China works to save its adolescents from Internet addiction

What do you do with a teenager that spends 10 hours a day playing online games. What if a teenager is unable to pull herself away from her Facebook account? The Chinese government is taking this ramped up usage of the Internet seriously, according to an article in the June 26, 2009 edition of Science (available online only to subscribers). The Science article focuses on treatment efforts by the General Hospital of Beijing's Addiction Medicine Center (AMC). The article quotes Tao Ran, a Chinese psychiatrist, who estimates that 5 million of the country's 300 million Internet users are "Internet addicts," and that adolescents are especially vulnerable. The concern is that excessive use of the Internet deprives people of valuable real life social interactions. Of the more than 3,000 cases documented by AMC, the patients were spending an average of nine hours per day using the Internet. The issue of "Internet addiction" is also being considered by American psychiatrists. The article notes a lively ongoing discussion as to whether "Internet addiction" should be included as a disorder in the Diagnostic and Statistical Manual (DSM-V) planned for release in 2012. Tao indicates that female patients are most often hooked on chat rooms, while male patients are addicted to online games. He notes that when the patients are involuntarily admitted for treatment, almost all of them suffer serious withdrawal symptoms, including anger, irritation and restlessness. AMC considers family therapy to be a central part of the treatment, although other treatments include "behavioral training, drug therapy for patients with mental symptoms, dancing and sports, reading, karaoke and elements of the 12 step program of Alcoholics Anonymous." AMC is also suggesting a cause for Internet addiction:

Patients tend to have parents who are strict authoritarians or demand perfection, or come from single-parent households or homes in which the parents are frequently fighting.

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Bravo, NPR, for keeping an eye on the lobbyists

While others were photographing the senators at the front of the room, NPR turned its camera on all of those people sitting in the back of the room, in an attempt to identify all of the health care lobbyists in the room. What ARE the names of all of those people trying to subvert our political process? NPR has invited an interested parties to review their photos and to help them nail these bastards figure things out.

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No link between the Thimerosal used in vaccines and autism

In 2005, when I read Robert F. Kennedy's Rolling Stone article about the supposed link between autism and Thimerosal (a mercury-based preservative) found in childhood vaccines, I was deeply concerned. I send copies of that persuasive and detailed article to several friends. New evidence strongly there is no link, however. Even more than the epidemiological studies, consider this observations, as reported by Discover Magazine:

[A]lthough thimerosal is no longer present in any recommended childhood vaccines save the inactivated influenza vaccine—and hasn’t been, beyond trace amounts, since 2001—no one is hailing the end of autism. “If you thought thimerosal was related to autism, then the incidence of autism should have gone down,” Harvard’s McCormick explains. “And it hasn’t.”

Given that we haven't been injecting our children full of Thimerosal since 2001, we should be seeing a significant decrease in autism (if the anti-Thimerosal crowed were right). We aren't seeing any decrease in rates of autism, however. This lack of correlation seems compelling to me. As indicated in the Discover article, there are many reasons for getting your young children vaccinated.

The CDC estimates that thanks to vaccines, we have reduced morbidity by 99 percent or more for smallpox, diphtheria, measles, polio, and rubella. Averaged over the course of the 20th century, these five diseases killed nearly 650,000 people annually. They now kill fewer than 100.

There is now one less big reason for refusing to do get your children vaccinated: There is no link between the Thimerosal used in childhood vaccinations and autism. As reported by the Discover article, however, the urban legend prevails that Thimerosal causes autism.

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Backhanded celebration of homeopathy

It's homeopathic awareness week! Neurologica wants to take full advantage:

According to the British Homeopathic Association . . . June 14-21 is Homeopathy Awareness Week. I would like to do my part to increase awareness of homeopathy. . . I am all in favor of homeopathic awareness. The scientific community should use this week to make the public acutely aware of the fact that homeopathy is, put simply, utter rubbish. Neurologica has put together a detailed account of the world's most over-embellished version of the placebo effect. Consider the homeopathic advocates' arguments for why homeopathic drugs can't be tested:

Many homeopaths have argued that homeopathy cannot be subjected to the same type of studies as are conventional drugs. This is because each patient, from a homeopathic perspective, is unique, and cannot be lumped into a single category. Whereas conventional medicine can compare treatments of 1000 diabetics with two different medications, homeopaths cannot produce large numbers of patients with the same totality of illness requiring the exact same treatment. In making this argument, that of untestability, such homeopaths are securing their position in the halls of pseudoscience, for if their is one single quality which separates scientific theories from nonscientific ones, it is falsifiability. If homeopathic remedies cannot be tested, then they can never be grounded in science.

Neurologica's article is well written and well documented. I agree entirely.

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Medicating the kids . . .

As a parent, I have participated in many discussions regarding the medication of kids for a variety of reasons. I have friends who have kids with serious problems for whom medication has been a godsend, allowing them to function with relative normalcy. Kids who were unable to participate in a typical classroom for one behavioral issue or another. We've also had many discussions about the problem of over-medicating children, and how some schools push for difficult children to receive behavioral meds, whether they truly need them or not. How some of those adult medications should perhaps not be so quickly prescribed for children. We've talked about education reform, changes in teaching methods and school culture and administrative philosophies that would allow for wider ranges of learning styles. I've heard parents rant about how unfair it is for their well-behaved child to not receive the same level of attention as the "problem kid" in the class commands, and I've seen them answered by the parents of said problem kids with an invitation to trade shoes, just for a day.

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