Showing posts with label genetics. Show all posts
Showing posts with label genetics. Show all posts

Tuesday, June 1, 2010

The scary gene

Now that we’ve passed the period of worrying about autism, we are instead starting to worry about the mental illness gene that runs in Mark’s family. Mark’s grandfather was brilliant and successful, but endured depression so serious he tried to take his life several times. He passed this to at least one of his daughters, who passed it in lesser forms to Mark and to his brother.

It has appeared in a more powerful form in Mark’s niece. The first sign came from serious nightmares as a small child. By age 8 she was having panic attacks. By 11, she was institutionalized. It took them forever to come up with a diagnosis. For a while they thought she might be schizophrenic; now it seems to be bipolar. She’s back at home on medication and functioning, but with difficulties. She still has delusions of grandeur, thinking she can support her family on her singing and acting skills and has a hard time socially. Another daughter seems to be OK and the third is adopted.

Mark’s sister doesn’t show signs of depression, but she contracted a rare and life-threatening illness (Guillain-Barre’s), which made her so afraid she would die that she turned from a Ph.D. candidate in science to a born-again Christian stay-at-home mother of four. Her first born has some learning issues. Her second born appears to have anger issues. He has flown into rages and been destructive since his earliest days. The third is adopted and the fourth is too small to tell.

So something has come through the children of both of Mark’s siblings. I knew this was a risk when I married Mark and when we decided to have children. The members of his family are also extremely bright and I think there is a fine line between brilliance and madness. Nevertheless, you always hope that it’s not going to be your child, that you’ll be the lucky one that is not touched. I guess I just counted on that, and to a certain extent, still do.

Because River is so social and gets along with people, I figure he’s fine. But Mark still has worries. The fact that River chatters to himself at night and used to do so in the morning upon waking up is a gift in my opinion. No crying, no screaming, just calm self entertainment. Whatever he is doing is so entertaining to him that he often laughs. Mark wonders if the talking to himself is a sign of a problem.

I know several parents whose kids have or have gone through night terrors. Most of these kids seem to turn out fine. River has not yet had a night terror as these parents describe it. But he has an occasional bad dream in which he’ll call out. I figure it’s a normal part of sleep and of childhood. Mark thinks he could be following in the footsteps of his cousin.

I suppose it’s good to know the family history, to know what to watch out for, and to pay attention for signs so that problems can be addressed. But I also don’t like leaping to the worst possible conclusion, especially when there are innocent explanations available and the worst is so ugly.

We’ll continue to be thankful for his overall happy, calm demeanor and keep our fingers crossed that this gene doesn’t express itself in him (or the one on the way).

Do you worry about illnesses that run in your family striking your child? How do you balance vigilance with realism?

Monday, December 14, 2009

What makes a difference?

One question frequently on my mind, especially now that I’m a parent, is – what makes a child turn out into a happy, successful, well-adjusted adult? Freakonomics provided some indicators of factors that were correlated with later success. I recall the mother being over 30 when her first child is born and lots of books in the house being correlated with success, perhaps because those things define me. But everyone can think of great families who raised an errant child as well as kids who come from horrible backgrounds and somehow do OK.

So I was fascinated to see the movie Up, where the director assembled 14 kids from the extremes of social class and opportunity in England at the age of 7 and committed to filming them every 7 years. Several came from extreme affluence, two lived in an orphanage, one lived on a farm and was being educated in a one-room schoolhouse. Then there were the working class kids and a couple of middle class kids. How would they turn out? I couldn’t wait to see. I had the incredible opportunity to find out quickly, watching their lives develop up to age 49. I’ll look for 56 when it comes out, but don’t expect a lot of changes at this point.

I was watching intently for patterns and correlations that could tell me what mattered. Of course, not everything was clear from the documentary. But I was able to get a good sense of family, income, educational opportunities and encouragement.

One thing that clearly mattered was genetics. It didn’t matter whether the person was lower or middle class. If they had the genes for depression or mental illness, that played itself out throughout the person’s life.

In the early films, most of the wealthy kids were bratty. It fed into my pre-existing bias that I didn’t want River in a private school. Not only do I think public education is important socially, but I don’t see an educational advantage in many private schools. A magnet school that attracts smart kids is great. A private school, where the kids just have more money, but aren’t necessarily smarter, doesn’t appeal to me.

Some people argue that even if kids in a private school aren’t smarter, their parents probably care more about education and are more likely to give them enrichment and opportunities. Perhaps this is true. Because despite being pretty annoying as a group in their younger days (with the exception of Bruce, a sensitive and thoughtful person from his earliest years, devoted to making a difference in the world), all of the children born into advantage ended up with good jobs and comfortable adult lives. They seemed to have more choice and stability, with none of them experiencing divorce.

There were people who did just fine coming from less. Especially the rural child, who became a superstar. Even some that I had low expectations for, the ones who dropped out of school early and took on menial jobs, did just fine, raising families, building businesses and even enjoying luxuries such as a vacation home.

But it did seem easier for the well-off kids, though it’s not clear why. Did their education equip them with skills they needed? Did their family and social network set high expectations for them, not allowing them to see college as an option but an expectation? Did their connections aid in acquiring good jobs?

The two children I liked most were the rural child and the privileged boy with a large social conscience. Unfortunately, I can’t tell exactly what gave these kids the characteristics that made them into the people they turned out to be. Was Bruce taught to think about people worse off than him (he probably was, since his father lived in Rhodesia) or was it an innate part of his personality? Would Nick have been as successful if he hadn’t gone from the countryside to a boarding school? Did he go to boarding school because of government programs, because his parents had the initiative to seek it out, or because he was independently motivated?

Knowing there is so much I can’t impact, the areas I think we as parents can possibly make a difference include:

1. Setting expectations. I plan to set expectations that include a priority on education, an expectation of college and to try to foster a love for and excitement of learning.

2. Moral development. I want to teach my child about the importance of social justice and citizen action. I want him to think beyond himself and his family and to consider how he can offer his skills to the world. I’ll probably enroll him in the Unitarian education program when he’s old enough, as it seems they do well with these concepts. I’ll also try to lead through example, though I fear that some of my youthful activism and initiative is being squashed by entering middle-age responsibilities.

3. Access to opportunities. I’m not so concerned with access to wealth, power or prestige. But I’d like to do whatever we can do within our budget to increase his opportunities, especially as they relate to his worldview. I’d like him to be able to travel, to form friendships with people of diverse backgrounds, to experience and appreciate nature and to develop skills in the areas that interest him.

The Wikipedia page (warning, spoilers) lists several other series inspired by this film, tracking kids in other countries and contexts. I’d like to see these and try to see how much influence a country, social system and educational opportunity has versus a person’s innate character and family.

What do you think? Any thoughts about what will affect or not affect what your children become? Where are you focusing your energies and where are you stepping back?