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 | Kevin Pho, MD
  • 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

  • Why resilience is not the cure for physician burnout

    Lisa Rubiano, DO
  • Finding meaning in medicine: Reconnecting with your childhood calling

    Brian Sayers, MD
  • The dysfunctional medical malpractice marketplace and tort reform

    Howard Smith, MD
  • The cost of time constraints in primary care: Why doctors feel rushed

    Ann Lebeck, MD
  • Avicenna’s influence on modern medicine: a physician’s reflection

    Farid Sabet-Sharghi, MD
  • How high taxes and the California Medical Board fuel the physician shortage

    Kayvan Haddadan, MD
  • Most Popular

  • Past Week

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Whole-body MRI screening: a radiologist’s guide to preventive scans

      Amit Newatia, MD | Physician
    • Debunking 4 myths about fertility treatments for women of color

      Ilana Ressler, MD | Physician
    • Insulin resistance is a survival mechanism, not a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • How competency-based education is driving medical education reform

      Ben Reinking, MD | Physician
    • The truth about short-term opioid prescribing and opioid use disorder

      Kayvan Haddadan, MD | Conditions
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • A poem of gratitude for narrative medicine on Doctor’s Day

      Michele Luckenbaugh | Conditions
    • Why resilience is not the cure for physician burnout

      Lisa Rubiano, DO | Physician
    • Understanding methylation, BDNF, and the ApoE Alzheimer’s gene

      Majid Fotuhi, MD, PhD | Conditions
    • Finding meaning in medicine: Reconnecting with your childhood calling

      Brian Sayers, MD | Physician
    • How artificial intelligence sycophancy distorts clinical decision-making

      Arthur Lazarus, MD, MBA | Tech
    • The dysfunctional medical malpractice marketplace and tort reform

      Howard Smith, MD | Physician

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

  • Most Popular

  • Past Week

    • How hindsight bias distorts clinical medicine

      Olumuyiwa Bamgbade, MD | Physician
    • Whole-body MRI screening: a radiologist’s guide to preventive scans

      Amit Newatia, MD | Physician
    • Debunking 4 myths about fertility treatments for women of color

      Ilana Ressler, MD | Physician
    • Insulin resistance is a survival mechanism, not a broken system [PODCAST]

      The Podcast by KevinMD | Podcast
    • How competency-based education is driving medical education reform

      Ben Reinking, MD | Physician
    • The truth about short-term opioid prescribing and opioid use disorder

      Kayvan Haddadan, MD | Conditions
  • Past 6 Months

    • The dangers of vertical integration in health care

      Stephanie Waggel, MD | Policy
    • Why does sex work seem like a more viable path than medicine in 2026?

      Corina Fratila, MD | Physician
    • The 9 laws of health care quality: Why metrics miss the point

      Constantine Ioannou, MD | Physician
    • Politics and fear have replaced science in U.S. pain management [PODCAST]

      The Podcast by KevinMD | Podcast
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • The Platinum Rule in health care: Moving beyond the Golden Rule

      Harvey Max Chochinov, MD, PhD | Conditions
  • Recent Posts

    • A poem of gratitude for narrative medicine on Doctor’s Day

      Michele Luckenbaugh | Conditions
    • Why resilience is not the cure for physician burnout

      Lisa Rubiano, DO | Physician
    • Understanding methylation, BDNF, and the ApoE Alzheimer’s gene

      Majid Fotuhi, MD, PhD | Conditions
    • Finding meaning in medicine: Reconnecting with your childhood calling

      Brian Sayers, MD | Physician
    • How artificial intelligence sycophancy distorts clinical decision-making

      Arthur Lazarus, MD, MBA | Tech
    • The dysfunctional medical malpractice marketplace and tort reform

      Howard Smith, MD | Physician

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...