45 pages • 1 hour read
Vivek MurthyA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Chapter 8 is about fostering social connections in children. Human contact is central to children of all ages. However, societal changes have led to increases in childhood loneliness, the root cause of much adult depression, self-harm, and violence. Parents must model inclusive behavior and speak to their children about friendship and compassion. Parents must also support their children. Indeed, studies show that children with supportive parents are more socially adept and have higher self-esteem and fewer academic problems than children with aggressive or disengaged parents. Neighbors and other trusted adults can also foster social competence in children.
Middle school marks a change in how children learn. Rather than looking to their parents, children turn to their peers for information. Thus, peer-to-peer programs, such as Beyond Differences, a California-based nonprofit, are central to combatting social isolation in children. Beyond Differences teaches children how understand body language to make people feel included, accepted, and heard.
Technologies present new challenges for parents. Children are spending an increasing amount of time in front of screens and less time engaging in face-to-face interaction. Some experts view screen time as a danger to social development. However, experts at the National Programs and Outreach for the Child Mind Institute, an organization focusing on children with mental health problems, take a more nuanced view, arguing that the impact of screens varies from child to child. Technology can increase opportunities to relax and connect, especially for LGBTQ and other marginalized youths. Conversely, technology can harm children at risk for behavioral and mental health concerns. Parents must set reasonable boundaries for their children to allow them to connect with their peers, while preventing them from over-relying on devices. Murthy describes seven developmental boxes parents can “check” to ensure their children are getting the social contact they need: 1) High-quality relationships appropriate for one’s age, including face-to-face interaction; 2) Extracurriculars centered on personal interests; 3) Time with family; 4) Guided, supervised screen time shared with caregivers; 5) Unstructured leisure time; 6) Performing well at school; and 7) Habits and practices that contribute to basic wellness, including exercise, sleep, and nutrition.
Murthy notes that reducing conflict over screen time requires a multipronged approach. Parents must discuss appropriate and inappropriate online behavior, as well as model good behavior by putting down their devices during meals and family time. Summer camps can provide a break from digital distraction by allowing children to reconnect with their inner selves and encouraging face-to-face interactions.
Teaching children emotional fitness is also important. In 2005, the Yale Center for Emotional Intelligence launched the RULER program, an acronym referring to recognizing, understanding, labeling, expressing, and regulating emotions. The mission of RULER is to “improve the social climate by cultivating emotional awareness” (236). RULER addresses toxic environments by teaching social skills, which improves social confidence, classroom behavior, and academic performance. The program teaches kindness and empathy while reducing aggression. Other programs, such as We Dine Together, encourage children to seek out peers who are alone, engage them in conversation, and invite them to join the group at lunchtime. Murthy emphasizes that parents must also address their own loneliness to help their children. Many parents experience poverty, violence, and other stressors that foster isolation. Churches, the Salvation Army, and other community organizations can help parents who lack traditional support networks.
Together ends with a personal anecdote. Murthy’s parents grew up in southern India before immigrating to the UK. When Murthy was an infant, the family relocated to a small town in Newfoundland, Canada, where they had no personal ties. In his capacity as district medical officer, Murthy’s father made house calls in subzero temperatures, delivered babies at a local hospital, and oversaw end-of-life care. Members of the community embraced the family. They babysat Murthy and his sister, brought the family pies and lobsters, and helped them shovel snow. Murthy’s parents continued to forge bonds with their community after they moved to Miami. In short, Murthy learned about the importance of social contact from his parents. It took feeling lonely at various points in his life, however, to make him appreciate the healing power of human connection.
Chapter 8 provides tools for combatting childhood loneliness. Drawing on a wide range of sources, Murthy argues that children develop emotional intelligence through human contact. Children learn how to read faces, gestures, emotions, and moods in themselves and others through direct social interactions. Parents play a crucial role in the social development of their children by modeling behavior and having conversations with their children about how to behave, how to get along with others, and how to give and take. Murthy thus emphasizes the importance of parenting in preventing loneliness, bolstering his argument with research: “In 2007, a survey of more than forty-two thousand children aged eleven to seventeen found that kids with close families and supportive parents tended to feel more socially adept […] than kids with disengaged or aggressive parents” (227). While surveys show that most parents value qualities like honesty, dependability, and kindness, Murthy notes that this message is not reaching their children, many of whom rank achievement above caring for others, according to a survey of 10,000 American middle- and high-school students. Furthermore, more than two-thirds of the children surveyed believed that their parents ranked achievement over caring for others. Teachers and school administrators agreed with their students.
However, Murthy argues that socializing children requires a multipronged approach that involves not just parents, but entire communities. He praises Yale’s RULER program, which teaches children to read body language and express their emotions in addition to teaching empathy and providing students with the tools they need to recognize and address social isolation. Murthy’s direct knowledge of RULER allows him to speak authoritatively about its efficacy: “Tanya […] transferred into this school from New Haven where she was bullied and not doing well academically. ‘I didn’t even want to go to class before this school,’ she said. ‘But people here, they’re different. They’re nice, and we’re all nice to each other’” (237). Murthy thus emphasizes that supportive environments and communities matter as much as individual social connections.
Murthy discusses the challenges of making and maintaining high-quality connections in the modern world, particularly focusing on Social Connections in the Digital Era. Technology has transformed children’s lives by decreasing face-to-face contact and increasing screen time. This is especially true for adolescents: “Teenagers are spending on average more than six and a half hours a day on screen-based media entertainment” (229). However, while some see virtual connections in wholly negative terms, Murthy takes a more nuanced stance. Echoing the views of experts at the National Programs and Outreach for the Child Mind, he argues that the impact of screens varies from child to child and that parents should be attentive to their child’s particular needs: “The key is to help kids find the right level of moderation, so they can connect with their friends both online and off, without becoming overly tethered to their devices” (230). As Murthy notes, this moderation begins at home, “with parents’ own use of their devices” (230).
Murthy ends his book with a personal anecdote. He describes his parents’ experiences as immigrants, first to the UK, then to Canada, and finally to the US. Far away from family, his parents nevertheless formed strong bonds in their communities. These bonds warded off loneliness and helped them feel at home: “My parents found themselves warmed by the kindness and friendship of people who were their patients but also their community” (250). These lessons about the power of Social Connections as an Antidote to Loneliness run as a throughline in Murthy’s book.
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