Carrot or Stick? A Horizon Guide to Raising Kids


Carrot or Stick? A Horizon Guide to Raising Kids

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All parents want to give their children a great start in life.

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But knowing how best to do that, or where to turn for advice,

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isn't always so easy.

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As a child psychologist, I meet with many fraught and anxious parents.

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They come with many, many questions. They want to know:

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Can a problem child really be changed?

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How should they be managing their child's misbehaviour?

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How can they help their child perform better at school?

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At times like this, I think science should give me some of the answers.

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But as a mum, I know that parenting is an inexact science.

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like being in your own personal experiment,

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with highs and lows, with lots of trial and error.

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Yet children, what makes them tick and how best to manage them,

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have increasingly become the subjects of scientific focus.

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And for nearly 50 years,

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Horizon has charted the latest thinking in child development

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from psychologists, neuroscientists and educationalists.

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It's documented an era of immense social change in Britain,

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from the buttoned-up post-war years...

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I really will smack you next time.

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..to the modern age.

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Mwah!

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As we've moved from traditional families

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to more single parents.

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-From Victorian-style discipline...

-Five fives?

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..to hippy ideals.

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Let the ideas flow into your mind.

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And from a world of thrift

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to one driven by consumerism.

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Congratulations, you've earned 58.57.

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To shower kids with love, or be super-strict...

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That is not acceptable!

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..each generation of parents has wondered

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what experts can really tell them

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when it comes to bringing up children.

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The scientific study of little minds

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and how they develop began in earnest in the post-war period.

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Parents at the time were a tough breed,

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shaped by the strict Victorian-style values of their own upbringing

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and by the hardship and austerity of the war years.

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These parents were all about hard discipline...

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CHILD SCREAMS

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..wary of showing their children love for fear of spoiling them.

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But research into families separated by the war

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was to turn all that on its head.

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By the '60s, psychologists were building

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on studies into wartime orphans to explore just how vital

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a mother's love was to a child's development.

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In 1971, Horizon investigated this major new wave of thinking.

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VOICEOVER: Human development is so complicated

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that it's almost impossible to find cause and effect.

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But there's an area now where scientists can be specific.

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In all of us, there are two urges and they can be seen most clearly

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when we're aged two.

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There's attachment behaviour,

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the innate urge that makes a child run back to its mother and keep close.

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And there's the urge to explore, curiosity.

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These two urges are in conflict

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and their balance is different in each child.

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Mothers complain if their child is too clinging,

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or else always running off and getting lost.

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The balance between these two urges in a child

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has been found to depend on the mother's sensitivity to that child when a baby.

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But what do the scientists mean by sensitivity?

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The sensitive mother is someone who picks her baby up when it cries

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and understands what it wants.

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She seems to be in tune with baby's signals.

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The insensitive mother

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is someone who leaves the baby to cry for long periods

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and seems to reject the baby as a person.

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At the Johns Hopkins University,

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they've been following a group of 23 mothers from their baby's birth,

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going into their homes once a week to observe their sensitivity.

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Joe has had a sensitive mother.

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Good boy!

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This is the strange situation room. There's your chair, here are the toys.

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You can set the baby down on the floor.

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Here is a card with instructions about when to leave the room.

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If you will go to your chair and set the baby down on the floor,

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we can begin the experiment.

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Joe is being put into a situation which will grow

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more and more strange.

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The balance between his exploration and his attachment behaviour will be observed.

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Every one of his movements,

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each toy he touches, is recorded in detail.

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Immediately, Joe has begun to explore.

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He has the confidence to go exploring into the furthest corner

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of the room. A child with an insensitive mother would be passive

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and uninterested in the room.

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Time for stranger.

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Joe doesn't know how to take the stranger.

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He's not seen her before and her silence is disturbing.

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He's going to mother. The balance has been tipped to attachment.

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Joe is learning from her reactions

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whether the stranger is a threat to him.

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For the insensitively mothered child, the stranger's entrance

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led to a decrease in activity, but not a return to mother.

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The next stage of the experiment is for stranger to play with him

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and distract him while mother leaves the room.

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Her instructions are to choose a moment

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when Joe doesn't see her go and to leave her handbag behind.

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With mother as a secure base behind him,

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Joe will play with the stranger.

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Now under severe stress, exploration dies.

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He switches to heightened attachment behaviour.

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He stays by mother's chair.

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It's as close to her as he knows how to get.

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JOE CRIES

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DOOR OPENS

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The climax of the experiment was the quality of the reunion.

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Joe shows nothing but a dramatic desire

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to get to mother as quickly as possible and cling.

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The insensitively mothered child

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would have shown indifference to her departure and return.

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This relationship between curiosity

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and the support and affection the mother has given the child

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is a recent theory developed by the man here at the Tavistock

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who first drew the world's attention to the effects of maternal deprivation, Dr John Bowlby.

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All we know is that if children, in the first two or three years,

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get the kind of support and affection I'm referring to,

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then, when they are three plus, they become increasingly confident

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and able to make use of the world as they find it, a wider world.

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And it's the ones who don't,

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who are apprehensive and bothered and become dependent.

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Bowlby's theory challenged the popular notion

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that too much love would spoil a child.

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He insisted that a loving and sensitive mother or father

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was crucial to a child's self-confidence - an idea that would have a lasting impact.

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Attachment theory, as it's known,

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still forms the basis of our thinking

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about how important it is for mother and baby to have a good bond.

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But it also gave birth to the notion

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that this ideal and ever-present mother

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was something that we should all be striving for,

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a pressure that's really hard for mums like me to live up to.

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But most importantly, attachment theory suggested that when things went wrong with a child,

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the person to look at was the mother.

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During this era, scientists were trying to understand

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why some children developed apparently abnormal behaviour.

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One condition little understood at the time was autism.

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Well, the first thing that happens

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in any human encounter is that two people

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look one another in the eye.

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This happens first when a baby is about six weeks old,

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and goes on for rest of his life.

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Now, we noticed that this is the one thing autistic children don't do.

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Here now are the main symptoms of autism.

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The most striking one is a kind of alone-ness.

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They avoid looking straight into people's eyes.

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They seem preoccupied with something

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and spend much time just gazing vacantly.

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They also endlessly repeat gestures like these,

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ignoring what's going on around them.

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They may seem not to hear what's said to them.

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They often don't respond to someone cuddling them or picking them up.

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Language problems are a key symptom

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and contribute to the impression of alone-ness.

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So a general picture of inattention and non-communication is common with the autistic child.

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Many experts at the time thought this type of disturbed behaviour

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had a psychological rather than biological basis.

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One group of psychologists,

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led by the Austrian therapist Bruno Bettelheim,

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reasoned that if mothers were cold or unloving,

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they must somehow be to blame for their child's autism.

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There was even a term for it - refrigerator mother theory.

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In a series of controversial experiments,

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psychologists at the New Orleans Primate Centre set out to test this idea

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by depriving baby rhesus monkeys of a responsive mother.

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This infant was removed from its mother at birth

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and it's now 50 days old.

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The object has thoroughly become, over this period, a security object.

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If it's frightened or mildly upset, it goes to it and clings to it.

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In this sense, it is a mother substitute

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but a very limited kind of substitute.

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When reared on a substitute mother, which remained stationery,

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the babies were bound to develop the characteristic rocking motion

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often found in autistic children.

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Will the behaviour of this baby monkey give a clue

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to the little-understood human baby condition?

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A number of things have happened.

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These animals on the stationary devices seem much more fearful.

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For example, if I attempt to touch this animal...

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..she avoids me.

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Dr Mason, who is in charge of these experiments,

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then tried giving other babies an identical mother substitute,

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but one that moved mechanically at fixed intervals throughout the day.

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This animal does not rock.

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And what we didn't anticipate is she's must bolder

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than the animal raised on the stationary surrogate.

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Speaking loosely, one can say this animal is psychologically more normal?

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Yes. In fact, one doesn't have to speak loosely. I think that's definitely the case.

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These experiments seemed to confirm that an unresponsive mother

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could trigger autistic-like behaviour in her offspring,

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fuelling a culture where mothers of autistic children were often blamed for their problems.

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Bruno Bettelheim would later distance himself from this theory.

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But traumatised by his own wartime experience,

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he believed emotionally-disturbed behaviour in children

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was the result of a past trauma they'd suffered.

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After the war, he dedicated his life

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to helping problem children at a special school in Chicago.

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In 1987, in one of the last interviews before his death,

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Bettelheim spoke to Horizon about his work.

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Bruno Bettelheim is one of the last surviving members of the psychoanalytical movement

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to be trained in Vienna during the time of Sigmund Freud.

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In 1938, he was imprisoned in the Nazi concentration camps

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and saw the personalities of otherwise normal prisoners disintegrate

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under extreme stress into psychotic and schizophrenic behaviour.

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Bettelheim's remarkable success has been attributed

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to his uncanny ability to understand children's thinking.

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He was able to enter their world and make sense of it.

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Bettelheim's work was revolutionary.

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He not only showed that children with behavioural problems could be helped,

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he also encouraged the idea of listening to them

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and seeing things from their point of view.

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But his work was to herald increasing awareness that trauma often started within the family.

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And that's where experts started to look for explanations,

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not only of psychological damage, but of physical harm.

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In the '70s, doctors came up with a new explanation

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for why some babies with no visible injuries developed sudden brain damage.

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They called it "shaken baby syndrome" and suggested parents were the culprits.

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Now the state came under increasing pressure

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to protect children from abuse within the family.

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PHONE RINGS

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Hello, Social Services.

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Taking the details of real cases, Horizon used drama to explore

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why a mother would deliberately hurt her child.

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I have to say that, looking at those injuries,

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looking at those bruises and the broken arm,

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it's pretty clear to me and to the other doctors that have had a look at her,

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that those injuries have been inflicted on her.

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Any possibility of anyone hurting her deliberately?

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No, we don't hurt her.

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Later, the mother admits to causing the injuries by shaking her baby.

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Will you just sit down?

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She and her husband are called in for a psychiatric assessment,

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along with her parents.

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-I thought it might be a good idea to meet.

-It's cos I'm shaking her.

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It soon becomes clear that the mother of the battered baby is a victim of abuse herself.

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I wonder who Andrew raises his hand at most when he gets angry?

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Is it more at Matthew, is it more at you?

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Who does Andrew raise his hand most to when he gets angry?

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Matthew and me...

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and he shouts and smashes things.

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Does he smash you sometimes?

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Uh-huh. And is that the same as your dad,

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or differently from your dad, when he gets angry, when he drinks?

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It's like me dad.

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Like your dad. Is that right, Mrs Eastwood?

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Increasing awareness of abuse passing down generations

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turned the spotlight on mothers in a new way -

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not just to blame them but to try and help them too.

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By the '80s, the breakdown in traditional family life

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was starting to take its toll.

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Mums of this generation were more likely to be

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the product of broken homes and troubled by an unstable upbringing.

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With numbers on the child protection register spiralling,

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the government looked for new ways to break the cycle of damage and abuse.

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The answer lay in a new phenomenon - self-help.

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In this area of south London alone, two small children

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were beaten or starved to death

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by their parents in the past two years.

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The vast majority of battering or abusing parents

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were themselves battered and abused as children.

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Depression among mothers of preschool children

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is worryingly common.

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It's estimated that over a third are suffering from actual clinical depression

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and it has serious consequences.

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Research has proved that the children of depressed mothers

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are likely to have trouble

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learning to read when they get to school, and some have major behaviour problems.

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Some mothers are now being offered the chance of a break

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in the endless chain of depression and destruction

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by a unique organisation called Newpin.

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What used to depress me so much in health visiting

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was how much destructive family patterns kept on repeating themselves,

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and actually just talking through some of women who were

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in my actual caseload as a health visitor, how much nothing had really changed

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from what were, seemingly, generations of family behaviour.

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So, you know, that they were going to be in the same locked state forever

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was the most driving reason, I think. Was there a way of changing things?

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Newpin brought mums together at a local support centre.

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When I first came, I didn't realise I was depressed.

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I was always getting uptight with the children.

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At the time, I couldn't see it. I couldn't see that I was depressed.

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The women were encouraged to take part in weekly group therapy.

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It was difficult. Most of the time, I just sat quiet.

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Didn't talk.

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But then, once I got to know them a bit more, I opened up a bit more.

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-Do you think you were getting things out of it, even if you didn't say anything?

-Yeah.

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It made me realise what other things people go through

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and that I'm not the only one that went through them experiences.

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That there was someone else here.

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By working through their childhood problems,

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Newpin helped these mothers relate more positively to their own kids.

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I think I'm becoming a better parent to my children.

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I've got some respect for myself, which I didn't used to have.

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Personally, I feel much more aware of myself,

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much more aware of the kids

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and more able to cope with them.

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And to understand them and see it from their point of view.

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I understand my children better - Dean, especially, because he was, like, hyperactive.

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He's not as bad as that now.

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I think its cos I understand him more and I'm happier

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that it's making him happier and we get on better.

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Newpin proved to be a lifeline for many mothers wrestling with a traumatic past.

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But it wasn't just dysfunctional families that needed help.

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In the 1970s and '80s, the rise in new liberal ideas about discipline

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left a lot of more ordinary families struggling to manage their children's naughty behaviour.

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This generation was particularly keen to distance itself from the harshness of post-war ideas,

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and smacking was particularly frowned upon.

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So when a new idea arrived from the States called behavioural therapy, it caused quite a stir.

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Pigeons can be taught to do very complicated things.

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This bird was trained by first rewarding it with food

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for small turns to the right, then for bigger turns, until finally he learned the trick.

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HE GIVES INSTRUCTION, INAUDIBLY

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Now psychiatrists in Britain are using methods very similar to that used on the pigeon,

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to get children to be obedient.

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Jonathan, I want you to put that jigsaw into that box.

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The therapy you're about to see will make most British psychiatrists

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and social workers hopping mad.

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They think this kind of therapy is awful.

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-Don't forget, praise.

-That's a good boy.

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Specify.

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That's a good boy. You put your toys away, that's a good fellow. You're a good boy.

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-Give him chocolate.

-Would you like a wee bit of chocolate for doing that?

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-BOY: May I have bit?

-Yes, you may.

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VOICEOVER: They don't think people should be trained like pigeons.

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But you should judge for yourself.

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In the UK, behaviour therapy is unpopular,

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in spite of the fact that in America, it's widely used to help parents cope

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with disobedient but otherwise normal children.

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In Britain, such families get some form of

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Freudian therapy, or family therapy or, more likely, tranquilisers.

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Here in Belfast with Roger McAuley,

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the American methods are being fitted into our National Health Service.

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14 families, one after another, were asked if they would be in this film.

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They said no - they didn't want neighbours to know they were getting psychiatric help.

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The 15th and 16th were single-parent families, rather isolated,

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and this is probably the reason they agreed.

0:24:510:24:54

Roger is treating one family in their home.

0:24:550:24:58

The mother was deserted when she was eight months pregnant

0:24:580:25:01

and her American husband shoved off back to the US.

0:25:010:25:04

After a succession of crummy flats in London, Deidre Engstrand

0:25:040:25:08

and Jonathan have come back to Belfast. She says that Jonathan

0:25:080:25:12

has been deprived of both a father and a proper home.

0:25:120:25:15

Now, use the nailbrush. Oh, no...

0:25:150:25:17

-There, here.

-I don't want the nailbrush.

-Come on, there, here.

0:25:170:25:21

So she's tried to compensate by never refusing him anything.

0:25:210:25:25

Now she has asked for help because Jonathan won't do anything he's told.

0:25:250:25:29

-Just wash your hands.

-No!

0:25:290:25:32

Trying to get him to have a bath, I mean, that's an unholy row.

0:25:330:25:38

To wash his hair's the same thing.

0:25:380:25:40

And, I mean, people comment on it, you know, the noise he makes.

0:25:400:25:44

No matter what it is, he fights it, from he wakens up in the morning, he fights.

0:25:450:25:51

-Leave it! Oh, no!

-Now, Johnathan, you let David play.

0:25:510:25:55

-No, no...!

-David...

0:25:550:25:58

ROGER: Diedre, what should you do?

0:25:580:26:00

JOHNATHAN SCREAMS

0:26:000:26:01

Roger asks her to use this routine to get obedience.

0:26:010:26:04

She's to instruct and, if obeyed, to give a reward.

0:26:040:26:08

If Jonathan doesn't comply, she's to ask a second time

0:26:080:26:12

and if he obeys, to reward him.

0:26:120:26:13

ROGER: The verbal content must be clear, "I want you to do something now."

0:26:150:26:23

There's no good in saying, "Don't you think it's time..."

0:26:230:26:26

That gives the child the opportunity to say, "Well, no."

0:26:260:26:29

I think I normally say, "I'd like you put your toys away now, please, son."

0:26:290:26:36

OK, do it the way I want you to do it.

0:26:360:26:39

Jonathan, I would like you to put your toys away.

0:26:410:26:44

Amazing, a vast difference!

0:26:440:26:46

VOICEOVER: If he still refuses, she's to punish with time out.

0:26:460:26:50

She's not to engage in any kind of argument.

0:26:500:26:52

ROGER: Go on, no more shouting. That's good.

0:26:520:26:54

You got it, nice and firm.

0:26:550:26:57

Out the door, boyo. Out the door. I told you to get off the door.

0:26:570:27:01

Now, sit there until you're quiet.

0:27:010:27:04

-Now, sit there until you're quiet.

-No, I cant sit there!

0:27:040:27:09

VOICEOVER: The time out punishment is not anything physical.

0:27:090:27:13

It has already been explained to Jonathan. He has to stand quietly in the corner for one minute.

0:27:130:27:18

The snag is the minute does not begin till he's calm and quiet.

0:27:200:27:24

HE SCREAMS

0:27:240:27:27

It took 40 minutes for Jonathan to give in.

0:27:270:27:30

ROGER: OK, finish it. Tell him to come out.

0:27:330:27:36

Come on, that's a boy.

0:27:360:27:37

Do I praise him, Doctor?

0:27:410:27:42

Oh, God no. You say nothing. That's a punishment.

0:27:420:27:45

You must not make up to him for at last ten minutes after!

0:27:450:27:49

One for you. A knife and fork for you and a knife and fork for me.

0:27:530:27:58

A knife and fork for you and a knife and fork for me.

0:27:580:28:03

He'll help me clear the table and he'll get things for me, so that's a change.

0:28:030:28:08

At night, he'll wash himself without a fight, clean his teeth

0:28:080:28:12

and go to bed with his pyjamas and get ready for bed upstairs.

0:28:120:28:16

Had I not seen it working so rapidly,

0:28:160:28:20

I definitely would have scrubbed it.

0:28:200:28:24

You know, I would have thought

0:28:240:28:27

it was too brutal, for want of a better way of describing it.

0:28:270:28:34

It was like training, training a dog or an animal.

0:28:340:28:39

And for those reasons, you think, "What am I doing to my son?"

0:28:390:28:44

That's a fella.

0:28:440:28:46

It's hard to believe how controversial this behaviourist approach was 30 years ago.

0:28:480:28:53

But today, for therapists like myself, it forms the basis of the way

0:28:530:28:58

we work with children who've got very difficult behaviour.

0:28:580:29:01

-BLOWS RASPBERRY

-Pack it in!

0:29:010:29:03

These new ideas about discipline spread widely, spawning a wave of popular parenting shows

0:29:050:29:11

They don't listen to a word I say!

0:29:120:29:14

I need some help with disciplining them...

0:29:140:29:17

I don't want to!!

0:29:170:29:20

These offered expert tips on everyday problems like dealing with toddler tantrums...

0:29:200:29:25

Let's see if we can ignore the tantrum till it wears itself out.

0:29:250:29:28

And gave lessons in tough love...

0:29:300:29:32

It sounds pretty harsh, holding the door.

0:29:320:29:34

He's safe, you're not abusing him in any way.

0:29:340:29:37

It's a very short period of time.

0:29:370:29:39

..as well as reward tactics.

0:29:400:29:42

You didn't stay in your bed, so you don't get your treat.

0:29:420:29:49

But there would always be some who saw this kind of behaviourism as too soft.

0:29:500:29:55

Dr Ron Federici believes techniques like this

0:29:560:29:59

need to be radically intensified to help parents of children

0:29:590:30:03

with severe behavioural problems.

0:30:030:30:05

CHILD SCREAMS

0:30:050:30:07

And where Bruno Betttelheim once prescribed love and empathy,

0:30:070:30:12

there's nothing soft or cuddly about these tactics.

0:30:120:30:15

So often families feel the best intervention they can give

0:30:150:30:19

is unconditional love, affection, patience, time and talking to the child.

0:30:190:30:24

That turns out to be the incorrect mode of dealing with the child.

0:30:240:30:28

What's most important is to start a programme to allow parents to take total charge

0:30:280:30:34

and structure, and organise, this child's thinking,

0:30:340:30:38

reasoning, behaviours and role within the family.

0:30:380:30:42

Adults become the strong role models and reparent the child all over again.

0:30:420:30:48

CHILD: That's what I said, I don't want this any more!

0:30:480:30:53

The Mortons want help with their 12-year-old son Sergei,

0:30:540:30:57

who they adopted from a Russian orphanage at the age of eight.

0:30:570:31:00

Sergei displays violent behaviour even towards his family

0:31:020:31:05

I'm just wasting my time doing this crap!

0:31:060:31:08

When we were coming home from a dinner one night, he attacked both his brothers,

0:31:080:31:13

tried to choke his younger brother, and even attacked his big sister.

0:31:130:31:17

How much more violent is he going to be than he is now

0:31:180:31:21

when he's stronger and bigger and maybe finds a gun some place?

0:31:210:31:26

It's really hard to answer what's in his mind.

0:31:290:31:33

He shows a lot of anger, a lot of contempt for people, a lot of hate.

0:31:330:31:40

Dr Federici is here to explain his training programme to the Mortons.

0:31:400:31:44

It's to last 30 days.

0:31:440:31:46

Rather than focusing on Sergei's damaged past,

0:31:460:31:51

Dr Federici emphasises a strict routine and parental control.

0:31:510:31:55

Sergei will have to stay within three foot of his parents

0:31:550:31:59

at all times and obey their every word.

0:31:590:32:01

Show me three feet?

0:32:020:32:04

Three feet means three feet. If I can not touch you, you're too far away.

0:32:040:32:10

Follow instructions right away.

0:32:100:32:13

"Serge, get up." The answer is, "Yes, sir, I will."

0:32:130:32:20

Your mom and dad are in charge of everything.

0:32:200:32:25

Meaning you have to ask for permission.

0:32:250:32:29

Excuse me, may I go to the bathroom? May I have a drink of water?

0:32:290:32:34

Excuse me, may I eat dinner? Excuse me, may I read a book?

0:32:340:32:38

The answer is no, unless your father says,

0:32:380:32:41

"Serge, you can read a book with me."

0:32:410:32:44

You can not do anything alone.

0:32:440:32:46

He cannot do anything alone. Because he likes to run away.

0:32:460:32:51

If he runs to his room, take the doors off.

0:32:510:32:54

Beautiful room!

0:32:540:32:56

From now on, Sergei's parents will sleep in the same room as him.

0:32:560:32:59

Serge, everything gets boxed up, taken, toys, everything off the wall

0:32:590:33:05

and we just have bed, pillow, Mom's bed, Dad's bed.

0:33:050:33:10

Very good. He likes to keep neat. Everything will be boxed up, OK?

0:33:140:33:21

Sergei will be allowed no personal possessions and no privacy.

0:33:210:33:25

Many families believe it may be inappropriate to take away

0:33:250:33:28

a child's identity, even if it's an inappropriate one.

0:33:280:33:32

But what's so important is to realise this is a superficial posture and the important thing

0:33:320:33:37

is to bring them back into the adult world

0:33:370:33:39

where adults become the strong role models and reparent the child

0:33:390:33:42

which is the starting point of a stronger and more solid attachment.

0:33:420:33:46

Only eyes, only eyes.

0:33:460:33:50

Echoing 1960's attachment theory,

0:33:500:33:52

Dr Federici believes problem behaviour in a child

0:33:520:33:55

can stem from the lack of a strong parental bond in the early years.

0:33:550:33:59

But he believes this attachment can be rebuilt by getting Sergei

0:33:590:34:04

to make close eye contact while being held by his parents.

0:34:040:34:07

This is better for him than being on his own. This is much more positive than fighting with you.

0:34:080:34:15

Whether it's called brainwashing or reprogramming

0:34:150:34:17

or practising, a rehearsal, which I tend to prefer, it's very appropriate

0:34:170:34:21

for a child like Sergei who has, literally, a blank slate of human emotions and feelings.

0:34:210:34:27

He's been devoid of many of these feelings and expressions for so long,

0:34:270:34:31

he has no clue how to do those unless it's taught and practised and rehearsed.

0:34:310:34:36

Dr Federici also has a technique for dealing with Sergei

0:34:360:34:40

when he's out of control - the hold position.

0:34:400:34:43

If you do anything violent, Mom and Dad will take you down to get you in control.

0:34:430:34:50

There will never be fights. If he tries, he goes down.

0:34:500:34:56

He goes down for hitting, kicking, spitting, cussing in your face,

0:34:560:35:03

screaming, breaking property, slamming doors. Where he's out of control, he must go down immediately.

0:35:030:35:11

-God!

-He's not being hurt.

-No, my toe is twisted!

0:35:110:35:15

-It still hurts!

-He may choose to make up all kinds of stories.

0:35:150:35:21

-It's not, I'm not making it up!

-He's very angry.

0:35:210:35:25

Dr Federici thinks Sergei will find this position reassuring.

0:35:250:35:28

His parents physical power will make him feel safe and secure.

0:35:280:35:32

Dr Federici has gained a widespread following

0:35:320:35:35

amongst desperate parents in the States,

0:35:350:35:38

but critics of this approach are concerned

0:35:380:35:41

about the damaging effects it could have on already vulnerable children.

0:35:410:35:46

Dr Federici defends his method.

0:35:460:35:48

Even in the most difficult situations,

0:35:490:35:52

where the child is written off as totally unattached

0:35:520:35:54

and irrecuperable, I believe very strongly that any child,

0:35:540:35:58

even that level of damage, by hard work and very unorthodox

0:35:580:36:01

and aggressive, innovative techniques,

0:36:010:36:04

will often bring that damaged child to an 80% solution with the family.

0:36:040:36:09

It can be hard to isolate the precise cause of behavioural problems in children like Sergei.

0:36:100:36:16

-Can you calm down just a little?

-Shut up!

0:36:160:36:18

And in recent years, the impact of life experiences

0:36:180:36:22

versus biological causes has been the subject of much debate.

0:36:220:36:28

Where scientists once focused on upbringing -

0:36:280:36:31

for example, poor parenting or bad mothering -

0:36:310:36:34

to explain behaviour difficulties in children, more often than not,

0:36:340:36:37

they're looking to the brain for answers.

0:36:370:36:40

We now know that some extreme behaviours

0:36:400:36:43

can be explained by underlying neurological conditions

0:36:430:36:46

which are often triggered by a complex mix

0:36:460:36:49

of the environment the child's been bought up in

0:36:490:36:51

and its genetic make-up.

0:36:510:36:53

But drawing the line between a naughty child

0:36:530:36:55

and one with a genuine problem isn't easy.

0:36:550:36:58

BOY SCREAMS

0:36:580:37:00

Liam, come here!

0:37:000:37:02

In the last few decades, scientists have been developing

0:37:020:37:05

new diagnostic tools.

0:37:050:37:07

Hello!

0:37:070:37:09

One disorder they can now identify and test for is ADHD,

0:37:090:37:14

or attention deficit hyperactivity disorder.

0:37:140:37:18

In 2005, Horizon went to find out what happened

0:37:190:37:22

when Jazmine and James Fisher, who both had problems

0:37:220:37:25

controlling their behaviour, were assessed for the condition.

0:37:250:37:30

What did you do that for?!

0:37:300:37:32

This is the Conners Rating Scale.

0:37:320:37:35

This is one of the methods of trying to diagnose ADHD.

0:37:350:37:39

You have one, twos and threes and you have to answer best.

0:37:390:37:44

You know, is this a little true, or is it pretty much true, very much true, or never at all.

0:37:440:37:49

And these sort of questions here relate to symptoms of ADHD.

0:37:490:37:55

I mean, Jazmine here scores a three for disturbing other children.

0:37:550:38:00

Only paying attention to things she's really interested in.

0:38:000:38:04

Has difficult in waiting her turn.

0:38:040:38:06

Interrupts or intrudes on others. Restless, always on the go.

0:38:060:38:09

A diagnosis of ADHD is based on extreme patterns of behaviour.

0:38:090:38:15

In particular, inattention, hyperactivity and impulsiveness.

0:38:150:38:20

Jazmine and James were both found to have the condition.

0:38:200:38:23

-James?

-What?

0:38:230:38:26

Why don't you go and play on your PlayStation?

0:38:260:38:29

YELLS: OK! Leave me alone, you bitch!

0:38:290:38:32

That's nice, thank you(!)

0:38:320:38:34

Tough discipline doesn't always work for parents of ADHD children.

0:38:340:38:39

I suppose a lot of parents, you know, if they were called a bitch

0:38:390:38:42

and so on, the hard line discipline would come out,

0:38:420:38:45

but it just doesn't work because he'll still do it anyway.

0:38:450:38:49

So I just try and ignore some of the behaviour.

0:38:490:38:51

Don't do that!

0:38:510:38:53

Jazmine, don't wind him up.

0:38:530:38:57

Scientists believe a lack of the brain chemical dopamine

0:38:570:39:01

makes it hard for children with ADHD to control their impulses.

0:39:010:39:06

With diagnosis comes medication to help control symptoms

0:39:070:39:11

in the form of Ritalin, a powerful stimulant drug.

0:39:110:39:14

It's almost like, when you have a light, yeah?

0:39:170:39:20

You can switch it on and off.

0:39:200:39:22

With my Ritalin, I can switch my brain on and off.

0:39:220:39:25

Like in my brain, my thoughts.

0:39:250:39:27

But when I'm not taking my Ritalin,

0:39:270:39:30

the light isn't working any more and stays on.

0:39:300:39:32

Scientists now think ADHD has a strong genetic component

0:39:320:39:37

and can often run in families.

0:39:370:39:39

Her children's diagnosis struck a chord with Charlotte,

0:39:390:39:42

who had problems with her behaviour as a child

0:39:420:39:45

and was thrown out of six schools.

0:39:450:39:47

I read this particular book, and I really...

0:39:490:39:52

I thought, "Oh, my God. I have just read my whole life in this book."

0:39:520:39:55

And I was quite shocked at how similar and...

0:39:550:40:00

You know, it was almost a bit weird,

0:40:000:40:02

how many things related to me and that's when I realised,

0:40:020:40:05

"This has been my problem my whole life."

0:40:050:40:07

But it's not just behaviour that can be affected by a brain disorder.

0:40:110:40:15

Neurological make-up can have a huge impact

0:40:150:40:18

on how children learn at school.

0:40:180:40:21

Where once kids were just labelled stupid or disruptive,

0:40:210:40:25

scientists have now identified

0:40:250:40:27

several learning disorders originating in the brain.

0:40:270:40:30

Including dyslexia

0:40:310:40:33

and the maths equivalent, dyscalculia.

0:40:330:40:37

David Baddiel went to find out just how hard learning can be

0:40:410:40:45

if your brain is wired differently.

0:40:450:40:47

What are these frightening hoses?

0:40:490:40:51

-What are they?

-These are stimulation coils.

0:40:510:40:53

That's going on my head?

0:40:530:40:55

One will go onto your head, yes, exactly.

0:40:550:40:57

David is having the areas of the brain

0:40:570:41:00

he uses for maths knocked out by a magnetic pulse.

0:41:000:41:04

-We hold the coil approximately here.

-Yeah.

0:41:040:41:06

-It's not going to be...

-It's not a lobotomy.

0:41:060:41:09

-Tell me it's not a lobotomy.

-No, not at all.

0:41:090:41:14

A magnetic pulse just induces, very shortly,

0:41:140:41:17

electric chaos in this brain area.

0:41:170:41:19

-Electric chaos?

-Yes. This is what you could... (LAUGHS)

0:41:190:41:23

Electric chaos in my brain.

0:41:230:41:25

Fine. I'll do it for Horizon, it's fine.

0:41:250:41:28

Just for a couple of milliseconds.

0:41:280:41:30

I'm not that desperate for work.

0:41:300:41:33

Then it'll be restored to normal.

0:41:330:41:36

OK. Well, on your head be it.

0:41:360:41:38

David is preparing to do a test,

0:41:380:41:40

typically used on dyscalculic children.

0:41:400:41:44

In David's case, the part of his brain

0:41:440:41:46

he'd use for maths is being disabled to mimic the disorder.

0:41:460:41:50

You have to decide if the number is smaller or larger than 65.

0:41:520:41:55

-Yes.

-And then press with your two hands.

0:41:550:41:57

David has to identify if the number is smaller or larger

0:41:570:42:01

by a click with his left or right finger.

0:42:010:42:03

You will be stimulated every time the number comes up on screen.

0:42:030:42:08

Children with dyscalculia would find this extremely difficult.

0:42:100:42:14

ELECTRIC CLICKING

0:42:140:42:16

Hang on a sec, sorry. Can we start that again?

0:42:180:42:21

I completely forgot which side is which.

0:42:210:42:23

OK, it's left for smaller number, for smaller than 65,

0:42:230:42:26

and right for larger numbers.

0:42:260:42:28

As time goes on, David is feeling more and more disorientated.

0:42:280:42:34

-Sorry, sorry.

-OK.

-The smaller for the left hand side

0:42:340:42:38

-and higher for right hand side?

-Yes, exactly.

0:42:380:42:42

David's ability to respond to numbers is slowing down.

0:42:440:42:48

For genuine dyscalculics, it's much worse.

0:42:480:42:52

-The test you did, they'd be slow and inaccurate.

-Right.

0:42:520:42:55

So something really simple

0:42:550:42:56

like which of these two numbers is bigger, is very diagnostic

0:42:560:43:00

as to whether you will have dyscalculia or not.

0:43:000:43:03

By repeating these experiments, Brian Butterworth has identified

0:43:030:43:07

differences between normal brains and those of dyscalculics.

0:43:070:43:11

-This is the area responsible for numeracy?

-Exactly.

0:43:110:43:14

-This is a scan from eight-year-old kids.

-Right.

0:43:140:43:17

And what they show is there's this area here,

0:43:170:43:20

in what's called the right intraparietal salcus,

0:43:200:43:22

and kids who are dyscalculic have an abnormality here.

0:43:220:43:26

Science is beginning to glimpse the extent

0:43:260:43:28

to which children's neurological make-up

0:43:280:43:31

can determine their ability to learn.

0:43:310:43:34

It helps explain why some children struggle where others flourish.

0:43:340:43:39

-What did you learn today?

-We learned about the Victorians.

0:43:390:43:43

We learned loads of maths.

0:43:430:43:45

But as with children's social and emotional development,

0:43:450:43:50

our scientific understanding of how children learn

0:43:500:43:53

has evolved over time.

0:43:530:43:54

In the post-war period,

0:43:560:43:57

Swiss developmental psychologist Jean Piaget

0:43:570:44:00

came up with a radical idea.

0:44:000:44:02

That children are no less intelligent than adults,

0:44:020:44:05

they just think differently.

0:44:050:44:08

His theory motivated a series of experiments

0:44:080:44:12

into the cognitive powers of infants,

0:44:120:44:15

revealing their enormous capacity to interact with,

0:44:150:44:18

and learn from, the world around them.

0:44:180:44:21

In this experiment, even at this age,

0:44:230:44:25

he will construct a hypothesis, think about it and then verify it.

0:44:250:44:29

He's going to realise that by turning his head to the left,

0:44:320:44:35

he is the cause of the light coming on.

0:44:350:44:39

Eight years ago, research techniques were crude

0:44:390:44:42

and no-one had shown that infants under six months could learn.

0:44:420:44:45

But now, through experiments like this, it seems the human at birth

0:44:450:44:49

learns better than he ever will again.

0:44:490:44:52

Sooner or later, several of his accidental movements

0:44:540:44:57

may lead him to wonder if perhaps it is he

0:44:570:44:59

who is switching on the light.

0:44:590:45:01

When that idea dawns, there's a dramatic burst of activity

0:45:030:45:07

when he's certain that he's the one controlling the light.

0:45:070:45:11

Experiments like this suggested that children's intellectual capacities

0:45:140:45:18

are well established before they even get to school.

0:45:180:45:21

Jonathan, wave!

0:45:210:45:23

Again, the onus fell on mothers.

0:45:230:45:25

This time to encourage children's learning in the early years.

0:45:250:45:29

Piaget also suggested that all children

0:45:290:45:32

pass through four learning stages.

0:45:320:45:36

Up to the age of 11, they learn best through interaction

0:45:370:45:40

with objects before they can grasp more abstract concepts.

0:45:400:45:44

His theory was based both on observing children's behaviour

0:45:460:45:50

and talking to them - a novel idea at the time -

0:45:500:45:54

revealing that young children have their own unique logic.

0:45:540:45:57

Now, do we have as many green bricks, the same number,

0:46:000:46:03

as we have pennies?

0:46:030:46:05

-No.

-Here?

-Yes.

0:46:050:46:07

Yes? Are you sure? How do you know?

0:46:070:46:11

Because there's one at each penny.

0:46:130:46:16

Right, watch what I'm going to do.

0:46:160:46:20

Linda's at one stage of her development.

0:46:200:46:22

She doesn't yet understand the meaning of number.

0:46:220:46:26

Do we have same number of bricks as pennies,

0:46:260:46:30

or do we have more green bricks or more pennies?

0:46:300:46:33

More bricks.

0:46:330:46:35

More bricks? How do you know?

0:46:350:46:38

Cos they're... They're...

0:46:380:46:40

That's longer than them.

0:46:400:46:43

-Which is longer?

-Them.

0:46:430:46:45

The number of bricks and coins remains the same,

0:46:450:46:48

even though the visual arrangement is changed.

0:46:480:46:51

But at this stage, Linda only judges by visual appearance.

0:46:510:46:55

All children pass through this stage,

0:46:550:46:57

but vary in speed by as much as 18 months.

0:46:570:47:00

Such concepts as this, conservation of number,

0:47:000:47:02

cannot be taught effectively before the child is ready.

0:47:020:47:05

That is before she's assimilated enough to understand

0:47:050:47:08

the idea in concrete terms.

0:47:080:47:12

Piaget's ideas about how a child thinks and learns

0:47:120:47:15

were to have a huge influence on the teaching methods

0:47:150:47:17

used in primary schools.

0:47:170:47:19

Many adopted this more child-centred approach.

0:47:190:47:21

And in 1976, Horizon set out to investigate

0:47:210:47:26

this new liberal style of teaching, with its informal approach

0:47:260:47:29

and emphasis on learning through play.

0:47:290:47:32

And compared it to the traditional, structured form of school.

0:47:320:47:35

This is what's called an informal classroom.

0:47:390:47:42

It's not really one room.

0:47:420:47:43

It's several, all open to one another,

0:47:430:47:45

with no space wasted on corridors.

0:47:450:47:47

Classes share facilities and teachers work together.

0:47:500:47:53

At first glance, it looks like a chaotic playgroup,

0:47:550:47:58

although not quite as noisy.

0:47:580:48:00

Every child seems deeply involved.

0:48:000:48:02

It may look like play but they're learning maths.

0:48:020:48:05

-How many have we got left?

-One, two, three, four.

0:48:050:48:08

54? Now what are you going to build with them this time?

0:48:080:48:12

-Erm, I don't know.

-What would you like to build with them?

0:48:120:48:16

A different kind of castle.

0:48:160:48:18

All right, you make a different kind of castle.

0:48:180:48:21

The question is, despite all the obvious enjoyment,

0:48:210:48:24

are these children really learning enough?

0:48:240:48:27

In progressive schools, independence is encouraged.

0:48:270:48:31

Yes, of course you can go and play in the sand, Jimmy.

0:48:310:48:34

Ready? One, two, three.

0:48:340:48:39

THEY PLAY GUITARS

0:48:390:48:41

Music is only one small facet of progressive teaching.

0:48:460:48:50

It involves what's called the integrated day,

0:48:500:48:52

where classes aren't broken arbitrarily

0:48:520:48:54

into one hour of maths, English and so on.

0:48:540:48:56

Everything is carefully dovetailed

0:48:560:48:59

and music, art and science are often taught as a composite.

0:48:590:49:02

ORCHESTRAL MUSIC PLAYS

0:49:020:49:04

One or two ideas to think about.

0:49:060:49:08

I like the school very much.

0:49:090:49:11

I think they do an awful lot for the children

0:49:110:49:14

and they have an awful lot more freedom of choice.

0:49:140:49:19

The children get a chance to express themselves.

0:49:190:49:23

The atmosphere is so very good. The children are very happy.

0:49:230:49:27

They work very well.

0:49:270:49:28

At the other extreme, this school was equally commended to us

0:49:320:49:35

for excellence by its educational authority.

0:49:350:49:39

It's precisely two minutes to nine in the morning.

0:49:390:49:42

WHISTLE GOES

0:49:450:49:47

SHORT WHISTLE

0:49:480:49:50

Look to the left, straighten your lines up. Straight down the lines

0:49:570:50:02

WHISTLE GOES

0:50:060:50:08

On the next whistle, you will turn.

0:50:080:50:11

HE BLOWS WHISTLE

0:50:110:50:14

Numbers 14 and 7, lead off.

0:50:150:50:18

This so-called formal, or traditional, primary school

0:50:230:50:26

is the sort of primary education

0:50:260:50:28

which probably most grown-ups watching

0:50:280:50:30

remember as their experience of school.

0:50:300:50:33

Classes are run on a strict timetable and all activity

0:50:330:50:37

is firmly teacher directed.

0:50:370:50:40

-Five fives?

-25.

0:50:400:50:42

-Good. Nine fours?

-36.

0:50:420:50:45

-Ten twos?

-20.

0:50:450:50:48

-Five threes?

-15.

-Good.

0:50:480:50:50

Now, counting in sixes, starting from six. Ready?

0:50:500:50:53

ALL: Six, 12, 18, 24...

0:50:530:50:58

Good!

0:50:590:51:00

That's a good one!

0:51:010:51:03

Achievement and competition are positively encouraged.

0:51:030:51:06

High fliers are praised and the slower ones pushed.

0:51:060:51:08

That's a better one. Forward. That's a good one.

0:51:080:51:13

All schools should have an end product,

0:51:130:51:17

just like industry has an end product.

0:51:170:51:19

And I think the end product is to be able to read,

0:51:190:51:22

write and do arithmetic well,

0:51:220:51:24

to enable them to go into further education with a good start.

0:51:240:51:28

And I think this school does exactly that.

0:51:280:51:31

Horizon followed a team of educational psychologists

0:51:320:51:36

as they put the two approaches to test.

0:51:360:51:38

It was the first report of its kind

0:51:380:51:41

into primary teaching methods in the UK.

0:51:410:51:45

Now, my name is Mrs Wade and I'm here to do some research.

0:51:450:51:50

Who can tell me what research is?

0:51:500:51:53

Children in Lancashire and Cumbria were tested,

0:51:530:51:56

both at the beginning and end of the year, to find out not just how much

0:51:560:51:59

they liked their type of school, but how much they learnt in that time.

0:51:590:52:03

The biggest surprise was the discrepancy in achievement

0:52:030:52:08

between the progressive and formal classrooms.

0:52:080:52:12

Contrary to our expectations,

0:52:120:52:14

the findings clearly favoured formal schools.

0:52:140:52:18

You want to read it to me? All right, go on.

0:52:180:52:20

These results mean that over the three or four years

0:52:200:52:23

a child is in a progressive primary,

0:52:230:52:25

he could be held back by more than a year in some subjects.

0:52:250:52:29

The mass of data was computed by Lancaster University's

0:52:290:52:32

to see, among other things, whether some types of child personality

0:52:320:52:36

are better suited to specific styles of teaching.

0:52:360:52:39

High ability children in formal classrooms

0:52:390:52:42

progress considerably better than high ability children

0:52:420:52:45

in informal classrooms.

0:52:450:52:47

But another interesting finding was that low ability boys

0:52:470:52:51

in formal classrooms did much worse than low ability boys

0:52:510:52:54

in informal classrooms.

0:52:540:52:56

There are differences at the top and bottom

0:52:560:52:58

in terms of ability there.

0:52:580:53:00

Thuh.

0:53:030:53:05

Sss...

0:53:050:53:06

Today, child-centred learning has been incorporated

0:53:060:53:10

into the mainstream.

0:53:100:53:12

Most schools now try to find a balance between structured lessons

0:53:120:53:16

and informal play.

0:53:160:53:18

But more progressive schooling has, like more liberal parenting,

0:53:250:53:28

sometimes led to discipline problems.

0:53:280:53:32

Just like parents, schools have turned

0:53:320:53:35

to behavioural techniques for help.

0:53:350:53:37

Rather than cracking down, teachers look for ways

0:53:390:53:41

to motivate children to behave better and work harder.

0:53:410:53:46

David Baddiel travelled to Washington,

0:53:480:53:50

to find out how one school in a deprived neighbourhood

0:53:500:53:53

incentivises children - who don't see the point in learning -

0:53:530:53:57

with hard cash.

0:53:570:53:58

Good morning, boys and girls.

0:54:010:54:02

ALL: Good morning, Miss Fox.

0:54:020:54:05

It's payday at Brightside School.

0:54:050:54:08

This morning, we're going to celebrate and acknowledge

0:54:080:54:12

those earners

0:54:120:54:14

who are the top ten highest earners

0:54:140:54:19

for each of our pay periods.

0:54:190:54:23

The first one, for pay period one,

0:54:230:54:26

is Francisco Tee. Come on up, Francisco.

0:54:260:54:29

APPLAUSE

0:54:290:54:33

Brightside is one of 28 American schools,

0:54:330:54:35

trying out financial incentives

0:54:350:54:37

as part of a privately funded educational experiment.

0:54:370:54:41

The children get money for top marks,

0:54:410:54:44

but also for good behaviour,

0:54:440:54:47

attendance and correct uniform.

0:54:470:54:49

They can earn up to 100 in two weeks.

0:54:490:54:51

It was the brainchild of a Harvard economist.

0:54:540:54:57

How did you get the idea?

0:54:570:55:00

The first time I showed up at Harvard,

0:55:000:55:02

it was like landing on the moon.

0:55:020:55:04

I grew up in the neighbourhoods these kids are in.

0:55:040:55:07

I saw a kid sit around a dinner table

0:55:070:55:10

and each one of them could see that school paid off,

0:55:100:55:13

because their family were professors,

0:55:130:55:15

their uncles were investment bankers.

0:55:150:55:18

For these kids, a lot of them don't see those examples to light the way.

0:55:180:55:22

And so we're asking them to take a gamble.

0:55:220:55:24

We're asking them to say, you know, "I want to do education,

0:55:240:55:28

"but I've got to wait 20 years for my reward."

0:55:280:55:31

These kids, a lot of them have real challenges right now.

0:55:310:55:35

I love them so much, OK? But the truth is, only 12% of them

0:55:350:55:39

are doing math at grade level, right?

0:55:390:55:43

And 8% are reading at grade level.

0:55:430:55:47

That is a catastrophe. That is a crisis.

0:55:470:55:50

No-one has the courage to tell those black boys in there

0:55:500:55:54

that statistically - they're 12 now - statistically, in seven years,

0:55:540:55:57

one in three will be in prison.

0:55:570:56:00

Can I see your certificate?

0:56:020:56:04

"Pay period 4, congratulations you've earned 58.57."

0:56:040:56:08

So, how much do you think you've earned since the scheme began?

0:56:080:56:12

300.

0:56:120:56:15

-About 330.

-330?

0:56:150:56:18

-250.

-Right.

0:56:180:56:20

When I come to school, it's just to learn

0:56:200:56:22

because my mum sent me here,

0:56:220:56:24

-but now I just really love learning.

-Really?

-Mm-hm.

0:56:240:56:27

What do you want to do when you're older? Can I ask you?

0:56:270:56:30

Actually, I'm saving my money to go to college.

0:56:300:56:34

And then once you're past college? What do you want to be?

0:56:340:56:37

Any job would be good.

0:56:370:56:40

Some might call it bribery,

0:56:420:56:44

but an array of reward techniques like this

0:56:440:56:47

are increasingly used by schools to motivate kids.

0:56:470:56:50

It's the latest weapon in their armoury

0:56:520:56:55

to help children reach their potential.

0:56:550:56:57

When it comes to children's behaviour, in many ways,

0:56:570:57:01

we've come full circle.

0:57:010:57:03

We started out with strict Victorian-style discipline

0:57:030:57:06

in the austere post-war era.

0:57:060:57:08

But turned our attention to the importance of love and happiness

0:57:080:57:11

in raising children.

0:57:110:57:13

You are a nice boy, really. Aren't you?

0:57:130:57:16

Yet, with more liberal parenting,

0:57:160:57:18

can sometimes come behavioural issues.

0:57:180:57:20

Never going to get the perfect child, are we?

0:57:200:57:23

We've had to focus again on discipline

0:57:230:57:25

in a bid to manage children's behaviour.

0:57:250:57:28

He's not being hurt.

0:57:280:57:30

Over the last 50 years, science has given us

0:57:300:57:34

insights into how children's minds work

0:57:340:57:36

and why they behave the way they do.

0:57:360:57:38

And it's kept pace with a rapidly changing society

0:57:380:57:42

and all the pressures that brings.

0:57:420:57:45

But parents are still left to interpret what it means for them.

0:57:450:57:48

Ultimately, there's only so much science can tell us about children.

0:57:480:57:52

They're not lab rats after all, and every child's an individual.

0:57:520:57:56

Today, we live in a much more child-centred world.

0:57:560:57:59

I think the challenge for parents is to know they can hold their ground.

0:57:590:58:03

To know they can say no, as well as listen to their child.

0:58:030:58:07

So, carrot or stick?

0:58:070:58:09

I think children need both love and discipline.

0:58:090:58:12

If you can get a healthy balance between those two,

0:58:120:58:15

then you'll be doing a great job!

0:58:150:58:17

Subtitles by Red Bee Media Ltd

0:58:400:58:43

Email [email protected]

0:58:430:58:46

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