Rethinking School

How to Take Charge of Your Child’s Education

Susan Wise Bauer

Susan Wise Bauer is qualified to write about school and education. She is the author of 13 previous books and co-author of another, all on learning and education. She was home-schooled and home-schooled her children. She has practical experience on how educational systems work. If you and your child are struggling within the system, Susan Wise Bauer has practical recommendations to improve the fit between your child and the system. As she states: “Schools exist to serve children, not the other way around.” She also shares recommendations on homeschooling if that is your choice. Continue reading

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Convergence Insufficiency

 

Convergence Insufficiency (CI) is the most common interference with maintaining precise binocular alignment in which a person’s eyes cannot be seen to turn. It is one of a class of conditions which produce similar signs and symptoms. Each of these conditions are treated with lenses, prisms, and/or optometric vision therapy. To be visually comfortable and efficient, binocular alignment must be within a ½ degree angle. Eyes that slip in, out, up, or down from this precise alignment compromise visual input. The effects are most obvious in reading due to the complexities of the task and the requirement for sustained ocular motor precision and speed. Eyes jump and stop to look four times a second while reading, or about 250 times a minute. When eye alignment drifts even minutely during these jumps, the eyes must realign at each stop or the degraded visual input will interfere with perception.

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Because there is no obvious deviation of the eyes, these conditions are often overlooked. Problems are observed but it may not be realized that they are visual. Individuals, particularly children, may not report their visual disturbances because the disturbances are normal for them. A problem-focused history may bring them out. (See the Convergence Insufficiency Symptom Survey at the end of this blog.) Diagnosis of these conditions requires additional testing, beyond what is usually considered to be a comprehensive examination. Examinations which do not include this testing tend to add to the confusion when patients are told that there is nothing wrong with their eyes.

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Convergence insufficiency causes a person’s eyes to not triangulate accurately and automatically for reading, writing, and using electronics. The system may work for a limited time but not have the stamina to maintain comfort, attention, and accuracy.

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Convergence insufficiency rarely occurs in isolation. It is almost always associated with difficulty focusing and is often coexists with poor tracking. Like other neuromuscular coordination problems which lead to compensations, it is subject to fatigue. The problem is exacerbated by prolonged eyestrain. This occurs as the school year proceeds or after additional eyestrain at work over a period of weeks or months. Staring is particularly stressful. This happens to children when they must stare to decode words as they are reading. It also takes place in the early years of writing before making letters and words become automatic and children must stare at their pencil point as they are drawing letters.

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Avoidance is the most common sign in children. For adults who find avoidance impossible, eye fatigue, headaches, and sleepiness are most common. When the limits are exceeded, double vision, blurring, and apparent movement of print can occur. Convergence insufficiency is common with post-concussion syndrome and is associated with amplified symptoms in this population.

 

Lenses, prisms, optometric vision therapy, and modifications of workstations and lifestyle are necessary to treat binocular vision dysfunctions. There must be adequate rest. Each visual system has its own tolerance for how long it can stare at illuminated screens without symptoms. Many work stations are set up poorly and people often do not take sufficient breaks. Children often have excessive homework in the early grades.

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Adequate treatment requires that eye alignment, focusing, and tracking become automatic and sustainable for extended periods of time. Being able to consciously align your eyes is not adequate. We cannot think about our eyes and simultaneously think about what we are doing. Analogously, I can still run, but ball sports do not work well when getting to the ball uses attention needed for deciding what to do and doing it when I get there.

Optometric vision therapy uses techniques to develop accurate eye movements and perception supported by practice at home to develop automaticity. Trying harder may work for a time, but performance will be inconsistent and cannot be sustained. When treatment is continued to completion and appropriate visual habits are maintained, these problems should not recur.

Convergence Insufficiency Symptom Survey

 

Other blogs you may find interesting:

Vision and Learning: A Guide for Parents and Professionals

Copying

Have Smartphones Destroyed a Generation? by Jean M. Twenge

Adding Vision to Concussion Testing

 

Reaching Down the Rabbit Hole

 

Dr. Allan H. Ropper & Brian David Burrell

The essence of this book is that diagnosing a condition relies on taking a thorough, problem-focused history which relies on the skill and patience of the doctor and the memory and communication ability of the patient and their family. Continue reading

Age of Opportunity:Lessons from the New Science of Adolescence

 

Laurence Steinberg

My notes from reading this book are long due to the importance of the topic and the quality of the book.

It was once said that the study of genetics taught us just how important the environment is.

In this book, I use the term “adolescence” to refer to the period of from ten until twenty-five.IMG_2303

The United States lags far behind the rest of the developed world on most indices of adolescent achievement and health.

New research shows that the brain continues to mature well into one’s twenties.

In general, the earlier age at which children now mature physically is much more worrisome than most people recognize, because it doesn’t bode well for physical or mental health – earlier puberty places people at significantly greater risk for a host of physical, mental, and behavioral problems, including depression, delinquency, and even cancer.

The fact that the adolescent brain is malleable is both good and bad news, though. As neuroscientists are fond of saying, plasticity cuts both ways. By this they mean that the brain’s malleability makes adolescence a period of tremendous opportunity – and great risk.

The United States spends more per student on secondary and postsecondary education than almost any other country in the world, so it’s unlikely that our mediocre school achievement or worrisome college attrition is due to a lack of financial resources.

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And as the world’s leader in prison population, we spend nearly $6 billion each year incarcerating adolescents, many of whom have committed nonviolent crimes and who could be managed in the community at a fraction of the cost.

One-third of students who enroll in college never graduate; the United States has one of the lowest college-graduation rates in the industrialized world, despite the fact that the economic returns on college completion in America are among the world’s highest.

The birth rate among unmarried women increased by 80 percent between 1980 and 2007. In 2011, nearly one-third of the women who gave birth had never been married. Having a child outside of marriage increases the risk of young women and men curtailing their education, depresses parents’ lifetime earnings, and increases the odds of living in poverty.20010606-padilla-mw05-007-910

The United States has one of the highest rates of youth violence in the developed world, as well as the highest rates of violent deaths among adolescents.

Nearly two-thirds of our high schools have security guards who carry firearms.

The United States leads the world in adolescent obesity and diabetes.thX4BQH8CI

The rate of adolescent suicide in the United States is consistently higher than the international average, and suicide attempts and suicide ideation among American high-school students are both on the rise.

The capacity for self-regulation is probably the single most important contributor to achievement, mental health, and social success. The ability to exercise control over what we think, what we feel, and what we do protects against a wide range of psychological disorder, contributes to more satisfying and fulfilling relationships, and facilitates accomplishments in the worlds of school and work.Impulse-Control

In today’s world, though, where formal education is increasingly important for success, people who are bad at reasoning, planning, and self-regulation are at a serious disadvantage, and the fact that the development of these abilities is highly sensitive to environmental influence is a mixed blessing.

The adolescent brain is extraordinarily sensitive to stress. The average age of onset for serious mental health problems is fourteen.

In all cultures and times, the mortality rate among boys spikes a few years after they become adolescents. It’s called the “accident hump”, and it occurs because the rise in testosterone that takes place at puberty makes males more aggressive and reckless.

A large survey of American children born in the early 1960s found that the average age of breast budding was close to thirteen years. By the mid-1990s, it had fallen to a little under ten.

Melatonin levels are sensitive to artificial as well as natural light. That’s why people are discouraged from staring at illuminated screens (like computer monitors, smartphones, or tablets) before they go to bed – the light they give off suppressed melatonin production, which makes it harder to feel sleepy. It’s little surprise that today’s teenagers, nearly all of whom have 24-7 access to television, computers, and other devices with glowing screens, are having more sleep problems than past generations. Your genes predispose you to go through puberty around a particular age, but the more fat cells you have, and the more light to which you have been exposed, the more likely it is that you will go through puberty on the early side of your inherited propensity.

The presence of chemicals in the environment that can accelerate puberty is so ubiquitous that children are exposed to them even when their parents are very careful about what they eat.

Menarche at twelve or earlier elevates a woman’s risk of breast cancer by 50 percent compared to menarche at sixteen.

Things that feel good, feel better during adolescence. A small structure inside the limbic system is the most active part of the brain for the experience of pleasure – it’s the center of the reward center – and it actually gets bigger as we grow from childhood into adolescence, but, alas, smaller as we age from adolescence to adulthood.

Although adolescents are relatively more attentive and responsive to rewards than adults, they’re actually less sensitive to losses. This bias is something that parents and teachers should keep in mind: it’s easier to change an adolescent’s behavior by motivating him with the prospect of a reward than by threatening him with a potential punishment.

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Being upset, excited, or tired interferes more with prefrontal functioning during adolescence than during adulthood because the relevant brain circuits are not fully mature.

According to statistics from the FBI, most crimes are committed by adolescents.

In other words, it’s not necessarily overt peer pressure that leads adolescents to do more reckless things with their friends. It’s that being around friends when you are a teenager makes everything feel so good that you become even more sensitive to rewards than you ordinarily are, which leads you to take chances you wouldn’t otherwise take.

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Risk taking is a natural, hardwired, and evolutionarily understandable feature of adolescence. It may no longer be especially adaptive in the world in which we live, but it is in our genes, and there isn’t much we can do to change that. We should devote fewer resources to trying to change how adolescents think, and focus on limiting opportunities for their inherently immature judgments to hurt themselves or others.

The marshmallow test seems to gauge something about people that stays with them as they grow up. More remarkably, the people who were delayers when they were four years old turned out to be more successful in life as well as in the lab. Life is constantly presenting us with choices between smaller immediate rewards and larger delayed ones.

From an earnings standpoint, going to college without getting a bachelor’s degree is now pretty much a complete waste of time.

Expanding opportunities to go to school without ensuring that people have the determination to take advantage of them is unlikely to succeed. IMG_2185

The United States spends more money, in absolute and relative dollars, on postsecondary education than nearly any other country. It has one of the highest rates of college entry in the industrialized world. Yet it is tied for last in the rate of college completion.

Matching former students and their careers with my recollection of their credentials at the time they applied, it struck me that the things we asked about on our admissions application were more or less useless in predicting future success in the field.

LittleEngineOnly about 25 percent of school performance is accounted for by intelligence.

The abilities needed in most jobs can often be acquired after one is hired, but capacities like perseverance and conscientiousness must be nurtured before adulthood.

At its core, more than any other capacity, determination requires self-regulation.

In order to develop competence, children must learn from their mistakes.

You might be surprised to learn that, despite the stereotype of the pressure-cooked Asian student, the teen-suicide rate is higher in the United States than in China, Korea, Japan – or, for that matter, Germany.

Without changing the culture of student achievement, changes in instructors or instruction won’t, and can’t, make a difference.

The fact that Asian American children in particular do so well in our putatively terrible schools and with our ostensibly terrible teachers has nothing to do with what goes on in the classroom. It has everything to do with how they are raised and what their parents expect of them.

Most teenage delinquents don’t become persistent adult criminals. People tend to grow out of crime, just as with other sorts of risky and dangerous behavior, which decline as people mature through their twenties.

We spend our time telling adolescents what they shouldn’t do, rather than guiding them toward what they should – and can – do.

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Book Review: Nuture Shock: New Thinking about Children

The Talent Code: Book review

Have Smartphones Destroyed a Generation? by Jean M. Twenge

The Power of Play

Boys Adrift Leonard Sax, M.D., Ph.D.

The End of Average