Louisville Medicine Volume 65, Issue 1 | Page 14

REVIEW The Village Effect: How Face-to-Face Contact Can Make Us Healthier, Happier, and Smarter by Susan Pinker Published by Penguin Random House, 2014 Reviewed by Cynthia Rigby, MD I grew up in a village of slightly more than 400 people. It was proudly the smallest incorporated village in Erie County, New York. It was surrounded by small farms, but the residents also were employed at the nearby manufacturing plants and the railroads (which ran right smack through the village). I had lots of family nearby (we lived with, and later next door to, one set of grandparents, and my great-grandmother and other grandmother were within a short walk), and learned from the example of my neighbors that the only way anything got done was to do it together. The passage of years, big box stores and better transportation have turned it into a bedroom community with a lot of its identity lost, but I managed to enable our son to experience the last blush of it on yearly month-long summer visits, where he felt part of a larger (but very inclusive) community. I guess we were “on” to something. Susan Pinker is a social neu- roscientist, and wanted to know the secret behind the “Blue Zones” that have been discovered around the globe (and discussed by Tony Buettner at last years’ KMA meeting) where people on average live longer, more active and healthier lives. She also investigated if our current “connected” cyber community had any relevance and any benefit to make us either smarter, healthier or long-lived. Anyone who has seen small children masterfully work cell phones, or iPads (and help adults to figure out electronics) would expect them to be more adept at connecting to the world. Unfortunately, we have also seen teens and tweens glued to screens, engrossed in YouTube videos and texts, but not really “present” for in-person conversation. Go to any public place, and the devices are in use. It’s as if we will wither without the connection. 12 LOUISVILLE MEDICINE Pinker and her colleagues have gathered much information on early childhood education, social interaction, and how the impor- tance of having a “village” of contacts can be to our health, well-being and even our intelligence. She cites the measurement of oxytocin, our hormone that is best known in childbirth, and milk let down in mothers, and vasopressin, which are found in our bloodstreams when we form and maintain meaningful relationships, help damp down stress and heal wounds faster. According to an analysis of existing research, strong relationships and social support, and so- cial integration (on multiple levels), reduce your chances of dying better than quitting smoking, exercise or even breathing clean air, by a long shot! She stresses that reading to and with young children does more to prepare them for school than any “educational” toys or programs. (It’s the contact, rather than the content that counts.) She also debunks the push to have computers in the hands of all students, and cites many failures to increase learning, in favor of spending the time and money to train teachers how to guide students and help them use these resources. (According to a study of 2.5 million American children, students taught by a great – rather than average- teacher for just one year: 1) are more likely to go to college; 2) are more likely to go to an excellent college; 3) are less likely to be teenage mothers; 4) earn more as adults (averaging $250K more over a lifetime); 5) live in nicer neighborhoods as adults; and 6) are more likely to save for their retirement.) Unfortunately, funds are not directed to teacher education the way they are to fancy electronics, and the best teachers are not always available to the populations that need them the most. Men do not fare as well as women in this analysis. They do not maintain or nurture the face-to face networks of friends and contacts that can keep them alive and well. Statistics prove them out – men