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WE’VE GOT ISSUES

CHILDREN AND PARENTS IN THE AGE OF MEDICATION

Parents of mentally ill children will find this tonic reassuring, while all parents will find it a valuable reminder that...

In this manifesto for change, New York Times blogger Warner (Perfect Madness: Motherhood in the Age of Anxiety, 2005, etc.) examines the argument that Americans are overmedicating their children.

The author wanted to write a condemnation of American parents for hysterically spotting mental disorders where there are none. When she began interviewing parents and mental-health professionals, however, she reversed her position. Only five percent of American children take psychotropic drugs, she writes, yet that many suffer from extreme mental illness, while another 15 percent endure at least minimal illness. Not only has Warner never met a parent who lunged for the medicine cabinet to dope up their kids, but some fought the medication route as long as they could, to the detriment of their child. It’s true that antidepressant prescriptions for children have skyrocketed, but that’s because primitive understanding of the brain left many sick children undiagnosed in the past; we now have more effective drugs for some illnesses; and the stigma of mental illness is blessedly diminished. Warner cites research that girls, minority children and those with less-educated parents are undertreated for ADHD. Careful reporter that she is, the author acknowledges that some experts might dispute parts of her thesis. Other signs of childhood trauma—teen pregnancy, school violence, crime, substance abuse and suicide—have declined, and Warner reports special professional skepticism about exploding rates of bipolar diagnoses in children. Meanwhile, too many laypeople are spooked by drug companies’ ads plugging their latest products, which doctors might not recommend. Curtailing those ads and more insurance coverage for pediatric mental-health screenings are among the author’s welcome common-sense proposals.

Parents of mentally ill children will find this tonic reassuring, while all parents will find it a valuable reminder that it’s not poor parenting to seek medical help for your children.

Pub Date: Feb. 23, 2010

ISBN: 978-1-59448-754-5

Page Count: 320

Publisher: Riverhead

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Dec. 1, 2009

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THINKING, FAST AND SLOW

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our...

A psychologist and Nobel Prize winner summarizes and synthesizes the recent decades of research on intuition and systematic thinking.

The author of several scholarly texts, Kahneman (Emeritus Psychology and Public Affairs/Princeton Univ.) now offers general readers not just the findings of psychological research but also a better understanding of how research questions arise and how scholars systematically frame and answer them. He begins with the distinction between System 1 and System 2 mental operations, the former referring to quick, automatic thought, the latter to more effortful, overt thinking. We rely heavily, writes, on System 1, resorting to the higher-energy System 2 only when we need or want to. Kahneman continually refers to System 2 as “lazy”: We don’t want to think rigorously about something. The author then explores the nuances of our two-system minds, showing how they perform in various situations. Psychological experiments have repeatedly revealed that our intuitions are generally wrong, that our assessments are based on biases and that our System 1 hates doubt and despises ambiguity. Kahneman largely avoids jargon; when he does use some (“heuristics,” for example), he argues that such terms really ought to join our everyday vocabulary. He reviews many fundamental concepts in psychology and statistics (regression to the mean, the narrative fallacy, the optimistic bias), showing how they relate to his overall concerns about how we think and why we make the decisions that we do. Some of the later chapters (dealing with risk-taking and statistics and probabilities) are denser than others (some readers may resent such demands on System 2!), but the passages that deal with the economic and political implications of the research are gripping.

Striking research showing the immense complexity of ordinary thought and revealing the identities of the gatekeepers in our minds.

Pub Date: Nov. 1, 2011

ISBN: 978-0-374-27563-1

Page Count: 512

Publisher: Farrar, Straus and Giroux

Review Posted Online: Sept. 3, 2011

Kirkus Reviews Issue: Sept. 15, 2011

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THE ART OF THINKING CLEARLY

Hiccups aside, a mostly valuable compendium of irrational thinking, with a handful of blanket corrective maneuvers.

A waggish, cautionary compilation of pitfalls associated with systematic cognitive errors, from novelist Dobelli.

To be human is to err, routinely and with bias. We exercise deviation from logic, writes the author, as much as, and possibly more than, we display optimal reasoning. In an effort to bring awareness to this sorry state of affairs, he has gathered here—in three-page, anecdotally saturated squibs—nearly 100 examples of muddied thinking. Many will ring familiar to readers (Dobelli’s illustrations are not startlingly original, but observant)—e.g., herd instinct and groupthink, hindsight, overconfidence, the lack of an intuitive grasp of probability or statistical reality. Others, if not new, are smartly encapsulated: social loafing, the hourly rate trap, decision fatigue, carrying on with a lost cause (the sunk-cost fallacy). Most of his points stick home: the deformation of professional thinking, of which Mark Twain said, “If your only tool is a hammer, all your problems will be nails”; multitasking is the illusion of attention with potentially dire results if you are eating a sloppy sandwich while driving on a busy street. In his quest for clarity, Dobelli mostly brings shrewdness, skepticism and wariness to bear, but he can also be opaque—e.g., shaping the details of history “into a consistent story...we speak about ‘understanding,’ but these things cannot be understood in the traditional sense. We simply build the meaning into them afterward.” Well, yes. And if we are to be wary of stories, what are we to make of his many telling anecdotes when he counsels, “Anecdotes are a particularly tricky sort of cherry picking....To rebuff an anecdote is difficult because it is a mini-story, and we know how vulnerable our brains are to those”?

Hiccups aside, a mostly valuable compendium of irrational thinking, with a handful of blanket corrective maneuvers.

Pub Date: May 14, 2013

ISBN: 978-0-06-221968-8

Page Count: 304

Publisher: Harper/HarperCollins

Review Posted Online: March 5, 2013

Kirkus Reviews Issue: April 1, 2013

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