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    Doctors, A.I. and Empathy for Patients

    More from our inbox:Breast Cancer ScreeningWalz’s MisstepsMental Health Support for SchoolchildrenTo the Editor:Re “ChatGPT’s Bedside Manner Is Better Than Mine,” by Jonathan Reisman (Opinion guest essay, Oct. 9):Dr. Reisman notes that ChatGPT’s answers to patient questions have been rated as more empathetic than those written by actual doctors. This should not be a call for doctors to surrender our human role to A.I. To the contrary, we need to continue to improve our communication skills.For the past 25 years, I have been facilitating seminars in doctor-patient communication. The skills to communicate bad news listed by Dr. Reisman are exactly the techniques that we suggest to our medical students. However, doctors can avoid the temptation to surrender their “humanity to a script” as if it were “just another day at work.”Techniques are a valuable guide, but the real work consists of carefully listening to the responses and their emotional content, and crafting new words and phrases that speak to the unique patient’s confusion, fear and distress.In my experience, patients know when we are reciting a script, and when we are paying attention to their thoughts and feelings. Unlike A.I., and especially when conversations are matters of life and death, we can reach into the depths of our humanity to feel and communicate empathy and compassion toward our patients.Neil S. ProseDurham, N.C.To the Editor:Mention the words “A.I.” and “doctoring” to most physicians in the same sentence, and the immediate reaction is often skepticism or fear.As Dr. Jonathan Reisman noted in his essay, A.I. has shown a remarkable ability to mimic human empathy in encounters with patients. This is one reason many practicing physicians worry that A.I. may replace doctors eventually.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Does Your School Use Suicide Prevention Software? We Want to Hear From You.

    Concerned about anxiety and depression among students, some schools are monitoring what children type into their devices to detect suicidal thinking or self-harm.In response to the youth mental health crisis, many school districts are investing in software that monitors what students type on their school devices, alerting counselors if a child appears to be contemplating suicide or self-harm.Such tools — produced by companies like Gaggle, GoGuardian Beacon, Bark and Securly — can pick up what a child types into a Google search, or a school essay, or an email or text message to a friend. Some of these alerts may be false alarms, set off by innocuous research projects or offhand comments, but the most serious alerts may prompt calls to parents or even home visits by school staff members or law enforcement.I write about mental health for The New York Times, including the effects of social media use on children’s brains and algorithms that predict who is at risk for suicide. I’m interested in knowing more about how these monitoring tools are working in real life.If you are a student, parent, teacher or school administrator, I’d like to hear about your experiences. Do you think these tools have saved lives? Do they help students who are anxious or depressed get the care they need? Are you concerned about students’ privacy? Is there any cost to false positives?I will read each submission and may use your contact information to follow up with you. I will not publish any details you share without contacting you and verifying your information.If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.Share Your Experiences with Suicide Prevention Software More

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    TikTok Faces Lawsuits From 13 States Around Teens and Mental Health

    More than a dozen states sued TikTok on Tuesday for creating an app designed to be addictive to children and teens.Thirteen states and the District of Columbia sued TikTok on Tuesday for creating an intentionally addictive app that harmed children and teens while making false claims to the public about its commitment to safety.In separate lawsuits, a bipartisan group of attorneys general cited internal company documents to paint a picture of a multibillion dollar company that knowingly contributed to a mental health crisis among American teenagers to maximize its advertising revenue. They said that TikTok, which is owned by the Chinese company ByteDance, has relentlessly designed features to prompt heavy, compulsive use of TikTok and that many children were using the app late at night when they would otherwise have been asleep.TikTok “knew the harms to children,” Rob Bonta, the Democratic attorney general of California, said in an interview. “They chose addiction and more use and more eyeballs and more mental and physical harm for our young people in order to get profits — it’s really that simple.”The lawsuits add to a rapidly expanding list of challenges for TikTok in the United States, which now counts 170 million monthly U.S. users. A federal law passed in April calls for the app to be banned in the United States as of January unless it is sold. A federal lawsuit against the company in August also claimed that TikTok allowed children to open accounts, gathered information about them and made it difficult for their parents to delete the accounts.TikTok did not immediately respond to a request for comment.The states, many of which started investigating the company’s harms to minors in early 2022, are generally claiming that TikTok’s conduct violates their consumer protection laws. The states say that TikTok plays videos in a manner that aims to make young users lose track of time and sends them round-the-clock notifications and ephemeral content like livestreams to compel them to keep checking in. The longer users stay on the app, the more targeted ads TikTok is able to show them.The attorneys general say that TikTok has misled users about its so-called 60-minute screen time limits for young people and other features that promise to curate the videos that they see.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Is Paying Kids to Read a Wise Strategy?

    More from our inbox:Trump and the Psychiatrists: Is He Unfit to Serve?The Folly of a Second DebateA Heartwarming Story of Immigrants in the Heartland Tara BoothTo the Editor:Re “To Persuade a Reluctant Tween to Read, Try Cash,” by Mireille Silcoff (Opinion guest essay, Sept. 8):While I appreciate Ms. Silcoff’s desire to have her daughter experience the joys of reading, I seriously doubt that paying her daughter to read “worked.” While the monetary reward persuaded her daughter to read the book in the short term, it was unlikely to facilitate the motivation to read, which must feel like a choice and unpressured.Decades of research have shown that paying people to do things they love undermines their subsequent motivation, and paying them to complete tasks they do not enjoy keeps the motivation tied to rewards so that they are less likely to value the activity and choose to engage in it on their own.The belief in rewards as an effective motivator is a myth; other strategies are more likely to facilitate long-term motivation. Rewards are a simple fix that is likely to backfire.Wendy S. GrolnickLongmeadow, Mass.The writer is professor emeritus of psychology at Clark University and co-author of “Motivation Myth Busters: Science-Based Strategies to Boost Motivation in Yourself and Others.”To the Editor:I loved this guest essay because that’s precisely what I did 20 years ago when my husband and I traveled for our yearly two-week vacation to the beach with my daughter, two nephews and three other children who often vacationed with us.I offered each child a new book of their choice and $20 if they finished it before the trip was over. All of the kids got the $20 to use during two hours on their own at souvenir shops, and this reading challenge became a standard of our summer vacations.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Newsom Signs Bill That Adds Protections for Children on Social Media

    The California legislation comes amid growing concerns about the impact of cellphones and social media on adolescents’ mental health.Gov. Gavin Newsom of California signed legislation on Friday aimed at protecting minors from social media addiction amid growing concerns about the impact of technology on adolescents’ mental health.The law, which will go into effect in 2027, effectively requires tech companies to make posts on feeds of minors’ social media accounts appear in chronological order as a default, rather than allowing algorithms to curate them to maximize engagement.The bill also prohibits companies from sending notifications to people under 18 during school hours, from 8 a.m. to 3 p.m. on weekdays from September through May, and during sleep hours, between midnight and 6 a.m. The default settings can be changed with the consent of a parent or guardian.“Every parent knows the harm social media addiction can inflict on their children — isolation from human contact, stress and anxiety, and endless hours wasted late into the night,” Mr. Newsom, who has four school-age children, said in a statement on Friday.The move, targeting powerful tech interests in the nation’s most populous state, is part of a nationwide effort to address concern over cellphone and social media use among adolescents. Amid reports of cyberbullying and distraction in classrooms, at least eight states, including Florida and Indiana, have already enacted restrictions on the use of cellphones in school settings. New York put in place a similar law aimed at social media addiction this year.In June, Governor Newsom also called for a ban on smartphone use in all public schools in California. Legislation now before him includes a requirement that the schools devise a policy by July 1, 2026, to limit or prohibit smartphones during the school day, though most school districts already have cellphone policies.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    NYC School Workers’ Families Took Disney Trip Meant for Homeless Students

    New York City school employees took their children or grandchildren to Disney World and other places through a program intended for homeless students, investigators found.A half-dozen New York City school system employees took their children or grandchildren to Disney World, New Orleans and other destinations by exploiting a program intended for homeless students, investigators said in a report released this month.The trips were meant as “enrichment opportunities,” attendance incentives and rewards for academic achievement for students living in shelters and other temporary housing, according to the report by the special commissioner of investigation for the city’s public schools.The abuse of the grant-funded program was led by Linda Wilson, who at the time was the Queens manager for the Department of Education office that supports homeless students, the report says. As many as one in nine of the city’s roughly one million public school students are homeless.Ms. Wilson, who supervised about 20 employees, took her daughters on some of the trips and encouraged several workers she supervised to do so as well but to keep the activities secret, the report says.“What happens here stays with us,” she told one employee, according to the report.Ms. Wilson and others forged the signatures of homeless students’ parents as part of the scheme, and she used a nonprofit organization to arrange the trips to evade Department of Education oversight, the report says.“Few of the homeless students listed on the trip paperwork actually attended the trips,” the report says, although at least in the case of the Disney World trip, some homeless students did attend. One person interviewed by investigators told them “he had to beg” Ms. Wilson to allow him to add two of his students to the trip, the report says.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Held Involuntarily in a Psychiatric Hospital

    More from our inbox:The Debate Over Taxing TipsNonpartisan ElectionsSitting Still in SchoolAcadia Healthcare’s Park Royal hospital in Fort Myers, Fla., and Florida is among those that wrongly held some patients against their will.Michael Adno for The New York TimesTo the Editor:Re “Patients Held Against Will by Hospitals” (front page, Sept. 2):Thank you for your hard-hitting exposé of Acadia Healthcare, a chain of psychiatric hospitals, which revealed Acadia’s corrupt financial practices. The authors report on the toxic effects — including but not limited to driving people away from treatment — of these unscrupulous procedures.But even when hospitals have pure motives, inpatient psychiatric care — especially when it is involuntary — can be traumatizing, and may lead to an increased risk of suicide: In one meta-analysis, “the postdischarge suicide rate was approximately 100 times the global suicide rate during the first 3 months after discharge.”The key to helping people is funding community-based, evidence-based programs. For example, “Peer-run respites provide a voluntary alternative to an emergency department visit or inpatient hospitalization for people experiencing a psychiatric crisis,” as was noted in a recent article in Psychiatry Online.With so much evidence to support the benefits of community-based mental health care, I believe that a paradigm shift in the mental health system — away from hospitalization and toward community-based treatment, including peer support — is long overdue.Susan RogersCherry Hill, N.J.The writer is the director of the National Mental Health Consumers’ Self-Help Clearinghouse.To the Editor:The motivation for this atrocious behavior is cited in the first paragraph of the article, where it is noted that Acadia Healthcare’s stock price has more than doubled. This is an example of the perverse results of the use of private equity to finance health care. There are other such examples.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Republicans Are Right: One Party is ‘Anti-Family and Anti-Kid’

    In attacking Democrats and Kamala Harris, Republicans have been making a legitimate point: One of our major political parties has worked to undermine America’s families.The problem? While neither party has done enough to support families and children, the one that is failing most egregiously is — not surprisingly — the one led by the thrice-married tycoon who tangled with a porn star, boasted about grabbing women by the genitals and was found by a jury to have committed sexual assault.You’d think that would make it awkward for the Republican Party to preach family values. But with the same chutzpah with which Donald Trump reportedly marched into a dressing room where teenage girls were half-naked, the G.O.P. claims that it’s the Democrats who betray family values.“The rejection of the American family is perhaps the most pernicious and most evil thing that the left has done in this country,” JD Vance said in 2021. Pressed on those remarks last month, he went further in a conversation with Megyn Kelly, saying that Democrats “have become anti-family and anti-kid.”This is gibberish. Children are more likely to be poor, to die young and to drop out of high school in red states than in blue states. The states with the highest divorce rates are mostly Republican, and with some exceptions like Utah, it’s in red states that babies are more likely to be born to unmarried mothers (partly because of lack of access to reliable contraception).One of President Biden’s greatest achievements was to cut the child poverty rate by almost half, largely with the refundable child tax credit. Then Republicans killed the program, sending child poverty soaring again.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More