Chapter 1
A Digital Journey Begins
What we may need most is an app that reminds parents that they need to ditch their own screens at home and spend real face time with their kids.
â MARY AIKEN, THE CYBER EFFECT1
When a precious newborn enters this world, chances are a smartphone will be in the delivery room, to capture that first photo. That image may end up on Facebook or Instagram, or be sent via text to an aunt, uncle, or grandparent, who might share it on their social networks. Thus, that tiny infant has become a citizen of a digital world.
The work of helping that little digital citizen build a solid foundation that will stand up to the uncertain weather and shifting sands of the digital age starts early. Family and friends are constructing childrenâs digital lives, and children have unprecedented access to mobile devices, at increasingly younger ages. In the United States, nearly all kids age eight and under (98 percent) live in a home with some type of mobile device, and close to half (42 percent) have their own tablet. Mobile device usage for children in this age range tripled between 2011 and 2017âfrom only five minutes per day to forty-eight minutes per dayâand one-third of their total screen time is spent using mobile devices.2 Even more striking is that 44 percent of children under the age of one use mobile devices every single day. By the age of two, that jumps to 77 percent.3
You see the evidence of this everywhere you lookâyoung children in cars, restaurants, and other public places with tiny heads bent over the glowing screen of a smartphone or tablet. Thereâs even a name for this posture. Chiropractor Dean Fishman coined the term âtext neckâ in 2008, while examining a young patient who complained of headaches and neck pain.4 âText neckâ results from bending oneâs head over a mobile device. The gravitational pull on the head, which can weigh ten to twelve pounds, and the stress it places on the neck, can lead to incremental loss of the curve of the spine.
I see text-necking toddlers all the time. Recently, while riding my bike along the California coast on a dazzling winter morning, I counted five toddlers in strollers, all bent over an electronic device and completely oblivious to seagulls fighting noisily over a piece of trash, surfers surveying the growing swell, the bright red lifeguard truck passing by, and pelicans skimming low over the waterâs surface. Five kids missed all this and more because their attention was locked on their screens.
WORLDâS BEST BABYSITTER
Mobile tools are excellent babysitters. They can soothe a fussy child or keep fidgety ones occupied, so a busy parent can make dinner, check email, or even go on a much-needed run. A 2014 study of children aged six months to four years in an urban, low-income, minority Philadelphia community revealed that almost all had access to devices that their parents used liberally as âbabysittersââwhen the parents did chores (70 percent), to keep kids calm in public (65 percent), during errands (58 percent), and at bedtime (28 percent).5 Parenting is relentless work, and for many, childcare is an unaffordable luxury. Besides, with over eighty thousand apps and games classified as âeducation- and learning-based,â it stands to reason that these young kids might be learning something.6 The preschool/toddler category in Appleâs App Store is its most popular, accounting for 72 percent of the top paid apps.7 What could possibly be the harm?
Thatâs the thing. We donât know. After all, the iPad is not even ten years old; itâs a babe in terms of scientific research. Even kids who used them as toddlers are barely young teens today, so definitive data on their impact upon youth is pending.8
As a comprehensive literature review published by UNICEF in late 2017 puts it, âresearch in this area still suffers from theoretical and methodological weaknesses that makes the evidence collected so far unreliable and inconclusive.â9 The long-term impact of the short-term phenomenon of tablets, smartphones, and all the other mobile devices that have popped up in the recent past is unknown. That makes children the guinea pigs of our grand experiment.
I asked Dr. Pamela Hurst-Della Pietra about this. She is the founder and president of Children and Screens: Institute of Digital Media and Child Development, a nonprofit organization working to stimulate dialogue about the impact of digital media on toddlers, children, and adolescents. This national interdisciplinary research organization brings together experts in medicine, social science, neuroscience, education, and other fields to address three vital questions about children and technology:
1. How is technology enhancing or impairing childrenâs ability to live happy, healthy, and productive lives?
2. How are years of electronically mediated interactions shaping childrenâs physical, cognitive, emotional, and social development?
3. What should we do about it?
âParents need to understand that this is all very new, and we donât have a lot of definitive studies yet,â Hurst Della-Pietra told me. âMeanwhile, there has been a sea change in accessibility; now you can take these devices anywhere. While there are some amazing benefitsâSkyping with loved ones, for exampleâthere are risks, too, and we donât completely understand them. But we do know there are developmental milestones young children need to hit in order to reach their full potentialities.â10
HELPING CHILDREN REACH THEIR FULL POTENTIAL IN A SCREEN-FILLED WORLD
Around the world, children and adolescents account for an estimated one in three internet users, yet the technology they use was not designed with their developmental needs in mind.11 While little is known about the long-term impact of todayâs devices upon a young child, a lot is known about healthy child development.
Babies require rich, multidimensional experiences in a real, three-dimensional world. They need opportunities for hands-on exploration and human interaction with loving adults.12 They thrive when they are read to, talked to, played with, and when they play with other children in real life.13 They benefit from being out in nature.14 A screenâregardless of whether itâs a TV, tablet, smartphone, gaming console, computer, or even an internet-connected toyâcanât deliver the same experiences as the real world.
A quick peek under the hood explains why infants need these real-world experiences. A newborn has trillions of brain cells, or neurons, waiting to be called into action. Each of these tiny brain cells has about 2,500 synapsesâconnections that pass signals between these neurons. When electrical signals pass between these neurons, these synapses are stimulated. Like footpaths linking remote villages, every time they get used, or stimulated, they improve, and the remote villages pop into life. Every experience a baby has, from birth on, stimulates these connections, and repeated experiences strengthen them, shaping the childâs behavior for years to come.
Just as important as the real-life experiences young children have are the ones they donât have, as this influences brain development, too. Neurons that arenât usedâor synaptic connections that arenât repeatedâget pruned away, while remaining connections are strengthened.15 Stimulated synapses then get hardwired and form the permanent foundation upon which the childâs future cognitive functions are built.
Although childrenâs brains continue this hardwiring or âintricate tapestry of the mindâ well into their mid-twenties, much of the critical work happens between birth and age three.16 This is an extremely sensitive development period, when children need specific experiences from their environment to properly stimulate their developing brains and lay the foundation for all of their future relationshipsâonline and offline.
ALL THEY NEED IS LOVE
One specific type of stimulation babies need is a parent or caregiverâs loving gaze. The absence of stimuli delivered through facial expressions and eye contact could lead to disastrous consequences. In The Cyber Effect, author and cyberpsychologist Dr. Mary Aiken writes, âMany experiments over the past century have shown the catastrophic effects of sensory and social deprivation during this critical period in early childhood, and the subsequent effects on later development.â17
What happens to an infant whose parents spend more time gazing lovingly at their smartphones than at them? Aiken suggests that, over time, these babies may be less able to interact face-to-face, less likely to form deep bonds, and less able to feel or give love.
Even though the middle-school students I teach are years removed from being infants, they continue to seem to crave a parent or caregiverâs attentive gaze. They often complain how crappy it feels to be playing basketball or to be in the middle of a dance recital, only to look up and see a parent looking down at his or her phone. âIt sucks,â more than one preteen has told me. While this is sad, the thought of an infant not getting proper attention is even worse. The long-term implications of an entire generation of children not receiving the facetime they need from loving caregivers remains to be seen.
Screens also rob children of time spent talking, playing, interacting with parents and friends, engaging in creative activities, and so forth. Obviously, when they are looking at their phones or computers, parents talk and play less with their children. And if kids are on their own devices, which more seem to be, then they are not talking or engaging with their parents or with other kids.
Dr. Jenny Radesky, a developmental behavioral pediatrician and mother of two small children, wanted to find out how common it was for adults to use mobile devices around children, so she conducted what has since become a widely cited study.18 She and her researchers surreptitiously watched fifty-five caregivers, usually a parent, with one or more children, in fast-food restaurants around the Boston area. Of the fifty-five adults they watched, forty used a mobile device during the meal. Sixteen used the mobile device throughout the entire meal. The researchers noted that the children, under ten years of age, bid for the phone-using adultsâ attention in escalating ways; while adults typically ignored the childrenâs bids at first, they eventually responded in scolding tones, seeming insensitive to the childrenâs needs. As of yet, no comprehensive study has meas...