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Ron Sterling MD's avatar

Spot on!

I would add in that unless you ditch the term neurotypical you are implying that there is such a thing. I don't think there is any possibility that an "average" brain exists. We are all neuorminorities with fairly well known variables. If any brain type is close to "neurotypical," it would be the brainset that has proven itself by still existing as the one with the best threat responses (survival capabilities). I don't think anyone would argue against natural selection as favoring those humans who had the best threat responses.

Thus, there are very few humans left that can actually NOT get addicted to anything, even if they try. They also happen to be the brain type with the best working memory operations. They can actually resist the distraction. Research shows that they are also a population that "needs cognition." They also happen to be the worst at threat response.

Some really significant studies have been done to try to figure out what group, if any, might be more easily influenced by their environment when it comes to "self-regulation." And, what group, if any, would be significantly immune to environment. The most significant study revealed a clear population that was called "straight arrow." Several other studies have looked at certain populations of similar dopamine gene profiles. Groups of kids and their family styles were followed for years and data was collected regarding "self-regulation" and family styles and if there was a vulnerability to family self-regulation styles.

I don't have those right in front of me at the moment, but they are easy enough to find by searching for "the 2010 Guo straight arrow study" and the other study "Posner drd4 7/r self-regulation study." I could go into much more detail, but, I suspect that could be very boring for most folks. If you are curious-driven, you might want to look at those studies and any newer ones which, so far, have supported the earlier findings.

The Posner study clearly showed that one population of kids with drd4 7r were heavily influenced by their family styles. If the family was "chaotic" (my word), that is, did not show or teach "self-regulation" the drd4 7r types showed significant impaired self-regulation. If the family style was "self-regulation" the drd4 7/r kid could self-regulate. Thus, that Posner study, plus others since then have shown a "vulnerability to environment" (read, can't easily stay on a planned course).

The kids with the drd4 4/r or 4/7 could self regulate whether the family style was self-regulation or not. (not easily influenced, good at staying on course, etc.)

There has not been enough work to look at does the "teaching and modeling and pressure of a family style of self-regulation (including empathy) stick after the child becomes an adult and subject to many other influences. It depends on how "programmed" the child is in the scenarios of self-regulation. Think LDS upbringing, for instance.

It just so happens that the worldwide prevalence of the drd4 7/r is something like 50% in the Americas (the Western Hemisphere) and around 2% in East and Southeast Asia, and variable throughout Europe with an average of 20% to 45%. Worldwide it is around 21%.

For me, after 20 years of clinical work with folks who fit the criteria for the diagnosis of ADHD and over 30,000 pages of primary literature review, I concluded that the major brain type in the West is the ADHD brain type. It is now becoming clear that the culture fits the criteria for ADHD. It didn't just come out of nowhere. Unless the elephant in the room is cleary noted and dealt with, good luck on anything that doesn't carry huge peer pressure value. Toxic commercialism (monetizing everything, my god) will not be resisted due to the peer pressure it creates.

With an easy to influence population that does not recognize its widely embedded vulnerabilities to being influenced and overwhelmed with data, there is not much of a chance of changing that unless the vulnerability is clearly discussed and appreciated. It is, in my opinion, this scenario presents the West with its most unrecognized and understood public health problem.

Empathy, in my world, cannot really take place automatically unless you possess good working memory. It is one thing to feel something, and another thing to follow-through (empathy). "Out of sight out of mind" is the opposite of auto-empathy. Thus, given the widely embedded poor working memory in the West, there is not much chance of empathic styles to gain a foothold, unless you know what the constitutes the major variable in what controls it – what makes it "automatic" and what makes it "non-automatic."

If you look at Posner's work and others, you could come to the conclusion that given the West's vulnerabilities, the only way to increase "self-regulation," including empathy, is to create a self-regulating society. In the West, good luck on that. As Posner's and others have shown us, our West population might be able to do self-regulation, but if self-regulation is not even an acceptable goal, and is actively pursued, not a chance.

Toxic commerce uses that widespread vulnerability to being influenced, distracted, entertained, and imbibers of all things dopamine enhancing, *against* us.

I wrote a book published in 2013 that discusses much of this vulnerability and also the upside to dopamine processes that create the characteristics of ADHD and the best brain for survival (threat response). Good threat response, poor academics. NonADHD, good academics, poor threat response.

Thank you for your post on empathy. It is not going to be easy to get there, but that doesn't mean we can't figure it out and move in the right direction. Take care, Ron

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Donya deen's avatar

It really has become a skill, a tool that needs to be sharpened, to have attention. Not including that most news, major events, and other information is mostly consumed through numerous social media platforms. It’s a cycle that deemed the great human brain to nothing more than an empty vessel that struggles to keep much in.

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