Dr. Stanley Goldstein - Author and Psychologist

A July 11, 2023 article in The Wall Street Journal ("Sex, Drugs and Spreadsheets") described the surge of addiction among Wall Street executives. The function of all drug use is simply to feel better though healthy life changes are made by struggling with life issues, not drugs or medication (which can have wide-ranging side-effects).

The tendency to use drugs derives from early family issues during development. Thus addiction is basically a psychological not biological issue though stopping many drugs can arouse pain and effect health. Terming it "biological" makes psychological difficulties more socially acceptable and is widely used, it being a marketing term favored by psychiatrists who compete for business with psychologists and others.

The seven-hundred-dollar/session fee reported in the article is far higher than I've known even noted psychoanalysts to charge. But therapy is a business and not a saintly endeavor. One charges what the market will bear though cost and fancy office decor are irrelevant to healing ability.

A July 6, 2023 article in The Wall Street Journal ("You May Have Adult ADHD, but Not Because TikTok Says So") fosters the ADHD myth and evidences how a profitable industry can develop from, essentially, nothing. The notion of Attention Deficit Hyperactivity Disorder has a long history, it being termed "mental restlessness" by a physician in seventeen-hundreds England and Minimal Brain Dysfunction (MBD) in early nineteen-hundreds America. A Harvard psychiatrist then remarked that a doctor using this diagnosis had a minimal brain dysfunction. ADHD is its most recent incarnation.

The ADHD symptoms are identical to those of anxiety and depression which exist in nearly every medical and mental health disturbance. When not related to a real worry (as about an imminent medical diagnosis) it reflects weakness of basic ego capacities governing thinking and behavior. These require, for their optimal functioning, havng experienced a "good-enough" parenting during early development, which has been long known.

To repeat the quote falsely attributed to P.T. Barnum, "There is a sucker born every minute." Nuff said.

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.

Much present social dispute concerns the need for "evidence-based" education about sex and gender though the term "evidence-based" has become simply a feel-good marketing term. The significant question in all education is what is truly based on objective research and what is simply disguised propaganda. My only, small, sex education class had (as I remember) only male students and is described in the first chapter of my novel, "Park West: A Novel of Love and Murder and Redemption," which is posted on my website. It was a graduate course at Columbia University, "Human Reproduction and Sexual Development," and taught by a well-known male OB/GYN. It must have impressed me since it is the only class whose name I still remember, along with several student questions which seemed to momentarily puzzle and surprise the teacher: "What is the function of pubic hair?" and "Does seeing your naked patients affect you?" He described the likely genetic function of pubic hair as being to provide protective cushioning; and said that his patients were only concerned with their health though, he added with a small smile, "Some vulva are prettier than others." Gender was never mentioned. Nuff said.

I recently read a science fiction story by Robert Silverberg, "Alaree," which was originally published in 1958. A crippled spaceship from Earth has landed for repairs on a small, previously unexplored planet. There they encounter a small humanoid creature with whom they speak using a speech converter. The creature has great difficulty understanding the concept of "I" since on his planet all the creatures are "we."

He becomes close to the space travelers, watching as they work. Soon other aliens appear, all identical to him. He implores the captain to take him with him back to Earth and, after initially refusing, the captain agrees, Alaree having said that if he remains he'll die. On the return journey, Alaree behaves in a puzzling manner, staring into the face of each of the crew members as if trying to merge with them. Then he suddenly dies and the captain understands why: because on his world he had been part of "we" and, when losing this identify and becoming an "I," he could not survive.
This reminded me of the fear of some people to reject popularly held concepts, perhaps from the subconscious fear that, like Alaree, they couldn't survive.

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.

A recent article in The Wall Street Journal provided several fancy oatmeal recipes. Try my simple one using the less expensive Quaker or store brand. After cooking, it can be refrigerated and served for several days: two cups of quick-cooking oatmeal, two cups of frozen blueberries, three tablespoons of unsweetened cocoa, perhaps 1/2 teaspoon each (I don't measure these) of cinnamon and ginger, and four tablespoons of Kretschmer wheat germ. After dropping this mixture into four cups of boiling water, it's cooked on a low flame in about seven minutes. I sometimes add frozen raspberries or strawberries. In my view you can't get a quicker, healthier, or better tasting breakfast. One to satisfy your sweet-tooth and can be prepared in advance to be later eaten cold, a particular advantage on summer mornings. Or anytime since there is no mandate that a typically breakfast dish can only be eaten in the morning.

A recent news article detailed the massive number of psychiatrically ill inmates in state prisons with some dying from suicide or inadequate medical care though still awaiting trial. But this sorry state of affairs should have been expected since, over past decades, state psychiatric hospitals were largely closed and the promised outpatient clinics and community care/supportive housing facilities for the mentally ill went left unfunded with savings going into government coffers. Other critical factors were "civil-rights" lawyers and courts deciding that it was better to die "in freedom," psychotic or drug addled on the street, rather than be forcibly hospitalized; and most psychiatrists becoming mere pill pushers rather than the psychotherapists they had been in previous decades

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.