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When trauma hinders learning by Donald A. Barr

Friday 24 August 2018

In the fall of 2015, a front-page story in the New York Times reported on the challenge a kindergarten teacher in Brooklyn faced in dealing with a difficult
new student (Taylor, 2015). From the time the six-year-old girl started kindergarten, she “struggled to adjust to its strict rules. She racked up demerits
for not following directions or not keeping her hands folded in her lap. Sometimes, after being chastised, she threw tantrums. She was repeatedly suspended
for screaming, throwing pencils, running away from school staff members or refusing to go to another classroom for a time-out.”

Many kindergarten teachers have had similar experiences with children who simply don’t seem ready for kindergarten. But they may not understand the complex
developmental processes that can contribute to the troublesome, and no doubt disruptive, behaviors this child exhibited. How do social and biological
factors interact to affect children’s behavior, and what are the brain structures and functions involved?

Is disruptive behavior willful?

Salvatore Terrasi and Patricia Crain de Galarce (2017) have described how important it is for teachers to understand the potential impact of childhood
emotional trauma on classroom behavior. They suggest that “teachers who are unaware of the dynamics of complex trauma can easily mistake its manifestations
as willful disobedience, defiance, or inattention, leading them to respond to it as though it were mere ‘misbehavior’” (p. 36). The child in the New
York Times story does not appear to be exerting conscious control when responding to the teacher defiantly. She was more likely responding to emotional
impulses she did not have the capacity to control.

The girl was the child of a single mother living in a low-income neighborhood in Brooklyn. Children from low-income communities who live in single-parent
households are at greater risk of exhibiting these types of disruptive behaviors when entering kindergarten. As Clancy Blair and C. Cybele Raver (2015)
explain, “The neurocognitive and social emotional skills integral to self-regulation undergird early learning and are likely to be compromised for
children growing up in poverty and other adverse circumstances” (p. 713).

What might have impaired this six-year-old’s emotional self-regulation and, as a consequence, impeded her capacity to develop the basic skills expected
of most kindergartners? What should teachers know about the possible underlying causes of a child’s lack of self-control? If early emotional trauma
has affected a child’s neural development, what steps can educators take to provide a learning environment that will enhance that development?

The importance of executive function in school readiness

Research in psychology and neuroscience has provided an increasingly clear answer to these questions. The central issue is the extent to which children
have been able to develop executive function (EF) before starting kindergarten. EF includes three principal components:

• Inhibitory control — the capacity to inhibit or regulate strong emotional or impulsive behavioral responses voluntarily;

•Cognitive flexibility — the ability to think about multiple concepts simultaneously or to switch quickly between concepts;

•Working memory — the ability to hold new information in the mind, process it, and store it as a learned memory.

Together these capacities enable children to exert conscious control over their behavior to achieve a goal.

A report published by the U.S. Department of Education defined EF skills as:

the attention-regulation skills that make it possible to sustain attention, keep goals and information in mind, refrain from responding immediately, resist
distraction, tolerate frustration, consider the consequences of different behaviors, reflect on past experiences, and plan for the future. (Zelazo,
Blair, & Willoughby, 2016, p. 1)

It seems clear that this six-year-old had not yet developed an adequate level of EF for the classroom. It also seems apparent that the teacher had dealt
with similar children before. A report published by the Center on the Developing Child at Harvard University (2011) indicated that:

It is often within the group setting of a classroom and the demands of schoolwork that delays or deficits in the development of age-expected executive
function skills are first noted. Teachers identify problems with paying attention, managing emotions, completing tasks, and communicating wants and
needs verbally as major determinants of whether a child is ready to succeed in the school setting . . . Scientists who study executive function skills
refer to them as the biological foundation for school readiness. (pp. 3-4)

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While it is neither unusual nor unexpected for a three-year-old child to have an emotional tantrum, it is expected that five-year-old children entering
kindergarten will have gained the capacity to control their emotional impulses and avoid tantrums.

It is important for teachers, especially those in the early elementary years, to understand how the development of EF reflects an underlying biological
process. As with other biological processes (for example, the development of language), children often develop their capacities at different rates.
While it is neither unusual nor unexpected for a three-year-old child to have an emotional tantrum, it is expected that five-year-old children entering
kindergarten will have gained the capacity to control their emotional impulses and avoid tantrums.

The neural basis of executive function

The development of EF proceeds relatively slowly from birth through age three and then accelerates rapidly between ages three and six. In some children,
the development curve will be shifted to the left, with more rapid development. In other children, it will be shifted to the right, with delayed development.

To appreciate the neurobiological processes underlying this development, it is important to have a basic understanding of brain structure and the neural
connections among different regions of the brain.

The front part of the brain, or the prefrontal cortex (PFC), is where many different components of memory are stored. For example, when we were children,
we first learned the concept of “2 plus 2 equals 4.” If I were to ask you, “What is 2 plus 2?” you would rapidly respond “4.” In doing so, you would
not actually have performed a mathematical computation. You would simply have retrieved the conceptual memory stored since childhood in the PFC.

This process — of taking new bits of information and storing them in the PFC as memory — is largely under the control of the hippocampus, which
sits at the bottom, central portion of the brain. The better our hippocampus works, the better it is able to store new memories and associations in
the PFC. This process involves creating multiple nerve connections (or axonal connections) from the hippocampus, looping up and over the central portions
of the brain to the PFC.

A second form of memory follows a similar pathway. These are the emotional memories we have stored — and which we often recall unconsciously. Many
of these memories come from early childhood. Some are positive memories of the warmth and security derived from a caring parent or other adult figure.
Some are negative, reflecting the fear or anger of feeling threatened or experiencing punishment or abuse. These memories are transmitted through the
amygdala to a separate area of the frontal cortex referred to as the orbital frontal cortex (OFC).

If a child develops a feeling of intense anger in response to a stimulus, that anger may represent an emotional memory of an earlier experience stored
in the OFC. The child may only have conscious control over their response to that memory if they have developed an adequate level of executive function.
In severe cases, the stored emotional memory will be in response to a single incident that was so powerful it repeatedly disrupts normal interactions
with others. This may represent post-traumatic stress disorder (PTSD). For example, Terrasi and de Galarce (2017) describe a case of PTSD in a 2nd-grade
student who previously got along well with his friends and was succeeding in school but who, after witnessing his mother being hit in the arm by a
stray bullet while they were walking together in their neighborhood, became “defiant with his teachers . . . often hiding under a desk, knocking things
down, hitting other children, and running out of the classroom” (p. 35).

Not all negative emotions stored in the OFC that trigger emotional outbursts in children are of the type associated with PTSD. These emotions can also
reflect the accumulation of chronic and recurrent stressful experiences during early development, especially if they are the result of toxic stress.
According to the National Scientific Council on the Developing Child (2014):

Toxic stress refers to strong, frequent, or prolonged activation of the body’s stress management system. Stressful events that are chronic, uncontrollable,
and/or experienced without children having access to support from caring adults tend to provoke these types of toxic stress responses. Studies indicate
that toxic stress can have an adverse impact on brain architecture. (p. 2)

Children growing up in poverty and in high-stress circumstances are at increased risk of developing these changes in brain architecture. Jack Shonkoff
and his coauthors (2012) have reported that chronic toxic stress “is associated with hypertrophy and overactivity in the amygdala and orbitofrontal
cortex, whereas comparable levels of adversity can lead to loss of neurons and neural connections in the hippocampus and medial PFC” (p. e236).

Chronic stress in early childhood not only results in an overly active amygdala-OFC response system, it can also result in delayed development of the hippocampus
and reduced nerve connections between the hippocampus and the PFC. As Shonkoff and colleagues (2012) go on to explain:

The functional consequences of these structural changes include more anxiety related to both hyperactivation of the amygdala and less top-down control
as a result of PFC atrophy as well as impaired memory and mood control as a consequence of hippocampal reduction. (p. e236)

Joan Luby and colleagues (2013) followed 145 children from age three through age six, assessing their emotional and behavioral development and examining
data on their family circumstances. After the children were six years old, the authors administered an MRI brain scan to each child, measuring the
size of their hippocampus, PFC, and the axonal nerve connections between them. Preliminary analysis found that children from families living in poverty
tended to have a smaller, less-developed hippocampus with fewer axonal connections with the PFC. On further analysis, the authors determined that it
wasn’t poverty itself that was associated with a less-functional hippocampus. Rather, it was the presence of hostile parenting style, low levels of
emotional support from parents, and repeated exposure to stressful life events.

Might the six-year-old girl who had such trouble controlling her emotional outbursts in the Brooklyn charter school be an example of the behavioral impacts
of chronic, toxic levels of stress experienced during the period when most children are developing the neural capacity for EF? The Shonkoff report
suggests that this may have been the case:

Hence, altered brain architecture in response to toxic stress in early childhood could explain, at least in part, the strong association between early
adverse experiences and subsequent problems in the development of linguistic, cognitive, and social-emotional skills, all of which are inextricably
intertwined in the wiring of the developing brain. (p. e236)

Teacher reactions to children’s behavior

Ximena Portilla and colleagues (2014) followed an ethnically diverse sample of 338 five-year-old children through their first year of kindergarten. They
assessed each child’s level of inattention and impulsive behavior in class, as well as the teacher’s perception of the level of teacher/student conflict
the student’s behavior caused. They found that (a) teachers reported having more conflictual relationships with children exhibiting repeated impulsive
behavior and (b) greater levels of conflict perceived by the teacher were associated with decreases in school engagement on the part of the child,
as well as reduced academic competence in 1st grade. The way a kindergarten teacher responds to a child who exhibits poor EF and disruptive behavior
can have a powerful, negative impact on the child’s own investment in the educational process.

The way a kindergarten teacher responds to a child who exhibits poor executive function and disruptive behavior can have a powerful, negative impact on
the child’s own investment in the educational process.

In the New York Times story, it does not appear that the kindergarten teacher understood the girl’s disruptive behavior as the consequence of delayed neural
development. The teacher appears to have seen the girl instead as a troublemaker who would continue to cause problems in class and, as a consequence,
placed the girl’s name on the school’s “Got to go” list.

What if the teacher had instead offered the child the kinds of interpersonal and educational experiences that would have supported her development of executive
function? The delay in hippocampal/PFC functioning that reduces a child’s EF is not irreversible. The brains of children this age retain a high level
of plasticity, meaning that the neural connections can still be altered. Children who enter kindergarten with delayed development of EF maintain the
capacity for continued neural development and enhanced cognitive learning. The question is, who will provide the social and emotional support the child

The importance of social and emotional learning

A growing consensus has identified formal instruction in social and emotional learning (SEL) as an essential component of both preschool and elementary
education. Karen Bierman, Mark Greenberg, and Rachel Abenavoli (2017) define SEL as the process through which children “acquire and effectively apply
the knowledge, attitudes, and skills necessary to understand and manage emotions, set and achieve positive goals, feel and show empathy for others,
establish and maintain positive relationships, and make responsible decisions” (p. 1). The authors cite evidence that crucial social-emotional development
typically occurs between the ages of three and six and that “Children growing up in poverty are particularly likely to show delays in the social-emotional
and self-regulation skills needed for school success, due in part to their heightened levels of stress” (p. 4).

The Collaborative for Academic, Social, and Emotional Learning (CASEL) is a coalition of teachers, educational scholars, and nonprofit organizations with
the shared goal of “promoting integrated academic, social, and emotional learning for all children in preschool through high school” (CASEL, 2017).
This organization has developed useful resources for teachers who wish to promote SEL. Indeed, it’s not enough for teachers to want to provide social-emotional
support for students. They need support and training to do so. The Handbook of Social and Emotional Learning cites consistent evidence that effective
forms of SEL “can be effectively delivered by teachers provided that they receive sufficient training, consultation, and support” (Weissberg et al.,
2015, p. 13).

Understanding and managing delays

Children raised in highly stressful home or social circumstances are prone to delays in the normal development of executive function. It is essential that
kindergarten teachers and other early childhood educators understand and appreciate that these delays can result in disruptive classroom behavior that
does not reflect conscious, willful disobedience on the part of the child. Delays of this type are being successfully addressed through SEL programs.
Educational administrators should ensure that teachers have the opportunity to become familiar with successful SEL programs and are provided the time
and resources to incorporate these into the classroom, especially if the children entering their classrooms have been raised in highly stressful circumstances
and, as a consequence, are not yet kindergarten-ready.


Bierman, K., Greenberg, M., & Abenavoli, R. (2017). Promoting social and emotional learning in preschool — Programs and practices that work.
State College, PA: Pennsylvania State University, Edna Bennet Pierce Prevention Research Center.

Blair, C. & Raver, C.C. (2015). School readiness and self-regulation: A developmental psychological approach. Annual Review of Psychology, 66, 711-731.

Center on the Developing Child at Harvard University. (2011). Building the brain’s “air traffic control” system: How early experiences shape the development
of executive function: Working paper No. 11. Cambridge, MA: Author.

Collaborative for Academic, Social, and Emotional Learning (CASEL). (2017). About CASEL.

Luby, J., Belden, A., Botteron, K., Marrus, N., Harms, M.P., Babb, C., . . . Barch, D. (2013). The effects of poverty on childhood brain development: The
mediating effect of caregiving and stressful life events. JAMA Pediatrics, 167 (12), 1135-1142.

National Scientific Council on the Developing Child. (2014). Excessive stress disrupts the architecture of the developing brain: Working paper 3. Updated
Edition. Cambridge, MA: Harvard University, Center on the Developing Child.

Portilla, X.A., Ballard, P.J., Adler, N.E., Boyce, W.T., & Obradovi, J. (2014). An integrative view of school functioning: Transactions between self-regulation,
school engagement, and teacher-child relationship quality. Child Development, 85 (5), 1915-1931.

Shonkoff, J.P., Garner, A.S., the Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care,
and Section on Developments and Behavioral Pediatrics, Siegel, B.S., Dobbins, M.I., . . . Wood, D.L. (2012). The lifelong effects of early childhood
adversity and toxic stress. Pediatrics, 129 (1): e232-e246.

Taylor, K. (2015, October 29). At a Success Academy charter school, singling out pupils who have “got to go.” The New York Times.

Terrasi, S. & de Galarce, P.C. (2017). Trauma and learning in America’s classrooms. Phi Delta Kappan, 98 (6), 35-41.

Weissberg, R.P., Durlak, J.A., Domitrovich, C.E., & Gullotta, T.P. (2015). Social and emotional learning: Past, present, and future. In J.A. Durlak,
C.E. Domitrovich, R.P. Weissberg, & T.P. Gullotta (Eds.), Handbook of social and emotional learning: Research and practice. New York, NY: Guilford

Zelazo, P.D., Blair, C.B., & Willoughby, M.T. (2016). Executive function: Implications for education. Washington, DC: U.S. Department of Education,
Institute of Education Sciences, National Center for Education Research.

DONALD A. BARR ([email protected]) is a professor (teaching) of pediatrics and (by courtesy) education, Stanford University, Palo Alto, Calif.

R&D appears in each issue of Kappan with the assistance of the Deans Alliance, which is composed of the deans of the education schools/colleges at
the following universities: George Washington University, Harvard University, Michigan State University, Northwestern University, Stanford University,
Teachers College Columbia University, University of California, Berkeley, University of California, Los Angeles, University of Michigan, University
of Pennsylvania, and University of Wisconsin.

Originally published in March 2018 Phi Delta Kappan 99 (6), 39-44. © 2018 Phi Delta Kappa International. All rights reserved.


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