Originally posted on July 28, 2015. Sherlock Holmes famously solved the “Silver Blaze” case by noticing what no one else had—the dog that didn’t bark. What grabs our attention is seldom the absence of something, but rather its visible presence. And so with sexuality. Various sexual-attraction patterns capture our fascination...except one: asexuality—the absence of sexual attraction to others. But Brock University psychologist Anthony Bogaert (a Sherlock Holmes of sex research) noticed. In a new review article, he reports what has been learned since his 2004 paper reporting that one percent of a British national sample acknowledged they had “never felt sexual attraction” to others. Some highlights (also reported in his book, Understanding Asexuality​😞 The numbers: In the aftermath of several other subsequent surveys, one percent still seems “a reasonable ‘working figure.’” Asexuality in animals: Like humans, lab rodents vary in sexual interest, from hypersexualized to disinterested. Ditto rams, with 12.5 percent of 584 tested by Charles Roselli and colleagues displaying no attraction either to ewes in estrus or to other rams. Asexuality does not equal lack of sexual desire. “A significant number of asexual people masturbate,” although “at a lower level than sexual people.” For asexual people, masturbation is more an expression of solitary desire, without fantasizing any attraction or desire for others. Some asexuals have—my new word for the day—“automonosexualism” (a sexual attraction “turned inward” onto oneself). Gender. “There is evidence that more women than men are asexual.” But among asexuals, more men masturbate, and “asexual men may have elevated paraphilic [atypical] attractions” that accompany their masturbation. Biology and asexuality. Asexual men and women tend to be shorter and more often non-right-handed than average. But there’s no evidence that asexual rodents and humans differ from their sexualized counterparts in levels of circulating testosterone. Is asexuality a disorder? Men’s Hypoactive Sexual Desire Disorder (HSDD) and women’s Female Sexual Interest/Arousal Disorder (FSIAD) become DSM-5 disorders only “if the patient/client is in distress.” Thus, asexuality, unaccompanied by distress, is not a disorder. Indeed, muses Bogaert, everyday sexuality—an occasional “form of madness”—might better qualify as a disorder, given its association “with extreme and risky behaviors along with impaired cognitive function.” ... View more

Originally posted on December 1, 2015. “Happiness doesn’t bring good health,” headlines a December 9 New York Times article. “Go ahead and sulk,” explain its opening sentences. “Unhappiness won’t kill you.” Should we forget all that we have read and taught about the effects of negative emotions (depression, anger, stress) on health?  Yes, this is “good news for the grumpy,” one of the study authors is quoted as saying. In this Lancet study, which followed a half million British women over time, “unhappiness and stress were not associated with an increased risk of death,” reported the Times. A closer look at the study tells a somewhat different story, however. Its title—“Does Happiness Itself Directly Affect Mortality?”—hints at an explanation for the surprising result. Contrary to what the media report suggests, the researchers found that “Compared with those reporting being happy most of the time, women who had reported being unhappy had excess all-cause mortality when adjusting only for age.” Said simply, the unhappy women were 36 percent more likely to die during the study period. But the happy women also exercised more, smoked less, and were more likely to live with a partner and to participate in religious and other group activities. Controlling for those variables “completely eliminated” the happiness-longevity association, and that explains the headline. In much the same way, one can reduce or eliminate the religiosity-health association by controlling for the factors that mediate the religiosity effect (social support, healthier lifestyle, greater positive emotion).  Ditto, one can eliminate the seeming effect of a hurricane by “controlling for” the confounding effect of the wind, rain, and storm surge. A hurricane “by itself,” after eliminating such mediating factors, has little or no “direct effect.” Likewise, happiness “by itself” has little or no direct effect on health—a finding that few researchers are likely to contest. P.S. For more critique of the happiness-health study, see here. ... View more

Originally posted on May 18, 2016. In an 80-minute class for which I recently guest-lectured, the instructor (a master teacher) gave students a mid-class break to enable them to stretch and talk to classmates. What a great way to build community, I thought. Alas, two-thirds of the class never moved. Rather, they pulled out their smart phones and sat staring at their screens. There was no face-to-face conversation, just solemn silence. SYDA Productions/Shuttershock When I recounted that story to tech expert psychologist Larry Rosen (co-author of The Distracted Brain: Ancient Brains in a High Tech World and author of iDisorder: Understanding Our Obsession with Technology and Overcoming Its Hold on Us) he replied that “I see this all the time EVERYWHERE.” The students I observed don’t exemplify The Onion’s recent parody (“Brain-Dead Teen, Only Capable of Rolling Eyes and Texting, To Be Euthanized”). But they did bring to mind the recent Western Psychological Association presentation by Rosen’s students, Stephanie Elias, Joshua Lozano, and Jonathan Bentley. They reported data on smartphone usage by 216 California State University, Dominguez Hills students, as recorded by a phone app. The stunning result: In an average day, the students unlocked their phones 56 times and spent 220 minutes—3.7 hours—connected. Moreover, more compulsive technology use not only drains time from eyeball-to-eyeball conversation but also predicts poorer course performance. Today’s technology is “so user-friendly that the very use fosters our obsessions, dependence, and stress reactions,” says Rosen in iDisorder. If smartphones interfere with “having social relationships, then it is a problem, and it really is what I consider an iDisorder.” As Steven Pinker has written, “The solution is not to bemoan technology but to develop strategies of self-control, as we do with every other temptation in life.” We can live intentionally—by managing our time, blocking distracting online friends, turning off or leaving behind our mobile devices, or even going on a social media fast or diet—all in pursuit of our important goals. ... View more

The Crisis Text Line is a crisis hotline that lets those in crisis text a volunteer crisis counselor. Since they launched in 2013, millions of texts have been exchanged between those asking for help and those providing it. This 10-minute TED talk by the founder Nancy Lublin provides an inspiring overview. Video Link : 1632 For students in crisis I’m adding this statement to my syllabus: Counseling Center.  Are you feeling stressed about college? Tests? Your future? A relationship? A loss? Adjusting to a new culture? An addiction, yours or someone else's? Living? Visit Highline's Counseling Center (counseling.highline.edu) in Building 6, upstairs on the north side of the building. Email: counseling@highline.edu. Phone: (206) 592-3353 If the Counseling Center is closed and you need to talk with someone now, call the King County Crisis Clinic at (206) 461-3222. If you'd rather text with someone, contact the Crisis Text Line by texting HELLO to 741-741. For texters concerned about privacy, the volunteer counselors don’t see their phone numbers. It’s all done through an encrypted computer interface. And for those who are really concerned, they can text “loofah” (or similar spellings) to have their texts scrubbed from the system (Dupere, 2016). Is your psych club, Psi Beta chapter or Psi Chi chapter looking for a project? Print and post flyers on your campus. You can use the Crisis Text Line’s pre-made flyer. Or do a fundraiser. Crisis Text Line accepts donations. How to become a volunteer Volunteers apply, and those who are accepted undergo 34 hours of online training. Volunteers commit to doing one 4-hour shift per week for a year. Do you have students who are over 18 years old who might be interested in volunteering? Download the Crisis Text Line volunteer flyer: http://www.crisistextline.org/wp-content/uploads/CTLVolunteerFlyer.pdf. It’s not a guaranteed gig; 39% of those who apply are accepted to begin the training (Dupere, 2016). Show me the data All of those 18 million texts provide a boat-load of data. And those data are publicly available at http://crisistrends.org. Texts about depression increase throughout the day, peaking at 8pm. Texts about family issues are most common on Sundays. The state with the most LGBTQ-related texts? Alaska. The least? Vermont. The state with the most bullying-related texts? Vermont. The least? New Hampshire. Starting in Spring 2014, texts about anxiety and texts about suicidal thoughts co-occur. You can also choose a topic to see a sample text and a word cloud of the top 50 words that appear in texts related to that topic. Here’s what I got when I selected anxiety. If you’re a researcher interested in using their data, their FAQ says, “Data access is available to approved academic researchers. The application will be available here in late January 2016.” As of this writing (June 2016), I don’t see an application. If you’re interested, email them at info@crisistextline.org.    Dupere, K. (2016, May 28). This text line is helping teens talk about mental health without saying a word. Retrieved May 31, 2016, from http://mashable.com/2016/05/28/crisis-text-line/ ... View more

The coverage of epigenetics in Intro Psych textbooks appears to be slowly on the rise. And with good reason. If you're not familiar with epigenetics, this 9-minute student-friendly video is a nice introduction Video Link : 1576 For a more scholarly introduction to epigenetics, this 2016 article from Child Development will get you up to speed. In Intro Psych, your textbook may give an overview of the topic wherever it covers genetics and revisit epigenetics again during coverage of psychology disorders. Research is stacking up. Our experiences influence the turning on and off of genes that are linked to psychological disorders. For example, "Exposure to stressful or traumatic life events, especially early in life (early life stress (ELS)), is one of the strongest risk factors for a number of psychiatric disorders, ranging from post-traumatic stress disorder (PTSD) over depression to bipolar disorder and schizophrenia. Over the past decade, an ever growing body of evidence indicates that exposure to stressful life events can lead to long lasting changes in a number of systems including the endocrine system, the immune system and brain structure and function" (Provencal & Binder, 2015). If a cause of psychological disorders is related to epigenetics, the effectiveness of treatments may also reside in epigenetics. Electroconvulsive therapy, for example, may alter epigenetic tags (Jong, et.al., 2014). Psychiatric drugs may also work this way (Boks, et.al., 2012). For Intro Psych, the specifics of epigenetics is probably not that important, but a broad overview and the implications of the research are certainly worth the time. References Boks, M. P., de Jong, N. M., Kas, M. J. H., Vinkers, C. H., Fernandes, C., Kahn, R. S., … Ophoff, R. A. (2012). Current status and future prospects for epigenetic psychopharmacology. Epigenetics, 7(1), 20–28. http://doi.org/10.4161/epi.7.1.18688 Jong, J. O., Arts, B., Boks, M. P., Sienaert, P., Hove, D. L., Kenis, G., . . . Rutten, B. P. (2014). Epigenetic effects of electroconvulsive seizures. The Journal of ECT, 30(2), 152-159. doi:10.1097/yct.0000000000000141  Lester, B. M., Conradt, E. and Marsit, C. (2016), Introduction to the Special Section on Epigenetics. Child Development, 87: 29–37. doi: 10.1111/cdev.12489 Provencal, N., & Binder, E. B. (2015). The neurobiological effects of stress as contributors to psychiatric disorders: Focus on epigenetics. Current Opinion in Neurobiology, 30, 31-37. doi:10.1016/j.conb.2014.08.007  ... View more

Written and contributed by Mark Gluck, author of Learning and Memory. It has long been assumed that sleep, beyond its role in rest and refreshment, also has a facilitating effect on learning and memory. After all, who doesn’t recognize the experience of working fruitlessly on a problem to the point of exhaustion, and then coming up with a sudden solution following a night of sleep? It is only over the last two decades that the effect of sleep on cognition has been studied in depth by the scientific community. This research has led to a growing understanding of how sleep affects learning and memory. A typical night of sleep includes cycles of alternating sleep stages, each characterized by a different profile of brain activity. In one of these stages, rapid-eye-movement (REM), or paradoxical, sleep,  the brain seems as active as when awake. This is the stage in which most dreams appear. Another stage, slow-wave sleep (SWS), or deep sleep, is characterized by highly synchronized brain-neuron activity and is the stage in which it is most difficult to wake the sleeper up. Recent research has combined sophisticated experimental designs, neuroimaging, and single-cell recordings to discover the relative impacts of the different sleep stages on various cognitive functions. It shows that SWS is mostly important for the consolidation of declarative memory, as well as for rule learning, spatial navigation, and insight. REM sleep, on the other hand, exerts its greatest effect on procedural memory. Some of the mechanisms by which sleep contributes to these functions are also becoming clear. During SWS, the hippocampus, a brain region involved in episodic and associative learning, ”replays” some of the waking experiences acquired during the previous day. The replay allows the new memories to be reorganized into a more efficient structure and also contributes to their assimilation into the general knowledge store of the individual. This reorganization is reflected as better performance the following day. Many questions are still unanswered. For example, the mechanism by which REM sleep facilitates learning and memory remains somewhat less characterized in comparison to that of SWS. However, the rapid advancements in this field hold out promise that the years to come will bring a fuller account of why the third of our lives we spend sleeping, a seemingly wasteful behavior from a learning–memory perspective,  is in fact not wasted at all. FURTHER READING Stickgold, R., & Walker, M. P. (2005). Memory consolidation and reconsolidation: What is the role of sleep? Trends in Neuroscience, 28, 408–415. Diekelmann, S., & Born, J. (2010). The memory function of sleep. Nature Review Neuroscience, 11, 114–126. ... View more

Last week I wrote about how it is I came to wear psychology-related t-shirts to my Intro Psych classes. That post included nine t-shirts. [Read that post.] This week I have ten to share. Vision – Childish Side of the Moon This is a pretty straight-forward illustration of how white is the presence of all wavelengths of light. And the Pink Floyd fans in your class will enjoy the reference. Sleep – Big Fan I hammer pretty hard the importance of sleep. Too many students think that staying up all night studying is a good idea, and I present the landslide of evidence that says it’s not. In case they miss my message, perhaps due to sleep deprivation, this t-shirt drives home the point. Sleep – Counting Sheep If I’m feeling more whimsical, I will go with this shirt depicting counting sheep – on a calculator, on “fingers,” on an abacus. Psychoanalysis – Devil and angel bunnies If you talk about the id, ego, and superego, this shirt is a must. Wear a shirt over top, like a denim shirt or a light fleece. As you describe the conflict between the id and the superego, if you’re lucky, a student will say something like, “Oh! Like the devil and angel on your shoulders!” That’s your cue to remove your outer layer, revealing the devil and angel bunnies on your shoulders. Research methods – Science of the Lambs When introducing research methods in Intro, I sometimes talk about how people think that what determines what is a science and what is not are the apparatuses that are used. “If there are flasks and Bunsen burners, then it is science.” If class time allows, I ask students to consider that question: What makes a science a science? This makes for a nice think (on your own for a minute or two), pair (talk with the person next to you for a minute or two), share (ask for volunteers to share their responses) activity. Personality – Introverting When covering the Big Five personality traits, I use this shirt to come out as an introvert. The best metaphor I have heard for introversion and extraversion says that which way you lean is determined by what recharges your batteries most of the time. If your batteries recharge when you are with people, you are more extraverted. If your batteries recharge when you are alone, you are more introverted (see this blog post for example). The message in this shirt is “back off; I’m recharging.” Sensation — Hello? Can anybody hear me? I use this shirt to introduce the idea that sound and color only exist in our brains. Sound waves and light waves exist outside of us, but what we describe as sound and what we describe as color don’t. They are sensations created by our brains, a conversion of those waves into something we can experience. Development – Donkey Kong and Mario  This shirt’s a nod to the gamers in your class. If you’d like to use this shirt for discussion, ask students questions like: Given that Mario is walking, how old would you guess he is? [2-ish] What reflex is Donkey Kong exhibiting with the baby bottle? [grasping] Years later, do you expect them to remember this event? Why? [nope, infantile amnesia] You can also reprise this shirt for the social psych chapter. What are some ways in which Donkey Kong and Mario could work to resolve their conflict? [e.g., superordinate goals].            Optimism/pessimism – Which glass are you? When covering optimists and pessimists, this shirt provides an opportunity to introduce students to some other -ists, such as utopists and surrealists. Be prepared to explain some of these; students will ask. Final exam day – Pencils Since students are required to bring a Number 2 pencil to take the final exam, this handy shirt depicts pencil numbers 1 through 12. ... View more

When I first started teaching, not as a grad student, but as real live instructor out on my own, I was 24 years old. I was a part-time instructor at a community college near Kansas City. Thinking I had to look the part, I bought some new clothes -- khakis and button-down shirts. It probably didn’t take me more than a couple weeks to realize that wasn’t going to work for me. Most of the students in my classes were older than I was, some by a full generation or two. And a lot of them were scared. They had never been in a college class before, but life circumstances gave them an opportunity – or forced them – to be here. A lot was riding on their being able to do well. Trying to project some sort of authority didn’t mesh with how I walked in the world, and, frankly, I didn’t think it would help my students. Instead, I decided to go where they were. I traded in my new khakis for new jeans. And over time the button-down shirts were gradually replaced by t-shirts. My overarching philosophy to teaching psychology boiled down to this: I know the theory and the research, and you have the life experience; let’s merge them together and see what we can learn from each other. Long ago I moved on to full-time teaching, currently up here in the Pacific Northwest, and I finally caught up to and then surpassed the average age of my students. Even though I’m now older and my students are now younger, I know that many of them are still afraid. I want to lighten the mood. Over the last 15 years, I have amassed a t-shirt collection suitable for Intro Psych. Frankly, I don’t know if wearing these t-shirts in class makes me more approachable. I do know that it’s common for students to look forward to seeing the day’s shirt. And if the connection to the material isn’t immediately obvious, they are on the edge of their seats waiting for the connection to become clear. Okay, maybe no one is quite on the edge of their seats, but I have heard audible “Oh!”s after explaining the relevance of the shirt. Besides, knowing what I’m going to wear on most every class day -- my classes meet on Mondays and Wednesdays -- eliminates having to decide what to wear. I typically wear a denim shirt or a light fleece over top, and then reveal the shirt when it’s relevant to what I’m discussing. This post will feature nine shirts. Next week will feature an additional ten. [Read that post here.] First day -- It's in the syllabus I debated about getting this one. I was concerned it would sound snarkier than I meant it to be. Snarkiness is not the tone I’m after upon meeting my students for the first time. I carefully frame it by asking, by a show of hands, for whom is this their first college term. I explain that I remember by first college term. As I went from class to class, the professors were all talking about the syllabus – a word I had never heard before. Finally I figured out they were referring to these pieces of paper they were handing out.  “Any time you have questions about anything related to the course, the answer is probably in the syllabus.” Completely anecdotally, when I wear the shirt on the first day, I seem to get many fewer questions about the course later on. Biopsych – Serotonin and the Dopamines: The Happiness Tour In Intro, I don’t spend oodles of time on neurons, but this shirt is a handy reminder of the role neurotransmitters play in our everyday lives. Besides, what better way to remember that serotonin and dopamine influence feelings of happiness? Biopsych - Brain Sometimes, when teaching, it helps to have an extra brain. Memory – Les Déspicables I admit that when I first saw this one, it cracked me up so much I just wanted it. And then I figured out where to fit it into Intro. I use it in the memory chapter when talking about retrieval cues. The image retrieves both memories of Les Misérables and minions from the Despicable Me movies. The juxtaposition of such different memories makes this funny. Thinking – Penguin experiencing insight  When you have wings, you think you should be able to use them to fly. And this young penguin flaps and flaps, all to no avail. And then with what is apparently a flash of insight given the presence of the lightbulb in panel 8, the penguin dons a jetpack. Easy peasy. Operant or classical conditioning – Exercise: Some Motivation Required I love this shirt for both operant and classical conditioning. For operant conditioning, the behavior is running. The t-rex is being positively reinforced (running faster gets t-rex closer to a tasty morsel), and the person is being negatively reinforced (running faster gets the person further away from the t-rex).  For classical conditioning, being chased is the unconditioned stimulus and fear is the unconditioned response. Seeing a t-rex in the future would be the conditioned stimulus, and fear at seeing the t-rex is the conditioned response. Stress or classical conditioning – Godzilla destroying city If Godzilla destroys your city, you will likely experience stress. For classical conditioning, Godzilla destroying your city would be the unconditioned stimulus and fear would be the unconditioned response. Seeing Godzilla in the future would be the conditioned stimulus and fear at seeing Godzilla would be the conditioned response. Stress or operant conditioning – Procrastination… just one more game For stress, this is a nice example of emotion focused coping. As long as you are playing the game, you can avoid thinking about all the homework you need to do. For operant conditioning, game play is one big variable ratio schedule of reinforcement. You never know when you’re going to win, but the more you play, the faster you’ll get to that next win. Attention – Car Talk inattentive driving [Currently on clearance. Not available much longer.] When covering attention, the back of this shirt nicely illustrates how we really can’t do two things at once. ... View more

As a psychology instructor it is clear to you the myriad ways in which psychology can be used to both understand social issues and speak to solutions. In fact, the APA Guidelines for the Major (2013; see below) encourages us to help our students see the same. Debra Mashek (2016) suggests a few assignments that provide our students opportunities to connect psychology with today’s social issues. Integrative essay The instructor chooses three articles (interesting, nifty methodology, and not too difficult for students to understand – but on the surface may not have anything obviously to do with each other), and assigns one of those articles to each student, i.e. 1/3 of the class gets article A, 1/3 gets article B, and 1/3 gets article C. Each student writes a one-page summary of their assigned article and brings that with them to class. The class breaks up into groups of three, where the groups are composed of students who have all read different articles. In a jigsaw classroom format, the students tell the others in their three-person group about their article. Students then “articulate an applied question that invites application of ideas from all the articles.” Each 3-person group then co-authors a short paper (two to three pages) that identifies their applied question and how each of the three articles speak to that question. Persuasion research activity Right after Hurricane Katrina, Mashek decided she wanted her Intro Psych students to experience psychological research firsthand while also contributing to the relief effort. Mashek gave a brief lecture on foot-in-the-door, door-in-the-face, and reciprocity. She randomly assigned ¼ of students to foot-in-the-door, ¼ to door-in-the-face, ¼ reciprocity (she gave these students lollipops to hand to people before asking for a donation), and ¼ to a command condition (“give money”). During that same class period students were sent out in pairs to different areas of campus to return an hour later. Thirty-five students collected $600. Students reported a greater connection to the victims of Katrina after they returned than they reported before they left. Mashek used this experience as a leaping off point for discussing research methodology in the next class session. Current headline classroom discussion Pick a current headline. Break students into small groups, perhaps as an end of class activity, and give them one or two discussion questions based on the current chapter you are covering that are relevant to the headline. For example, if you are covering the social psychology chapter in Intro Psych, give students this headline from the January 9, 2016 New York Times: “Gov. Paul LePage of Maine Says Racial Comment Was a ‘Slip-Up’.” This is a short article, so you could ask students to read the article itself. Sample discussion questions: (1) What evidence is there of ingroup bias? (2) Do Gov. LePage’s comments illustrate stereotyping, prejudice, and/or discrimination? Explain. If time allows, student groups can report out in class. Alternatively, this could be a group writing assignment or a scribe for the group could post a summary of the group’s responses to a class discussion board. Students will gain an appreciation of the scope of psychology and how it is relevant to today’s social issues. This activity throughout the course should help students, after the course, to continue to see psychology at play. The APA Guidelines for the Major (2013) include these indicators related to social issues: 1.3A Articulate how psychological principles can be used to explain social issues, address pressing societal needs, and inform public policy 3.3c Explain how psychology can promote civic, social, and global outcomes that benefit others 3.3C Pursue personal opportunities to promote civic, social, and global outcomes that benefit the community. 3.3d Describe psychology-related issues of global concern (e.g., poverty, health, migration, human rights, rights of children, international conflict, sustainability) 3.3D Consider the potential effects of psychology-based interventions on issues of global concern American Psychological Association. (2013). APA guidelines for the undergraduate psychology major: Version 2.0. Retrieved from http://www.apa.org/ed/precollege/undergrad/index.aspx Mashek, D. (2016, January 4). Bringing the psychology of social issues to life. Lecture presented at National Institute on the Teaching of Psychology in Tradewinds Island Grand Resort, St. Petersburg Beach. Seelye, K. Q. (2016, January 9). Gov. Paul LePage of Maine Says Racial Comment Was a 'Slip-up'. The New York Times. Retrieved January 9, 2016, from http://www.nytimes.com/politics/first-draft/2016/01/08/gov-paul-lepage-of-maine-denies-making-racist-remarks ... View more

After covering operant conditioning, ask students to silently identify a specific behavior they would like to change. Help students understand the difference between an outcome, e.g., lose 10 pounds, get an A in this course, and a behavior, e.g., walk 30 minutes a day five days a week, study psychology one hour a day six days a week. Ask students to raise their hands if they’ve tried to change a behavior only to have the effort peter out. All or almost all hands will go up. “If I were to pay you each week for engaging in your behavioral change, how much money would it take for you to stick with it?” By a show of hands, “At least $25?” With their hands still up, ask “At least $50?”  With their hands still up, “At least $75?” Keep going until all hands are up. In a recent experiment (Halpern, et.al, 2015), researchers randomly assigned participants to an incentive-based smoking cessation program. There were a few different ways they structured the incentive, but for all of them participants could earn up to $800 for being smoke-free after six months. How many were smoke-free after six months? The four incentive programs resulted in a 10% to 15% success rate. That may not sound like much, but the authors reports that “usual care” results in 6% smoke-free at six months. Don’t be surprised if students express dismay at such an incentive program. Providing positive reinforcement for doing things that we should do anyway makes some people uncomfortable. What’s the alternative? We know that healthcare costs will be lower, overall, for people who do not smoke. The higher someone else’s healthcare costs, the higher the cost of health insurance for all of us. Framed in that light, $800 per person seems like a reasonable investment. I don’t have someone else paying me, but I do have my own personal incentive program. When my pedometer tells me that I have reached 90,000 steps, I put $25 into a special account. It is out of this account that I pay for my Starbucks coffee, most restaurant meals, and anything else that’s considered a non-essential expense. Not only am I encouraged to walk more, but I have also reduced my spending. Health, however, is much broader than not smoking and walking. It also includes not shooting people. In Richmond, VA, the city council created a program designed to reduce violence. When they learned that 17 people, mostly young men, were responsible for 70% of the shootings, they knew who they needed to contact. They sent “street-savvy staff members” into the community to build relationships with these folks. With some trust established, the program coordinators invited the men to a meeting and made them an incredible offer. To paraphrase, if you stay out of trouble and attend meetings with the program’s mentors, we’ll pay you up to $1,000 per month for up to nine months. Is it working? Homicides and firearms assaults dropped by about half in just the first year of the program. Drug use among the program participants is down, employment is up, school enrollment is up. It took cash to get them started down a more productive path, but once they got going, the reinforcement came from other places. Historically we have relied on fines and jail time to try to change bad behavior. We know punishment, on the whole, is not as effective as reinforcement, so to change bad behavior why not reinforce good behavior? Ask students to think of behaviors that are typically punished, and then in pairs or small groups, ask students to generate some ways that alternative, good behaviors could be reinforced. Halpern, S. D., French, B., Small, D. S., Saulsgiver, K., Harhay, M. O., Audrain-Mcgovern, J., . . . Volpp, K. G. (2015). Randomized trial of four financial-incentive programs for smoking cessation. New England Journal of Medicine N Engl J Med, 372(22), 2108-2117. doi:10.1056/nejmoa1414293 ... View more