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Ask the Mediatrician

My teens want to start a blog together–what are the pros and cons?

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 »

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How do I get my 4 year old’s grandpa not to play violent video games with him?

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 »

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What does the new AAP policy say about screentime for babies?

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 »

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We recently ran a post on whether or not it’s OK for parents to monitor their teenagers’ Facebook page if they suspect the child is engaging in risky behaviors like drinking or drug use. In this blog by Children’s media expert Michael Rich, MD, MPH, a parent asks for advice on how to balance her desire to respect her son’s online privacy while still setting limits on much time he spends on the computer.

Q: My 16-year-old son uses the computer constantly at home in his room and almost always claims he is doing homework. He doesn’t want me to look over his shoulder and see what he is doing when I come into his room, and frankly, I want to allow him his privacy when he is on the computer, as well as in other areas of his life. I believe that he spends too much time on the computer, to the detriment of other activities such as time with family, reading, extracurricular activities, etc., but he disagrees and doesn’t want to be controlled by his parents. Any suggestions?
-Computer confused mom, NY, NY Full story »

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Can TV help my infant sleep while keeping me awake?

by Childrens Hospital Boston staff on August 31, 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 boyfriend and I just had a beautiful baby boy. He is a month old. I like to leave the TV on even if he is sleeping so that I can stay awake. I was hoping that the noise would be good for him and that it would keep me awake while he sleeps. Is that okay for him?
-TV for sleep?, in Washington

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Children’s Hospital Boston visits Washington D.C.

by Tripp Underwood on July 27, 2011

Children’s Hospital Boston employees and families got home from Washington D.C. last night, having just finished participating in Family Advocacy Day. Family Advocacy Day is an annual, national event sponsored by the National Association of Children’s Hospitals that enables children’s hospital patients and their families to make their voices heard to leaders on Capitol Hill.  This year Children’s Family Advocacy Day team consisted of Children’s president and COO Sandra Fenwick, Dennis Rosen, MD, Joshua Greenberg, vice president of Government Relations, Amy DeLong, Manger of Government Relations and Children’s families from Massachusetts, Maine and New Hampshire. While in D.C. they meet with senators, state representatives and even a few “military officials” left over from the Reagan administration.

Stars Wars characters were on hand for FAD 2011 because child actor Max Page (who played a young Darth Vader in a recent Super Bowl commercial and also is a patient at Children's Hospital Los Angeles) delivered a speech.

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Are audiobooks a good use of kids’ time?

by Childrens Hospital Boston staff on October 15, 2010

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.

Last week Dr. Rich discussed the appropriateness of school assignments that required viewing tabloid news shows, this week he weighs in on the merit of audio books.

Q: My 5- and 2.5-year-old kids love listening to stories on CD, like Between The Lions. They can sit for quite a long time on the couch, quiet and attentive, while they listen. Do you think this a good use of time compared to watching TV?  What about compared to just daydreaming?
-An Ear for Entertainment
in Atlanta, GA Full story »

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Do models in ads affect how girls feel about their own bodies?

by Childrens Hospital Boston staff on June 11, 2010

Michael Rich, MD

Michael Rich, MD

Last week he answered your question on when and how to set up an email account for your tween, this week he speaks about how much young girls internalizie the images they see in  fashion magazines.

Q: My 10 year old daughter loves reading teen magazines, but she’s at an age when she and her friends are starting to talk about weight and appearance a lot, and I don’t want her to think she has to look like just the tiny models in the ads to be valued.  How can I talk to her about this?
-Beauty of the Beholder

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