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Nutrition x Advice

This Is Your Brain On Sugar (And What It Has To Do With Your Mood)

For years now, you’ve been inundated with information about how sugar wrecks your waistline and can damage your heart. But there’s now increasing evidence that sugar can do long-lasting damage to your mental health as well.
There’s no denying that when it comes to sugar intake, Americans are consuming far above the recommended amount. The World Health Organization recommends that a person’s daily consumption of free sugars should amount to less than 10 percent their total energy intake. A reduction to only 5 percent would see additional health benefits. In a typical U.S. diet, however, sugar accounts for 13 percent of daily caloric intake, meaning we consume nearly five times the recommended amount.
That’s high, but there are reasons to believe that it’s actually not as high as it used to be. A September 2016 article by the Associated Press relates that finding out how much sugar we’re actually consuming is tricky, since government data is estimated: “The data and industry trends indicate we’ve actually made progress in cutting back. On average, Americans’ total consumption of caloric sweeteners like refined cane sugar and high-fructose corn syrup is down 15 percent from its peak in 1999, according to government data. That’s when we consumed an average of 111 grams of sugar a day (423 calories).”
Still, there’s no doubt that Americans’ sugar consumption is still excessive. And recently, science has started to prove that sugar adversely affects not only our bodies but our brains as well.

Sugar, you’re always on my mind.

Sugar functions remarkably like drugs on the brain. In a 2015 Chicago Tribune article, neuroscientist Jordan Gaines Lewis breaks down the process: “Repeated access to sugar over time leads to prolonged dopamine signaling, greater excitation of the brain’s reward pathways and a need for even more sugar to activate all of the midbrain dopamine receptors like before. The brain becomes tolerant to sugar—and more is needed to attain the same ‘sugar high.’”
Sugar can also cause depression, fatigue, and brain fog. When you eat a sugar-filled pastry or consume a sugary drink, your blood sugar levels will spike and then plummet. That sharp decline or “crash” can leave you feeling moody and anxious, which may in turn lead you back to sugar in order to cope. What’s more, sugar releases serotonin in the brain, a neurotransmitter that results in improved mood. But constantly activating serotonin can deplete the limited amount you have and lead to depression.
In order to cut down on your sugar intake, start by educating yourself on sugar’s many aliases (“fructose,” “dextrose,” “corn syrup,” etc.) and start reading food labels. Sugar is in so many products these days that it can easily slip into your diet without your notice. Stay away from “diet” soda and other artificial sweeteners as well, since they can give your taste buds what they crave while depriving your body of the calories and nutrition it needs.
The whole point is to save your sugar intake for the deliberate enjoyment of desserts where sugar should be found—cake, ice cream, cookies, and so on, rather than in all the other stuff where it shouldn’t be (cereal, breads, and sauces, to name a few). That way, when you do indulge, you can go for it guilt-free. (And if you’re looking to further reduce your sugar intake when it comes to sweets, see our nearly sugar-free dessert recipes here.)
Consuming sugar should be a conscious choice, not a passive one.

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Food Philosophies Nosh

Intermittent Fasting For Health, Weight Loss, And Beyond

In recent years, more and more people have turned to fasting as a weight loss regimen. At first glance, the idea of going without food, even for a short period of time, can seem to fly in the face of everything we were raised to believe about nutrition. And while it’s true that fasting finds its origins in religion, there’s now compelling evidence that the practice of abstaining from food and drink every other day can actually lead to many health benefits, from a longer life to an improved mood.
Fasting as a spiritual practice has been around for thousands of years. According to the Old Testament, people often abstained from food and drink for long periods of time in order to focus their attention and hear from God. In the Islamic faith, Ramadan is an entire month of fasting commemorating the first revelation of the Qur’an to the prophet Muhammad. Some Buddhists live an ascetic lifestyle, often choosing to skip meals in order to improve meditation and overall health.
Yet recently, fasting has become more widely practiced not just as a spiritual exercise but as a means of pursuing physical health. There’s even a chance that fasting can lower the risk for major illnesses like heart disease and cancer, suggesting that the men and women who’ve made fasting part of their lifestyles for millenia were onto something.

Intermittent fasting is not a diet

The practice of intermittent fasting—that is eating every other day, which is also known as alternate-day fasting—is becoming one of the hottest health and weight-loss trends. There’s a ton of research and writing online surrounding the topic, and it can be hard to know where to start. Is intermittent fasting just another fad, or does it have staying power? Even more importantly, is intermittent fasting something you should consider for yourself?
To understand what intermittent fasting is, it’s first important to understand what it’s not. Intermittent fasting is not just another diet or weight-loss regimen. It’s a pattern of eating, a conscious lifestyle choice. But why would you choose to deprive yourself of food? While eating every other day can contribute to weight loss, studies have shown that the practice actually has many other compelling benefits, such as lowering the risk for major diseases, improving mood and focus, and positively impacting insulin levels.

The Science Behind Intermittent Fasting

So how exactly does intermittent fasting work? While there is a large body of research on the health benefits of intermittent fasting, it’s important to point out that so far, much of it has been conducted on animals, not humans. Nevertheless, the results look promising. In a 2013 article published in the Canadian Medical Association Journal, Mark Mattson, chief of the Laboratory of Neurosciences at the National Institute on Aging, says there are significant biological parallels between fasting and exercise:
“There are several theories about why fasting provides physiological benefits, says Mattson. ‘The one that we’ve studied a lot, and designed experiments to test, is the hypothesis that during the fasting period, cells are under a mild stress,’ he says. ‘And they respond to the stress adaptively by enhancing their ability to cope with stress and, maybe, to resist disease.’”
Mattson goes on to compare the stress put on cells during calorie restriction to the stress put on muscles and the heart when we exercise. Not all stress is negative and regular taxation on these systems—provided there is adequate recovery time—can increase their strength. This is similar to how cells respond during periods of intermittent fasting.
The implication is that, while a certain amount of calories can be good for you, Americans are eating too much. Earlier this year, it was reported that Americans on average consume more than 3,600 calories daily, which is way over the recommended amount, no matter who or how old you are.
But there’s also the fact that we might be eating too often. According to the abstract of another study that Mattson co-authored on the link between meal timing and health and disease, most members of modern societies consume an unusual number of meals a day. Mattson says that three meals a day, plus snacks in between, is abnormal when looking at eating from an evolutionary perspective. What’s more, studies on both animal and human subjects show that restricting energy for as little as 16 hours can counteract disease and improve several health indicators.
Stephen Mount, PhD, an associate professor at the Department of Cell Biology and Molecular Genetics at the University of Maryland, corroborates this fact. “Research in molecular genetics has long supported the idea that caloric restriction leads to longevity, and that these effects are mediated through the insulin signaling pathway,” he says. Mount has been fasting every other day since 2004 after coming across a paper touting the benefits of intermittent calorie restriction.
“Although my own research does not directly involve aging, metabolism, or nutrition, I read widely on related topics, and have followed the work of researchers who do work directly on these topics,” he says. “I’ve followed research on autophagy and stem cell maintenance that has implications for the potential benefits of intermittent fasting.”
Even with this intriguing research, most people will be drawn to intermittent fasting because of the basic weight loss benefits it provides. “For many people, intermittent fasting results in significant weight loss, and it certainly allows people to maintain a weight below their ‘set point,’ so that’s a good reason to recommend it,” Mount says.

Getting Started With Intermittent Fasting

If you’re interested in getting started with intermittent fasting, you should know that there are many different types or methods of fasting that have emerged in recent years. You may have heard of the 5:2 diet, which involves eating “normally” five days a week and then eating only 500 calories for the other two. There’s also the 16:8 diet, according to which you fast for 16 hours a day and eat only within a select eight-hour window.
Of course, it’s important to realize that not every fasting strategy will work the same for every person. On his blog detailing his fasting experiences, Mount explains in an early post the unique schedule that he follows, which is entirely different than the 5:2 or 16:8. “I haven’t changed my practice much, except that I no longer drink a latte on fast days,” he tells HealthyWay. “I still take a bit of cod liver oil in the morning and a glass of wine at night, but otherwise nothing with calories between dinner one day and dinner the next, three days each week, usually Tuesday, Thursday and Saturday, but sometimes a different three days.”
In a more recent blog post, Mount goes into further detail on his current practice. “My fasts have evolved a little over time, but my basic practice has remained the same: three one-day fasts each week,” Mount writes. “I’m flexible (for example, if I’m meeting friends for lunch on Saturday, I’ll fast on Sunday instead). Fasting means no calories between dinner one night and dinner the next night (with minor exceptions…). The fasting period is typically about 23 hours, but I don’t pay attention to precise timing. I eat dinner at the time I would normally eat based on other considerations. There’s a lot of variation (from 19 to 28 hours).”
If you’re interested in trying intermittent fasting for the first time, it’s important to make sure you do it safely, which means you still need to maintain a healthy caloric intake daily. For specific schedules and tips on how to ease yourself into fasting, the folks at Precision Nutrition have some excellent suggestions.
However, don’t get intermittent fasting confused with simply not eating. “During the 13 years I’ve been at it, intermittent fasting has become much more popular,” Mount says, “first with the 5:2 diet, and more recently with people who seem to think that skipping breakfast counts as intermittent fasting.” Mount highlights the fact that intermittent fasting is an intentional practice, not just deciding not to eat.
He also notes that each person has to find an intermittent fasting routine that works for them. “To be honest, I’m not a proselytizer,” he says. “People have to find what works for them. What I like about fasting is that it’s simple. It is so much easier to simply not eat because it’s Thursday than [to] limit yourself to one cookie and not two.”

The Impact of Intermittent Fasting

Different for Men and Women

Most evidence suggests that intermittent fasting has different effects for women than it does for men. “While some women who try IF say it’s the best thing that’s happened to them since grapefruit, others report serious problems, including binge eating, metabolic disruption, lost menstrual periods, and early-onset menopause,” writes Helen Kollias in a Precision Nutrition post on the practice. “This has happened in women as young as their mid-20s.”
Kollias goes into further detail, explaining that intermittent fasting can drastically affect women’s hormone regulation. “It turns out that the hormones regulating key functions like ovulation are incredibly sensitive to your energy intake,” she writes. “Even short-term fasting (say, three days) alters hormonal pulses in some women…There’s even some evidence that missing a single regular meal (while of course not constituting an emergency by itself) can start to put us on alert, perking up our antennae so our bodies are ready to quickly respond to the change in energy intake if it continues.”
Mount says he’s heard a few concerns from women who try intermittent fasting. “The only reasons I can think that intermittent fasting might be different for women are: A) pregnancy—I think fasting during pregnancy might be a bad idea, B) menstrual disorders (missed periods) due to caloric restriction. I have heard this reported by women who have started intermittent fasting. I’ve also heard of this associated with heavy exercise (e.g. marathon training) or extreme weight loss,” he says.
“It’s also true that more women than men have told me that they tried intermittent fasting but could not keep it up,” Mount adds. “That could be due to a different response to fasting.”
When it comes to weight loss, intermittent fasting has shown to be an effective tactic, especially in obese women and in young overweight women. In a study on young overweight women, intermittent energy restriction (IER) was found to be an equivalent alternative to continuous energy restriction (CER) when it came to weight loss and lowering disease risk. The other study showed that intermittent fasting when combined with calorie restriction was “an effective means of reducing body weight, fat mass, and visceral fat mass in obese women.”
The takeaway here is that intermittent fasting can’t be considered the same for everyone, and that women especially should approach the practice with caution. “Considering how much [to fast] remains unclear, I would suggest a conservative approach,” Kollias writes. “If you want to try IF, begin with a gentle protocol, and pay attention to how things are going.”

Successful Intermittent Fasting

If you’re ready to try intermittent fasting and looking for strategies for success, there are a few that the experts recommend:

Do plenty of research.

The data surrounding the benefits of intermittent fasting is plentiful. Spend time doing your own research, and find a routine that you like and works for you. “I can only suppose that what works for me might work for others,” Mount says. “The key is to find something that is compatible with your lifestyle.”

Don’t binge on non-fasting days.

Intermittent fasting is not about “treat days.” The point is not to overindulge on junk food every other day just because you can. If you do, you will counteract all of the good effects of the practice.

Don’t try intermittent fasting if you’re suffering from other health issues.

Fasting can often be incompatible with other health issues, especially if your body needs to be taking in regular calories to fight an illness rather than experiencing caloric restriction.
Additionally, Mount suggests that if you try fasting and experience adverse effects, you should stop. “I think that if someone has given fasting a fair shot (three weeks) and still suffers from extreme fatigue, inability to concentrate, or irritability on fast days, then intermittent fasting is probably not for them,” he says. “My advice for everyone is to find out what works for them!”

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In the Kitchen Nosh

Breaking Down The Buddha Bowl (And Exploring The Benefits Of Healthy One-Dish Meals)

Organic, healthy, one-bowl meals have been in vogue for quite some time. Over the years, they’ve gone by a variety of names: hippie bowls, macro bowls, sunshine bowls, and so on.
But a recent trend taking off on Pinterest has given these one-dish meals a brand new name (and a fresh twist). Known as Buddha bowls, these most recent incarnations contain a filling mixture of roasted or raw vegetables, a variety of greens, healthy grains, and beans. For added texture and flavor, bowls can also contain seasonings, sauces, nuts, and seeds.
Buddha bowls are healthy, tasty options (not to mention easy and quick!) that encourage you to get creative in the kitchen while staying healthy and feeling full.

What’s the Buddha got to do with it?

You might find yourself wondering if there’s a religious connotation associated with this meal. Are they supposed to help you when it comes to meditation? Not really; in fact, the name is a bit of a misnomer. A Buddha bowl is supposed to be so stuffed full of healthy fuel for the body that it resembles the round belly of the Buddha. Except Guatama Buddha, who founded the Buddhist tradition over 2,000 years ago, actually had a more average build. The rotund, smiling Buddha we often see, whose name is Budai Luohan, the Laughing Buddha, was a Chinese monk who lived hundreds of years after Guatama.
But no matter what they’re called, there is no denying that Buddha bowls can be life-changing. They are inherently vegetarian or vegan, but the great thing about them is that they are endlessly customizable. You can add any combination of fruit, vegetables, protein, grains, and greens you want to induce a tastebud explosion.

Keep it authentic.

When reaching for the healthy, tasty meal of your dreams, make sure that it’s actually a Buddha bowl. InStyle provides a helpful breakdown of the core contents that shouldn’t change: “For the uninitiated, [Buddha Bowls are] a meal (often vegetarian or vegan) that typically contains 15 percent lean protein, 25 percent whole grains, 35 percent vegetables, 10 percent sauce, and 30 percent extras, like nuts, seeds, or sprouts.”
Using that basic formula, a true Buddha bowl will contain all the nutrition you need to get you through the day. That’s why they make great meal options, regardless of whether it’s breakfast, lunch, or dinner.
There are literally hundreds of variations of Buddha bowls out there. Of course, any of these recipes can be customized to suit your unique tastes, but here are some great bowls to get you started:

Perfect for Buddha Newbies

If you’re new to Buddha bowls and want a good place to start, try this basic recipe that walks you through each step of building a bowl, from picking your base all the way through to choosing the perfect sauce or other topping.

A Take on Thai

If you like Thai food, try the Thai Tempeh Buddha bowl, which boasts 20 grams of plant-based protein and 16 grams of fiber topped with delicious cashew curry sauce.

Going Southwest (and Spicy)

Are you constantly craving the smoky chili flavor perfected by your favorite burrito joint? If yes, do it yourself with this recipe that uses maple chipotle black beans and chipotle peppers over sweet potatoes and quinoa.

Eating With the Season

For a seasonal twist, check out the Fall Harvest Buddha Bowl with butternut squash, chickpeas, pumpkin seeds, cinnamon, and nutmeg. As if that weren’t mouthwatering enough, it’s topped off with an apple cider cashew dressing.
Whatever your taste, style, or nutritional goals, Buddha bowls make nutritious, scrumptious, easy meals that encourage your creativity and let your taste buds soar. Try one out today!

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Wellbeing

How To Tell When Someone Is Lying (Without Using A Machine)

It’s a scenario familiar to all parents: You put your child down in her crib so you can do the dishes or get some other household chore done. She immediately becomes hysterical. You can hardly focus on the task at hand with all of her crying.
Eventually abandoning your fruitless efforts, you start walking toward her and she puts her arms up, begging to be held. As soon as you give in and scoop her up into your arms, the crying stops. Peering at her cheeks, you notice there isn’t even a hint of tears. Believe it or not, your child just deceived you.
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According to Dan Ribacoff, a private investigator, credibility assessment expert, and polygraph examiner, children learn to deceive their parents when they’re as young as 2 months old. “[Children] learn at a very young age, ‘Hey, I’d rather be in mommy’s warm arms than in this cold bed,’” he says. So they turn on the fake waterworks to get what they need.

Why We Lie

Ribacoff defines deception as anything that might be seen as deliberately misleading: lying, trickery, and even telling “white lies” to make oneself look better. According to Ribacoff, there are three main reasons people lie: “They don’t want to hurt you, they don’t want to look bad, or they want to scam you.”

“In an average 10-minute conversation, a person will lie at least one time.”

For instance, if you ask someone what they think of your new jacket, they might hate it but tell you they like it to spare your feelings. Or someone who wants to look more impressive in front of peers or a romantic prospect might say they are the manager of a business when they’re really just assistant manager.
And then there’s someone like Bernie Madoff, who can create an entire scheme just to defraud others.
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While it might seem like a big jump to go from innocently commenting on someone’s clothing to Bernie Madoff, it’s all part of the same process. “Deception is part of survival,” Ribacoff says, “and that instinct is built in.” In fact, he says that deception is so ingrained in us, “In an average 10-minute conversation, a person will lie at least one time.”
And so finding out whether you’re being lied to becomes a survival mechanism as well. “Everyone needs to know if they’re being told the truth,” Ribacoff says. “You have to protect yourself against being victimized by people that will deceive you.”
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The ability to discern truthfulness keeps you from spending a lot of money on a product that turns out to be a scam or from meeting someone from the internet in person who may be a serial killer. Everyone has human intuition that alerts them if they think someone isn’t being completely honest.

Trust your gut. Or not.

But too often, Ribacoff says, we want to believe the best about people, so we wind up suppressing that intuition. “We have human intuition built into us from caveman days—fight, flight, freeze, or surrender,” he says. “And people wind up killing that [intuition], and that’s how they become victims. They’ll actually turn their own radar systems off.”

“When you give me the truth, your brain is not working very hard, because it’s accessing information that is already there or not there. When you want to lie, your brain must work harder.”

So how can you tell if someone is being dishonest? Ribacoff says that there are physiological changes that happen in your body when you lie. The polygraph machine is an instrument that was created to measure these changes.
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“The polygraph is actually several medical instruments that were put together to detect physiological changes that take place in the human body when a person lies,” Ribacoff says.
“The truth is in your memory. Your memory is like the hard drive in your computer—record found, no record found,” he explains. “When you give me the truth, your brain is not working very hard, because it’s accessing information that is already there or not there. When you want to lie, your brain must work harder. You have to create the lie, usually by accessing information that is already in your brain, and mixing the two: lie and truth. And then you have to express the lie in a way that seems credible.”

Brains and Lies

Ribacoff says that magnetic resonance imaging (MRI) scans show that when someone tells the truth, they use only about seven parts of their brain. But when they lie, they have to use about 15 parts of their brain.

“Your brain really goes into ‘rev the engine’ mode when you lie.”

He compares the experience of watching a polygraph machine work to watching a mechanic check a car engine. “Your brain really goes into ‘rev the engine’ mode when you lie,” he says.
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In fact, the human brain and a car motor are actually quite similar in what they need to operate. Just as an engine needs fuel, oxygen, and cooling to run properly, the brain needs blood, oxygen, and cooling.
“When you lie, you call for more blood, your blood pressure increases, your heart rate [increases], your oxygenation of that blood has to increase,” Ribacoff says. “And your sweat glands have to activate, otherwise your brain will overheat.” These bodily changes, all medical in nature, are how the polygraph does its work. “You can’t feel it, you can’t control it. But we can measure it.”
Obviously, you’re not going to be able to hook everyone you suspect of lying up to a polygraph machine. Even if you could, you wouldn’t want to. The process is tedious. A lot of preparation goes into a polygraph interview, and the test often has to be done three to five times. And although it’s not true that a polygraph machine can be “beat,” it is possible to deceive an inexperienced examiner.

“There’s only one reason to try to beat a polygraph test: You’re lying!”

“There is no way to beat a polygraph instrument,” Ribacoff says. “[But] you can defeat the examiner.” The internet is full of misinformation on how to “beat” a polygraph. “Really, none of it works, because an experienced examiner will see that [the behavior is] not natural,” says Ribacoff, adding, “because there’s only one reason to try to beat a polygraph test: You’re lying!”

Low-Tech Detection

So for someone who doesn’t have a polygraph, how can they detect mistruths in someone they’re talking with? Ribacoff says there are a lot of telltale signs that can give someone away. All of these behaviors are what polygraph examiners look for when interviewing a subject.
To start with, latency, hesitancy, and repeating the question usually means the subject is trying to fabricate their answer. “Repeating the question allows for time to fabricate the lie,” Ribacoff says. “A lot of ‘ums’ and ‘non-ums’ [show] hesitation also.”
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There’s body language clues, like if a person is sweating or shaking or if they cross their arms. That’s usually out of a self-conscious desire to protect themselves. “If someone’s sitting in front of you, they will actually lean back and perhaps stretch their legs out, to try to get maximum distance between you and them,” Ribacoff says. “If I ask you a question, and within five seconds you shift positions in your chair, I’ve made you uncomfortable.”
All of these signs are ways to polygraph with your eyes and ears. Ribacoff adds that someone who’s lying will often either not answer the question or blame someone else. “Touching your nose also means, ‘what I’m telling you stinks,’” Ribacoff says. “These are all ways that humans are programmed. The sensory portion of the brain goes towards the nostrils when you say something that smells like crap.”
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The best way to detect deception, however, is through written or spoken language. Examiners will often ask for written statements and look for the details a person includes or neglects to include. This process is called SCAN – Scientific Content Analysis. Ribacoff told the story of a woman who was accused of causing serious harm to her husband but kept referring to him as “Mr. Smith.” “Who the hell calls their husband ‘Mr. Smith?’” This lack of pronouns, he says, allowed her to dehumanize the situation.
Even with these telltale signs, finding the truth can be complex. For Mary (not her real name), a former judge and arbitrator in the Chicago area, finding the truth in the courtroom was her profession.
In a courtroom, she says, “each side is doing its best to distort the truth in its favor. …This is very unlike the medical scenario, where everyone is trying to find the right answer and working collaboratively to find it… So in the trial arena, the fact finder is always very suspect of anyone who has something to win or lose in the trial.”
For Mary, it was rare to see visual or auditory signs that made it clear someone was lying.
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“Personally, I always found it difficult to just decide that someone was telling a lie by just looking at them and listening to their testimony in a vacuum,” she says.
“A number of court reporters over the years thought that they could make that determination. I never questioned them about their opinions. But I’ve always wondered whether their position in the courtroom was helpful. By that, I mean their actual physical position, because they are in front of the witness and watching them as they transcribe their testimony.”

“People want to confess.”

Mary says that knowing whether she made the right decision over credibility assessments was one of the most difficult aspects of her job. “At the end of the day, it was very hard to say, ‘I got that right,'” she says. “You have to just make your best judgment, and I imagine I got it wrong from time to time. I imagine most people get it wrong from time to time.”
Still, Ribacoff maintains that if you take your time and are patient, you can get to the truth eventually. Guilt is a powerful motivating factor, and people want to share the truth. “People want to confess,” Ribacoff says. “There’s a saying in SCAN: ‘Everybody wants to tell you everything, you just have to be able to get them to tell you.’”

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Wellbeing

Should Cursive Still Be Taught In Schools?

Any school child knows the three “Rs”: reading, writing, and arithmetic. It seems a given that these three skills will always form the backbone of a child’s educational development. Yet for students who graduated from elementary school before 2010, visiting a modern-day classroom may contain some noticeable differences.

In particular, one might notice the absence of cursive, the style of penmanship marked by conjoined letters. The adoption of the Common Core State Standards (CCS), a set of benchmarks in math and English designed for kindergarten through twelfth grade, has set off a debate over handwriting and cursive and when—or even if—such skills should still be taught.

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“The Common Core State Standards were developed through a state-led effort in 2009 and 2010 and published in June 2010,” says Olympia Meola, press secretary for the Council of Chief State School Officers, an organization that co-sponsored the standards.

“Since then, states have voluntarily chosen to adopt the Common Core, or chosen to develop other standards that prepare students for college and careers. There is not a standard specific to cursive writing in the Common Core; instead, these standards give schools and teachers the flexibility to teach cursive writing in the classroom. States also have the flexibility to adopt standards above and beyond the Common Core State Standards.”

To date, 42 of the 50 U.S. states have adopted the CCS, but only 14 have passed laws requiring cursive proficiency. Everyone from local, state, and federal officials to educators, psychologists, and scientists are sharply divided on the issue. Cursive’s defenders say it’s a valuable skill and can aid in word proficiency; its detractors call it a waste of time and want more relevant skill building, like keyboarding.

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Steve Graham, Warner professor at Arizona State University’s School of Education, says that the benefits of handwriting can be boiled down to a few essential elements. “There’s different styles of handwriting: there’s manuscript, which is a stick and ball; there’s cursive, which has joined letters; and there’s italics,” he says.

“There’s other forms as well, but the two that have dominated this country are manuscript and cursive.” Graham says that in looking at these two forms of script and considering their benefits, it’s helpful to think in terms of reader and writer effects.

There’s evidence that suggests if your handwriting is less legible, then people form negative opinions about what you’re saying.

“By reader effects, what you’re really talking about in terms of handwriting … is if it’s hard to read what’s written because the handwriting is not legible or less legible, then that influences the reader. And second, there’s evidence that suggests if your handwriting is less legible, then people form negative opinions about what you’re saying.”

Knowing this, Graham says, the question becomes which is more legible: cursive or manuscript? “If you ask a person on the street, usually they’ll say manuscript,” he says. “But the reality is that there’s not much real difference in terms of legibility, if you have an equal amount of practice in both.”

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In terms of writer effects, Graham says the thing to look at is automaticity. “The more automatic you are, usually the more fluent you are,” he says. “If you’re writing something by hand or you’re typing it, and your ideas are coming really fast but you’re not such a good typist or you’re not really quick with handwriting, then ideas might slip away out of your working memory as you’re trying to write them down.”

Graham points out this is something that happens to all writers, no matter how efficient they are. But it highlights the fact that someone’s dexterity with handwriting can interfere with other processes, like content generation.

Do we need to teach two forms of handwriting, or should we just teach one?

“So the question [now] is, which is faster: cursive, or manuscript?” Graham says. “If you ask the typical person on the street, the answer you’ll get is, ‘cursive’s faster.’ But when you actually look at the data, as long as there’s an equal amount of practice, then there’s not much difference. You might get a little edge for cursive for the speed issue, and for the legibility issue, you get a little bit of an edge for manuscript. …So, the question becomes: Do we need to teach two forms of handwriting, or should we just teach one? My opinion on this, given that’s such a crowded curriculum, is we should teach one.”

Graham’s assertion is that people are overreacting over the loss of cursive. “I think too much has been made of this issue,” he says.

In Arizona, you have state legislators passing a law that you have to teach cursive handwriting.

“In Arizona, you have state legislators passing a law that you have to teach cursive handwriting. Come on, give me a break—they don’t have anything better to do, that they need to be legislating what teachers teach in terms of … handwriting? I think this is one of these things [where] we assume we’re losing something, and I’m not exactly sure what we’re losing by teaching one versus teaching two, as long as we teach one well.”

Yet Virginia Berninger, an experimental and licensed clinical psychologist and professor emerita at the University of Washington, says that the loss of cursive puts students at a real disadvantage, particularly those with learning disab
ilities. Berninger has been involved in a number of studies that she says show the unique benefits of cursive on understanding letter formation.

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For instance, a longitudinal study showed that when comparing manuscript, cursive, and keyboarding from students from grades four to seven, “It was the cursive that was uniquely contributing to [children’s] spelling and to their composing quality,” she says.

“We think that’s because with cursive, there are connecting strokes that link the letters, and we think that helps with creating those word units representing what you need for spelling.” Since cursive was originally invented to speed up writing, being able to write faster may have given students a composing advantage.

Berninger goes on to say that for students with learning disabilities in reading and writing, the physical act of handwriting is often beneficial. “What we’ve learned in our research in the last six years, is that even if a learning disability involves reading, like pronouncing words or reading comprehension, it still has writing problems associated with it,” she says.

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This correlation between reading and writing in learning disabled children has largely been ignored. “Dyslexia is not just a reading disability,” she says. “In addition to word reading, the more persistent problems … are spelling problems. That can affect [a child’s] composing.”

Berninger’s recommendation then, contrary to Graham’s, is that children should be taught to be hybrid writers. “You teach manuscript first for two years, and then you teach them the cursive,” she says.

In due time, cursive will help with spelling and composing.

Teaching manuscript alone has its own benefits. “Teaching printing, we found in several studies, transfers to improving your word reading. We think because the production of the letters enhances perception of the letters. So that helps with reading, and in due time, cursive will help with spelling and composing.”

Berninger says it doesn’t even take that much to teach a student good handwriting. “People say, ‘With everything else we have to do, how can we possibly find time to teach handwriting?’ Well actually, it only takes five or 10 minutes a day, or even three times a week, and you really can accomplish a lot,” she says.

In other fields, like medicine and law, you do have members of the community that more actively participate in making the standards. For whatever reason, we have not accorded that privilege to the teachers.

Part of the issue for Berninger is that the Common Core standards are not written by actual educators. “We have people who are legislators, government regulars, educational policy people … they’re the ones that are writing these standards,” she says.

“Rarely if ever have they been classroom teachers, actually working with kids. We do think this is a critical issue—we’re not getting enough of the voice of the classroom teacher into making these standards and policies. In other fields, like medicine and law, you do have members of the community that more actively participate in making the standards. For whatever reason, we have not accorded that privilege to the teachers.”

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One area in which Graham and Berninger agree is that there needs to be more keyboarding taught in the classroom. “It’s a changing world in terms of how we compose,” Graham says. “If you’re not at school, most composing isn’t done by hand now, it’s done digitally, or by spoken word when you speak into your phone.”

But Berninger says that in her research, she found that students don’t usually start to see benefits from keyboarding until they get to seventh grade.

This idea that we just need to use the technology, we don’t need our ‘old fashioned’ tools, it’s a mindset that we need to be a bit more cautious about in general.

She believes this might be because handwriting uses only one hand, but keyboarding uses both. Developmentally, right brain/left brain myelination doesn’t mature until early adolescence. It could also be due to the fact that keyboarding skills are neglected in the classroom. “Schools in general are not teaching kids to use the computers, the keyboarding part,” she says. “And so it may just be there hasn’t been as much instruction.”

Still, Berninger doesn’t believe that typing should ever replace handwriting. “Every problem we’re going to solve, we’re going to create technology for it,” she says. “So this idea that we just need to use the technology, we don’t need our ‘old fashioned’ tools, it’s a mindset that we need to be a bit more cautious about in general. That’s led to the dismissal of the importance of handwriting.”

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But Graham says the real problem is a myopic focus on handwriting as just one of many skills students need to be good writers. He says that out of 20 or so interviews he does a year on the subject of
writing, eight out of 10 of those focus on handwriting alone. Only two are about writing more generally.

“That’s an odd balance, to be honest,” he says. “Handwriting is one of many skills that one needs to master to become a skilled writer. Students don’t write very well, and we don’t do a very good job of teaching it in schools. But we seem to be maniacally focused on handwriting.” He adds, “I don’t want to take away anything from handwriting, but it seems out of balance.”

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Motherhood

Designer Babies And The Ethics Of Embryo Editing

It feels like something out of a science fiction novel: parents lining up at fertility clinics, selecting from a menu of specific traits they want their children and grandchildren to embody.
They pick and choose body types, hair and eye colors, bone strength, and muscle density. If they want their child to fare well in middle school, they might even decide to make them smarter and not have any body odor.
We’re still a long way off from the ability to design children on demand, but some of this may be reality one day. Recent technological advances have made it possible for scientists to eradicate gene mutations at the embryo stage.
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A study published in the journal Nature sent waves through the medical community when it was released in August 2017. It was the first successful large-scale experiment of germline editing we’ve seen yet.
Germline editing refers to tampering with DNA at the sperm, egg, or embryo stage of reproduction. Germline editing is a highly controversial technique, and its potential ramifications have drawn battle lines across social, political, and scientific divides.
Paula Amato, MD, a reproductive endocrinologist and associate professor of obstetrics and gynecology at Oregon Health & Science University (OHSU), was one of several co-authors on the groundbreaking Nature study.

The idea here was to see if we could correct that gene mutation in a human embryo such that you would stop transmission of the disease.

“The goal of the study was to see if we could correct a disease-causing gene mutation in human embryos, with the ultimate goal of preventing transmission of that disease to a future child and future generations,” Amato says.
People who have gene mutations in their DNA are at risk for passing those mutations on not only to their children but to future generations as well. “The idea here was to see if we could correct that gene mutation in a human embryo such that you would stop transmission of the disease. So the child would be healthy … and not at risk for passing [the disease] on to their future children.”
Amato’s role was on the clinical side of the experiment. She found egg donors for the more than 300 eggs it took to conduct the study and create the embryos.
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The OHSU team recruited a man with a genetic disease called hypertrophic cardiomyopathy, a condition that causes the heart’s muscle cells to enlarge, thickening the ventricle’s walls. “He had one mutated copy of this gene, MYD-PC3,” Amato says.
“Then we recruited healthy egg donors that didn’t have this gene mutation, created embryos, and introduced CRISPR into the embryo to ‘cut’ the DNA.” CRISPR is a technology that Amato describes as a molecular “scissors.”
“It kind of makes cuts in the DNA,” she says. “Then [we] replaced the abnormal gene with a corrected gene.”
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Typically, when CRISPR is used, a corrected copy of the mutated gene is provided, and it’s this copy that the DNA uses to correct itself. However, this time something different happened. “In this case, we found that the embryo didn’t use the donor DNA or the foreign template DNA that we provided,” Amato says.
“It seemed to use … the normal copy of the gene that came from the egg to correct itself.” At the end of the experiment, 72 percent of the embryos in the study contained two normal copies of the formerly mutated gene. “That’s a much higher efficiency than we would have expected,” Amato observes.

Anybody who carries a genetic disease could access this technology and prevent that disease in their children.

She adds that some of the normal issues usually reported with using CRISPR weren’t in evidence. While similar studies on germline editing have been done in China, it’s never been done on this scale, and it’s never been done with healthy, mature eggs. It was also the most successful so far. “We corrected the gene with the highest efficiency compared to the previous studies,” Amato says.
The technological advances in this field are very preliminary and nowhere near ready for clinical use, but if it’s ever deemed safe, the potential benefit could have dramatic ramifications.
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“Anybody who carries a genetic disease could access this technology and prevent that disease in their children,” Amato says. “And not just in their children, but in future generations. There’s literally thousands of genetic diseases that this theoretically could work for.”
As for the many social and ethical questions using such technology raises, Amato says there’s not much room for concern—yet.
“People worry about misusing the technology for things other than preventing serious disease,” she says. “There are fears about using it for enhancement-type purposes, like if you could use it to create a more intelligent [person], stronger [person], a taller [person]… We think that those concerns, at least at this point, are more theoretical, because we don’t know the genes that cause a lot of the traits that some people would want to enhance.”

Any time you have a new technology, whether it’s a medical innovation such as this, or computer technology or military technology, whatever it is, I think there’s always the risk of misuse.

The process would be much more complicated, since rather than a singular gene, enhancements would most likely mean editing a combination of genes, so it would not be so easy to do.
Amato says it’s good to question the downsides, as with any new technology. But she feels that the potential benefits of CRISPR far outweigh the risks. “Any time you have a new technology, whether it’s a medical innovation such as this, or computer technology or military technology, whatever it is, I think there’s always the risk of misuse,” she says.
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“The people working in this area [of study] are compelled by the potential benefits. We think there’s compelling reason to use it, because the benefit would be that you could prevent serious diseases in tens of thousands, potentially millions of people… To me, that’s not that different from any other type of preventive medicine that we practice… So it’s still worth pursuing.”
That’s a statement that Marcy Darnovsky, PhD, executive director of the Center for Genetics and Society, couldn’t disagree with more. The Center, a non-profit public interest organization based in Berkeley, California, has been tracking the social, political, and ethical dimensions of human biotechnologies for 15 years.
“This concern about using human genetic technologies to modify the genes and the traits that we pass on to children and future generations is really at the center of our concern,” Darnovsky says.

To me, it sounded like openly proposing that we revisit eugenics.

The Center was formed after an earlier wave of advocacy for germline modifications around the end of the 20th century—events like the cloning of Dolly the Sheep and the mapping of the human genome. Darnovsky, who was teaching at a university at the time, says that reading several scientists’ recommendations about genetic modifications made her jaw drop to the floor.
“To me, it sounded like openly proposing that we revisit eugenics,” she says. “Perhaps because I grew up in the shadow of the Holocaust, hearing about it as American Jews trying to come to grips with how that could have happened, and what it meant, and what was underneath and behind it, to me, it appeared right away that that was the risk of using genetic technologies in that way—to control what kind of people are going to be with us and what traits count as worthy and superior.”
According to Darnovsky, advances such as CRISPR, which makes gene editing more accurate and easier to use, are playing with fire. She contends that the medical argument for using it is dubious.

The FDA is only allowed to consider safety and efficacy. They’re not allowed to consider, by mandate, social questions like social justice or human rights.

For one, there’s very little regulation from the U.S. Food and Drug Administration (FDA) over matters like this. “The FDA is only allowed to consider safety and efficacy. They’re not allowed to consider, by mandate, social questions like social justice or human rights.” Second, tremendous commercial pressure from the fertility industry could lead to misuse of such technologies to generate revenue. And third, germline editing is technically not even necessary.
Darnovsky points out that there are already ways to avoid passing on genetic diseases to one’s children while still having a child that is genetically related to the parent. The process is embryo screening and selection.
These techniques, Darnovsky says, “themselves raise some questions about ethical appropriateness, but are far less powerful and therefore, far less socially fraught than trying to genetically engineer traits into future children,” she says.
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George Church, a molecular engineer and professor of genetics at Harvard Medical School, has been at the forefront of the debate over CRISPR and other gene editing technologies for years. He says that in some ways, we already use enhancements on our offspring without realizing it.
“Humans are already greatly enhanced relative to our ancestors (for example, accelerating to and surviving in the cold vacuum of space),” he says. “We already ‘enhance’ the biology of subsequent generations without their consent (e.g., education, etc.)”
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Like Amato, Church believes that the potential misuses of technology should be considered, but says that concerns over enhancing our genes in an effort to move the human race forward shouldn’t slow the benefits.
“It seems unlikely that there exists a human ‘superior’ in all categories, just as there is no means of transportation that is superior in all ways,” he says.

Gray areas are common for many technologies, and can be regulated.

Church adds, “If we are concerned about humans that are ‘superior’ in some narrow category, like an Olympic sport or memorizing books, then we already have such people, without grave consequences. We could and should worry about fads, distorting commercial advertisements, monocultures and other unexpected long-term consequences, but these worries and discussions should lead to innovative preventions of negative consequences without stopping the positive impact. Gray areas are common for many technologies and can be regulated (e.g., speed limits and age limits).”
Yet Darnovsky argues that even the perception of biological superiority is enough to exacerbate social inequality and discrimination.
“What is racism if not a perception of one group being biologically superior than another, based on a particular genotype?” she says. And there’s a larger question: Are we sure we want to eradicate all human disease? Not every mutation is detrimental, but even the ones that are perceived as such might one day lead to less diversity.

If we find genes correlated with autism, are we eliminating people who are actually just part of normal human variation? I think that question’s worth asking.

“I think it’s worth thinking about: Do we want to eradicate all congenital deafness?” Darnovsky asks.
“Do we want to eradicate so much Down syndrome that people who are going to have Down syndrome babies anyway have no social supports? If we find genes correlated with autism, are we eliminating people who are actually just part of normal human variation? I think that question’s worth asking.”

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Lifestyle

Spa Employees Dish The Secrets Of The Industry We All Wanted To Know

For most people, a day at the spa means a dip in a whirlpool or aromatherapy bath, a body scrub, or a relaxing therapeutic massage with a facial and chemical peel. But for the employees ensuring your absolute comfort and enjoyment during your stay, your day of relaxation at the spa is just another day at work.

“It’s a very taxing, physical job.”

And there’s a lot of employees out there as the industry is inarguably on the rise. As of May 2012, the United States had over 77 million square feet of land area devoted to spas. As of May 2015, it was estimated that there were nearly 360,000 employees working in U.S. spas nationwide. Nearly half of them were part-time workers. From 2008 to 2016, the spa industry saw a revenue increase of $4 billion in the U.S. alone.

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This increased interest in spas and the wellness industry is not just an American trend, and it can be attributed to any number of factors.

“I think people are really starting to realize the benefits of spa treatments beyond the purely aesthetic.”

Abi Wright, co-founder and managing director of Spabreaks.com, an online spa booking agency based in the UK, says people are starting to go to spas for more than just aesthetic reasons.
“I think people are really starting to realize the benefits of spa treatments beyond the purely aesthetic,” she says. “One of the big trends we’re seeing in spas is the phasing out of 25 minute treatments in favor of 55 minute treatments as standard within packages.”
Wright continues, “People and spas alike are realizing the value in investing in a longer treatment, whether it’s a face or body treatment for both physical and psychological wellbeing, and it’s wonderful to see the industry recognized increasingly in the UK for its core function.”

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This important role—increasing someone’s physical and psychological wellbeing—requires a staff to carry out. Spas are never self-service, and a massage without a massage therapist sort of defeats the purpose. So what is it like taking care of other people’s physical and psychological needs day in and day out? We decided to find out.
For this article, we spoke with three industry “insiders” to get the skinny on what it’s like to work in the spa, beauty, and wellness industry. Our three subjects—Scott McKinley, a licensed massage therapist at Riviera Spa in Dallas, Texas; Rebecca Cedilos, an esthetician and makeup artist who has been self-employed for the past five years; and “Kathleen,” a front desk associate at an East Coast Message Envy location (who asked that her real name not be used)—all dished on the behind-the-scenes secrets of spa life you might not have known.
Here’s what we learned:

1. Choosing the right spa can be difficult.

Choosing the right spa for you can be a dizzying experience. There are many different kinds out there, and they all offer something different.
As a front desk associate for Massage Envy, Kathleen works for the largest massage chain in the country. Massage Envy boasts 1.65 million members in 49 states nationwide, with 1,170 franchised locations.

“You can of course find very talented people working in chain spas, but they may not be there the next time the customer visits.”

Kathleen describes Massage Envy as a “bare bones” operation, offering therapeutic massage and some other basic treatments like chemical peels. “Massage Envy is focused on the bare bones, like if you have a crick in your neck and need it removed,” she says. “Other places emphasize frills they might have.”

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One of the benefits of offering less fancy treatments, she points out, is that prices are often lower than at private spas. For instance, Massage Envy charges about 50 percent less for chemical peels than many other spas.
But McKinley says it can be difficult for chains like Massage Envy to keep its clients. “Massage Envy and other chains like that are often unpredictable due to turnover of therapists because of low pay and long work days. High-end spas typically have better commissions but can sometimes be slow, and might be difficult to build a steady clientele.”
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Cedilos says, “I’ve never worked for a chain spa, but I imagine that the chains cannot offer as many choices to the guests, and products are possibly not as high quality. From what I’ve seen, it’s a ‘you get what you pay for’ scenario.”
The other difference is that those in chains are usually starting out. “You’ll usually find people who are new to the industry working for chain spas,” Cedilos claims. “You can of course find very talented people working in chain spas, but they may not be there the next time the customer visits.”

2. It’s a very personal industry—and people rarely tip enough.

Kathleen points out that the nature of the industry is a very personal one. The entire premise is based around partially exposing yourself to complete strangers so that they can work on your body physically.
“It’s a very intimate business,” she says. “People are sharing energies, physical touch, and so on.” Because of this, people often think that what they tip at restaurants and in other service industries is acceptable to tip a massage therapist. But this just isn’t the case. “What you tip in a restaurant is not good for therapy…for someone who can do something that can hurt you,” she says.

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And the therapists don’t always escape unscathed, either. “I’ve seen [therapists] walking around with arm braces after working the entire day. It’s a very taxing, physical job.”
Because of this, Kathleen says, “The appropriate tip range is 15-30 percent of a non-member rate. In actual terms, that’s between $20-$35. If someone’s really strapped for cash, $15 is acceptable too.”

3. Not all treatments are for everyone.

Everyone has their favorite treatments when they go to the spa, and this includes the employees as well. Not every treatment is going to be a good fit for everyone.
For instance, Cedilos shares that her favorite treatment is “a full body scrub in a vichy shower, followed by a body wrap with a mini facial given while wrapped in cozy warmth.” That might be someone else’s idea of an awful time.

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She adds that while fads and the latest “trends” in the industry are something to be aware of, they aren’t necessarily all bad. “I think with fads, they are usually the same treatments already done but with a fresh new name or new focus on a particular ingredient or product used…as long as an unrealistic outcome isn’t promised, most treatments are good.”
For his part, given the choice of all the cutting edge spa technology, McKinley prefers to keep it simple. “I typically prefer just good old therapeutic massage,” he says.
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For her part, Kathleen says, “I don’t like chemical peels. You’re putting chemicals directly on your skin. I don’t see the point of that. But to each their own.” Her preference is for microdermabrasion. “It’s the only thing I’d spend more money on, because it works for me,” she says.

4. It’s a very image-driven industry.

There are other, hidden aspects of the industry as well. “It’s a very female-driven industry,” Kathleen says. “There’s lots of women serving you. To be a guy in the industry, you have to be good looking, which is unfortunate.”

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Kathleen says that she has seen female clients refuse to work with therapists that don’t fit a certain attractiveness threshold (seriously). If someone doesn’t fit the model of what a male therapist should look like, a client might refuse to go with them. “Anyone who comes in and goes with a male [therapist], people will notice [how they look].”

5. The service provider matters.

Like any other employee at any company, most spa employees are usually there because they believe in the work they do.

“I believe in massage therapy and what it entails.”

Kathleen has a family member who is a massage therapist, and so she grew up believing the benefits of treatment. “I believe in massage therapy and what it entails,” she says.
According to Cedilos, this passion, as well as the experience and talent of the service provider, matters. “Not counting medical esthetics, which includes things like Botox and fillers, I think that the quality of the treatment and outcome depends entirely on the talent of the service provider,” she says.

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“You can have fabulous products and amenities but if your service provider doesn’t communicate with you, or doesn’t follow or understand protocols and contraindications, it can be a mess.”

6. It gets awkward.

Even with such a female-driven industry, the clientele is actually “a good mix” of women and men, Kathleen says. “A lot of the male clients prefer female [therapists],” she says, and the most awkward part of her job is having to explain over the phone that they’re not that kind of massage parlor.
When a male client calls in, “They don’t understand what a massage is…that it’s almost like physical therapy,” she says. “They think they’re going to get a happy ending, which is not what we do. I have to educate about that on a weekly basis.”

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Cedilos has had a few close calls as well, though not of a sexual nature. Hers are mostly negative reactions to treatments. “I have had a few clients not disclose important things like allergies, or that they just had skin sensitizing treatments done somewhere else right before coming to see me,” she says.
“That is never good because you end up with reactions, physical and emotional, that you weren’t expecting. Then the service turns into a quick recovery treatment that isn’t what they came in for, but you have to ‘fix’ it quickly. You never want someone with a swollen face leaving the spa!”

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Wellbeing

Twisted Logic: The Complicated Debate About Chiropractors

Do you want to be a part of your health care, or not?

On his DVD stand-up show Dress to Kill, British comedian Eddie Izzard has a great routine in which he discusses going to a chiropractor in New York.
“They crack your bones, that’s what they do,” Izzard says of the specialists. “In the end, you trust them, you just trust them. They could have their fingers in your nostrils, one foot on the back of your underpants, and they’re pushing your spine away with a broom…’What’s this one all about?'” Izzard, pretending to be the hapless patient, says as he demonstrates the position to the guffawing audience.

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His imagined chiropractor responds, “I have no idea.” Izzard then releases his “patient,” grimacing as he lands on a far-off target as if he were an arrow shot from a bow. “Wherever he falls, there shall he be buried,” Izzard deadpans. It’s a hilarious routine, but it also reveals a lot of the fear and misunderstanding that still surrounds chiropractors. Even to this day, people mostly think that all chiropractors do is “crack your bones.”

It is not based on neurology, anatomy, and physiology; it’s based on a myth.

But the reality of chiropractic—the noun form for the kind of pain relief and healing that chiropractors study—is, for better or worse, much more complicated. “I think at one time, there was a lot of misinformation [about chiropractors] for various reasons,” says Scott Bautch, a doctor of chiropractic and president of the American Chiropractic Association’s Council on Occupational Health. “One reason was largely word of mouth: if you have a good experience, you tell one person, but if you have a bad experience, you tell a room of people.”
Bautch, who has been practicing at his current location since 1985, believes some of the uneasiness about chiropractors in the public consciousness is starting to fade.

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“The public in general is starting to demand active engagement in their health care—how people are paying for it, how they’re thinking about it…they’re taking more control,” he says. “Seventy percent of Americans want a drug-free option for pain relief, and we’re the largest drug-free profession.”

A Brief History of Chiropractic

“Chiropractic” is a late 19th-century word combining the Greek words chiro (hand) and praktikos (practical), meaning “do.” It’s a form of alternative, or complementary, medicine based on the diagnosis and manipulative treatment of the joints and spine to address musculoskeletal pain. Most patients see chiropractors for head, neck, and back pain, although some go for other reasons as well.

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Daniel David Palmer (via Wikipedia)

Bautch touts the profession’s holistic approach to pain relief. “If you go in a medical direction [for pain], most of what you get is care for the symptom,” he says. “Medical doctors don’t have much training to diagnose other [problems].” A chiropractor, on the other hand, is “not treating the effect, but the cause. For instance, if a patient has back pain, we address how do you sit properly, how do you eat properly? So [doctors] can treat the pain only, but how can you prevent the pain from being ongoing?”
As a profession, chiropractic has had an uphill battle in earning its legitimacy in the eyes of the world. For most of its existence, the practice has been viewed with suspicion. It doesn’t help that its founder, Daniel David Palmer, viewed chiropractic as a religion he “received from the other world.” He regularly engaged in séances to connect with long-dead doctor Jim Atkinson—in his posthumously released book The Chiropractor, Palmer wrote, “The method by which I obtained an explanation of certain physical phenomena, from an intelligence in the spiritual world, is known in biblical language as inspiration.”
In a 1911 letter comparing himself to Mary Baker Eddy, the founder of Christian Science, he said: “I occupy in chiropractic a similar position as did Mrs. Eddy in Christian Science. Mrs. Eddy claimed to receive her ideas from the other world and so do I. She founded theron a religioin (sic), so may I. I am THE ONLY ONE IN CHIROPRACTIC WHO CAN DO SO.”
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Chiro.org

This stigma of chiropractic as hokum followed practitioners of it for decades. In the 1960s, the American Medical Association created a Committee on Quackery specifically to stop the spread of the profession. In 1966, a policy passed by the AMA House of Delegates stated, “It is the position of the medical profession that chiropractic is an unscientific cult whose practitioners lack the necessary training and background to diagnose and treat human disease.” This and other policies did much to delegitimize chiropractors in the public sphere.
Some speculated that the AMA was trying to eliminate economic competition from chiropractors. Whatever their motive, as recently as 1987, a suit brought against the association ruled they were in violation of antitrust laws. They were ordered to cease and desist in their efforts to block the advancement of chiropractic.
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Wallace Kirkland/LIFE

Since then, the profession has enjoyed a steady increase in patients now willing to embrace the once-taboo practice. The fact that chiropractors don’t prescribe medication is a particularly salient reason Dr. Bautch believes the practice is gaining popularity. “[Americans] are 5% of the world’s population, and we’re on 80% of the world’s painkillers,” he says. Nervousness about the opioid crisis and other addiction fears have spurred people on to other solutions.
“Chiropractic is going to be the drug-free approach to pain relief, and your chiropractor is going to want you to be a participant in your health care, rather than a passive member,” Bautch says.

Does it work?

One major adherent of chiropractic is Janet Juounie, a patient of Dr. Bautch’s. But she had to be converted.
“[Dr. Bautch] caused more arguments in our married life than I care to mention,” Juounie says. After growing up in a household where her father openly ridiculed the practice, Juounie was horrified when her husband started going to see Bautch. He went for 10-15 years, and “every time a bill came and he went to pay it, I’d ask him, ‘Why do you go to this quack?’” But when Juounie started getting excruciating pain in her legs—“Like having six or seven Charlie horses all at the same time,”—her husband persuaded her to go to the chiropractor before getting surgery.

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“I went in, and [Dr. Bautch] had me lie on my back, and he put tape on my legs in the shape of a Y,” she says. “I thought, ‘Wow, he’s really a quack. He’s crazy.’” But when he had her get up and walk, there was almost no pain. “I didn’t believe it,” she says.
Now, at 71, Juounie says she can do things like cross her legs and walk to the end of the driveway without stopping— things she hasn’t been able to do in 20 years. She goes to see Dr. Bautch three times a week and says she adores him even more than her husband does. “I would never believe I’d suggest going to a chiropractor,” she says. “I swear by them.”
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For his part, Bautch says he’s seen plenty of patients like Juounie come and go. “A typical case for me is a patient who’s had 2-3 episodes of pain, but they’ve held off coming in because they didn’t understand [chiropractic].” In all that time, he says, “I’ve never had someone say, ‘I wish I’d waited’… they always say, ‘I wish I’d come sooner.’”

There’s ongoing skepticism.

If Juounie’s testimony is enough to persuade you to make a chiropractor appointment, not so fast, says Dr. Harriet Hall. As the “The SkepDoc,” Hall, a retired family physician and former Air Force flight surgeon, has devoted herself to exposing the truths behind complementary and alternative medicine and quackery.

Chiropractors don’t do anything a good physical therapist can’t do without any quackery.

“Of course [chiropractic] is popular,” Hall says. “People get better without treatment. If they have seen a chiropractor, they give him the credit. They can go to a chiropractor immediately rather than waiting for a doctor’s appointment. And the culture presents chiropractic as the best way to treat back pain.”
For Hall, part of the problem is that most medical doctors don’t really understand what chiropractic is. “Science-based doctors who understand it, like Edzard Ernst, are very critical of chiropractic,” she says.

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via Alchetron

Ernst is a Emeritus Professor at the University of Exeter, the editor in chief of two medical journals, and a medical doctor with training in acupuncture, homeopathy, herbalism, spinal manipulation and more. For 25 years, he has focused his research on “the critical evaluation of all aspects of alternative medicine.” He regularly writes about alternative medicine, including chiropractic, on his blog; he concluded a July 2017 rebuttal to a chiropractor by saying, “‘Dr’ Braccio is using very tired pseudo-arguments which have all been addressed and invalidated hundreds of times. My advice to him: book yourself urgently on a course of critical thinking.”
Like Ernst, most science-based doctors are decidedly not fans of chiropractic. In her own series of lectures on YouTube, Hall devotes over 35 minutes to deconstructing chiropractic. “Chiropractors are not medical doctors,” she says. “They can say they’re doctors, because they hold the DC degree—Doctor of Chiropractic…some people don’t even know there’s a difference. They think chiropractors are just M.D.s that specialize in the back. Most customers go to chiropractors for treatment of back pain, but some people go to chiropractors for all their health needs and health maintenance and prevention. That’s a mistake.”
Hall calls chiropractic a “pre-scientific belief system,” and says “It is not based on neurology, anatomy, and physiology; it’s based on a myth…the myth of the so-called ‘chiropractic subluxation.’…Subluxation is the idea that displacement of bones is the root of all disease.”

Book yourself urgently on a course of critical thinking.

Hall herself isn’t against all practice of chiropractic. “I don’t tell patients not to see a chiropractor, but I give advice on how to choose one who is less likely to be a quack,” she says. “If a chiropractor offers to provide short-term treatment of musculoskeletal problems, he may not be a quack. If he offers to ‘adjust your subluxations’ or offers quack treatments and quack diagnostic tests like applied kinesiology [he may be].”
Hall concludes, “Chiropractors don’t do anything a good physical therapist can’t do without any quackery.”

The choice is yours.

Whatever your perceptions of chiropractic, if you’re planning to go to one, do your research. Talk to other patients, your medical doctor, and a chiropractor or two before beginning treatment.

HealthyWay
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To hear Bautch tell it, though, chiropractors will only continue to gain popularity. Since 1985, he says he hasn’t grown his patient base by advertising. It’s all been through positive word of mouth. And that word of mouth, he says, is due to people asking, “Do you want to be a part of your health care, or not?”
“The passive approach [to pain care] has proved to be a great failure,” he says. As a society, we “don’t engage people along with the pain habits.” But ultimately, whether or not you go to a chiropractor is up to you. “You have to look at what your health belief system is,” he says. “Do you understand we can relieve your pain? Do you think we’ll only hurt your back? [Or] do you want to minimize the risk of getting pain under control?”