We are delighted to share a Lower School Blog, intended to be a resource for parents, faculty, and staff -- including a variety of educational and parenting articles, book reviews and research, as well as some links to school-related and Lower School activities. We hope you’ll enjoy it.

Long-term Benefits of Music Lessons

Long-Term Benefits of Music Lessons

Chris Gash
Childhood music lessons can sometimes leave painful memories, but they seem to carry benefits into adulthood. A new study reports that older adults who took lessons at a young age can process the sounds of speech faster than those who did not.

“It didn’t matter what instrument you played, it just mattered that you played,” said Nina Kraus, a neuroscientist at Northwestern University and an author of the study, which appears in The Journal of Neuroscience.
She and her collaborators looked at 44 healthy adults ages 55 to 76, measuring electrical activity in a region of the brain that processes sound.
They found that participants who had four to 14 years of musical training had faster responses to speech sounds than participants without any training — even though no one in the first group had played an instrument for about 40 years.
Dr. Kraus said the study underscored the need for a good musical education. “Our general thinking about education is that it is for our children,” she said. “But in fact we are setting up our children for healthy aging based on what we are able to provide them with now.”
Other studies have suggested that lifelong musical training also has a positive effect on the brain, she added. Dr. Kraus herself plays the electric guitar, the piano and the drums — “not well but with great enthusiasm,” she said. 

With Apps, Children Can Play the Game of Math

With Apps, Children Can Play the Game of Math

App Smart: Teaching Kids Math: Children can learn math skills, from addition to algebra, through an array of apps for tablets and smartphones.
My 5-year-old son recently explained to my 3-year-old son that they were two years apart. Three years old plus 2 years old equals 5 years old, he explained.
DragonBox Algebra 5+ teaches the principles of algebra through a game.
The interface of MathBoard resembles a chalkboard.
I was hugely proud of his reasoning and math skills. He hasn’t learned them exclusively at school. His math learning has happened, in part, on a tablet running educational math apps that we’ve found for him. He’s learned addition and subtraction, and as he gets older he’ll be learning even more complex math this way, too.
The most impressive math education app I’ve seen has to be DragonBox Algebra 5+. What impresses me is that its clever design can teach all sorts of complex algebra concepts without making children feel as if they are learning mathematics.
The app is like a game, and it starts at an abstract level: The player has to match small cartoon icons with their matching “dark” alternatives, eventually arranging the pieces on the playing board so that only the magical “box” of the game’s title is left on the board. As the child plays through the levels, the abstract cartoon icons are eventually replaced with numbers and proper mathematical symbols, but with the same gameplay and sound effects.
It’s fun, and the graphics and sound effects are attractive enough to keep children playing. And while they’re playing, they are unknowingly learning some of the same math principles that you need when you’re doing algebra — addition, subtraction, balancing an equation, even concepts like parentheses. Play it yourself and you’ll see how much fun it is.
Perhaps the main drawback to this app is its complicated menus. If you’re going to use it with 5-year-olds, it’s probably best to keep them company so they don’t get frustrated by instructions they cannot read. It is also surprisingly expensive, at $6, but you get over 200 puzzles for your money. The app is on iOS and Android.
The adorable YodelOh Math Mountain app also stays within the learning-through-games genre, but for a more introductory level of math. This app involves a cartoon yodeler who ascends a graphical mountain over time — if he gets to the top, he yodels his way to his doom over the edge. To keep the yodeler from climbing the peak, the player has to answer math questions against the clock.
For example, the question may be “10 x 15 = ?” and the five options are “0, 1, 50, 150, 200.” Tapping the right answer saves the yodeler, whereas taking too long or tapping the wrong answer makes him take a step up the mountain or get butted uphill by a cartoon ram. The idea is that by keeping the entire app lighthearted and full of amusing sounds and images, children do not notice that they’re being tested on their arithmetic skills.
The app offers a less extensive learning experience than DragonBox, but it still has the ability to hone specific math skills because you can choose whether to test just basic subtraction, addition and so on. It’s $3 on iOS and, $2 on Android.
For an alternative app, try Madagascar Math Ops — a game filled with characters from the “Madagascar” cartoon movie franchise. Like Math Mountain, the app has a multiple-choice mental math quiz, but Math Ops has more animation. Winning moves are rewarded with a short in-app game — flying penguin fun that will remind you of Angry Birds. There is a free edition with limited levels on both iOS and Android; the full version costs $3.
For a slightly more traditional route, try MathBoard. It has gamelike elements, but it’s based on a simulated old-fashioned school chalkboard. The app’s screen is split into a quiz area and a work area. In the quiz area, a math puzzle is posed using traditional notation, perhaps something like 47 - 5 = ? Players choose the answer from a list of numbers to solve the puzzle, and they can use the faux chalkboard on the other side of the screen to work out the solution. If they get stuck, a “problem solver” window that shows each stage required to correctly work out the answer can be brought up. It’s like help from a private math tutor.
There are other game options available in this app, like choosing which number is greater than another. Because you can adjust the difficulty of the puzzles, and the problem-solver teaches the player about math, this app is a great way for children to practice their math skills. My chief complaints are that MathBoard could be more fun without distracting from the learning aspects, and that it has a $5 price tag on iOS and Android.
Quick Call
Star Wars: Tiny Death Star may be the most amusing new app to hit smartphones recently. In this game, rich with cute, old-style 8-bit graphics, you have to manage the processes and people of the famous “Star Wars” battle station. Think FarmVille meets Darth Vader. Free on iOS, Android and Windows Phone.

New Study Uncovers the Powerful New Role of Media in Children's Lives

New Study Uncovers The Powerful New Role Of Media In Children’s Lives

A couple of weeks ago, Common Sense Media released their findings from a study they conducted on children’s media use in America. This was their second survey designed to document the media environments and behaviors of kids ages 8 and under, the first of which was conducted two years ago. While this information would clearly be interesting on its own, we find it to be even more interesting to have the comparison with the data from two years ago.
How have our young children and their media usage changed over the past two years? The handy infographic below takes a look at the data from this year’s study and comparisons with the study from two years ago. Keep reading to learn more.

Growing Up Mobile

  • 3/4 of children have access to mobile devices at home
  • Smartphones are the most commonly used devices (63% up from 41% two years ago).
  • Tablets come a close second at 40% – compared with 8% two years ago!
  • The number of kids who have used mobile devices has about doubled since two years ago (38% to 72%)
  • Average daily use of mobile devices has tripled (from 5 minutes to 15 minutes a day)
  • The number of children under 2 who have used a mobile device has risen to 38% from 10% in 2011.
  • Traditional screen time (TV) is down from two years ago, but mobile screen time is up.
  • Most children using mobile devices are either playing games, using apps, or watching videos on the device.
  • The average child spends 1 hr 55 minutes per day in front of a screen – and this is still dominated by TV despite the rise in mobile usage.
  • More and more of this screen time is becoming DVR, on demand, and streaming.
  • The ‘digital divide’ between rich and poor still exists – high income families are three times as likely to own a tablet and more than twice as likely to have high speed internet.
  • 54% of higher income families use mobile devices for educational content but only 27% of lower income families do.
children social media
 

A Meaningful Minute

A Meaningful Minute

‘The Silver Button,’ by Bob Graham

From "The Silver Button"
At 9:59 in the morning, in a seaside city somewhere, a little girl named Jodie is about to draw the final silver button on her picture of an elegantly dressed duck. She pauses for a minute to consider her work. That short span of time is all it takes for Jonathan, her baby brother, to take his first steps. And throughout the multiracial, multiethnic town, other important things happen in that same time frame. An ambulance speeds past, a soldier says goodbye to his mother, a grandfather plays a funny game of leaf houses with his granddaughter. A homeless woman pushes her belongings down the street in a grocery cart. A baby is born, and two friends, Belle and Vashti, pop seaweed on the beach.

THE SILVER BUTTON

Written and illustrated by Bob Graham
32 pp. Candlewick Press. $16.99. (Picture book; ages 3 to 6)

From "The Silver Button"
Bob Graham, an Australian artist, has won a number of big prizes over the years, including a Kate Greenaway Medal for “Jethro Byrde: Fairy Child” and a Unicef Bologna Illustrator of the Year award. 
His long experience in book illustration shows here in the expert pacing and variation of his scenes. There’s just enough of a narrative, simply expressed, on each page to keep a child’s attention. (The littlest lap-readers may ask to have the structure explained to them the first time they hear the book.) Interior pictures are juxtaposed with bird’s-eye views of the city, all detailed, but none chaotic. This is a busy town, but there’s a leisureliness to Graham’s portrayal of it, conveyed by broad white pages with soft-toned watercolors, that makes it very different from Richard Scarry’s action-packed “Busytown” series.
Some of the details Graham includes are truly witty and a pleasure for grown-up readers: Jonathan takes his first steps under a painting of an ape moving forward on both hands and feet, Graham’s hint that walking upright is indeed very significant — not just to Jonathan, but to mankind. Visual nods to the Renaissance painter and engraver Albrecht Dürer bring a sense of deep historical context and culture to the contemporary moment. A calendar showing his “Young Hare” hangs in the family’s kitchen. The children’s cropped-haired, penny-whistle-playing mother loves the picture “so much, she hadn’t changed it in three years.” And Graham has decorated the end pages of “The Silver Button” with a sketch of a patch of grass, with weeds sprouting this way and that, strongly reminiscent of Dürer’s “The Large Piece of Turf.” Just as the 16th-century master studied an ordinary cross section of sod, and saw great, if unconventional, beauty and variety there, so Graham, in showing the range of activity in a city over the course of a mere minute, shows something unconventional but precious about life and time.
It’s rare for such an admirably simple children’s book to suggest so much that’s profound. “The Silver Button” is indeed something very special, a book that speaks to the old and the young at their own levels, but says the same thing to both.

A Cure for the Allergy Epidemic?

A Cure for the Allergy Epidemic?

Celyn Brazier
WILL the cure for allergies come from the cowshed?
Celyn Brazier

Allergies are often seen as an accident. Your immune system misinterprets a harmless protein like dust or peanuts as a threat, and when you encounter it, you pay the price with sneezing, wheezing, and in the worst cases, death.
What prompts some immune systems to err like this, while others never do? Some of the vulnerability is surely genetic. But comparative studies highlight the importance of environment, beginning, it seems, in the womb. Microbes are one intriguing protective factor. Certain ones seem to stimulate a mother’s immune system during pregnancy, preventing allergic disease in children.
By emulating this naturally occurring phenomenon, scientists may one day devise a way to prevent allergies.
This task, though still in its infancy, has some urgency. Depending on the study and population, the prevalence of allergic disease and asthma increased between two- and threefold in the late 20th century, a mysterious trend often called the “allergy epidemic.”
These days, one in five American children have a respiratory allergy like hay fever, and nearly one in 10 have asthma.
Nine people die daily from asthma attacks. While the increase in respiratory allergies shows some signs of leveling off, the prevalence of food and skin allergies continues to rise. Five percent of children are allergic to peanuts, milk and other foods, half again as many as 15 years ago. And each new generation seems to have more severe, potentially life-threatening allergic reactions than the last.
Some time ago, I visited a place where seemingly protective microbes occurred spontaneously. It wasn’t a spotless laboratory in some university somewhere. It was a manure-spattered cowshed in Indiana’s Amish country.
My guide was Mark Holbreich, an allergist in Indianapolis. He’d recently discovered that the Amish people who lived in the northern part of the state were remarkably free of allergies and asthma.
About half of Americans have evidence of allergic sensitization, which increases the risk of allergic disease. But judging from skin-prick tests, just 7.2 percent of the 138 Amish children who Dr. Holbreich tested were sensitized to tree pollens and other allergens. That yawning difference positions the Indiana Amish among the least allergic populations ever described in the developed world.
This invulnerability isn’t likely to be genetic. The Amish originally came to the United States from the German-speaking part of Switzerland, and these days Swiss children, a genetically similar population, are about as allergic as Americans.
Ninety-two percent of the Amish children Dr. Holbreich tested either lived on farms or visited one frequently. Farming, Dr. Holbreich thinks, is the Amish secret. This idea has some history. Since the late 1990s, European scientists have investigated what they call the “farm effect.”
The working hypothesis is that innocuous cowshed microbes, plant material and raw milk protect farming children by favorably stimulating their immune systems throughout life, particularly early on. That spring morning, Dr. Holbreich gave me a tour of the bonanza of immune stimuli under consideration.
We found our hosts, Andrew Mast and his wife, Laura, hard at work milking cows in the predawn chill.
Dr. Holbreich, slight and bespectacled, peppered them with questions. At what age did Mr. Mast begin working in the cowshed? “My first memory is of milking,” he said, at about the age of 5. What about his children, two straw-haired girls, then ages 2 and 3; did they spend time in the cowshed? The elder girl came to the barn at 3 months of age, he said. “People learn to walk in here.” Do expectant mothers work in the barn? “Yes,” Laura said. “We work.”
Dr. Holbreich had made his point: whatever forces were acting here, they were chronic, and they began before birth. As the sun rose, Dr. Holbreich and I sniffed the damp, fermented feed (slightly malty); shoveled fresh cow manure (“Liquid gold,” Dr. Holbreich said only half-jokingly, “the best medicine you could think of”); and marveled at the detritus floating in the air. Extrapolating from previous research, with each breath we were inhaling perhaps 1,000 times more microbes than usual. By breakfast time, grime had collected under our nails, hay clung to our clothes, and muck to our boots. “There’s got to be bacteria, mold and plant material,” Dr. Holbreich said. “You do this every day for 30 years, 365 days a year, you can see there are so many exposures.”
The challenge of identifying the important exposures — and getting them into a bottle — is a pressing one. In parts of the developing world, where allergic disease was once considered rare, scientists have noted an uptick, especially in urban areas. China offers a dramatic case in point. A 2009 study found a more than threefold difference in allergic sensitization (as judged by skin-prick tests) between schoolchildren in rural areas around Beijing and children in the city proper. Doctor-diagnosed asthma differed sixfold. Maybe not coincidentally, 40 percent of the rural children had lived on farms their whole lives.
Immigrants from the developing world to the developed tend to be less allergic than average. But the longer they reside in their adopted countries, the more allergic they become. And their native-born children seem to gain the vulnerability to asthma, sometimes surpassing it. All of which highlights a longstanding question in the allergy field. As Dr. Holbreich puts it, “What is it about westernization that makes people allergic?”

If a Young Child Wanders, Technology Can Follow

If a Young Child Wanders, Technology Can Follow

The Filip voice watch has a panic button to help lost children find adult help.
Most parents have experienced that feeling of fear when a young child wanders off at the playground or disappears during a trip to the supermarket. New technology, in the form of voice watches and miniature sensing devices, is aimed at thwarting such distress by keeping track of children who are too young to carry a smartphone.

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The Filip tracks a child’s location and lets him or her get voice calls from up to five people authorized by their parents.
The Trax lets parents mind a child via a digital “fence.”
The Trax can draw boundaries for a child on a cellphone's screen, so parents can receive an alert if they're crossed.
The new devices use GPS, Wi-Fi and other location-tracking technology and can be linked to apps on a parent’s phone. One device, a watch coming from Filip Technologies later this year, tracks a child’s location and lets him or her get voice calls from up to five people authorized by their parents. (Children lift the watch to their ear or mouth when communicating.)
The watch also has a red panic button that children can push if, for example, they suddenly become separated from their parents in a crowd. Then the watch starts dialing each of the authorized people until one answers. AT&T will be the network provider for the watch; its price has not yet been announced.
Sandra L. Calvert, a professor of psychology and the director of the Children’s Digital Media Center at Georgetown University, views the watches and related products as extensions of the way parents now use smartphones to keep track of older children.
“From a child’s perspective, a parent is like an anchor,” she said. These devices allow the child to move farther and farther away, yet the parent knows where the child is. “If a child gets lost in a store and can push a little button, their parents can find them,” she said. “It helps them to know they are in a range that seems to be safe.”
But the technology offered by the watches and similar products could be a mixed blessing, said Lisa Damour, a psychologist who focuses on parenting and directs the Center for Research on Girls at Laurel School in Shaker Heights, Ohio, and contributes to Motherlode blog of The New York Times.
“I can understand how a parent might want to know if their child is having a problem, but I don’t think it’s necessarily helpful for children to always be able to turn to their parents when they are struggling,” she said. “We want children to develop problem-solving skills and the capacity to manage stress” as they practice drawing on their own resources, or those of teachers, friends and others around them.
The panic button might have an unintended effect that’s not in the best interest of the child, she said. “It may reduce the parents’ anxiety to give their child a panic button, but I can readily imagine that it increases the child’s anxiety,” she said. “It sends a strong message that the child is at real risk of danger. This goes against what we know statistically.”
In reality, children are now safer from abduction by strangers than they’ve been in decades, said Lisa M. Jones, a research associate professor of psychology at the University of New Hampshire’s Crimes Against Children Research Center. “Abductions in the traditional sense of someone taken by someone else they don’t know, with the intention of keeping or harming the child — that’s quite rare,” she said. “The vast majority of children are victimized by people close to them.”
But even though such abductions are rare, she said, “obviously we are terrified by them.”
Jonathan Peachey, chief executive of Filip Technologies, said the watch might well increase a child’s anxiety, “but I would question whether that’s a bad thing.” With the watch, children have a sense that they can always talk to their parents in threatening situations. “That’s a conversation, and a very positive one for parents to have with their child,” he said.
Another new tracking device, the tiny Trax, also pairs with a smartphone app to allow parents to find their children, particularly very young ones, said Tobias Stenberg, a co-founder of Wonder Technology Solutions, a company in Stockholm that makes the device.
The tracker is meant for those worrisome moments when parents trying to keep an eye on a child playing in the garden, for example, suddenly discover that he or she isn’t there. “Your first reaction is a bit of panic, but if you look at your phone, you can see, ‘Oh, she’s returned to her room,’ ” Mr. Stenberg said.
The Trax, to be available later this month, costs $249 and includes a subscription for two years’ use in more than 30 countries, including the United States. After that, the company will charge a small monthly fee. Parents can draw boundaries on the screens of their smartphones, creating an electronic fence within which their child can roam. But if the child crosses the digital fence, the tracker alerts the parents, Mr. Stenberg said. And if the satellite signal is lost inside a building, for example, the Trax uses motion and direction sensors to determine the child’s position. (The device can also keep track of dogs, he said.)
For parents who opt for smartphones even for young children, many wireless services, like AT&T’s FamilyMap, offer programs that track the phones of family members, sending a text or email to parents telling them, for example, when their child’s phone arrives home after school.
Lynn Schofield Clark, an associate professor at the University of Denver and author of “The Parent App,” said parents who equip their young children with tracking devices still have to try to balance the parental instinct to protect their offspring with the need to nurture their sense of independence and responsibility.
Children can’t be protected by gadgets alone, she said — they also have to learn the basics of being a responsible family member: “We still have to remind them again and again that they have to let us know where they are and not wander off.”

Beyond Strategy and Winning, How Games Teach Kids Empathy

Beyond Strategy and Winning, How Games Teach Kids Empathy


By Annie Murphy Paul
Until I had children, I couldn’t be bothered with playing games. Couldn’t stand poker, pinochle or gin rummy. Bored out of my mind by Sorry! and Stratego. Never understood the appeal of chess, checkers or backgammon.
But once I had kids, games took on a new appeal. Apart from entertaining my kids on rainy afternoons, I saw how many different skills games helped to develop. Card games like Uno and Go Fish helped my sons learn to recognize colors and numbers. Board games like Candyland and Chutes and Ladders reinforced their burgeoning conception of a linear number line. And word games like Scrabble and Boggle, which we’re just beginning to try out, promise to expand their vocabularies and enhance their understanding of word stems and endings.
But the biggest benefits of playing games, I’ve come to see, are social. The same kid who responds to the question, “What did you do at school today?” with an impassive “Nothing,” suddenly grows loquacious once there’s a pair of dice or a pack of playing cards between the two of you. Games teach children how to take turns, lose stoically and win graciously (well, most of the time). And there’s another skill that game-playing promotes, one I hadn’t thought about until I read a study published last month in the Proceedings of the National Academy of Sciences: Games push players to try to understand the minds of the other participants. Is she bluffing? Is he

clueless, or just playing dumb? Can everyone tell that I’m planning to go out in a blaze of glory on the next round?
The study, conducted by a group of researchers from the University of California, Berkeley, used functional magnetic resonance imaging to show that different brain regions are active when individuals play a game against other people and when they play against themselves.
“When players compete against each other in a game, they try to make a mental model of the other person’s intentions, what they’re going to do and how they’re going to play, so they can play strategically against them,” explains one of the study’s authors Kyle Mathewson, who worked alongside lead author Lusha Zhu
This “mental model” of other people’s thoughts and feelings, also known as theory of mind, is crucial for the development of empathy, perspective-taking, and social reciprocity—all the skills that allow us to get along productively with others.
OK, so in this case we’re trying to understand the other person so that we can completely crush them in Battleship. But the ability to adopt another person’s point of view is an aptitude we should want to foster at every opportunity, in every setting. Cultivating children’s theory of mind is a game that everybody wins.

Crazy Cousins

Crazy Cousins

‘Dozens of Cousins’ and ‘Cousin Irv From Mars’

From "Dozens of Cousins"
According to Tolstoy, cousinhood is a dangerous neighborhood, and if you’ve ever had a small horde of somewhat-related kids over to your house you may find you agree. As two new picture books demonstrate, cousins may be surprisingly different, but they tend to share a common sense of fun, and things can get wild fast.

DOZENS OF COUSINS

Written by Shutta Crum
Illustrated by David Catrow
32 pp. Clarion Books/Houghton Mifflin Harcourt. $16.99. (Picture book; ages 4 to 8)

COUSIN IRV FROM MARS

Written and illustrated by Bruce Eric Kaplan
40 pp. Simon & Schuster. $16.99. (Picture book; ages 4 to 8)

From "Cousin Irv From Mars"
In “Dozens of Cousins,” Shutta Crum’s warm, lyrical prose poem summons up the joy of an exuberant band of kinfolk who gather at a family reunion. There are so many cousins, none of them are ever named. Instead, the children refer to themselves as the “beasties,” and they do seem as much like puppies as little humans. “We are wild and fierce, / We do not wait for invitations. / We run through front doors, arms extended, /slap dirty feet on cool linoleum, / grab from plates thrust out at us — and holler for more.”
The cousins’ naughtiness is clearly infectious. All but the oldest big brothers and sisters join in the frolic. David Catrow’s illustrations convey giddy, chaotic action: while a collection of every-colored grown-ups chat at a picnic table, a baby howls on a blanket, a boy with a Mohawk runs with his tongue out and a terrier skids to a halt at the sight of three preschoolers overcome by giggles as they shake their fannies at distracted elders.
Night falls and the scene quiets: “When some have left for home, / we are carried inside and sleep curled / amid arms and legs on pallets on the floor — / our grubby beastie toes pointing up at the big open grin of the moon.” You can practically hear the adults — and maybe a few of the younger set — sigh with relief. If your household is about to be invaded by a madcap throng of children, or if having waved them goodbye, you want to think back on their antics, “Dozens of Cousins” might be just the right read-aloud.
Of course, not every visit from a cousin is quite so much fun. At the start of “Cousin Irv From Mars,” young Teddy, who generally hides in the closet when his relatives come over, is a little wary of his visiting Cousin Irv. The problem is not that Irv’s an alien — it’s that he’s a bit of a pain. He hogs the bathroom, eats everything in sight and plays annoying music. Teddy’s parents aren’t terribly sympathetic. When he asks when Cousin Irv is going to go home, his mother “told him people needed to get along with their distant cousins from Mars.”
When Irv accompanies Teddy to school, Irv’s alienness is suddenly a social asset. None of Teddy’s friends have ever met anyone from Mars before, and Irv entertains the students by using his electromagnetic ray to vaporize “a few things in the classroom.” A teacher looks on; she is not amused. And so things begin to improve, as Irv becomes a friend to Teddy, happy to read him the same book 14 times in a row and delightfully unaware of silly grown-up rules, like the one about not eating pizza in the bathtub.
Bruce Eric Kaplan’s illustrations here have a similar tone to his cartoons for The New Yorker. His pictures are static but convey humor and oddness through his characters’ exaggerated stances. His text is funny too, as the story, told from Teddy’s perspective, includes platitudes you can imagine he has heard directly from adults. “Teddy’s family was sad but had to accept that Cousin Irv was leaving, because we all know, or should know if we weren’t always forgetting, accepting things is the only way to be happy.” Are all cousins from Mars? In a way, perhaps they are, and that is where the fun begins.

Tracing Images and Heeding Voices to Learn the Basics of Reading

Tracing Images and Heeding Voices to Learn the Basics of Reading

Whatever magical addictive power was infused into my iPad in the factory, it seems to have the strongest effect on my children, who are 2 and 4 years old. They don’t use the tablet just for silly games. They also love the applications that mix together education and play.
In the Word Magic app, a child fills in a missing letter based on clues.
The abc PocketPhonics app helps children learn letters, sounds and words.
The Tracing ABC Letter Worksheets app.
In particular, they enjoy apps aimed at helping them learn to read. There are many smartphone and tablet apps that offer a new, dynamic and interactive way to learn to read, starting from the basics of letter shapes and sounds.
One of my children’s favorite early reading apps is abc PocketPhonics, $2.99 on iOS. The lessons in PocketPhonics begin with single letters appearing on the screen, accompanied by a voice reading their sounds. Children are expected to copy the letter shape by drawing with their finger, while an arrow guides the way.
When several letters have been learned, there is a quiz section where the child has to tap on the right letter when its sound is spoken aloud. Then these letters are used to form words that are spoken aloud and accompanied with a cute graphic.
When the child is doing well, the app offers spoken praise, and two penlike cartoon characters keep it feeling light and fun. But if letters aren’t drawn well, the app won’t progress to the next level.
As the child’s learning advances, the complexity of the letters increases, and the letters are used to form longer and more complicated words. So it starts with words like “it” and ends with words like “each.”
This app is attractive for its simplicity, but probably works best if you sit with your children to guide them through its lessons. The British accent used on the app may bother you, and don’t expect too many hours of continuous use from PocketPhonics. It really teaches only basic words.
A similar Android app is Tracing ABC Letter Worksheets, costing $1.99, though there is a free version with fewer features. This app teaches children how to write letters, and is great for younger children but also includes complex words to challenge 11- or 12-year-olds. As its title suggests, the app is all about tracing letter shapes on the screen: The child’s fingertip movements are guided by some flickering stars, and the right moves are rewarded with amusing sound effects.
In a separate part of this app, children trace the different letters of a word on the screen, and when they’re done the app speaks the word aloud and congratulates them. For maximum educational value, it’s probably best if younger children are supervised in this section because the app sounds out each letter and explains how the sounds add up to a word. You’ll also need to control the app’s interface to select which words are presented and to choose the appropriate age settings.
Kids ABC Phonics is a slightly more advanced Android app that uses different games to help children learn their letters and form basic words. It costs $3.99. The app’s main game employs a neat graphics trick: It centers on an interactive 3-D cube.
The idea is to drag the images and letters the app is seeking to this cube. Then you can spin the cube to see what’s been added. Users may build a cube, for instance, that is covered with images like an apple, an alligator and so on to build an “A” cube. But the complexity of interacting with the cube and also of adhering to the app’s spoken instructions during the cube game, and the app’s other games, means younger children will almost surely need supervision when using this app.
On iOS, the 99-cent app Word Magic would be useful for children with basic reading skill but still needing to practice their letters and expand their vocabulary. It’s essentially a simple quiz where a word is shown beneath a corresponding picture, but the word is missing a letter.
After the word is read aloud, the child has to choose the missing letter from a list. The app keeps score, providing a competitive element. Parents may also appreciate the fact that the words are read out by children with many different accents, which should help with your child’s listening skills. You may need to help your child understand the more unusual accents from time to time.
Many aspects of this quiz can be controlled — from the maximum word length to the difficulty level. One annoyance in Word Magic is that it’s easy for a child to accidentally press on the little clock icon at the top, which will reset the score; some tears may follow.
These apps are all about the basic skills of reading. But once a child has mastered “the cat sat on the mat,” it shouldn’t be too long before the youngster will be reading himself to sleep — if a parent is willing to give up that task.
Quick Calls
Bondsy is a new free iOS app that’s a marketplace for friends to trade things. You may, for instance, have spare tickets to a concert and a friend may have an unwanted birthday gift. Bondsy allows you to easily swap these items, inside a more friendly environment than in rival apps. ... Tetris Blitz gives fans of the classic game a new version to play free on Android. In it, users play against a two-minute timer.

A Library of Classics, Edited for the Teething Set

A Library of Classics, Edited for the Teething Set

The humble board book, with its cardboard-thick pages, gently rounded corners and simple concepts for babies, was once designed to be chewed as much as read.
William P. O’Donnell/The New York Times
Parents are flocking to the popular BabyLit series, which features works of literary art that have been adapted for babies and toddlers. The board books skip the complicated narratives and instead use the stories as a springboard to explain counting, colors or concepts like opposites.
But today’s babies and toddlers are treated to board books that are miniature works of literary art: classics like “Romeo and Juliet,” “Sense and Sensibility” and “Les Misérables”; luxuriously produced counting primers with complex graphic elements; and even an “Art for Baby” book featuring images by the contemporary artists Damien Hirst and Paul Morrison.
Booksellers say that parents are flocking to these books, even if the idea that a 2-year-old could understand “Moby-Dick” seems absurd on the face of it. A toddler might not be expected to follow the plot, but she could learn about harpoons, ships and waves, with quotes alongside (“The waves rolled by like scrolls of silver”).
Publishers of these books are catering to parents who follow the latest advice by child-development experts to read to babies early and often, and who believe that children can display aesthetic preferences even while they are crawling and eating puréed foods.
“If we’re going to play classical music to our babies in the womb and teach them foreign languages at an early age, then we’re going to want to expose babies to fine art and literature,” said Linda Bubon, an owner and children’s book buyer at Women & Children First, a bookstore in Chicago. “Now we know there are things we can do to stimulate the mind of a baby.”
Suzanne Gibbs Taylor, the associate publisher and creative director of Gibbs Smith, a small publisher in Salt Lake City that conceived the popular BabyLit series, said she realized that no one had ever “taken Jane Austen and made it for babies.”
While the BabyLit books do not try to lay out a complicated narrative of “Wuthering Heights” or “Romeo and Juliet,” they use the stories as a springboard to explain counting, colors or the concept of opposites. The popular “Cozy Classics” line of board books, introduced in 2012 by Simply Read Books, a publisher based in Vancouver, B.C., adapts stories like “Moby-Dick” and “Les Misérables” for infants and toddlers using pictures of needle-felted figures of Captain Ahab and Jean Valjean.
“People are realizing that it’s never too young to start putting things in front of them that are a little more meaningful, that have more levels,” said Ms. Taylor, whose BabyLit series has sold about 300,000 books so far. “It’s not so simple as, ‘Here’s a dog, here’s the number 2.’ ”
While the publishing industry is still scraping through the digital revolution, children’s books have remained relatively untouched. Most parents are sticking to print for their young children even when there are e-book versions or apps available, and videos like the once ubiquitous “Baby Einstein,” founded in 1997 as a fast-track to infant genius, have fallen out of fashion.
The American Academy of Pediatrics recommends that television should be avoided for children younger than 2 years old, and studies have suggested that babies and toddlers receive much greater benefit from real interactions than from experiences involving video screens.
“There has been a proliferation of focus on early childhood development on the education side,” said John Mendelson, the sales director at Candlewick Press, “as well as on the retail side.”
Board books, traditionally for newborns to 3-year-olds, have always been a smaller and somewhat neglected category in the publishing business, compared with the larger and more expensive hardcover picture books designed for children of reading age.
But board books may be catching up. Libraries that used to shun the genre are now buying them from publishers. Bookstores are making more room for board books on their shelves. And while a board book might have once been too insubstantial a gift to bring to a child’s birthday party, the newer, highly stylized versions (that can run up to $15) would easily pass muster.
“A board book was little more than a teething ring,” said Christopher Franceschelli, who directs Handprint Books, an imprint of Chronicle Books. “I think as picture books have developed in the last 20 years, parents, librarians, teachers have thought, ‘Why should board books be any less than their older siblings?’ ”
In 2012, Abrams Books, the art-book publisher, created a new imprint, Abrams Appleseed, to focus on books for babies, toddlers and preschoolers. Since then, it has published high-end books like “Pantone: Color Puzzles,” released this month, which uses intricate drawings and puzzle pieces to teach children the differences between colors like peacock blue and nighttime blue.
“If you look at board books from 15 years ago, it looks like the stuff on there was pulled off the Internet somewhere,” said Cecily Kaiser, the publishing director of Abrams Appleseed. “Now there’s a real embrace of a much more artful style.”
At Chronicle, a San Francisco-based publisher, sales of board books have been rising for at least two to three years. Editors there have experimented with books that attempt interactivity, such as a line of books with finger puppets. “We’re in this era of mass good design for everybody,” said Ginee Seo, the children’s publishing director at Chronicle. “You’re seeing good design at Target; you can buy Jonathan Adler at Barnes & Noble. You’re not willing to accept the cheesy clip art on a board book.”
Jon Yaged, the president and publisher of Macmillan Children’s Publishing Group, said the demand for board books has driven him to release more of them in recent years. He has also added ornate flourishes: on the cover of a new edition of “The Pout-Pout Fish,” the title reads in a shiny gold foil, a touch that would normally have been reserved for a more expensive picture book.
Cindy Hudson, a guidebook author and mother of two in Portland, Ore., who runs a Web site suggesting books for parents to read with their children, said she doubted a baby would “benefit intellectually” from being exposed to Tolstoy or the Brontë sisters.
Still, “anything that encourages that interaction between babies and parents is a good thing,” she said. “That’s where the learning and the bonding comes from.”

The Significance of Grit: A Conversation with Angela Lee Duckworth

The Significance of Grit: A Conversation with Angela Lee Duckworth

Deborah Perkins-Gough
People who can set long-term goals and stick to them have a leg up on success in school and life.
For the last 11 years, Angela Lee Duckworth of the University of Pennsylvania has been conducting groundbreaking studies on grit—the quality that enables individuals to work hard and stick to their long-term passions and goals. In this interview with Educational Leadership, Duckworth describes what her research has shown about the relationship between grit and achievement, and she reflects on the importance of helping students develop grit and other noncognitive traits.
The theme of this issue, as you know, is "Resilience and Learning." How are grit and resilience related? Is there a difference between the two?
The word resilience is used differently by different people. And to add to the confusion, the ways people use it often have a lot of overlap. To give you an example, Martin Seligman, my advisor and now my colleague here at Penn, has a program called the "Penn Resiliency Program." It's all about one specific definition of resilience, which is optimism—appraising situations without distorting them, thinking about changes that are possible to make in your life. But I've heard other people use resilience to mean bouncing back from adversity, cognitive or otherwise. And some people use resilient specifically to refer to kids who come from at-risk environments who thrive nevertheless.
What all those definitions of resilience have in common is the idea of a positive response to failure or adversity. Grit is related because part of what it means to be gritty is to be resilient in the face of failure or adversity. But that's not the only trait you need to be gritty.
In the scale that we developed in research studies to measure grit, only half of the questions are about responding resiliently to situations of failure and adversity or being a hard worker. The other half of the questionnaire is about having consistent interests—focused passions—over a long time. That doesn't have anything to do with failure and adversity. It means that you choose to do a particular thing in life and choose to give up a lot of other things in order to do it. And you stick with those interests and goals over the long term.
So grit is not just having resilience in the face of failure, but also having deep commitments that you remain loyal to over many years.
Tell us about one of your studies that showed the relationship between grit and high achievement.
One of the first studies that we did was at West Point Military Academy, which graduates about 25 percent of the officers in the U.S. Army. Admission to West Point depends heavily on the Whole Candidate Score, which includes SAT scores, class rank, demonstrated leadership ability, and physical aptitude. Even with such a rigorous admissions process, about 1 in 20 cadets drops out during the summer of training before their first academic year.
We were interested in how well grit would predict who would stay. So we had cadets take a very short grit questionnaire in the first two or three days of the summer, along with all the other psychological tests that West Point gives them. And then we waited around until the end of the summer.
Of all the variables measured, grit was the best predictor of which cadets would stick around through that first difficult summer. In fact, it was a much better predictor than the Whole Candidate Score, which West Point at that time thought was their best predictor of success. The Whole Candidate Score actually had no predictive relationship with whether you would drop out that summer (although it was the best predictor of later grades, military performance, and physical performance).
Woody Allen once quipped that 80 percent of success in life is just showing up. Well, it looks like grit is one thing that determines who shows up.
We've seen echoes of our West Point findings in studies of many other groups, such as National Spelling Bee contestants and first-year teachers in tough schools. Grit predicts success over and beyond talent. When you consider individuals of equal talent, the grittier ones do better.
What research finding on grit has been most surprising to you?
Probably the finding that most surprised me was that in the West Point data set, as well as other data sets, grit and talent either aren't related at all or are actually inversely related.
That was surprising because rationally speaking, if you're good at things, one would think that you would invest more time in them. You're basically getting more return on your investment per hour than someone who's struggling. If every time you practice piano you improve a lot, wouldn't you be more likely to practice a lot?
We've found that that's not necessarily true. It reminds me of a study done of taxi drivers in 1997.1  When it's raining, everybody wants a taxi, and taxi drivers pick up a lot of fares. So if you're a taxi driver, the rational thing to do is to work more hours on a rainy day than on a sunny day because you're always busy so you're making more money per hour. But it turns out that on rainy days, taxi drivers work the fewest hours. They seem to have some figure in their head—"OK, every day I need to make $1,000"—and after they reach that goal, they go home. And on a rainy day, they get to that figure really quickly.
It's a similar thing with grit and talent. In terms of academics, if you're just trying to get an A or an A−, just trying to make it to some threshold, and you're a really talented kid, you may do your homework in a few minutes, whereas other kids might take much longer. You get to a certain level of proficiency, and then you stop. So you actually work less hard.
If, on the other hand, you are not just trying to reach a certain cut point but are trying to maximize your outcomes—you want to do as well as you possibly can—then there's no limit, ceiling, or threshold. Your goal is, "How can I get the most out of my day?" Then you're like the taxi driver who drives all day whether it's rainy or not.
When I look at people whom I really respect and admire, like psychology professor Walter Mischel or economist Jim Heckman, these people are extremely talented. For every hour that they put into research, they're getting a lot out of it. Still, they work 17 hours a day. Jim Heckman won the Nobel Prize in Economic Sciences in 2000, and if he were working to get to a cut point, he should now be coasting. But he's not. I think he wants to win another Nobel!
The people who are, for lack of a better word, "ambitious"—the kids who are not satisfied with an A or even an A+, who have no limit to how much they want to understand, learn, or succeed—those are the people who are both talented and gritty.
So the inverse relationship between talent and grit that we've found in some of our studies doesn't mean that all talented people are un-gritty. That's certainly not true. The most successful people in life are both talented and gritty in whatever they've chosen to do. But on average—and I think many teachers would resonate with this—there are a lot of fragile gifted and talented kids who don't know how to fail. They don't know how to struggle, and they don't have a lot of practice with it. Being gifted is no guarantee of being hardworking or passionate about something.
Earlier, you said that grit depends on having focused, long-term passions. In a 2009 TED Talk, you spoke about how you moved frequently from job to job during your 20s, even though you were successful in each one, before you finally committed to your passion for education research. How did that transformation happen?
Several things happened. One was that I had this realization—a reflective, midlife crisis moment of, "Gee, let me take stock here." I realized that I wasn't actually going to be really good at anything unless I stuck with one thing for a long time, and I had never done that.
I was a good fourth-year math teacher relative to other fourth-year math teachers. But I was not nearly as good as the master teachers who had been doing it for 25 years. And I would never be that good, unless I decided to spend 20 more years working really hard at it. I realized that just shifting, shifting, shifting every two or three years was not going to add up to what I wanted. I thought, "I'm very ambitious. I want to be world-class at something. And this is not a recipe for it."
The second thing that happened was not so much finding my passion as recognizing or rediscovering my passion. When I looked at my interests and what I had been involved in since high school, I saw two themes: education and children. I thought, "I've spent a lot of time thinking about children and learning. Maybe there's a theme there."
I also recognized that psychology had been a long-standing interest. In my family, my dad didn't let us do anything unless we could pay for it ourselves. When I was 16, I had saved enough money to pay for a summer activity. The first time I was able to afford anything, I went to Yale summer school. I remember looking at the course catalog, and it was like a candy shop. I thought, "OK. I could take philosophy. I could take chemistry. It's my money; I can do whatever I want." And I chose psychology and nonfiction writing. Rhetorical writing is essentially what you do in research, right? You're arguing something: "Here's my evidence. And here are the counterarguments." So interest in research and psychology were there very early in my life.
Third, I took an inventory of what I was good at. I thought to myself, "Well, I write pretty well, and I learn well. I can read things. And I have that kind of analytic bent." So I wondered what field I could use those abilities in. That drove me to thinking about research as a career and wondering how to marry that with my interest in children and psychology.
And that's what I do today. I had actually already identified my interests when I was 16. I got lost a little bit. But now, 11 years after I started graduate school, I'm on this path. I have the pleasure of being reasonably good at something and getting deeper and deeper into it.
A lot of young people never get to experience that—being into something for enough years with enough depth so that they really know it. Master teachers know what I'm talking about. So do people who are seriously committed to whatever vocation they have, even people who have a really serious hobby that they've worked at for years. They reach a level of appreciation and experience that novices can never understand.
Students need to hear that message, because so much of today's conversation is about the changing economy—how you're going to have all these different jobs and you have to be flexible. But you know, you also have to be good at something.
Your research on grit seems to be related to Carol Dweck's work on a growth mind-set. She has studied the benefits of teaching kids that intelligence is not fixed, but is something that they can grow. Do you think the same is true of grit? And should we help young people see that they can develop grit, that it's not just something you're born with?
Carol Dweck, more than anyone else, is a role model for me. We're collaborating with her on a couple of projects. One thing we've found is that children who have more of a growth mind-set tend to be grittier. The correlation isn't perfect, but this suggests to me that one of the things that makes you gritty is having a growth mind-set. The attitude "I can get better if I try harder" should help make you a tenacious, determined, hard-working person.
In theory, the work that Carol has done to show that you can change your mind-set would also be relevant to changing your grit. We're developing an intervention, inspired by her work, to look at making students aware of the value of deliberate practice, the kind of effortful practice that really improves skills. In Carol's work, she shows kids scientific evidence of brain plasticity—the fact that peoples' brains change with experience. Although at first they might respond to frustration and failure by thinking, "I should just give up; I can't do this," Carol uses testimonials from other students to show kids that those feelings and beliefs, as strong as they are, can change.
We're using the same kind of format to try to communicate information to students about deliberate practice, which is very effortful practice on things you can't yet do. We're actually developing an intervention and testing it in middle schools right now. We tell kids that deliberate practice is not easy. You are going to be confused. You are going to be frustrated. When you're learning, you have to make mistakes. You need to do things over and over again, and that can be boring. In theory, this intervention can change students' grit levels by changing their beliefs. I say "in theory," because we haven't shown it yet.
Teachers have so many good intuitions about this. They work on this every day: How do I get my kids to try harder? How do I get them to be determined, to stick with things? I'm really excited about starting a conversation to bring more people's ideas into the dialogue because I am guessing that some terrific teachers, basketball coaches, and guidance counselors have their own theories that need to be tested. There are probably going to be more ideas coming out of educators than out of scientists on how to help students develop grit.
Do you agree with Paul Tough's thesis in his book How Children Succeed that noncognitive character traits are more important to success, or at least as important, as cognitive abilities?
I would probably say "as important," just to be a little conservative. I think there's been a pendulum swing toward the importance of noncognitive traits.
Recently I was reading The Big Test by Nicholas Lemann (Farrar, Straus, and Giroux, 1999), which is the story of how the SAT came to be so dominant in college admissions and how standardized testing became so prominent. He walks you through what happened in 20th-century America—there was a very well-intentioned shift toward a meritocracy and a desire to admit people to the most elite schools on the basis of what they could do, not on the basis of family lineage, last name, or color of skin. Around the same time, these reliable, easy-to-administer standardized tests became available. So there was a pendulum swing toward an emphasis on cognitive aptitude, IQ, and so forth.
What we're seeing now is a swing back toward a recognition that these standardized tests, although they serve an important function, are limited in their ability to pick up things like grit and self-control—as well as many other traits that I don't study—gratitude, honesty, generosity, empathy for the suffering of others, social intelligence, tact, charisma. These are qualities I want my daughters, who are 10 and 11, to have. Another important quality is being proactive—when a kid thinks, "I care about the whales, and I'm going to start an organization," and then actually goes out and does that. Then there's honesty, kindness, and so forth.
None of those qualities is picked up by a standardized test. We're now seeing a pendulum swing away from the single-minded focus on standardized testing and toward a broader view of the whole child. And our research just happens to be in the swinging pendulum's path, which keeps us very busy.
So you believe that schools are generally moving in this direction?
I think so. We get a fair amount of correspondence from schools, and we also talk with teachers and parents. We always get the same reaction—they really do care about these things. They recognize that gym is important, that music is important, that empathy is important. These are qualities that policymakers are less concerned about. But this message really resonates with most people who are in close contact with children.
From your observations in schools, are there programs that are ahead of the curve in developing important character qualities, including grit? Are programs like the KIPP schools effective?
Some of the high-performing charter schools—for example, YES Prep and Aspire—are on the cutting edge in recognizing the power of character. KIPP is the one I know best. From day one, they have said "character and academics for success in college and in life." It was never an either/or question—either we can emphasize math, or kids could be self-controlled. Instead it was, if we emphasize self-control, students will be successful in math.
A lot of independent schools have never lost their emphasis on character. The elite independent schools in the United States have maintained fidelity to character as part of their mission from the early days. Unfortunately, public schools are besieged by budget cuts and reporting requirements and No Child Left Behind–type demands. They have to meet all the standards for the district, for the state, and for the federal government. And they have the fewest resources for incorporating character education. They're not like these wealthy private schools that have so much a year to spend on kids and have relatively few problematic children.
But despite those disincentives, Upper Darby School District, a large urban public school district near the University of Pennsylvania, has partnered with us. We've had a wonderful relationship with them for the last year. They've really embraced character education. They haven't figured out all of the answers, but they're asking all the right questions.
What I'm saying is that there is interest in developing traits like resilience and grit across K–12 education. Some of the schools that have the most freedom to work on this are making the most headway. But a lot of the others are trying to catch up.

A New Way to Care for Young Brains

A New Way to Care for Young Brains

Charlie Mahoney for The New York Times
Brian Lilja is a patient at the Boston Children’s Hospital youth sports concussion clinic. His mother, Jennifer, said his injuries caused a “scary” personality change.
BOSTON — The drumbeat of alarming stories linking concussions among football players and other athletes to brain disease has led to a new and mushrooming American phenomenon: the specialized youth sports concussion clinic, which one day may be as common as a mall at the edge of town.

Charlie Mahoney for The New York Times
Isabelle Kindle, center, a hockey player at Wellesley High School in Massachusetts, recently returned to the ice after two concussions. There is no standard recommended recovery time for young athletes who have had a concussion. Doctors may consider genetic, biomedical or anatomical characteristics in addition to the severity of the injury.

In the last three years, dozens of youth concussion clinics have opened in nearly 35 states — outpatient centers often connected to large hospitals that are now filled with young athletes complaining of headaches, amnesia, dizziness or problems concentrating. The proliferation of clinics, however, comes at a time when there is still no agreed-upon, established formula for treating the injuries.
“It is inexact, a science in its infancy,” said Dr. Michael O’Brien of the sports concussion clinic at Boston Children’s Hospital. “We know much more than we once did, but there are lots of layers we still need to figure out.”
Deep concern among parents about the effects of concussions is colliding with the imprecise understanding of the injury. To families whose anxiety has been stoked by reports of former N.F.L. players with degenerative brain disease, the new facilities are seen as the most expert care available. That has parents parading to the clinic waiting rooms.
The trend is playing out vividly in Boston, where the phone hardly stops ringing at the youth sports concussion clinic at Massachusetts General Hospital.
“Parents call saying, ‘I saw a scary report about concussions on Oprah or on the ‘Doctors’ show or Katie Couric’s show,’ ” Dr. Barbara Semakula said, describing a typical day at the clinic. “Their child just hurt his head, and they’ve already leapt to the worst possible scenarios. It’s a little bit of a frenzy out there.”
About three miles away, at Boston Children’s Hospital, patient visits per month to its sports concussion clinic have increased more than fifteenfold in the last five years, to 400 from 25. The clinic, which once consisted of two consultation rooms, now employs nine doctors at four locations and operates six days a week.
“It used to be a completely different scene, with a child’s father walking in reluctantly to tell us, ‘He’s fine; this concussion stuff is nonsense,’ ” said Dr. William Meehan, a clinic co-founder. “It’s totally the opposite now. A kid has one concussion, and the parents are very worried about how he’ll be functioning at 50 years old.”
Doctors nationwide say the new focus on the dangers of concussions is long overdue. Concerned parents are properly seeking better care, which has saved and improved lives. But a confluence of outside forces has also spawned a mania of sorts that has turned the once-ignored concussion into the paramount medical fear of young athletes across the country.
Most prominent have been news media reports about scores of relatively young former professional athletes reporting serious cognitive problems and other later-life illnesses. Several ex-N.F.L. players who have committed suicide, most notably Junior Seau, a former San Diego Chargers and New England Patriots star, have been found posthumously to have had a degenerative brain disease linked to repeated head trauma.
State legislatures have commanded the attention of families as well, with 43 states passing laws requiring school-age athletes who have sustained a concussion to have written authorization from a medical professional, often one trained in concussion management, before they can return to their sport.
The two Boston clinics, one started in 2007 and the other in 2011, are typical examples of the concussion clinic phenomenon, busy centers of a new branch of American health care and windows into the crux of a mounting youth sports fixation.
“We are really in the trenches of a new medical experience,” said Richard Ginsburg, the director of psychological services at Massachusetts General Hospital’s youth sports concussion clinic. “First of all, there’s some hysteria, so a big part of our job is to educate people that 90 percent of concussions are resolved in a month, if not sooner. As for the other 10 percent of patients, they need somewhere to go.
“So we see them. We see it all.”