by Childrens Hospital Boston staff on May 4, 2012
Michael Rich, MD, MPH
Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston
Q: My son is 15 and displays symptoms of video game addiction, including lying and sneaking to try to gain access. He has Asperger’s and ADHD, and regardless of what medication regimen we try, the gaming obsession remains. I recently asked the psychiatrist to hospitalize him and treat him as they would other addicts, but they just changed his meds. Anyway, even if he were treated, he needs the computer for school. Do you have any advice for me?
-Dealing with Addiction, Orlando, FL
A: Dear Dealing with Addiction,
Unfortunately, more and more families share your story. Whether through sleep deprivation, anxiety, or social isolation, teens struggling with problematic video game or internet use are suffering, and their families are disrupted. And research shows that young people with ADHD may actually be more susceptible to problematic video game or internet use. Full story »
by Childrens Hospital Boston staff on April 5, 2012
By Kristelle Lavallee, staff member at Boston Children’s Hospital’s Center on Media and Child Health
Are you looking to take the family to a movie but aren’t sure whether your child should see The Hunger Games (PG-13) or Bully (unrated)? If you base the decision on the Motion Picture Association of American (MPAA) ratings, the answer seems pretty cut and dry—“maybe” to Hunger Games, and “no” to Bully. But are the movie ratings the best guide to making healthy media choices for your children?
Based on the best-selling novel, The Hunger Games is a fantasy story where teenagers are pitted against each other in a battle to the death broadcast on live TV. In contrast, Bully is a “slice of life” documentary about peer-on-peer bullying in American schools.
Both movies center on children and teenagers, but the fictional Hunger Games, portraying “intense violent thematic material and disturbing images” (MPAA’s description) was given a PG-13 rating, while the documentary Bully with “some language” (MPAA again) was rated R. The producers of Bully knew that accepting an R rating would greatly limit the film’s impact as an educational tool for young viewers, so they chose to release it unrated. But when a film is released without an MPAA rating, it comes at a price: Fewer theaters are willing to show it, and those that do will treat it the same way they treat films unrated for extreme violence or sex. Full story »
by Tripp Underwood on March 22, 2012
Scene from The Hunger Games movie
The movie The Hunger Games opens today, and record tickets sales are expected to make the grisly, post-apocalyptic, survival tale one of the spring’s biggest blockbusters. Like the Harry Potter and Twilight series before it, The Hunger Games film is based on a book written for young adults that has captured the imaginations of readers of all ages.
Considering the ultraviolent nature of The Hunger Games’ plot line—24 teenage protagonists are pitted against each other in a fight to the death—is all this hype a good thing for young, would-be fans? The intended age for young adult novels is 12 to 17, but the books’ popularity has piqued the interest of much younger readers. Not wanting to sully their younger children’s budding interest in reading, many parents across the country have allowed them to read the story.
But just because your child has read The Hunger Game books, does that mean she’s ready to watch it’s bloody action unfold on the big screen? The answer will vary from child to child, but it’s a question parents of younger Hunger Game fans need to ask. Full story »
by Childrens Hospital Boston staff on January 26, 2012
Michael Rich, MD, MPH
Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston
Q: I have an son who’s 11 and a daughter who’s 9½, and for many years, they have sat close to the TV when watching. I have asked them to sit farther away, and they do move back maybe a foot…but they always go back to viewing the show close up, even if the screen is a 40” color flat screen. Any studies that show why? Any concerns? My wife and I sit 8 to 10 feet from the TV.
-Up Close and Personal, in Rochester Hills, MI
A: Dear Up Close,
Concern about sitting close to TV screens, like concern about reading in low light, is founded more on what our parents told us when we were little than on research. The worries about sitting close dates from the (not so long ago) time when TVs were actually “tubes”—cathode ray tubes, that is—and people were uncertain about how the cathode radiation emitted might affect a viewer’s eyes. Today’s TVs flatscreens only emit the light you see, which removes that concern. And there’s no evidence that sitting close to either kind of screen hurts your eyes.
That said, the fact that your children sit so close to the TV may be a sign that they are near-sighted and that this distance is where they best resolve the pixels of color, light, and darkness into a coherent image. Bring them in for an eye exam to see whether they need glasses.
If their eyes are fine, then they probably sit close because they like having the screen fill their peripheral vision. That shouldn’t cause any problems. Just make sure that they aren’t staring at screens all the time—that can cause eye strain and, of course, will take time away from all of the other activities they need to accomplish in a day to be happy and healthy.
Enjoy your media and use them wisely,
The Mediatrician®
by Childrens Hospital Boston staff on December 9, 2011
Q: My seven-year-old daughter loves movies, and there are many 3D movies geared toward kids this holiday season—Arthur Christmas, Happy Feet 2, Hugo, Puss in Boots, and The Muppets. But when my friend took her to see Puss in Boots, which opens with snow falling, the 3-D snow really freaked my daughter out, and she refused to put the glasses back on the remainder of the film. Is this something she will grow out of? What should I do?
-Multidimensional in Atlanta, GA
A: Dear Multidimensional,
These movies can be exciting and fun—for some viewers. The 3D effect that is so engaging demands that our eyes and brains combine two artificially created 2D images into a single 3D image. This is much harder for the brain to do than it is to visually process objects that actually have three dimensions, like snow falling in real life. This processing uses parts of the brain that do not fully develop until the mid-20s (although even adults can develop eyestrain, headaches, and even nausea from watching 3D movies). Full story »
by Childrens Hospital Boston staff on November 30, 2011
Michael Rich, MD, MPH
Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston
Q: We have a 16-year-old daughter and a 14-year-old son who are at the same school. They have voluntarily given up Facebook because of the time drain it can be, and both have fairly heavy academic loads. They are interested in starting a blog together. What are the pros and cons?
-Benefits of Blogging in Roseville, CA
A: Dear Benefits,
What a great way for adolescent siblings to connect and use their creativity together! This kind of self-expression that can be incredibly powerful—even therapeutic—for teens pursuing the developmental tasks of finding themselves and connecting with their peers. But it can also be as much of a time sink as Facebook. To help them focus their efforts and make the time they spend on this project rewarding and positive, ask your teens these questions:
“What is the mission of your blog?” Do they want their blog to focus on sports, or music, or issues in their school, or what it’s like to be a teenager? Maybe they want to offer their different age, grade level, and gender perspectives on issues that interest them both. Having a vision and mission will help them focus their blog, limit the time they spend updating it, and create a unique niche in the blogosphere that will draw readers. Full story »
by Childrens Hospital Boston staff on October 28, 2011
Michael Rich, MD, MPH
Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston
Q:My father-in-law bonds with my 4-year-old son by playing video games. Recently, he bought a LEGO pirates game, rated for 10 year olds, and the two play it for about an hour every time they see each other. I love that they spend time together, but since they started playing this game, my son has become more violent. My father-in-law doesn’t see the problem, even though I’ve tried talking with him about it. Is there research that might help convince him to choose other bonding activities?
-Baffled over bonding in Palo Alto, CA
A: Dear Baffled,
You know your child better than anyone else, so you are most sensitive to a change in his behavior—and you are in the best position to guide him toward the person you want him to become. Full story »
by Childrens Hospital Boston staff on October 21, 2011
Michael Rich, MD, MPH
Michael Rich, MD, MPH, is Children’s Hospital Boston’s media expert and director of Children’s Center on Media and Child Health. Take a look at his blog archive or follow him on Twitter @CMCH_Boston
On Monday, the American Academy of Pediatrics came out with a revised policy on media for kids two and younger. The recommendations for this age group are much the same as they were in 1999—that it is best for their developing brains and bodies to avoid both screen use (such as placing a toddler in front of a TV or video) and background media (such as leaving the TV on in the same room where a baby is playing)—but there is new scientific evidence to support these recommendations. An infant’s brain triples in volume in the first two years of life and research suggests that brain development during that time can benefit the most from:
We already knew that newborn brains develop in response to whatever is in their environment. New research from the past 12 years suggests that interacting with people, exploring the physical world (like stacking blocks or “reading” board books), and playing in open-ended ways are great for that development. And no matter how “educational” their content, screen media can’t provide that kind of environment.
That said, screen media aren’t toxic for babies—they’re just not really what they need. And other kinds of media, like music and books, can be great for kids of this age group. The updated AAP policy statement also recognizes that there are good screen media options for preschoolers, whose brains have developed to the point where they can learn from electronic screens. Full story »
