Tag Archives: health

Interoception

While you may be familiar with the five senses (hearing, sight, taste, smell, touch), there are more than that, including: vestibular (am I balanced), proprioceptive (where is my body in relation to the things around me, and interoception.

Interoception is your perception of your own internal states: are you hot or cold? are you hungry or thirsty? do you need to pee? poop? move your body to a more comfortable position? are you sick? is your heart racing?

Developing Interoception

When a baby is born, they display the most basic of “feelings”. They are content, or they are distressed. That distress is often caused by an internal experience, such as hunger, fatigue, or pain. But they do not yet have the life experience to interpret what those sensations mean, and what would fix them.

That’s where parents and caregivers come in. We do our best job of guessing what they might need and meeting that need. If we guess right more often than not, they soon learn that when they feel this particular set of internal cues and then they eat, they feel better. Eventually they learn to label it as hunger, and someday they learn that they can eat before the hunger pangs hit to ward off that feeling.

Learning to tune into and trust our internal cues helps us to take care of our bodies. For example, stopping eating when you’re full honors those cues, and can be helpful for developing healthy eating habits. Being told “you have to finish all the food on your plate” teaches you to ignore those cues and keep on eating.

Interoception and Emotions/Behavior

As we get older, noticing and interpreting internal cues is so helpful for taking good care of our bodies, but having interoceptive intelligence also helps us with emotional and behavioral regulation.

We’ve all experienced being “hangry.” When you’re hungry, the smallest irritation sets off a disproportionate wave of anger. We know that when a child is tired, they get cranky or sad. Letting a child move and change positions during group time can help them be comfortable and help them pay attention. When a child just can’t sit still in a class, it is often worth asking whether they need to pee.

If your child is having lots of tantrums, it’s easy to interpret those as behavioral choices. But it’s worth asking yourself – is it possible that instead they are sensory meltdowns? When a sensory meltdown happens, the best way to calm it is with co-regulation. You as the caregiver stay as calm as you can, speaking quietly, holding them gently until they get back to calm. The bridge from them needing your help to calm themselves to being able to calm themselves down to them being able to notice internal distress and dispel a meltdown before it happens is interoception.

How can we help build a child’s interoception?

For babies: notice their cues, do the best you can to interpret them and respond to them promptly. This helps your baby learn how their body signals tell them what they need and how those needs can be met.

If we ignore bodily issues, we teach them to ignore them. If we change a wet or dirty diaper promptly it helps them realize that when they pee or poop something happens – that will help with potty training later. But if you often delay diaper changes, they learn to just ignore the situation, and are hard to talk into potty training later.

For toddlers and children, start to interpret their experience. “I notice you’re wiggling a lot, I wonder if you need to pee.” “You’re all sweaty now – I bet you’re hot. Do you think taking your coat off would help?” As with teaching emotional literacy, rather than telling them how they feel, phrase it with curiosity and questions that encourage them to tune in to those inner signals for themselves. “Hmmm… it’s been a long time since we ate, I wonder if you are feeling hungry yet?”

You can also share your own experience: “whoo – I’m really cranky right now… you know what I think is going on? I think I’m hungry and I notice that I get really cranky when I’m hungry.”

Don’t dismiss their experiences. If they hurt themselves, instead of saying “you’re fine”, say “it seems like that really hurts, huh? I’m pretty sure it will feel better soon, but what would help you now?”

When they’re younger, we might teach common experiences, like “if your stomach growls, it means you’re hungry.” As they get older, we can talk about how everyone has unique body experiences: “if you’re feeling worried, where do you feel it in your body? When you feel that way, what could you do to feel better.”

Understanding their own internal needs helps them to meet those needs, and helps reduce the chance that those needs will distract them from learning and from behaving well.

Learn More about Interoception and Sensory Regulation

(Side note: Enteroception with an e is a subset of interoception, and refers specifically to the senses of your gastrointestinal system – hunger, fullness, and urge to have a bowel movement.)

Why you should let your child play in the mud: Benefits of Outdoor Play

Not spending time outdoors – the modern epidemic of Nature Deficit Disorder – carries risks for our children. They include: vitamin D deficiency and nearsightedness. May include: obesity (and related diseases), asthma, allergies, ADHD, and depression.

There are so many benefits to spending outdoors in nature! Most parents have seen those benefits in action – times outdoors where their child seemed calmer, more settled, and happier than they usually seem indoors. There’s plenty of research to back up our observations.

Cognitive Benefits of Outdoor Play:

  • Exploring and Investigating: There are always new things to find outside (if you slow down and look closely.) This helps keep the spark of curiosity burning in a child, and creates a passion for learning more that can carry over into school work as well.
  • Creativity and Imagination: “Studies in several nations show children’s games are more creative in green places than in concrete playgrounds. Natural spaces encourage fantasy and role-play, reasoning and observation.” (Guardian)
  • Symbolic play: If you hand a child a manufactured toy (like the current top seller at Toys R Us for Pre-schoolers: the Peppa Pig Playhouse), it is usually obvious to the child at first glance what the object is supposed to be and how they are supposed to play with it. If you take that child outdoors, he may soon start looking for the perfect stick – then the stick becomes: a sword, or a magic wand, or a walking staff, or a fishing pole, or whatever he needs it to be in the moment. (The Stick made Wired magazine’s list of 5 best toys of all time, and sticks are in the Toy Hall of Fame.)
  • Building: Children love to build sand castles on the beach, build dams in a stream, build fairy houses in the woods, weave daisy chains, build houses of driftwood, dig holes and more. Manipulating these loose parts builds large and small motor skills, balancing all those uneven items teaches some of the basic laws of physics in a hands-on way. They also develop persistence, remaining dedicated to a task as they fail again and again, and then get it right, only to have the waves sweep away their hard work so they need to start again.
  • Self-direction: The outdoors don’t come with instructions. There’s not a right and wrong way to play outdoors, and parents tend not to have any agenda for what “must be done”, so children are free to create their own ways to play. They continue a game for as long as it pleases them, then evolve a new game when they’re ready.
  • Control and mastery: This ability to move independently, explore, and create gives kids a huge sense of empowerment and competence, which will serve them well in other challenges.

Mood and Concentration Benefits of Outdoor Time:

Most people find spending time outdoors relaxes and calms them. To understand these benefits, it helps to understand a little about how the nervous system works. The sympathetic nervous system is triggered in response to stressors and allows us to focus on what actions we need to take right now. (A full scale response would be if someone senses a predator, and they get the adrenaline rush which guides them to choose between fight and flight and freeze.) This targeted focus on tasks is very helpful in most jobs in the modern world, but always operating in this mode also is stressful in the long run. The parasympathetic nervous system is about conserving energy while the body is at rest, so the body (and mind?) can heal itself. Rather than “fight or flight”, this is called “rest and digest” or “feed and breed.”

Cities and built environments are full of intense stimuli that capture attention dramatically – honking horns, flashing lights, traffic to navigate. These trigger the sympathetic nervous system. Outdoor environments are filled with interesting stimuli – there’s plenty to look at and explore, but it’s much less dramatic – someone walking outside can relax and gaze around them without needing tight focus on anything. This triggers the parasympathetic system. One study showed that after spending 14 minutes seated in nature, and 16 minutes walking in nature, participants had lower cortisol levels, lower pulse rates, lower blood pressure, greater parasympathetic nerve activity, and lower sympathetic nerve activity than they did after spending 30 minutes in a city environment.

Spending time outside is restorative – studies show that being outdoors, exercising outdoors, and viewing nature all increase participant’s sense of vitality (physical and mental energy). And when people (adults or children) return indoors, they are better able to focus on tasks that require directed attention. Research shows:

  • Children’s classroom behavior is better if they have recess.
  • Children with ADHD concentrate better after spending just 20 minutes in nature.
  • Schools with environmental education programs score higher on standardized tests in math, reading, writing and listening.

Another benefit that parents often appreciate about outdoor time is that it allows kids to “burn off some energy.” When kids are indoors, we’re often saying “quiet voice” and “don’t make a mess” and “don’t throw that” and “would you just calm down a little!!” Outdoors they can be loud, they can be big, they have freedom, and can push boundaries and take risks. This helps them settle down, and regulate their mood and emotions better when they return inside.

Physical Benefits of Outdoor Play:

  • More ways of moving. In a dance class, gymnastics class, or soccer class, children are using specific muscle groups to accomplish specific tasks. There is certainly benefit to doing that. But there’s also benefit to moving freely during play in the outdoors and discovering all the ways their bodies can move, as they scramble under low branches, climb rocks, step carefully over brambles…
  • More ability to customize experience to ability  They can choose how high up the tree to climb, choose fatter or skinnier logs to balance on, choose the steeper or less steep parts of the hill.
  • More variability in surfaces requires kids to adapt their movement. In most playgrounds, the movements are standardized. For example, on a playground ladder, all the rungs are the same size and the same distance apart, but on a tree there’s a variety of sizes of branches and a range in the distance between them.
  • Challenges grow with a child: Modern playgrounds are much safer for younger children than older playgrounds, but modern playground design often means kids over age 8 find them limiting and boring. Nature always offers new challenges.

One occupational therapist argues that children would be better served by sessions in the woods than in O.T. clinics filled with specially designed tools. She describes the outdoors as the ultimate sensory experience. “In the clinic, we often have children go barefoot on plastic balance beams, which have been engineered to be “sensory” with little plastic bumps. If we take children outside, we could let them go barefoot on fallen trees… experiencing different textures… [and] sensations of moist versus dry, crunchy versus soft, noisy versus quiet, and changes in temperature”

Health Benefits of Outdoor Time:

  • More exercise: children who play outside are more physically active than those who play inside. Kids who make up their own play activities are more active than those who are told what to do by adults. (i.e. their free play may be better exercise than their sports classes)
  • Lower obesity rates
  • Better vision: For every hour per week a child spends outdoors while growing up, chance of myopia drops 2%
  • Even just seeing nature benefits our health: studies of hospital patients have shown decreased need for pain medications and shorter post-operative stays for those who can see nature.
  • Living near natural settings leads to: lower stress levels, lower rates of many diseases, less asthma, reduction in circulatory disease, and lower childhood obesity rates.
  • Playing in the sun provides essential Vitamin D, which protect children from future bone problems, heart disease, diabetes and other health issues

Social Benefits of Outdoor Time:

  • Social interaction: Parents tend to sit back and observe more outdoors rather than get as involved as they do in indoor settings. That allows children to explore social dynamics. Many parents observe that their children seem to make friendships quickly in outdoor settings.
  • Multi-age: Outdoor settings that encourage free play (like playgrounds) often attract a wide range of ages, unlike structured recreational activities that are usually limited to kids within a one-year age span. This encourages multi-age interaction.
  • Different basis for popularity: “The social standing of children [outdoors] depends less on physical dominance, more on inventiveness and language skills.” (Guardian)
  • Concern for the Environment: You can only care about what you know about. Kyle MacDonald of Bay Area Wilderness Training says “Connecting kids to the out of doors in a way that makes them realize, ‘this is fun, this is a place I want to be’ — that’s going to create a generation of environmental stewards.”
  • In coronavirus times, it’s easier to be socially distanced outdoors, and there’s much less risk of viral transmission than in an indoor setting, which may allow us to socialize more with others.

Given all these benefits, why do modern children spend so little time outside? Parents and kids describe all sorts of barriers to outside time. Here are tips for overcoming the barriers and getting outside to play.

If you’re in the Bellevue / Kirkland / Redmond area of Washington State, be sure to check out my post on lots of great lesser-known parks on the Eastside. If you’re in the Pacific Northwest, you might like my Guide to Northwest Native Plants.