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Wednesday, 11 May 2016

Does Marijuana Make You Stupid?


The stereotype of an avid marijuana smoker is not flattering: slow, unmotivated, a little bit dulled by all that weed. But the science to back up this stereotype is far from clear.

Research is mixed as to whether marijuana causes declines in intelligence and functioning over time. Animal studies and some brain scans in humans provide reason for concern: Marijuana is psychoactive, and may cause structural brain changes. In people, weed's cognitive effects seem to last at least several weeks after use, long after the person stops feeling intoxicated. But only a few studies have revealed insight into whether pot lowers IQ in the long term, and those studies have returned conflicting results.




Hazy research



The recreational use of marijuana is now legal in four states (Alaska, Colorado, Oregon and Washington) and the District of Columbia. Many other states have decriminalized the drug, and some also allow the use of medical marijuana. And a 2013 Gallup poll found that 58 percent of Americans support marijuana legalization, up from a mere 12 percent in 1969. In other words, the drug has never been more mainstream.



Despite the loosened regulations, however, marijuana research has lagged. Much of the reason has to do with the difficulty of getting marijuana for study, said Nick Jackson, a statistician at the University of Southern California and a co-author of one of the few longitudinal studies (which follow people over time) on marijuana use. In fact, there has been about three times more animal research on cocaine than on marijuana.



"You didn't need to jump through the same number of hoops to get cocaine to test on your animals as you do to get marijuana," Jackson told Live Science. The National Institute on Drug Abuse and the Drug Enforcement Administration contract with only one lab (at the University of Mississippi) to make marijuana available to researchers.



The Food and Drug Administration recently relaxed its rules for approving marijuana research, Jackson said. "Things are changing slowly but surely," he told Live Science. "But our research in this area is far behind where it needs to be." [The Drug Talk: 7 New Tips for Today's Parents]



That's why the answer to the question, "Does pot make people stupid?" is more complicated than it might seem.



Animal studies suggest that pot is not necessarily great for the brain. Rats exposed to marijuana's active ingredient, tetrahydrocannabinol (THC), experience brain changes and cognitive impairment. And short-term studies with human subjects clearly point to impacts on memory, learning and attention even once a user has sobered up. One 1996 study published in the Journal of the American Medical Association, for example, found that daily marijuana users did more poorly on tests of attention and executive function (such as planning and self-control) than people who'd smoked pot only once the month before, even though both groups abstained for at least 19 hours before the testing. The drug's effects may persist at least 20 days after smoking, according to a 2011 review on the topic.



But the burning question is whether pot hurts the brain in the long run. Does smoking the occasional joint as a teenager mess up your cognitive abilities for life? What if you pick up a pot habit as an adult, after the brain has completed its adolescent growth spurt? Does the dose make a difference?



Here, the answers are a lot fuzzier. Brain-scan studies in humans suggest that pot may be linked to anatomical brain changes, such as shrinking of the amygdala, a brain region that processes emotion, reward and fear. In some people with genetic vulnerability, such brain changes might be enough to tip someone into schizophrenia, which is more common in people who have used marijuana. However, the genes in question may lead people to smoke more pot and to be more prone to schizophrenia, rather than directly causing the link between pot and psychosis.



And that's the problem with trying to tease out pot's effects: People who use the drug are likely different from people who don't. Thus, studies comparing smokers with nonsmokers at a moment in time are of limited use: Maybe pot caused the cognitive effects you might find, or maybe some other factor explains the difference.


Looking long-term



To truly tease out the effect of marijuana alone, researchers have to follow people over time, ideally gathering information about their cognition and intelligence before they began using pot. Only a handful of studies have done this so far.



The first, published in the journal Neurotoxicology and Teratology in 2005, found that being a current regular user of marijuana led to deficits in memory, IQ, processing speed and memory, but people who had used the drug in the past but had since stopped did not show long-term effects three months after quitting. However, that study followed 113 teenagers who used marijuana for an average of only two years.



A bigger, longer-term study, published in the journal Proceedings of the National Academy of Sciences in August 2012, did not bode well for pot connoisseurs. Researchers followed 1,037 New Zealanders from birth to age 38, assessing their cognitive function at age 13 (before any participants had started using cannabis) and again at age 38. Participants reported their cannabis use at age 18, 21, 26, 32 and 38, giving researchers an opportunity to determine whether cognitive effects differed depending on when a person started using marijuana and how long he or she continued to use it.



That study found global declines in cognition, including an average drop in IQ of about 6 points in people who had used marijuana. The biggest effects were seen in persistent users — people who reported having consumed marijuana in at least three interviews between the ages of 18 and 38. Notably, the deficits were not found in people who started using marijuana as adults, but were strong in people who took up the habit as teens. The researchers also had participants' close friends or family members fill out questionnaires on the participants' daily functioning, and found that those who had used marijuana were worse off than those who had not.



"Marijuana is not harmless, particularly for adolescents," study researcher Madeline Meier, now a psychology professor at Arizona State University, concluded in a statement sent to Live Science. [10 Facts Every Parent Should Know About Their Teen's Brain]



Not all of the longitudinal data agrees, however. For a study published in the Journal of Psychopharmacology in January 2016, researchers followed 2,235 British teenagers, about a quarter of whom had tried pot at least once by age 15. The researchers found no link between cumulative marijuana exposure at age 15 and IQ or educational performance at age 16.



The study was based on a short time frame, but even longer-lasting investigations returned conflicting results. In February 2016, researchers published the results of a study following marijuana users and nonusers into middle age. They analyzed the verbal memory, processing speed and executive function (planning abilities and self-control) in 3,385 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) study. About 84 percent (2,852) had used marijuana at some point, but only 11 percent (392) had used it in middle age. The study showed that after the researchers accounted for other factors that could have affected the results, such as other drug use and demographics, cumulative pot use was linked to worse verbal memory. For every five years of marijuana use, a person would remember one less word, on average, from a list of 15 they were asked to memorize. However, no declines in executive function or processing speed were found.

Turning to twins



Although all of these studies controlled for factors that might influence cognition — demographics, other drug use, education — those statistics aren't an exact science. Jackson, along with University of Minnesota Twin Cities researcher Joshua Isen, came up with a way to control the comparison.



The researchers were working with two data sets of more than 3,000 identical twins, meaning they had the same genetic makeup and the same home environment. The pairs of twins had undergone intelligence testing between the ages of 9 and 12 (before using marijuana), and between the ages of 17 and 20 (after some had started using the drug). By comparing marijuana users with their non-using twins, the researchers were able to control for the home and environmental factors that aren't necessarily captured in traditional statistical adjustments.



The analysis revealed that, overall, marijuana users were indeed cognitively worse off than nonusers in late adolescence. But the users were also worse off before they started using pot. And when researchers compared the pot users to their own non-using twins, they found that the sibling pairs ended up in the same place, cognitively speaking. Thus, it wasn't the pot use that was causing the differences between the group of pot users and non-users. It was some unexplored factor that affected both twins, whether they smoked pot or not.



"We believe that what we're looking at has something to do with the common environment that these twins share, something about their family environment or peer environment or school environment," Jackson said.



That does not mean that marijuana is harmless, Jackson said. Animal studies do show physiological effects of the drug, and it's likely that something similar is going on in the human brain. But it's not clear how strong the effects are, he said — if an animal exposed to pot runs a maze a few seconds more slowly, how does that translate to points on the human intelligence scale?



Jackson and Isen's research, published in the journal Proceedings of the National Academyof Science in February 2016, suggests that whatever marijuana's impacts are, they're dwarfed by the environmental factors that caused the pot use in the first place. Jackson said he suspects the results conflict with the 2012 study in New Zealand because in that study, researchers were following heavier users over the longer term, so the results reflect the problems those users had in childhood rather than problems caused by the pot use itself.



"I think the real question ends up being for kids, 'Should I be more concerned about how marijuana is affecting their brain, or should I be more concerned about what are the things that have led that person to seek refuge in marijuana?'" Jackson said. "What is going on in that 14-year-old's home life?"



Nevertheless, the research in this area is too nascent to draw firm conclusions about whether marijuana use is safe over time, all other things being equal. The National Institutes of Health announced last year that it is launching a longitudinal study of 10,000 children to track the effects of substance abuse, including marijuana exposure, over time. The Adolescent Brain Cognitive Development Study will use neuropsychological testing, as well as brain imaging, to delve into these questions.



The answers are likely to be complicated by ever-changeable factors, such as the strength of marijuana being cultivated, Jackson said. Modern weed has been bred to be higher in THC than strains smoked in previous decades, and those concentrations could matter to the brain.



"I think it's going to be a very long time until we know,"Sandeep said.

MIDDLE-CLASS AMERICANS

\ the federal reserve board has conducted a survey to “monitor the financial and economic status of American consumers.” Most of the data in the latest survey, frankly, are less than earth-shattering: 49 percent of part-time workers would prefer to work more hours at their current wage; 29 percent of Americans expect to earn a higher income in the coming year; 43 percent of homeowners who have owned their home for at least a year believe its value has increased. But the answer to one question was astonishing. The Fed asked respondents how they would pay for a $400 emergency. The answer: 47 percent of respondents said that either they would cover the expense by borrowing or selling something, or they would not be able to come up with the $400 at all. Four hundred dollars! Who knew?
Well, I knew. I knew because I am in that 47 percent.
I know what it is like to have to juggle creditors to make it through a week. I know what it is like to have to swallow my pride and constantly dun people to pay me so that I can pay others. I know what it is like to have liens slapped on me and to have my bank account levied by creditors. I know what it is like to be down to my last $5—literally—while I wait for a paycheck to arrive, and I know what it is like to subsist for days on a diet of eggs. I know what it is like to dread going to the mailbox, because there will always be new bills to pay but seldom a check with which to pay them. I know what it is like to have to tell my daughter that I didn’t know if I would be able to pay for her wedding; it all depended on whether something good happened. And I know what it is like to have to borrow money from my adult daughters because my wife and I ran out of heating oil.
You wouldn’t know any of that to look at me. I like to think I appear reasonably prosperous. Nor would you know it to look at my résumé. I have had a passably good career as a writer—five books, hundreds of articles published, a number of awards and fellowships, and a small (very small) but respectable reputation. You wouldn’t even know it to look at my tax return. I am nowhere near rich, but I have typically made a solid middle- or even, at times, upper-middle-class income, which is about all a writer can expect, even a writer who also teaches and lectures and writes television scripts, as I do. And you certainly wouldn’t know it to talk to me, because the last thing I would ever do—until now—is admit to financial insecurity or, as I think of it, “financial impotence,” because it has many of the characteristics of sexual impotence, not least of which is the desperate need to mask it and pretend everything is going swimmingly. In truth, it may be more embarrassing than sexual impotence. “You are more likely to hear from your buddy that he is on Viagra than that he has credit-card problems,” says Brad Klontz, a financial psychologist who teaches at Creighton University in Omaha, Nebraska, and ministers to individuals with financial issues. “Much more likely.” America is a country, as Donald Trump has reminded us, of winners and losers, alphas and weaklings. To struggle financially is a source of shame, a daily humiliation—even a form of social suicide. Silence is the only protection.
I know what it’s like to have to borrow money from my daughters because my wife and I ran out of heating oil.
So I never spoke about my financial travails, not even with my closest friends—that is, until I came to the realization that what was happening to me was also happening to millions of other Americans, and not just the poorest among us, who, by definition, struggle to make ends meet. It was, according to that Fed survey and other surveys, happening to middle-class professionals and even to those in the upper class. It was happening to the soon-to-retire as well as the soon-to-begin. It was happening to college grads as well as high-school dropouts. It was happening all across the country, including places where you might least expect to see such problems. I knew that I wouldn’t have $400 in an emergency. What I hadn’t known, couldn’t have conceived, was that so many other Americans wouldn’t have the money available to them, either. My friend and local butcher, Brian, who is one of the only men I know who talks openly about his financial struggles, once told me, “If anyone says he’s sailing through, he’s lying.” That might not be entirely true, but then again, it might not be too far off.
Part of the reason I hadn’t known is that until fairly recently, economists also didn’t know, or, at the very least, didn’t discuss it. They had unemployment statistics and income differentials and data on net worth, but none of these captured what was happening in households trying to make a go of it week to week, paycheck to paycheck, expense to expense. David Johnson, an economist who studies income and wealth inequality at the University of Michigan, says, “People studied savings and debt. But this concept that people aren’t making ends meet or the idea that if there was a shock, they wouldn’t have the money to pay, that’s definitely a new area of research”—one that’s taken off since the Great Recession. According to Johnson, economists have long theorized that people smooth their consumption over their lifetime, offsetting bad years with good ones—borrowing in the bad, saving in the good. But recent research indicates that when people get some money—a bonus, a tax refund, a small inheritance—they are, in fact, more likely to spend it than to save it. “It could be,” Johnson says, “that people don’t have the money” to save. Many of us, it turns out, are living in a more or less continual state of financial peril. So if you really want to know why there is such deep economic discontent in America today, even when many indicators say the country is heading in the right direction, ask a member of that 47 percent. Ask me.
financial impotence goes by other names: financial fragility, financial insecurity, financial distress. But whatever you call it, the evidence strongly indicates that either a sizable minority or a slim majority of Americans are on thin ice financially. How thin? A 2014 Bankrate survey, echoing the Fed’s data, found that only 38 percent of Americans would cover a $1,000 emergency-room visit or $500 car repair with money they’d saved. Two reports published last year by the Pew Charitable Trusts found, respectively, that 55 percent of households didn’t have enough liquid savings to replace a month’s worth of lost income, and that of the 56 percent of people who said they’d worried about their finances in the previous year, 71 percent were concerned about having enough money to cover everyday expenses. A similar study conducted by Annamaria Lusardi of George Washington University, Peter Tufano of Oxford, and Daniel Schneider, then of Princeton, asked individuals whether they could “come up with” $2,000 within 30 days for an unanticipated expense. They found that slightly more than one-quarter could not, and another 19 percent could do so only if they pawned possessions or took out payday loans. The conclusion: Nearly half of American adults are “financially fragile” and “living very close to the financial edge.” Yet another analysis, this one led by Jacob Hacker of Yale, measured the number of households that had lost a quarter or more of their “available income” in a given year—income minus medical expenses and interest on debt—and found that in each year from 2001 to 2012, at least one in five had suffered such a loss and couldn’t compensate by digging into savings.
You could think of this as a liquidity problem: Maybe people just don’t have enough ready cash in their checking or savings accounts to meet an unexpected expense. In that case, you might reckon you’d find greater stability by looking at net worth—the sum of people’s assets, including their retirement accounts and their home equity. That is precisely what Edward Wolff, an economist at New York University and the author of a forthcoming book on the history of wealth in America, did. Here’s what he found: There isn’t much net worth to draw on. Median net worth has declined steeply in the past generation—down 85.3 percent from 1983 to 2013 for the bottom income quintile, down 63.5 percent for the second-lowest quintile, and down 25.8 percent for the third, or middle, quintile. According to research funded by the Russell Sage Foundation, the inflation-adjusted net worth of the typical household, one at the median point of wealth distribution, was $87,992 in 2003. By 2013, it had declined to $54,500, a 38 percent drop. And though the bursting of the housing bubble in 2008 certainly contributed to the drop, the decline for the lower quintiles began long before the recession—as early as the mid-1980s, Wolff says.
Wolff also examined the number of months that a family headed by someone of “prime working age,” between 24 and 55 years old, could continue to self-fund its current consumption, presuming the liquidation of all financial assets except home equity, if the family were to lose its income—a different way of looking at the emergency question. He found that in 2013, prime-working-age families in the bottom two income quintiles had no net worth at all and thus nothing to spend. A family in the middle quintile, with an average income of roughly $50,000, could continue its spending for … six days. Even in the second-highest quintile, a family could maintain its normal consumption for only 5.3 months. Granted, those numbers do not include home equity. But, as Wolff says, “it’s much harder now to get a second mortgage or a home-equity loan or to refinance.” So remove that home equity, which in any case plummeted during the Great Recession, and a lot of people are basically wiped out. “Families have been using their savings to finance their consumption,” Wolff notes. In his assessment, the typical American family is in “desperate straits.”
Certain groups—African Americans, Hispanics, lower-income people—have fewer financial resources than others. But just so the point isn’t lost: Financial impotence is an equal-opportunity malady, striking across every demographic divide. The Bankrate survey reported that nearly half of college graduates would not cover that car repair or emergency-room visit through savings, and the study by Lusardi, Tufano, and Schneider found that nearly one-quarter of households making $100,000 to $150,000 a year claim not to be able to raise $2,000 in a month. A documentary drawing on Lusardi’s work featured interviews with people on the street in Washington, D.C., asking whether they could come up with $2,000. Lusardi, who was quick to point out that a small number of passerby interviews should not be mistaken for social science, was nonetheless struck by the disjuncture between the appearance of the interviewees and their answers. “You look at these people and they are young professionals,” Lusardi said. “You expect that people would say, ‘Of course I would come up with it.’ ” But many of them couldn’t.
In the 1950s and ’60s, American economic growth democratized prosperity. In the 2010s, we have managed to democratize financial insecurity.
if you ask economists to explain this state of affairs, they are likely to finger credit-card debt as a main culprit. Long before the Great Recession, many say, Americans got themselves into credit trouble. According to an analysis of Federal Reserve and TransUnion data by the personal-finance site ValuePenguin, credit-card debt stood at about $5,700 per household in 2015. Of course, this figure factors in all the households with a balance of zero. About 38 percent of households carried some debt, according to the analysis, and among those, the average was more than $15,000. In recent years, while the number of people holding credit-card debt has been decreasing, the average debt for those households carrying a balance has been on the rise.
Part of the reason credit began to surge in the ’80s and ’90s is that it was available in a way it had never been available to previous generations. William R. Emmons, an assistant vice president and economist for the Federal Reserve Bank of St. Louis, traces the surge to a 1978 Supreme Court decision, Marquette National Bank of Minneapolis v. First of Omaha Service Corp. The Court ruled that state usury laws, which put limits on credit-card interest, did not apply to nationally chartered banks doing business in those states. That effectively let big national banks issue credit cards everywhere at whatever interest rates they wanted to charge, and it gave the banks a huge incentive to target vulnerable consumers just the way, Emmons believes, vulnerable homeowners were targeted by subprime-mortgage lenders years later. By the mid-’80s, credit debt in America was already soaring. What followed was the so-called Great Moderation, a generation-long period during which recessions were rare and mild, and the risks of carrying all that debt seemed low.
Financial impotence has many of the characteristics of sexual impotence, not least of which is the desperate need to mask it.
Both developments affected savings. With the rise of credit, in particular, many Americans didn’t feel as much need to save. And put simply, when debt goes up, savings go down. As Bruce McClary, the vice president of communications for the National Foundation for Credit Counseling, says, “During the initial phase of the Great Recession, there was a spike in credit use because people were using credit in place of emergency savings. They were using credit as a life raft.” Not that Americans—or at least those born after World War II—had ever been especially thrifty. The personal savings rate peaked at 13.3 percent in 1971 before falling to 2.6 percent in 2005. As of last year, the figure stood at 5.1 percent, and according to McClary, nearly 30 percent of American adults don’t save any of their income for retirement. When you combine high debt with low savings, what you get is a large swath of the population that can’t afford a financial emergency.
So who is at fault? Some economists say that although banks may have been pushing credit, people nonetheless chose to run up debt; to save too little; to leave no cushion for emergencies, much less retirement. “If you want to have financial security,” says Brad Klontz, “it is 100 percent on you.” One thing economists adduce to lessen this responsibility is that credit represents a sea change from the old economic system, when financial decisions were much more constrained, limiting the sort of trouble that people could get themselves into—a sea change for which most people were ill-prepared.
It is ironic that as financial products have become increasingly sophisticated, theoretically giving individuals more options to smooth out the bumps in their lives, something like the opposite seems to have happened, at least for many. Indeed, Annamaria Lusardi and her colleagues found that, in general, the more sophisticated a country’s credit and financial markets, the worse the problem of financial insecurity for its citizens. Why? Lusardi argues that as the financial world has grown more complex, our knowledge of finances has not kept pace. Basically, a good many Americans are “financially illiterate,” and this illiteracy correlates highly with financial distress. A 2011 study she and a colleague conducted measuring knowledge of fundamental financial principles (compound interest, risk diversification, and the effects of inflation) found that 65 percent of Americans ages 25 to 65 were financial illiterates.

choice, often in the face of ignorance, is certainly part of the story. Take me. I plead guilty. I am a financial illiterate, or worse—an ignoramus. I don’t offer that as an excuse, just as a fact. I made choices without thinking through the financial implications—in part because I didn’t know about those implications, and in part because I assumed I would always overcome any adversity, should it arrive. I chose to become a writer, which is a financially perilous profession, rather than do something more lucrative. I chose to live in New York rather than in a place with a lower cost of living. I chose to have two children. I chose to write long books that required years of work, even though my advances would be stretched to the breaking point and, it turned out, beyond. We all make those sorts of choices, and they obviously affect, even determine, our bottom line. But, without getting too metaphysical about it, these are the choices that define who we are. We don’t make them with our financial well-being in mind, though maybe we should. We make them with our lives in mind. The alternative is to be another person.
But even having made those choices, which involved revolving credit, for the better part of my life I was not drowning in debt (maybe treading in it … okay, barely treading). Until about five years ago, when I stopped using my credit cards altogether and started paying them off little by little with the help of a financial counselor, I’d always managed to pay at least the monthly minimum and sometimes more. I didn’t have savings, but not because I thought I could rely forever on credit instead or because I chose to spend my money extravagantly rather than salt it away. In retrospect, of course, my problem was simple: too little income, too many expenses. Credit enabled me to forestall this problem for a time—and also to make it progressively worse—but the root of the problem was deeper.
In the 1950s and ’60s, economic growth democratized prosperity. In the 2010s, we have democratized financial insecurity.
I never figured that I wouldn’t earn enough. Few of us do. I thought I’d done most of the right things. I went to college; got a graduate degree; taught for a while; got a book contract; moved to a small, inexpensive, rent-controlled apartment in Little Italy to write; got married; and bumped along until I landed a job on television (those of you with elephant memories may remember that for three years, I was one of the replacements for Gene Siskel and Roger Ebert on the PBS movie-review show Sneak Previews). Then my wife and I bought a small co‑op apartment in Brooklyn, which we could afford, and had our two daughters. My wife continued to work, and we managed to scrape by, though child care and then private schools crimped our finances. No, we didn’t have to send our girls to private schools. We could have sent them to the public school in our neighborhood, except that it wasn’t very good, and we resolved to sacrifice our own comforts to give our daughters theirs. Some economists attribute the need for credit and the drive to spend with the “keeping up with the Joneses” syndrome, which is so prevalent in America. I never wanted to keep up with the Joneses. But, like many Americans, I wanted my children to keep up with the Joneses’ children, because I knew how easily my girls could be marginalized in a society where nearly all the rewards go to a small, well-educated elite. (All right, I wanted them to be winners.)
Still, we moved to the tip of Long Island, in East Hampton, where we wouldn’t have to pay that exorbitant private-school tuition and where my wife could eventually quit her job as a film executive to be with the children, the loss of her income offset a little by not having to pay for child care. (When people look at me admiringly after I tell them I live in the Hamptons, I always add, “We live there full-time like the poor people, not only in the summer like the rich people.”) We rented a house and made a go of it. After Martin Scorsese bought the movie rights to my biography of the gossip columnist Walter Winchell, we even managed to put together a down payment to buy the house we’d been renting.
But the problem with finances is that life doesn’t cooperate. In our case—and I have a feeling in the case of just about every American—there were unforeseen circumstances. I couldn’t sell our co‑op in the city, because the co‑op board kept rejecting the buyers, which meant I had to carry two mortgages for years. The housing market in New York soured, and I eventually sold the apartment for a steep loss, because I had no choice. I suppose I could have slashed the price sooner to bring in more would-be buyers—in retrospect, that would have been the wisest choice—but I wanted to cover what I owed the bank. I lost my television job because, I was told, I wasn’t frivolous enough for the medium, which was probably true. (Or at least I felt better thinking it was true.) I still had my books, but they took longer to write than I had calculated, and cutting corners to turn them out faster, I knew, would be cutting off my career. (I tell the M.F.A. writing students whom I now teach, part-time, that anyone can write a book quickly: Just write a bad book.) The girls grew up, but my wife had been out of the workforce so long that she couldn’t get back into her old career, and her skills as a film executive limited her options. In any case, with my antediluvian masculine pride at stake, I told her that I could provide for us without her help—another instance of hiding my financial impotence, even from my wife. I kept the books; I kept her in the dark.
And then, on top of it all, came the biggest shock, though one not unanticipated: college. Because I made too much money for the girls to get more than meager scholarships, but too little money to afford to pay for their educations in full, and because—another choice—we believed they had earned the right to attend good universities, universities of their choice, we found ourselves in a financial vortex. (I am not saying that universities are extortionists, but … universities are extortionists. One daughter’s college told me that because I could pay my mortgage, I could afford her tuition.) In the end, my parents wound up covering most of the cost of the girls’ educations. We couldn’t have done it any other way. Although I don’t have any regrets about that choice—one daughter went to Stanford, was a Rhodes Scholar, and is now at Harvard Medical School; the other went to Emory, joined WorldTeach and then AmeriCorps, got a master’s degree from the University of Texas, and became a licensed clinical social worker specializing in traumatized children—paying that tariff meant there would be no inheritance when my parents passed on. It meant that we had depleted not only our own small savings, but my parents’ as well.
There was worse to come. Because I lived largely off the advances my publisher paid me when I commenced research on a book, the bulk of my earnings were lumped into a single year, even though the advance had to be amortized to last the years it would take to write the book. That meant I was hit by a huge tax bill that first year that I could not pay in full without cannibalizing what I needed to finish the book. When I began writing a biography of Walt Disney, as my two daughters headed toward college, I decided to pay whatever portion of my taxes I could, then pay the remainder, albeit with penalties added, when the book was published and I received my final payment. The problem is that the penalty meter keeps running, which means that the arrears continue to grow, which means that I continue to have to pay them—I cannot, as it happens, pay them in full. I suppose that was a choice, too: pay my taxes in full, or hold back enough to write the book and pay my mortgage and buy groceries. I did the latter.
And so the hole was dug. And it was deep. And we may never claw our way out of it.
perhaps none of this would have happened if my income had steadily grown the way incomes used to grow in America. It didn’t, and they don’t. There was a good year here or there—another television job, a new book contract, that movie sale. But mostly my wages remained steady, which meant that, when adjusted for inflation, their buying power dipped. For magazine pieces, I was making exactly what I had made 20 years earlier. And I wasn’t alone. Real hourly wages—that is, wage rates adjusted for inflation—peaked in 1972; since then, the average hourly wage has essentially been flat. (These figures do not include the value of benefits, which has increased.)
And so the hole was dug. And it was deep. And we may never claw our way out of it.
Looking at annual inflation-adjusted household incomes, which factor in the number of hours worked by wage earners and also include the incomes of salaried employees, doesn’t reveal a much brighter picture. Though household incomes rose dramatically from 1967 to 2014 for the top quintile, and more dramatically still for the top 5 percent, incomes in the bottom three quintiles rose much more gradually: only 23.2 percent for the middle quintile, 13.1 percent for the second-lowest quintile, and 17.8 percent for the bottom quintile. That is over a period of 47 years! But even that minor growth is somewhat misleading. The peak years for income in the bottom three quintiles were 1999 and 2000; incomes have declined overall since then—down 6.9 percent for the middle quintile, 10.8 percent for the second-lowest quintile, and 17.1 percent for the lowest quintile. The erosion of wages is something over which none of us has any control. The only thing one can do is work more hours to try to compensate. I long since made that adjustment. I work seven days a week, from morning to night. There is no other way.
And still it isn’t enough.
In a 2010 report titled “Middle Class in America,” the U.S. Commerce Department defined that class less by its position on the economic scale than by its aspirations: homeownership, a car for each adult, health security, a college education for each child, retirement security, and a family vacation each year. By that standard, my wife and I do not live anywhere near a middle-class life, even though I earn what would generally be considered a middle-class income or better. A 2014 analysis by USA Today concluded that the American dream, defined by factors that generally corresponded to the Commerce Department’s middle-class benchmarks, would require an income of just more than $130,000 a year for an average family of four. Median family income in 2014 was roughly half that.
In my house, we have learned to live a no-frills existence. We halved our mortgage payments through a loan-modification program. We drive a 1997 Toyota Avalon with 160,000 miles that I got from my father when he died. We haven’t taken a vacation in 10 years. We have no credit cards, only a debit card. We have no retirement savings, because we emptied a small 401(k) to pay for our younger daughter’s wedding. We eat out maybe once every two or three months. Though I was a film critic for many years, I seldom go to the movies now. We shop sales. We forgo house and car repairs until they are absolutely necessary. We count pennies.
I don’t ask for or expect any sympathy. I am responsible for my quagmire—no one else. I didn’t get gulled into overextending myself by unscrupulous credit merchants. Basically, I screwed up, royally. I lived beyond my means, primarily because my means kept dwindling. I didn’t take the actions I should have taken, like selling my house and downsizing, though selling might not have covered what I owed on my mortgage. And let me be clear that I am not crying over my plight. I have it a lot better than many, probably most, Americans—which is my point. Maybe we all screwed up. Maybe the 47 percent of American adults who would have trouble with a $400 emergency should have done things differently and more rationally. Maybe we all lived more grandly than we should have. But I doubt that brushstroke should be applied so broadly. Many middle-class wage earners are victims of the economy, and, perhaps, of that great, glowing, irresistible American promise that has been drummed into our heads since birth: Just work hard and you can have it all.
If there is any good news, it is that even as wages have stagnated, a lot of things, especially durable goods like TVs and computers, have been getting steadily cheaper. So, by and large, has clothing (though prices have risen modestly in recent years). Housing costs, as measured by the price per square foot of a median-priced and median-sized home, have been stable, even accounting for huge variations from one real-estate market to another. But some things, like health care and higher education, cost more—a lot more. And, of course, these are hardly trivial items. Life happens, and it happens to cost a lot—sometimes more than we can pay.
Yet even that is not the whole story. Life happens, yes, but shit happens, too—those unexpected expenses that are an unavoidable feature of life. Four-hundred-dollar emergencies are not mere hypotheticals, nor are $2,000 emergencies, nor are … well, pick a number. The fact is that emergencies always arise; they are an intrinsic part of our existence. Financial advisers suggest that we save at least 10 to 15 percent of our income for retirement and against such eventualities. But the primary reason many of us can’t save for a rainy day is that we live in an ongoing storm. Every day, it seems, there is some new, unanticipated expense—a stove that won’t light, a car that won’t start, a dog that limps, a faucet that leaks. And those are only the small things. In a survey of American finances published last year by Pew, 60 percent of respondents said they had suffered some sort of “economic shock” in the past 12 months—a drop in income, a hospital visit, the loss of a spouse, a major repair. More than half struggled to make ends meet after their most expensive economic emergency. Even 34 percent of the respondents who made more than $100,000 a year said they felt strain as a result of an economic shock. Again, I know. After the job loss, the co‑op board’s rejections, the tax penalties, there was one more wallop: A publisher with whom I had signed a book contract, and from whom I had received an advance, sued me to have the advance returned after I missed a deadline. (Book deadlines are commonly missed and routinely extended.)
In effect, economics comes down to a great Bruce Eric Kaplan New Yorker cartoon that was captioned: “We thought it was a rough patch, but it turned out to be our life.”
our life. And for many of us—we silent sufferers who cannot speak about our financial tribulations—it is our lives, not just our bank accounts, that are at risk. The American Psychological Association conducts a yearly survey on stress in the United States. The 2014 survey—in which 54 percent of Americans said they had just enough or not enough money each month to meet their expenses—found money to be the country’s No. 1 stressor. Seventy-two percent of adults reported feeling stressed about money at least some of the time, and nearly a quarter rated their stress “extreme.” Like financial fragility itself, that stress cut across income levels and age cohorts. Not surprisingly, too much stress is bad for one’s health—as, of course, is too little money. Thirty-two percent of the survey respondents said they couldn’t afford to live a healthy lifestyle, and 21 percent said they were so financially strapped that they had forgone a doctor’s visit, or considered doing so, in the previous year.
Perhaps none of this would have happened if my income had grown the way incomes used to grow in America. It didn’t, and they don’t.
But financial fragility’s most insidious effects extend beyond physical health, to our larger sense of well-being. “Financial insecurity is associated with depression, anxiety, and a loss of personal control that leads to marital difficulties,” says Brad Klontz, the financial psychologist. I know about that, too. Money may change everything, as Cyndi Lauper sang. But lack of money definitely ruins everything. Financial impotence casts a pall of misery. It keeps you up at night and makes you not want to get up in the morning. It forces you to recede from the world. It eats at your sense of self-worth, your confidence, your energy, and, worst of all, your hope. It is ruinous to relationships, turning spouses against each other in tirades of calumny and recrimination, and even children against parents, though thankfully that is one thing that never happened to me. The rest, however, did happen and still does. I consider myself pretty tough and resilient. What of those who aren’t? To fail—which, by many economic standards, a very large number of Americans do—may constitute our great secret national pain, one that is deep and abiding. We are impotent.
And while the affliction is primarily individual and largely hidden from public view, it has perhaps begun to diminish our national spirit. People want to feel,need to feel, that they are advancing in this world. It is what sustains them. They need to feel that their lives will improve, and, even more, that the lives of their children will be better than theirs, just as they believed that their own lives would be better than their parents’. But people increasingly do not feel that way. A 2014New York Times poll found that only 64 percent of Americans said they believed in the American dream—the lowest figure in nearly two decades. I suspect our sense of impotence in the face of financial difficulty is not only a source of disillusionment, but also a source of the anger that now infects our national politics, an anger that gets displaced onto undocumented immigrants or Chinese trade or President Obama precisely because we are unable or unwilling to articulate its true source. As the Harvard economist Benjamin M. Friedman wrote in his 2005 book, The Moral Consequences of Economic Growth, “Merely being rich is no bar to a society’s retreat into rigidity and intolerance once enough of its citizens lose the sense that they are getting ahead.” We seem to be at the beginning of just such a retreat today—at the point where simmering financial impotence explodes into political rage.
Many Americans still remain optimistic—at least publicly. In a 2014 Pew survey revealing that 55 percent of Americans spend as much as they make each month, or more, nearly the exact same percentage say they have favorable financial circumstances, which may just mean some of them are too frightened to admit they don’t. Or perhaps they are just too financially illiterate to understand the severity of their predicament. Many of the scholars I have talked with are optimistic too. “People have this ingenuity to solve so many problems,” Annamaria Lusardi told me. “I think we are finally getting it that the brain does not work around money naturally,” Brad Klontz said, believing that Americans are realizing they have to take more control of their financial lives.
But optimism won’t negate the fact that wages continue to stagnate; that the personal savings rate remains low; and that a middle-class life seems increasingly hard to maintain. (A pre-recession survey by the Consumer Federation of America and the Financial Planning Association found that 21 percent of Americans felt the “most practical” way for them to get several hundred thousand dollars was to win the lottery.) I try to hang on to hope myself while still being a realist. Yet hope doesn’t come easily anymore, even in a nation of dreamers and strivers and idealists. What so many of us have been suffering for so many years may just seem like a rough patch. But it is far more likely to be our lives.

EASY HOME REMEDIES FOR DIARRHEA

EASY HOME REMEDIES FOR DIARRHEA


Needless to say, stomach health is of utmost significance to ensure our overall well-being. The food that we consume, if not digested properly, could lead to various ailments, including malabsorption of nutrients, which can make you feel weaker. Have you noticed that when you feel sick in your tummy, your entire day goes for a toss? During summers, the risk of stomach ailments double owing to a host of reasons. This is when diarrhea, a digestive disorder, is also on the rise. Though any one can fall prey to it at any point in time, it is most common in summers when chances of getting food infections and food-borne ailments are at the highest.
The triggers
According to Dr. Rupali Datta, Chief Nutritionist, SmartCooky, "There can be many causes of diarrhea - from food infections, allergies and food intolerance to laxative abuse, stomach surgery or even stress. However, the most common form of it is seen as a result of eating unhygienic food, or consumption of food items to which the body is intolerant."
According to her, stress can also trigger digestive disorders as our entire body is closely tied to our psychological health.
Prevention
Here are some pointers to help you prevent diarrhea -
- During summers, it remains imperative to keep a check on the quantity of food that you consume.
- Always eat light and in small portions.
- Try and avoid items which are too greasy or heavy for digestion.
- Add lots of water, fluids and yoghurt to your diet.
- Avoid eating cut fruits and salads from outside unless extremely sure of the quality of the place.
- Juices should also be taken under caution, be conscious of the hygiene of the place.
- "Do not eat stale food, even when home cooked. In summers, your regular ingredients have the tendency to go bad at double the speed. It is therefore advisable to cook fresh and eat," advises Dr. Ashutosh Gautam, Clinical Operations and Coordination Manager, Baidyanath.
Taking care of your tummy
Diarrhea can literally suck away all possible energy from your body. It usually manifests itself in the form of stomach cramps, nausea, vomiting and repeated need to go to the washroom leading to watery stool. At times the condition restricts the patient from eating or drinking anything, as after every intake, the patient may feel nauseated or bloated. "There is already more than enough loss of fluids and electrolytes from the body. Not eating or drinking will only worsen the condition. Keep sipping on fluids and eat soft, bland food in intervals," adds Dr. Rupali.
Keep the following points in mind for speedy recovery:
- See your doctor immediately.
- In the meanwhile, keep your hydration levels up.
- Sip on a mixture of electrolyte powder diluted in one litre of water.
- You can also make a blend of sugar, lemon juice and salt in water and keep having this in intervals.
- Always remember, too much of sugar will hamper your stomach, so try to keep a balance.
- Sodium and potassium will help in getting the digestion back to normal; therefore items like bananas are recommended in treating diarrhea and upset stomach.
- Diluted apple juice can be taken, but not much. Warm clear soups, clear chicken broth, buttermilk and curd should be added in the diet.
- Dairy milk should be avoided. However, soy milk and its products like tofu and curd can be consumed.
- Add rice, washed dals and refined flour to your diet. Making khichdi could be a good option.
- Skinned apples can be eaten. Apples are good source of pectin which has binding properties. Stewed apples are also a good option.
- "In case of vomiting accompanying the condition, consuming chilled fluids can help," notes Dr. Rupali.
- Have lightly brewed green tea but no caffeine.
Dr. Ashutosh Gautam says, consuming bel juice can aid a great deal in getting your digestion back on track. "Keeping a check on your regular water intake is very important. Do not have water from anywhere, carry your own water bottle. In case mineral water is not available, double boiling regular water is always advisable," adds Dr. Gautam.
Quarter teaspoon of jaiphal (nutmeg powder) can be added to green tea and consumed to relieve the stomach. If you can get your hands on kutaj fruit, there is nothing like it in taming an upset stomach, dysentery, stomach flu and diarrhea. Its medical name itself is holarrhena antidysenterica. Its bark and stem can be used to treat loose motions. You can get its powdered bark and mix a teaspoon with curd.
Another popular home remedy suggested by many experts is a combination of isabgol (psyllium husk) and yoghurt. "Just a teaspoon of isabgol mixed with curd can help you feel better. The ingredient is hydroscopic in nature. It absorbs extra water and helps in solidifying the stool," concludes Dr. Ashutosh.
Summer is the time to make a splash and get lost in the colours of the season. Keep a check on your diet and water to prevent food infections. Stay protected and of course, have a blast!

SYMPTOMS OF DEPRESSION

SYMPTOMS OF DEPRESSION


We’ve all been tense, stressed or anxious at some point in our lives. There may have been times when some of us have felt incapable of moving ahead in life or felt a bit empty from within. Feeling sad is a normal reaction to personal loss or our day-to-day struggles. But if the low mood lingers day after day, it could signal something larger.

According to the American Psychiatry Association, “Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home. Symptoms must last at least two weeks for a diagnosis of depression.”

The World Health Organization (WHO) considers depression as the fourth leading cause of disability worldwide, and expects it to become the second leading cause by 2020. An estimated 121 million people are currently living with some form of it. Of these individuals,fewer than 25% have access to adequate treatment.
Age is an important risk factor. The Behavioral Risk Factor Surveillance System found that the rate of diagnoses increased with age, from 2.8% for adults between 18-24 years to a peak of 4.6% for adults between 45-65 years. A study conducted by the Bangalore-based National Institute of Mental Health and Neuro-Sciences placed the average age of the depressed Indian at 31 years. In fact, a WHO report suggests that India is the most depressed country in the world.

Similarly, gender also plays a great role. Worldwide, women are about twice as likely to experience depression as men.  Approximately, 1 in 10 women experience symptoms of depression in the weeks after having a baby which is known as Postpartum Depression. The other forms of depression include Bipolar Disorder (extreme mood swings), Psychotic Depression  where a person may experience delusions and hallucinations, and Seasonal Affective Disorder which is characterised by the onset of depression during the winter months.

Although there is no ‘depression test’ that a mental health expert can use to diagnose depression, certain symptoms are more or less common to all the cases. These symptoms may vary according to the form or stage of illness. 
Dr. Dherandra Kumar, a Delhi-based Clinical Psychologist and Consultant at Apollo Hospital in Noida, suggests you consult a doctor if you experience the following symptoms persistently: 

1. Changes in mood, such as feeling down or low. This is usually accompanied by persistent boredom and loss of interest in activities you once enjoyed. In some cases, the person becomes excessively irritable.

2. The chances of substance abuse increase drastically i.e. alcohol and drugs, in turn affecting the person’s interpersonal relationships.

3. The person faces cognitive dissonance and difficulty in concentration. As a result, even day-to-day things slip away from memory. Confusion and difficulty in making day-to-day decisions. 

4. Sleep disturbances become a common occurrence. They prefer to stay in bed for a longer duration of time. In some cases, patients may have trouble sleeping or suffer from insomnia.

5. There is a drastic alteration in the eating pattern. It is often marked by frequent over-eating or starving oneself, consequently leading to evident weight gain or loss.

6. Feeling of hopelessness, guilt, and/or pessimism is one of the most common symptoms. 

7. Sluggishness and decreased energy, feeling fatigued or weak all the time. On the contrary, some may experience restlessness, be hyper active or even have trouble sitting still. 

8. Frequent aches, cramps or pain in the body without any physical ailment.

Depression has a certain social stigma attached to it. As a result, in most cases, sufferers feel too shy or ignorant to reach out. They fail to realise that depression is just like any other disease and it’s not a sign of weakness or a negative personality. Therefore, there is an urgent need to create awareness in order to facilitate a change in our attitude and mindset regarding this medical condition which can actually be treated and dealt with.

THE LAST CONTINENT ANTARCTICA

At Ushuaia, the capital of Tierra Del Fuego in Argentina and the southernmost city in the world, we board the Grigoriy Mikheev, a Russian icebreaker. I am wearing a micro-fibre jacket made to order at a small Mumbai shop that supplies all kinds of mountaineering equipment. It’s not cold, but it’s windy enough to freeze. The icebreaker has nice, warm rooms.
The trip is turning out to be easier than I thought. Until the night that us 18 passengers step off the ship, into Zodiacs — inflatable boats — to zip off in the darkest night, not a star in the sky, towards a lighthouse, for dinner. I hold on to the rope handles with a death grip. I am vegetarian, I want to scream, let me go back to the ship! But the silence on board means everyone is nervous too. We are treated to one of the best meals at the restaurant and I tell the organiser, Captain Ben (and his wonderful wife and child) that the spinach and cheese-filled ravioli is unforgettable. They think my religion does not permit wine, but I am too chicken to admit I’m scared that imbibing could mean I would fall off the Zodiac on the way back. 
Mornings are amazing. We are travelling with scientists and researchers ready to share all kinds of information. Breakfast is as international as we choose. And inevitably long, because the conversation is so amazing. 
And yes, we have a cranky older Indian man travelling with his NRI son who, in five minutes, alienates everyone by announcing how much his ‘estate’ in Silicon Valley is worth.
The captain, an amiable Russian, indulges my nine-year-old son’s every question and earns the title of ‘Better than Google about sea stuff.’ He announces a contest: “An expedition hat for anyone who spots the first iceberg.”
First? Icebergs meant the jagged-edged things that sank the Titanic!
The NRI saves me from making a fool of myself: He asks if the little ship has any chance of survival. The captains’ laughter makes me feel better. The ship, he assures us, runs on the most advanced sonar equipment, but, he adds, we are free to wear life-jackets and wander about. We do. Over the next four days. At lunch, dinner and breakfast, and also when watching March of the Penguins in the TV room.
At breakfast, a biologist at our table makes it a point to tell us that the doctor is sitting at breakfast with us. I am busy looking at the odd tablecloth: It works like velcro, holding plates and forks and salt and pepper shakers down. Then we all understand why. The ship has entered something called Drake’s Revenge. When you see the sea one minute and the sky the next, you know you need the doc. He smiles kindly and puts a patch behind my ear. Give it half an hour and you will be asking for breakfast. 
Hah! Optimist!
The husband spots the first iceberg and we stare at the two-mile-long tabletop iceberg in pure awe. If that is 30 percent of what is under water, imagine the rest! The patch works like magic and although I am slowed down by the meds in my bloodstream, I am happy to be up and on the deck to watch the sighting of the first birds. We are close to land!
We take several Zodiac rides to little islands that are home to penguins and petrels and giant seals. And yes, it is not pink snow, it is penguin poo, and you can smell it all. My favourite moment: Getting within inches of the most delightful turquoise iceberg and seeing icicles and frozen plant life. 
Back on the ship, the entertainment room, usually full of an enthusiastic crew, is quiet. A cruise liner had been in an accident, and since we are close, we are going to monitor the rescue efforts. The NRI whines about imaginary delays and decides to write a complaint letter. Everyone is worried for the people on the liner, but they laugh when India’s Pride leans too far off the deck to take a picture with his fancy camera and his fancier phone falls out of his pocket and is swallowed by the sea. 
Bright light through the porthole wakes me up. It’s 2.30 a.m. I blink in the sunlight. Sunlight? I look outside. Land! I shake the husband and child up, excited to share the sight.