Dr. Stanley Goldstein - Author and Psychologist

An article in The Wall Street Journal ("We Are Turning Too Many People Into Medical Patients. The swift rise in in diagnoses for everything from autism to ADHD may be doing more harm than good./March 17, 2025) aroused these thoughts.
Long ignored ignorance about child psychological development and developmental psychopathology (a term coined long ago by my doctoral advisor) enables much faulty medical diagnosis, as is decried in the Wall Street Journal article. Several factors have contributed to this.
1. Anxiety can mimic just about every physical symptom: feelings of warmth or cold; feeling faint; headache; stomach pain, elevated blood pressure and check pain; even visual symptoms in an optic migraine. Distinguishing the true medical concern from symptoms of heightened anxiety requires training which the typical physician lacks.
2. Autism is vastly misdiagnosed with some children's autistic features vanishing after brief play psychotherapy.
3. ADHD, Attention-Deficit Hyperactivity Disorder, though enabling a lucrative treatment industry, is perhaps the most unsophisticated notion in medical history. First diagnosed by a seventeenth-century English physician as "mental restlessness," it took root in early nineteen-hundreds America as Minimal Brain Dysfunction, of which a Harvard psychiatrist remarked that any doctor affixing this diagnosis must have a minimal brain dysfunction. Its symptoms are identical with anxiety and depression, which are present in nearly all medical and psychological difficulties and school difficulties too..
4. Another diagnostic error is affixing the diagnosis of Bi-Polar Disorder to children. It is difficult to speak calmly of the degree of this error since the Bi-Polar Disorder diagnosis requires a fixed, adult personality which youth lack by definition.
5. The treatment for these misdiagnoses is usually one or more of the psychotropic medications, long articles of their misuse having been recently published both in The Wall Street Journal and The New York Times. A rarely acknowledged reason for this is that today's psychiatry residents receive only ten-percent of the training in psychotherapy they received seventy-years ago, fostering the belief that the treatment of choice for any of life's ille is a drug.
Truly, ignorance abounds. Nuff said.

A December 10, 2024 Wall Street Journal article reflected on the inadequacies of America's students ("In a Test of Adult Know-How, America Comes Up Short The least-educated workers are falling behind on basic skills such as reading a thermometer and planning a trip.") To explain the problem with America's students' literacy, look to early-life parenting. When first read to and then with as toddlers, almost all children will learn to read on their own since the child's mind has the innate ability to induct the nature of reading just as it does the language grammar of the nation into which they are born. No formal teaching of reading is needed. But, sadly, some children do not experience a "good-enough" (not perfect!) parenting. Culture matters too, whether parents prize education and achievement, but these are not popular political talking points. Nor should teachers be expected to re-parent their students.

A Wall Street Journal Article ("Parents and School Shooters/Georgia has charged the father of 14-year-old Colt Gray. Is that fair?"/September 6, 2024) aroused several thoughts: 1. Babies are not born with parenting instructions and knowledge of child psychological development is greatly lacking among parents, doctors, lawyers, and politicians. 2. There is evil in the world which must be punished. 3. The unconscious is very powerful and one must respect its power. 4. Mental illness creates tunnel vision making crazy thoughts seem very real though when out of it one wonders how they could have once believed them. 5. Mildly poor parenting behavior shouldn't be criminalized but where to draw the line can be difficult to determine.

"Court-Ordered Therapy That Separates Kids from a Parent They Love Stirs a Backlash/A controversial treatment used in custody fights can keep family members apart for years against children's wishes./'It all absolutely destroyed me.''' begins the article.

Knowledge of child psychological development is greatly lacking among doctors, the legal system, and the general public. Children are not easily swayed, being fully capable of deciding who most loves them. The concept that a child needs both parents in their life for healthy psychological development is untrue. What most often reflects such Family Court conflict is parental narcissism, the lack of self-knowledge.

I have known children who were overjoyed when their parents separated, one teenager telling her mother that if she divorced the alcoholic father she would get a job to help support the family. A seven-year-old once told me, "I need a new family."

As every lawyer will tell you, the Family Court is a Wild West show where the parent with the most skilled lawyer usually wins despite the best interests of the child being the sole deciding mandate which should occur. In New York State two children were recently murdered by their abusive parent after being returned to them from foster care despite the opposition of mental health professionals. Nuff said.

One reason might be the ease of self-publishing with many considering their life story and imagined fantasy of value to a wider public, and another being the generally poor state of public education in which literacy is no longer considered the minimal requirement for high school graduation.

The encouragement of reading by parents may also be less prevalent with some parents failing to read first to and then with their toddlers, this being a time when the child can naturally learn reading since the mind has an inherent capacity to induct the nature of reading just as it does the grammatical structure of the language of the nation into which they are born.

A smaller factor, I believe, is that reading involves a loss of self-control while immersed in the written words which is unconsciously scary for anxious youth. I having known good readers who never read, preferring video game play which is heavily obsessive-compulsive, one of the mind's natural ways to reduce anxiety and thus powerfully motivating. 

A recent article in The Wall Street Journal "Why Kids From No-Screen Homes Sometimes Go Screen Crazy" referred to the alleged harm of tablet watching and video game play. Yet these are both not "bad" but are heavily obsessive-compulsive (an obsession is a repeated thought, a compulsion a repeated activity), which is the mind's innate healthy means of reducing anxiety. So when a child or adult engages in them excessively, it is either because they are troubled or that social contact makes them anxious. Remedying these requires psychotherapy to eliminate their pain. And research has found that video games, no matter now awful their content, do not increase a child's aggression since children do distinguish reality from fantasy.

An article in the June 23, 2023 issue of The Wall Street Journal ("Phonics finally Gets Its Due in New York. It took the city's education bureaucracy 20 years to recognize that the Success Academy approach works") described the shocking failure of the public school's ability to teach reading. Yet the blame is not theirs alone since if parents read first to and then with their toddlers, almost all children would be reading simple books by the time they entered kindergarten. And if all parents explained their directives (apart from emergency situations) rather than saying, "Do it because I say so," their cognitive development would be further enhanced since not providing explanation depresses the development of both the capacity for abstract thinking and of intrinsic motivation ("motivation which is inherent in information processing and action," as the noted psychologist, Joseph McVicker Hunt, stated in his 1960s paper). Hunt's work was a major influence in beginning the Head Start program. Learning and its love begin at home. Sadly, these no-cost education remedies are far from universal.

An article in the June 3, 2023 issue of The Wall Street Journal ("'There Were Fists Everywhere.' Violence Against Teachers Is on the Rise") detailed the increased student violence against teachers. In one Nevada school district there were three dozen criminal battery assaults against teachers thus far this year. Yet the needed remedy is known and should be applauded by teachers, parents, and students. While youthful acting-out behavior varies in significance by age with a very young child's hitting often reflecting simple immaturity while a teenager's indicates serious developmental issue, the remedy is the same: having a comprehensive psychological assessment to determine the degree of psychopathology present and providing effective intervention.

But these cannot substitute for having school principals who won't tolerate such behavior and make this clear; and mandating legal consequences for assault. Having sufficient security staff is critical too. Several years ago there was public outrage after an assaulting teenager was pepper sprayed by police as they restrained him in school. Yet, as I then wrote, the benefit of this police action was that no one was hurt.
Learning and teaching cannot succeed where the safety of all is not assured. Nor should teachers be expected to be hostage to student rage.

Recent news stories have detailed the shocking inadequacies of public school students in many American cities with single-digit percentages of graduating high school seniors achieving only grade-level scores on arithmetic and reading evaluation tests. Having treated many teachers I can't help thinking that the major problem in student achievement reflects less teacher inadequecy than that of the school's administration: inadequate, undemanding principals and rules forbidding proper action against bullying and emotionally disturbed students. But the behavior of parents too: were parents to first read to and then with their toddlers and, apart from emergency situations, to explain parental demands rather than say, "Do it because I say so," which depresses the development of the capacity for abstract thinking, most children would be reading simple books by kindergarten. Math is different since if earlier steps are missed, a child will continually fall behind. I've known very smart children to have problems with math so something may be wrong with how it's taught. Nuff said.

A moving story by Leigh Kamping-Carder in the April 29, 2023 issue of The Wall Street Journal ("My Heart Defect Was Repaired by Age 4. But Was I Cured?") described her life after three childhood cardiac surgeries, aroused several thoughts.

A child's mind is immature and, when provided treatment, often blames their parents and the doctor for their discomfort, being unable to grasp its need. Post-Traumatic Stress Disorder (PTSD) symptoms can develop which indicate that the mind's capacity to cope with stress has been exceeded. Which can happen to anyone with any stress whether a soldier, child, or adult. They may have nightmares or become overly sensitive to noises or change of temperature.

Autism and Attention-Deficit Hyperactivity Disorder (ADHD), which the reporter indicates are potential sequelae of early life medical treatment, have other origins entirely. Autism is vastly mis-diagnosed and has nothing to do with medical procedures, vaccination, air-pollution or whatever other fantasy is popularly believed. Rather, it derives from severely deficient early parenting which the infant senses and tries to avoid by becoming independent but inevitably fails, then turning from the world as self-protection. This was well understood by psychologists since the 1980s but is resisted by widespread public and doctor ignorance of child psychological development abetted by undeserved parental feelings of guilt.

Attention Deficit Hyperactivity Disorder is perhaps the most unsophisticated mental health diagnosis of the past two-hundred-years, its symptoms being identical to anxiety and depression which can be present in any medical or psychological disorder. Its predecessors are the "mental restlessness" of seventeenth-century England medicine and the Minimal Brain Dysfunction (MBD) of early twentieth-century USA practice when it was depicted by a Harvard psychiatrist as being such nonsense that only a doctor with a minimal brain dysfunction would use it

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