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Tuesday, March 5, 2024

Forget gentle parenting, social emotional learning: Adversity is formula for resilient kids

 There was a time when parents, schools and society aimed to create resilient, independent kids.

But somewhere along the way, we ceded that noble pursuit for squishy concepts like contentment while helicopter-like hovering became the parental default setting.

And that shift has produced Gen Z, who report being more anxious, more depressed and less capable of moving through the world without having their hands held.

Astonishingly, nearly 40 percent of young people have received mental health treatment compared to 26 percent of Gen Xers.

But a new book, “Bad Therapy: Why the Kids aren’t Growing Up,” by Abigail Shrier, does not just explore how a generation reared in a hyper-therapized culture with more resources and diagnosis than ever can be so mired in mental health struggles — it also offers solutions.

And though the writer notes she’s not a parenting expert — but does have twin 13-year-old boys and an 11-year-old girl — this blueprint for escaping the doom loop couldn’t be more welcome.

“Our goal was to raise happy kids and we now know that goal isn’t helpful,” Shrier, 45, told me.

“And if our kids are the rising generation, we didn’t [succeed].”

She identifies a few culprits in creating our current precarious state: social media and iPhones, a shift to “gentle parenting” where parents neither punish, establish guard rails nor assert authority.

Abigail Shrier’s new book, “Bad Therapy” sheds light on how the proliferation of mental health initiatives, diagnosis and therapeutic parenting styles have made Gen Z more anxious and depressed.
According to the book, nearly 40 percent of young people have received mental health treatment compared to 26 percent of Gen Xers.

Our schools have been “crop dusted,” she said, with “Social Emotional Learning,” which emphasizes emotional skills alongside other academic disciplines.

Yes, kids are now being taught to obsessively gauge their feelings over and over, treating eternal rumination like it’s a standalone subject. And they’re becoming A+ worriers as a result.

And they’re also encouraged — no matter how comfortable their middle class existence — to identify their “trauma.”

“We don’t really know much about what causes trauma, but I do know one thing that could cause trauma or a feeling of trauma,” said Shrier.

Abigail Shrier’s new book “Bad Therapy” explores our youth’s mental health crisis.Andrea Cimini Photography

“And that’s constantly telling kids, they’ve been traumatized and constantly making excuses for them. Or getting them out of responsibilities we know they can handle.”

This book is rigorously reported, heavily researched and filled with enough interviews with child psychologists, teachers, parents and Gen Zers to more than buttress her premise. It shows how far astray we’ve been led by the so-called “experts.”

But what’s most compelling is that it’s filled with good old-fashioned bombs of common sense that could have been dropped from Grandma’s little book of wisdom.

For example, encourage kids to “knock it off, shake it off” which teaches them to work out conflicts and shake off small injuries.

Shrier has said that giving kids tasks like going to the market, helps empower them from a young age.Ahmed – stock.adobe.com

And that setting up rules, tasks and assigning chores cultivate independence and respect. Humor is one of life’s best defenses.

They’re concepts we know well. And that we have the societal muscle memory to return to.

The 45-year-old Shrier also says we should be looking for models of grit in our own family trees.

Shrier writes about her grandmother, whose own mother died in childbirth. She had an unstable childhood, spent a year in an iron lung from polio yet still grew up to marry, have three children and become one of the first female judges in Maryland.

But if her grandmother grew up today, Shrier says, teachers would be mining her trauma instead of her potential.

“Bad Therapy” says devices and social media are part of the reason why kids have such poor mental health.ÃÂðÃâðûÃÅàÃÅøÃÂºÃÆÃ»Ã¸Ãâ¡ – stock.adobe.com

“It’s a huge loss to us as Americans that we didn’t tell our kids what our families went through. That’s their only proof that they come from sturdy stock.”

Shrier is not anti-therapy nor is she opposed to medication, but she stresses that putting developing children on psychotropic drugs is vastly different from prescribing them to fully formed adults.

She simply wants parents to understand the myriad of risks of both before proceeding down this path.

But ultimately, talk therapy, especially for a naive and malleable child, can have an iatrogenic effect, meaning the treatment itself can harm. She is not talking about kids with genuine disorders like anorexia.

Abigal Shrier said that kids should be getting outside to play and learn conflict resolution on their own.Bettmann Archive

However the scale of intervention — four in ten Gen Zers having some form of help — suggests something is wrong.

“I think there’s no question that there are people who are making their living by convincing parents that their children are sick or convincing children that they’ve been traumatized when they haven’t been.

“I would like to shrink mental health staffs in schools. Why? Because I want them only treating kids who need it. Not everyone,” said Shrier who also penned the 2020 book, “Irreversible Damage: The Transgender Craze Seducing Our Daughters” about the sudden spike in girls identifying as transgender.

She also looks back to a book called “Children of the Great Depression” by Glen H. Elder Jr.

“It was a longitudinal study of kids raised in Oakland during the Great Depression. He wanted to know who fared the best.”

Abigail Shrier said she is not anti-therapy but notes that more kids than ever are in talk therapy and our mental health crisis is worse than ever.Svitlana – stock.adobe.com
It was not the poorest kids, who were abandoned or orphaned. It was not the rich kids. It was the Depression-hit middle class who took on extra jobs, chores and wore hand-me-downs — and then they thrived.

“They, by every measure, psychologically, in terms of success and lifetime happiness, did the best. And it wasn’t because they didn’t struggle.”

Some adversity is a good thing: it will, said Shrier, help build up “immunity” to the hardships life throws at you.

“We want our kids to experience some level of failure when they are still in our home, so it doesn’t lead to devastation as adults.”

https://nypost.com/2024/03/05/opinion/book-adversity-is-the-key-to-raising-resilient-kids/

IDing sources of Parkison’s disease, Tourette’s syndrome, and OCD

 Researchers may have found a new way to target the sources of certain brain disorders.

In a study led by scientists at Mass General Brigham, deep brain stimulation (DBS) was able to pinpoint dysfunctions in the brain that are responsible for four cognitive disorders: Parkinson’s disease, dystonia (a muscle disorder condition that causes repetitive or twisting movements), obsessive compulsive disorder (OCD) and Tourette’s syndrome.

The discovery, published in Nature Neuroscience on Feb. 22, could potentially help doctors determine new treatments for these disorders.

The study included 261 patients worldwide — 70 had dystonia, 127 were Parkinson’s disease patients, 50 had been diagnosed with OCD and 14 had Tourette’s syndrome.

The researchers implanted electrodes into the brains of each participant and used special software to determine which brain circuits were dysfunctional in each of the four disorders.

“In simplified terms, when brain circuits become dysfunctional, they may act as brakes for the specific brain functions that the circuit usually carries out,” Andreas Horn, M.D., PhD, associate professor of neurology at Brigham and Women’s Hospital, said in a press release. 

“Applying DBS may release the brake and may in part restore functionality.”

IA study led by scientists at Mass General Brigham revealed sources of four brain disorders.LIGHTFIELD STUDIOS – stock.adobe.com

Horn, one of the 39 researchers from 16 institutions who co-authored the study, went into more detail in a conversation with Fox News Digital.

“Based on the present findings, we can better understand why deep stimulation to a small subcortical structure in the brain has been helping patients with various disorders,” he said.

For each of the disorders, a different brain network was identified as “dysfunctional,” leading to the condition, the doctor said.

“Identifying these ‘malfunctioning networks’ may help us better understand the four disorders and better target neuromodulation to help patients by alleviating symptoms,” he noted.

In three cases, the researchers found that applying DBS led to “preliminary improved results.”

At Massachusetts General Hospital, one female patient in her early 20s was diagnosed with severe, treatment-resistant OCD. 

After receiving electrode implantation and targeted stimulation, the researchers measured a “significant improvement” in her symptoms one month after treatment, according to the release.

The discovery, published in Nature Neuroscience on Feb. 22, could potentially help doctors determine new treatments for these disorders.AP

Dr. Shannon Dean, a pediatric neurologist with the Kennedy Krieger Institute in Maryland, was not involved in the study but shared her reaction to the findings.

“This study is an elegant demonstration of how treatment-focused and basic mechanism-based research can help guide each other,” she told Fox News Digital.

“The authors used deep brain stimulation electrodes, which is an invasive surgical treatment for a variety of neurological disorders when medications alone are not enough,” Dean went on. 

“I was interested to see the researchers then used their findings to refine exactly how they were treating several patients — and saw their patients’ symptoms improve as a result,” she said. 

Given the small number of participants, Dean stressed the need for caution in interpreting the results. 

“What the authors found for those disorders will need to be replicated for us to be sure the conclusions are right,” she said. 

“However, what they have found is exciting and makes sense based on what we already know about these disorders. This points us to where future studies should be looking.”

“This research provides hope for people living with these diseases who are resistant to standard medical therapy,” she added.

Dr. Arif Dalvi, a neurologist on staff at St. Mary’s Medical Center in Florida, also commented on the study as an outside expert.

“Even though deep brain stimulation has been part of the standard of care for neurological conditions such as Parkinson’s disease and tremors for decades, the technology continues to evolve,” he told Fox News Digital. 

“This analysis identified ‘sweet spots’ within these circuits that could significantly alleviate symptoms, demonstrating the efficacy of DBS in modulating neural activity.”

The findings highlight the need for personalized therapies, Dalvi noted.

“This emphasizes a need for neurologists to carefully evaluate each patient as a unique individual and tailor a specific treatment plan, rather than working off generic best practices or therapeutic guidelines,” he said.

Given the small number of participants, Dean stressed the need for caution in interpreting the results. AP

Study was limited, researchers say

This research is seen as the first step in what will be a long process, Horn said.

“The study is based on retrospective data — main results should be confirmed by prospective trials, which represent the gold standard to accumulate evidence in science and medicine,” he told Fox News Digital.

The study’s sample size was also relatively small, he said, especially for Tourette’s.

“Even globally, not many patients have undergone deep brain stimulation surgery for this disorder,” Horn said.

This study is the first step in defining what the researchers call the “human dysfunctome,” the set of connections that may become dysfunctional in specific neurological or psychiatric disorders of the human brain.

“We first paint a picture of the dysfunctome, but need additional data to complete the picture and map other symptoms onto the circuits of the human brain,” Horn said.

While the study findings might not lead to drastic changes just yet, Horn said they may help experienced clinicians fine-tune their approaches to neurology treatments.

“It could give additional clarity or small refinements here and there to make interventions more successful,” Horn said. “However, the information should not be followed blindly, but instead should be validated in prospective studies.”

The researchers are already starting to plan for clinical trials to validate the results.

As Dalvi pointed out, developing more sophisticated mapping techniques and understanding the long-term effects of deep brain stimulation will be crucial. 

“Additionally, expanding this approach to other brain regions and disorders could uncover new therapeutic avenues, marking a new era in the treatment of neurological conditions,” he added.

https://nypost.com/2024/03/05/lifestyle/scientists-discover-sources-of-parkisons-disease-tourettes-syndrome-and-ocd-in-bombshell-study/

Surprise Enhertu rejection follows NICE process change

 NICE has rejected the use of AstraZeneca and Daiichi Sankyo’s Enhertu as an NHS treatment for advanced HER2-low breast cancer, a decision that the companies have described as “devastating”.

The decision covers the use of Enhertu (trastuzumab deruxtecan) for the treatment of adult patients with unresectable or metastatic HER2-low breast cancer who have received prior chemotherapy in the metastatic setting or developed disease recurrence during or within six months of completing adjuvant chemotherapy

At a stroke, the decision sets up a disparity in access to therapy within the UK, as Enhertu was backed for this use by the Scottish Medicines Consortium (SMC) last December. It is also reimbursed for this indication in 13 other countries in Europe, including Germany and Italy, as well as in Canada.

AZ estimates that around 1,000 patients in England alone will now miss out on treatment with Enhertu, and patient organisation Breast Cancer NOW described the outcome as a “dark day”, denying patients the chance of “more time to live and more time before their disease progresses, compared to chemotherapy.”

AZ's UK president, Tom Keith-Roach, said the rejection stemmed from “the rigid application of a flawed methodology” that has “been prioritised ahead of doing what’s right for breast cancer patients in England and Wales.”

At the heart of the company’s concern is NICE’s use of a disease severity modifier, introduced two years ago, which can change the threshold for cost-effectiveness in appraisals. In simplified terms, it introduces a weighting based on the number of years a patient may survive with a disease and the number of years lost as a result.

Previously, NICE committees could recommend treatments with a higher cost for people with rare diseases who were in the last months of their life (the end-of-life or EOL modifier), but the new approach introduces a ‘willingness to pay’ weighting across a broader range of disease areas.

That effectively means that quality-adjusted life years (QALYs) – a standard unit for cost-effectiveness calculations – are no longer always considered to have the same value in decision-making, with a greater value on QALY gains in severe diseases. Scotland has retained the use of EOL criteria in its appraisals.

Enhertu – which is the first end-of-life breast cancer treatment to go through the new appraisal process – becomes the first breast cancer therapy to be turned down by NICE in five years.

“We call on NICE to both reverse their decision and expedite an update to their new severity modifier, which clearly isn’t working in the interests of patients,” said Keith-Roach.

Enhertu was approved for this indication on the strength of the DESTINY-Breast 04 trial, which found that the drug offered an additional 4.8 months of progression-free survival (PFS) than chemotherapy (9.9 versus 5.1 months) and an additional 6.4 months of overall survival (23.9 versus 17.5 months).

Breast Cancer NOW has launched a petition and awareness campaign calling for an urgent review by NICE of the impact of its new methods for evaluating health technologies under the #EnhertuEmergency hashtag. 

https://pharmaphorum.com/news/surprise-enhertu-rejection-follows-nice-process-change

'Garland Calls Voter ID Laws 'Unnecessary''

 by Jack Phillips via The Epoch Times (emphasis ours),

Attorney General Merrick Garland on March 3 declared that efforts by states to implement voter ID laws are “unnecessary” and “burdensome,” drawing the ire of Republicans.

While speaking at a church Selma, Alabama, the attorney general was commemorating the 59th anniversary of the targeting of demonstrators by Selma police during an early civil rights protest.

He said that the right to vote “is still under attack,” though he provided little evidence in his speech for how requiring identification would be an assault on voting rights.

There are many things that are open to debate in America,” Mr. Garland stated. “One thing that must not be open for debate is the right of all eligible citizens to vote and to have their vote counted.

The attorney general said the Department of Justice is “fighting back” against states that have passed bills requiring identification that would prove such eligibility to cast ballots.

“One of the first things I did when I came into office was to double the size of the voting section of the civil rights division,” Mr. Garland said. “That is why we are challenging efforts by states and jurisdictions to implement discriminatory, burdensome, and unnecessary restrictions on access to the ballot, including those related to mail-in voting, the use of drop boxes, and voter ID requirements.”

Those measures include practices and procedures that make voting more difficult; redistricting maps that disadvantage minorities; and changes in voting administration that diminish the authority of locally elected or nonpartisan election administrators,” he said. “Such measures threaten the foundation of our system of government.”

The attorney general also accused courts of issuing rulings that, according to him, imperil U.S. voting rights.

“Court decisions in recent years have drastically weakened the protections of the Voting Rights Act that marchers on the Edmund Pettus Bridge bled for 59 years ago,“ he said. ”And since those decisions, there has been a dramatic increase in legislative measures that make it harder for millions of eligible voters to vote and to elect the representatives of their choice.”

Mr. Garland’s comments, however, appear to be at odds with viewpoints held by the vast majority of Americans. Polls have shown that a significant majority of Americans back photo identification laws to cast votes, including a Gallup poll from late 2022 that found that eight in 10 Americans support them.

Significant majorities of Democrat, black, Latino, and low-income voters also support such laws and proposals, according to a Heritage Foundation article.

Voters across all demographics support voter ID laws in virtually every poll by almost 80 percent. This typically includes more than 60 percent of Democrats,” The Heritage Foundation wrote, adding that 64 percent of black voters, 77 percent of Hispanic voters, and 76 percent of low-income voters back voter ID laws.

Opponents of voter ID measures don’t object to the requirement that voters verify their identity when voting—which is already standard in every state—but rather the means used to verify them. They claim that a significant portion of U.S. voters don’t have a photo ID such as a driver’s license, state ID card, or passport.

New Voter ID Laws

Since 2020, at least 11 U.S. states have strengthened voter identification requirements.

Georgia requires any voter who lacks a driver’s license or state ID card to include in his or her absentee ballot application a photocopy of another government-issued ID. Previously, absentee voters’ identities were verified by signature matching, a policy that opponents have said is fraught with fraud.

Texas law permits voters to use a broader set of IDs when applying for and casting mail-in ballots. It automatically rejects them if the voter uses a different ID number from the one provided when registering to vote.

The National Conference of State Legislatures wrote that about 36 U.S. states require or request voters to provide some form of ID when they cast their ballots at the polls.

It added, “Fourteen states and Washington, D.C., do not require any documentation to vote at the polls.

Those states are Maine, Vermont, New York, California, Massachusetts, New Jersey, Pennsylvania, Maryland, Minnesota, Illinois, New Mexico, Nevada, Hawaii, and Oregon, according to a map provided by the group.

States that have “strict” photo identification mandates, according to the group, are Arkansas, Georgia, Kansas, Indiana, Mississippi, Missouri, North Carolina, Ohio, Tennessee, and Wisconsin. States with “non-strict” photo identification rules are Alabama, Florida, Idaho, Louisiana, Michigan, Montana, Nebraska, Rhode Island, South Carolina, South Dakota, and Texas.

Meanwhile, some states have “strict” standards for voter identification but don’t mandate photo identification. Those are North Dakota, Wyoming, and Arizona, according to the conference. And states with what it called “non-strict” laws that don’t require a photo ID are Alaska, Colorado, Connecticut, Delaware, Iowa, Kentucky, New Hampshire, Oklahoma, Virginia, Washington state, and West Virginia.

https://www.zerohedge.com/political/ag-merrick-garland-calls-voter-id-laws-unnecessary