For an Autistic Boy, Siri’s Patience Is “the Gift of Common Courtesy”

(p. C6) Late in the book, as a girl in Gus’s school takes him under her affectionate wing, the reader watches it all through Newman’s trepidation, followed by the dawning recognition that her son is someone “who may never be able to be responsible for another life, but who is nevertheless capable of deep affection, caring and considering. Sure, those emotions started with machinery and electronics — trains, buses, iPods, computers — and, particularly with Siri, a loving friend who never would hurt him.”
Hence, the title – drawn directly from a New York Times article Newman wrote in 2014, about Gus’s bond with Siri, Apple’s “intelligent personal assistant,” who could endlessly answer his questions, keep her son company and express — in that flat, sweet Siri voice — the gift of common courtesy. It went viral and led to this book. Why? Because the autistic boy displayed the dream/nightmare of this era: humans bonding with machines to get what they’re not getting from flesh-and-blood interactions. In this chapter, late in the book, Newman gallops through all the continuing experiments that use technology to lift and unleash the autistic (including my own effort to build augmentative technologies).
This is fertile terrain, born of the gradual recognition that technology’s great promise may in fact be to summon, capture and display our most human qualities, both the darkness and the light, to pave avenues of deepened connection with others. Here’s where the autistic, with their search for alternatives to traditional human connection, are actually innovators.
Does it dehumanize us if tenderness is tried out first with a machine? While his hyper-aware twin is showing standard bright-future achievements, Gus tentatively feels his way through life. But make no mistake. Gus’s deft fingers — rendered with unsentimental affection by his mom — are feeling things others will miss.
At one point, Gus says, “Good night, Siri, will you sleep well tonight?” Siri replies: “I don’t need much sleep, but it’s nice of you to ask.”
Newman’s response could speak for the entire book: “Very nice.”

For the full review, see:
RON SUSKIND. “A Character Among Characters.” The New York Times Book Review (Sunday, Aug. 20, 2017): 13.
(Note: the online version of the review has the date Aug. 16, 2017, and has the title “A Family Memoir Makes the Case That Autism Is Different, Not Less.”)

The book under review, is:
Newman, Judith. To Siri with Love: A Mother, Her Autistic Son, and the Kindness of Machines. New York: HarperCollins, 2017.

Socialized Medicine “Mummifies Its Doctors in Spools of Red Tape”

(p. A17) One of the reasons patients find condescension from doctors especially loathsome is that it diminishes them — if you’re gravely ill, the last thing you need is further diminishment. But the desires of patients, Marsh notes, are often paradoxical. They also pine for supreme confidence in their physicians, surgeons especially, because they’ve left their futures — the very possibility of one at all, in some cases — in their doctors’ custody. “So we quickly learn to deceive,” Marsh writes, “to pretend to a greater level of competence and knowledge than we know to be the case, and try to shield our patients a little from the frightening reality they often face.”
Over time, Marsh writes, many doctors start to internalize the stories they tell themselves about their superior judgment and skill. But the best, he adds, unlearn their self-deceptions, and come to accept their fallibility and learn from their mistakes. “We always learn more from failure than from success,” he writes. “Success teaches us nothing.”
This was a prominent theme in Marsh’s last book, and readers may have a sense of déjà vu while reading this one. Like “Do No Harm,” “Admissions” is wandering and ruminative, an overland trek through the doctor’s anxieties and private shames. Once again, he recounts his miscalculations and surgical catastrophes, citing the French doctor René Leriche’s observation that all surgeons carry cemeteries within themselves of the patients whose lives they’ve lost. Once again, he rails against the constraints of an increasingly depersonalized British health care system, which mummifies its doctors in spools of red tape. Once again, he describes his operating theater in all of its Grand Guignol splendor, with brains swelling beyond their skulls and suction devices “slurping obscenely” as tumors evade his reach.

For the full review, see:
JENNIFER SENIOR. “Books of The Times; Surgical Catastrophes, Private Shames.” The New York Times (Sat., Oct. 7, 2017): A17.
(Note: the online version of the review has the date Oct. 5, 2017, and has the title “Books of The Times; A Surgeon Not Afraid to Face His Mistakes, In and Out of the Operating Room.)

The book under review, is:
Marsh, Henry. Admissions: Life as a Brain Surgeon. New York: Thomas Dunne Books/St. Martin’s Press, 2017.

“Not Prepared to Compromise, in Ill-Considered Conversation, the Greater Truths”

(p. B15) Mr. Pomerance was a somewhat out-of-the-mainstream playwright living in London in 1977 when Foco Novo, a theater company he had founded with Roland Rees and David Aukin, began thinking about staging “The Elephant Man,” based on the true story of Joseph Merrick, a man with severe physical deformities who became a celebrity in Victorian England in the 1880s.
. . .
The resulting play invited theatergoers to contemplate, among many other themes, what is normal and what isn’t.
. . .
Mr. Pomerance was not a talkative sort. “The final impression he gives,” a Times reporter wrote in 1979, “is of a man of considerable intellectual integrity who is not prepared to compromise, in ill-considered conversation, the greater truths he seeks to express on stage.”

For the full obituary, see:
NEIL GENZLINGER. “Bernard Pomerance, 76; Wrote ‘Elephant Man’.” The New York Times (Weds., AUG. 30, 2017): B15.
(Note: ellipses added.)
(Note: the online version of the obituary has the date AUG. 29, 2017, and has the title “Bernard Pomerance, Who Wrote ‘The Elephant Man,’ Dies at 76.”)

“The Oppressive Communality” of Open Floor Plans

(p. D1) These days, people are taking another look at developing basements or attics as getaway bonus spaces to ensure family peace. As the idea of the open-plan home–the combination kitchen, living and dining room that’s long dominated residential layouts–has aged, it’s revealed its flaws. When parents are relentlessly texting children all day and then corralling the whole family into a single living space all night, there’s no escaping each other, and nerves can fray.
. . .
(p. D2) The oppressive communality of the open plan has fueled the backlash, as has constant connectedness. Jen Altman, a child family psychologist of 17 years, sees the pendulum beginning to swing away from helicopter parenting. These days, she hears parents howl versions of “I just need 10 minutes to myself.”
“I’ve always thought that aloneness and separation are as vital to development as attachment and connection,” said Dr. Altman, who practices in Ho-Ho-Kus, N.J.
. . .
“It’s hard to get away from the open plan because of the way we live,” she said. “It’s the space where everyone congregates–meals are prepared, kids do their homework.” But she found herself seeking respite in the detached room–“sort of an at-home getaway,” she said. Though bright bands of colored paint ring the walls, “the space never reads ‘playroom,'” she said, thanks to a floor of black rocks and shells, and a muted Oriental rug. After Ms. Vidal moved in her beloved midcentury Heywood Wakefield vanity, her design books and mementos made the space hers.
“It’s a bit of separation from being on top of one another,” she said of the room. “It helps me focus.”

For the full story, see:
Elizabeth Anne Hartman. “Hideaway We Go.” The Wall Street Journal (Sat., Aug. 19, 2017): D1-D2.
(Note: ellipses added.)
(Note: the online version of the story has the date Aug. 17, 2017, and has the title “The Open-Floor-Plan Backlash: How Family Members Are Escaping Each Other.”)

Monkeys Want More Information

(p. 13) In his book “The Compass of Pleasure,” the Johns Hopkins neurobiologist David J. Linden explicates the workings of these regions, known collectively as the reward system, elegantly drawing on sources ranging from personal experience to studies of brain activity to experiments with molecules and genes. . . ,
. . . the biggest surprise, and the one most relevant to current debates, is a “revolutionary” experiment Linden discusses near the end of his book. Researchers at the National Institutes of Health gave thirsty monkeys the option of looking at either of two visual symbols. No matter which they moved their eyes to, a few seconds later the monkeys would receive a random amount of water. But looking at one of the symbols caused the animals to receive an extra cue that indicated how big the reward would be. The monkeys learned to prefer that symbol, which differed from the other only by providing a tiny amount of information they did not already have. And the same dopamine neurons that initially fired only in anticipation of water quickly learned to fire as soon as the information-providing symbol became visible. “The monkeys (and presumably humans as well) are getting a pleasure buzz from the information itself,” Linden writes.

For the full review, see:
CHRISTOPHER F. CHABRIS. “Think Again.” The New York Times Book Review (Sunday, October 16, 2011): 12-13.
(Note: ellipses added.)
(Note: the online version of the review has the date OCT. 14, 2011, and has the title “Is the Brain Good at What It Does?”)

The book under review, is:
Linden, David J. The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good. New York: Viking Adult, 2011.

Those with Full Bladders Are More Financially Prudent

(p. 12) The “your brain, warts and more warts” genre is well represented by the new book “Brain Bugs: How the Brain’s Flaws Shape Our Lives,” by Dean Buonomano, a neuroscientist at U.C.L.A.
. . .
. . . researchers have reported that subjects with full bladders exercised more self-control in a completely unrelated realm (financial decisions) than subjects who had been permitted to relieve themselves first — a finding that earned them this year’s Ig Nobel Prize in medicine, awarded annually to unusual or ridiculous-seeming scientific research.

For the full review, see:
CHRISTOPHER F. CHABRIS. “Think Again.” The New York Times Book Review (Sunday, October 16, 2011): 12-13.
(Note: ellipses added.)
(Note: the online version of the review has the date OCT. 14, 2011, and has the title “Is the Brain Good at What It Does?”)

The book under review, is:
Buonomano, Dean. Brain Bugs: How the Brain’s Flaws Shape Our Lives. New York: W. W. Norton & Company, 2011.

Can “Radical Transparency” Work “in Today’s Polarized and Litigious World”?

(p. B1) In 1993, Ray Dalio, the chairman of what is today the largest hedge fund in the world, Bridgewater Associates, received a memo signed by his top three lieutenants that was startlingly honest in its assessment of him.
It was a performance review of sorts, and not in a good way. After mentioning his positive attributes, they spelled out the negatives. “Ray sometimes says or does things to employees which makes them feel incompetent, unnecessary, humiliated, overwhelmed, belittled, pressed or otherwise bad,” the memo read. “If he doesn’t manage people well, growth will be stunted and we will all be affected.”
To Mr. Dalio, the message was both devastating and a wake-up call. His reaction: “Ugh. That hurt and surprised me.”
That moment helped push Mr. Dalio to rethink how he approached people and to begin developing a unique — and sometimes controversial — culture inside his firm, one based on a series of “principles” that place the idea of “radical transparency” above virtually all else.
. . .
(p. B5) Of course, the larger question is whether Mr. Dalio’s version of utopia — a place where employees feel comfortable offering blunt and in some cases brutal feedback — can exist outside Bridgewater’s controlled environment of mostly self-selecting individuals who either embrace the philosophy or quickly exit. Given the intense environment, as you might expect, there are horror stories of employees who have left in tears. Turnover among new employees is high.
Mr. Dalio’s critics — and there are many — say his principles offer permission to be verbally barbaric, and they question whether the $160 billion firm’s success is a product of such “radical transparency” or whether he can afford such a wide-ranging social experiment simply because the firm is so financially successful.
In truth, it is hard to imagine how harsh individual critiques in the workplace can work at many other organizations in today’s polarized and litigious world, where people are increasingly looking for “safe spaces” and those who say they are offended by a particular argument are derided as “fragile snowflakes.”

For the full commentary, see:
Sorkin, Andrew Ross. “DEALBOOK; Bridgewater’s Ray Dalio Dives Deeper Into the ‘Principles’ of Tough Love.” The Wall Street Journal (Sat., Sept. 5, 2017): B1 & B5.
(Note: ellipsis added.)
(Note: the online version of the commentary has the date Sept. 4, 2017, and has the title, “DEALBOOK; Bridgewater’s Ray Dalio Dives Deeper Into the ‘Principles’ of Tough Love.” )

The Dalio book, discussed above, is:
Dalio, Ray. Principles: Life and Work. New York: Simon & Schuster, 2017.

Washington, D.C. Regulators Protect Citizens from Goat Yoga

GoatYogaInGlendaleCalifornia2017-10-09.jpg“Goat yoga has spread nationwide since last year. Practitioners in Glendale, Calif., in May.” Source of caption and photo: online version of the WSJ article quoted and cited below.

(p. A1) WASHINGTON–Young goats have on occasion grazed in the Historic Congressional Cemetery, deployed to keep down brush. A yoga instructor has been holding weekly classes in the chapel.

Goats and yoga go together, as any modern yogi knows. So, cemetery staff proposed this spring, why not combine them and bring inner peace to all on the grounds?
“I asked the farmer if there’s any harm to the goats doing yoga,” says Kelly Carnes, who teaches the discipline on the cemetery grounds. “She said quite the opposite–the baby goats just love to interact with humans.”
Gruff was the response from District of Columbia officials. District policy, they decreed, prohibited the human-animal contact goat yoga presented: “At this time the request for the event with the inclusion of baby goats has been denied.”
. . .
(p. A12) This spring at the Congressional Cemetery, Ms. Carnes read about goat yoga and raised the idea with participants in her “yoga mortis” classes at the cemetery. They were “crazy to try it,” she says.
She spoke with Paul Williams, president of the nonprofit that manages the cemetery, about trying it with the goats they had twice hired over the past several years to eat down unwanted plants.
The cemetery planned to hold goat classes in a pen in a grassy area. In June, Mr. Williams sought permission from the health department.
The “no” came that month. The capital’s health code, says Dr. Vito DelVento, manager of the District of Columbia Department of Health’s animal-services program, bans animals beyond common household pets from within district limits.
. . .
Then there’s Washington’s “no touch” policy barring direct contact between humans and animals beyond household pets.
“Baby goats are probably one of the most fun animal species–they are a blast,” says Dr. DelVento, who has farm animals outside the District and has raised goats. “But the fact that we have baby goats jumping on people and interacting with people obviously violates our ‘no touch’ policy.”
Mr. Williams says he will try again next year when Mrs. Bowen has a fresh herd of kids. He will seek a no-touch-policy exemption.
“We’re really trying to offer a service,” says Mrs. Bowen, “that is good for people’s mental health and physical health.”

For the full story, see:
Daniel Nasaw. “The Kids Are Not Alright: Bureaucrats Buck Goat Yoga.” The Wall Street Jounal (Sat., OCT. 2, 2017): A1 & A12.
(Note: ellipses added.)
(Note: the online version of the story has the date OCT. 1, 2017, and has the title “Goat Yoga, Meet the Zoning Board.”)

Keys to Good Jobs: Honesty, Work Ethic, and Ability to Be Trained

(p. A13) . . . , Mr. Funk is chairman, CEO and founder of Express Employment Professionals, one of the nation’s largest job agencies. Informally, he sees himself as a man who makes a living by giving people hope–that is, by matching workers looking for good jobs with employers looking for good workers. Along the way he also served as chairman of the Kansas City Federal Reserve Bank.
. . .
He shares a small brochure his company puts out summarizing a recent survey of employers. “So many people do not realize how important the soft skills are to unlocking job opportunity,” he says.
In order, the survey found the top five traits employers look for are as follows: attitude, work ethic/integrity, communication, culture fit, critical thinking.
Drugs are a huge problem today, with many would-be employees putting themselves out of the running when they fail drug tests. A certified truck driver can start at $55,000 to $60,000 a year, for example, but no one’s going to hire you if you do drugs.
. . .
And while education is vital, Mr. Funk says the most important thing for most people is the ability to be trained–which starts with basic competence in reading, writing and arithmetic. Mr. Funk also says institutions such as Oklahoma’s CareerTech, which works with local employers to train people for jobs that actually exist in their communities, are probably a better investment for many people than college.
. . .
“I’ve helped a lot of people find jobs in my life,” he says. “And I’ve learned that if you are honest, have a strong work ethic, and stay off drugs, there’s a great future for you out there.”

For the full commentary, see:

William McGurn. “MAIN STREET; Bring Back the Work Ethic; ‘There’s a person for every job and a job for every person,’ says Bob Funk.” The Wall Street Journal (Tues., Sept. 5, 2017): A13.

(Note: ellipses added; italics in original.)
(Note: the online version of the commentary has the date Sept. 4, 2017.)

Boys Town Closes California Sites Due to Intrusive Regulations

(p. 1A) It’s been a century since a young Irish priest named Father Edward Flanagan welcomed homeless boys into a run-down Victorian mansion in downtown Omaha.
But as Boys Town celebrates its centennial, the organization is lessening its focus on the kind of residential care model that made it famous.
The latest wave came in June, as Boys Town announced the shuttering of sites in New York, Texas and California, including one residential care site in Orange County.
. . .
In 2000 under the Rev. Val Peter, then its executive director, the organization had 16 sites — though some were shelters without residential care.
The Rev. Steven Boes, current president and national executive director, insists the Flanagan mission of caring for American families and children remains, despite what he called some tough decisions to close sites.
. . .
(p. 2A) Boys Town decided to shutter its 80-acre residential site in Trabuco Canyon and two family homes in Tustin, California, after years of advocating for regulatory changes in that state. At the time of the June announcement, those homes housed 28 children.
The Trabuco Canyon site was one of 14 Boys Town residential care facilities opened in the 1980s and ’90s as Peter worked to spread the model to larger metro areas around the nation.
Since then, changing state regulations have made it more difficult to implement the Boys Town model in many of those areas, said Bob Pick, executive vice president of youth care.
“We opened those sites 20 or 30 years ago, and it was an exciting time,” Pick said. “But times change, contracts change and we have to serve kids with the highest quality. We just couldn’t do that in some locations.”
When the Trabuco Canyon facility opened, youths stayed for up to two years, Pick said, adding that Boys Town’s own research shows that the minimum stay should be about six months and a yearlong stay is ideal.
Because of contractual rules including mandated length of stays in California, “we couldn’t get kids to stay longer than two or three months,” Pick said. “That’s just not quality care.”
. . .
The changes at Boys Town haven’t come without criticism.
The Rev. Peter worries that the closing of Boys Town sites and focus on research runs afoul of Flanagan’s mission. “I gave my whole life to this — to Flanagan’s dream,” Peter, 83, said. “This is called God’s dream. Times change, but God’s dream doesn’t.”

For the full story, see:
Klecker, Mara. “Renowned care model no longer main focus; Overall trend is toward in-home family consulting, fewer residential sites.” Omaha World-Herald (Sun., Aug. 27, 2017): 1A-2A.
(Note: ellipses added..)