“Crying It Out”: Acceptable — or Abuse?

Sometimes I need a good cry before a nap, too.

One of the most primitive, innate reactions any mom has is to comfort her crying child. But as we’ve talked about here before, many babies can tolerate — and thrive — with some crying, when their parents thoughtfully decide why and when that might be necessary.

That’s why articles like this leave me mystified — especially when they come from one of my shrink colleagues.  Her bottom line is that CIO is dangerous. She trots out all the old arguments, hailing the Dr. Sears “science” behind her claims, and providing one of the most common misinterpretations of infant research. She makes the mistake that clinical research findings about abused and maltreated babies — babies who were pervasively denied their needs over the long-term — should be applied to NORMAL babies in NORMAL families.

The fact is, there is no evidence whatsoever that occasional CIO in typically developing babies causes any damage. PERIOD.

More importantly, there IS evidence that severely sleep-deprived mothers are at much higher risk of developing an already common –and dangerous — condition: postpartum depression. And PPD certainly CAN lead to long-term damage to both baby — and the entire family. CIO is a method that, when implemented thoughtfully, can often lead to improved sleep (and health and happiness) for everyone.

Firebombs like those thrown in the Psychology Today article only make the burden heavier on moms. What a shame.

Aloha as always,

Dr. Heather
The BabyShrink

Mom of Four, Parenting Expert

PS: Wow, what a response! After commenting here, please also see the comments developing over at the Fussy Baby Site.

Related Posts with Thumbnails

64 Responses to “Crying It Out”: Acceptable — or Abuse?

  • Babies cry – it is a primary means of communication. The hard-wiring between a normal mother-child bond informs the mother (and father) that the baby’s crying is communicating something. It could hunger, discomfort, illness, wanting to be picked up, anger, frustration, not wanting to be separated, a way to release energy to fall asleep and so on. Parents’ understanding of their baby’s cry is vital to healthy bonding and the relationship. It takes new parents a while to get the knack for this. Too, sometimes parents own developmental issues come up (e.g., moms were told by their moms that they always pick up a crying baby OR moms were told by their moms just let a crying baby cry it out). Other times, parents understand why the baby is crying but they’re just too dang tired or busy or distressed or mad or unhappy with their partner or stressed over the holidays or can’t pay their bills that they don’t take the time and patience to respond to the baby’s crying. Of course, babies learn pretty quickly that crying is a powerful means of communication with their mommy and daddy, and this newly discovered power can take on secondary-gain characteristics to ensure the response they seek. Personally, as a father, I clearly remember times that my son or daughter needed to cry it out. Other times, they needed me and mom their to comfort them and figure out what was wrong. The crying it out approach we took when we were sure they weren’t hungry, sick, lonely, wet, unattended or unloved. Other times, we could tell something was wrong and we held them, loved them and figured out what they needed, whether it meant comfort time in mom and dad’s bed for a time, calling the doctor, or going the ER room. It takes a balance, an openness, patience and persistence. It also takes courage and faith and giving yourself time and permission to make mistakes and travel down the wrong alley. You’re still the best expert on your child. You know when he or she needs to be picked AND where he or she needs to cry it out. You know if your own day-to-day issues and emotions are getting in the way of a more effective parent-child interaction. You can tell in the tone, length and quality of the cry what the child needs or might need. If you can’t you have ways to reach out for help. If you don’t then get them. Polarized thinking – always letting them cry it out or always attending immediately to the cry is not useful. Our relationships with our children and ourselves are always evolving if we remain open and thoughtful. Looking at the big picture and the shape of our country today, I am concerned that we should all remain open and questioning with a big dose of humility, lots of self-care and much, much more LOVE, COMPASSION and UNDERSTANDING of ourselves, our children, our wild animal friends, our planet and our neighbors around the world. We are one and our only salvation will be consciousness and living with love intentionally in all aspects of our lives. We cannot teach our children this if we don’t first teach ourselves.

  • Dr. Heather, I whole heartedly agree with you.

    All this article seems to do is make parents feel guilty for letting their child cry, how can this following quote help anyone?
    “What does extensive baby crying signal? It shows the lack of experience, knowledge and/or support of the baby’s caregivers.”
    Really? You’re joking right? Obviously Darcia Narvaez has never come across a fussy baby! Fussy babies cry and cry and cry no matter what you do. Parents are not in any way shape or from damaging their child, they are not lacking experience or knowledge, their child is fussy.

    I am a children’s sleep specialist who doesn’t like the Cry It Out method and never advise it. When you leave your child to CIO you are not responding to them when they need some help. You know when they need help because the cry changes to what I call the Mommy I Need You Now Cry. I always advise parents respond to the MINYNC, your child then needs help, when they are being noisy and fussing and have a mantra like cry they don’t need help. Parents don’t need to feel bad for not responding to this.

    People who’ve commented, please stop bashing parents for their parenting decisions. This is the hardest job in the world and we need as much support as possible, your holier than thou attitude is no help what so ever!

    Rebecca Michi – Children’s Sleep Specialist

  • Ilima says:

    Any attentive mother knows her child and what they can handle. If you think your baby can’t handle crying for 20 minutes — or even 5 minutes — as she learns to fall asleep on her own, I’m not going to challenge you on that. You know your baby. But I know MY baby. Like millions of other mothers, I had a sense of when she was mature and independent enough to start going to sleep on her own. I knew she could handle it — and she did, like a champ. Millions of other families do this. If limited amounts of crying traumatized children, there would be generations of adults walking around with PTSD. It’s NORMAL.

    I agree with Rebecca — please stop bashing other parents about their decisions. If you truly believe your parenting choices are working for your family, then you shouldn’t need to trash other people to justify yourself.

  • Adina says:

    I am a severely sleep deprived mother and a couple of nights ago decided to start letting our 9 month old fuss a little bit when waking up during the night before going to her and trying to comfort her. Imagine my reaction, yesterday, when I read the PT article, Dr. Heather’s post and all these comments!
    First, “sleep deprived” means in my case, 9 months of waking up at least once every night (not to mention the uncomfortable nights during the last 2 months of pregnancy). I am at the point where I feel like I am sleep-walking during the day: not a good state to be in when you have to take care of a toddler and a baby. In my case, my mother’s instincts told me that in order for me to be the best parent that I can, something needs to change. I would not let my baby cry desperately without intervening and if I find out that this method doesn’t work, I will try to make different arrangements.
    So, to all the previous angry posters:
    Please try to keep an open mind and realize that no parenting “philosophy” works for everybody, at least not if applied rigidly.
    The “holier-than-thou” attitude isn’t helpful and you end up doing do to the other parents what you say some people tried to do to you, telling us how to raise our children. The reason I like reading Dr. Heather’s blog is precisely because she doesn’t try to make us perfect parents.
    And lastly, please remember to take any bit of information with a grain of salt, even the seemingly scientific kind (I would quote another example of “science” that has shaken the parenting world and proved to be a complete sham, but I don’t want to kick another hornet’s nest).
    Let’s each of us listen to our own parenting instincts!

  • Lori says:

    I think the more important distinction that the psychology today article made was – should we always RESPOND to a crying baby? Are there benefits to it? Is it harmful not to?

    And not whether a bit of crying here and there is damaging. I think most parents can see the difference between abuse and sleep choices.

    Leaving a baby to cry is a personal choice. Crying (behavior), to me, communicates a need to be acknowledged, not a manipulation or defect that needs to be fixed or disciplined. Still, I can see that good people sleep-train their babies without any apparent problems.

    But to suggest that babies thrive under controlled crying strikes me as perpetuating an attitude that advocates dismissing emotions for discipline’s sake, that it’s for their good – and ours. As if this grants us permission to claim some peace and quiet.

    Don’t we already deserve some alone time, proper sleep? Do our needs have to depend on our children’s behavior?

    Sleep for children is not a challenge in independence as you might find in academics or life. Sleep is a primitively controlled basic need that demands that a set of expectations by the child be met – or development alters.

    How does it serve us to demand when children sleep and how, especially as infants?

    We brought them into this world – can we not give them the freedom, especially in the first year, to adapt to this world with our full support, sleeping close (because they’re wired to do so) and attending to every call for comfort so they develop a kind of unshakable belief that the world is safe and they are worth having their needs met?

    If we can’t adjust our lives to consider each family’s members challenges and unique patterns of development then what’s the point of having a family?

    Lori
    TEACH through Love

    As a side note – I assume most typical kids can be sleep trained in a few days?? If there isn’t prolonged or continuous crying with rising stress levels over sustained periods of time – so I get what you’re saying about there being no brain damage but crying for release is very different than crying in distress and I disagree that the latter is completely innocuous or necessary to produce independence or self-soothing behaviors.

  • Vanessa says:

    Sorry to comment again but I just wanted to say that I personally could not feel any anger towards parents who have done it or are thinking about it. I have been that exhausted and know how it is to feel at the end of your rope. My issue really is with parents advising other parents to do it because that is the way to “train” your babies and not let them “manipulate you” and more importantly pediatricians, therapists and other people who are of influence to others, telling parents that there is a certain age when babies “should” be sleeping through the night making them feel guilty and inadequate because their baby hasn’t reached that milestone. I felt complete isolation because I decided not to let my baby cry it out and co-slept. Is what felt instinctively good to me and was completely criticized for it, if I have more children, now I have articles like the one from psychology today to tell anyone who gives me advice against my instincts to keep their comments to themselves. My issue is with this article (from babyshrink) dismissing the evidence so that parents don’t feel guilty, since when medical authorities had to do that? Is a Dr. going to stop telling their patients to not smoke so that they don’t feel guilty? And some people are prone to post-partum depression regardless of their parenting style, some might need treatment despite their baby having been sleep trained. And last but not least, there seems to be a lot of competition about when babies do x, y or z, I have witnessed conversations where mothers find it funny if I baby is yet not sleeping through the night, making of course the mother feel inadequate or like there is something wrong with their baby. So I was pretty much a closet co-sleeper for those reasons but didn’t deny it if I was asked. I had a visiting nurse coming to my house every two weeks as part of a military program to aid new parents and she would nag me every time after my son was 4 months whether he was sleeping thorough the night or not, one day I asked her what I needed to do then, if I should just let him cry and she said yes. I felt not support whatsoever in my choices, that is why I am so glad that with time I found sites that do support more gentle ways to go through this, I agree that is not black and white, even Dr. Sears says: “if you resent it, change it”. There is definitely other options and I know some babies need to fuss a little before dozing off, that is not abandoning them in any way, that is honoring their needs, but when we talk about strict Cry it Out, is a one-size-fits-all approach where you put baby to sleep in their crib, walk out and close the door regardless of how long and how much crying it takes and like so many have pointed it out, would you ignore an adult crying inconsolably?

  • Genevieve says:

    My child cried for hours and hours on end in his first weeks, it was an absolute nightmare, we tried everything (although CIO would never ever be an option for us). Eventually we got a Cranio Sacral therapist to visit us and do a treatment. It was absolutely miraculous, she literally realigned what needed to be realigned in his little skull. It confirmed what I painfully knew, he was literally in pain following a long and traumatic birth where I was encouraged to push before the pushing stage putting undue pressure on his head. Here in New Zealand most parents do bring their baby for a treatment with a cranial osteopath to check if there are any physical problems causing a child to be unsettled, including frequent night waking, I’m not sure if it’s so well known in other areas, but just vitally important information for parents.

    I hear that Dr Heather admits it’s not appropriate for all babies, yet how many parents train their baby to dissociate and repress their need to cry out for their parents, or learn good sleep patterns as others define it, yet the baby literally needs treatments that go undiagnosed, alergies are another example.

    I just can’t come to terms with it being safe to purposely ignore a crying baby. I have 7 younger siblings and did a LOT of night waking during the years I was growing up and a teenager, pacing the corridor with a crying baby, checking nappy, making bottles, I never had it in me as a child or an adult to ignore a crying baby.

    Having said all this I’m not expressing this to place judgements on others, just to be part of voicing this perspective because many parents can lose touch with there even being options when all around them are encouraging them to not pick up their crying baby.

  • Well said, Dr. Heather! Chronic sleep-deprivation is crippling for parents and children, and maternal mental health is crucial for families to thrive. As for crying, my kids still cry when I won’t let them eat candy for dinner or stay up late to watch a movie. Yes I had to work on sleep with my kids to get to 11 hours every night, but it involved less tears than over-tired child tantrums, and was fairly uneventful. Days of discomfort vs years of torture. For me, sleep trumps all. We all feel better and are so much happier when we get the sleep we need.

  • Mary says:

    The article argues that “there IS evidence that severely sleep-deprived mothers are at much higher risk of developing an already common –and dangerous — condition: postpartum depression. And PPD certainly CAN lead to long-term damage to both baby — and the entire family. CIO is a method that, when implemented thoughtfully, can often lead to improved sleep (and health and happiness) for everyone.” PPD is something that begin and peaks in the weeks following birth. Not even Dr. Ferber would advocate letting a NEWBORN CIO!!!

  • Dr. Heather says:

    Mary: I didn’t advocate CIO for anyone: I’m simply supporting those who thoughtfully make the decision to do so, given age, temperament, and family needs. Nor did I suggest CIO in newborns: I certainly would NEVER support allowing crying longer than necessary for any reason in a newborn — sleep deprivation or not. Another misconception: PPD does NOT “peak” in the weeks following birth, but rather, new moms are at risk of PPD in the entire year after birth. Sleep deprivation builds like a snowball after several months so it is a terrible problem for so many moms.

  • Esther says:

    Thanks for taking on Darcia Narvaez, Heather. I noticed her blog several months ago and found her strident tone and distortions of the profession literature in service to her extremist agenda quite disturbing.

    I’d like to point out that Darcia hints at her motivation for turning her Psychology Today blog, which is supposed to be about morality in children (her area of expertise) into a third-rate parenting harangue:

    “ADDENDUM: I was raised in a middle-class family with a depressed mother, harsh father and overall emotionally unsupportive environment–not unlike others raised in the USA. I have only recently realized from extensive reading about the effects of early parenting on body and brain development that I show the signs of undercare–poor memory (cortisol released during distress harms hippocampus development), irritable bowel and other poor vagal tone issues, and high social anxiety. The USA has epidemics of poor physical and mental health (e.g., UNICEF, 2007; USDHSS, 1999; WHO/WONCA, 2008). The connection between the lack of ancestral parenting practices and poor health outcomes has been documented for touch, responsiveness, breastfeeding, and more (Narvaez et al., in press). If we want a strong country and people, we’ve got to pay attention to what children need for optimal development.”

    In short, Darcia is pursuing her personal ghosts online. Cheaper than psychotherapy, I suppose, but not really a fair use of her pedestal, is it? Is such self-diagnosis of “signs of undercare” encouraged in psychology?

    Mind you, if Darcia wants to look to her parenting as the root of her own issues, maternal depression is a far greater risk factor for an infant than formula feeding, CIO, or any particular parenting practice. Right?

  • Sharon says:

    I find it very interesting to see how many people put words in your mouth and drew conclusions out of left field. That’s an interesting study right there.

    My husband and I decided to let our son “cry it out” at 5 1/2 months old. I NEEDED uninterrupted sleep. We decided to give it a try after consulting his pediatrician and making sure he was healthy and developing at an expected rate. Just like the books say, it took three nights (the last night was about 3 minutes of crying). My son is now 11 years old and is still healthy and developing at an expected rate, actually thriving. At the end of the day, I am pretty sure we will cause our son unrest in some way but it will be not from letting him CIO three times. I realize we all have choices and this is the one that worked for us.

    What I appreciate about you, Dr. Heather, is consistency, a light touch, caring approach for babies and moms and nonthreatening. I am grateful you share your experience and insight. Keep up the good work!

  • Pingback: Babies and Crying: What’s a parent to do?

  • Pingback: Sleep Solutions for Every Baby | Science of Mom

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

Aloha, I’m Dr. Heather

Aloha, I’m Dr. Heather

I'm a psychologist and Mom of four, here to make parenting easier -- and more fun. My advice is science-based and road-tested in the real world. I specialize in babies and young children through age 7. I'm also a parenting writer, national speaker, child development expert, and social media strategist.

Let’s Get This Potty Started!

"Calling all parents who are about to embark on the wild adventure of potty training their child—this is your must-read! With authoritative practical advice, playful tips, and a spirit of connection and love, Dr. Wittenberg gives us an easy-to-read gem of a resource that can lead your family to a diaper-free finish line with minimal fuss -- and a big helping of laughter. Enthusiastically recommended."

Anthony T. DeBenedet, MD, co-author of The Art of Roughhousing: Good Old-Fashioned Horseplay and Why Every Kid Needs It

Dr Heather on Video

Dr. Heather on TV

Pull-Ups Potty Training Ambassador

BabyShrink’s Thoughts

Frequent Topics