[HN Gopher] Health advisory on social media use in adolescence
       ___________________________________________________________________
        
       Health advisory on social media use in adolescence
        
       Author : pseudolus
       Score  : 166 points
       Date   : 2023-05-09 14:17 UTC (8 hours ago)
        
 (HTM) web link (www.apa.org)
 (TXT) w3m dump (www.apa.org)
        
       | niels_bom wrote:
       | That the research here was mostly non-longitudinal really
       | undermines how useful the results are. Even though our society
       | has this data, it's just in Big Social's data vault. Would be
       | nice if we could enforce them to let scienctists use this data
       | for research.
        
       | hamilyon2 wrote:
       | So basically shepherding adolescent online life is impossible
       | given current reality of Facebook, whatsapp and friends and if it
       | was, it would be a full-time job? Or did I miss something?
        
       | dang wrote:
       | Related ongoing thread:
       | 
       |  _Students can't get off their phones. Schools have had enough_ -
       | https://news.ycombinator.com/item?id=35874246 - May 2023 (133
       | comments)
        
       | khazhoux wrote:
       | My kids thankfully are not into (and we don't allow) "social
       | media" -- no Instagram, TikTok, etc. So they're not posting
       | selfies and waiting for the Like count to go up.
       | 
       | But they _do_ spend a ton of time in online chats (Discord,
       | Google Hangouts /Meet/whatever). Only in groups with friends,
       | never in public rooms with strangers.
       | 
       | On the one hand, it is essential that they be allowed to
       | participate in these chats, since that is how they kids are
       | hanging out now. On the other hand, holy crap the new ways to
       | bully and mean to each other!!
        
       | [deleted]
        
       | orhmeh09 wrote:
       | This recent article suggests other factors might be more
       | important to adolescent mental health:
       | 
       | Time spent on social media among the least influential factors in
       | adolescent mental health: preliminary results from a panel
       | network analysis
       | https://www.nature.com/articles/s44220-023-00063-7
       | 
       | > There is growing concern about the role of social media use in
       | the documented increase of adolescent mental health difficulties.
       | However, the current evidence remains complex and inconclusive.
       | While increasing research on this area of work has allowed for
       | notable progress, the impact of social media use within the
       | complex systems of adolescent mental health and development is
       | yet to be examined. The current study addresses this conceptual
       | and methodological oversight by applying a panel network analysis
       | to explore the role of social media on key interacting systems of
       | mental health, wellbeing and social life of 12,041 UK
       | adolescents. Here we find that, across time, estimated time spent
       | interacting with social media predicts concentration problems in
       | female participants. However, of the factors included in the
       | current network, social media use is one of the least influential
       | factors of adolescent mental health, with others (for example,
       | bullying, lack of family support and school work dissatisfaction)
       | exhibiting stronger associations. Our findings provide an
       | important exploratory first step in mapping out complex
       | relationships between social media use and key developmental
       | systems and highlight the need for social policy initiatives that
       | focus on the home and school environment to foster resilience.
        
         | [deleted]
        
         | jacobn wrote:
         | Jonathan Haidt has an interesting response to this (and
         | related) criticisms: https://jonathanhaidt.substack.com/p/why-
         | some-researchers-th...
        
         | jsmith45 wrote:
         | How are they defining social media use in their analysis?
         | 
         | Because I'm not sure "estimated time on social media" is really
         | the best way to measure things.
         | 
         | The specific social media services used, and how they are used.
         | Some services can be pretty bad if used in some common ways,
         | but much better if used in a more carefully curated fashion.
         | 
         | Spending endless hours are a sensibly curated subset of reddit
         | could easily be a whole less bad for ones mental health than
         | just a few hours a week on some other services, especially if
         | the user has not (or cannot) carefully curated their feeds on
         | those other services.
        
         | 908B64B197 wrote:
         | > Time spent on social media among the least influential
         | factors in adolescent mental health
         | 
         | But it's the one that's easy to assign blame to: it's the evil
         | (sometimes foreign) big tech companies fault.
         | 
         | Increasingly poor economics prospects, environmental crisis and
         | over-competitive society are much tougher issues to crack, and
         | perhaps, in the case of housing for instance, certain
         | demographics would prefer to blame the "evil screens" rather
         | than their own generation's behavior over the years...
        
           | orhmeh09 wrote:
           | although I believe the big tech companies are doing their
           | very best to capture attention at all costs, it is a good
           | question to ask _why_ people are in a position to spend so
           | much time on social media and are doing so in place of other
           | activities. For example, the lack of public spaces where one
           | can spend time without spending money, relatively recent
           | parenting practices and legal obstacles to having
           | unsupervised time outdoors, etc.
        
             | barbazoo wrote:
             | I can see it in myself and I suspect others feel similarly.
             | And I suspect kids feel it even more strongly but that's
             | just an assumption of mine. The way "big tech companies are
             | doing their very best to capture attention at all costs" is
             | by designing their apps such that it's physically
             | addicting. Once you're addicted it's hard to do the other
             | things you mentioned because they don't release the same
             | chemicals in your brain.
        
               | westurner wrote:
               | Would it be abusive or advisable to adapt edtech
               | offerings in light of social media and slot machines' UX
               | user experience findings?
               | 
               | While they should never appease students, can't infotech
               | and edtech learn how to keep their attention, too?
               | 
               | Perhaps prompt engineering can help to create engaging
               | educational content with substantive progress metrics?
               | 
               | "Build a game in JS (like game category XYZ) to teach
               | quantum entropy to beginners"
               | 
               | And then what prompt additions could help to social
               | media-ify the game?
               | 
               | How should social media reinforce human communication
               | behaviors with or without the stated age of the user?
               | Should there be a "D- because that's harassment" panda
               | video to reinforce? Which presidential role models'
               | communication styles should AI emulate?
               | 
               | I find it sad to consider that the most impactful thing
               | to do to improve children's lives would be to ban them
               | from social media due to their age; though, for the
               | record, e.g. Facebook did originally require a .edu email
               | address at an approving institution.
               | 
               | Hopefully, Khanmigo and similar AI edtech offerings will
               | be more engaging than preferentially reviewing
               | unacceptable abuse online; but kids and people still need
               | to learn to interact respectfully online in order to
               | succeed.
        
           | Night_Thastus wrote:
           | I don't believe it's the tech companies fault necessarily -
           | but social media definitely plays a big role in my view.
           | 
           | It is _extremely_ easy to get sucked into groups that
           | perpetuate racial /sexist-related hate, self-loathing and
           | suicide, unhealthy self image/comparison to others, endless
           | doom-saying and bad news, etc.
           | 
           | Those can have a huge impact on someone when they're young.
           | (Frankly, they have a huge impact on everyone else, too)
        
             | 908B64B197 wrote:
             | > unhealthy self image/comparison to others
             | 
             | Is it such a bad thing that they compare themselves to
             | their peers?
             | 
             | In 2018 "obesity prevalence was [...] 21.2% among 12- to
             | 19-year-olds." [1] according to the CDC. That's one out of
             | 5 being obese, not just overweight. And it has more than
             | tripled since the 70's [2]. I have to wonder if it's
             | related. A lot of teenagers are bombarded with images of
             | their peers' perfectly healthy bodies that, quite simply,
             | won't match what they see in the mirror. The solution? Ban
             | mirrors.
             | 
             | [0] https://www.cdc.gov/obesity/data/childhood.html
             | 
             | [1] https://www.cdc.gov/nchs/data/hestat/obesity_child_15_1
             | 6/obe...
        
               | Night_Thastus wrote:
               | Of course obesity is a massive problem in the US. That's
               | undeniable. There is, of course, the opposite side of
               | this where some people become anorexic which is well-
               | documented. (Less common, of course, but still important)
               | 
               | But there are other issues of self image too, like wealth
               | and success, beauty, etc.
               | 
               | Spending all day seeing nothing but seemingly "perfect"
               | individuals with "perfect" lives (even if a lot of it is
               | fabricated) can do a lot of harm, in my view.
        
           | whats_a_quasar wrote:
           | "Increasingly poor economic prospects" isn't true. The world
           | is far wealthier and youth have far better economic prospects
           | than they did in previous generations, when the world was
           | poor and the rate of teen depression/suicide was low.
           | 
           | The two main arguments on mental health "it's the phones" and
           | "the world actually sucks and the kids are right to be
           | depressed." But in the actual data doomerism doesn't
           | correlate with the crisis. Phone usage and decline in face-
           | to-face interaction does.
           | 
           | Two sources:
           | 
           | - "No, teen suicide isn't because the world is objectively
           | worse": https://nymag.com/intelligencer/2023/02/teen-suicide-
           | depress...
           | 
           | - "Don't be a doomer": https://www.noahpinion.blog/p/dont-be-
           | a-doomer?utm_source=su...
        
             | WarOnPrivacy wrote:
             | >Increasingly poor economic prospects" isn't true.
             | 
             | We've gone from the celebrated one-income households in the
             | 1950s
             | 
             | to increasingly fewer jobs than people to fill them
             | (beginning ~1972)
             | 
             | to 3-4 typical incomes necessary to support a household in
             | my (formerly affordable) state.
             | 
             | Our long trend certainly seems to fit within a description
             | of Increasingly Poor Economic Prospects
        
         | [deleted]
        
         | Brusco_RF wrote:
         | An interesting nuance, but I don't think this should be used to
         | dismiss the mental health effects of social media. Social media
         | affects virtually ALL adolescents, while those other factors
         | listed only affect some. Only a subset of adolescents lack
         | family support or are bullied. The third factor,
         | dissatisfaction with schoolwork, would be extremely hard to
         | discern as a cause or effect of depression
        
           | whats_a_quasar wrote:
           | Yeah, to add on to this, the article seems to imply a logical
           | leap from
           | 
           | - "social media isn't as bad as bullying or having an
           | unstable home"
           | 
           | to
           | 
           | - "social policy ought to focus on the home and school rather
           | than social media"
           | 
           | But I don't think that follows at all. I don't think anyone
           | disagrees that bullying is bad and stable homes are good. And
           | I think that's always been a goal of child social policy.
           | Social isolation caused by technology might have a weaker
           | effect size, but it affects everyone, including adolescents
           | in stable homes who aren't being bullied. It would be great
           | if we had a lever to pull to get rid of bullying, but in the
           | meantime if the goal is to increase child well-being we ought
           | to act on social media.
        
             | xpe wrote:
             | I have no particular expertise on bullying but I am
             | confident there are levers (I.e. policies, interventions,
             | support mechanisms) to reduce many kinds of bullying, much
             | of the time. Different types would need to be dealt with in
             | different ways: physical, emotional, and online.
             | 
             | Of course, it is complicated. Bullying arguably is a
             | manifestation of deeper, psychological and social issues.
             | Some forms of bullying are very difficult to find, much
             | less prevent.
             | 
             | Unfortunately, many of these kid / young adult practices
             | persist well into adulthood.
             | 
             | Personally, I sometimes find it quite difficult to draw
             | lines between a lot of negative behavior. As kids are
             | figuring out their emotions, they act on them in many
             | unconstructive ways. It seems to me the core elements of
             | the worst bullying tend to have to do with (1) it being
             | persistent; (2) targeted on those with less status or
             | power; (3) the victim feels isolated.
             | 
             | Again, this isn't researched, but I did put some thought
             | into it.
        
               | Brusco_RF wrote:
               | Can you name some of those levers? Because I tend to
               | think that bullying is as old as our species is
        
               | WarOnPrivacy wrote:
               | Bullies need a certain amount of cover and crowds are
               | fairly ideal for it.
               | 
               | I'd pull the lever that unwound our budget-friendly,
               | densely populated, age-segmented schools in favor of
               | much, much smaller community (eg:walkable) schools where
               | courses were based on students' academic ability (instead
               | of age) and where student-student support was a focus.
        
               | Brusco_RF wrote:
               | Your solution is to burn down the entire public school
               | system and re-build it from scratch - that's a non-
               | starter.
               | 
               | I also don't even think it would work in principle.
               | You're talking about combining the older age groups with
               | the younger, that's a recipe for bullying.
        
       | xpe wrote:
       | I don't personally have a good sense of the how well the writing
       | captures the scientific evidence.
       | 
       | As a positive, I see indications that the report is attempting to
       | identify the specific patterns and activities that are known to
       | be damaging.
       | 
       | One of the many challenges with these kinds of reports is
       | remaining relevant and useful as these tools evolve and society
       | adapts.
       | 
       | What kinds of social media patterns, features, or risk factors do
       | _you_ notice in kids?
        
       | xpe wrote:
       | The web page shows a photo of a mom sitting alongside her
       | daughter while she's using social media. I'm not in that
       | situation, but that general approach seems awkward. (Maybe it
       | shouldn't?) The related text doesn't offer much detail on how
       | this could work. I'm open to ideas, but I'm not seeing them in
       | the page. Perhaps the linked PDF has more? If so, some hyperlinks
       | to details would help.
        
       | blinded wrote:
       | Ya my kids wont be using any of it until they are adults.
        
       | vrglvrglvrgl wrote:
       | [dead]
        
       | edbaskerville wrote:
       | "...designs created for adults may not be appropriate for
       | children."
       | 
       | Seems right, seeing as the designs created for adults aren't good
       | for adults either.
        
         | bhawks wrote:
         | Seems like Big Tech hasn't been following the other Big
         | $INDUSTRY playbook fully yet - you gotta buy your own competing
         | medical studies. Newbie mistake.
         | 
         | I am sure they'll learn, they figured out how important buying
         | politicians was in the mid 2000s.
        
       | hospitalJail wrote:
       | I'd like to see more tools on how to quit addictive behaviors. I
       | read Power of Habit, so I can easily quit things, but not
       | everyone was lucky to be gifted a 300 page book and read it. If
       | that was taught as a class in high school, it might eliminate
       | long-term drug addiction.
       | 
       | How many times are people subjecting themselves to social media
       | they don't really want to view because they habitually unlock
       | their phone and check their notifications?
       | 
       | These kind of things are fighting fire with a squirt gun. Telling
       | people to 'use less' and 'monitor' are easy to beat with
       | addictive platforms.
        
         | sureglymop wrote:
         | I think a big issue is when you're forced to. Say you can only
         | text with someone on Instagram but you don't care about the
         | rest of the app.. Well if you create an alternative client just
         | for that purpose you might get a letter from a lawyer (see
         | barinsta). And no, convincing people to use something just for
         | you on an individual basis is not a solution.
        
         | ragle wrote:
         | Anecdotal: the app "One Sec" broke my twitter habit over the
         | course of a few weeks.
         | 
         | Via iOS' automations feature the app allows you to configure a
         | per-app waiting period during which you can decide you don't
         | actually want to open whatever app you've tried to open.
         | 
         | Very grateful for this tool.
        
           | danem wrote:
           | Do you find yourself making better use of your time, or do
           | you substitute one time waster with another? I can definitely
           | see how this would help me be more productive during my work
           | hours though...
        
             | ksala_ wrote:
             | That's usually where those things fail for me. Still, I
             | don't really consider them worthless - the goal is not to
             | prevent you from wasting your time, but to make you aware
             | you're wasting your time and turning a muscle memory action
             | into something you actually have to think about.
             | 
             | In my experience phisical separation is the best for when
             | you don't want to use your phone (for example, when going
             | to bed or if you want to focus on discussions when having
             | lunch) but that is not always possible - then apps like one
             | sec or other tricks like setting your phone to gray scale,
             | moving icons around, focus mode, screen time... All serve
             | to nudge your brain into thinking if you really want to
             | waste time.
             | 
             | For making better use of your time... Eh. Everyone
             | struggles differently of course, but I'm unlikely to go out
             | and run, or do focus work, when I would waste 30 minutes
             | scrolling through Instagram. But if you make sure to have
             | better alternatives (reading a curated feed, listening to a
             | audiobook/podcast) then they can nudge you that way.
             | Finding a better alternative is entirely up to you. I do
             | find that writing down things you want to do, no matter how
             | silly it sounds ("of course I want to read more books!")
             | helps, especially as you can always reference to that list
             | later when you're bored.
        
           | [deleted]
        
           | tmhrtly wrote:
           | Second data point. I love that app. Well worth all the money.
           | 
           | I've also customised the automations so I have added friction
           | to opening, for example, Slack after 6PM or on weekends.
           | However it opens immediately during working hours.
        
         | RangerScience wrote:
         | I fall into video game binges rather easily, and what's been
         | helping me _a lot_ is a practice of intentionality  & timers.
         | It's a combination of advice from my psychiatrist and
         | therapist, and it's pretty straightforward.
         | 
         | Before doing a thing - particularly things I can easily lose
         | myself in, like doom scrolling - I take a few moments and ask
         | myself what I want out of that time, which naturally dovetails
         | into how long I want to spend at it. Maybe it's ten minutes.
         | Maybe it's three hours. Then I set a timer for that long, and
         | when the timer goes off, (notionally) I halt, walk away from
         | the thing for another few moments and re-evaluate. Maybe I go
         | back. Maybe I don't. Maybe I go back after doing something else
         | for a few minutes (say, loading a dishwasher).
         | 
         | One of the key bits it to not judge myself or my wants. If I
         | want to binge Factorio for a day... like, alright. I'll do
         | that, even if I know later-me won't like having done that. No
         | judgment, no beating myself up about it.
         | 
         | Another key bit seems to be not _not_ doing the thing. That 's
         | a hard fight. AFAICT it's one part awareness, one part wedging
         | in some mental/emotional space to make choices inside the habit
         | loop (stimulus -> response -> reward), and one part good old
         | fashioned habit-loop interruption (AFAIK if you literally add
         | breaths-worth of time to each step in the habit loop, it
         | drastically diminishes the oomph of what's happening
         | neurologically).
         | 
         | The magic seems to happen in two forms:
         | 
         | 1. "Taking control of my time." - Even if I'm making the same
         | choices, now, my experience is that _I_ am making them, instead
         | of  "them" making me.
         | 
         | 2. "Stopping before you're tired means you don't start the next
         | thing exhausted". Previously I'd binge until I beyond exhausted
         | my enjoyment of the thing. Now I have a way to do a thing while
         | I'm enjoying it, and stop once I no longer am.
         | 
         | PS - I've also started wondering if this is whatever the hell
         | people _actually_ meant when they talked about  "time
         | management" when I was kid, but no-one actually ever explained.
        
           | all2 wrote:
           | > Another key bit seems to be not not doing the thing. That's
           | a hard fight.
           | 
           | I was told to replace bad habits with other things. It didn't
           | have to be some "good habit", but there had to be _something
           | else_ to fill the void left by the thing I wasn 't doing. I
           | had a list (I still have it somewhere) of healthy things that
           | I enjoy, that I can do instead of falling into a porn binge
           | (its been almost 5 years since I last willingly looked at
           | porn) or a YouTube hole (that's been less than a week, small
           | steps).
           | 
           | Having a list of other things to do, things I enjoy, made
           | stopping unhealthy habits a lot easier. I didn't strap myself
           | to "being more productive", rather I just replaced bad habits
           | that produce dopamine hits with enjoyable things that produce
           | dopamine hits.
        
           | ajd1988 wrote:
           | As devs we could create an app that sets a timer for social
           | media use and then shocks you with a mild electric shock
           | every time you exceed your set limit!
           | 
           | We'll call it the Zapchat or the Zapper and we guarantee
           | it'll be SHOCKING how effective it is at keep us from looking
           | at our screens every 5 min
        
             | TedDoesntTalk wrote:
             | I mean, why not just lock the device instead? If only there
             | was a way to lock for X minutes without the ability to
             | unlock...
        
         | tboyd47 wrote:
         | Check out "The Easy Way to Quit Smoking" by Allen Carr.
        
         | safety1st wrote:
         | > 8. Adolescents should limit use of social media for social
         | comparison, particularly around beauty- or appearance-related
         | content.
         | 
         | Or we could just throw up our hands at the epidemic of teen
         | girl suicide and say "oh they shouldn't do that"
         | 
         | What a joke the APA has become
        
           | nomel wrote:
           | I don't think this is fair. Knowing what should be avoided is
           | a prerequisite for figuring out how to avoid it.
           | Communicating what should be avoided should be done even if
           | the "how" isn't really understood/thought out.
        
         | givemeethekeys wrote:
         | I blocked facebook and instagram on my computer by updating the
         | /etc/hosts file. Now going to either site results in a 404,
         | along with many other sites that are embedded in muscle memory.
        
           | khazhoux wrote:
           | Unfortunately, it's easy to edit it back...
        
         | butterguns wrote:
         | > I read Power of Habit, so I can easily quit things
         | 
         | I mean no ill-intent, but this feels like an incredibly naive
         | thing to say. The inference "I read X book, therefore I am
         | immune to / protected from addiction".
        
           | unethical_ban wrote:
           | It's naive to think that's the literal meaning.
           | 
           | I didn't think it needed spelling out that they were saying
           | "I read this book, _I understood its message and was able to
           | incorporate it into my life with notable results_ , so I am
           | better at quitting or avoiding addictive behavior"
        
         | tempsy wrote:
         | I mean I think schools should be stricter on cell phone use. I
         | just think it's a bit of a lost cause at this point.
         | 
         | If I had kids I would 100% send them to a school that banned
         | smartphones with dumb phones for texting and calling the only
         | thing allowed between classes.
        
           | TedDoesntTalk wrote:
           | It's not a lost cause. Many venues lock cell phones for
           | adults with Yondr pouches. Why can't that work for kids
           | during school?
        
         | matheusmoreira wrote:
         | > I'd like to see more tools on how to quit addictive
         | behaviors.
         | 
         | Make them. I'm serious.
         | 
         | I used to be addicted to a bunch of mobile games. What cured me
         | was the decision to simply automate all that stuff. I reverse
         | engineered the game and wrote a bot for it. All those habit
         | forming daily tasks? Automated. I was free. That's when I
         | realized how deep in that rabbit hole I was.
         | 
         | Programming changes lives.
        
         | aaroninsf wrote:
         | So, let's talk frankly here.
         | 
         | Many, though not all, of the people here and in the YC
         | ecosystem etc., work or have had worked or otherwise made their
         | careers (and fortunes),
         | 
         | helping concerns whose business model is entirely, openly,
         | founded on maximizing user growth and user engagement. So as to
         | sell personal data in one direction and ads in the other.
         | 
         | This has been something like at trillion-dollar endeavor, and a
         | lot of those dollars have gone into the science (formal and
         | "field") of ensuring those two things.
         | 
         | I.e, to MANUFACTURE ADDICTION.
         | 
         | It's not a bug. It's not just a feature. It's THE feature.
         | 
         | What I tell my own kids, who are not allowed on TikTok, or any
         | Meta property, at all, full stop,
         | 
         | is that against the evolved state of these properties, on our
         | twinkly devices, we have no more defense against addiction than
         | we do against the physiologically analogous fat and sugar.
         | 
         | It's not about discipline. It's not about habit formation. It's
         | not about best practices in schools. It's not about "downtime"
         | and tepid screen time controls.
         | 
         | The problem is more fundamental, and much, much, much uglier,
         | and much, much, much intractable, than most discourse about it
         | admits.
         | 
         | The only solution today, literally, is _not to play the game_.
         | 
         | Footnote: AI is going to make things 1000x worse, which I would
         | not have believed possible a few years ago.
        
           | matheusmoreira wrote:
           | Yup. Every time people talk about maximizing "engagement",
           | they're talking about manufacturing addiction in users. The
           | solution is the destruction of the business models that
           | require addiction. Make technology to block ads or just
           | straight up make them illegal. Make personal information a
           | huge liability.
        
           | robertlagrant wrote:
           | > we have no more defense against addiction than we do
           | against the physiologically analogous fat and sugar
           | 
           | I don't understand - we have quite a lot of defense against
           | those things.
        
             | aaroninsf wrote:
             | As I think quite the opposite (more--think that it's
             | incontrovertible!) I welcome expansion on what you mean, we
             | may be interpreting "defense" differently for example!
        
               | robertlagrant wrote:
               | Possibly we're meaning different things! I was meaning we
               | have brains to understand what we should avoid
               | (over)eating and willpower to choose to act on that
               | knowledge.
        
         | anonymouse008 wrote:
         | Have a high level summary? The whole place the gym bag in front
         | of the door as success I feel is misplaced (yes) without a
         | reward loop (unique to each person).
        
           | hospitalJail wrote:
           | I don't. I have tried to find web pages that summarize it,
           | and they do a disservice.
           | 
           | I tried writing my own blog post, and I don't think I got any
           | positive feedback.
           | 
           | There might be a bit of nuance that a summary doesnt catch.
           | 
           | Anyway, I'd pay 100k to read Power of Habit, you basically
           | can do whatever you want when you learn how the brain works.
        
             | pedrosorio wrote:
             | Is this "The Power of Habit - Why We Do What We Do in Life
             | and Business" by Charles Duhigg?
        
               | Multicomp wrote:
               | yes!
        
           | noelsusman wrote:
           | I'll give it a go.
           | 
           | A large chunk of your daily behaviors are governed by habits.
           | Habits are made up of cues followed by some sort of routine
           | that you do which results in some sort of reward. If you want
           | to change a habit then you need to focus on the cues that set
           | off the routine. When a cue occurs, alter the routine and
           | give yourself an alternate reward.
           | 
           | I used to have a drinking problem, say 1-2 bottles of wine a
           | night every night. I cook almost every night in my house, so
           | starting to cook dinner was a major cue for me to start
           | drinking. Specifically, whenever I would put on my apron
           | around 6pm I would get a strong urge to pour a glass of wine.
           | I had a lot of difficulty resisting that urge even when I
           | genuinely wanted to quit. It felt eerily automatic and
           | involuntary. I didn't start having success until I focused on
           | that cue and replaced the routine that followed it. For me, I
           | decided I would put on my apron and immediately make myself a
           | plate of fancy cheese and some crackers. I still had a
           | routine and a reward after my cue, but the new routine was
           | significantly less destructive.
           | 
           | So you're right with your exercise example that simply
           | placing your gym bag by the door isn't going to be
           | successful. You need some cue to go exercise, then exercise,
           | then immediately reward yourself with some chocolate or your
           | favorite candy or whatever.
           | 
           | I won't go so far as to say we can cure everyone's addiction
           | with this one neat trick, but I have found it to be a useful
           | framework on my life.
        
         | 23B1 wrote:
         | Active control measures. 'Lock the liquor cabinet' with
         | parental controls, or use apps for yourself like
         | https://freedom.to
        
           | spiznnx wrote:
           | This looks great, except I have a lot of linux devices, which
           | doesn't look supported. Currently I'm often avoiding my
           | app/website blockers by switching devices or browsers.
        
             | all2 wrote:
             | Time-lock using pi-hole or another interceptor?
             | Theoretically you could put this upstream of your devices
             | on the network in your home. Then device doesn't matter
             | (unless you switch to data on your phone).
             | 
             | Part of this is not having _something else to do_ in place
             | of doing the old habit. Part of this is not getting a
             | reward for doing the something else. Maybe make a list of
             | things you (used to) enjoy and keep it somewhere visible,
             | revisit it frequently, especially when you are about to hit
             | a cue that sends you into an activity you want to avoid.
        
           | ngngngng wrote:
           | This changed my life. I'm unfamiliar with that app, I use
           | Cold Turkey Blocker and iOS screen time. My wife keeps the
           | passwords if I need to make changes or unlock things.
        
         | thenerdhead wrote:
         | I have a book I wrote that might help you. Feel free to send me
         | an email and I'll send you a free copy (applies to anyone
         | reading and can find my email on my website)
        
           | all2 wrote:
           | Why not share the title here?
        
       | [deleted]
        
       | JohnMakin wrote:
       | > To minimize psychological harm, adolescents' exposure to
       | "cyberhate" including online discrimination, prejudice, hate, or
       | cyberbullying especially directed toward a marginalized group
       | (e.g., racial, ethnic, gender, sexual, religious, ability
       | status),22 or toward an individual because of their identity or
       | allyship with a marginalized group should be minimized.
       | 
       | Ok, there goes 95% of the most popular games out there.
        
         | WanderPanda wrote:
         | Let's put aside hate, Twitter can't even filter raw violence
         | (people shooting eachother) nowadays. It's really disturbing
         | and I press I'm not interested every time but these viral
         | videos still pop up every once in a while. Sure the number of
         | regrettable minutes might be minimized as Elon wants it to be.
         | But the magnitude of regret of the few regrettable minutes is
         | just off the charts
        
           | JohnMakin wrote:
           | True. What this advisory recommends doesn't really seem
           | feasible without cutting off an adolescent entirely to the
           | internet - which isn't necessarily a bad idea, I'm just not
           | sure how feasible that is without destroying their peer
           | relationships at the same time.
           | 
           | When I was a teen it was not unusual to see extremely graphic
           | violence go viral in ways that made it much easier to find
           | than it is nowadays (like beheading videos and stuff). I want
           | to say I came out pretty unscathed, but I'm not sure.
        
       | chiefalchemist wrote:
       | This feels so weak and inappropriate. It's easy to say don't do X
       | or don't do Y. But then what? What are they supposed to be doing
       | instead?
       | 
       | God only knows how they'd feel if they instead watched the
       | "news". Perma-war, climate change, constant political cluster
       | fuckery, the latest fear-mongering narrative, stranger danger,
       | etc., etc.
       | 
       | The APA should prescribe a mirror for every adult, and ask them
       | to spend time thinking about the world we're creating for future
       | generations (i.e., current adolescents).
        
         | camelNotation wrote:
         | What are they supposed to be doing instead of social media?
         | Social media was invented like 10 minutes ago. And they
         | certainly don't need to watch the news on a regular basis.
         | 
         | Play sports, build things, read books, create art (write, draw,
         | paint, design, play music, etc etc), learn new things worth
         | learning, and - God forbid - be BORED sometimes and have to
         | come up with their own adventures and activities.
         | 
         | Parents need to be actively providing children with avenues for
         | their own development and creativity. There are infinite
         | options.
        
           | chiefalchemist wrote:
           | I'm simply pointing out that "Don't _____" is not a solution.
           | Just like "Don't be sedentary" worked out so well.
           | 
           | I'm also pointing out, that they didn't create the shit-show
           | they're going to inherit.
           | 
           | The least we can do should be 5x or 10x better than "Don't
           | _____".
           | 
           | How about "Don't just say don't"?
        
       | b800h wrote:
       | Or just don't let them use it. A lot of verbiage there; no reason
       | to let your child use social media. I wonder if they've been
       | lobbied.
        
         | trasz4 wrote:
         | No reason to let your child any media, unless you want them to
         | be literate or sth.
         | 
         | And social media is less harmful than some traditional ones.
         | It's just that you've been conditioned by the traditional ones
         | to believe they are somehow normal.
        
         | omginternets wrote:
         | I think they were probably just asked to be as accurate as they
         | could, and no more. There's no clear and compelling reason for
         | a blanket recommendation to avoid social media altogether.
         | 
         | But I'm largely with you. As a _practical_ matter, it 's easier
         | just to avoid it entirely.
        
           | bilqis wrote:
           | Kids may be socially isolated if they're not present online.
        
             | tboyd47 wrote:
             | Yet, this argument doesn't seem persuasive to the creators
             | of such technology.
             | 
             | https://www.businessinsider.com/tech-execs-screen-time-
             | child...
        
             | 31337Logic wrote:
             | That's true only if the majority of kids spend the majority
             | of their time online. It's a circular argument. And while
             | one might argue that that is indeed the case today, the
             | question is SHOULD it be the case, tomorrow?
             | 
             | I think it's just an objective fact: given the way social
             | media sites intentionally try to grab and hold onto our
             | attention at any cost, the cons far outweigh the pros and
             | we all (not just children) would be better off consuming
             | less social media. Once the media companies restructure
             | their business model and make their platforms more ethical
             | and sustainable for society, then I have no problem with
             | widespread adoption again.
        
             | omginternets wrote:
             | Maybe. And maybe you can work around that.
             | 
             | It's a judgement call.
        
             | [deleted]
        
             | slothtrop wrote:
             | If a parent takes the intervening effort to limit time
             | online, they can take the intervening effort to ensure
             | their child takes part in social activities. The connection
             | is not lost on them.
             | 
             | Social media is addicting in large part because kids are
             | addicted to each other. It's often used as a substitute for
             | hanging out. That barrier doesn't need to be there all the
             | time. Adults get complacent with tech and will bias towards
             | the convenience of staying at home versus going out-into-
             | the-world to do things - if we want to lead by example,
             | changing our own lifestyle helps, but simply accommodating
             | a kid's extra-curriculars will get you out of the house
             | too.
             | 
             | And really, if you prevent a kid from watching 3 hours of
             | television, are they going to do "nothing" instead? No,
             | they'll figure something out to keep entertained. By the
             | same token, they'll want to satisfy their social needs.
             | 
             | One problem is that opting for online chat can be a defense
             | mechanism against going out and being vulnerable in front
             | of other people.
        
               | hgsgm wrote:
               | Are you pro or anti Remote/Work From Home?
        
               | slothtrop wrote:
               | Pro do what you want. Personally I end up working from a
               | coffee shop once a week, I'd be alright with flexible
               | hybrid. I do get some social needs met from family, but I
               | clearly benefit from getting out of the house. With kids,
               | it's easier this way than having your own weekly extra-
               | curriculars (though I try to set time for some). Friends
               | in this city are few and weekends get repetitive.
        
             | uoaei wrote:
             | That doesn't happen in a vacuum. Parents are responsible
             | for enabling their childrens' social lives, it's part of
             | their duties as parents.
             | 
             | Friends live far away? Organize with other parents to drive
             | kids back and forth, or go home together from school. You
             | live in SFZ suburbia? Well, that requires a more drastic
             | change but it's doable.
        
             | b800h wrote:
             | I think the downsides outweight the upsides. If they're
             | doing sports and clubs, the social isolation will be
             | minimal, other children will have phone bans too, and they
             | won't be at risk from a load of horrendous stuff online.
        
               | bnj wrote:
               | I've experienced a lot of exasperation recently as the
               | sports and clubs that my kids are involved with only
               | communicate the practice schedule and meeting times over
               | WhatsApp.
        
         | EvanAnderson wrote:
         | Agreed.
         | 
         | It might help the mental health of the parents, and increase
         | interaction with their children, if they cut back on their
         | social media use themselves. It would definitely serve as a
         | good example. (I realize I'm saying this via a social media
         | channel while being a father. I get that it's not easy. I am
         | also aware I'm committing hypocrisy.)
         | 
         | My wife and I promised each other not to "share" much (and
         | absolutely no photos) about our child on the Internet (even as
         | the child, getting older, has started asking us to "share"
         | things). I think not being able to use my child for sweet,
         | sweet Internet points was useful in helping me disengage from
         | the least rewarding, most mentally taxing social media (which,
         | for me, was Facebook).
         | 
         | I caught myself replying HN comments during evening read aloud
         | time. I decided to start using the dedicated e-reader, instead
         | of my phone, so that it won't happen again.
        
         | kingkawn wrote:
         | lobbied by their children, as i've seen in all my friends
         | who've tried to limit internet access with their pre-teen and
         | teenage kids
        
           | b800h wrote:
           | Hah. I might be a terrible curmudgeon, but my answer is just
           | a flat no.
        
             | kingkawn wrote:
             | Hope it works out once they're free of you
        
               | sarchertech wrote:
               | Then they'll be adults and hopefully able to manage their
               | social media use better than children can.
               | 
               | Worst case, they'll be no worse off than those of us who
               | came of age before social media existed.
        
         | barbazoo wrote:
         | What's the downside, kids miss out, might be excluded by their
         | peers maybe even bullied? Would the parent/child relationship
         | suffer? But would the compound effect be better or worse than
         | exposing a young child to social media? I have no idea but my
         | gut feeling is that people would be better off overall without
         | social media. Just a gut feeling though and we shouldn't make
         | policies based on gut feelings obviously.
        
           | Brusco_RF wrote:
           | You don't need to go to the extreme in either direction.
           | Everything is fine in moderation. Kids are terrible at
           | moderating (adults aren't great either), so use the screen
           | time limits that Apple gives you.
        
         | hexis wrote:
         | There's zero chance this message was not shaped by social media
         | companies. Any message like this, regarding any industry, would
         | get that industry's input.
         | 
         | That said, it sure seems like social media companies got this
         | to be as neutral as they possibly could, considering the very
         | strong evidence that social media is extremely bad for kids.
         | We're definitely soft rebooting the tobacco experience, this
         | time with psychology instead of lungs.
        
           | basch wrote:
           | It's interesting to see beauty, appearance, and eating
           | disorders called out, along with racism and bullying, but
           | little else. Those are absolutely problems, and rabbit holes
           | to keep out of, but I'm not sure that calling some specifics
           | out really encompasses the whole problems, or the higher
           | level problems that exist above the topic of content.
           | 
           | At a higher level, short video content has become a super
           | refined version of americas funniest home videos and mtv.
           | There is no narrative between videos, and it just constantly
           | presses the dopamine button.
           | 
           | Then you get the split videos where you have a sensory video
           | playing alongside someone talking.
           | 
           | It also doesn't talk about faux excitement. Every other
           | youtuber that isnt Miss Rachel is yelling or screaming, and
           | basically producing entire videos of hysterical feigning of
           | shock, mouth agasp. That transcends nearly any topic.
           | 
           | It also doesnt talk about learning to navigate youtube vs
           | being fed youtube by youtube.
           | 
           | It also doesnt talk about advertising, especially the
           | organicish kind. Teaching kids that the video about a guy
           | making pancakes with Prime is a Prime ad.
           | 
           | It also doesnt talk about replacing friends with celebrities.
        
           | b800h wrote:
           | In the UK the standard combination appears to be vapes and
           | Tiktok.
        
         | concordDance wrote:
         | > no reason to let your child use social media.
         | 
         | It's nowhere near that simple unless you're living with the
         | Amish. No social media results in isolation from peers, a cure
         | worse than the disease.
        
           | Minor49er wrote:
           | What's stopping kids from simply hanging out with one
           | another?
        
             | ohdannyboy wrote:
             | Culture has changed a lot since we were kids. Online
             | communication is integral, disturbingly so since covid.
             | They'll still hang out, but less than we did and they'll
             | miss a lot since everyone except them was part of the
             | online component.
             | 
             | Pre-social-media I grew up with no TV, only Christian
             | music, limited movies and a whole host of other things that
             | isolated me from my peers. It didn't do anything but build
             | resentment towards my parents and make me thankful they
             | have no say in my life anymore.
             | 
             | I don't now the best approach with kids these days since I
             | don't have any. But I strongly doubt it's the "strict no"
             | route.
        
         | flangola7 wrote:
         | A vital amount of social interaction that kids and young adults
         | experience is online. For reclusive or socially anxious
         | individuals it may even be the majority of interaction.
         | 
         | It isn't like how it was 20 or even 10 years ago, blanket
         | banning will leave them significantly socially isolated and
         | stunted. IME anyone over the age of 25 will not fully
         | appreciate this unless they regularly interact with and
         | (critically!) actively listen to what kids have to say.
        
           | bcrosby95 wrote:
           | Anecdotally, my friends who've had kids in the last 10 years
           | are much more strict about social media than people who had
           | kids 20 years ago.
           | 
           | Newer parents have had the benefit of hindsight and got to
           | see firsthand how fucked places like Facebook can be.
           | 
           | But I'm not sure what the national trend is.
        
           | tgv wrote:
           | Taking away heroin from addicted people will leave them
           | feeling bad. That's not a reason to keep supplying it to
           | them.
           | 
           | > blanket banning will leave them significantly socially
           | isolated
           | 
           | If they get that much of their interaction online, they're
           | already socially isolated. That it happens to be called
           | social media doesn't mean it's actually social.
        
           | whats_a_quasar wrote:
           | "For reclusive or socially anxious individuals it may even be
           | the majority of interaction"
           | 
           | This is definitely true. But we ought to also consider the
           | risk that tech is creating socially anxious individuals. Some
           | of those kids, if they interacted more in-person and spent
           | less time alone, would eventually find like-minded friends to
           | hang out with.
        
           | Brusco_RF wrote:
           | > For reclusive or socially anxious individuals it may even
           | be the majority of interaction.
           | 
           | Chicken? or egg?
        
           | [deleted]
        
           | mustacheemperor wrote:
           | It seems similar to 15ish years ago in some ways. I remember
           | my parents insisting instant messaging would result in us
           | disclosing all our personal information to online predators
           | and being kidnapped, so while most other kids at school were
           | building friendships outside over AIM, we were excluded.
           | Other parents would admirably fawn over how effectively we
           | were restricted from all electronic socialization, while us
           | kids were completely exhausted by the experience and
           | eventually just learned to circumvent NetNanny.
           | 
           | Telling kids today to stay completely off their phones seems
           | even more futile. There's commenters mystified that kids
           | "can't live without their phones"...Well, what do they learn
           | when they are surrounded by adults who literally depend on
           | their phones to live? How many of us are making plans with
           | our own friends without one?
        
             | SL61 wrote:
             | I had a similar experienced as a kid in the 2000s, though
             | not quite as strict as yours.
             | 
             | My group of school friends would talk in person at school
             | and then hop on a Call of Duty lobby when they got home, or
             | chat on Facebook/SMS. Without internet or a cell phone, I
             | was only present for a small portion of the their
             | conversations and activities. Someone might post something
             | funny or shocking on Facebook and everyone would be talking
             | about it at school the next day. Sometimes people would
             | continue a conversation that had started online the night
             | before, and I had to either sit quietly or ask someone to
             | fill me in (with mixed results). The result of all this is
             | that I never quite formed bonds with that group, I was
             | always on the periphery, the guy who hung out with them at
             | school.
             | 
             | I assume all of that is more intense today than it was
             | circa 2010.
             | 
             | The "keep your kids off social media" advice only works if
             | a lot of other parents do the same, and if you live in an
             | area where kids can easily visit each other in person.
        
           | williamcotton wrote:
           | Ok, so if the world has changed to the point where these kids
           | cannot live satisfied lives without their phones... then we
           | need to start progressively raising the voting age now so
           | they never have any input into how the rest of us live.
           | 
           | We can make them leper colonies filled with screens with up-
           | arrows to click on.
        
             | hgsgm wrote:
             | I think a lot of adults misapprehend that kids chatting
             | with friends is the same as adults arguing with strangers
             | on HN and Redditm
        
               | concordDance wrote:
               | The boundary gets fuzzy sometimes. E.g. instagram
        
             | mustacheemperor wrote:
             | Do you utilize your phone to make plans and remain socially
             | connected with your own friends? Or do you conduct your
             | life completely over landline and computer e-mail?
             | 
             | I would assume that in 2023, phones are a key tool for most
             | adults' satisfied lives too.
        
               | lemming wrote:
               | I use my phone, but I don't use social media.
        
               | williamcotton wrote:
               | Do you realize how absurd a leper colony for tech
               | addicted young adults would be?
               | 
               | I'm happy to take the downvotes caused by leaving off the
               | /s!
        
               | mustacheemperor wrote:
               | Haha, I think my radar for tongue in cheek vs genuinely
               | absurd beliefs has been completely busted by my own
               | lifetime with internet social media! Even on HN.
        
               | williamcotton wrote:
               | I don't even think my fellow servants of our dear new
               | King are fully capable of the unmarked sarcasm these
               | days. I just like playing with fire!
        
               | concordDance wrote:
               | Hence why you shouldn't try snide sarcasm and instead
               | make your points directly and earnestly.
        
               | williamcotton wrote:
               | Are we on different internets?
        
             | 2OEH8eoCRo0 wrote:
             | A cellphone is a communication device for when you leave
             | the house.
        
           | b800h wrote:
           | Do you suppose that encouraging reclusive and socially
           | anxious people to avoid their problems is going to help them
           | in the long run?
        
         | [deleted]
        
       | nilespotter wrote:
       | This is the same APA that in 2019 published guidance on toxic
       | masculinity. While they're likely right on this topic as social
       | media is a cancer, this is not a serious organization that should
       | be paid attention to.
        
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