#555: Dandelion Children vs. Orchid Children
Episode Stats
Summary
In this episode, Dr. Thomas Boyce, author of the book, The Orchid and the Dandelion, explains why some kids are like robust dandelions, while others are like fragile orchids. While the fragility of orchid children might seem a liability, in the right circumstances, these kids can thrive to a greater extent than their dandelion peers.
Transcript
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Brett McKay here and welcome to another edition of the art of manliness podcast you've probably
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observed families in which one of the kids is super resilient and easygoing while the other
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is super sensitive and anxious same family same parents but two extremely different children
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what gives my guest today says that some kids are like robust dandelions while others are like
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fragile orchids while the fragility of orchid children might seem like a liability in the
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right circumstances these kids can actually thrive to an even greater extent than their dandelion
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peers his name is w thomas boyce he's a developmental pediatrician and professor of pediatrics as well
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as the author of the book the orchid and the dandelion why some children struggle and how all
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can thrive we begin our conversation discussing the respective attributes of dandelion and orchid
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children and how the increased reactivity of the latter influences their health emotional well-being
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and development tom then explains how orchid children can be both the healthiest and sickest
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of children depending on the environment in which they are raised we then discuss the theories as to
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what causes orchid children to be orchid children including genetics and environmental factors and we
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enter conversation with tips for parents of sensitive children how to help them thrive and succeed
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after the show's over check out our show notes at aom.is slash orchid tom joins you now via clearcast.io
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all right dr tom boyce welcome to the show thank you very much glad to be here
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so you are a professor of pediatrics who studied children's development and you've postulated that
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there's a spectrum that kids reside on where on one end of the spectrum there are what you call
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dandelion kids and on the other end of the spectrum you have what are called orchid kids can you describe
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what you're talking about what is a dandelion kid what do they look like what does an orchid kid look like
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so we we began years ago trying to understand why there was such variation
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in children's health responses to the adversities and stressors that they encounter in their lives
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and we decided that one way of indexing this would be to bring them into a laboratory
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circumstance where we would sit them down in front of a previously unknown examiner
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and we would ask them to carry out a series of mildly stressful tasks things like repeating a
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series of numbers that the examiner says to them or asking them to watch an emotion evoking video clip
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or having them take a drop of lemon juice on their tongue and we found that when we monitored the
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stress response systems that are characteristic of the human body that there were there were tremendous
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differences between children in their responsivity their reactivity within those systems to these
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various stressors and when we began to then study patterns of illness and development within these
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populations of children that we were studying we found that the most reactive children in the laboratory
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in real life had either the best or the worst of the health outcomes depending upon the kinds of social
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settings that they were living in their families their communities their schools so we began calling
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these highly reactive highly sensitive children orchid children and then called the children who
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were really the majority of those that we tested in the lab that had very little in the way of response
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to these minor stressors we started calling them dandelion children so dandelions like a dandelion these kids
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doesn't doesn't matter what environment they find themselves in they're going to do okay the orchid kid
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needs something like orchids are delicate they need a certain type of environment to to prosper that's
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right that's the idea the the the terms actually come from a swedish word mas cross barn which means
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dandelion child and what the swedes mean by that is a child that can like the dandelion thrive in any
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environment that it encounters and we coined the the second term orchid child to reflect the opposite
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of that which is children who are are very sensitive and responsive to the kinds of environments they
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encounter so when you talk about reactivity or sensitivity to stress in an orchid child what does
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that look like i mean how do you know that a child is reacting or being is or is highly sensitive to
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stress well in the laboratory we monitored these two principal stress response systems which are
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the cortisol system cortisol of course being the a major stress hormone that's secreted by the adrenal
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glands signaled from the brain so we monitored cortisol levels and we also looked at the autonomic nervous
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system which is the fight-or-flight system that causes you know sweaty palms and dilated pupils and
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increased heart rate so we had those two stress response systems in the lab that we could monitor
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that would tell us whether the child was reacting vigorously or or minimally over the course of these
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minor stressors so that's how we we find those children in the laboratory now in clinical work finding
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those kids obviously we're not going to be testing every child that walks through the door of a
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clinic we we find that the the kids who are the the orchid children tend to be shyer there they are kids
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who are typically shy they tend to withdraw from novel situations so uh going to a birthday party where
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they don't know many of the kids would be an example of a novel situation that an orchid child might
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might be more sensitive to and withdraw from and these orchid children also seem to have more in the way of
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sensory sensitivities they have in all all of the various senses smell taste touch and so on they
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seem to have greater sensitivity than do the dandelion children now listening to this we've had a guest on
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the show talking about autism some of these things sound similar to autism is there a relation at all
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between this sensitivity and autism well orchid and dandelion are not they they are not diagnoses they're not
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diagnoses in the psychiatric sense of of being you know a definable mental health disorder but they do
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overlap in certain ways with some of the the traditional psychiatric diagnoses so the one that
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you point out is is a good example sometimes children who are somewhere on the autism spectrum
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do have the same kind of hypersensitivities in the sensory modalities that do these children who we
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find in the laboratory are orchid children okay that makes sense so that's a good point to make this
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is not like this idea of like an orchid dandelion child is not you can't go to your you know child
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psychologist and be like hey is my kid an orchid child they're going to be like that's not a clinical
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diagnosis that's that's right okay so something you mentioned something earlier though that's interesting
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when as you describe this hyper reactivity to stress that orchid children have people hear that and
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think well that's not good you'd be better to be in dandelion child but in your research you've done
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on orchid children orchid children in some cases do the best in certain situations can you talk about
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this sort of paradox where orchid children can either you know depending on the circumstance do
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either really well both in health well-being etc or poorly yes this was the the part of our early
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findings that have been sustained both in our laboratory and other laboratories around the
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world that was that was truly surprising we we had expected that the children who showed biological
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high reactivity in the laboratory would be kids that when encountering major adversities in their real
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life out in in real social circumstances would have the highest rates of illness and injury and
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behavioral disorders and so on and sure enough that was true the the the kids who were high in
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reactivity in the lab and who experienced lots of adversity in their normal everyday lives those were
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the kids who were the the least well had the most developmental and behavioral problems but what we
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hadn't anticipated and and what really took us by surprise and has been replicated now over and over
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is that these same kids who are high in reactivity in the laboratory the so-called orchid children when
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they're growing up in very nurturant supportive predictable conditions they don't just have average levels of
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health they have the best health of all of the children in our samples so these seem to be children who have
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either the best outcomes or the worst outcomes depending upon the character of the kind of social
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context in which they find themselves so orchid children tend to get sicker more in the wrong
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environment but they can be the healthiest kid in the right environment and this dichotomous outcome
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isn't just about health you also see it in behavioral outcomes so in the wrong environment an orchid child
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could be the most anxious most stressed out but in the right environment they could be the happiest most
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you know thriving kid there is in a group that's right and that that really is kind of the hidden
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good news in all of this it is that the kids that we sometimes worry about as parents or as physicians
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teachers the kids that we worry about most in in certain circumstances can actually be the healthiest
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and have the least developmental and behavioral issues of of any of the children that we contend with
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and so this this connection of to health or you know getting sick that relates to the stress response
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because i think what happens when someone you when you get stressed out a lot your body's immune system
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sort of diminishes so i can see how an orchid child would get sicker more often because they're highly
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sensitive to stress their immune system is going to take a beating that's right it's uh both of these
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systems that we that we measured in the laboratory both the cortisol system and the the fight-or-flight
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system both of those systems have really profound effects on immune competence and they can alter the
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the ability of a child to resist pathogens like viruses and bacteria i thought the interesting thing
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about that related bacteria was about cavities it's not just just eating sweets that causes cavities
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it's you know the sweets plus bacteria plus stress that causes increase in cavities one of the studies
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that we did was to examine carries in in children and we did this by asking them to donate to us the
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the the the baby teeth that fall out at about grade one we paid them ten dollars a tooth which was
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far above the going rate at in their family homes and they gladly gave us these teeth and we were able to
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study both the teeth that were that were still in their mouths and look at the level of carries that
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the children had experienced but also look at the the microstructure of the of those deciduous teeth that
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had fallen out and we were able to show that the kids who had more in the way of carries were the kids
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who had greater stressors in their lives and who had greater sensitivity of those teeth by virtue of
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exposures to cortisol and other kinds of biological factors and and how soon can you you and your
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researchers tell if a child is going to be on that orchid spectrum like how is it is it at birth or even
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or is it happen you have to wait a little bit before you start seeing that our studies have primarily
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been in four to eight year old children so sort of middle childhood but one of my primary colleagues
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Dr. Abby Alcon who's a professor of nursing at UCSF has along with Dr. Brenda Eskenazi has studied
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children in farmworker families and has begun to look at reactivity and stress responses on down into
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infancy and those studies show what I think most parents and and pediatricians would have suspected
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that right from birth there are differences in the the infant's reactivity and responsivity to
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the the changes and perturbations in the environment so there actually are children
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that we think we can identify very early in life that have these these predispositions to high reactivity
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and you can tell that with that APGAR test I remember my kids as soon as they're born they're swept
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away and they do that APGAR test to figure out that sort of thing they sort of test the response of the
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the infant yeah the interesting thing about the APGAR score is that most of the the signs or signals
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that are used to score the APGAR are signals that are mediated by these stress response systems so it's
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things like respiratory effort and heart rate and circulation and and many of those things are are
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actually influenced by these stress response systems so we we think that the APGAR score may in fact
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be a kind of index or indicator of stress response even in the first moments following delivery
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so this if you can see this if the research is suggesting you can see this high reactivity at birth
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and that suggests there's like a biological genetic component to it but you know that can lead you down
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the path of genetic determinisms like well you know that's your genes there's nothing you can do
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about it is there more going on um is there like a is is the environment and genes sort of working
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together to determine whether this high reactivity is uh displayed yes and that's that's exactly right
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and you may ask well if if there are differences in reactivity even in the first moments of postnatal
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life you know where does the experience part come in but what we're learning more and more is that
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there are experiences that the fetus has during intrauterine life just as surely as an infant does
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during the first six to nine months postnatal life so we we think that the development of these
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patterns of orchid or dandelion responses actually begin post-conception and they involve not just
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biological factors like genetic variation but they also involve experience and exposures that children
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have both during intrauterine life and and then in postnatal life as they go into infancy it's a
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matter of gene by environment interaction not simply an effect of genes or an effect of environments
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in isolation and that's the epigenetics right where the environment influences what genes are expressed
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that's that's right um epigenetics of course means epi means on top of so the epigenome is the part of
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our genome that lies on top of our our actual dna sequence and those marks that lie on top of the genome
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are the things that govern whether a given gene is expressed or not expressed and have a lot to do
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we think with the development of these orchid or dandelion phenotypes so that can explain so if let's
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say the mother experiences a lot of stress while she's carrying a child that could turn on some genes
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in the the fetus saying okay the environment out there is really stressful you need to get ready for
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that so we're going to help you be highly sensitive to stress so you can so you can notice it when you
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when you see it yes um that's that's what we think is going on now the the we're in the very early days
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of studying stress experiences during pregnancy during fetal life but the early evidence is that there
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may be these epigenetic differences that determine orchid or dandelion phenotypes based on experiences
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during fetal life and genetic variation that the fetus inherits from his mom and his dad this could
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get really interesting because i've read some stuff about epigenetics where some researchers postulate
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or theorize that even grandparents can influence grandkids based on the stress they experience i think
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they talked about holocaust survivors and the grandchildren of holocaust survivors they tend to be
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more highly reactive to stress i think that's what it is but it's this is an interesting world that it
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opens up with epigenetics it really is you know we've we've known for a long time that both differences
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in genes and differences in environments affect child health and well-being but up until just in
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in recent decades in the last 20 30 years we've now begun to actually be able to identify the the physical
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locus where genes and environments come together and that is these this epigenome these epigenetic marks
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that lie uh on top of the of the genome and one part of the book you talk about the epigenetics of
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orchid children is sort of nature's way way of hedging bets and allows them to survive in a stressful
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environment i mean we think of this sort of like being highly reactive to stress would be maladaptive
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but in a way weird way it's kind of adaptive can you talk about that well it's adaptive in the in the sense
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that if you're growing up in really comfortable supportive nurturing conditions it actually
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is an advantage to be highly sensitive because then you're if you will sort of able to take in more
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of the goodness that that environment provides for you so you you could argue that that both the best of
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environments and the worst of environments would be affected by this sensitivity that some children
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have to those social contexts we also can think about environments of evolutionary adaptedness you know
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back uh thousands of years ago when children were part of hominid troops that that wandered various
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continents those those kids you can see how children who were highly reactive and highly sensitive
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might have had bad outcomes under conditions of predation and danger but on the other hand it may
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have been helpful actually to a troop of early early hominids to have individuals who are highly
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sensitive to the stressors and the dangers that that may have been out there on the other hand
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during periods of of quiet and peaceful existence those same individuals might have thrived and that
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that provides us with a kind of evolutionary account of uh of why these phenotypes might have persisted
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in those ancient environments so there's a biological component a genetic component but as we've been
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talking about uh the social environment plays a huge role and the first social environment that most
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children are put into as a family but yeah the the chapter we discuss family and and the interaction
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with orca children you say no two children are raised in the same family what do you mean by that
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and what are the implications for orca children what i mean by that is that the the differences in
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uh gender in birth order in personality children in certain ways create the environments of their
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family and it's it's pretty clear that the experience of one child in a given family is not the same as
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the experience of another child so a sort of shorthand way of thinking about that is to say
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that really actually no two children are raised in the same family in the sense that their experiences
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of their parents of their sibship and so on are very different one to the other the implications of that
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are that children growing up in the same family can have very very different health outcomes and
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developmental outcomes from one sibling to another it's a common experience of pediatricians
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that a family comes in for primary pediatric care and you know a parent will say maybe they have
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three children that these two kids are healthy all the time but this one that one is is sick most of the
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time or you know has problems of one kind or another and we think that that may come from
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these differences in the experience of the family environment that different children have right and
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also yeah like when i when you when i read that i started thinking about my own experience or watching
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other families i mean if a child's born at a certain stage and say the parent's career development
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that can influence how the parents behave and whether they're stressed out or not stressed out at home
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when they're younger there's a difference between if a parent's older and they have a child i thought
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it was interesting did you talk about the story of you and your sister as an example of same family
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but different outcomes because it it wasn't the same family she was more sensitive and she experienced
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some hard times with your family that you didn't experience and that affected her and influenced her the
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rest of life and she even ended up taking her own life in adulthood yeah that's right and of course i think
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there were there were major differences between my sister and myself in our in our sensitivities to
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the adversities that we experienced within our family i you know believe in retrospect that my sister was
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a classical orchid child and i and i believe that i was mostly a dandelion child so our our differences
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and sensitivity to the experiences within our family um were probably profound so another social
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context that that have a big influence on children are uh is school when they go off to school what role
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do peers play and whether an orchid thrives or or struggles oh i think they play a major role first of all
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there there is the issue of bullying which is way too prevalent in our in our schools today it's
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we're we're gradually becoming aware of it um of how children treat each other but those experiences
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that probably are pretty universally experienced among kids in in primary school age groups those
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experiences are are very different depending upon whether you're an orchid child or a dandelion child
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we also know that there are social hierarchies that are set up within groups of school children any
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kindergarten teacher can tell you this that within a couple of weeks after 20 or 30 five-year-olds are
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brought together in a novel social group that is a new kindergarten classroom that those children set
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up a pecking order with some children at the top of that order that are the dominant children and those
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at the bottom that are the the more subordinate children so there are these experiences of of
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hierarchical position and bullying and coercion and so on that that very much affect the well-being and
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the experience of of one child versus another teachers also uh can can dramatically influence those
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experiences right so those sort of highly stressful situations like that could cause an orchid child to
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flounder but if he's in a if if they were in a better environment they could actually thrive and do well
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in a school that's right and we we actually have have found that in in some of our studies uh that
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were done in berkeley california primary schools kindergarten classrooms our our research assistants kept
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coming back into the lab and saying you know this class is very different from that other class and
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describing to us these profound differences in the way that the in the cultures that the teachers
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set up and we began seeing that that some teachers almost cynically use the uh the social hierarchies
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that kids set up as a means of behavior control within their classrooms while other teachers go out
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of their way to be sure that the kids that that are at the bottom of those hierarchies are having
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positive beneficial experiences as well doing things like uh showing to the class the the special
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capabilities of those children that are in the subordinate positions so the sensitivities and and
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abilities of of school teachers turn out to be very crucial to the outcomes that children experience in
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school settings and what about parents like what if there's a parent who's listening they they got a
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hunch that their kid is highly reactive to stress they've noticed some of those things there's a
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social they're novel social situation they're shy they hide things like that so they think well maybe my
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kid's an orchid kid on that you know that sort of orchid side of the spectrum any advice for for those
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parents who have who have sensitive children yeah so in the book there's one chapter that deals with
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strategies that seem to be helpful that parents use to help children with these high sensitivities
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and interestingly enough they're they're the same strategies that very sensitive good teachers use
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to help children with those same kinds of of hypersensitivities we talk about six strategies
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which have the the happy coincidence of of forming the mnemonic orchid or chid and those are beginning
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at the top with o own true self the the way in which the parent recognizes and honors the expression of the
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child's own true self i think one of the highest responsibilities that we have as parents is to
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allow each child to come forth and and and express who that child is in honest and in open ways
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the r stands for routines we've also found that orchid children seem to thrive in conditions that are
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predictable and routine even monotonous at times that seems to be something that is helpful to orchid
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children the c stands for caritas the latin word that means steadfast love we all strive as parents to
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love all of our children but this kind of steadfast support and love provided to orchid children seems to
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have especially profound effects on them the h is for human differences some families try to obscure or
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blur the differences between children the families that are the most helpful to orchid children are those where
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human differences are celebrated and expressed openly the i is for imaginative play some people think of play as
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kind of trivial child activity it is not it's it's really profoundly important in the lives of children and having the
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opportunities to have this kind of imaginative play seems especially important to orchids and finally the d is for
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danger one of the most difficult things to do as a parent of an orchid child is to decide when to push the child into
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situations that feel dangerous to the child versus allowing them to withdraw from those experiences so it's things
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like if a i mentioned earlier going to a birthday party where a child doesn't know many of the children parents have to
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make a decision with orchid children in those circumstances about whether this is a circumstance where we want to push that
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child nudge them forward into experiencing a victory over that over that concern or fearfulness or is this a
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circumstance where we want to allow that child to withdraw so those are six kind of strategies that parents
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seem to use that seem to be helpful to all children but are especially important to orchid children yeah i think it
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works for all children as i was listening to that it made me think another key point of that recognizing differences
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between your kids oftentimes think parents think well like you know it worked for this first kid it's
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going to work for kid number two probably not so you have to adapt on the fly i'm curious what have you
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guys done research on what uh development for an orchid child looks like in adulthood like what happens to
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these highly sensitive kids as they get you know into their 20s and 30s well if we study it at the level of
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of stress reactivity those biological responses that we talked about earlier if anything it appears that
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one's position on the spectrum of reactivity tends to become even more committed in the transition from
00:29:31.920
childhood to adulthood children who are highly reactive tend to be even more solidly high reactivity as
00:29:41.280
they get into adolescence and even more so in the transition into adulthood now in adulthood we also
00:29:47.760
begin to develop coping mechanisms and and approaches to dealing with stress and adversity that may be you
00:29:55.360
know profoundly helpful to us and may make a an orchid individual a far more adapted than that individual
00:30:05.680
might have been during childhood but we think that that the profile at least biologically of being an orchid
00:30:13.920
or a dandelion on that spectrum of reactivity that tends to become even deeper and more committed as
00:30:21.760
individuals go into adult life but with the proviso that that these ways of coping and and dealing with
00:30:29.280
stress become ever more elaborate and effective as we get to be adults
00:30:35.520
what are those like positive coping mechanisms look like well i think you know i think in in
00:30:40.960
certain ways they are the uh the same strategies that parents use but we we gradually begin to learn
00:30:49.520
over time as orchid individuals that that those same strategies we can use on ourselves so for example feeling
00:30:58.800
open to uh recognizing and affirming who you are as a person allowing those those differences to be
00:31:07.200
expressed and not suppressed having uh a relatively routine uh life where things are predictable from one week
00:31:15.760
uh to the next from one day to the next so that these routines that are effective and helpful in orchid
00:31:22.880
children can also be instituted by an orchid adult you know taking care of and and finding uh the kind
00:31:30.720
of support and love uh that an individual needs within an individual life all of these kinds of things
00:31:36.800
that parents provide early in life we begin to learn to to provide to ourselves later in life so yeah
00:31:44.320
i imagine the person who's like on that orchid side of the spectrum they would probably choose a
00:31:47.840
job that has pretty you know stable routine they want to have a stable you know family life so that'll
00:31:53.840
provide that that sort of stability that they they thrive in and i imagine orchids uh there's mal you
00:32:00.400
know there's maladaptive ways to cope with stress and you know things like alcohol or drugs or things like
00:32:06.000
that and that would just be even worse for an orchid adult that's right that's that's exactly right well
00:32:14.000
tom this has been a great conversation where can people go to learn more about the book and your
00:32:17.680
work well the book was uh published in in january 2019 by knoff it is out there and available um
00:32:26.560
that's probably the best summary of the work the book also includes a listing of the scientific papers
00:32:34.080
on which the book is based both my own and and that of other investigators so i would say the book and
00:32:40.800
the and the papers and perspectives that are referenced in the book would be the best place
00:32:46.400
to begin fantastic well tom boyce thanks for your time it's been a pleasure thank you pleasure on this
00:32:50.960
end as well thank you brett my guest today was w thomas boyce he's the author of the book the orchid
00:32:56.080
and the dandelion it's available on amazon.com and bookstores everywhere and be sure to check out our
00:32:59.920
show notes at aom.is slash orchid where you find links to resources we can delve deeper into this
00:33:04.400
topic well that wraps up another edition of the aom podcast check out our website at
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