Critically Speaking

In this episode, Therese Markow and Dr. Robert Klitzman discuss the implications of new anti-obesity drugs, initially designed for type 2 diabetes but now used for weight loss. These drugs are expensive and may not be fully covered by insurance. They discuss how the drugs work and explain why they may be more effective for some than others. Dr. Klitzman highlights the socio-economic disparity that contributes to some of the causes of obesity. He emphasizes the need for prevention and policy changes to address the root causes of obesity, including dietary habits and access to healthy food. Key Takeaways: The US spends twice as much per person on health care as any other country in the world, yet our health indices are nowhere near the top. A lot of that is because of the price of drugs. Obesity medications are being touted as the end of the obesity pandemic, as a cure-all. However, while they do a lot of good, there are many limitations to the drugs. Obesity is often more prevalent in lower socio-economic classes. With the increased use of these obesity drugs, the disparity between the haves and have-nots will continue to grow, potentially leading to additional stigmas being placed on those struggling with obesity. "I do have concerns that the attention on drugs, if we're going to spend a lot of money on drugs for obesity, my concern is we're not going to spend as much attention on how to prevent obesity in the first place." — Dr. Robert Klitzman Connect with Dr. Robert Klitzman: Professional Bio: https://www.publichealth.columbia.edu/profile/robert-klitzman-md Website: https://sps.columbia.edu/person/robert-klitzman-md LinkedIn: https://www.linkedin.com/in/robert-klitzman/ Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Kevin Spencer discuss the innovative use of magic tricks as therapy for children with autism. Kevin found that teaching magic helped children with autism improve social skills, communication, and self-esteem. He developed the Hocus Focus program for schools and the Magic Therapy program for hospitals, both using simple magic tricks with common items. Kevin's research showed significant improvements in social skills and self-esteem using the Social Skills Improvement Scale (SSIS) and the Rosenberg Self-Esteem Scale (RSES). He also successfully adapted his therapy to virtual formats during the pandemic. Key Takeaways: One of the most significant deficits of traditional social skills programs in the schools is that they try to teach social skills explicitly, through this very didactic structure, but none of that is transferred over to a real-world setting. Doug Henning's formula for magic works well with kids on the spectrum, and really, everyone: The difficult must become habit. Habit becomes beautiful. Beautiful becomes magic. Magic gives kids an avenue to practice social interactions and other social skills that become broadly applicable to other areas of life. In classroom settings, it gives kids a chance to practice both performing and being an audience. Teachers and parents often see the changes before the child does, as the kids are so engaged in the learning and sharing with their friends. There are no expectations that you know how to do magic (unlike other behaviors). It allows for failure to be part of the process, which builds frustration tolerance, persistence, critical thinking, and resilience. "All of the tricks that we teach are done with very ordinary items. It's coins and Q-tips and string and rope and paper clips and rubber bands, because we want them to recognize that the magic is connected to them. It's not connected to a prop." — Dr. Kevin Spencer Episode References: TDF: https://www.tdf.org/ Connect with Dr. Kevin Spencer: Professional Bio: https://kevinspencerlive.com/ Facebook: https://www.facebook.com/spencersmagic Website: https://www.spencersmagic.com/ Books: https://www.kevinspencerlive.com/books YouTube: https://www.youtube.com/spencersmagic Vimeo: https://vimeo.com/spencersmagic LinkedIn: https://www.linkedin.com/in/kevinwspencer/ Instagram: https://www.instagram.com/magicguy2012 Connect with Therese: Website: www.criticallyspeaking.net Bluesky:@CriticallySpeaking.bsky.social Instagram: @Criticallyspeakingpodcast Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Tami Rowen discuss the controversy surrounding the use of Tylenol during pregnancy and its potential link to autism. She emphasizes that the evidence is largely anecdotal and not supported by robust scientific studies. Dr. Rowen highlights a study published in Environmental Health in 2025 that found a weak association between Tylenol use and autism, but adds that a subsequent study revealed flaws in the earlier study and showed no association. Fever in pregnant women can have dangerous effects and should be relieved. She stresses that Tylenol is the safest pain reliever and fever reducer for pregnant women, who experience fevers in 20% of pregnancies. Dr. Rowen criticizes the media and some health officials for misrepresenting the risks, potentially leading to harmful decisions by pregnant women. Key Takeaways: Tylenol is the safest option that we have in terms of a fever reducer and pain reliever. Fevers actually have more association with autism than Tylenol does in the research. On the other hand, Ibuprofen and NSAIDs are unsafe in pregnancy, especially in the third trimester. "Pregnancy is quite an uncomfortable state of being. We tell pregnant women, and we tell women in general, to tough out a lot of things, but pain is not something that I think is reasonable. I think that it goes against the principle of doing no harm, to tell people they should just suffer with pain when there is actually effective and safe medication for them." — Dr. Tami Rowen Episode References: The Conversation Article: https://theconversation.com/as-an-ob-gyn-i-see-firsthand-how-misleading-statements-on-acetaminophen-leave-expectant-parents-confused-fearful-and-lacking-in-options-265947 Connect with Dr. Tami Rowen: Professional Bio: https://profiles.ucsf.edu/tami.rowen Connect with Therese: Website: www.criticallyspeaking.net Bluesky:@CriticallySpeaking.bsky.social Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Lucas F.W. Wilson discuss his book, Shame-Sex Attraction, which explores the experiences of conversion therapy survivors. Lucas explains that conversion therapy aims to change sexual orientation or gender identity, despite its ineffectiveness and harmful nature. He traces the history of conversion practices from the 1800s to the present, highlighting various methods like electroshock therapy and aversion therapy, and their rapid growth after 1976 up through the heyday in the early 2000s. Dr. Wilson shares his personal journey through conversion therapy at Liberty University and emphasizes the broader impact of conversion practices on societal beliefs and individual identities. He advocates for empathy and understanding to challenge these practices. Key Takeaways: There are no known cases where conversion therapy has actually changed someone's sexual attraction. While there is anecdotal evidence from the organizations perpetuating the claims, research shows that it is not effective. "Pastoral Counseling" and other similar phrases are used to mask or obfuscate the practice of conversion therapy to hide the work that is being done. There is no typical or standard conversion therapy. The experiences range widely from person to person. Conversion practices can be seen throughout many, if not all, people's lives, even if they've never been to official conversion therapy, nor is it solely for those who are part of the queer or religious community. It is important to engage with ideas and communities that are different from your own. "I would argue that probably every single person in this world at some point has been told 'don't act like this,' whether they were a kid or older, and that message has stayed with them and affected how they present their gender and how they identify." — Dr. Lucas F.W. Wilson Episode References: Boy Erased: A Memoir of Identity, Faith, and Family by Garrard Conley 1946: The Mistranslation That Shifted Culture Genocidal Intentions: Social Death and the Ex-Gay Movement by Sue E. Spivey and Christine M. Robinson Connect with Dr. Lucas F.W. Wilson: Professional Bio: https://www.utm.utoronto.ca/historical-studies/people/lucas-wilson LinkedIn: https://www.linkedin.com/in/lucas-wilson-2a0753b1 Facebook: https://www.facebook.com/luke.wilson.96 Instagram: https://www.instagram.com/lukeslamdunkwilson/ Threads: https://www.threads.com/@lukeslamdunkwilson TikTok: https://www.tiktok.com/@lukeslamdunkwilson Bluesky: https://bsky.app/profile/lukeslamdunkwilson.bsky.social X: https://x.com/wilson_fw Other Publications: https://utschools.academia.edu/LucasWilson Book: Shame-Sex Attraction: Survivors' Stories of Conversion TherapyBook: At Home with the Holocaust Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Joe Pierre discuss the phenomenon of false beliefs, as explored in his book, False. Joe explains the distinction between clinical delusions and delusion-like beliefs, emphasizing the continuum of belief conviction and the role of motivated reasoning. He highlights the impact of political affiliation on belief spread and the concept of "suicide by false belief." Joe also discusses the importance of intellectual humility, cognitive flexibility, and analytical thinking in combating misinformation. He notes Finland's success in addressing misinformation through societal education and advocates for a similar approach to foster a culture of truth. Key Takeaways: There is a spectrum of conviction when we are discussing delusion-like beliefs - such as conspiracy theories. Misinformation refers to information that isn't true. Disinformation is usually used to mean deliberate misinformation. Knowing the difference can be tricky because it relies on knowing the intent of the person spreading the misinformation. The Holy Trinity of Truth Detection is something people can learn and adopt - they aren't always intuitive. They must be learned and valued for people to adopt them. "False beliefs always have at least the potential for harm. They don't always cause harm, but they certainly carry the risk of harm. And these days, because of some of the false beliefs that are going around - like beliefs about vaccines or climate change denialism - I sometimes refer to what's going on right now as suicide by false belief, because these beliefs really are potentially dangerous." — Dr. Joe Pierre Connect with Dr. Joe Pierre: Professional Bio: https://drjoepierre.com/index.php/about/ Facebook: https://www.facebook.com/psychunseen/ Website: https://drjoepierre.com/ Book: https://drjoepierre.com/index.php/false/ LinkedIn: https://www.linkedin.com/in/joe-pierre-1b33469/ Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. Teresa Lynch discuss the portrayal of women in video games and its impact on gender stereotypes. Teresa explains her research on gender stereotypes in media, influenced by her personal gaming experiences. She highlights the evolution of female character representation, noting a shift from sexualized to more diverse and empowered portrayals. They also address the economic significance of the gaming industry, which generated $59 billion in consumer spending in the U.S. in 2021, and the prevalence of online gaming, with 89% of gamers playing online weekly. The conversation also touches on the challenges women face in gaming communities and the importance of diverse and interesting character portrayals. Key Takeaways: Game context can change how a character is perceived. A female character in a bikini in a beach volleyball game might not feel objectified in the way that the same character in the same outfit in a war game might. How women are portrayed in video games can influence gender stereotypes in society. To be able to interface with gaming technologies and utilize video games as an entertainment option allows you to develop tech savviness and comfort with technology that can boost your skills in other aspects of your life. Gaming is not just for young people. It is not just for any one demographic. While the term "gamer" can be gatekept by certain members of the gaming community, if you play games, you are a gamer. "Everybody benefits from more interesting characters and from lots of different kinds of physical portrayals of characters." — Dr. Teresa Lynch Connect with Dr. Teresa Lynch: Professional Bio: https://chronoslaboratory.com/people/faculty/ Website: https://teresa-lynch.com/ LinkedIn: https://www.linkedin.com/in/teresa-lynch-22364845 Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Jill Dixon discuss the rising food insecurity in the U.S., highlighting the critical role of food banks. Jill explains that food banks coordinate efforts across 200+ food banks and thousands of food pantries. The Food Depot in Northern New Mexico serves 43,000 people annually, distributing 10 million pounds of food. Recent cuts to federal programs like TEFAP and SNAP have significantly impacted food banks, with the Food Depot losing 10% of its food supply and 58,000 New Mexicans at risk of losing SNAP benefits. Dixon emphasizes the need for community support and innovative programs to address these challenges. Key Takeaways: Food banks across the US all have different requirements based on the people they serve, where they are, and what those people need. If you've seen one food bank, you've seen one food bank. While food drives are still extremely meaningful and important, fund drives are becoming increasingly common and necessary. The vast majority of people who receive SNAP assistance and turn to food banks when SNAP assistance is not enough are already working at least one job or are caregivers. Food banks are a highly sophisticated business network, working together nationwide to acquire supplies through different means. "Hunger is not actually its own issue. It's a symptom of poverty; it's a symptom of the cost-of-living crisis that is making it increasingly hard year over year." — Jill Dixon Connect with Jill Dixon: Professional Bio: https://thefooddepot.org/jill-dixon/ Website: https://thefooddepot.org/ LinkedIn: linkedin.com/in/jill-dixon-22b15b312 Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Irin Carmon discuss Irin's new book, "Unbearable: Five Women and the Perils of Pregnancy in America." 80% of maternal deaths in the United States are due to completely preventable reasons. She highlights the three pillars of reproductive justice: the right not to have a child, the right to have a child, and the right to parent in a safe community. She shares her personal experiences and those of five women to illustrate systemic inequalities in maternal care. Irin emphasizes the need for respectful, autonomous care and the impact of systemic racism and misogyny on maternal health outcomes. Key Takeaways: Abortion care affects all levels of pregnancy care. In many states, such as Alabama, many former abortion clinics want to turn into birth centers, but are prevented by the government and state medical associations. 80% of maternal deaths in the United States are due to completely preventable reasons. In the US, we have a system where OBGYNs are classified as primary care providers and are the most common way people give birth, which is not right for everyone. False binaries (C-Section vs vaginal birth, epidural or not, etc.) are a way to pit women against each other for their own biological story that is often outside of their control. "There's something profoundly wrong with a system that doesn't recognize your full humanity at a point where you need it the most. Because these are life and death experiences, even in the best of circumstances and regardless of the course of your pregnancy and your choices around it, they concern our deepest held values and our ideas about our destiny." — Irin Carmon Episode References: Pregnancy Justice: https://www.pregnancyjusticeus.org/ Connect with Irin Carmon: Professional Bio: https://www.irincarmon.com/about Website: https://www.irincarmon.com/ Book: https://www.simonandschuster.com/books/Unbearable/Irin-Carmon/9781668032602 Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Dr. James Michael Thomas discuss Critical Race Theory (CRT). Dr. Thomas explains CRT as a framework for understanding persistent racism post-Civil Rights Era, emphasizing its structural presence in law, education, and urban planning. He highlights the misconceptions around CRT, noting it's often misrepresented in legislative efforts to ban it. Dr. Thomas also discusses systemic racism, implicit vs. explicit racism, and the concept of white privilege. He shares personal anecdotes and research on white Southerners' awareness of racial advantages, and critiques legislative attempts to control education and maintain inequality. Key Takeaways: Critical Race Theory is a framework for understanding how racism persisted and continues to persist in the post-Civil Rights Era. We distinguish systemic racism from personal acts of prejudice, racist attitudes, or racist actions because those individual attitudes and actions do not have the same effect on the distribution of power, resources, and opportunity. Many who object to teaching American history, good and bad, often are in power and do not want to discuss the unequal arrangements that have resulted from the racism and inequality that have shaped this country and present-day conditions, nor do they want to have their source of power questioned. Race has no basis in biology; race is a social construction. "When Critical Race theorists consider the idea of racial progress, what they're trying to do is make distinctions between changes in law and then how that law is enforced or not enforced, and if it is enforced, often unevenly and with very mixed results." — Dr. James Michael Thomas Episode References: 'It's a complicated time to be a white Southerner' - and their views on race reflect that: https://theconversation.com/its-a-complicated-time-to-be-a-white-southerner-and-their-views-on-race-reflect-that-261454 Connect with Dr. James Michael Thomas: Professional Bio: https://olemiss.edu/profiles/jmthoma4.php Books: https://www.amazon.com/stores/author/B00SJPHVD2/allbooks LinkedIn: linkedin.com/in/james-thomas-63952728 Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

In this episode, Therese Markow and Law Professor Anya Prince discuss the pros and cons of direct-to-consumer (DTC) genetic testing. DTC testing, which began in the 1990s and grew significantly by the 2010s, allows individuals to purchase genetic tests without a doctor's prescription. By 2021, 100 million people globally used DTC testing. Companies like 23andMe and Ancestry offer ancestry, health, and wellness information. However, concerns include data privacy, potential genetic discrimination, and the accuracy of health results. Professor Prince breaks down the 2023 data breach at 23andMe, discusses what DTC companies do with customer data (including DNA samples), and what third parties may be interested in the data collected by these companies. Key Takeaways: There are hundreds of DTC genetic testing companies out there with a variety of levels of security measures. Some are going to be more secure than others. Depending on which DTC company you use, some will destroy your genetic sample, but others may keep it indefinitely, potentially for future research and use. The US doesn't have any general data privacy protections, nor any broad genetic privacy action or protection. However, many states are beginning to pass general data protection laws. There is no right or wrong answer for participating in genetic testing. It is something each needs to weigh the pros and cons for themselves and understand what is important to them and the risks they are willing to take. "For the most part, DTC companies can do a lot with your data, and the customer doesn't have too much control over it. The main protection is a company's privacy policy." — Anya Prince Connect with Anya Prince: Professional Bio: https://law.uiowa.edu/people/anya-prince Publications: https://library.law.uiowa.edu/anya-er-prince LinkedIn: https://www.linkedin.com/in/anya-prince-3a06b171/ Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.