Monday, May 25, 2015

Review of The Teenage Brain – A Neuroscientist’s Survival Guide to Raising Adolescents and Young Adults

I was intrigued by much of what I read in this book. I got a copy from the Hennepin County Library.  It gives good recommendations on how to deal with this sometimes very misunderstood population. I will call them teenagers in this review, even though the brain normally isn’t fully mature until 26 years old.

The book has extensive references to scientific literature, with 18 pages of notes and 24 pages of bibliography and resource links.  The emphasis is on reasons for teenage behavior and how parents and other adults in these people’s lives can help them cope with the immaturity in their brain.
Mixed into the extensive discussion of brain areas and maturation cycles are good recommendations.  These are what I am going to focus on in this review.  Realize that this review is not  a good substitute for reading the book.

Learning needs to be structured in order to be understood well and to be retained.  So, be sure to give your efforts to teach some structure.

Teenagers need to experiment and make mistakes, as they have been doing since birth.  The structures that need to be in place to keep infants safe (a crib, a playpen, some barriers, etc.) are much simpler and more successful than the structures that teenagers need to keep safe (parental guidance, curfews, constant reporting of locations, requiring parents be home when parties are on, etc.)  Fortitude is required of parents to maintain contact with and understanding of their teenagers. 

Adolescence begins at puberty.  A lot of talk of raging hormones is misguided.  Teenagers can’t control their behavior well because the brain circuits are incomplete. 

Because they can’t see long term, you need to tell teens about the bad choices they might make and the consequences in great detail.  For instance, distracted driving can have very bad consequences.
Many teens try and do multi-tasking.  Many teenagers think they can focus their conscious mind on more than one thing at a time.  What they really are doing is “continuous partial attention.”  A good example is distracted diving.  Bad things that can happen are detailed in the book.

There is an extensive discussion of early brain formation and that the brain grows by connecting neurons.  After a while it has too many and it must prune the connections.  Also, it will accelerate the flow of thought by adding white matter (myelin) to “grease the wires”.  Myelin can make connection 100 to 3000 times faster.

A myth is that IQ is static.  It is not.  Between 13 and 17 about a third of people increase their IQ, a third lower their IQ and a third stay even.  The studies that show this didn’t include any data gathering on what the people who gained were doing differently than the others.

There are a lot of best practices for parents of teens –
·         Write down your instructions for teens and limit them to 1 or 2 points – not 3-5 points
·         Encourage teens to write their appointments in calendars so they learn to stay structured
·         Set limits on just about everything
o   Internet socializing
o   Insist on knowing their logins to social networks and email
o   Review their actions and talk about what they are doing – You need to keep them safe
·         Treat them as adults as the earn it, and set high expectations that they will act as adults.
·         Hold them to the standards you set and reward/punish them for that.
·         Brain is an explanation – never an excuse
·         Repeatedly remind them that they are responsible for their own behavior

Unlike positive information, negative information is processed in the prefrontal cortex – a late developing part of the brain.  Thus, negative information is not learned with as much alacrity as positive information.

Learning gets harder after adolescence.  However, the more you learn, the easier it is to learn the next thing.

Sleep is an important topic for teens, as they are very different from young children or adults in their sleep patterns and need for sleep.  They are “owls”, working later and staying up into the night.  Infants and children are “larks”, waking early and getting to sleep early.  When teens must get up to go to school, they shrink their sleep periods.  The school schedules are usually on the normal adult sleep pattern, not the kid’s natural schedule.   Studies in Minnesota show that moving school start times back to at least 8:40AM increased scores on standard exams and improved overall learning.
Brain pruning takes place during the sleep periods.  Adolescents need more sleep than younger or older people.  You lose long-term potentiation (LTP) when you don’t get awake/rest cycles.  This means you don’t get long-term memories formed and thus learning is impaired.

All-nighters for exams are counterproductive.  You are better off studying all through the term, reviewing the material right before your normal sleep time, and then sleeping normally before an exam.

During sleep, memories are restructured and sorted by emotional importance.  If you miss this, you get less able to recall events.   Sleep deprivation can cause various mental health problems.

Adolescents use a lot of stimulants, legal (energy drinks) and illegal.  They have generally negative consequences for teens.

You should avoid arguing with teens before bed – it can lead to sleep deprivation and impact performance the next day.

Teens often exhibit “suboptimal choice behavior”.  They use criteria for making choices that are flawed or not correctly calculated.  The best predictor for teen behavior is the anticipation of a reward despite the risk of other outcomes.

Moving on, the book talks about addiction.  Addiction is a specialized form of memory; memory of the pleasure of the use of the substance.  Dopamine is the chemical released by pleasurable events, etc. and it is a reward.  Teenagers get addicted faster, have stronger addictions, and rehab fails more often in teens.

Smoking tobacco is obviously physically bad for you.  In a study of Israeli military young men, smokers were shown to have lower IQs than nonsmokers.  But, teens end up smoking as a form of rebelling against authority and as a form of bonding with their peers.  To overcome this, parents should drill teenagers on the consequences of smoking.  Also, all adults around teens should stop smoking themselves.

An unavoidable fact is that parents of teenagers share parenting with all the parents of their kid’s friends.  You need to monitor what is happening when your kids are at their friend’s houses and encourage the other parents in good parenting ways.

If various drugs were tools, alcohol is a sledgehammer.  And this is exacerbated by the fact that teens consistently overestimate the amount others drink.  So, they think they can drink more than they really can.

Adults think:
  • 1.       Youth have immature bodies and brain is not as good at handling the effects of alcohol.
  • 2.       Teens bodies are resilient and they can bounce back faster.

Neither of these is true.  Teens handle the sedative effects of alcohol better than adults.  The teenage brain, however, is devastated by alcohol; damage to cognitive, behavioral, and emotional functioning is common after alcohol consumption.  Long-term potentiation is affected as well.

Adults often think that if they start their kids drinking alcohol at home, they will learn how to use it responsibly.  But, studies show that the more teens drink at home, the more alcohol they consume outside the house.

Pot is not inconsequential, as some believe.  It damages brains because the active ingredient, THC, disrupts the development of neural pathways.  Studies show pot usage lowers IQ.  Teens are more likely to become addicted to pot.  Parents are big in stopping pot – Expectations should be high to avoid pot usage.  Parents should repeatedly tell teenagers to avoid pot usage, and they should regularly talk about it.  And, hard core drugs like heroin are worse and teens are more likely to be badly affected.

Stress is a fact of life, but it is especially bad in teens.  Much of a teenager’s response to the world is driven by emotion instead of reason.  Learning is badly affected by stress.  Parents can mitigate some of this by verbal and physical reassurances during stressful incidents.  Some incidents may be confusing to teenagers.  Make sure they understand what is happening and how it is likely to affect them.  One bit of advice is that you may need to recognize that you aren’t the best listener for your kids – maybe an aunt or uncle, or adult friend is a better person for your kids to talk to at times of stress.

Nobody likes to talk about mental illness, but many mental illnesses start in the teenage years.  Watch for behavior changes that seem to cluster or are associated with other symptoms; they may reflect mental illness.  It is better to be safe than sorry – take your teen to a provider if you have any doubts.  In the internet age, various warning signs like isolation from friends, and preoccupation may be more difficult to detect.  Parents will need to be proactive.  Check their internet activities.  Ask questions about their friends, their activities and how they are feeling.

The internet can be addictive in itself.  There is a new disorder to be studied in the latest DSM 5.0 (the “bible” of mental health): Internet Gaming Disorder.  It isn’t formally a diagnosis, just listed for further study.  Parents should organize no-internet pauses to force teens to do other things.  You will also want to watch for bullying online.

Gender is important in that girls mature at an earlier age.  This leads to them doing better than boys on SATs and other tests in high school.  There is no evidence of cognitive differences except timing of maturation.

The book addresses concussions as having long-term impacts on brain function.  An often missed symptom is confusion after a brain injury.  You need to avoid hits to the head. 

The book talks about how teenagers are going to make mistakes and we need to make it safe for them to do that.  But, sometimes bad decisions are crimes, and the criminal justice system is going to kick in.  The fact that the brain will mature later isn’t much of a defense in court.  But, it is a reason for what happens.

Due to the delayed maturation of the brain, a gap year between high school and college may be very good for the potential student.  If used to get work experience or a year abroad, it can lead to better college outcomes.

Finally, neuroscience is being rapidly developed. This book is not the final word on the adolescent brain.  Keep in touch with the continuing research and applications of neuroscience.

And, be tolerant of misadventures and keep calm as your teenagers are growing up and getting better.  Don’t be shocked when teenagers do something stupid and don’t know why they did it.  Communicate and relate to your teenagers continuously.  Emphasize the positive, and encourage them to try different things.  Learn different things yourself – try using texting to reach them.
Just reading this review is a poor substitute for reading this book.


Citation: Jensen, F., & Nutt, A. (n.d.). The teenage brain: A neuroscientist's survival guide to raising adolescents and young adults. HarperCollins. Library of Congress Catalog QP363.5 .J46 2015 http://www.harpercollins.com/9780062067869/the-teenage-brain .