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part 2 & part 3

已有 749 次阅读  2011-05-26 16:11
part 2 介绍了各种sleep disorder 和目前的治疗方法, 不是详细的介绍。
part 3:把上面的各种情况具体在这里分析。
           chapter 1: childhood insomnia:  4 种情况:Nocturnal eating (drinking)disorder:  就是夜里要喝奶什么的, 从6个月开始, 就可以不喝夜奶了; Sleep-onsite Association disorder :  娃睡觉是不是要利用外界的扶助, 比如, 父母要在什么的, 如果娃半夜醒来不能自己再睡过去, 需要一样的手段, 那就是了。Limit-setting sleep disorder: Many children like to test the limits and see what control they can have over their parents. This is a natural part of growing up. When your child checks out what limits you set, he is also learning about respect, authority and contrl......睡觉前娃最喜欢测试你的limit, 比如, 要上厕所, 要喝水, 要读书等等。 Sleep-Timing disorder: 就是时间不对, 太早起床或者太晚上床等。 
Once you understand these four common causes of insomnia in children, you can recognize which problems your child may have and learn how to resolve them one at a time. You need to be consistent and patient. Each problem is an acquired habit, not a sign of inadequate parenting, and can be treated over time. These problem have developed over months and need to be corrected slowly.
断夜奶我没怎么看, 呵呵, 我们小人这点很好, 很早就不喝夜奶了。
Sleep-onsite association disorder 是我们目前的大问题, 我一直陪睡的, limit-setting sleep disorder 我们也有, 睡觉前总是要没完没了的读书, 另外他的时间我想给调整半个小是, 所以, 后面的3条我们都有。
chapter 2 是讲怎么断夜奶。
chapter 3: 对我们来说, 就是如何 fall back asleep withour requiring my assistance.  我觉得我们可能不是太大问题, 因为在daycare, 他一直是自己睡觉的。 但每天晚上他总是要:妈妈, 陪! 他爸爸不行。 夜里如果醒来, 也是找妈妈。 我们很符合这一点:In the morning, your child appears well rested, but you are very tired  from waking up ofter at night.  此外, 书上也说了, 这个情况是很普遍在toddlers,  you should take it seriously because research studies show that if a young child doesn't sleep well, she may continue to have this problem for many years. 
对toddlers 来说, 建议用behavior treatment called graduated extinction, which means that you are slowly teaching your toddler or older child to fall asleep on his own by minimizing your interactions with her at the time of sleep onset.  开始总是要有routine, 这个我们已经有了, 睡觉前洗澡, 读书。 现在的关键问题是怎么能把我解放出来, 书上说的, 先要做好自己的准备, 比如全家要统一, 心里准备: let him know that , in the end, he will feel better, sleep better, ...you are teaching him a healtheir sleeo habits. You are going to do everything slowly, supporting your child. There is no punishment involved, even though he may show poor behavior initially when you start to make changes.  介绍了2个方法: chair -sitting strategy, timed-waiting strategy.
Chair-sitting steps: 1) put a chair right beside your child's bed, and let your child touch you until he falls asleep. Do not lied in bed. 2) put the chair right beside the bed, but stop physical contact. 3) same chair position, but no eye contact. No talk. 4) move the chair away from the bed.  慢慢move, 每天一点儿。 最后Move出屋子。  看见这些, 我想起一个妈妈说她是先躺在床旁边的地上, 然后, 一点儿一点儿往外move.  真不容易啊。 后面这段很重要: when you are teaching your child to fall asleep at bedtime, you should leave once he is asleep, if your child wake up in the middle of the night, you can do anything necessary to get everyone back to bed quickly. This can include bringing him into bed with you or your lying down with him. The goal at this stage is simply to work on changing one sleep habit---teaching him to fall asleep on his own.  如果娃train 好后, 夜里醒来, 还是要用chair。
Timed-waiting strategy:  实际上就是cry out, 不过, 因为娃大了, 更难了, 因为娃可以下床, 出门等。 所以, 基本就是把娃放床上, 跟他说睡觉, 然后你出来, 如果娃哭, 或者下床, 你还要回去把娃放回去, 在说睡觉。 然后就是以后的每一次间隔时间长点儿再进去。 如果娃在门后, 你要hold 住门, 不能说话等。 这个方法我肯定不会用, 如果用, 那还不如早早就train 娃呢, 何必等现在呢。
几点注意, 选定一个方法, 不要改变, 不要从一个方法变到另一个。 如果娃病了, 不要train。 也可以2个方法结合, 比如, 你的chair 已经到了门口了, 孩子不愿意, 让你重来, 你可以告诉孩子, 要么我stay 在门口, 要么我出去。 一旦娃train 后, 有反复, 一定要用你开始用的方法, 不要再把坏习惯给他。 这个方法的关键就是要一点一点来, 对小baby也是如此, 先把夜奶断了, 再把他一个人放床上, 但还可以有身体接触。 比如, 拍拍。 接下来, 你在他的边上, 但没接触, 偶尔一下可以。 不要说话或者唱歌。 不要pick him up or hug or cuddle, this is called positive reinforcement. 对小baby 来说, 9个月就可能有分离焦虑了, 最好要在这之前。 还有就是记录sleep diary 很有用。
 
          
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