How Do You Think?

There are numerous barriers to the provision of tele-therapy for educational purposes.  Among the most challenging issues are Technological Problems and the level of Student Cooperation.   This Trouble Shooting Guide addresses these barriers.

Technological Problems

There are many technological challenges that may be a product of the platform used (e.g., Zoom, Microsoft Teams, Google Classroom, FaceTime, Skype, etc.) and the technical skills of the users (including you, the parent, and the student).  Other issues that may contribute to the challenges are the devices used (e.g., smartphone, tablet, and/or laptop/desktop computer), the operating system used (e.g., Windows 10, Apple iOS), and cell phone receptivity or internet broadband width.  Variations among these variables will affect the quality and consistency of interaction through this medium.

1. Platform Issues – Various platforms have different capabilities making them either quite basic (e.g., Microsoft Teams, Skype, FaceTime, Facebook Messenger) or sophisticated (e.g., Zoom). The basic platforms are good for one-way teaching (e.g., lectures, storytelling, guided movement, counseling, or consultation).  Zoom for example, is capable of more interactive back and forth instruction using videos, boom-cards, and instructional apps and games across multiple devices.  These capabilities offer significant instructional advantages; however, they require more technical skills from the teacher/therapist and even the parent/child.  The bottom line is that you must:
   1. Choose the platform that is best for the purposes you have in mind.
   2. Learn how to use the platform(s) you choose (e.g., through online training videos and practice).
   3. Know which web browsers and devices support your platform of choice (e.g., Zoom works best on a computer using Chrome as a web browser as opposed to phones/tablets that have reduced interactivity).
   4. Help the parents make appropriate accommodations, downloads, etc.
2. Anticipate that there will be problems based on the variation in devices, operating systems, web browsers, and the bandwidth available to each individual, and PLAN ACCORDINGLY. You will have to adjust your expectations based on the reality of the resources available in the student’s home.
3. Work through all these issues with the parent first before trying to teach your students.
4. Adjust your plans and expectations based on the tools and skills available. Technological hiccups during instruction have the effect of degrading the quality of instruction, as well as the willingness of the learner.

Student Cooperation

Tele-therapy necessitates the development of new skill sets for both you as a teacher (as you well know) and for the students as learners.  Provided your skills are at a point where you have started instructional tele-therapy, and you have taken the steps to facilitate the technology in your student’s home, your first job should have included teaching the child how to be a remote learner.  If not, you will have to back up (more on this in a minute).  Success is also dependent on building and sustaining rapport with the parent.  They are your allies in the instructional process – your eyes, ears, and hands.  They will facilitate or hinder your access to the student and they are absolutely key to your success. 

1. If you have both good access to the child and caregiver support, but you are struggling with maintaining student engagement and/or attention, you must assess whether the problem is:
   1. environmental (e.g., struggles with competing distractions, struggles with equipment interface), OR
   2. behavioral (e.g., the child doesn’t have the skills or motivation to attend).
2. If the problem is Environmental – based on barriers within the home environment, use the Tip Sheet I’ve developed for helping the parent set up the environment for success (https://bit.ly/3btkNpc).
3. If the problem is Behavioral – the child is struggling with sustaining attention and/or following instructions appropriately during instruction, I highly recommend that you use the Tip Sheet I’ve developed for teaching instructional control (https://bit.ly/3bzAECy).
4. The keys to success are mastery of the technology, having the parents as collaborative teaching partners, fostering a good learning environment, and well planned lessons that are realistic in terms of the technological limits in place, the capabilities of the child, and the demand load you place on the child.

Developed by Gerald T. Guild, PhD, Licensed Psychologist and Behavior Specialist

The use of Video Conferencing to teach young children is a new challenge for everyone involved.  In order for it to work, YOU and the teacher or therapist (instructor) MUST FIRST TEACH YOUR CHILD HOW TO LEARN IN THIS NEW WAY.  Teaching this new skill will likely be the first thing the instructor will want to work on.  Without the ability to attend to and participate in instruction, your child will not likely benefit from video conferencing.  The acquisition of this new skill requires careful planning and thoughtful instruction. 

Strategies that will help make this work:

1. Set the Environment Up for Success. There are several extremely important objectives here:
   1. The instructor must be very clear with you about their goals, objectives, and expectations. You will be the instructor’s eyes, ears, and hands, so if you need help or support – please ask for it!
   2. Work through the technological barriers FIRST. Download the necessary apps and/or programs as guided by the instructor and be prepared to practice with the instructor before your child is asked to participate.  Getting the technology set up and working can be the most challenging step in this entire process.  Patience is important.  You should also know in advance what device will be used, how it will be used, and where it will be used.   
   3. Set up the environment in order to eliminate competing distractions. The specifics of this will depend on your child and your home, but your child will need a good learning environment (e.g., a quiet room, no siblings watching TV or playing nearby, and minimal access to distracting toys, etc.).
   4. The instructor may suggest using visual schedules, When-Then contingencies, and preceding the session with sensory activities that increase focus. The instructor should help you get these things set up.
2. The Instructor will likely want to start slowly and focus on making it fun. Once the technology is working, you know what to expect, and the environment is set up for success, the instructor will likely start by having fun with your child.  They will minimize demands so that your child learns that this video conferencing thing is fun and that their instructor is just as fun on the screen as in person.  The early sessions may be kept short (perhaps very short).  This will require pre-planning – you will likely have to help the instructor know what your child enjoys at home so that they can tap into those interests.
3. Use Positive Behavioral Strategies. The instructor will want to work out a plan for ongoing reinforcement of appropriate attending and participating behavior during the session.  You may be asked to provide those reinforcers during the session.  They may also suggest that you follow the session with a special activity, toy, or treat to reward their hard work (even if it was just play).  This too will require advanced planning and ongoing communication with the instructor.  Please understand that these rewards are for success during the session and that they are important tools in teaching this new skill set.
4. Demands will be placed gradually. The instructor will SLOWLY start folding in small demands as your child’s attending and participation skills improve.  The instructor should initially prioritize making your child feel successful during this new type of instruction.
5. Be Attentive. Both you and the instructor should continually attend to the child’s level of interest in the activities, his or her level of focus, and how conducive the environment is to learning.  It may be necessary to adjust and modify expectations throughout the session.  The instructor will try to end the session before the child’s interest and motivation disappears.  Also they will want to end it on a positive note.  Talking about how the session went, at the end of the session, will be important to the ongoing success of this approach. 
6. Continually Adjust Strategies and Expectations. It will be important to continually assess, adapt, and adjust the strategies, as well as everyone’s expectations throughout each session.  The same is true regarding the quality of the learning environment and the use of reinforcers. 
7. Have Fun & Make it Fun! Brainstorm games, the use of favorite toys, stories, and songs, as well as activities (including physical movement) that can be implemented while video conferencing.  Be creative, be silly, and remember that rule number one is: Have Fun!

Developed by Dr. Gerald T. Guild, PhD, Licensed Psychologist and Behavior Specialist at The Children’s League in Springville, New York and by Kimberly Guild, MS, SLP-CCC, Speech Language Pathologist at Cattaraugus-Allegany BOCES in Olean, NY

The use of Video Conferencing to teach young children, particularly those with disabilities, is fraught with many NEW challenges.  In order for it to work, the instructor MUST FIRST TEACH THE CHILD HOW TO PARTICIPATE ADAPTIVELY.   It is essential to prioritize gaining the instructional control of the student over implementing other IEP objectives.  Consider instructional control in this context, as a new skill-set that is foundational: necessitating careful planning and thoughtful instruction. 

Key Strategies:

1. Set the Environment Up for Success. There are several extremely important objectives here:
   1. Be explicit with caregivers about your goals, objectives, and expectations – they are your key allies and instructional assistants in this process (i.e., your eyes, ears, and hands) and you absolutely need them to work with you to make this happen. This is new to them too, so you must teach them how to teach, and you must keep them on your side.  They will need your guidance, support, and compassion. 
   2. Work through the technological barriers FIRST. Help the caregivers acquire the necessary apps and downloads, and learn the procedures necessary to video conference BEFORE attempting to meet with the child. Practice with the caregiver first, as these challenges must not be underestimated.
   3. Teach the caregiver how to set up the environment in order to eliminate competing reinforcers and distractions. The specifics of this will depend on the child and the resources within the home, but you must discuss with the caregiver what device will be used, how it will be used, where it will be used, and they must understand that their child absolutely needs a conducive learning environment (e.g., a quiet room, no siblings watching TV or playing nearby, and minimal access to competing reinforcers, etc.).  
   4. Also consider the use of visual schedules, When-Then contingencies, and prior to the session, sensory activities that will likely increase the child’s level of focus.
2. Start Small and Focus on Pairing with Reinforcers. Once the technology is working, the caregiver understands what to do, and the environment is set up for success, start by having fun with the child.  Minimize demands at first and just focus on making sure that they have fun with you.  Teach them that this video conferencing thing is fun and that you are just as fun on a screen as you are in person.  Remember to keep it short (perhaps very short).  This will require pre-planning, knowing what the child enjoys at home, and tapping into their inherent interests.
3. Use Positive Behavioral Strategies. Work out a plan for ongoing reinforcement of appropriate attending and participation during the session and follow the session with a contingent highly potent activity, toy, or treat.  This will require advanced planning and ongoing communication with the caregiver as they are the likely providers of the tangible reinforcers.
4. Carefully Approach Demands. Once you have a happy participant (which may take many short and fun visits), SLOWLY start folding in small demands – addressing skills they have already mastered at school.  It will be important to prioritize making them feel successful in order to maintain the child’s motivation.
5. Be Attentive. Continually attend to the child’s motivation, focus of attention, the environment, and the needs of the caregiver as you “work” with the child. Adjust and modify your expectations as the session evolves, try to end it before the child’s interest and motivation disappears (end it on your terms AND on a positive note), and debrief with the caregiver following the session. 
6. Adjust Your Strategies and Expectations Continually. Always assess, adapt, and adjust your practice, your expectations, the environment, and your use of reinforcers. 
7. Have Fun & Make it Fun! Brainstorm games, the use of favorite toys, stories, and songs, as well as activities (including physical movement) that can be implemented while video conferencing.  Be creative, be silly, and rule number one: Have Fun!
8. Ramp Up Demands Slowly and Carefully. As Grandfather Guild always said “The hurrier I go, the behinder I get!”

Developed by Dr. Gerald T. Guild, PhD, Licensed Psychologist and Behavior Specialist at The Children’s League in Springville, New York and by Kimberly Guild, MS, SLP-CCC, Speech Language Pathologist at Cattaraugus-Allegany BOCES in Olean, NY

Very little is normal today and it can be very hard, even for the youngest among us.  Perhaps the hardest thing for your children is the departure from the regular routine of going to school and being with their friends and teachers.  Even harder still may be the pressure on you to provide for your family’s safety and well-being – oh, and keeping the kids happy and learning.   Some children will respond to these times with increased behavioral challenges, sleep problems, toileting regression, and heightened general agitation.  Sound familiar?  Here are TEN TIPS to help you get through this.

1. TAKE CARE OF YOU! – Your children need you – not only in the home, but also your strength and reassurance. This means you need to stay healthy both physically and emotionally.  Do the things that promote physical and emotional well-being (e.g., avoid the virus, exercise, get adequate sleep, avoid excessive screen time, and focus on the positive things you can control).  If you are struggling to cope with all this, contact the Substance Abuse and Mental Health Disaster Distress Hotline at 800/985-5990 or and the Crisis Text Line, an anonymous texting service available 24/7. Starting a conversation is easy. Text GOT5 to 741741
2. MAINTAIN REGULAR ROUTINES – Although going to school is no longer an option, it is important for your children to have some predictable NEW ROUTINES. Keep bedtime routines the same everyday, build some structured learning time into their day, and perhaps most importantly, actively play with your child everyday – at regularly scheduled times. Consider talking with your child’s Teacher and/or Speech Therapist – they may be able to help you build a daily visual schedule.
3. PROVIDE REASSURANCE – Your children may need to be reassured – although they may not comprehend the full scope of what is going on, they do know that something is different. They may also absorb your stress – so try to keep your cool in their presence, listen to them, speak kindly, and assure them that you are doing all that you can do to keep them safe.
4. PAY LOTS OF ATTENTION TO THE BEHAVIORS THAT YOU LIKE – Often children use the most efficient strategies to get your attention, regardless of whether it’s positive praise or getting yelled at. If they are seeking lots of negative attention – try to refocus your attention on the good things they do – making it easier for them to get your positive praise and attention – and ignore (to the degree you can) the negative attention seeking – making undesirable behavior a less efficient way to get your attention.
5. PLAY WITH AND READ TO YOUR CHILDREN – These are very powerful educational tools that also help manage behavior – use them a lot. Make it part of the routine.  As I say at the preschool where I work: “Rule #1 – Have fun with the kids.”  Silly play routines are also engaging and FUN.
6. RUN ‘EM RAGGED – Physical exercise is another powerful tool to decrease anxiety and promote good sleep routines. This is true for you as well.  For kids, this means active physical play (e.g., chase play, supervised outdoor play, scheduled and supervised jumping and climbing activities).
7. LIMIT SCREEN TIME – Media coverage of COVID-19 is extensive and overwhelming. Check into the news two times a day and entirely avoid exposing your children to it.  Also, avoid using excessive screen time to entertain your children or escaping yourself when you could be positively attending to your children.
8. PRACTICE GOOD HYGIENE – Lots of information out there on this – wash your hands a lot – routinely avoid unnecessary social contact – disinfect frequent contact points – teach good hygiene – model good hygiene
9. BE A GOOD ROLE MODEL – Stay calm – Focus on what you can control – Your children will follow your lead.
10. HAVE A CONTINGENCY PLAN – Develop a plan in case you or someone in your family gets the virus.

We are all together in this – but not.  Although you may not be able to get face-to-face support at this time, there are other ways to get support from the Substance Abuse and Mental Health Disaster Distress Hotline at 800/985-5990 and the Crisis Text Line, an anonymous texting service available 24/7. Starting a conversation is easy. Text GOT5 to 741741                 

Remember tip number one: TAKE CARE OF YOU!    

Compiled by Dr. Gerald T. Guild, PhD, NYS Licensed Psychologist and Behavior Specialist.  This information was drawn from reputable sources like the CDC, WHO, The National Child Traumatic Stress Network, and the American Academy of Pediatrics.

Although I did not make a substantial number of posts in 2012, the traffic to my site doubled.  Throughout 2012 my blog had 35,819 hits from 31,960 unique visitors, accounting for over 46,720 page views.  I had visitors from every state in the US and visits from people from 165 nations around the world.  Visitors from the United States accounted for the vast majority of those hits, but the UK, Canada, India, and Australia also brought in large contingents.

This year the top ranked article was my 2011 post on Conspicuous Consumption and the Peacock’s Tail, which accounted for 50% more hits than this year’s number two ranked article (Brainwaves and Other Brain Measures – the number one post from last year).  The piece on conspicuous consumption, is in my opinion, one of my all time most important pieces.  It addresses our inherent drive to advance one’s social standing while actually going nowhere on the hedonic treadmill.  It delves into the environmental costs of buying into the illusion of consumer materialism and its biological origins (the signaling instinct much like that of the Peacock). The Brainwave piece, also from 2011, compares and contrasts the different measures used to peer into the workings of the brain.

Of my posts published in 2012, only two made it to this year’s top ten list: five were from 2010 and three were published in 2011.  Of those eight from previous years, five were also on the top ten list last year.

My 2012 review and discussion of the Broadway Musical Wicked topped the list of posts actually written in 2012, but it came in third overall this year relative to all other posts.  This article explores the theme that “things are not as they seem.”  I relate the story told in the show to the political and historical manipulation American citizens are subjected to, and it stirs up unpleasant and inconvenient realities that many would prefer remain unknown.

Great interest persists in my post entitled Nonmoral Nature: It is what it is.  This review of Stephen Jay Gould’s most famous article received a number four ranking, down from a number two ranking over the last two years.  I had also reviewed in 2010 a very popular New York Time’s article by Steven Pinker entitled The Moral Instinct.  This article moved down two notches this year, ultimately ranking number five.  My critical article on the Implicit Associations Test ranked number six this year, versus a number four ranking last year.  My 2011 post Where Does Prejudice Come From? ranked number seven this year, down two spots from its ranking in 2011.  One of my all time favorite posts from 2010, Emotion vs. Reason: And the Winner is?  returned to the top ten list this year coming in eighth.   In 2010 it ranked number ten, but it fell off the list last year.  My Hedgehog versus the Fox mindset piece ranked number nine this year, compared to a number ten ranking last year.  Finally, in the number ten slot this year,  is my 2012 article Happiness as Measured by GDP: Really?  This post was perhaps the most important post of the year.

So here is the Top Ten list for 2012.

1. Conspicuous Consumption and the Peacock’s Tail (2011)
2. Brainwaves and Other Brain Measures (2011)
3. Wicked! Things are NOT as they Seem (2012)
4. Non Moral Nature: It is what it is (2010)
5. Moral Instinct  (2010)
6. IAT: Questions of Reliability and Validity  (2010)
7. Where Does Prejudice Come From?  (2011)
8. Emotion vs. Reason: And the Winner is? (2010)
9. Are you a Hedgehog or a Fox?  (2010)
10. Happiness as Measured by GDP: Really? (2012)

Again this year, the top ten articles represent the foundational issues that have driven me in my quest to understand how people think.   This cross section of my work is, in fact, a good starting point for those who are new to my blog.  There are several other 2012 posts that ranked outside the top ten; regardless, I believe they are important.  These other posts include:

• So Your Partner Drives You Crazy? You’re Not Alone. Here’s Why
• Freud: In Some Ways He Was Right
• The Meek Shall Inherit The Earth

This latter article, The Meek Shall Inherit The Earth, pertains to the microbiome, the collection of an estimated 100 trillion individual organisms thriving in and on your body that account for about three pounds of your total body weight (about the same weight as your brain).  These little creatures play a huge role in your physical and mental well being and we are just beginning to understand the extent of their reach.  Modern medicine in the future, will likely embrace the microbiome as a means of preventing and treating many illnesses (including treating some mental illnesses).

Although, not among the most popular articles this year, my pieces on the pernicious affects of poverty on child development from 2011 warrant ongoing attention.  If we truly wish to halt the cycle of poverty, then we need to devote early and evidenced based intervention services for children and families living in poverty.  As it turns out, poverty is a neurotoxin.  Knowing the information in this series should motivate us, as a society, to truly evaluate our current political and economic policies.

• Parenting May Matter: For Infants and the Economically Deprived  

• The Effects of Poverty on Brain Development  

• The Economic, Neurobiological, and Behavioral Implications of Poverty  

• Halting the negative Feedback Loop of Poverty  

• Poverty Preventing Preschools  

• Poverty is a Neurotoxin  

The bottom line:

The human brain, no matter how remarkable, is flawed in two fundamental ways.  First, the proclivities toward patternicity (pareidolia), hyperactive agency detection, and superstition, although once adaptive mechanisms, now lead to many errors of thought.  Since the age of enlightenment, when human kind developed the scientific method, we have exponentially expanded our knowledge base regarding the workings of the world and the universe.  These leaps of knowledge have rendered those error prone proclivities unessential for survival.  Regardless, they have remained a dominant cognitive force.  Although our intuition and rapid cognitions have sustained us, and in some ways still do, the subsequent everyday illusions impede us in important ways.

Secondly, we are prone to a multitude of cognitive biases that diminish and narrow our capacity to truly understand the world. Time after time I have written of the dangers of ideology with regard to its capacity to blindfold its disciples.  Often those blindfolds are absolutely essential to sustain the ideology.  And this is dangerous when truths and facts are denied or innocents are subjugated or brutalized.  As I discussed in Spinoza’s Conjecture:

 

“We all look at the world through our personal lenses of experience.  Our experiences shape our understanding of the world, and ultimately our understanding of [it], then filters what we take in.  The end result is that we may reject or ignore new and important information simply because it does not conform to our previously held beliefs.

Because of these innate tendencies, we must make additional effort to step away from what we believe to be true in order to discover the truth.

The year 2011 proved to be a challenging year.  A number of serious health issues in close family members took center stage.  The frequency of my posts declined in part due to these important distractions but other factors also played a major role.  Although I published fewer articles, the number of visits to my blog increased substantially.

Over the course of the year, I had 18,305 hits at my website by 15,167 unique visitors, accounting for over 25,000 page views.  I had visitors from every state in the Union and visits from people from 140 nations around the world.  Visitors from the United States accounted for the vast majority of those hits, but the UK, Canada, and Australia also brought in a large contingent of visitors.

One article in particular far outpaced all other posts.  My post on Brain Waves and Other Brain Measures accounted for as many visits as the next three most popular posts combined.  Of my posts published in 2011, only four made it to this year’s top ten list.  The other six were published in 2010.  Of those six from 2010, four were also on the top ten list last year.

Great interest persisted in my post entitled Nonmoral Nature: It is what it is.  This review of Stephen Jay Gould’s most famous article sustained a number two ranking for a second straight year.  I had also reviewed in 2010 a very popular New York Time’s article by Steven Pinker entitled The Moral Instinct.  This article moved up a notch this year, ultimately ranking number three.  My critical article on the Implicit Associations Test ranked number four this year, versus a number six ranking last year.  And my Hedgehog versus the Fox mindset piece ranked number ten this year, compared to a number seven ranking last year.

So here is the Top Ten list for 2011.

1. Brainwaves and Other Brain Measures (2011)
2. Non Moral Nature: It is what it is (2010)
3. Moral Instinct  (2010)
4. IAT: Questions of Reliability and Validity  (2010)
5. Where Does Prejudice Come From?  (2011)
6. Cognitive Conservatism, Moral Relativism, Bias, and Human Flourishing  (2011)
7. What Plato, Descartes, and Kant Got Wrong: Reason Does Not Rule.  (2010)
8. Intuitive Thought  (2010)
9. Effects of Low SES on Brain Development  (2011)
10. Are you a Hedgehog or a Fox?  (2010)

It’s interesting to me that this list includes the very foundational issues that have driven me in my quest.  And each was posted with great personal satisfaction.   This encompassing cross section of my work is, in fact, a good starting point for those who are new to my blog.  There are several popular 2011 posts that ranked outside the top ten but ranked highly relative to other posts published in 2011.  These other posts include:

• Tribal Moral Community
• Schadenfreude
• Narrative Fallacy
• What not to say to someone with cancer: And what helps
• Parenting Style May Matter for Infants & the Economically Deprived
• Narrative Fallacy: A “Sign” of Cognitive Maturation

One article I published late in 2011 has attracted significant attention.   I believe that it is perhaps one of the most important posts I’ve written.  As I was writing this retrospective, Conspicuous Consumption and the Peacock’s Tail was far outpacing all other posts.

The most emotional and personally relevant articles pertained to significant problems in healthcare in the United States and my wife’s battle with breast cancer.  These articles include: (a) What not to say to someone with cancer: And what helps; (b) Up and Ever Onward: My Wife’s Battle With Cancer; (c) Cancer, Aging, & Healthcare: America, We Have a Problem; (d) We’re Number 37! USA USA USA!; and (e) Tears of Strength in Cancer’s Wake.  The latter pertains to perhaps the proudest parental moment of my life.

Another very important issue that I wrote a fair amount about includes the pernicious affect of poverty on child development.  Clicking here takes you to a page that lists all of the articles on this topic.  Knowing the information in this series should motivate us, as a society, to truly evaluate our current political and economic policies.

One of my favorite articles tackled my long standing curiosity about the geology of the place I live.  The article itself did not get a lot of attention, but I sure loved writing it.

This two-year journey, thus far has resulted in perhaps unparalleled personal and intellectual growth.  It has changed the way I look at life, the world around me, and my fellow human beings.   It is my sincerest hope that those who have seen fit to read some of my material have experienced shifts of perception or at least a modicum of enlightenment.

The bottom line:

The human brain, no matter how remarkable, is flawed in two fundamental ways.  First, the proclivities toward patternicity (pareidolia), hyperactive agency detection, and superstition, although once adaptive mechanisms, now lead to many errors of thought.  Since the age of enlightenment, when human kind developed the scientific method, we have exponentially expanded our knowledge base regarding the workings of the world and the universe.  These leaps of knowledge have rendered those error prone proclivities unessential for survival.  Regardless, they have remained a dominant cognitive force.  Although our intuition and rapid cognitions have sustained us, and in some ways still do, the subsequent everyday illusions impede us in important ways.

Secondly, we are prone to a multitude of cognitive biases that diminish and narrow our capacity to truly understand the world. Time after time I have written of the dangers of ideology with regard to its capacity to blindfold its disciples.  Often those blindfolds are absolutely essential to sustain the ideology.  And this is dangerous when truths and facts are denied or innocents are subjugated or brutalized.  As I discussed in Spinoza’s Conjecture:

“We all look at the world through our personal lenses of experience.  Our experiences shape our understanding of the world, and ultimately our understanding of [it], then filters what we take in.  The end result is that we may reject or ignore new and important information simply because it does not conform to our previously held beliefs.

Because of these innate tendencies, we must make additional effort in order to discover the truth.

Mahatma Gandhi once said that Poverty is the worst form of violence.  At the very least it appears to be a neurotoxin.  Evidence continues to build a solid case for the notion that poverty itself is self-propagating and that the mechanism of this replication takes place in the neuro-anatomy of the innocent children reared in environmental deprivation.

In my article titled The Effects of Low SES on Brain Development I review an article that provides clear quantitative data that indicates that children raised in low SES environments have diminished brain activity relative to their more affluent peers.  The impact of low SES on brain activity was so profound that the brains of these poor kids were comparable to individuals who had had actual physical brain damage.  This data gathered through EEG is a non-specific measure that provides no clear understanding of what underlies this diminished functioning.  In other words, it evidences diminished brain activity, but it does not specifically identify what has occurred in the brain that is responsible for these differences.

Jamie Hanson and colleagues from the University of Wisconsin-Madison and Harvard University published a paper titled Association Between Income and the Hippocampus in the peer reviewed on-line journal PLoS ONE that points to one possible culprit.  Their study shows in a measurable way, how poverty actually hinders growth of the hippocampus, a very important brain region associated with learning and memory.

In non-human animal studies, it has been shown that environmental enrichment is associated with “greater dendritic branching and wider dendritic fields; increased astrocyte number and size, and improved synaptic transmission in portions of the hippocampus” (Hanson et. al. 2011).  This essentially means that environmental enrichment enhances the density and functioning capacity of the hippocampus.  In humans, parental nurturance, contact, and environmental stimulation has been associated with improved performance on tasks (long-term memory formation) greatly influenced by the hippocampus. On the flip side, it has also been demonstrated that stress, inadequate environmental nurturance and low stimulation have the opposite affect (thinning hippocapmal density).

Hanson et. al., (2011) hypothesized that hippocampus density would be positively related to gradients in parental income.  Affluent children would evidence more hippocampal density (associated with better learning, memory, emotional control) while their low income counterparts would evidence diminished levels of density.  They used datea from MRI imaging studies to measure the actual hippocampal gray matter density in a large cross section of children (ages 4-18 years old) across the United States.  They also collected data on the income and education level of each participant’s parents.  As a control measure, they also quantified the whole-brain volume and the density of the amygdala, a brain region that does not vary as a function of environmental perturbations or enrichment.   These latter variables were important because they assist in ruling out brain size variation associated with other confounding variables.  They hypothesized that these latter measures would not vary associated with income.

The top left brain slice shows a sagittal brain slice with the hippocampus highlighted in yellow and the amygdala in turquoise, while the top right brain image shows an axial slice (with the hippocampus again highlighted in yellow and the amygdala in turquoise). The bottom left brain picture shows a coronal slice with the amygdala in turquoise and the hippocampus in yellow.

Their measures confirmed each of their hypotheses.  Amygdala and whole brain volume did not vary associated with parental income but hippocampal density did.  Those with parents at the lower end of the income spectrum evidenced lower hippocampal density than those children from more affluent families.  They wrote that “taken together, these findings suggest that differences in the hippocampus, perhaps due to stress tied to growing up in poverty, might partially explain differences in long-term memory, learning, control of endocrine functions, and modulation of emotional behavior” (Hanson, 2011).

The authors carefully noted that this correlation is not necessarily indicative of causation – and that more specific longitudinal measures along with direct measures of cognitive functioning, environmental stress,  and stimulation are necessary to truly understand the association between income and these neurobiological outcomes.  But they also warned that the data set was limited to children unaffected by mental health issues or low intelligence.  As such, the data set likely underestimates the actual hippocampal volume variation because children at the lower end of the income spectrum have disproportionately high levels of these mental health and low intelligence issues.

These results confirm and fit with a growing and already substantial set of findings that implicate poverty as a neurotoxin that causes a self sustaining feedback loop.  Poverty seems to weaken the foundation on which fundamental skills and capabilities are built that ultimately facilitate adaptive functioning and positive societal contributions.  A weak foundation hinders such capacities.

I have previously posted articles titled Halting the Negative Feedback Loop of Poverty: Early Intervention is the Key, Poverty Preventing Preschool Programs: Fade-Out, Grit, and the Rich get Richer, and The Economic, Neurobiological, and Behavioral Implications of Poverty.  In these articles I review various other studies that address this issue, but I also highlight the steps that can be taken to remediate the problem.  There really is not much question about the needed steps we as a society should take.    A recent series of articles published in the UK’s Lancet, drives this point home!

In one particular article, titled Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries, the authors noted that:

“A conservative estimate of the returns to investment in early child development is illustrated by the effects of improving one component, preschool attendance. Achieving enrolment rates of 25% per country in 1 year would result in a benefit of US$10·6 billion and achieving 50% preschool enrolment could have a benefit of more than $33 billion (in terms of the present discounted value of future labour market productivity) with a benefit-to-cost ratio of 17·6. Incorporating improved nutrition and parenting programmes would result in a larger gain.”

The monetary value alone seems sufficient to motivate implementation.  For each dollar spent on quality preschool programs, we ultimately gain up to $17.60 in labor market productivity alone.  This does not account for the decreased expenditures on special education, incarceration, and other social safety net programs.  Quality preschool programing has been shown to increase high school graduation rates and home ownership rates.  If we as a society, are truly driven to promote human flourishing, equal opportunity for all, and a level playing field, then we must, I argue, take action with regard to providing universal access to quality preschool programs particularly for poor children.  What I propose is not a hand-out, but a fiscally responsible hand-up that benefits each and every one of us.

References:

Engle, P., L., Fernald, L. CH., Alderman, H., Behrman, J., O’Gara, C.,  Yousafzai A.,  de Mello M. C., Hidrobo, M.,  Ulkuer, N., Ertem, I., Iltus, S., The Global Child Development Steering Group. (2011).  Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries. The Lancet, Early Online Publication, 23 September 2011. doi:10.1016/S0140-6736(11)60889-1

Hanson, J.L., Chandra, A., Wolfe, B. L., Pollak, S.D., (2011).  Association between Income and the Hippocampus. PLoS ONE 6(5): e18712. doi:10.1371/journal.pone.0018712

I’m not an emotional man.  As such, I rarely experience the extremes of sadness or joy.  This is not to say that I do not experience joy or sadness – I do.  I take great pleasure in life and also feel the pain that comes with it.  But, I am very stable and steadfast – very familiar and comfortable with the middle of the emotional spectrum.  Some might say that I am too serious, and that they have.

Because of this disposition, I don’t cry very often – in fact it takes a lot to make me cry.  It is not as though I actively resist crying, or that I view it as a weakness.  I just seem disinclined to go to such places.  It is my composition.

Lately however, things have changed and I have found myself more inclined to tear up.  My wife was diagnosed with breast cancer about six months ago and has since endured a great deal.  I guess one might say that I too am a bit more vulnerable and raw.

The tears that I have shed have not sprung from fear or even from empathy.  I have sustained confidence that she will survive this.  And at times when she has been fearful or just exhausted and frustrated, I have instinctively been her rock.   My tears instead, have fallen quite unexpectedly at times of great relief.

I vividly recall meeting with my wife’s surgeon just after her diagnosis and tearing up as he left the office having reassured Kimberly that she will be okay. I held Kimberly firmly in my arms and we both wept.

On the day of the lumpectomy I sat with my mother and our college aged children as we anxiously awaited news from the surgeon. At that point in time Kimberly had also been diagnosed with thyroid cancer and we did not know whether her breast cancer had moved to her lymph nodes. It was a very tense and scary time. When her surgeon called me out for the post surgical conference, he shared with me the good news that her lymph nodes were clear.  I choked back tears as I thanked him.  The emotional relief emerged forcefully and tearfully when I walked back into the waiting room to share this news with my family. I’m sure that my children have never before seen me in such a state.  A few minutes later, as I tried to share this news with Kimberly’s mother on the telephone, I could not talk and again tears streamed down my recently moistened cheeks.

Since that Spring day, Summer has come and gone, and Kimberly has endured prolific post surgical bleeding, mammosite radiation, a reevaluation of her thyroid nodules (negative for cancer), completed 50% of her chemotherapy treatments and I have resumed my steadfastness.  I have been a rock – steady and sure.  Of course this is not completely true.  I am less able to endure violence for entertainment on the television and I have little patience for the malicious or ignorant forays of others.  But generally, I have held it together.

Then one day my wife came to me in tears after reading a letter sent to her by my daughter (Meghan), her step-daughter.  I read it and it shook me to my core.  I cried as thoroughly as I ever recall.  She wrote (this is just an excerpt):

All of the things you are going through really, really, really suck and it is out of everyone’s control. I’m sure you’ve heard it all before with the flood of cards you have been receiving since mid May. But maybe you haven’t heard what I am going to say…

 

Life is amazing.  We are all so truly lucky to be here. Out of all the stars, out of all the systems WE are here. It is a one in infinity probability. And despite all the suffering, you are here and you are unique; the only one that thinks like you… you are the only one that hears your thoughts… you are the only one here right now experiencing what you’re experiencing and feeling how you feel about it. And maybe that makes people feel lonely, but I feel lucky and I hope you do too.  So whenever you’re having one of those moments when you’re hating everything, “Why me?!” turn it around to “I am lucky to be here and living the life I’m living.” You’re the only person who can have the relationship you have with me, my Dad, with Alec and Paige, with your siblings. With this random chance of us all being in the same time, we are all so lucky… So keep going, hang in there, stay strong, let weakness, vulnerability, and sadness take over when you feel it fitting, but after,  breath deeply (because you are the only one in that moment feeling what you feel, breathing that 78% nitrogen, 20% oxygen & remaining percentages, that is your breath and only yours).  We have to cherish and recognize the awesomeness of it all, it is truly incredible and it blows me away almost daily.  So the next time we are all together at dinner or bumming around, take a second to think “Wow, there will be no moment like this, we are truly unique!”

My daughter in that moment became the rock and I could let go.   And I did let go!  This morning I read a quote posted on Facebook by a friend that read:

People cry not because they’re weak.  It’s because they have been strong for too long.

It is immensely touching and life changing when your “child” rises and shows the capacity and wisdom to be the rock.  And I am thankful that I had the capacity to let go of that role in that moment.  I am fortunate to have a wife that helped nurture such love in my daughter, and a daughter who has herself persevered through adversity and grown into an incredible woman.  Meghan is right, we are so very fortunate to be here at all, to be together, to be loved, and to be aware of the uniqueness and improbability of it all.  A wise person of unknown identity once said “Adversity does not build character, it reveals it.” This cancer has given us the opportunity to appreciate the strength and character of those around us who take turns being the rock.  It is this strength of others that gives me the occasion to let go, and shed some tears.

Several of my latest posts addressed evidence that challenged some of my long held beliefs about the relative value of parenting style on child outcomes such as mental ability and happiness.   In Ten Best Parenting Tips: But does it really matter? I challenged a recently published study in Scientific American: MIND touting the “ten best” parenting tips.  The relationship between parent reported child outcomes and parenting behaviors was measured using a correlation coefficient.  The author did not, however, control for heredity.  It is well known that genes play out in the expression of personality type and a broad array of complex behaviors.  So why would it not play out in the happiness, health and functioning capacity of children?  If you don’t control for heritability is it not possible that well functioning adults might just pop out well functioning kids?  Well it certainly is!  And might we wrongly attribute parenting style for something actually under the influence of genes?  Yes indeed!

I then explored Does Parenting Style Really Matter? and suggested that the current research from behavioral genetics provides a great deal of evidence concluding that the home environment, as it is influenced by parents, accounts for 0 to 10% of the variance in the personality and intelligence outcomes of children.  Heredity (genes) accounts for about 50% and the child’s peer group accounts for the remaining 40-50% of the variance (Pinker, 2002).

The major problem with the above referenced data has been the admitted narrowness with regard to the age and Social Economic Status (SES) of the participants.  For the most part, the studies on twins and adopted children were conducted on middle class families with little relative diversity.  On top of that, there is a dearth of research focusing on early childhood.  This narrowness limits the generalization of findings across different populations and across age levels.  Clearly, it is conceivable that parenting style will have varying levels of influence on child outcomes across the developmental lifespan.  Over-generalization may lead to faulty thinking and thus very dangerous policy decisions.

Throughout my training and subsequent professional development, as a psychologist, I have been exposed to data suggesting that there is a fairly strong positive correlation between Social Economic Status (SES) and mental ability.  The same is true with regard to academic achievement.  The underlying message had always been that environmental determinates were responsible for these correlations.  Again, the problem with this thinking is that the research upon which such beliefs were formed has largely lacked appropriate controls for heritability.  Correlation is not causation and all that jazz!

So what happens to the data when children across the SES spectrum are assessed using techniques that control for genes?  One particular study from 2003 suggested that “the heritability of cognitive ability in 7-year-old twins was only 10% in low-SES families but was 72% in high-SES families.”  (Tucker-Drob, Rhemtulla, Harden, Turkmeimer & Fask, 2011)  This suggests that the environment, including perhaps parenting style and experiential deprivation, play a much bigger role in hindering cognitive development in low SES children versus higher SES children.  Further research has found similar, although not so striking, SES differences.  Regardless, research within the field of behavioral genetics “suggests that the environment plays a substantial role in the expression of genetic variance in cognitive ability over the course of child development” (Tucker-Drob, et al., 2011).  Regardless, questions persist about the degree of influence SES plays in mental ability outcomes and about what point in time the shared environment might affect development.

In a new study just published in Psychological Science by Tucker-Drob, et al. (2011) the authors looked at the mental ability of 750 twins (25% identical, 35% same sex fraternal, and 40% opposite sex fraternal), at 10- and 24-months of age.  This sample closely represented US population statistics including a diverse cross section of children across the SES and racial spectrum.  And the results were quite different.

At ten months of age, the authors report that the shared environment (the home) played the dominate role in the variance of mental ability scores in all households – rich or poor.  There was very little apparent variation in mental ability attributable to heredity.  At 24-months however, things get a little more complicated.  For low SES children, the environment remains the key variable associated with differences in mental ability.  Perhaps as much of 70% of the variance in mental ability is attributable to the shared home environment.  While for high SES children, genes become the predominant variable associated with the differences in mental ability scores.  Environment still plays a role but much less so.  Smart parents have smart kids unhampered by environmental constraints.

Genes by SES

Looking at ability gains within individuals between the first assessment at ten months and the retest at 24 months, the high SES children made more gains than those from low SES homes.  The difference was modest; however, a child in poverty is likely, simply as a function of SES, to score one standard deviation below a very well to do child on the mental ability test.

These findings suggest that for very young children, environment matters a great deal.  This is particularly true for infants rich or poor; but it becomes much more important for poor toddlers.  Poor kids are more vulnerable to the adversity associated with deprivation.  Many factors have been examined in order to explain this discrepancy.  The author of this current study wrote:

“…compared with higher-SES parents, lower-SES parents spend less time with their children (Guryan, Hurst, & Kearney, 2008), are less able to allocate time spent with children in accordance with their children’s developmental needs (Kalil, Ryan, & Corey, 2010), and are less sensitive in responding to their children’s signals (Bradley & Corwyn, 2002; De Wolff & Ijzendoorn, 1997).”  (Tucker-Drob, et al., 2011).

One particularly illuminating study published by Hart and Risley in 1995 reported “that at age 3, children in professional families heard an average of 2153 words per hour, while children in working class families heard 1251 words per hour and children in welfare families heard only 616 words per hour.   In professional families, parents not only talked more but also used more different words and provided a greater richness of nouns, modifiers and verbs. Parents spent a lot of time and effort asking their children questions, affirming and expanding their responses and encouraging their children to listen and notice how words relate and refer in order to prepare their children for a culture focusing on ‘‘symbols and analytic problem solving’’ (see Hart and Risley, 44 p 133). On the other hand, parents on welfare spent less time talking while they more frequently initiated topics and used more imperatives and prohibitions. These parents were more concerned with established customs such as obedience, politeness and conformity. Working-class families showed a mixture of the two cultures using imperatives and prohibitives while using rich language to label, relate and discuss objects.” (Duursma, Augustyn, & Zuckerman, 2008)  The net effect is that poor children hear 30 million fewer words than do children of professionals by the time they reach their forth birthday.

The implications of these differences are profound.  Replication of this research is necessary, but we also need greater clarification of the environmental attributes that culminate in the mental ability discrepancies.  Should these SES differences stand up to the rigors of scientific scrutiny through replication it will be absolutely essential to invest further in early childhood programs.  Jonah Lehrer (2011)  likewise noted that: “Such statistics have led many researchers to highlight the importance of improving the early-childhood environments of poor children. Economists such as James Heckman, a Nobel laureate at the University of Chicago, have long advocated for increased investments in preschool education, but this latest study suggests that interventions need to begin even earlier. One possible model is the “Baby College” administered by the Harlem Children’s Zone, which seeks to equip brand-new parents with better parenting skills.”

These findings also reinforce the importance of programs such as Head Start and particularly Early Head Start.  It is concerning that these very programs are often the most vulnerable to budget cuts in difficult times.  I can’t help but wonder if we would prioritize early childhood development differently if the masses and our politicians were truly aware of these issues.  Perhaps we should learn more about this and help spread the word to friends, family, and our representatives.  Are we as a society really willing to passively submit to this self perpetuating cycle of poverty?

References:

Duursma, E., Augusta, M., & Zuckerman, B. (2008).  Reading Aloud to Children: The Evidence. Archives of Disease in Childhood.  Vol 93 No 7.

Epstein, R. (2010). What Makes a Good Parent? Scientific American MIND. November/December 2010. (pgs 46-51).

Hart, B. & Risley, T. (1995). Meaningful differences in the everyday experience of young American children. Baltimore: Paul H. Brookes Publishing.

Lehrer, J. (2011).  Why Rich Parents Don’t Matter. Wall Street Journal.com.  1/22/11

Pinker, S. (2002).  The Blank Slate: The Modern Denial of Human Nature. New York: Penguin Books.

Tucker-Drob, E. M., Rhemtulla, M., Harden, K. P., Turkheimer, E., & Fask, D.  (2011). Emergence of a Gene × Socioeconomic Status Interaction on Infant Mental Ability Between 10 Months and 2 Years. Psychological Science. 22(1) 125–133.

Have you ever heard someone make an argument that leaves you shaking your head in disbelief?  Does it seem to you like some people are coming from a completely different reality than your own?  If so, then this blog is for you.  I have spent the last year trying to develop an understanding of the common thought patterns that drive the acrimonious spirit of our social and political dialogue.  I am continually amazed by what I hear coming from seemingly informed people.  I have assumed that some folks are either deluded, disingenuous, or downright ignorant.  There is yet another possibility here, including the reality that different moral schema or belief systems may be driving their thinking.  And if this is the case, how do these divergent processes come to be?  I  have learned a lot through this exploration and feel compelled do provide a recap of the posts I have made.  I want to share with you those posts that have gathered the most traction and some that I believe warrant a bit more attention.

Over the past year I have posted 52 articles often dealing with Erroneous Thought Processes, Intuitive Thinking, and Rational Thought.  Additionally, I have explored the down stream implications of these processes with regard to politics, morality, religion, parenting, memory, willpower, and general perception.  I have attempted to be evidenced-based and objective in this process – striving to avoid the very trappings of confirmation bias and the erroneous processes that I am trying to understand.   As it turns out, the brain is very complicated: and although it is the single most amazing system known to human kind, it can and does lead us astray in very surprising and alarming ways.

As for this blog, the top ten posts, based on the shear number of hits, are as follows:

1. Attribution Error
2. Nonmoral Nature, It is what it is.
3. Multitasking: The Illusion of Efficacy
4. Moral Instinct
5. Pareidolia
6. IAT: Questions of Reliability
7. Are You a Hedgehog or a Fox?
8. What Plato, Descartes, and Kant Got Wrong: Reason Does not Rule
9. Illusion of Punditry
10. Emotion vs.Reason: And the winner is?

What started out as ramblings from a curious guy in a remote corner of New York State ended up being read by folks from all over the planet.  It has been a difficult process at times, consuming huge amounts of time, but it has also been exhilarating and deeply fulfilling.

I have been heavily influenced by several scientists and authors in this exploration.  Of particular importance have been Steven Pinker, Daniel Simons, Christopher Chabris, Jonah Lehrer, Bruce Hood, Carl Sagan, and Malcolm Gladwell.  Exploring the combined works of these men has been full of twists and turns that in some cases necessitated deep re-evaluation of long held beliefs.  Holding myself to important standards – valuing evidence over ideology – has been an important and guiding theme.

Several important concepts have floated to the top as I poked through the diverse literature pertaining to thought processes. Of critical importance has been the realization that what we have, when it comes to our thought processes, is a highly developed yet deeply flawed system that has been shaped by natural selection over millions of years of evolution.  Also important has been my increased understanding of the importance of genes, the basic element of selective pressures, as they play out in morality and political/religious beliefs.  These issues are covered in the top ten posts listed above.

There are other worthy posts that did not garner as much attention as those listed above.  Some of my other favorites included a review of Steven Pinker’s article in the New York Times (also titled Moral Instinct,) a look at Jonathon Haidt’s Moral Foundations Theory in Political Divide, as well as the tricks of Retail Mind Manipulation and the Illusion of Attention.  This latter post and my series on Vaccines and Autism (Part 1, Part 2, Part 3) were perhaps the most important of the lot.  Having the content of these become general knowledge would make the world a safer place.

The evolution of understanding regarding the power and importance of Intuitive relative to Rational Thinking was humbling at times and Daniel Simons’ and Christopher Chabris’ book, The Invisible Gorilla, certainly provided a mind opening experience.  Hey, our intuitive capabilities are incredible (as illustrated by Gladwell in Blink & Lehrer in How We Decide) but the downfalls are amazingly humbling.  I’ve covered other topics such as  happiness, superstition, placebos, and the debate over human nature.

The human brain, no matter how remarkable, is flawed in two fundamental ways.  First, the proclivities toward patternicity (pareidolia), hyperactive agency detection, and superstition, although once adaptive mechanisms, now lead to many errors of thought.  Since the age of enlightenment, when human kind developed the scientific method, we have exponentially expanded our knowledge base regarding the workings of the world and the universe.  These leaps of knowledge have rendered those error prone proclivities unessential for survival.  Regardless, they have remained a dominant cognitive force.  Although our intuition and rapid cognitions have sustained us, and in some ways still do, the everyday illusions impede us in important ways.

Secondly, we are prone to a multitude of cognitive biases that diminish and narrow our capacity to truly understand the world. Time after time I have written of the dangers of ideology with regard to its capacity to put blind-folds on adherents.  Often the blind- folds are absolutely essential to sustain the ideology.  And this is dangerous when truths and facts are denied or innocents are subjugated or brutalized.  As I discussed in Spinoza’s Conjecture:  “We all look at the world through our personal lenses of experience.  Our experiences shape our understanding of the world, and ultimately our understanding of [it], then filters what we take in.  The end result is that we may reject or ignore new and important information simply because it does not conform to our previously held beliefs.

Because of our genetically inscribed tendencies toward mysticism and gullibility, we must make extra effort in order to find truth. As Dr. Steven Novella once wrote:

“We must realize that the default mode of human psychology is to grab onto comforting beliefs for purely emotional reasons, and then justify those beliefs to ourselves with post-hoc rationalizations. It takes effort to rise above this tendency, to step back from our beliefs and our emotional connection to conclusions and focus on the process.”

We must therefore be humble with regard to beliefs and be willing to accept that we are vulnerable to error prone influences outside our awareness.  Recognition and acceptance of these proclivities are important first steps.   Are you ready to move forward?  How do you think?