Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Does spanking control a child’s bad behavior?

Christopher Johnson, MD
Physician
September 14, 2012
Share
Tweet
Share

As all of us know, there is a long, long tradition in our culture of disciplining or punishing children using physical means. “Spare the rod and spoil the child,” as the old saying goes.  That explicit wording, by the way, does not come from the Bible, as most people think. Rather, it comes from a seventeenth century satirical poem by Samuel Butler. Still, The belief that punishment requires some element of discomfort, even pain, to be effective is an old one in our culture, one with deep historical and Biblical roots.

For example:

“Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him.” (Proverbs 22:15)

“He that spareth his rod hateth his son: but he that loveth him chasteneth him betimes.” (Proverbs 13:24)

Neither of these examples talk about beating children, but the implication is pretty clear. Corporal punishment — beating with a switch — was also standard in classrooms, as any reader of nineteenth century literature will know. Severe corporal punishment disappeared from public schools a century ago, although a rap on the knuckles with a ruler was still common when I was in primary school in the 1950s and my friends who went to parochial school sometimes got a bit more than that. But over the last few decades this has gone away, so much so that it is now frowned upon, or even forbidden, for teachers to touch students in any way.

Pediatricians have also been telling parents for many years that spanking, for example, is not a good way to discipline children. The American Academy of Pediatrics guidelines on disciplining children, says this:

Spanking may relieve a parent’s frustration for the moment and extinguish the undesirable behavior for a brief time. But it is the least effective way to dis­cipline. It is harmful emotionally to both parent and child. Not only can it re­sult in physical harm, but it teaches children that violence is an acceptable way to discipline or express anger. While stopping the behavior temporarily, it does not teach alternative behavior. It also interferes with the development of trust, a sense of security, and effective communication. (Spanking often be­comes the method of communication.) It also may cause emotional pain and resentment.

Some parents, though, believe physical punishment, judiciously administered of course, is an important parenting tool. They often point to how they were raised as justification for this approach. A key question in this is the long-term effects on the child of corporal punishment. Everyone agrees that clearly abusive measures are wrong — illegal, too. But what about less severe measures, such as spanking? What are the long-term effects, if any, of that practice? A recent study in Pediatrics, the journal of the American Academy of Pediatrics, gives us some information.

The title of the paper is “Physical punishment and mental disorders: results from a nationally representative US sample.” The authors used survey results of 34,653 adults over twenty years of age to look for any association between physical punishment and future mental disorders. Definitions are important in studies like this, of course, because physical punishment runs a gamut from grabbing all the way to frank child abuse. The surveyed adults were asked how often, as a child, they were “slapped or hit by your parents or any adult living in your house”? They removed from the sample respondents who described  hitting or spanking that left bruises or those who had clearly been abused in other ways; the idea was to study what our grandparents’ generation would have thought to be “ordinary” forms of physical punishment. So what were the results? To quote the authors:

Harsh physical punishment [even] in the absence of child maltreatment is associated with mood disorders, anxiety disorders, substance abuse/dependence, and personality disorders in a general population sample.

Leaving aside the moral dimensions of the issue, my practical take is that harsh physical punishment (which includes spanking) doesn’t work well in controlling a child’s bad behavior and not infrequently causes future harm. So why do it?

Christopher Johnson is a pediatric intensive care physician and author of Your Critically Ill Child: Life and Death Choices Parents Must Face, How to Talk to Your Child’s Doctor: A Handbook for Parents, and How Your Child Heals: An Inside Look At Common Childhood Ailments.  He blogs at his self-titled site, Christopher Johnson, MD.

Prev

No politician has to deal directly with Granny, but I do

September 14, 2012 Kevin 9
…
Next

Don't blame the patients for long wait times

September 14, 2012 Kevin 11
…

Tagged as: Pediatrics

< Previous Post
No politician has to deal directly with Granny, but I do
Next Post >
Don't blame the patients for long wait times

ADVERTISEMENT

More by Christopher Johnson, MD

  • The success of Australian firearms regulation: What it could mean for children

    Christopher Johnson, MD
  • Do protocols and pathways improve care?

    Christopher Johnson, MD
  • Why are so many community hospitals transferring children to larger facilities?

    Christopher Johnson, MD

More in Physician

  • Moral injury in medicine: When silence becomes a survival strategy

    Timothy Lesaca, MD
  • Medical misinformation: Navigating vaccine hesitancy with empathy

    Christine J. Ko, MD
  • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

    Brian Hudes, MD
  • Physician weight loss strategy: Why willpower isn’t enough in 2026

    Archana Reddy Shrestha, MD
  • Demedicalize dying: Why end-of-life care needs a spiritual reset

    Kevin Haselhorst, MD
  • Physician due process: Surviving the court of public opinion

    Muhamad Aly Rifai, MD
  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
    • Physician resilience: Why systems matter more than heroism

      Harvey Castro, MD, MBA | Tech
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
    • Tobacco treatment neglect: Why 25 million smokers are left behind

      Edward Anselm, MD | Conditions
    • Music and brain plasticity: How sound rewires your mind

      Marc Arginteanu, MD | Conditions
    • Employer-sponsored DPC: Why private equity is winning the infrastructure race

      Dana Y. Lujan, MBA | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 14 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • Why medical school DEI mission statements matter for future physicians

      Aditi Mahajan, MEd, Laura Malmut, MD, MEd, Jared Stowers, MD, and Khaleel Atkinson | Education
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
  • Past 6 Months

    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
  • Recent Posts

    • The necessity of getting lost to find yourself

      Michele Luckenbaugh | Conditions
    • Physician resilience: Why systems matter more than heroism

      Harvey Castro, MD, MBA | Tech
    • Medical bankruptcy: the hidden cost of U.S. health care

      Richard A. Lawhern, PhD | Conditions
    • Tobacco treatment neglect: Why 25 million smokers are left behind

      Edward Anselm, MD | Conditions
    • Music and brain plasticity: How sound rewires your mind

      Marc Arginteanu, MD | Conditions
    • Employer-sponsored DPC: Why private equity is winning the infrastructure race

      Dana Y. Lujan, MBA | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Does spanking control a child’s bad behavior?
14 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...