The holidays are in full swing and brings with it wish lists, and often the desire for more screen time spent on newly received devices. Why are we as parents and educators afraid to tell kids “no” about this, and many other issues? This week Screenagers explored this very topic and how we can make setting a boundary a more effective, and positive situation.
How to Say No Effectively
There are so many reasons why for many youth screen time has crowded out activities and interactions that would benefit them—in other words, why they are experiencing excessive screen time.
One of the reasons is the inner discomfort that many parents (and teachers) feel from saying “no” to their children and teens. Saying no and being able to tolerate the myriad of emotions that result, such as guilt, self-doubt, and sadness is challenging for many people. On top of that, the child may add on their own negative emotions to the “no,” such as anger and disgust. Having to tolerate any one of these emotions, let alone several of them at one time, is a major undertaking.
Perhaps you have been wanting to set new limits, such as saying “no” to screen time in the car, “no” to screens in the bedroom at bedtime, “no” to screens at the dinner table. I will give some tips below but first these insights.
I have thought long and hard about how challenging it is to tolerate the discomfort of setting boundaries and saying no, not only from my viewpoint as a researcher and speaker on tech and parenting but also from my 25 years of practicing medicine. The hardest “no” that health providers are confronted with over and over is a person requesting opioids when the provider does not think the opioids are in the best interest of the patient.
What has frankly shocked me over the past couple of years with the discussions on the causes of the opioid crisis is that I never hear anyone (reporters, authors, policy makers, etc.) bring up the fact that a contributing cause to this crisis is the fact that health care providers often prescribe these medicines because they can’t tolerate the backlash from saying “no.” We hear reasons about how the drug companies told providers that the long-acting opioids were not addicting, about broken health systems, and others, but the human interactions in the providers’ offices are ignored.
In medical school, students learn next to nothing about addiction medicine. This amazed me since so many of the patients I was seeing in the hospital were there due to addictions (lung disease and tobacco, liver disease and alcohol, and so on). I decided to do an elective in addiction medicine and had the good fortune of having an incredible mentor, Dr. Barry Rosen. He would always tell me that, “The surgeon has her tool, a scalpel…my tool is my words.” Watching Barry lead complex dialogues, laden with intense emotions from his patients such as shame, denial, and hope, was true mastery in action.
I went on to do research and short films on doctor-patient communication, opioid requests, and recovery. In the films I talk about one way to stay compassionate when setting boundaries is to remind oneself that it is the addiction talking (or crying or yelling), and not the person. That person at say 15, or pick any pre-addiction age, would never have thought to themselves “I would love to be a slave to heroin, wouldn’t that be great and how cool to know that I could die each time I use it.”
The real skill of a health provider is in their effective communication to be able to maintain a connection with the person so that along with a “no,” come discussions about why the “no,” collaborative decision making for alternatives and at times conversations about recovery treatment. Daily my heart hurts when I think of all the people and families dealing with an addiction of any type. If you are interested to hear about the many solutions happening around the opioid epidemic, my dear friend Ann Boiko just launched a wonderful podcast series on iTunes called Finding Fixes. I recommend listening to an episode with your teens.
Back to our topic of saying “no” to prevent excessive screen time. Here are some tips.
Prepping to say the “no”
Achieving greater autonomy as one enters adulthood is a primary human need. Whenever possible give your child some agency around the “no.” For example, you realize that you think that it is more beneficial to your 13-year old that devices, including the phone, no longer be in her room at bedtime. You do the steps above and now want to appeal to her need for some control. Ask something like, “What time are you thinking the phone should be put away? Should I come and get it or should you give to me at that time?”
Holding person accountable
One of the biggest gifts we give is holding people we care about accountable for their actions. It takes energy to do this and yet payoffs are well worth it. So know as you do the work to enforce the “no” that you are giving a gift, one of energy and dedication.
Here are some questions to open a conversation around “no.”
If you, or a loved one is struggling with an addiction to technology call Tamara Ancona, MA, LPC at (678) 297-0708 for an evaluation, and to discuss the best treatment options available.
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