AmyTuteurMD

AmyTuteurMD
Bio
Dr. Amy Tuteur is an obstetrician-gynecologist. She received her undergraduate degree from Harvard College and her medical degree from Boston University School of Medicine. Dr. Tuteur is a former clinical instructor at Harvard Medical School.

JULY 9, 2010 4:39AM

EC: the excrement obsession

Rate: 8 Flag

potty  

Freud would have a field day with these people.

I'm talking about proponents of EC, elimination communication, the goofiest obsession of the many goofy obsessions of the natural childbirth (NCB)  and attachment parenting (AP) crowd. They began obsessing about excrement when cloth diapers came back into vogue, arguing that cloth diapers are better for babies and better for the environment. It turns out that neither of these claims are true. Indeed, those busily preening themselves for their prescience in rejecting disposal diapers forgot to include the environmental impact of sanitizing reusable cloth diapers, an impact that may be worse than the problem of landfills containing used Pampers and Huggies.

As is typical of the oneupsmanship characteristic of the NCB and AP types, fretting over what will catch your baby's excrement is now passe. Proving your maternal superiority now means rejecting diapers altogether in favor of rigorously and continuously observing your baby for any signs of imminent excrement release and immediately holding him or her over a pot to catch the excrement. As Diaper Free Baby explains:

Full time EC'ing families are committed to trying to stay aware of as many of baby's eliminations as they can. To this end, they may choose not to use diapers or other waterproof backup, as this can muffle a parent's awareness of when a baby is about to or has already eliminated, and catches may be easier with trainers or underpants. Full-time EC'ers figure out what works to help them catch eliminations when they are out and about, traveling, or EC'ing at night. They recognize that, like other aspects of parenting, EC progress is not always linear, but they recognize the value of process over results, and have a full toolbox of options to choose from to adjust to each of baby's developmental milestones and stages.
"EC parents speak out" (not surprisingly since EC is all about them, not about their babies). According to "Rachel, mom to Simon, began EC at birth":
By the time Simon was three and a half months old he had proven to us that EC is more than just 'parent training.' He started signaling his need to pee by making his own imitation of our 'sss' cue! We were delighted to be in such two way communication with him.
Evidently Rachel had trouble recognizing smiling and cooing as two way communication. Sarabeth, mom to Ben, began EC at 2 1/2 months" says:
Doing EC with Ben has completely changed our relationship for the better. Before we started EC, it seemed like he often cried for no reason. With EC, I finally have an important tool to help meet his needs, and he is 100% happier.
There's nothing like a relationship based on excrement, is there? And "Megan, mom to Noe, began EC at 8 months":
Responding to your baby's elimination patterns provides many wonderful opportunities for you and your baby to communicate and to become more in-tune.
Poor Megan must be sorely lacking quality communication with her baby if she thinks excrement is a highlight. How does a parent practice EC? First she must assiduously observe her baby to determine when he or she is preparing to "eliminate":
... [Y]our own intuition will naturally develop around your baby's elimination. Listening to and trusting your intuition is an important part of parenting. With a little time and practice, it can also become a very reliable tool for anticipating your baby's elimination... [T]here are a few concrete ways you will know your intuition is telling you that your baby needs to eliminate. For example: * a sudden thought along the lines of "She needs to pee." * wondering or questioning, "Does he need to go?" * "seeing" or "hearing" the word "pee" or cueing sound (see below) * "just knowing" that your baby needs to pee * feeling the urge to pee yourself * feeling a warm wet spreading over your lap or other area while baby is dry
Then mother and baby must assume the position:
When you think your baby needs to eliminate, hold her in a gentle and secure manner over your preferred receptacle. This could be the toilet, sink, potty, bucket, diaper, tree, or any other appropriate place... Generally, she will be more or less in a deep squat, cradled in your arms with her back to your tummy. The main thing is to keep her secure and to think about your aim ;). Once your baby is comfortably in position, make a specific cueing sound to "invite" your baby to pee or poop. In most places where EC is practiced culturally, caregivers use a watery sound such as "psss". This sound, along with a particular position, is used to signal or stimulate the baby's elimination. When you are starting out, make your cueing sound every time you notice your baby peeing. Within a few days, your baby will associate the sound with the act of eliminating. By practicing EC consistently, your baby will learn to release her bladder at will upon hearing the cueing sound and/or being held in the potty position.

In other words, EC is a form of operant conditioning. The parent attempts to condition the baby to urinate or defecate in response to specific visual and auditory signals. If that sounds familiar, it's probably because it is. It's the same way that pets are housebroken. In essence, EC is nothing more than "housebreaking" a baby.

EC is about, by and for parents. The parent wants the baby to urinate and defecate in a pot and attempts to condition the baby to do so. It stands in explicit contrast to a child centered approach to toilet training that elicits the child's understanding and point of view. In fact, "elimination communication" is a misnomer. It does not involve communication of any kind, since the child is incapable of expressing his views on the subject. It treats children like dogs. Show the dog/baby what you expect, disregard what the dog/baby might prefer, bestow approval or disappointment on the dog/baby until he or she learns to do it your way.

 In one way EC is about communication, but not in the way its proponents assert. Adopting EC communicates that the mother thinks her child's bodily functions can be used as weapons in the war of maternal superiority. It communicates that the mother considers that her need to be au courant within her mothering community takes precedence over her child's developmental needs. It communicates that the mother thinks that housebreaking her baby is an appropriate form of parenting.

EC explicitly ignores a child's needs. Instead of allowing a baby to follow the rhythms of its own body, EC implies that urination and defecation must be closely regulated, with the constant parental scrutiny that implies. It conditions the child to believe that even her bodily functions are property of her parents and that urination and defecation must be performed on demand, at the risk of parental disapproval.

Ultimately, it demonstrates the astounding gullibility of certain women and their desperation to claim superiority over other mothers. Proponents of EC are busily housebreaking their babies with the same techniques that they would use for a dog and bragging to each other about it.

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I read an article about this not long ago and responded to it with a half-page virtual guffaw. I can imagine a lot, but the thought of legions of new mothers holding their babies over garbage cans and peoples' lawns was just too much for me. I pointed out that people with dogs can get tickets for allowing the animals to poop on people's lawns and speculated as to why the process would be acceptable if a baby were involved.

Boy did I get lambasted for that! Suddenly there was page after page of people calling me a "baby-hater", accusing me of everything short of being a serial killer, telling me that my kids are probably hopeless little sociopaths, and all because I just can't see the point of worshipping the baby poop. (Disclosure: The Boy and I are well into our forties and happily child-free. We like it that way, and given the way some people behave these days, we feel like we dodged a bullet.)

I'm actually sort of relieved I don't have children when I see the way some parents behave. My best friend, mother of the Cool Niece, could write a book about the nastiness that she's encountered just when walking around with the CN in a stroller.

Here's an example. She went to a "Mommy Group" that her doctor recommended when the CN was about a month old. The group consisted of a bunch of women sitting around a table eating designer snack items and bragging about how committed they were to their babies.

She sat there flabbergasted as various women bragged about breast feeding until their children were in school full-time, how wonderful it was to use bamboo fiber diapers that have to be hand-washed and how interesting newborn poop was. One woman called it "pretty". That's when my friend broke. She started laughing and pointed out that baby poop is nasty and stinky and probably the stickiest substance known to man.

She had to leave because the women turned on her, babbling about what a rotten mother she was. When she told me about it later, she said that she could make a fortune on their kids in a few years. She's a clinical psychologist. Needless to say, she never went back.

This nasty game of one-upmanship is utterly ridiculous. It reminds me of a bunch of middle school girls getting together to decide who in their class has cooties. I find it funny, but I don't have a dog in this fight, as it were.

Sorry for the long post. It's going to be interesting to read the responses to your post today!
I'm glad that my child-rearing days are behind me. This does seem very silly.
"This nasty game of one-upmanship is utterly ridiculous. It reminds me of a bunch of middle school girls getting together to decide who in their class has cooties."

That's exactly what it's like, unfortunately.
OMG...I thought this was a JOKE! I'm so glad that I'm past all this...SH_T....;)
Oh, my! This seems like so much more effort than potty training the more traditional way when the child is 2 or so. But I suppose that nothing about this parenting style is based on what's easier, is it? These folks really need to get a life.
So what happens when the kid is 6, at school, and hears "pssss"? They're raising a bunch of zombie pant wetters.
Dr Amy,

I love to read you "stuff". You bring ideas that I would have never thought of to read about. Today I think you reached the top of crazy "poop" to bring us. You may not be able to top this one, but my predictions have always been "crappy".

Rated for "you have got to be kidding me"
This really, really, really isn't a joke?

I cringed when I read this. Someone please tell me how our society is going to show more respect for a woman's abilities if we seem to be a bunch of baby-obsessed shit-watchers? There is a world out there. I don't even care what happens to these women when their babies move on and the shit-watchers are completely lost. I do care that as the media catches on to these ridiculous trends, it becomes fun to pretend that women everywhere want nothing more than to focus on infants' every excretion, in between offering infants their own. So disheartening. Why the hell did we all bother to go to school?
Like a lot of "all natural" parenting philosophies, this takes an idea with merit to the extreme.

My kids, at around 18 months of age, were allowed to go mostly without diapers. At that time I had a small potty out and encouraged them to use it. When they had "accidents" I firmly told them, "No - pee goes in the potty only!" When they used the potty appropriately, I praised them. After about a week of this (mostly staying at home) I ditched the diapers completely, accepting that there might be accidents. Peeing your pants at the park meant going straight home to change, peeing your pants in the grocery cart meant having to sit 20 or 30 minutes in wet pants.

All my kids took less than 2 weeks to go from full-time diapers to full-time underpants with no accidents. All my kids were trained by 20 months.

So yeah, I did anticipate their need to use the bathroom at a young age so facilitate the end of diapers sooner than most. I did change my lifestyle (very temporarily) to get potty training going. I wasn't going to be one of those moms changing adult-style poop from the diaper of a 3 or 4-year-old. And I wasn't going to wait until "the child is ready" to begin training. The last thing I was going to do was wait until my kid was an obstinate 2-year-old.

So while I do believe that children can be successfully potty trained at much younger ages than is currently in vogue (I often hear that 4 is average for a boy to be daytime trained!), and I do believe in the bare-bottomed start to training - I do not think there is any benefit to attempting to train an infant. Like, zero. I wouldn't even think to begin before my child was able to actually ambulate and pull his own underpants down!
The emphasis, or maybe the intensity, is crazy but, you know, we all condition our kids to eliminate at convenient times—for us, the adults. If we're going on a car trip, we tell our kiddies to go before we set off. We do the same thing ourselves.

As for the verbal ques, that's pretty interesting and innate. You know how you feel like peeing when you hear water? I wonder just how different that is from saying to your child, "You're not going to be able to go for awhile, so maybe you should think about peeing/pooping now"?

It's off the wall when it gets so institutionalized, when it's given a name, when any sense of logic is secondary to the cause.

I don't remember training any of my kids after the first one. I guess they watched their older sibling and got it. Or maybe he whistled to them to go, and I never noticed. :)

Rated by Lois
Well if your child would prefer to sit in their own pee an poo you go right a head with the "traditional method" of training.

Apparently you have never toilet trained a toddler they aren't always active participants. Some don't want to potty train until they start school this is acceptable? Go to India or China and see what they are doing...