you on HOW to ask the coach for extra help.</p>
<p>8.)    LOOK AROUND FOR   WAYS TO SUPPORT YOUR ATHLETE.  If you are reading this you have already done so.  If they need help with conditioning – strength training – or speed and agility – give them the opportunity to train with an expert.  If they are unfocused or experience anxiety and you can see that it interferes with play offer them a consultation with a sport psychologist. Consider a nutritionist, take them to a clinic or talk, let them see what adult athletes do to better prepare themselves for competition. Look for readings that will help your athlete learn and grow.  These things will help you both – and – reinforce the collaboration you are developing.</p>
<p>9.)    TREAT INJURIES WITH COMPASSION AND TAKE THEM SERIOUSLY. When dealing with an injury of any kind – be earnest about it.  Examine the part of the body your athlete is complaining about. Look for swelling, make sure the joint is articulating properly, clean cuts and abrasions, and, do first aid if there is no trainer available.  Find a trainer if you need one.  No matter how old the athlete this piece is important. Even if you think your child is exaggerating – this might be an important learning opportunity for them – or – they may be expressing a symptom of over training and under recovery.  Be thoughtful.  Ask questions.  Yes, we all want to learn mental toughness, but NOT when an injury needs to be checked out.  The important part is focusing on the recovery, being positive and encouraging proper self-care.  Balance is key and remembering the functional side of the nurturing parent can help.  The goal is to properly evaluate the problem, provide the best practices in recovery, and get back to the fun part – playing.</p>
<p>10.) PLAY WITH THEM WHENEVER YOU CAN.  Remember to play – not necessarily to compete – but because it is FUN for them and you.  FUNdamentals are mastered through this kind of practice.  Not only will it help your family bond, but your athlete will appreciate your attitude – learn to love fitness – and enjoy the fact that you are proud and interested in helping them develop their skills and talents as far as they can go.</p>
<p>I hope that this article has been helpful and provided some good insights into athlete parenting.  Look to <a href="http://www.advancemyathlete.com/">www.AdvanceMyAthlete.com</a> for further applications of the best principles of applied sport psychology for you and your child.  Further information on this and other sport psychology topics are available at <a href="http://www.podiumsportsjournal.com/">www.PodiumSportsJournal.com</a> or at the web site of the author: <a href="../../../../../../">www.drstephenwalker.com</a>.</p>
<p>References and Resources:</p>
<p>1)                  Fraser-Thomas, J., Cote, J., Deakin, J. (2008) <em>Examining Adolescent Sport Dropout and Prolonged Engagement from a Developmental Perspective, </em>Journal of Applied Sport Psychology, 20:3 pgs 318-324, Routledge Press.</p>
<p>2)                  Davis, N., Meyer, B.B., (2008) <em>When Sibling Becomes Competitor: A Qualitative Investigation of Same-Sex Sibling Competition in Elite Sport, </em>Journal of Applied Sport Psychology, 20:2 pgs 220-236, Routledge Press.</p>
<p>3)                  Berne, E., (1992), <span style="text-decoration: underline;">Games People Play</span>, Ballantine-Random House Books, NY.</p>
<p>4)                  To take a survey on parenting styles to see where you might land on the continuum click here: <a href="http://pediatrics.about.com/cs/quizzes/l/bl_prnt_style.htm">http://pediatrics.about.com/cs/quizzes/l/bl_prnt_style.htm</a></p>
<p>5)                  Gladwell, M., (2008), <span style="text-decoration: underline;">Outliers</span>, <em>The Story of Success, </em>Little Brown &amp; Co., New York, NY.</p>
<p>6)                  Mecklenburg, K., (2009), <span style="text-decoration: underline;">Heart of a Student Athlete</span>, <em>All Pro Advice for Competitors and Their Families,</em> Booksurge Press, Denver, Co.</p>
<p>7)                  Vealey, R.S., (2005), <span style="text-decoration: underline;">Coaching for  the Inner Edge</span>, Fitness Information Technology – Division International Center for Performance Excellence, Morgantown,  WV.<span style="text-decoration: underline;"> </span></p>
<p>8)                  Ripken, C., Wolff, R., (2006), <span style="text-decoration: underline;">Parenting Young Athletes the Ripken Way</span>, <em>Ensuring the Best Experience for Your Kids in Any Sport,</em> Gotham Books, New York, NY.</p>
<p>9)                  Smith, R.E., (1989), <span style="text-decoration: underline;">The Parent’s Complete Guide to Youth Sports</span>, AAPHERD Publications, Waldorf,  MD.</p>
<p>10)              Perconte, J.S., (2007) <span style="text-decoration: underline;">Raising an Athlete</span>, <em>How to Instill Confidence, Build Skills, and Inspire a Love for Sport, </em> PositiveParentinginSports.com.</p>
<p>11)              Links:        <a href="http://www.asep.com/parents/index.cfm">http://www.asep.com/parents/index.cfm</a></p>
<p><a href="http://www.educ.msu.edu/ysi/forparents.htm">http://www.educ.msu.edu/ysi/forparents.htm</a></p>
<p><a href="http://www.podiumsportsjournal.com/parenting-competitive-kids">http://www.podiumsportsjournal.com/parenting-competitive-kids</a></p>
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		<title>The Protective Effects of Positive Emotions</title>
		<link>http://www.drstephenwalker.com/2009/12/20/the-protective-effects-of-positive-emotions-2/</link>
		<comments>http://www.drstephenwalker.com/2009/12/20/the-protective-effects-of-positive-emotions-2/#comments</comments>
		<pubDate>Sun, 20 Dec 2009 17:47:10 +0000</pubDate>
		<dc:creator>Stephen Walker, Ph.D.</dc:creator>
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		<category><![CDATA[journal american college of cardiology]]></category>
		<category><![CDATA[learned behavior]]></category>
		<category><![CDATA[negative emotions]]></category>
		<category><![CDATA[polluting the blood]]></category>
		<category><![CDATA[protective effects of positive emotions]]></category>
		<category><![CDATA[stephen walker ph.d.]]></category>
		<category><![CDATA[top 10 things you can do to shift emotional momentum]]></category>
		<category><![CDATA[wellness vs illness]]></category>

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		<description><![CDATA[In a major review of research published in the Journal of the American College of Cardiology (2005), Alan Rozanski summarized developments that have implications for cardiologists and psychologists in the emerging specialization, cardiac psychology.  Rozanski offers a pervasive review of the literature that demonstrate how depression, anger, anxiety, marital stress, occupational stress, and certain personality characteristics serve as emotional catalysts that can hurry us along toward a heart attack.]]></description>
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<p>by Stephen E. Walker, Ph.D.</p>
<p>Have you ever thought about having a heart attack?  Well, maybe not directly, but your emotions and thought habits are probably effecting your health a lot more than you think.  Research is accumulating in medical journals that explain the relationship of emotions to blood chemistry, both good and bad, as doctors learn more about preventive cardiology, who is at risk and who is not.  In 2004, the cost of heart attacks and stroke assessed by the Center for Disease Control was set at $368 billion, on figures that included actual health care expenditures and the valuation of lost productivity from death and disability.</p>
<p><strong>Negative Emotions – More Than Just a Bad Feeling</strong></p>
<p>In a major review of research published in the Journal of the American  College of Cardiology (2005), Alan Rozanski summarized developments that have implications for cardiologists and psychologists in the emerging specialization, cardiac psychology.  Rozanski offers a pervasive review of the literature that demonstrate how depression, anger, anxiety, marital stress, occupational stress, and certain personality characteristics serve as emotional catalysts that can hurry us along toward a heart attack¹.</p>
<p>This research does not make poor diet, smoking, or obesity any less precarious as William Roberts, editor-in-chief of the American Journal of Cardiology blames the diets of most Americans and him a proponent of cholesterol lowering medications and a supporter of EBCT heart scans to detect and track CAD years before someone experiences symptoms.<sup>2</sup></p>
<p>Rozanski’s most compelling argument provokes a shift in how Doctors view the most common risk factor of heart disease, which is family history.  The research calls for a more comprehensive analysis of the “nature vs. nurture” origins of the disease and evidence is mounting that emotional reactivity sets the process in motion at a much younger age than was once thought.  How much of this disease process is attributable to a hereditary imprint?  How much comes from learned behavior? The implication of this research is remarkable when one considers those who try to limit their intake of meat, exercise regularly and otherwise maintain a healthy lifestyle.  Stress is the X factor, and one that implores us to manage our emotions as conscientiously as we might train physically and try to modify our diet.</p>
<p>The research explaining the mechanisms of this process has evolved over many years.  In summary, no one questions the fact that we often experience booms and crashes in our disposition.  But few understand how this process causes stress hormones to surge into our blood, prompting inflammatory agents to trigger swelling in the tissues of our coronary arteries.  This pattern is made worse when our blood thickens as platelets become sticky when emotionally stressed.  For diabetics this condition is already dangerous, but even those without diabetes should realize the process does damage.  It may go on quietly for many years until a little piece of unstable plaque ruptures resulting in a cardiac event in some unsuspecting victim.  In the United States every 4 minutes someone dies experiencing their very 1<sup>st</sup> cardiac symptom.</p>
<p>Having practiced psychology for the past few decades it is clear to me that no one has a monopoly over the “negative emotions” marketplace, and that virtually all of us have a “bad day now and then”.  The problem becomes more pronounced when one examines research published by the Surgeon General in which mental illness was second only to cardiovascular conditions in a measure of years of life lost to premature death and years lived with a disability<sup>3</sup>.  It is sobering to think that there are many among us who have ‘never’ had a good day as far as emotions are concerned.</p>
<p><strong>Personality Plays a Role – Wellness Vs. Illness </strong></p>
<p>There is no controversy over the presence of a “genetic set point” we inherit from our blood relations.  There is no question that family history is a primary risk factor for heart disease, as well as many other disorders.  There is an emerging number of researchers that recognize how certain emotions trigger chemical shifts in the blood harmful to arterial walls ultimately contributing to injure the endothelial layer of the vessels.  Whether people have a family history of heart disease or not, it makes sense to consider how stress may impact our health.  It is incumbent on each of us to understand what we do or don’t do that helps to keep our heart healthy.</p>
<p>How many times have you heard people tell you to “relax” when you have appeared stressed?  What we do to relax can be quite telling because sparse relief exists in many of our diversions.  The most popular television shows in every market are the local news followed by no less than ten primetime crime dramas.  The family practice of watching television ‘to kickback and relax’ has exposed us to a nightly display of murder and mayhem that may have actually become the news in our neighborhoods, or dramatizations of it on every network.</p>
<p>A person’s prevailing psychological state is revealed through their “self-talk”.   This internal dialogue is significant in that it is likely to be ongoing and characteristic of how we actually experience emotion in our life.  It is sensible for us to examine the characteristics of that inner dialogue and the degree to which the chatter is encouraging, supportive, or optimistic as opposed to angry, caustic, blaming or negative.</p>
<p>Years ago cardiologists Meyer Friedman and Ray Rosenman began researching what was termed the “Type A” personality<sup>4</sup>.  Hundreds of research studies have examined this behavioral pattern and its component parts in the past 30 years.  Just when “anger and hostility” appeared to emerge as the most deleterious of the “type A” characteristics, other studies of depression, anxiety, and the absence of social supports made their mark in psychosomatic medicine as scientists continue to connect the dots.</p>
<p>Most recently a psychologist named Johan Denollet, from Tilburg University in the Netherlands, has given us an instrument that delves into emotional predispositions.  His research follows a line of investigation that examines both the physiological and psychological impact of negative emotions.  In addition, he is exploring the effects of social isolation <sup>5</sup>.  This body of research has resulted in a characteristic profile called the “Type D” or distressed personality.  Try answering these questions for a brief examination of how negative emotions might factor into your own life.</p>
<p><em>Do you often make a fuss about unimportant things?</em></p>
<p><em>Do you often feel unhappy?</em></p>
<p><em>Are you often irritated?</em></p>
<p><em>Do you take a gloomy view of things?</em></p>
<p><em>Are you often in a bad mood?</em></p>
<p><em>Do you often find yourself worrying about something?</em></p>
<p><em>Are you often down in the dumps?</em></p>
<p>Reviewing your answers to these questions will reveal patterns in your own self-talk.  If you answered “yes” often, your emotions and corresponding behavior fits the negative emotions profile, and you are probably producing more stress hormones than are healthy for you.  Furthermore, if you tend to keep to yourself, not use social supports, and have difficulty making social contact or communicating with others, your risk is increased. This line of investigation indicates that a prevalent experience of negative emotions and the tendency toward social isolation intensifies your risk of heart disease.  <em> </em></p>
<p><em> </em></p>
<p><strong>Choices &#8211; Sources of Help – Wellness vs. Illness</strong></p>
<p>In my opinion, it is less important to determine whether these patterns of thinking and behaving are genetically inherited, because it is far more vital to focus on the choices we actually make to either avoid or proactively attend to the stressful triggers in our life.  Once we are aware of our patterns, it is helpful to “catch ourselves” making a negative choice.  If we tend to give in to the pattern, we might then “beat ourselves up over the mistake”, another interesting choice….and one that contributes to destructive though habits and routine over-reactions.</p>
<p>The making of conscious choices requires us to stay anchored in the “now” so that we can begin to practice a more positive attitude.  It’s important to exercise our  “thinking” in such a way that we begin to rewire our assumptions and to reconsider the degree of balance we see in our emotions.  The process of changing one’s emotional patterns is not only possible, but likely when a few basic principles are applied.</p>
<p>Dr. Douglas Jacobs, a Harvard psychiatrist who started the National Depression Screening to raise awareness of the disease reports that 6.3 million people received outpatient treatment for mood disorders in 1997.  Those taking antidepressant drugs had more than doubled from the decade before, while those receiving psychotherapy fell by more than 10 percent.  Jacobs attributes the shift to more PCP’s prescribing rather than actually counseling for depression, and added,  “These statistics don’t show that, still, over 60 percent of people who suffer from depression aren’t getting treated, nor, do the findings suggest patients are better served by medication, as opposed to psychotherapy.”  “One size doesn’t fit all.  For some patients, medication is effective.  For others, psychotherapy is effective.  And for the majority of patients, a combination is clearly the most effective and recommended treatment.”<sup>6</sup></p>
<p>In many cases antidepressant medication is called for, but because these patterns may be so long standing, even genetically imprinted, psychotherapy may be a critical component to “consciously” reverse the trends in our thinking.  Cognitive-behavioral therapies are specifically designed to help one effectively shift both their focus and their behavior in a desired direction.</p>
<p>More recently “life-coaches” have appeared on the scene and are becoming more prevalent.  They offer Americans a variety of choices for obtaining helpful input.  Imagine a personal trainer whose purpose is to offer productive and helpful suggestions to keep one motivated and focused.  Supportive hypnotherapy, acupuncture, &amp; massage can be valuable adjuncts, as well.</p>
<p>Short of turning outside for help, what else can we do?  Meditation training and prayer have been proven to reduce cardiovascular reactivity and help people achieve an overall sense of calm.  Prayer, contemplation methods and practices are one key transformative process for deepening our understanding of what’s meaningful in our life and how to pursue success.</p>
<p>I liken the mental discipline we use in preparation for a job interview as quite fitting when you consider a fresh look at skills we might use to structure our thinking more productively.  For example, we take the time to tailor our resume focusing on our strengths.  Concentration enables one to craft a good cover letter.  We are likely to dress well to make sure our appearance is good.  We think positive thoughts, we rehearse answering questions, we focus on the positive attributes we can bring to the job…..and we probably deemphasize personality characteristics that are less helpful during the interview.  We have to work at it, but like any other life skill…practice helps us develop in the desired direction.  The more we practice the better our performance.  Physiologically our nervous system adjusts to the routine, and our “characteristic” responses become patterned like any other habit.</p>
<p>Learning how to drive a car is a good example.  Initially we feel anxious, clumsy and uncoordinated, and we may or may not have confidence in our ability to learn.  In the beginning, it takes tremendous concentration and focused awareness to learn the motor skills involved in driving.  Over time and a significant number of repetitions we become more familiar with a variety of driving conditions and our experience of anxiety begins to subside.  By trusting the process of learning, and continuously practicing the skills involved, what was once frightening becomes routine.  Unfortunately, over the years driving becomes more second nature and lapses in concentration begin to cause concern.</p>
<p><strong> </strong></p>
<p><strong>The Protective Effects of Positive Emotions</strong></p>
<p><strong> </strong></p>
<p>Harmful thought patterns can be transformed in many ways but almost always a practice and disciplined focus will be required to be successful at shifting decades of programming.  Cognitive-behavioral psychotherapy, life coaching, personal ‘attitude’ training, hypnotherapy, acupuncture, massage, daily meditation, prayer, and contemplative practices are a few of the validated techniques available to us.</p>
<p>Left to our own devices, many of us don’t pursue such opportunities because we tend to highlight the low lights.  People have become expert “victims” and incessantly focus on how they’ve been done wrong by somebody or everybody often perseverating on who might do them wrong next.  The outcome of these routines have resulted in epidemic numbers of mood disorders, anxiety disorders and heart disease that has impacted virtually all of us in some way or another.</p>
<p>Mark Twain once said, “I’ve been through some terrible things in my life, and some of them actually happened.”  In my experience as a clinician, people sometimes embellish the details of a disaster more than they will seek “the gift that comes from the wound”.   Wounds require extra effort to process, examine and understand.  With this understanding comes the opportunity to consciously choose a positive interpretation from the experience.  I’ve been told, “Experience is what you get when you don’t get what you want.”  So, it indeed holds true that if we become skilled at how to emphasize the “lessons learned” and “corrective actions taken” from a tragedy or failure, we can realize an optimal understanding of the encounter and minimize our misfortune.</p>
<p>The body of research in sport and performance psychology is full of scientific articles that illustrate this same process applied to motivation, concentration training, stress management, and sport specific skills acquisition.  These things are guaranteed….if you practice a good attitude, you indeed will develop one.  Your genetic set point may not favor you as the ‘life of the party’, but the skill sets you learn and practice will aid in a shift of attitude and a lowering of your risk for disease.</p>
<p>Karen Mathews was recently honored with the American Psychological Association’s award for distinguished scientific applications in the literature of cardiac psychology.  Her research offers substantive data supporting the conclusion that “optimists are less likely to exhibit the common progression of CAD disease over time, than are pessimists”<sup>7</sup>.  This work is exemplary of a new direction in medical research that focuses on positive psychology.  Research of the protective effects positive emotions and the role effective coping skills might play in reducing your risk of heart disease is already underway.</p>
<p>Studies of professional, marital, interpersonal, and life enrichment activities are emerging as well.  Instruments in this research explore specific activities people employ that require effort yet promote joy, engage their curiosity and contribute to meaning in life.  Outcome measures suggest participants have more vitality and demonstrate greater flexibility on a variety of indicators. Traditional epidemiological research protocols and now meta-analytic research methods attempt to quantify and measure the protective effects of positive coping skills<sup>8</sup>.  Harvard psychologist Daniel Gilbert, who is a leader in this field wonders why scientists would want to study anything else?<sup>9</sup></p>
<p>Want to give it a try?  Think about who you currently spend the most time with.  Put together a chart of those you consider the most positive and encouraging influences in your world and make it a point to get together more often.  Notice people who are kind, loving, competent leaders, avid students of something, those who show persistence, creativity, are open-minded, are likely to savor a beautiful scene or have a blessing to share.  They are in your world for a reason so take the time to discover all the good that can come from their contribution to your life.  Oh, and continue to practice, practice, practice.  These things are guaranteed….if you practice a good attitude, you indeed will develop one.</p>
<p>The most encouraging steps are currently being taken in the field of Positive Psychology as research investigates how “optimism, hope, joy, humor, love, laughter, curiosity, flexibility, warm &amp; engaging relationships, kindness, beauty, open-mindedness, time spent with nature, “flow” states, contemplation, prayer, vitality, the ability to ‘savor’ an experience and other positive emotions contribute to potentially protective effects as monitored by blood chemistry and traditional epidemiological research.  Just as ‘how we think’ contributes to the development of patterns and habits, ‘who’ we interact with on a frequent basis is likely to have an influence on how we think.</p>
<p><em> </em></p>
<p><strong>The top 10 list of things you can do right now, to begin shifting the “emotional” momentum in your life:</strong></p>
<p><strong> </strong></p>
<p><strong><em>1.  Log on to Dr. Martin Seligman’s Positive Psychology website: <a href="http://www.authentichappiness.org/">www.authentichappiness.org</a> and take 2-3 inventories that measure your signature strengths &amp; current level of happiness.</em></strong></p>
<p><strong><em>2.  Monitor carefully what you watch on TV and notice how you feel afterward.</em></strong></p>
<p><strong><em>3.  Go to a comedy club, or a funny movie and laugh out loud.</em></strong></p>
<p><strong><em>4.  Find a comic strip that you like to read, and follow it everyday.</em></strong></p>
<p><strong><em>5.  Listen to music that is relaxing and inspiring  (Chopin, Schubert, Bruce Springsteen)</em></strong></p>
<p><strong><em>6.  Make a list of the most “important” things in your life.</em></strong></p>
<p><strong><em>7.  Make a list of the most “important” people in your life…..tell them so.</em></strong></p>
<p><strong><em>8.  Think about the last time you were so captivated while doing something, you lost your sense of time completely.  Do it again.</em></strong></p>
<p><strong><em>9.  Intentionally gravitate toward folks who are curious, have a zest for life, are thankful, hopeful, optimistic, &amp; loving.</em></strong></p>
<p><strong><em>10.  Practice modeling these same virtues for yourself, your coworkers, and your children.</em></strong></p>
<p><strong><em>Special bonus suggestion:  Take the time to meditate for 20 minutes everyday on your life’s blessings and those things you are thankful for.</em></strong><em> </em></p>
<p>Hence, the protective effects of positive psychology poses some interesting and difficult methodological concerns, yet the practice of these techniques and principles have had an undeniably positive effect on those subjects who employ them.  Won’t you give these methods and techniques a try?  The odds suggest you will feel better and you will encourage more positive patterns in your relationships as well.  At the very least, it will be more fun.</p>
<p><em> </em></p>
<p><em>Copyright 2006 SE Walker</em></p>
<p><em>References:</em></p>
<p>1)       Rozanski, A, Blumenthal, J, Davidson K, Saab P, Kubzansky L, “The Epidemiology, Pathophysiology, and Management of Psychosocial Risk Factors in Cardiac Practice”, J Am Coll Cardiol 2005;45:5:637-651.</p>
<p>2)       Roberts, W, “Aggressive Testing for and Treatment of Heart Disease and Stroke”, Seminar Procedings, Denver,  Colorado, Nov.19, 2005.</p>
<p>3)       Murray, CL, &amp; Lopez, AD (Eds.) (1996).  <em>The global burden of disease. A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020.</em> Cambridge, MA: Harvard  University.</p>
<p>4)       Friedman, M, &amp; Rosenman, R., <span style="text-decoration: underline;">Type A Behavior and Your Heart.</span> New York: Fawcett Crest Publishing, 1974, 85.</p>
<p>5)       Denollet, J, DS14: “Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality”, Psychosom Med 2005; 67:89-97.</p>
<p>6)       Jacobs DG, ed. (1998). <span style="text-decoration: underline;">The Harvard Medical School Guide to Suicide Assessment and Intervention</span>. San Francisco, CA: Jossey-Bass Publisher.</p>
<p>7)       Mathews, K, “Psychological Perspectives on the Development of Coronary Heart Disease”, Am Psycholgst 2005; 60:8:783-796.</p>
<p>8)       Gross JJ, “Antecedent and Response-focused Emotion Regulation: Divergent Consequesnces for Experience, Expression, and Physiology.” J Pers Social Psychol 1998; 74;224-37.  (and)   Bonanno GA, Papa A, O’Neil K, Westphal M, Coifman K, “The iImportance of Being Flexible; The Ability to Enhance and Suppress Emotional Expression Predicts Long-term Adjusment.” Psychol Sci 2004;15:482-7.</p>
<p>9)       Gilbert, D, <span style="text-decoration: underline;">Stumbling on Happiness,</span> Knopf A, NY, 2005</p>
<p><em>Copyright 2006 SE Walker</em></p>
<p><strong><em><br />
</em></strong></p>
<p><strong><em> </em></strong></p>
<p><strong><em>Stephen E. Walker, Ph.D.</em></strong></p>
<p><strong><em>“My Goal is to help you achieve a more enriching and joyful life</em></strong></p>
<p><strong><em>Through better health and improved performance.”</em></strong></p>
<p>Dr. Stephen Walker is a licensed healthcare professional who has served as a therapist, health psychologist, athletic &amp; personal performance consultant for the past 31 years in the Rocky Mountain Region.  His research at the University  of Colorado brought together the fields of psychology, integrative physiology, biofeedback and human performance in response to stress and recovery. His counseling practice focuses on the effective treatment of stress disorders, cardiac psychology and cognitive behavioral psychotherapy.</p>
<p>As a personal coach, Dr. Walker consults with individuals hoping to achieve peak performance utilizing the same methods employed by America’s best athletes, their coaches and sport psychologists. He has assisted many top performers in developing their use of mental conditioning skills in both sports and business.<em> </em>Outside of his consulting work, he is an accomplished public speaker and facilitator of clinics and workshops.</p>
<p><em> </em></p>
<p>He is available by appointment with offices in Boulder and Denver at Colorado Heart Imaging in Cherry Creek and for consultations in your office, home or practice/training facility. Learn more at:<strong><em> </em></strong><em><a href="../../../../../../">www.drstephenwalker.com</a> <strong> </strong></em></p>
<p>Dr. Walker also serves as the Editor-in-Chief of <strong><em>Podium Sports Journal: The Journal of Mental Conditioning </em></strong><em>– <a href="http://www.predator-online.com/">www.podiumsportsjournal.com</a></em></p>
<p><strong><em> </em></strong></p>
<p>You can contact him at:</p>
<p><strong><em> </em></strong></p>
<p><strong><em>Phone: 303.530.4439      Fax: 303.530.4643</em></strong></p>
<p><strong><em> </em></strong></p>
<p><strong><em>Email: walker544@comcast.net</em></strong><strong><em> </em></strong></p>
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