Latest / Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner / Factors Behind Rising Anxiety in Young People: What Parents and Educators Can Do
Transcript
- 0:01I'm Holly Wehmint and this is Pediatrics Now,
- 0:04cases, updates, and discussions for the busy pediatric practitioner,
- 0:08brought to you by the Department of Pediatrics at the University of Texas Health
- 0:12Science Center and University Health's new Women's and Children's Hospital.
- 0:16Click on the link in this podcast for free credit that may include CME,
- 0:21MOC, or ethics credit depending on our topic or podcast.
- 0:25Today, I'm talking to Dr. David Yeager.
- 0:29He is a professor at the University of Texas at Austin, and he's written the
- 0:33book 10 to 25, The Science of Motivating Young People, a groundbreaking approach
- 0:39to leading the next generation and making your own life easier.
- 0:43We hope this interview will help in your day-to-day in talking to adolescent
- 0:48patients or for your family. I know it's helped me.
- 0:52Dr. Yeager, thank you so much for being here today on Pediatrics Now.
- 0:56Yeah, thanks so much for having me.
- 0:57First, let's start off with something that pediatric practitioners see a lot
- 1:03of, and parents as well, anxiety.
- 1:06Are we in the middle of an anxiety epidemic among this age group, 10 to 25? And if so, why?
- 1:13The question is, first of all, is there really an anxiety problem with young people today?
- 1:20And the answer is yes, but that problem started really arising in 2008 with
- 1:30the Great Recession and the massive economic upheaval and political upheaval that came from that.
- 1:36And every year since then, clinically significant symptoms of anxiety have gone up.
- 1:43They tripled during the pandemic.
- 1:47And so now what people have argued is that, hey, that's like about the same
- 1:52time, 2008 is about the same time that cell phones started going up.
- 1:57But like, you know, there's no need to appeal to cell phones because a lot of
- 2:01other things and like the probably the most significant is this massive changes
- 2:05in people losing homes and the workforce and losing jobs and the economic inequality
- 2:12that has resulted from that great recession.
- 2:14I mean currently the basically
- 2:19what sociologists call intergenerational inequality
- 2:22so the extent to which your parents wealth and income influences your
- 2:25wealth and income that is the worst that it's been in the current generation
- 2:31since about the great recession or since the gilded age right so it's like the
- 2:36worst it's been in a century and it goes often primarily through education so
- 2:42the idea that your parents'
- 2:44wealth determines whether you go to college and where you go to college.
- 2:48Is stronger now than it has been in the past.
- 2:51Raj Chetty's data show that. A lot of people have talked about that.
- 2:54So there's massive closing of economic opportunities and striking inequalities.
- 3:00So every day a kid is in school, it's reasonable to think about how that schooling
- 3:05is going to relate to any economic future for them.
- 3:09And that picture is more bleak now than it has been in the past.
- 3:14And also they're aware of that. Young people are aware of that.
- 3:17Furthermore, like if you actually look at the items on the GAD-7,
- 3:21the generalized anxiety disorder seven,
- 3:24and a lot of these public opinion polls like the Pew, they choose an item or
- 3:29two from the overall scale.
- 3:33The items ask about things like, how often in the last few weeks did you feel
- 3:37afraid as if something awful might happen?
- 3:41Right? Now.
- 3:44I understand why if you say that all the time, that's consistent with an anxiety disorder.
- 3:52But the main point of most of our media environment on both right-leaning news
- 3:59organizations and left-leaning news organizations is to make everyone afraid
- 4:03that something awful might happen if you don't watch their show.
- 4:08It's breaking news in all caps every single day, all day.
- 4:12Right and the the sense of impending doom is not like an accident it is the
- 4:18main media strategy it's yeah it
- 4:21gets eyeballs and yeah journalists as you know have come out to say that,
- 4:26you know feeling nervous anxious on edge like that's how you would feel if you
- 4:31feel like the world is ending and no one's doing anything about it and so i
- 4:35asked my 14 year old daughter,
- 4:37i was like hey you know people are saying your generation is anxious and she's
- 4:41like yeah that sounds right. And then she was like, why is everyone saying that?
- 4:45And I said, well, I think it's because of your phones.
- 4:48And she's like, that's dumb. I was like, why? She's like, I don't have a phone and I'm anxious.
- 4:53And I was like, well, why is it? And she's like.
- 4:56Obviously because everything is like
- 4:59a disaster and you guys aren't solving any problems there's like
- 5:03war there's a pandemic there's economic inequality there's
- 5:06you know political divisions everyone's yelling
- 5:09at each other all you guys can talk
- 5:12about is like winning an election or choosing sides and
- 5:15no one is actually solving the problem and you're going
- 5:18to leave those problems to us to fix after you've
- 5:21done nothing and then but but
- 5:25you sit there calling us like dumb gen z idiots
- 5:28that are just wimps with coddled minds and then you don't expect anything of
- 5:31us so what are we supposed to do and that's a pretty good explanation for me
- 5:35for why kids would be anxious and to be honest when i tell this to any gen z
- 5:41person or any student in my classes they're like yeah that sounds about right.
- 5:46So yeah, I don't think you need to appeal to doom scrolling to explain anxiety
- 5:54disorders in the younger generation.
- 5:58And I love how you quote your child, you know, and that listening to your book,
- 6:04that importance of respect and listening.
- 6:08What do you think about, Say, for example, my 16-year-old son and my daughter,
- 6:14who's a sophomore at UT, especially her where she's already addicted to her
- 6:19phone, it seems like I made a huge mistake giving her a phone at age 12.
- 6:23My youngest daughter does not have a phone. She's 13.
- 6:26But there's this mindset, and I hate saying it, but it's like the horse is out of the barn.
- 6:31Now what do you do? Or with my 16-year-old son, do I now take away social media altogether?
- 6:36How do you do that? yeah i mean i think
- 6:39that you do once they're already addicted yeah
- 6:42so i mean addiction i
- 6:46mean that's a hard i kind of stand why people use that i i'm not i'm not certain
- 6:53it's literal it feels more metaphorical to me but certainly phones demand a
- 7:02lot of young people's attention,
- 7:04and are things that they have trouble controlling themselves on.
- 7:08And I think more than half of them, people actively want to limit their use
- 7:12of phones and social media.
- 7:13And so it is something that feels excessive to them.
- 7:20And so then the question is, well, if it's bad for them, how do you get them to not do it?
- 7:28And I'd say a couple of things. One is that I think the reason why it's bad
- 7:32for them is not clearly stated in the public. So...
- 7:40The evidence is not clear at all that social media is causing them to be anxious.
- 7:45So making an argument to them that they'll become depressed and anxious if they're
- 7:51on social media, that doesn't feel – first of all, it's not scientifically true.
- 7:55But also, that doesn't match their experience at all.
- 7:59They're like, no, no, no. This is where I go to learn how to put makeup on or
- 8:03to speak out against some injustice or to make my friends laugh or have my friends make me laugh.
- 8:10To be known and cared about so like the idea that that place is making me depressed
- 8:16at a minimum doesn't feel convincing to a lot of young people and so the only
- 8:22thing you could do when you when when adults make bad arguments that's when
- 8:26they resort to power and authority and coercion,
- 8:29is because you're making a crappy argument i mean like a lot of adults are like do your homework.
- 8:34And kids like why like well because if
- 8:38you get an a on this assignment you can get into the next class
- 8:41and then you'll get to a good college and then you'll get a good job and
- 8:44then in your 30s you'll be able to pay for your mortgage like
- 8:48that's basically the argument we make to kids to for doing their homework
- 8:51as a society and it's a bad argument and so
- 8:54and we know that and they know that and
- 8:58we after we say it it has no impact on their willingness to
- 9:01factor trinomials on the worksheet and so then we
- 9:03resort to coercion right yelling telling blaming
- 9:06shaming threats you know grounding etc and
- 9:11so like if if adults
- 9:14are if adults want to stick to a bad argument about not using
- 9:17social media then you're basically saying that you're okay with just being authoritarian
- 9:22with your kid but there are good arguments and you have to figure out what those
- 9:29are with your kid but you know one is helping them realize that the companies
- 9:33that the companies make money primarily on their attention.
- 9:37And that is what they'd sell. And then I've made this point before that,
- 9:42The very adults who think kids are impulsively addicted to their phones have
- 9:48their retirement plans, their 401ks, et cetera,
- 9:52invested in stocks and technology companies and funds that own technology companies
- 9:57where the primary way that they make money is getting teenagers' attention on social media.
- 10:02And so it's like a very weird loop that adults
- 10:05are like profiting off of the like technology
- 10:10speculation that where the the main like
- 10:13product of the technology is the attention of
- 10:16teenagers and then we turn around and blame the teenagers for
- 10:19being addicted to it and i think teenagers at some
- 10:23level know that and they think adults are hypocrites and so again
- 10:26the moral argument that either you
- 10:29know either temperate self-controlled adult and telling you unruly addicted
- 10:35teenager to stop you know impulsively and selfishly using your phone that also
- 10:42is like not a good argument and it's kind of disingenuous and a little hypocritical in my opinion,
- 10:48by the way my my mom uses her phone way more than my kids even use their iPads
- 10:55and so I don't think is just kids that are, you know, impulsively using Facebook and stuff.
- 11:01But the good arguments are like, all right, well, the companies are trying to
- 11:06exploit you and they don't care about you.
- 11:08And they're perfectly happy if you become depressed and then turn to your phone
- 11:13even more to make you undepressed because they make more money.
- 11:17And so don't let them control you. So that's a version of an argument that appeals
- 11:21to young people's desire for status and respect right now rather than listening
- 11:25to the adults kind of groan-splain the health consequences of their phones.
- 11:32You know, another one is the idea that.
- 11:36You, it, it's really fun to be with your friends in person and not just,
- 11:40it's fun for you, but it's fun for them.
- 11:42And there's good you can do for others in your community by being with them.
- 11:47I interviewed this one mom who talked about how when their, their kid went to
- 11:53a party in high school and ended up talking another kid out of suicide.
- 11:58And they're like, thank God that you're a social person who goes out and does
- 12:02things. You're not just on the screen because you saved somebody's life.
- 12:06Wow. And, you know, that kind of thing appeals to young people's value,
- 12:11their contribution, what they bring to the table.
- 12:15And, but the conventional argument is that they are neurobiologically incompetent. They're addicted.
- 12:20They can't, they're, they're mindless zombies. And I just think that's never going to work.
- 12:24I think you have to start from a position of power and competence and a desire to matter.
- 12:31And then young people are capable of tremendous self-control and
- 12:35if you don't believe me just look at every olympic athlete this
- 12:38summer right they're all like 16 year olds who
- 12:41are waking up at four o'clock practicing 10 hours a
- 12:44day an amazing self-control because being
- 12:47an olympic athlete is awesome socially but it's and if you tap into that desire
- 12:53to to be socially impressive then there are there they young people have all
- 13:01kinds of self-control that is latent and that we hardly ever take advantage of.
- 13:06I love that point you make in your book. I love your book. It is transformational.
- 13:10I know with my own kids, I have three teenagers.
- 13:14And just some of the things that you, the approaches that you have,
- 13:19I've tried with them where I'm saying it's the same message,
- 13:23but saying it a different way.
- 13:25And it's pretty incredible the difference that it makes. So I realize I've been
- 13:30doing some things right, but clearly something's wrong.
- 13:33And I know you talk about where a lot of parents, and this would apply to the practitioner too,
- 13:40where you're either the authoritarian or you give the example or the teacher
- 13:47where everything's fine.
- 13:49And even if you don't have a pencil in class, it's still great. No problem.
- 13:53Yeah, I think that, I mean, look, it's hard to talk to a young person properly.
- 14:00Whether you're a teacher parent position nurse
- 14:05coach whatever and it's
- 14:08hard because many of us have two modes we
- 14:11have we have child mode and adult mode and we know how to talk to a four-year-old
- 14:16that needs to put pants on in general and we know how to talk to a work colleague
- 14:20about attending a meeting or something like that but we don't really know how
- 14:25to talk to a 14-year-old that needs to do what we say, but they're also a budding person.
- 14:31So just in general, I have lots of
- 14:34compassion for anybody who has these challenges and wants to get better.
- 14:39Under that umbrella, though, because we kind of don't really have a model,
- 14:45then we tend to fall into...
- 14:48Two ends of one continuum and the continuum on one
- 14:51side has kind of rigor standards demanding
- 14:55this and then the other side is like niceness friendliness care concern whatever
- 15:00and the if you're over on the first side that's what i call the enforcer mindset
- 15:07and that's where you're like look there's there are important standards that
- 15:12need to be met for your safety for the safety of society,
- 15:15for your health and well-being, et cetera.
- 15:17And I'm concerned you're not going to make those choices. You have risky decision-making.
- 15:22And so I'm going to enforce them and try to coerce your behavior with threats,
- 15:29brides, just like strongly coercive approaches.
- 15:34And again, it starts from this position of the young person isn't really competent
- 15:40and therefore we need to take the ownership and responsibility and demand that they listen to us.
- 15:47And I get that. It makes sense from a certain perspective. The other side of
- 15:52that continuum is what I call the protector mindset.
- 15:54This also, I think, starts from a position of views of their incompetence.
- 15:59So this is the idea that young people have been through so much.
- 16:04They're so stressed out. They can't manage what they're doing.
- 16:08And therefore, they're not capable of very much. And so we shouldn't expect anything of them.
- 16:14In fact, it would be mean to expect a lot of young people who weren't that competent.
- 16:19And this one parenting coach I interviewed called this the nice and nasty dance.
- 16:26So you kind of sometimes move between the nice protector or the mean enforcer.
- 16:36And neither of those really work because on the enforcer side,
- 16:40the young person feels disrespected because they're told what to do.
- 16:44On the protector side, they also feel disrespected, but for a different reason,
- 16:48which is that the adult doesn't believe in them and doesn't expect much of them.
- 16:52And so neither of them really end up capturing young people's motivation in the way that we should.
- 16:58And that's a great point. And it's easy to do both. Or just for an example,
- 17:03the loop of like threatening to take something away, or we can't keep,
- 17:06you know, doing this unless you behave this way. And then it enrages her.
- 17:12And so I'm catching myself, like, I just got to the part in the book where you're
- 17:16talking about ask the transparency, and asking the question and explaining feelings.
- 17:22It's, I think it was a mom on a train or a bus and her kids are fighting and people can hear them.
- 17:30I don't know if we want to jump to that transparency part yet,
- 17:34or if you want to talk about something next before that.
- 17:37Yeah. I mean, I think that the, the alternative to the enforcer and the protector
- 17:41is what I call the mentor mindset.
- 17:43And this is the idea that you uphold very high standards, but you also are very
- 17:47supportive and that kind of gives you the best of both worlds.
- 17:51So if you're naturally an enforcer, then it's like, all right,
- 17:55well, you've got the standards, let's add the support.
- 17:58Or if you're naturally a protector, it's like, well, you've got lots of supports,
- 18:02so let's add the standards.
- 18:04And the combination of standards and support ends up coming across very respectfully
- 18:09to young people, and it ends up motivating them to do sometimes what we need
- 18:15them to do, and other times just what's in their long-term best interest.
- 18:19Now, a question is, when we're being a combination of demanding and supportive,
- 18:24do young people know what we're doing?
- 18:26Like, are they on board with it?
- 18:29And what I've found and what I write about in the book is that young people
- 18:35don't always know what we're doing, and therefore they don't always give us
- 18:38the benefit of the doubt.
- 18:40And so our high standards to a young person, even if it's coming from a mentor
- 18:47mindset, could come across like we're being an enforcer.
- 18:50Also, our lavish supports, if we're being a mentor, supports to help them meet
- 18:57the standard, could come across as being overprotective because you're doing
- 19:01so much if that's what young people are used to.
- 19:04And so in chapter five in the book, I write about this idea of being transparent
- 19:08about what you're doing and why.
- 19:10And the rule of thumb is that we need to, whether we like it or not,
- 19:15we need to explain our behaviors and the intentions underlying our behaviors
- 19:20about three or four times more often than we think we need to.
- 19:25And just to give a concrete example, I teach a large undergraduate class and
- 19:31I give lots of tough critical feedback and students normally wouldn't necessarily
- 19:37like that because they like to feel successful,
- 19:40especially on the first draft. They're like, okay, I turned this in, it looks good.
- 19:44So I gave a lecture on the first day of class about how I'm giving students
- 19:48feedback because I believe in them and think they can meet a high standard.
- 19:51A few weeks go by, and now they're doing the first major project.
- 19:54A lot of students forget I said that because it just doesn't feel good to get
- 19:58all this tough, critical feedback.
- 20:00And so I've learned that even I need to be clearer about what I'm doing and
- 20:06why than I thought I needed to.
- 20:08And I think that's, in general, pretty important because young people are used
- 20:15to either the enforcer or the protector, and they'll assume that's what we're
- 20:19doing unless we're clear that we're doing something different.
- 20:22So are you saying, so add that statement at the beginning, as a professor or
- 20:30as a pediatrician, I have high standards and I want to help you, something like that?
- 20:38All right, let's take the case of an example of when my wife worked at the nephrology
- 20:43clinic at Stanford in the pediatric nephrology.
- 20:46So she'd have to educate patients about their medication.
- 20:51So before they would do the transplant, sometimes they're on steroids.
- 20:55After the transplant, a lot of times, well, always, they have to take tacro
- 20:59or other anti-rejection meds.
- 21:03So the default is for doctors to talk to the parents in front of the kid and explain to the,
- 21:11parents how the kid can take the medicines and what the schedule is and what
- 21:15the consequences are for not doing it and then they kind of turn to the kid
- 21:18at the last second and they're like all right well this would be really bad
- 21:21if you didn't do it so if you didn't adhere with the with the procedures and
- 21:25so there's kind of a short education about the consequences of their actions.
- 21:31And on average that doesn't work so so
- 21:34about 50 of adolescent transplant recipients
- 21:37don't take their anti-rejection meds as prescribed similarly with
- 21:41outpatient cancer patients so they
- 21:44don't take their their chemo correctly
- 21:47and what the way
- 21:50doctors often respond to that or nurses is with
- 21:54harsher threats like we're gonna have to increase your dose we're gonna
- 21:57have to bring you in more we're gonna have to check you you know this
- 22:00or that so it's kind of like a threat of authoritarianism and
- 22:04i wish that would work you know i understand why people do it but again look
- 22:08at the numbers 50 percent organ rejection for adolescents and it's like zero
- 22:13percent under 10 so it's really bad and like the there's so many miracles in
- 22:19medicine that have to happen,
- 22:21to take an organ out of one person and put it in another and we've solved those
- 22:25as a society and as a culture it's amazing and we can't solve we can't solve
- 22:30the talking to teenagers problem,
- 22:32And so I think that if now suppose the doctor was just saying,
- 22:39all right, you need to be in charge of your meds. And then that was it.
- 22:42Well, it could come across like you're giving me all this responsibility.
- 22:47You're just you're not going to help me. Am I on my own? Like,
- 22:49what if I screw up? There's all kinds of things they could be thinking.
- 22:53The minority of cases where adolescents are empowered and educated in an effective
- 22:59way, they don't do that. They're very, the doctors are very transparent.
- 23:03So first of all, the pediatric heptology clinic at Stanford has a great way
- 23:08of only talking to the patients directly and not talking to the parents in front of the patient.
- 23:13And they have two or three education sessions directly doctor to patient or nurse to patient.
- 23:19Are the parents there? What's that? Is the parent in the room or not in the room at all?
- 23:26And some of the conversations with the parent is not in the room. Okay.
- 23:30It's like so the kid can't turn to because what
- 23:33they found is that the doctor right it's
- 23:36like it's like you're drinking from a fire hose and so much stuff you got to
- 23:39remember when you've when you've got all these meds and if
- 23:42the kid can turn over their shoulder and look at their parent and be like you're
- 23:46understanding this right then they don't process it and it's like they know
- 23:51that mentally it can offload the responsibility to the adult so the they've
- 23:57learned at the heptology clinic to not do that,
- 23:59to make it fully clear to the young person that they're in charge and that they have to be in charge.
- 24:05But they also have this way of talking to young people so that it's like an honor.
- 24:10Like you're honoring the person who gave you the gift of this organ every time you take your meds.
- 24:16And then there's something else I've seen. I heard this from a transplant recipient
- 24:20who was one of my undergraduate students.
- 24:23The minute she turned 10, her parents said, you are now in charge of your kidney transplant meds.
- 24:29And they're like, I wish you didn't have to be like this.
- 24:32I wish you could stay an irresponsible kid like other kids. And that would be fun for you.
- 24:37And it would be less for us to worry about. But unfortunately,
- 24:40your life is going to get in the way.
- 24:42Something's going to happen. And if you're not fully in charge of this medication,
- 24:46then it will fall through the cracks.
- 24:48And so they, she had to start filling her own refills.
- 24:53She had to, she would personally pack her backup case.
- 24:58So if she was at a sleepover and then she was missing a pill,
- 25:02she'd always had the backup, but she had personally packed it and decided where
- 25:05it went and on and on and on. So she was in charge very early.
- 25:09But the transparency part is they had a conversation. like I wish you didn't
- 25:13have to go through this and I wish you could just be a kid but that's not the
- 25:16case you have to be responsible and so we are your supporters,
- 25:22but you're fully in charge of your medication and she hasn't had one day she's
- 25:27missed it since I don't know since she was 10.
- 25:32Wow that makes so much sense when you say it and when I was reading it and so
- 25:36do you advise when pediatric practitioners When possible, ask the parent to
- 25:44step out of the room and have that private conversation.
- 25:47Well, I think that for me as a scientist, I'd want to run randomized trials with clinics and.
- 25:56With the best approaches. I don't think it's as simple as a magic trick of tell
- 26:02the parents to get out of there.
- 26:03You know, I think that, you know, when they scaled up the medical check,
- 26:08the surgical checklist, right, they thought, oh, if we only have the checklist,
- 26:11then we wanted medical errors.
- 26:12But if the doctor is still a jerk to everybody, even with the checklist,
- 26:16then they still don't speak up when they're doing it wrong.
- 26:20So the checklist doesn't work at scale because of that. And so I would say that
- 26:24what's more important is the tone of respect than any specific choice.
- 26:31I could totally imagine an awesome leadership exemplar educating an adolescent
- 26:39patient with parents in the room.
- 26:40I could imagine them saying, you're in charge. I want you to tell your parents
- 26:45what they need to do to support you.
- 26:48You could imagine a conversation where you're empowering the kid to be the boss
- 26:52and telling their parents what to do.
- 26:54Like, mom, I need you to do the refills on this day.
- 26:57Dad, I need you to remind me right before I go to here, whatever.
- 27:02So I wouldn't say the magic bullet is don't have the parents in there.
- 27:05The magic bullet is start from a presumption that young people can be competent
- 27:09under the right conditions if we communicate respectfully with them and we truly
- 27:14transfer responsibility to them in a way that is transparent that they need
- 27:21to take that responsibility.
- 27:22And you write about how that, that increase in testosterone would really,
- 27:27you know, by understanding that that is, is where they want that respect as
- 27:33they're becoming adults, that that's really important and becomes more and more important.
- 27:38Yeah. I mean, I think that every pediatrician knows there's,
- 27:41there's adrenarche and gonadarche at different axes of pubertal maturation.
- 27:45And even if a kid's at Tanner stage one, when you can't, there's no outward
- 27:50signs of puberty, gonadarchy could have started. And that's true for a lot of kids.
- 27:55And that's why the book is called 10 to 25, is that even at 10,
- 27:59kids are like pre-10 to stage 1, their brains could already start being sensitized
- 28:04to increases in testosterone and estradiol and related hormones.
- 28:08And those hormones affect the brain's reward sensitivity regions,
- 28:15like the nucleus accumbens.
- 28:17When kids are younger they have an organizational effect
- 28:20so that so those hormones change how different
- 28:24abilities are localized in the brain but then they also have
- 28:27activational effects so certain regions like
- 28:30the nucleus accumbens are just more sensitized to
- 28:34the prospect of a reward or the prospect the opposite that's something that
- 28:38could harm you make you feel bad and and for a long time people thought it was
- 28:42just any reward so they would study testosterone in gambling or getting money
- 28:47or sex or food. Those are rewarding experiences.
- 28:50But in the last decade or so, the neuroscientists have realized that looking
- 28:55good socially in front of others is the best reward.
- 28:59And that's really motivating for young people.
- 29:01And so neuroscience tasks that in the past would have a kid do some gambling
- 29:08task and they would win a dollar if they won the gamble had shown adolescents to be worse than adults.
- 29:15And therefore they've concluded that teenagers are impulsive and lack self-control.
- 29:20But when they changed the framing of the task to...
- 29:25The people your age are going to see that you won all these gambles.
- 29:29Or the more money you make in this gamble, the more you're going to give it
- 29:32to friends that you care about.
- 29:34And they're going to know that you gave them money. And they're going to think
- 29:36you're awesome because you gave them money.
- 29:38And the reason why you gave them money is because we're awesome at this game.
- 29:43Then, and I'm summarizing basically all the studies work. But then what they
- 29:48often saw is that adolescents perform better than adults, especially when the
- 29:53rules changed in these gambling tasks, so like the rapidly changing social world.
- 29:59And the way I interpret that is that we have often villainized testosterone
- 30:04as the biological source of teenagers' puberty-induced frontal lobotomies,
- 30:12where they just make dumb decisions all the time.
- 30:14And I think we're now understanding it as a hormone that sensitizes the brain
- 30:19to social learning, specifically social learning, but how to feel like a socially
- 30:24successful person in your cultural group.
- 30:27And then that's really important for survival.
- 30:29So testosterone and risk-taking doesn't just make kids jump off a bridge or drink to excess.
- 30:35It also gives them the courage to hold somebody's hand for the first time, which is terrifying.
- 30:40You could be totally rejected and they could laugh at you for trying to hold their hand.
- 30:45Or you could feel acceptance from someone who is attracted to you.
- 30:50That's a big difference. There's a big delta between those two.
- 30:53And we now understand that the social brain basically gives adolescents the
- 31:00guts to take those risks.
- 31:01And once they do, then they're on a path to getting more social acceptance or
- 31:05figuring out how to do it more in the future. And that's really good for them.
- 31:10And David, and how would you, sorry, it's really good for them. And what did you say?
- 31:15And it's healthy for them to be socially successful. We know like loneliness
- 31:19is this huge cause of despair and suicide and all these other things.
- 31:23And so we shouldn't poo poo the adolescent desire for social success because
- 31:28it is at the heart of their ability to learn how to not be lonely in our world
- 31:33at a minimum, among other things.
- 31:35How would you recommend talking to an adolescent about substance use?
- 31:43Substances? Yes. Substance use, whether it be drinking.
- 31:48That's right. That's really true. I think drinking is the easiest one.
- 31:53I mean, in the book, I write about smoking and I talk about how the tobacco companies.
- 31:58Are trying to trick. They were trying to manipulate teenagers to get them addicted.
- 32:03And if you tell teenagers that. then they're more likely to rebel against the
- 32:06tobacco companies and then start.
- 32:10Basically not start smoking because doing so would give money to these companies
- 32:14that were manipulating you that's the truth campaign and i like that idea because
- 32:19it's it's basically making,
- 32:21abstinence be the high status respectful thing rather than
- 32:25it being what you do because you're listening to grown-ups drinking is a little
- 32:28different and and certainly there are examples of kids in high school who have
- 32:34like social moral principled reason for not drinking and often it's It's like
- 32:40the more self-control it takes to do,
- 32:42the more it feels awesome and impressive.
- 32:46And so there are examples where kids say, actually, it's much harder to not
- 32:53drink in high school. And that's what I'm going to do because it's more impressive.
- 32:57And some kids have done that for sex as well.
- 33:01But I don't think that works for everybody. Usually that kind of argument works
- 33:06in a religious or moral context.
- 33:09But another one is an example i write
- 33:11about in the book so the this one
- 33:14mom had a teenage son who came home
- 33:17drunk and this is their oldest son and they use the conventional enforcer approach
- 33:22where in the morning they just yelled at him shame blame etc they would say
- 33:26things like what were you thinking which of course means you weren't thinking
- 33:30so it's an insult and then what happened?
- 33:35Well, he just got really good at hiding drinking is what happened.
- 33:38And then it became a big problem when he went to college and then he dropped
- 33:42out, moved home, whole failure to launch situation.
- 33:46But they had a second son and they worked with a parenting coach that I write
- 33:50about in the book. And they applied a lot of these mentor mindset tactics.
- 33:54And by the time their second son came home after having too much to drink,
- 33:58then she was like, I've been preparing for this for
- 34:01years this is great she's like rubbing her limbs together excited and they
- 34:05had a very long conversation the next day about the steps in his decision making
- 34:11that led to him drinking too much and they were legitimately curious about what
- 34:15his logic was so they didn't say what were you thinking implying he wasn't thinking
- 34:20they were legitimately curious about,
- 34:23what what his plan was and it turns out that in the past he would bring like two,
- 34:30hard shelters in his pockets to a party because that's
- 34:33all he could carry out without being detected but for
- 34:36whatever reason at this party he brought it back back so he had like 24 and
- 34:40so but once he's at the party with 24 then he just kept drinking and so so then
- 34:47the mom was like all right well what do you think you should do and he was like
- 34:51i think i should not ever bring a backpack And she's like, that's a great start.
- 34:55But they also started the whole conversation from a positive place. They said, look.
- 35:02A social person and that's good. And actually this was the kid who had previously
- 35:08been at a party and talked to a kid out of suicide.
- 35:11And so they didn't denigrate his desire to be at a party.
- 35:16And obviously they know the drinking happening because you're at the party.
- 35:19But the reason you're at the party is not necessarily to drink.
- 35:21The reason you're at the party is to be a socially successful person.
- 35:24So she couldn't start from a position of saying your desire to be at the party
- 35:30is fundamentally wrong and bad and evil.
- 35:32And then what happened is they're like, look, we're not going to formally ground
- 35:35you, but before you go out any single time, you're going to tell us your entire plan for drinking.
- 35:41And also by the way, your social life and whose car you're going to get into
- 35:44and all these other things.
- 35:45And you might wish that you're grounded, but that's not what we're going to do.
- 35:49You're going to have to have long adult conversations with us. And
- 35:52you're not going to like the fact that we're treating you like an adult because it's easier
- 35:55to be an irresponsible kid but we are going to treat you like an
- 35:58adult who has a plan before he goes out
- 36:01and so they just we were
- 36:03able to correct his like idiotic plans of how he was going to get home from a
- 36:06party before he went out and also how he was going to not drink too much and
- 36:11like which kid was going to talk to him and who who was he planning on trying
- 36:15to impress and what happened is he became super mature about drinking way more
- 36:21mature than his friends and when he went to college he had no problems.
- 36:25And there was no parents around. And he knew how to think for himself because
- 36:30his parents were legitimately curious about his thinking and asked him honest questions.
- 36:34And I think about that a lot, where often as parents, we think the consequences
- 36:38of your decisions are so drastic, like dying in a car crash, right?
- 36:42Or, you know, getting lost on the way home because you're drunk and then we
- 36:46never find you and you're dead.
- 36:48And so we resort to very short-term strategies to solve the problem right away
- 36:54and prevent catastrophe.
- 36:57Like grounding or yelling, telling, blaming, shaming, or saying never go to a party or never drink.
- 37:02And then it's like, we've wasted a crisis.
- 37:06A crisis is a chance for them to learn that their thinking wasn't adequate.
- 37:12But if you never revisit their thinking, you've wasted that opportunity.
- 37:18And so Lorena Seidel, the parenting coach that I interviewed,
- 37:21she's like, never waste a crisis. That is a chance for your kid to learn how
- 37:24to be a more mature adult.
- 37:25And in every crisis, treat them like an adult, but expect maturity from them.
- 37:30And they might not want that. They may want to be treated like a kid because it's easier for them.
- 37:35Because if all you do is ground them, they don't have to think.
- 37:37It's easier than that think.
- 37:39But you just have to demand that they think about their actions and their behavior
- 37:44and how it fits into the kind of person they want to be and the future that
- 37:47they want to have and make them do that a lot.
- 37:49And then eventually they will know how to do that. But I don't know why we think
- 37:53they're going to magically do that the second they turn 18 if they've never
- 37:57had any practice interrogating their plans or behaviors.
- 38:01And grounding can't obviously last forever. That would be very wrong. And the...
- 38:08Adolescent will learn how to not get caught next time basically
- 38:11right yeah that what they're learning is
- 38:14that you should never have an honest interrogation
- 38:18of your actions or your feelings you should just shove them down by by going
- 38:22to your room and you should get better at hiding whatever it is that's going
- 38:26to get you in trouble in the future that's what they learn and they will find
- 38:29a way to do that right yeah and the young people are super creative i mean everyone complains about,
- 38:35if a Gen Z doesn't want to work, they're not motivated.
- 38:38It's like, well, challenge them to sneak out of the house. And I bet you will
- 38:42find out that they're pretty motivated.
- 38:43Like, they'll, like, who do I need to lie to? Like, where's the maps of the
- 38:47sewers? Like, how am I sneaking out of this place?
- 38:50You know, like Andy Dufresne and Spionnick Redemption, they sneak out.
- 38:54Like, that's not a brain that's incapable of being motivated.
- 38:56That's a brain that is motivated by the kinds of things that are related to their social success.
- 39:01As parents and practitioners, How much should we put up with when it comes to lying? Like, is that?
- 39:10Yeah, I mean, I think that the put up with is an interesting way to put it.
- 39:15I wouldn't put it that way.
- 39:17Because when people say, what should I put up with?
- 39:21What we mean is, how offended am I going to be when you treat me in a certain way?
- 39:29And and so our overreactions and the the yelling and the threats and blowing up are are mainly about,
- 39:38what the young person's behavior says about us like i'm
- 39:41the kind of parent who has defiant kids and that's
- 39:44embarrassing to be that kind of parent right when you
- 39:47say let's go home the kid says no in front of
- 39:49all the other parents everyone the shame and
- 39:52humiliation for the parent kicks in because we're like i'm the kind of parent
- 39:55that can't even control my own kids and as kids have talk
- 39:58back to them right and so when when
- 40:01you frame it that way it's actually not the
- 40:04idea of putting up with is not really about the
- 40:07kids well-being or their future it's about our reputation in the eyes of the
- 40:12imagined audience of other parents so so that's my first reaction to the questions
- 40:18i kind of challenged the phrasing but the but the but the other questions well
- 40:23okay lying should we let it go.
- 40:26The answer is no. I think if you're a mentor mindset, it's like,
- 40:29no, I expect honesty from you.
- 40:31Because I'm treating you like a serious person because I think you can be a serious person.
- 40:35And serious people don't lie to themselves or others.
- 40:40But I don't think it's helpful to get super offended that they lie because there's a reason for it.
- 40:46The reason is they want to get what they want to get, but the reality of the
- 40:49situation didn't work out for them.
- 40:52So what we need to find out is, okay, well, what is the thing you really wanted?
- 40:58And why did you think this was the way to get it?
- 41:01And then you can have a conversation about the problem-solving strategies that
- 41:05they needed to have to get what they needed without lying or deceiving or cheating
- 41:10or stealing or whatever it was that they didn't.
- 41:13That's a great, that's a great point. But is lying, I mean, there's this thought
- 41:19that as a teenager, that lying comes along with being a teenager.
- 41:23Are we totally wrong there? Am I totally wrong when I say that?
- 41:28I don't think it's like a natural consequence of being a teenager,
- 41:33I think it's, I mean, again, like what, why do people lie?
- 41:36They lie because they want something and the rules of the situation are that
- 41:42they can't have it in some way or they wanted something in the past and they
- 41:47couldn't have it. And then they took it. And then later they were asked about it.
- 41:50So lying is the
- 41:53side effect of poor strategies
- 41:57to get what they want or to feel the way they want to feel and so
- 42:02the underlying problem is that they need a better
- 42:04problem solving strategy now the
- 42:08the there's also the moral ethical part
- 42:10but it's hard to appeal to that for everything and then also adults lie all
- 42:16the time just like look at any parent of a two year old the kid's like i want
- 42:21that toy and the parent's like oh it's close or we lost it right It's like the
- 42:25main way parents deal with crying children is lying to them,
- 42:30hoping that they forgot about the toy or the food or whatever.
- 42:35And if a 13-year-old sees that, they're like, wait a second,
- 42:39lying is always morally and ethically wrong?
- 42:41But how about every single parenting decision you just made? It also did to me as a kid.
- 42:47And so, yes, I do think we should appeal to morals and ethics too.
- 42:51But it's hard to have that be the only thing when lying is often a side effect
- 42:57of a poor strategy to get what they want.
- 43:00And we need to set the example of being truthful with them about our feelings
- 43:05and by asking more questions.
- 43:08Music.
- 43:09Sounds like. Yeah. Yeah.
- 43:15Dr. David Yeager with UT Austin and the book 10 to 25, The Science of Motivating
- 43:21Young People, a groundbreaking approach of leading the next generation and making.
- 43:25Music.