"Women Are Furious About This Research." Why New Dads Suffer In Silence - Darby Saxbe
Transcript
00:00:00i'm sorry it's taken so long but merch is nearly here this friday the 31st of july at 12 midday
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00:00:15only got six days to be able to buy so head to mwmerch.com now most people are familiar with mum
00:00:20brain but you found that dad's brains go through a bunch of changes too exactly yeah so i've been
00:00:27looking at new fathers in my lab over the last decade plus we've scanned men when they're midway
00:00:33through their partner's pregnancy and then again after they have their first child and we find that
00:00:39the brain and i should caveat this is not a bad thing loses gray matter volume across that transition to
00:00:45fatherhood so the patterns look similar to those that have been observed in moms and they seem to
00:00:52be of smaller magnitude they're more variable and they're more tied to dad's parenting experience
00:00:59how does it differ from membrane what are the biggest differences so new moms lose about 2.5 percent of
00:01:06their gray matter volume across the transition into first time motherhood and they lose volume in parts
00:01:12of the brain that are really linked to hormones so that includes not just the cortex which if you think
00:01:17about sort of the outer layer of brain tissue that does a lot of our higher order thinking and reasoning
00:01:23it also includes what's called the subcortex which contains our amygdala our ventral striatum which
00:01:28processes reward and a number of other structures that are linked with drive and gut feelings dads change
00:01:37mostly just in the cortex which is that sort of executive functioning thinking and reasoning part of the brain
00:01:45mom's show profound changes across the whole brain and dad's changes are like i said smaller in magnitude
00:01:51so dad's is about one percent of their gray matter volume and my lab found that this was totally tied
00:01:57to dad's parenting time and investment so dads who felt more bonded with their babies before birth they
00:02:05were more motivated to take time off after birth they spent more day-to-day time with kids in the first few
00:02:11months and they reported feeling more bonded and having more pleasure in interacting with their kids those
00:02:17dads showed the biggest brain change how would you categorize the change in fatherhood over the last
00:02:22few generations there's been a dramatic change so by some estimates dad's daily time and parenting has
00:02:29tripled or even quadrupled compared to the father knows best dads of the 50s and 60s so there's been a huge
00:02:38huge uptick and what's interesting is that there was an inflection point around the pandemic where men who
00:02:44might have been commuting to an office and maybe missing a lot of the day-to-day stuff with their kids
00:02:50suddenly had the experience of being hands-on parents in a different way and a lot of people wondered whether
00:02:57that uptick would persist and it has so millennial dads are spending more time with kids than any other
00:03:03generation of u.s dads and there's evidence that gen z dads are spending even more time than millennial
00:03:11dads so there's been a pretty dramatic shift how does modern fathering differ from hunter-gatherer societies
00:03:19so it's interesting so in my book i talk about the model of hunter-gatherer fatherhood the aka
00:03:25which is a society in the congo where men spend a lot of time within hands reach of infants
00:03:32and they're very involved in infant care and what's unique about the aka and this quality is shared by a
00:03:38number of other hunter-gatherer societies is that they have a very egalitarian flat social structure and
00:03:45there's a lot of cooperative resource gathering so we know hunter-gatherer societies are the context in
00:03:50which we spent 95 of our human history so they tell us something about the environments within which
00:03:57we adapted within which we evolved and we know that women contributed a ton of calories so when people
00:04:04say it's unnatural for women to work in fact women have been economically productive for most of our human
00:04:10history but in the aka the main form of resource gathering is joint cooperative net hunting so
00:04:17couples work together to gain resources for the society and as a result really differentiated specialized
00:04:27parenting roles don't make very much sense right they would not be economically adaptive but you see
00:04:33other models even within africa i talk about another society that kipsigis which is a day's drive away
00:04:40where there are strict prohibitions against men picking babies up in the first year after birth no way so
00:04:45you'd never see a man carrying a baby outside his own home they're not supposed to share a sleeping
00:04:52surface with babies because it's considered that the the manliness of the father will disrupt the
00:04:59infant's rearing and that the infant will compromise the father's masculinity so and this is something i talk
00:05:07about a lot in my book there's so much societal and cultural variability around fatherhood what is the
00:05:16resource gathering process of the second tribe yeah so it's very different it's much more risky it's more
00:05:24hazardous it's uh slash and burn forest forestry and so it makes sense just as in the aka it makes sense not to
00:05:33specialize too strictly it makes sense in the kipsigis that dads are going to do most of the economic work
00:05:41and moms are going to do most of the caretaking and to be clear dads are very involved with older kids
00:05:46they'll teach them how to hunt they'll teach them how to provision but they are not picking babies up
00:05:53do you see parallels between uh modern society with more egalitarian access to work more female bread
00:06:00winners and the aka yeah i think there's some key distinctions but there there's more of a through
00:06:07line i think between that model of social organization and contemporary societies right because we have
00:06:12women in the workforce and our jobs no longer require upper body strength or high risk tolerance for the most
00:06:20part right so women have the opportunity to earn income and you know like i said most of human
00:06:28history we were either hunter gatherers or small family farmers so women were contributing to economic
00:06:35productivity even within those models but agricultural society has different conditions and generally demands
00:06:43more specialization there's more stability that allows you to accumulate and store wealth you need armies to
00:06:50guard your wealth and you end up with a less flexible and less egalitarian social structure so gender roles
00:06:57get a little more entrenched i think what's interesting about contemporary society is that we are in flux
00:07:03between these different models of what we expect from men and women and and men and women are changing at
00:07:11different rates yeah yeah well it makes sense that we need to be adaptable so i'm interested in the
00:07:17fact that you you choose to do the first scan of the father's brain halfway through pregnancy is there any
00:07:23reason to not is there any concern that by doing it part way through pregnancy that some changes may have
00:07:28happened already would a baseline be better i guess you're trying to get pregnant you've then decided
00:07:33to basically bet your study on a bunch of people who aren't yet parents but we promise we're really
00:07:38trying hard yeah i think if we'd had more time and more funding we probably would have done a
00:07:42preconception scan yep and so there's a really good study that came out when i was halfway through data
00:07:47collection for my dad's study it focuses on mothers and they were recruited from a fertility clinic
00:07:52so they were trying to get pregnant about half of the mothers did and about half of the mothers or
00:07:58rather about half of the women remained non-mothers and they found that the brain changed even during
00:08:03pregnancy so we didn't have the opportunity to do that because i was recruiting couples who were already
00:08:09willing to come into the lab pregnant and i wanted mothers and fathers to participate together but i think
00:08:15we might have seen some different patterns if we'd started the study earlier what happens with
00:08:20fathers to be when their partners are pregnant a lot so we see hormone changes we see new emotional
00:08:28worries and concerns we see couple relationship changes we sleep even sleep disruption that starts
00:08:34early before the baby's born and we don't know exactly the time course of brain remodeling because
00:08:40like i said my scan study started in mid-pregnancy we don't have other sources of information for the most
00:08:46part and so we're making our best guess my hunch is that what is reorganizing the brain more than anything
00:08:53else is parenting experience and the way in which that challenges the brain and the social demands
00:08:59that it places on the brain so my guess is that when we're looking at fathers we're going to see
00:09:04most of the change happening after birth but we don't know that for sure we need to replicate these
00:09:09studies and extend them right am i right in saying that there's research that shows how the relationship
00:09:15manages conflict impacts how painful the childbirth is yes my lab did that study yeah so we brought is
00:09:23is that stressing you out it's just it's it's kind of tenuous right like you've just explained that
00:09:29relationship stress happens sleep disruption happens and it that feels like quite a high
00:09:34high bar that's a that's a a big impact of pre-child uh like regulation yeah yeah i mean i think the bottom
00:09:46line is that kids are resilient humans are resilient we have survived in all kinds of different conditions
00:09:51and that's kind of our superpower as humans is our adaptability but it's a relatively new phenomenon
00:09:59for men to be present at their baby's birth right so birth is a very social process and that's unique
00:10:07for humans so most animals can deliver an infant solo no problem right birth is fairly straightforward
00:10:14we have these complicated annoying human pelvises that reshaped when we started walking upright
00:10:20and we also have these babies with these gigantic social brains and so birth can be very cumbersome
00:10:25for women and they often require assistance to steer a baby out of the birth canal so you see in most
00:10:32human births there there are helpers and in fact one theory about why we evolved to live in societies
00:10:41is so that you would have people to assist in childbirth that's one reason that we humans
00:10:46aren't just kind of you know solo uh you know roamers right like we need to be embedded in society so
00:10:53that our babies will survive but the people helping with childbirth are almost always women through
00:11:00most of human history it's a midwife it's a grandmother it's sisters and community members
00:11:06so it was really only in the 19th century that childbirth became really medicalized and you have
00:11:12doctors in hospitals who are presiding over childbirth even then dads were kept out of the delivery room
00:11:20so it was in the 60s and 70s really that dads started to advocate to be present during their baby's birth
00:11:27before that moms were under heavy anesthesia and the standard father role was basically hang out
00:11:33pass out cigars and you know get congratulated by your buddies right so we've seen this big shift
00:11:39and there hasn't been a lot of research on how the couple affects the childbirth experience and also
00:11:46what is the emotional impact for both mom and dad when dad is present at birth we now expect dads to do
00:11:52a lot of the support that might have been provided by intergenerational kin in previous eras and dads
00:11:59aren't necessarily trained for that or primed for that and so there can be emotional fallout from
00:12:06witnessing a traumatic and stressful birth and like you mentioned the study from my lab we found that
00:12:13when couples fought in more negative ways during pregnancy the birth was more medically complex
00:12:19and riskier and both members of the couple appraised it as being more stressful that's likely just
00:12:26the impact of emotional stress on a mother's body therefore the downstream impact of that
00:12:32physiologically during childbirth is going to be negative yeah exactly so we know stress tension fear
00:12:38pain right so when you're delivering an infant your body has to release and relax you have to allow
00:12:45the infant to move down through the birth canal if you're clenched up stressed and tense it makes it harder
00:12:52and it's going to feel more painful and it's going to lead to more difficult birth outcomes
00:12:56what's been the impact of having men in the delivery room do you think it's been a good idea i think
00:13:01it's been really good for some couples and i think it's been challenging for others and it's become
00:13:06controversial right so every sports season there's a player that can't participate because he has to
00:13:12be present at his baby's birth and i think it's really valuable for moms who benefit from having a
00:13:19partner there to provide support again because we don't have these close intergenerational ties that maybe
00:13:25were normative a couple generations ago so i think having social support continuous social support
00:13:32is one of the best ways to have a positive birth experience however i think when dads are unprepared
00:13:38when they're terrified and when they haven't figured out how to communicate effectively with moms
00:13:44they can have a deleterious impact on the birth process what's cuvade syndrome so that's male pregnancy and
00:13:52it's a phenomenon by which males is a real thing well it's a controversial thing i talk about it a little
00:13:58bit in the book i think it's more anecdotal than evidence-based so the data on it there have been a
00:14:03couple studies that have that have been done but i don't fully trust the results we actually looked at
00:14:09in my sample of dads we didn't find any associations between hormones and dads self-reported pregnancy
00:14:15symptoms but it's basically like a sympathetic pregnancy and you see it in different cross-cultural
00:14:20models so men feeling like they're experiencing nausea pregnancy patterns of weight gain uh sympathetic
00:14:29labor pains and the study that was done in a uk hospital found that expectant dads reported a bunch of
00:14:36pregnancy-like symptoms during their partner's pregnancy just empathizing ladies you say that
00:14:42you need us to open up more just empathy i'm empathizing so much that i'm having period pains
00:14:46well and a lot of these pains are stress related right so if you think about things like gastrointestinal
00:14:51distress and you know difficulty sleeping those are things that come when you're really stressed and
00:14:57basically pregnant so yeah exactly basically so needless to say a lot of expectant moms are annoyed by this research
00:15:05because you know only one of you is actually puking because of the baby the other person might just be freaking out
00:15:11but i think it's interesting that we are so contagious and we soak up the emotional experiences of people around us
00:15:17what do you think couples should pay attention to as they're going through pregnancy then
00:15:21so i think they need to learn how to communicate effectively and listen to each other
00:15:25i think a lot of the time women hear each other's birth stories just like you're at a picnic and
00:15:32everybody's telling you the gnarly story of you know their third baby's birth that got really complicated
00:15:37men don't necessarily get the opportunity to hear about different kinds of birth experiences or
00:15:42watch media that portrays birth in realistic ways because our pop culture conceptions are sort of bananas
00:15:48so i think birth education that involves fathers can be really valuable to normalize
00:15:55what to expect what is the progress of labor going to be like and how can you effectively provide support
00:16:01and be a calming influence i've heard you say if you think that having a baby is going to fix your
00:16:06relationship don't do it exactly why yeah so the studies show a reliable drop in relationship
00:16:13satisfaction around the birth of a baby and it's unsurprising if you think about the challenges
00:16:19of adjusting to life with a new baby i used to joke that my husband and i went from good time pals to
00:16:26were suddenly operating a small business with a very disappointed customer right you have someone
00:16:35you have someone crying around the clock who is not pleased with anything you're doing to comfort them
00:16:41your sleep is disrupted and you're suddenly worrying about money and your living arrangements and all of
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00:17:55modernwisdom a checkout okay so why is it that becoming a father isn't enough it's becoming a caregiver that
00:18:05creates that brain so why is it that you need to actually spend time parenting yeah yeah because it
00:18:12takes practice and repetition to build the brain just like anything you learn whether you're learning an
00:18:17instrument or a new language or you know you're a london taxi driver navigating the city so i think with moms
00:18:25you have this kind of high floor of investment primed and ready to go and partially that's because
00:18:31it takes so much energy to incubate a pregnancy it's thousands of calories so moms have already devoted a
00:18:40lot of energetic resources to babies before they even arrive so in if you think about you sort of have
00:18:47a caregiving dial that can be turned up or down moms are turned all the way up by the time the baby
00:18:53arrives so the example i gave you of a village where dads don't pick up their babies in the first year
00:18:58it'd be very hard to find a village like that made up of moms who had similar prohibitions right
00:19:04moms in many ways are biologically primed to care with dads it's like the dial is set more in the middle
00:19:10and it can be turned up or down depending on culture and local contextual demands so i think what's
00:19:17really cool about dads is that they come equipped with the biology that makes them ready to adapt to
00:19:24become sensitive caregivers but whether or not they turn the dial is up to them it's up to is mom
00:19:32incapacitated is uh am i in a culture where dads are really hands-on so
00:19:40in the book i talk about this concept of facultative adaptation which is to say an adaptation that
00:19:46comes online when needed that can be very useful so you think about primates who run on four legs
00:19:52but if they need to grab something they can stand up and walk on two legs so you can grab more stuff if
00:19:59you have that ability if you can turn up the dial for fatherhood you can enrich kids lives and you can
00:20:06benefit them and provide them with better outcomes and better odds of survival presumably paternity
00:20:12uncertainty has got a role to play here as well yeah you don't want to be locked in hormonally
00:20:19neurologically to raising a child that you're not sure is yours exactly and one of the really unique
00:20:24things about humans is we conceal our ovulation so human males don't know for sure whether or not
00:20:31they've caused a pregnancy so it actually incentivizes human males to invest in courtship
00:20:37because you can't just helicopter in have sex once and know that you've made a baby you have to show
00:20:44up repeatedly if you want to be sure you have very good odds of success and so you're going to show
00:20:49up with gifts and you're going to get to know that person and and so it's adaptive to pair bond which
00:20:56is why humans have really high rates of pair bonding compared to other species so we do see that dad's
00:21:02predilection to care give again can turn that dial up or down depending on the stability of their
00:21:10relationship with the baby's mother oh so a a less stable relationship with the mother would result in
00:21:19a different parenting style from the dad it could yeah exactly yeah i would motivate different reproductive
00:21:24strategy are you familiar with the westermark effect i don't think so it's how incest avoidance
00:21:30happens inside humans so it's what's fascinating about this is um because you don't have there's no
00:21:37guarantees i suppose even even like harem style gorillas and stuff don't know that the big
00:21:44silverback is the one that's had the kid and not some young upstart that's managed to sneak in or
00:21:48whatever yeah but for the most part that would be a little bit different um what's fascinating is when
00:21:53you've got like ecologically informed uh neurological and uh behavior change hormonal behavior change
00:22:01uh it happens there's this window between the age of like one and ten and if you see primarily
00:22:08your mother but also your father giving care to another infant yeah you uh uh grow up with a
00:22:16sexual aversion to them and what was interesting i i think it's a um
00:22:23maybe uh an indian an indian culture uh that they perhaps a uh an asian culture like far east asian
00:22:32culture where they used to find future wives for their baby sons as infants and they'd raise them
00:22:39together so you would have you know a three-year-old and a three-year-old living together what they
00:22:43didn't realize is they were basically locking in this biological imprinting of that's my sister right so
00:22:50highly maladaptive yeah um but you can see where the similarity lies here that totally the father's
00:22:57level of brain adaptation is based on the behavior of how much time he spends raising the child doing
00:23:04nurturing doing caregiving and that means that you can go both ways in the same way as you could have
00:23:10a twin that was born but raised separately you would have no like imbued sexual aversion to them right
00:23:17there'll be no incest discussed yes because the behavior that brings that in so really mothers
00:23:25are the only ones that have that like locked in contract biological contract with the baby
00:23:32and everybody else from brothers sisters to aunts to uncles they're all kind of just learning as they go
00:23:38right so there's that natural variability that you see in the other parents the people who are playing
00:23:45a role in parenting and we know that as humans we evolved to be allo parents so we're what's called
00:23:50cooperative breeders which is to say we participate in collective care of offspring which is very
00:23:56adaptive because human babies are so uniquely difficult to raise we require so much intensive care and it's
00:24:04too much for any one person to provide all of the round-the-clock care so we help each other out with
00:24:10parenting and caregiving but the extent to which dads play a role is something that varies based on societal
00:24:17context what are the behaviors that most create dad brain if i was to design a menu or a daily routine
00:24:25to maximize that one percent change what would i be doing yeah you'd be picking your baby up you'd be
00:24:32caring for them you'd probably be sharing a sleeping surface with them you'd be diapering them you'd be
00:24:38feeding them you'd be bathing them so you'd be doing the kind of intensive care that helps you really
00:24:45get to know a baby and attunes you more to their physiology and to their mind because where we see
00:24:53a lot of the change happening in men's brains is in what we call the mentalizing network and that's a
00:24:58part of the brain that activates when we think about other people's minds and their intentions
00:25:04it's what reads other people's emotions and you could think about it as the seat of our empathy
00:25:10and so that is a dynamic part of the brain in new dads and also in new moms in part because when you
00:25:16are having to care for an infant who cannot communicate effectively right because they can't
00:25:22talk they just cry you have to be able to read their emotions and you have to be able to problem
00:25:27solve to figure out what they need so you're getting a lot of exercise to that empathetic part of the
00:25:32brain the executive function has been tuned down so maybe your ability to come up with novel solutions
00:25:37might be less well no because i actually think you have to problem solve quite a bit so your executive
00:25:41functioning is also gonna attune did you not say that some of the oh is it just mums
00:25:46that have got the executive function tuned down no moms both dads and moms so it's tuning up well
00:25:52it depends on whether you think of losing gray matter volume as a tune up or a tune down right
00:25:57right and the jury's a little out on that we see volume reduction which we think is about pruning
00:26:04and becoming more efficient what's lost well our short-term memory for objects that aren't our baby
00:26:12so there's some evidence that working memory gets compromised but we often use this deficit framing
00:26:19when we talk about mommy brain like oh i you know i forgot where i parked the car it actually looks
00:26:24like certain kinds of memory are enhanced and it's salience driven so it's memory for your baby's smells
00:26:32objects that are pertinent to your baby you know rodents have to figure out where they've stashed their
00:26:38babies like in a nest full of bedding so one reason the hippocampus which is the part of the brain that
00:26:44we think of as implicated in memory is also really sensitive to smell is you kind of have to smell
00:26:49your way to find the baby to retrieve your pup so the hippocampus is really plastic in new moms and new
00:26:55dads so it's like our memory is actually getting a different kind of workout but we're maybe losing our
00:27:02sharpness in some domains and improving our functioning in others better able to detect what does this small
00:27:10thing want what does it mean where did i leave things that are associated with it bottles and and diapers
00:27:17and and it itself and stuff like that yeah but maybe less so where did i leave the car where did i leave the
00:27:25keys what does the rest of my day look like outside of the baby orchestrating the operations of the rest
00:27:31of my life exactly and it's also about value right it's what domains are we motivated to optimize so
00:27:38a lot of people find both moms and dads that after they have kids they care a little bit less about
00:27:44achieving at work right which is not to say that moms and dads are bad workers if anything i actually
00:27:50think they make great contributions to organizations because of all the skills they do maybe a different
00:27:55domain to a non-parent right but priorities shift and and at least in the short term although the good
00:28:02news is that it appears that having become a parent is neuroprotective in late life so there's some work
00:28:08coming out of the uk biobank which is this big repository of scan studies from middle-aged and older adults
00:28:16that finds that when you've had more children you actually have better cognitive functioning
00:28:22and brains that look younger so if you use a machine learning algorithm to try to figure out
00:28:28how old is the brain compared to its chronological age people who've had more kids up to a certain
00:28:34point it tops off at around three kids actually have brains that the machine learning algorithm codes as
00:28:40younger what's your proposed mechanism for that so i think it's about social integration
00:28:45so the fact that it shows up in dads as well as moms tells me it's not just pregnancy hormones
00:28:50it's not just birth experience it's not just breastfeeding i think it's about and we know
00:28:55this in both men and women that being more socially connected to other people is really important for
00:28:59health even if that person is a mini version of you yeah yeah i mean even more so maybe because
00:29:04then you're especially attuned to them yeah right it's good for longevity it could so the thing that's
00:29:10coming to mind here is i wonder whether you could replicate those neuroprotective results
00:29:16by just having a really really really deep friendship with one person and i wonder whether
00:29:21you could create the same brain changes in reduction of salience networks outside of this one thing and
00:29:27increase of awareness attention etc with business or a dog like if you just dedicate because if these
00:29:35networks are as flexible as you say they are if they're as malleable as you say they are then it
00:29:40shouldn't just be a baby that's able to trigger this anything really vulnerable that you care for
00:29:44develop empathy for so empathy you might not develop that much empathy for your business maybe not or for
00:29:50your friend i mean i guess you can be very empathetic but if it was a a animal that you're caring for
00:29:56yeah absolutely and i think a lot of young people do adopt pets either in lieu of or in preparation for
00:30:02having babies and you are practicing a lot of those same kinds of skills
00:30:08is it just it's literally just the fact that salience outside that all of the mum brain stuff
00:30:12all of the dad brain stuff the things that they are reporting being confused by maybe being a little
00:30:17bit irritated by those are primarily stuff anything that's not baby related is just a little bit less
00:30:25aware to me yeah although you might find and and this is true i talked to somebody that took a
00:30:31parenting class and found that it ultimately made him a much better manager at work so i think there's
00:30:36sort of like the short term maybe downgrading of everything except the baby and then there's a long
00:30:42term building of new skills and stronger social networks ideally right when things go right that's
00:30:48not true for everybody but i think these are transferable skills so if you think about becoming
00:30:55an empathetic parent as analogous to being a good friend or a good caretaker in other domains you know
00:31:02transferable skills yeah like men who are coaches who are teachers who are guidance counselors who are
00:31:08religious leaders you know i talked to somebody for the book who said we often think about
00:31:13caregiving in very feminized ways but the fireman who pulls a family out of a burning building is a
00:31:18caregiver right the policeman who keeps the family safe is a caregiver right we can broaden our
00:31:23understanding of care to include sort of traditional masculinity and celebrate how important that is for society
00:31:31so if a dad's brain literally doesn't change unless he's hands-on with caregiving
00:31:36is it right to say like i love my kids but i'm not a hands-on guy is more a biological confession than a
00:31:44personality trait i think it depends i think it depends on what the context is and what is adaptive
00:31:51for a particular family because i think there are cultures in which having dads who aren't hands-on
00:31:59make sense for that the local demands because you have other caregivers or because dads are
00:32:06needed to do some kind of very specialized labor i think in contemporary societies where we expect a
00:32:12fairly high level of involvement from most fathers i would frame it as a missed opportunity
00:32:18um have you seen bob odenkirk talking about what it means to be a dad yeah it's so good i love bob
00:32:24odenkirk he's the man play that clip for me jared i think it's i think it's so cool who were you
00:32:28jealous of anybody who's still got little kids at home growing up oh yeah there's no question i knew
00:32:36what i was doing when i had kids growing up yeah i was being a dad i mean that was my job and i didn't
00:32:42have to ask myself what am i doing here what am i doing how can i be a part of this world how can i
00:32:48be meaningful today yeah i didn't have to ask that question because the answer is pick up everything
00:32:53between here and the door that's right and make sure they get to school and have a laugh with them
00:32:58yeah you know it was life was i understood my purpose that's the answer who were you jealous of
00:33:07i love that yeah and i think we do find that sense of meaning and purpose which is so important for our
00:33:14well-being our sense of connectedness our sense of coherence like he just talked about like feeling
00:33:20like you have a reason to do what you do every day and that life is happening according to plan that is
00:33:28so important for psychological health i'm so excited to become a father i can't wait for it so are you
00:33:35working on it uh yeah well reliably you can't do it on your own um i've heard that which is which i've
00:33:41have tried um but uh yeah that's you need somebody else to be ready at the same time yeah that's
00:33:48what you make of the deadbeat dad narrative yeah so i think it is true in some cases and it's unfair
00:33:54to dads in many other cases so in 1960 you had 88 of kids living with a father at home that dipped down
00:34:03in 2005 to 67 of kids and it's actually rebounded so today about 76 of kids in the u.s are living with
00:34:12a father at home so there's been a father or the father they're usually the father but not always so
00:34:17sometimes there's complex fatherhood where dads are living with um kids that weren't originally theirs
00:34:23but at least having a stepfather figure in the home so there's been this kind of u-shaped change and father
00:34:29presence but i think we often think about fatherhood as this binary absent dad versus present dad and
00:34:38there are a lot of shades of gradation in between so many non-residential fathers are really involved in
00:34:43caregiving i talk about this in the book but after my parents got divorced we did joint custody so my
00:34:49brothers and i were alone with our dad every other week and he went from fairly hands-off caregiver to
00:34:57suddenly the primary parent in charge of everything we needed and i watched how transformative that was
00:35:03for him so there are different ways again to turn that dial of fatherhood and i think when dads fully
00:35:10check out like i said it's a missed opportunity both for themselves and for their kid but there are a lot
00:35:16of ways to turn the dial back up i talked to a dad for the book who spent the first three years of his
00:35:22son's life in jail and was able to get out reunite with his son take parenting classes he now works at an
00:35:31organization called homeboy industries which does uh intervention for gang involved people in la
00:35:39and he directs a project fatherhood program and he said having that bond with his son was the single
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00:36:44are you aware if there's a window similar to the westermark effect of time after which an older male
00:36:52isn't able to attach to a younger child in the same way exist has um pretty sort of positive
00:37:01connotations for stepdads because it suggests that you can bond pretty much just as apart from the
00:37:09cognitive realization like this isn't mine yeah uh if you spend enough time with baby on chest you're
00:37:14probably going to get locked in but especially with stepdads and maybe fathers that are absent or
00:37:19working or whatever they might not be as available during those years and i have to assume like if i
00:37:26hang around with a 21 year old dude lots and empathize and care for him i'm probably not going
00:37:31to see him as my son just like out of the gates so it suggests to me that there's a kind of tail off
00:37:37in some way but i mean this is total bro science here so yeah this this makes me feel that's the
00:37:42bro science yeah um but you understand what i mean have you got any insight around that's true or no
00:37:47it's a really interesting question sort of at what point do you maybe miss that opportunity to bond
00:37:52and i think what's key is that you have a front row seat to a child's development during some critical
00:37:57period however i think we often over emphasize early infancy and there's this idea that if we miss the
00:38:06the first hour after birth or the first three days after birth or the first month that we've somehow
00:38:13missed our chance to bond and that's not really true right we know that adoptive parents and step
00:38:19parents can have profound connections with their kids i grew up with a stepdad who i met when i was nine
00:38:25and he ended up being a really formative influence in my life and and so i think it depends on
00:38:33when the dad comes into the picture and what kind of work and practice he's willing to put in
00:38:39to make that connection but i would say as long as there's any stretch of a child's youth that a dad
00:38:45is witnessing and participating in he can play a role as a parent what about impacts on hormones in man
00:38:52yeah so we see changes in testosterone around the birth of a new baby we don't know as much about how
00:38:58hormones change in adoptive or step parents because there just isn't a lot of research about this most
00:39:04of the work is on early parenthood and most of it is focusing on biological parents
00:39:10hmm so testosterone gets tuned down does that increase with caregiving yes in fact does that happen
00:39:19without caregiving no right so it's linked as are the brain changes to dad's participation in care okay so
00:39:29we see this not just in humans we see this in animal models as well you are probably familiar with the
00:39:36challenge hypothesis the idea that we want high levels of testosterone under certain circumstances
00:39:42it's adaptive for testosterone to drop in other circumstances so birds are the classic example
00:39:49testosterone levels rise at the start of breeding season when birds are competing for mates they're
00:39:54looking to spread their seed they want as many opportunities as possible so they need status
00:39:58to try to find a partner and then after mating has been accomplished it's immunologically costly to
00:40:05maintain perpetually high levels of tea testosterone naturally decreases and the reproductive strategy is
00:40:13shifting towards more nurturing so instead of maximizing our numbers of babies that we can produce we want
00:40:22to maximize the odds that any given baby is going to survive and our hormones kind of follow suit
00:40:28and you see it in primates you see it in rodents as well as in humans you see these natural shifts
00:40:35what what are the behavior changes that happen in men based on their hormones so typically when
00:40:43testosterone decreases it's serving a function whereby dads are getting more invested in the partner relationship
00:40:51they are more interested more motivated to maintain a stable pair bond and they're less aggressive
00:40:58so a lot of the work in rodents has looked at sort of territorial aggression and you know when you see
00:41:06a new pup in the nest do you want to kill them or do you want to care for them and testosterone levels
00:41:12can sort of modulate where you end up along that continuum so we want in general if anyone is spending
00:41:21a lot of time with infants to be less motivated to kill and more motivated to care risk-taking behavior
00:41:29as well goes down and you see that you you know you you see actually in some ways health improvements we
00:41:35we can talk about dad bot at some point i'm sure but uh you see some health improvements in terms of
00:41:40less risky driving less likely to get into fights lower levels of substance use being more conscientious
00:41:48about doctor checkups so all of those behaviors that keep us alive and ready to provide for our offspring
00:41:55blame it on the testosterone shift sure blame it on the test yeah you know one of my favorite studies
00:41:59around um risk-taking behavior and uh male and female relationships looking at studies of men crossing
00:42:08the road and the distance from them to the nearest car in the presence of women or without the presence
00:42:13of women yeah dude if there's a woman there it's like three times closer i do look at how hard i am
00:42:19harder than this car um but yeah that doesn't end well a lot of the time typically in a fight between
00:42:24you and a car you usually lose yeah however the thing that's interesting that like we know that
00:42:30testosterone can change if we had um a ton of weapons on this table like axes and spears and guns and
00:42:37stuff yeah and me and the guys walked around and like picked them up and played with them our
00:42:41testosterone would go up yeah and i'd be terrified it's very good that happens after that's the way that we
00:42:47close the show out is by wielding weapons inside of okay yeah remind me to get out of here for a second
00:42:52now we're live action role playing it's the middle ages um so that sense the fact that we can be so
00:42:59reactive as men yeah we talk about how hormonal women are right and yes but reliably men much more
00:43:06unreliable yes uh similarly a lot of hormonal changes but they don't happen on the same sort of
00:43:11lunar schedule um but what that must mean i i don't know whether this will be the primary drive
00:43:16because a lot of it's like there's a girl there and i'm just going to show how how hard i am and how
00:43:21how masculine and the risk-taking yeah but also there'll probably be a bit of an increase in
00:43:25testosterone and that might push it a little bit more yeah and the same thing will be presumably
00:43:30happening here as well that there's a relational component there's the sort of top-down
00:43:34baby must be here for baby must not drive recklessly text whilst drive etc but also there is this sort of
00:43:41bottom-up environment that's being created which encourages us to behave in that way too exactly
00:43:47biology and culture work together as they do in so many ways in parenthood and and yeah i think it's
00:43:55really interesting the extent to which our culture is kind of in flux between different models of
00:44:00fatherhood and so you know are we low t dads or high t dads but there's plenty of work suggesting that you
00:44:08know in athletic competition in other opportunities for men to raise their status you see changes in
00:44:16testosterone so testosterone you know i think we can talk about testosterone supplementation and what that
00:44:24means for men who want to be dads i think to me what is adaptive about testosterone as with any other
00:44:30hormone is that it's responsive to context and we want to be flexible because we want to have a biology
00:44:39that sets us up to achieve our goals you're saying that if you were to be taking testosterone enhancement
00:44:46whilst becoming a father you think that you're able to outwit biology's uh uh a well-proven environment
00:44:55that it's trying to create inside of you and you're just plowing through it by injecting yourself with
00:44:59tea i think that's the fear that's the risk and and anecdotally i hear from moms who say yeah my
00:45:06husband's been taking tea and he has no patience with the baby who knows we need better more rigorous
00:45:13studies to see if that's actually true yeah but he's jacked but exactly so there's a baby's growing
00:45:18up with a jack dad come on and in some contexts that could be really good like if you have to fight your
00:45:25way out of a cage to get a leg of lamb for your kid then you probably want high testosterone in early
00:45:32parenthood but that might not serve the style of fatherhood that is more desired presumably as well
00:45:39if that environment was the one that you were in your body would detect it and go hey there's
00:45:45more testosterone for you as opposed to you going no shut up a thousand nanograms per deciliter is
00:45:49absolutely fine like yeah well in risk believing that you do you know better than your body does yeah
00:45:55when you're in a risky or competitive environment men want higher testosterone that's going to serve
00:45:59their goals it's not always going to serve their goals when they're in a parenting environment and
00:46:05so you know i think the thing about supplementation is we sort of have this idea that manliness is about
00:46:12maintaining perpetually high tea i think actually positive masculinity is more about adaptability being
00:46:19flexible and showing up in the way that you need to for changing situations well what a horrendous
00:46:27own goal it would be if you decided to keep your testosterone high in an attempt to show your
00:46:32masculinity and in the process ended your lineage yeah like well done dude yeah like you blew through
00:46:39all of the warning signs that you should have been tuned down from yeah so yeah i guess testosterone
00:46:45drops when men become engaged fathers right so some men will hear that and think okay so fatherhood
00:46:51makes you less of a man right do you think that the fear of losing masculinity by caregiving
00:46:57is actually driving avoidant fatherhood in some ways maybe this was something i worried about when
00:47:02writing this book and trying to summarize the science around fatherhood is that the subtitle i joked
00:47:07for a while would be fatherhood gives you a smaller brain makes you sleepier sadder fatter and have lower
00:47:14testosterone but it's really good jared it'll give you so that i don't think that would that wouldn't
00:47:20sell very many books yeah and we've talked about some of the benefits of fatherhood like an increased
00:47:25sense of meaning and purpose and neuro protection in late life i would argue that being a good dad is
00:47:31one of the most manly things you can do you're literally rearing the next generation you're guiding
00:47:37them you're protecting them you're inspiring them you're teaching them so when you think about what
00:47:41is masculinity for i would argue that in some ways it's for your ability to be a good dad so i think
00:47:49we confuse like just having a certain hormone level equals masculinity and i would counter argue
00:47:56it's more about what is your social role and how are you showing up to do the things that are needed of
00:48:02you and what is your definition of success exactly especially this is a more i'm gonna put it's a
00:48:08more controversial area uh to talk about but if you were to say for women what is your definition of
00:48:15success i think mumbrain is seen as quite a big loss by a lot of women while i'm uh executively less
00:48:23competent my ability to remember maybe i was a an assistant or a teacher or or someone who worked in
00:48:30marketing or whatever and i can't hold on to the ideas in the way that i used to you say well that
00:48:35looks like a massive loss in all of the ways that society says that a woman should be successful
00:48:42apart from the one that's most important which is being a good mom yeah and it's all about definition
00:48:46of success and if you're in a meritocratic capitalist world that says your ability to produce
00:48:51economically and to rise up through the ladder of status and prestige and socioeconomic hierarchy
00:48:57that's your primary goal that's exactly what you bring to the world yeah that looks like a loss
00:49:03apart from the fact that your kid is happier and you're more in tune with them and more in love with
00:49:06them and so again it's the same thing as the as the dad masculinity conversation i just think it's a
00:49:12it's a bit more of a minefield no i think you're right i think we we undervalue care and we don't
00:49:19prioritize it as a public social good which it certainly is and i think as a result we have
00:49:27this whole discourse around bouncing back after baby you know how quickly can you get your pre
00:49:33baby body back how quickly can you get your pre baby brain back and in fact it's supposed to be
00:49:40transformative you have a whole new role to play and i think we want to celebrate that weird kind of
00:49:46denial of the preciousness of parenthood yeah it's a real middle finger to that to go i had this
00:49:55inconvenience for a while i was kind of afflicted with motherhood or fatherhood and my goal is to get
00:50:03back to what i was before as opposed to become something new yeah exactly and i will say as a
00:50:09parent of teens i don't want to go back to my pre baby self because i was clueless i think you learn
00:50:15a lot and figure a lot of things out i can use that as my excuse as a parent as a not as a non-parent
00:50:21my cluelessness is exclusively because of my lack of child that's right does the dad brain and the mum
00:50:28brain does that happen again and again does it re-kick start do you regrow how does how do multiple
00:50:34children play into this so there's some really interesting new research about this and i should
00:50:38preface by saying the research literature is really scant part of why i wrote the book is because i want
00:50:43more studies to get funded and more studies to get done in both dads and moms so there's one study that
00:50:48i know of that looks at what happens to the brain when you have a second kid it was done in moms it was
00:50:54done in the netherlands and what happens is the brain shrinks again but it actually shrinks in some
00:50:59different ways and in some different places so there's some rebound so we actually think maternal
00:51:05brain change and i'm guessing paternal brain change too when we have more longitudinal data points is
00:51:11actually u-shaped so you lose volume and then you regain so be adaptive which is adaptive exactly because
00:51:18you don't necessarily want to end up with a much smaller brain after having had many more kids
00:51:22so you get some rebound but then 10 kids and you can't function the kids are looking after you yeah
00:51:27you're walking around like the guy in beetlejuice with the tiny shrunken head right um yeah you don't
00:51:32want that to happen but you end up actually where you lose gray matter volume with a second pregnancy
00:51:40is actually in areas that are tied more to deploying uh let's see what's a good way to say this
00:51:48like managing multiple inputs so those are areas that if you streamline and tune them they're actually
00:51:55salient for taking care of multiple kids so it's kind of like task switching okay yeah and being
00:52:01oriented cognitively to variable demands those are the places where you see that sharpening of
00:52:07functioning you know what i would love second time moms you know i'd love to see i'd love to see a
00:52:12comparison between that and mothers who have twins or triplets yeah i don't know wouldn't that be
00:52:17so cool yes and the studies unfortunately exclude twin and triplet moms because they're going to add too
00:52:23much complexity yeah but if you did a study specifically on them it's a really interesting paradigm
00:52:30right because you kind of get double the dose of parenting experience and you get more parenting hormones too
00:52:34do you have yeah more time on skin i mean both dad and mum will be really at the upper limit of that
00:52:40one to two point five percent range yeah but also i wonder if you basically speed run level one and
00:52:46go straight to level two as mum where you've got the the multitasking like baby juggling skill yeah um
00:52:53you might advance to that second time brain a little faster yeah so and my guess is also with twins and
00:52:58triplets dad gets more involved so again you're talking about tuning the dial up that turns fatherhood
00:53:04behavior on when you have multiples you need dad more because you need more help to yeah you basically
00:53:11had a baby with leverage yeah right you invested you invested at like two or three x starting capital in
00:53:18the beginning that's right i read about the daughter effect yeah is that real which say say what you mean by it
00:53:23when uh fathers have daughters their behavior changes in unique ways that wouldn't have done with a son
00:53:31yeah so i'm glad you asked that because my lab literally just wrote a paper over the weekend
00:53:36we do these paper in a day retreats where we all get together and we write chunks of a paper together
00:53:41and we looked at how men's behavior and well-being and hormones change when they have either a son or a
00:53:49daughter so we found that when men have daughters and this is from our longitudinal sample they show more
00:53:55of a drop in testosterone across the transition to that parenthood and they also spend less time caring
00:54:03for their babies and they report more parenting stress and worse bonding so it's kind of bad news for girls
00:54:11actually uh and we need to figure out what modulates that and you know how to offset it but it suggests
00:54:18that when men are expecting girls they might be in need of some additional coaching and preparation to
00:54:25figure out how they can show up as effective parents does the sex of the baby change how the brain adapts
00:54:32in the other direction then so we don't know because there haven't been enough studies of this i've
00:54:37looked at this a little bit in our data it should be pretty easy to do right was it boy was it girl
00:54:42compare groups but you're cutting your sample in half so if you already have an underpowered sample
00:54:46then you know you're losing your ability to pick up on it put the hat on and just throw some some
00:54:51hypotheses yeah i um i know of a little bit of work suggesting that it shifts uh certain brain responses
00:55:00like i think um there was a study actually it was done at emory in atlanta that found that uh the the
00:55:08brain was more primed to happy facial expressions from girls and distressed expressions from boys and so
00:55:15there were some different patterns of brain responses but the literature is tiny we don't
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00:56:16heading to shopify.com modern wisdom all lowercase that's shopify.com modern wisdom do we think the
00:56:25increase reduction of testosterone around girls is because rough and tumble play more protection
00:56:33needed for child but it's interesting right because you would also assume that
00:56:39the small boy would become physically stronger sooner as well so more protection from the outside
00:56:49world might require more testosterone but less risk taking and less aggression toward the inside world
00:56:56requires less testosterone so there's a strange balance that's going on do you understand yeah
00:57:00yeah i think that's an interesting hunch i mean i think our time course was just from mid pregnancy to
00:57:04the first six months so we didn't really have enough you know the babies aren't even more money
00:57:09to give you a ton of money thank you from your lips to god's ears right give us more grants we'll
00:57:13study this long we're actually doing a seven-year follow-up right now so we'll see what happens when
00:57:18the kids are hitting first and second grade we're collecting that data as we speak but our hunch is
00:57:23exactly what you said first which is that we think that dads might behaviorally be interacting
00:57:29with new babies differently depending on whether they're a boy or a girl and there's evidence that
00:57:33even before babies are born if you ask parents what are the traits of your new child they are shaped
00:57:40by knowing the sex of the baby so new parents tend to describe a baby girl as being more delicate
00:57:47more vulnerable they might yes sweet soft they might describe a baby boy as rambunctious or mischievous or
00:57:57tough and strong and so it may be that dads are getting more active and are playing with girls in
00:58:04a way that's more about cuddling and nurturing and are playing with boys in a way that's more about
00:58:09playing and activating and we know that in fact dads do have these kind of signature styles of playing
00:58:15with kids they do tend to engage in more of what's called proprioceptive touch which is like picking
00:58:20babies up moving them around in space like really active exploratory kind of boundary pushing play
00:58:27and it may just be that dads are doing more of that when they've got a baby boy and that is why
00:58:32their testosterone isn't falling in exactly the same way also that the behavior of the boys and the girls
00:58:38will be the boy is more likely to want to play with trucks linear objects etc and the girl is more likely
00:58:46to want to do the caregiving stuff although again these are six month old babies so they can't even
00:58:50pick up a truck that's true i was thinking i was thinking more about when you get to sort of two
00:58:54three four i had a joyce benenson on the show is just the best and uh she was saying she looked at the
00:59:03playground of kindergartners like three four years old and you know there's not been a massive amount of
00:59:10time to socialize you into your gender role already and all of the girls were playing a game where they
00:59:17had to keep something alive and all of the boys were playing a game where they had to fight something
00:59:22in a war fighting something in a war is also keeping something alive that's true that is true but i would
00:59:31say like i would actually push back on that a little bit and say there is a role for socialization even
00:59:35in very young kids so in the book i talked about an experiment that was done by the bbc where they
00:59:40brought a bunch of toddlers into a playroom and they got these adult volunteers and they switched the
00:59:46toddlers names and outfits so they had a little girl they put her in boy clothes and gave her a
00:59:52boy's name they were trying to trick these playmate these adult playmate volunteers so took a little
00:59:57boy put him in a dress gave him a girl's name and they found that the volunteers played totally
01:00:02differently with the the i think these were two-year-olds depending on the name and the outfit and they
01:00:10sort of appraised the play differently so you know they taped these sessions and with the boy who's
01:00:17dressed as a little girl oh you know she loves the pink dolly and with the girl who's dressed as a
01:00:24little boy you know he wants to push the truck so i do think we have this way of sort of self-fulfilling
01:00:29prophecy boys and girls and so it's you know like with everything it's a mix of biology and culture
01:00:33there's some biological propensity there but we amplify it through our culture and through the
01:00:38way we socialize and i think that leads to more divergent outcomes that's like the dartmouth scar
01:00:44uh study but done on kids yeah totally kind of hilarious yeah uh what was the housework and
01:00:50cortisol research so this was work i did in my graduate training this was part of my dissertation so we looked at
01:00:58dual income couples who were followed around their homes for a week this was like a week in the life
01:01:04study of these middle class couples in la and we recorded how much time they were spending in
01:01:12common household activities so we looked at housework time leisure time child care time other kinds of
01:01:18activities i found that housework is bad for your health which i think anyone could have told you so
01:01:25the more time you spend doing housework on you know as part of a typical week the less cortisol recovery
01:01:33you have at the end of the day so we looked at the magnitude of cortisol change from the afternoon into
01:01:38the evening and you want this drop in cortisol levels at the end of the day so cortisol has a diurnal rhythm
01:01:45has kind of a circadian pattern you want to start high and you want to end low and when people were
01:01:50doing more housework in the evenings they had less of that nadir that they were hitting at bedtime
01:01:58and we also found that uh when you entered moms and dads time used together in the same model
01:02:05moms benefited in terms of their cortisol when dads were doing more housework and dads benefited when
01:02:11they had more leisure time and their partners had less leisure time so kind of a mixed bag of results
01:02:17where it's sort of you know if you're a mom you want your partner to be helping with housework
01:02:23and if you're a dad you want to be sitting back and relaxing while your partner is taking care of
01:02:27business it's a bit zero sum yeah yeah it's sort of depressing yeah yeah it is what's stress contagion
01:02:35so stress contagion is when couples influence each other's hormone levels so i found that you see
01:02:41linked cortisol levels in cohabitating couples and i've looked at this in moms and dads i've also looked
01:02:48at this in non-parent male and female couples so when one person has higher cortisol their partner has higher
01:02:56than usual cortisol as well and it seems like when the relationship quality is compromised when you have
01:03:02more conflict you have more tightly linked patterns of cortisol so people are actually increasing each
01:03:08other's stress rather than helping to balance or modulate it how do you fix that you help people
01:03:16communicate better and fight more effectively so that they can calm each other down rather than amp each
01:03:22other up right i think when you're frustrated and stressed and you have a partner who's exacerbating
01:03:27that it's very hard to recover if you have a partner who can help to talk you down and sort of balance out
01:03:34your irritated state with a calm state then you can better recover in terms of your biology
01:03:44what are the downsides of fatherhood for men well we talked about already you know weight gain um we
01:03:50talked about testosterone changes there are also increased vulnerability to mood disorders so the
01:03:58prevalence of depression in new dads is about twice that of the general population there's a lot of
01:04:04controversy about whether we call it postpartum depression in dads a lot of observed this in your
01:04:10opinion yes do dads get postpartum depression so in the book i say i think perinatal depression is a
01:04:16better word that just means around the birth of a baby okay but to me it's semantic it doesn't
01:04:22matter that much whether we call it postpartum or perinatal i think some people really are attached
01:04:26the idea of postpartum really means having given birth that's not really what the term means it just
01:04:31means occurring after the birth of a baby and the fact is that a lot of the risk factors for depression
01:04:37are shared by new moms and new dads you've got stress you've got disrupted sleep you've got
01:04:43relationship conflict you've got new responsibilities identity crisis hormone changes brain changes so
01:04:51even though you're not the person that's physically delivered an infant you are still experiencing a
01:04:57lot of the same overlapping risks what does postpartum mean so it just means after the birth of a baby
01:05:04the time after your birth of a baby yeah it doesn't necessarily mean that is a gender neutral yeah
01:05:09it's a gender neutral term it doesn't necessarily mean that you birthed the baby it just means the
01:05:13time period that falls after the birth of a baby that said i don't want to antagonize the moms who
01:05:19keep coming into my instagram uh comments to get mad at me for talking about postpartum depression
01:05:25because i understand you know what are they mad about are they mad about the fact that this is our term
01:05:30like we want it to be it needs to be like paternal postpartum depression or so it needs some sort
01:05:36of a qualifier on it it sounds to me like and i saw a bunch of comments on instagram talking about
01:05:42the same thing uh it's not about this is a term that we care about it my best reading of it right
01:05:51and this is me trying to steal man it as best i can yeah the process of childbirth for a woman is so
01:05:58arduous and traumatic and scary that any man who appears to be flippant or dismissive or to kind
01:06:08of liken the challenge that he goes through to the one that the mom goes through that is seen as being
01:06:15very callous and and it doesn't fully appreciate or understand the sacrifice of a of a mom i think
01:06:23that's the best reading of it yeah i think that's a good reading i think another piece of that that's
01:06:29me with my peaceful hat yes where's your peaceful hat you're missing that prop you need to you need a
01:06:34new prop i would say that a lot of women legitimately feel like they've had to work very hard to get
01:06:41postpartum depression recognized there's inadequate funding there's inadequate attention paid to
01:06:48reproductive health and mood disorders and moms and so if they're fighting to get access to treatment
01:06:56and to get education about their mental health they feel like how can dads just sort of show up and
01:07:03make it all about them that seems very unfair and i'm totally sympathetic to that argument i mean i
01:07:09talked to a psychotherapist who works with new dads for my book who's done a lot of advocacy for
01:07:15postpartum mental health and men and she says a lot of the women's health advocates are just like can't
01:07:20we have this one thing can't we have the postpartum period this is ours right i mean that my peaceful
01:07:26hats got taken off now that is stupid but because what you're saying is can we not
01:07:33not support men because we want women to have most of the attention you go well hang on a second are
01:07:37you most concerned about owning this area of cognitive real estate like it's some sort of
01:07:41cultural appropriation by men or do you care about the outcome of the kid and of the mom right because
01:07:47if you don't treat the mental health of the father how do you think the mom's going to feel and how do
01:07:50you think the child's going to grow up so what you're saying is you would rather be intellectually
01:07:55superior but in the real world have negative side effects like that is the outcome whether
01:08:02that's what they know or what they mean doesn't matter like it's not my job to sugarcoat the fact
01:08:08that you trying to own some area of cognitive real estate is having a negative impact on men
01:08:16that should be enough but also on mum if the men thing wasn't enough and if that's not enough on
01:08:21baby too so like not recognizing and if you did this in reverse right and this is true for a very
01:08:27very very long time there was all research was done on men it was just the male body standard inside of
01:08:32the medical industry no one said well this is cancer that's men's thing you go no this is not a
01:08:41gendered issue so i mean i've got i got a video to show you i got video from the times that you've
01:08:46probably seen that i think is very interesting and the video is interesting in the comments are way
01:08:52more interesting yeah so it's this one it's this one on tick tock jared i had postnatal depression
01:08:57yes dads can get it too in 2021 when my daughter aurelia was about a month old my wife turned to me in
01:09:04bed one morning and she asked how much do you love her i froze i kind of gritted my teeth and said
01:09:10yeah i really love her but inside i knew it wasn't there yet i struggled to bond with my baby
01:09:16felt disconnected and had growing shame that i was not being the natural father i thought i would be
01:09:22about six months into fatherhood i opened up to my wife i wanted to be a rock to chessie who had had
01:09:28a complicated pregnancy eventually i got therapy but postnatal depression was never raised it wasn't
01:09:34until aurelia was a year old that i came across an article about men's pnd that everything started to
01:09:40make sense about 10 of new dads will experience depressive symptoms during the perinatal period
01:09:46and first year of a child's life for me and my wife it was a eureka moment men are not routinely
01:09:52screened for pnd so many cases go undiagnosed i think the system is not changing quickly enough to
01:09:58offer support and spot the signs of depression in dads my bond with aurelia is now incredible and with
01:10:05new understanding and support i hope i won't suffer from pnd again but i think new dads should know they
01:10:11might not have that emotional bond straight away all right we can pause it there jared i love that
01:10:17just look at the car just press on the comments on the right hand side for me i don't think i want
01:10:20to see the comments uh matt please i already had a long day how do i make this about myself thank you
01:10:26for telling us that's tom scarvo oh matt it's not the same thing this isn't depression it's discomfort
01:10:30and uncertainty postpartum depression is linked to the dramatic hormonal changes that happen after
01:10:34childbirth such as sudden drops in estrogen progesterone not sure how this affects the father time of
01:10:38irritation 141 pm playing on my device yes however calling it postnatal depression isn't the right
01:10:43phase i think he ultimately just didn't like all the attention in the relationship shifting to the
01:10:47baby please i'm already annoyed today how can i make this about me too i feel left out is there poo in
01:10:53my airpods gosh like yeah i've been i've been fighting in the comment sections like these for a while now
01:11:00and uh you know people really come out of the woodwork to be frustrated with this kind of material
01:11:05and i think there's a gatekeeping around perinatal depression that is unfortunate because mental
01:11:12health is a family system you need the best possible team around a baby and the best predictor actually
01:11:19of mom's mental health is the support that she gets from her partner so if dad is not well
01:11:24dad is not showing up mom's mental health either i think the idea that this is a fixed pie or that it's a
01:11:31zero-sum game like there's a finite amount of resources that are going to go to a parent's mental
01:11:36health and they need to be directed solely to mom i think is really limited we need to be thinking about
01:11:42how do moms work together with dads to make sure that the baby is getting well cared for and that
01:11:48everybody's mental health needs are getting met having a zero-sum view of empathy is like one of
01:11:55the dumbest especially with something like this it's just a guy going i went through this really hard
01:12:00thing and people going no you didn't no you didn't or i went through something that was way worse than
01:12:04that yeah why are we gaslighting dads and why are we pitting dads against moms and my response to that
01:12:10is if we want to have a society where men are stepping up as parents and they're fully participating
01:12:16in caretaking they're waking up with the baby they're doing the hard parts of care we need to
01:12:21recognize that that's going to have mental health consequences it's going to be taxing it's going to
01:12:26be isolating it's going to be draining and if we really want men to participate we have to respect
01:12:32that their mental health matters too we can't guard it as though it's the sole domain of new moms because
01:12:38we want dads to act more like primary caregivers but we're not willing to accept that they're going
01:12:44to have vulnerability tied to that bingo yeah you saying the same thing in two different i would
01:12:50saying different things in the same breath which is we want dads to be fully involved but we don't
01:12:54believe that they can have the negative outcomes that other people who've been fully involved for
01:12:58all of history have right what's the rate of postnatal depression in women it's a little higher in
01:13:05new moms than is in new dads i think it's it ranges across studies but like 19 to 21 percent it's about
01:13:10about 10 percent which is nearly the same as the change in brain one percent to two and a half and
01:13:17i think important context is that women have about twice the rate of anxiety and depression in the
01:13:22general population so it tracks with that overall base rate wow that's a spicy realization yeah it could
01:13:32just be an increase in whatever your predisposition was and that dads are actually getting it at the
01:13:38same rate as mums and now that we've got more involved caregiving which is the primary enforcement
01:13:43mechanism for the change i'm gonna guess postpartum depression in fathers is mediated by the amount of
01:13:51caregiving that they do right and that's the other thing so you're telling me like that's brutal that
01:13:56any dad that's listening to this now knows the more that i care for my baby the higher my likelihood of
01:14:02getting postnatal depression is well let's keep in mind it's still a low rate and a lot of people
01:14:09experience baby blues that don't turn into full-blown debilitating depression right there's a continuum so you can
01:14:17have depressive symptoms without necessarily becoming somebody who's incapacitated by depression
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01:15:28at checkout why is there an adaptive explanation for postpartum depression in women so i actually think
01:15:36probably not i think it's more of a sign of an evolutionary cultural mismatch which is this
01:15:44going back to this idea that we as humans are cooperative breeders and we evolved to have a lot
01:15:51of support around caregiving so we evolved to trade off care to share care with people in the community
01:15:58with our kin i think we now place a lot of pressure on individual parents and on the individual nuclear
01:16:04family to serve the roles that dozens of people used to serve when there was a lot more proximity and
01:16:11people helped each other out a lot more with care so we isolate new parents we don't value their work
01:16:19we've already talked about you know the incentives of a very late capitalist society where we want people
01:16:24to be ambitious drivers and we want them to move on quickly from this interruption of birth
01:16:32and and so we're not providing the support you know in this country we don't have universal paid
01:16:37maternity leave or paternity leave so a lot of women go back to work probably before they feel like
01:16:43they're ready a lot of men do too we don't give inadequate or we don't give adequate time and protection
01:16:50and we you know we create an uphill battle where parents feel isolated and drained so
01:16:58is there any evidence of postpartum in hunter-gatherer societies not that i know of but i'm also not
01:17:04sure how well it's been tracked or measured yeah okay but i think trying to see if this mismatch hypothesis
01:17:11yeah kind of it can just be split tested across like civilizations yeah i mean i i think there's a
01:17:16really really interesting question and depression in general you know hasn't been observed as much in
01:17:22those populations so it's a really interesting question but you know in hunter-gatherer societies
01:17:29when a woman becomes a mother she becomes if anything more socially integrated into the life of the
01:17:35community in contemporary society when a woman becomes a mother she often becomes more isolated we have
01:17:41all of these public spaces that you know don't bring the baby to a wedding don't bring the baby to a
01:17:49restaurant don't bring the baby to a cafe to work people don't want to yeah to work right like a
01:17:54hunter-gatherer mom can actually still go to work she can still be wearing the baby she can function
01:18:01economically grab some berries yeah had a good day in the office she can occupy a high status social role
01:18:07and and she can be you know fully integrated into the community that's interesting so this what is
01:18:14rewarded socioeconomically at the moment specifically for women uh is not baby
01:18:22accommodating we have this kind of sharp divide between work and home which i think is a legacy of
01:18:27the industrial revolution right we before that work generally happened at home dads were around
01:18:32a lot moms were around a lot kids were raised as workers they were contributing to the family
01:18:38business the family economy jared if you brought your kid in here and they were able to write good cop if
01:18:43your eight month old was able to write good youtube copy i'd be down but i would be i would be absolutely
01:18:48fine i mean you're allowed to come as long as you contribute but yeah yeah he's trying yeah good way
01:18:54to hone those skills what i'm interested what do you think's the best advice for dads like trying to be
01:19:01great father great husband still take care of themselves while supporting a mom who's going
01:19:07through postpartum give yourself grace don't expect that it will be easy forewarned is forearmed so you
01:19:14know know that this is going to rock your world and it's going to be transformative but it's supposed
01:19:18to be transformative and i would say steer away from the myth that dads don't have any innate wiring to
01:19:26know how to take care of a baby i think we have this idea that moms are just born knowing what to do
01:19:31when a baby arrives and men are going to be helpless and useless does that help mom's postpartum i don't
01:19:36think so because i will say when i had my kids i was like what am i supposed to do with these people
01:19:41you know you have to learn and you figure it out and it's about your motivation and your willingness
01:19:46to practice more than it's about just you know having some inborn reflex that's telling you how to
01:19:54care for a child and dads have that capacity to care and to build those empathetic responsive
01:20:00caregiving brains i've got two potential hypotheses in my mind uh first one is like postpartum contagion
01:20:09i have to assume that if the mom is dealing with it it's more likely that the dad's going to deal
01:20:13with it but i wonder if level of paternal child caring decreases the likelihood of uh female postpartum
01:20:28depression yeah do we know do we know what levels of household setup can increase or decrease the
01:20:37likelihood so there is some research on this and it corroborates both of your hunches dude don't test
01:20:43me don't test me on this so you can keep the the bro science hat off yeah you don't need it um good
01:20:50instincts but there's research that depressive symptoms are correlated within moms and dads so if
01:20:57mom is more depressed dad's more likely to be depressed if dad's depressed mom's more likely to be depressed
01:21:02and if one partner is well and can support the other partner that's also a huge resilience factor that's
01:21:07a buffer so they track together yep and there's also evidence that when dads are more involved moms
01:21:14benefit so one really cool study tested a paternity leave reform program in sweden where they were
01:21:20expanding flexibility of paternity leave for dads they found that if you look at babies born right before
01:21:26and right after that policy intervention you actually see lower rates of anti-anxiety medication
01:21:33prescriptions were filled less often by the new moms so if dads have more access to leave moms actually
01:21:40show this population level mental health benefit and my lab has done similar work and we found that if
01:21:46you look at prenatal to postpartum trajectories of depressive symptoms when dads get access to paid paternity
01:21:52leave moms are less likely to get depressed after the birth of a baby so it seems like
01:21:59for postpartum depression maybe for dads as well as moms one of the key drivers is
01:22:07social integration level of social integration does that mean that if you're struggling with
01:22:12postpartum depression you should try and like turn on the the socialization taps a little bit do
01:22:18mommy daddy daycare meetup things yeah that seems like an intervention that might work exactly and
01:22:24that goes back to the evolutionary mismatch idea right we're supposed to be embedded in social
01:22:29networks that help us care for our kids we're not supposed to do it alone it's postpartum basically
01:22:34like this is a lot and i'm overwhelmed yeah i mean that's part of it yeah compounded with sleep loss
01:22:43identity challenges relationship strain money and life worries and your brain and hormones getting totally
01:22:52you know disrupted does that mean
01:22:58does that mean that there is a
01:23:02socioeconomic predictor for postpartum depression because people who are more wealthy are more likely to
01:23:08have child care which means that they have more assistance less pressure and better sleep yes dude
01:23:13yeah yes so there is a socioeconomic link between postpartum depression risk and part of it is you
01:23:21know there are moms in the u.s who go back to work less than two weeks after the birth of a baby
01:23:27so if you're a shift worker if you're a gig worker if you're at walmart you are probably not getting time to rest
01:23:33recover and bond and that's really stressful and really taxing to your ability to adjust to parenthood
01:23:40so that's part of it it's also like what are the community resources that are available to you
01:23:45can you afford support in child care but some of the best interventions for postpartum depression are
01:23:51around shoring up your social support networks so helping get people to be more proactive about asking
01:23:58for help helping to invest in your relationships and you can even do preventive intervention before a
01:24:04baby's born to say and we actually do this my lab leads psychoeducation workshops with a big
01:24:11hospital system that serves low-income new parents we say we have them make a social support map so we
01:24:18say who are you going to be able to ask for help in different domains after the baby comes you know maybe
01:24:23your older brother isn't going to be that helpful when it comes to taking the baby for a nap but he can
01:24:31help with your lawn care you know so how do you plug different people in your life into different roles
01:24:37to make sure that your social support needs are are met and we try to coach people to be more assertive
01:24:44for about asking for help because i think we're conditioned in our society to be independent agency
01:24:50yeah yeah i learned from louise perry that in uh like renaissance england there was a period called
01:25:00lying in laying in yeah where for two weeks the mother didn't move after childbirth waited on hand and
01:25:08foot yeah anything that was needed all she did was hold baby and and like feed baby and everything else
01:25:15done right the whole family comes in and and desists and you just you know you physically traumatic things
01:25:21happen to you like it just seems it seems very contrary to this like hyper speed
01:25:35productivity engine thing and it's it's kind of strange right because i my original background was a
01:25:41productivity dork um which i still have vestiges of and the way that i started the show was trying to
01:25:49learn life hacks and memorization tools and how to have a great to-do list manager and stuff like that
01:25:54because that was what i thought was real important to me and i think i always just assumed that at some
01:25:59point you become an adult and you sort of grow out of that but that really is one of the drugs of
01:26:05the 21st century this hyper optimized efficiency culture get more out and there's no reason it was
01:26:12kind of naive of me to think that oh well just when you become a parent you forget about that or you
01:26:18realize that other things are more important like my parents did my parents were never afflicted with
01:26:22productivity culture beforehand right so that's interesting and then this other story that it really
01:26:28it gets me every and i mentioned to you i just finished this silent meditation retreat so my uh heart is
01:26:34particularly tender but i i went to a meetup when i first moved to austin about four years ago and it
01:26:41was a bunch of business owners millionaires and deca millionaire like a couple of center millionaires
01:26:46in there and everyone was a founder i was by far the poorest person in the room and uh they were all
01:26:51talking about um what they were doing with their businesses and plans and i know a guy that can get
01:26:57you in at target and so on and so forth and i was like sat kind of silently the white belt at the back of the
01:27:01class and um it was a circle thing and then someone dinged the glass and said um well we'll have a
01:27:08little brainstorming session if you've got a problem that you're dealing with at the moment put your
01:27:12hand in the air there's a lot of competent people in the room we'll see if we can help you and i'm
01:27:16thinking some guy's gonna go i've got a massive problem with the irs i'm like trying to get my
01:27:19offshore accounts working but the cayman islands don't like some other stuff this guy just went his hand
01:27:25straight in the air he said my wife's six months pregnant and i don't feel anything and i'm scared
01:27:32that i'm going to be a bad dad and i'm not going to love the baby and she keeps asking me about how
01:27:37i feel and there's nothing there and i i feel so guilty and ashamed about the fact that i really want
01:27:45this and i love my wife and i want to be a good dad and i'm terrified that i'm going to be i'm
01:27:48terrified i'm going to be a bad dad i'm terrified i'm not going to be able to support her i've got guilt and
01:27:51shame her out i've got this secret i feel like i'm keeping a secret from her the room was like
01:27:58it wasn't what we were expecting one of the guys over the far side straight away went dude don't
01:28:01worry about it happened to me happens every single another dad was like every single time always
01:28:05happens wait six months it'll all be fixed like wait six months lie with it on your chest for a
01:28:10while it gave all of the dad hacks i guess i just remember thinking like fuck like this guy's in a room
01:28:17surrounded by really impressive business people and he was one too and he was competent all the rest of
01:28:22it he could have asked anything that he wanted about his business but the most salient thing in
01:28:26his entire life was the fact that he was watching his wife go through the hormonal changes that make
01:28:34a mother right pregnancy doesn't just make a baby it also makes a mother yeah but pregnancy doesn't make
01:28:39a father in the same way right right i i it makes him in some negative ways sorry the lack of sleep
01:28:45and the stress and you know you've got the pouvet syndrome or whatever it's called yeah um but it
01:28:51doesn't it doesn't prepare you in that way and then when you layer on top our ability to judge
01:28:59our own competence in these things we think well what are you judging on judging how good of a dad i think i
01:29:06might be maybe i wasn't cut out for this i wasn't a dad before yeah and i bet if you were to look at
01:29:12what could we call this like uh potential parent guilt um if you were to look at potential parent
01:29:18guilt or potential paternal guilt might be better um i bet that it doesn't happen on second kid
01:29:27yeah i think this is a common thing that i hear from expectant dads that they're terrified that they're not
01:29:34going to know what to do that they're not going to be good at it and i think we expect men to be highly
01:29:40competent you know women too but we really socialize men to be good at things and it's hard to be
01:29:48really good at taking care of a baby in the abstract because it's all about what does your particular baby
01:29:54need and how do you get to know your baby and that's individual and it depends on your time and your
01:30:00motivation and your practice but i think that idea that men are sort of flailing around really uncertain
01:30:09i talked to a guy whose whole career is talking to startup entrepreneurs in silicon valley and he
01:30:15says very similar story as yours he's talked to men who are great at all kinds of you know conquering the business world
01:30:23and yet when you get them onto the subject of their kids they're all totally worried that they don't know
01:30:30what they're doing right it's a domain where we don't have that same sense of of skill and power and
01:30:37it's harder to optimize and i would say you know you mentioned this kind of self-optimization culture and
01:30:43productivity and it's interesting if you watch the kind of like get ready with me videos or here are all
01:30:50the you know here's my regimen here are all the things i do to completely you know biohack my way to
01:30:55success frequently they're of someone who's alone and they take a lot of time and they take a lot of solitary
01:31:02activity and they're not necessarily about being connected they're not about giving to other people
01:31:09they're not about caring for someone who's vulnerable and i would say when you think about
01:31:15what makes life worth living a lot of it is about our relationship health you know that's
01:31:20what the best studies of longevity have told us that's what work on men has told us that
01:31:24you know when men are socially isolated in late life that's a real risk factor for early mortality
01:31:29so how can men get more connected well part of it is by devoting yourself to learning how to care
01:31:36for other people and so again going back to this idea of how do we reframe masculinity in more pro-social
01:31:42ways it's manly to take care of vulnerable people well i hope that when baby life does begin for me
01:31:52that everybody is ready for me to shove it down their throat for ages it's just going to be an endless and
01:31:57like a sickening barrage of fatherhood content i can't wait it's gonna be it's gonna be fantastic
01:32:02you're gonna be the new doctor becky uh that's yeah yeah yeah we'll see about that um what do you
01:32:10think is the worst advice that new dads get well we already talked about you know you can fix your
01:32:15relationship by having a baby so definitely that's very bad advice the worst advice that potential dads
01:32:21could get yeah i think other bad advice is just you know dads don't know what they're doing so keep
01:32:27your distance and i think there are these preconceptions around should we invest in paternity leave for new
01:32:34dads well dads are useless in the early months these they've got nothing to contribute and i think that
01:32:40is bad advice because as with moms dads are capable of learning and their neurobiology is going to come
01:32:47along for the ride as they learn how to take care of kids i think the other thing is we sometimes
01:32:52privilege early infancy as the sort of only time for dads to shine and i talked to richard reeves who's
01:33:01written a lot about healthy masculinity he said he thinks that men should be able to take paternity
01:33:07leave up to their kids 14th or maybe even 18th birthday yeah well there's some roles especially for
01:33:13dads with girls around puberty yeah that are more important yeah than perhaps in early life yeah and
01:33:20he told me he was a stay-at-home dad to his sons for a period when they were school age and that was a
01:33:25great experience and he loves taking his kids on trips and excursions and so i think there's a lot of
01:33:30value that dads can add at different stages along the lifespan and i think when we decide that men
01:33:36don't know what they're doing and we kind of opt them out of a key parenting role we're losing that
01:33:42opportunity and we're not giving them the windows in which to build their competence i love it dobby
01:33:48saxby ladies and gentlemen you're great i love your work i think it's fantastic it's brave to do
01:33:53this stuff and to talk about it and i think the world's a better place for having you in it so
01:33:56i appreciate you thank you a real pleasure talking to you all right goodbye everybody
01:34:01yes you did it yay fun that was great congratulations you made it to the end of a full podcast episode you
01:34:09are not so tick tock brain that you've completely dissolved into nothingness why not watch another one
01:34:16Right.
01:34:18Go on.
01:34:19Press it.
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