This article was the first time I had heard about the SPACE program, although it’s come up many times since then. I was intrigued by it, but after reading about it I also had a whole host of questions.
A highly promising new treatment out of Yale University’s Child Study Center called SPACE (Supportive Parenting for Anxious Childhood Emotions) takes a different approach. SPACE treats kids without directly treating kids, and by instead treating their parents. It is as effective as CBT, according to a widely noted study published in the Journal of the American Academy of Child & Adolescent Psychiatry earlier this year, and reaches even those kids who refuse help.
I was at first surprised that it is so talked about given that it is “as effective as CBT.” That doesn’t sound that effective! But it seems like just getting an anxious kid to agree to go to therapy is often difficult, so a therapy that doesn’t require the kid to do anything is actually pretty useful. Here’s more about the SPACE program, which teachers parents how to change their behavior when responding to kids with anxiety.
One of the basic premises behind the SPACE program is that a parent should reduce accommodations:
“There really isn’t evidence to demonstrate that parents cause children’s anxiety disorders in the vast majority of cases,” Lebowitz said. But—and this is a big but—there is research establishing a correlation between children’s anxiety and parents’ behavior. SPACE, he continued, is predicated on the simple idea that you can combat a kid’s anxiety disorder by reducing parental accommodation—basically, those things a parent does to alleviate a child’s anxious feelings. If a child is afraid of dogs, an accommodation might be walking her across the street so as to avoid one. If a child is scared of the dark, it might be letting him sleep in your bed.
But for those of us trying to take a “respectful parenting” approach, how do you know whether an “accommodation” is just being respectful of your child’s preferences and wishes, or something that is enabling their avoidance of an anxiety trigger? I know tons of parents who sleep with their kids, or lay with them while they fall asleep. In many cultures, it is considered highly abnormal to sleep alone. (See the Anna Hibiscus excerpt at the bottom of this page, for example.) Maybe the difference has to be about whether you are trying to meet your child’s needs vs. afraid of your kid’s disappointment/fear/anxiety. In other words, if you are trying to actively avoid your own discomfort (i.e., negative feelings of your own when faced with your child’s fear), then it is perhaps an accommodation?
And maybe it also has to do with whether you can slowly remove the accommodation over time? Here, for example, is an article a friend sent me about how her parenting coach addressed anxiety that was affecting her daughter’s ability to sleep alone.
Say your kid doesn’t want to go to after-school care. If it’s just because they enjoy being home with you, and they don’t particularly get much from the after-school program, then you might say fine, stay home after school from now on. We’ll make it work. But if they actually do enjoy hanging out with their friends and doing things in the after-school program, and they are avoiding after-school care simply because they are anxious about something (maybe the older kids in the mix), then probably you should respond differently. Whether or not they have a diagnosis of anxiety, they are avoiding something that could be very positive because there’s a part of them that’s anxious.
And maybe a red flag to look for is when the accommodation seriously impacts your own life? In the article they gave examples where parents moved house or were late to work every single day. Those are clearly accommodations that are having negative consequences for the adults.
For co-sleeping, I feel like if your kid prefers it and it works for you, great. But if you choose to miss an important event because your kid is afraid to sleep without your presence–the that’s accommodating. It seems like if you are always going far out of your way to prevent your kid from being disappointed, afraid, upset…that’s a red flag.
But this still leaves the question, how do you respect your child and respond to their fears without just accommodating (i.e., the child “wins”) or by not being responsive (i.e., the parent “wins”). How do you find a middle ground? The SPACE program talks about being more “supportive.” I tried to find a definition of the support part (the s in SPACE) and so far found “a supportive manner that conveys acceptance of the child’s genuine distress along with confidence in the child’s ability to cope with anxiety.” So it seems to be about empathy with negative emotions—not ignoring or dismissing their feelings. And then after you empathize and don’t accommodate further you support by problem-solving ideas to help your kid manage the hard situations without simply avoiding them.
But still I feel a bit unsure. If my kid doesn’t want to try out a new gymnastics course, is that her avoiding a situation because she’s afraid, or just a normal kid preference that should be respected? In my case Chickpea isn’t a particularly anxious kids, so mostly I’m not worried about the consequences of any “accommodations.” But for kids who do tend to be anxious, how do you tell when something is just a normal preference that should be respected vs. avoidance due to anxiety? Or maybe it is avoidance, but the anxiety is due to a normal developmental fear that they will naturally grow out of? I guess you have to look for patterns of avoidance and what happens those times when you can’t accommodate? And then you can tell the difference between a request/preference/desire and avoidance of a situation that creates anxiety? Still, it seems very hard to know what a kid will “grow out of” naturally over time vs something that needs more professional support. I guess I generally feel like if the parent generally has a “I trust my child to handle hard things (with my support)” attitude, then they will stop accommodating when it’s clearly doing a disservice to their kid. Whereas if they generally have a “must protect my poor fragile child” attitude, then it doesn’t bode well.