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Gladys Block PhD

  • Professor Emerita, UC Berkeley School of Public Health

https://publichealth.berkeley.edu/people/gladys-block/

Ultrasounds are used to check the fetus for defects or problems including neural tube defects gastritis all fruit diet 15 mg prevacid for sale, chromosomal abnormalities (such as Down syndrome) dukan diet gastritis purchase prevacid with a visa, genetic diseases gastritis je discount prevacid 30 mg with amex, and other potentially dangerous conditions gastritis diet coconut water generic 30mg prevacid overnight delivery. It can also find out the age of the fetus gastritis diet xone order discount prevacid, location of the placenta gastritis colitis order prevacid with american express, fetal position, movement, breathing and heart rate, amount of amniotic fluid in the uterus, and number of fetuses. Most women have at least one ultra sound during pregnancy, but if problems are noted, additional ultrasounds may be recommended. Early diagnosis Thinkstock of prenatal problems can allow medical treatment to improve the health of the fetus. What behaviors must a woman avoid engaging in when she decides to try to become pregnant, or when she finds out she is pregnant Do you think the ability of a mother to engage in healthy behaviors should influence her choice to have a child Given the negative effects of poverty on human development, what steps do you think that societies should take to try to reduce poverty Watch the following video and consider whether a textbook or a video presentation is better able to explain prenatal development. This program includes 5 one-hour videos covering the lifespan from infancy through old age. Define puberty and distinguish between primary and secondary sexual characteristics. Babies are equipped with a variety of reflexes, such as grasping and sucking, that will help them survive their first few months of life. As they continue to learn new routines and manipulate their environments, these newborn reflexes will dimish. They like sweet tasting foods at first, while becoming more open Source: to salty items by 4 months of age (Beauchamp, Cowart, commons. Although infants are born ready to engage in some activities, they also contribute to their own development. Research has found that animals reared in environments with more novel objects and that engage in a variety of stimulating activities have more brain synapses and larger cerebral cortexes. They perform better on learning tasks than animals raised in more impoverished environments (Juraska, Henderson, & Muller, 1984). Similar effects are likely 218 occurring in children who have opportunities to play, explore, and interact with their environments (Soska, Adolph, & Johnson, 2010). Large movements that often involve several parts of the body are called gross motor skills. Most infants can walk by holding on to someone or something at 9 months, and by 12 months many can walk independently. Small movements, such as those involving the Children jumping rope in Korea at the first full moon of the lunar calendar, one of the biggest traditional fingers, hands, tongue or lips, care called fine holidays. Hand-eye coordination is limited Source: in young infants, such that 3-month olds can touch objects, but often cannot grab objects efficiently unless the object is placed directly in their hand. Even at 4 months of age, grabbing things can be tricky as babies may overreach an object, or grab too soon or too late. Both gross and fine motor skills continue to improve in childhood as children learn to master the movement of their body enabling them to draw and write, button coats and tie shoe laces (fine motor skills), roller skate and ride a bicycle (gross motor skills). Adolescence Adolescence begins with the onset of puberty, a developmental period in which hormonal changes cause rapid physical alterations in the body, culminating in sexual maturity. Although the timing varies to some degree across cultures, the average age range for reaching puberty is between 9 and 14 years for girls and between 10 and 17 years for boys (Marshall & Tanner, 1986). Puberty begins when the pituitary gland begins to stimulate the production of the male sex hormone testosterone in boys and the female sex hormones estrogen and progesterone in girls. The release of these sex hormones triggers the development of the primary sexual characteristics, the sex organs concerned with reproduction. These changes include the enlargement of the testicles and the penis in boys, and further development of the ovaries, uterus, and vagina in girls. In addition, secondary sexual characteristics appear, or those outward changes that indicate physical maturation, but are not involved in reproduction. The age of menarche varies substantially and is determined by genetics, as well as, by diet and lifestyle, since a certain amount of body fat is needed to attain menarche. Even after menstruation begins, girls whose level of body fat drops below the critical level may stop having their periods. Some girls may begin to grow pubic hair at age 10, but not attain menarche until age 15. In boys, facial hair may not appear until ten years after the initial onset of puberty. The timing of puberty in both boys and girls can have significant psychological consequences. Boys who mature earlier attain some social advantages because they are taller and stronger, and therefore often more popular (Lynne, Graber, Nichols, Brooks-Gunn, & Botvin, 2007). At the same time, however, early maturing boys are at greater risk for delinquency and are more likely than their peers to engage in antisocial behaviors, including drug and alcohol use, truancy, and precocious sexual activity. Girls who mature early may find their maturity stressful, particularly if they experience teasing or sexual harassment (Mendle, Turkheimer, & Emery, 2007; Pescovitz & Walvoord, 2007). Early-maturing girls are also more likely to have a lower self-image, and higher rates of depression, anxiety, and disordered eating than their peers (Ge, Conger, & Elder, 1996). Emerging, Early, and Middle Adulthood Emerging adulthood is the period between the late teens and early twenties. Those in their early twenties are probably at the peak of their physiological development, including muscle strength, reaction time, sensory abilities, and cardiac functioning. The reproductive system, motor skills, strength, and lung capacity are all operating at their best. Most professional athletes are at the top of their game during this stage (Boundless, 2016). However, compared with childhood and adolescence, the physical changes that occur in adulthood are less dramatic. As individuals pass into their 30s and 40s, their recovery from muscular strain becomes more prolonged, and their sensory abilities may become somewhat diminished, at least when compared with their prime years, during the teens and early 20s (Panno, 2004). Visual acuity diminishes somewhat, and many people in their late 30s and early 40s notice that their eyes are changing and they need eyeglasses, especially for close work such as reading (presbyopia). Adults in their 30s and 40s may also begin to suffer some hearing loss (prebycusis) because of damage to the hair cells (cilia) in the inner ear (Lacher-Fougere & Demany, 2005). It is also during middle adulthood that many people first begin to suffer from ailments, such as high cholesterol and high blood pressure, as well as, low bone density (Shelton, 2006). Corresponding to changes in our physical abilities, our sensory abilities show some, but not dramatic, decline during this stage. The stages of both early and middle adulthood bring about a gradual decline in fertility, particularly for women. Eventually, women experience menopause, the cessation of the menstrual cycle, which usually occurs at around age 50. Menopause occurs because of the gradual decrease in the production of the female sex hormones estrogen and progesterone, which slows the production and release of eggs into the uterus. Women whose menstrual cycles have stopped for 12 consecutive months are considered to have entered menopause (Minkin & Wright, 2004). Some women may react more negatively to menopause, worrying that they have lost their femininity and that their final chance to bear children is over. Other women may regard menopause more positively, focusing on the new freedom from menstrual discomfort and unwanted pregnancy. In India, where older women enjoy more social privileges than do younger ones, menopause is typically positively regarded (Avis & Crawford, 2008). Infants have better chances of survival when their mothers are younger and have more energy to care for them, and the presence of older women who do not have children of their own to care for, but who can help out with raising grandchildren, can be beneficial to the family group. Also, consistent with the idea of an evolutionary benefit of menopause, the decline in fertility occurs primarily for women who do most of the child care and who need the energy of youth to accomplish it. If older women were able to have children, they might not be as able to effectively care for them. Men, as well as women, respond psychologically to the physical changes of mid-life, however, experiencing a midlife crisis is not well supported by research. Results of a 10-year study conducted by the MacArthur Foundation Research Network on Successful Midlife Development, based on telephone interviews with over 3,000 midlife adults, suggest that the years between 40 and 60 are ones marked by a sense of well being. These crises tended to occur among the highly educated and were triggered by a major life event rather than out of a fear of aging (Research Network on Successful Midlife Development, 2007). Late Adulthood All body systems become slower and decline in function with advanced age. As the heart and vascular system become less efficient, blood pressure rises and increases the risk for heart attack and stroke. In late adulthood, a drop-in lung capacity results in lower levels of oxygen in the blood. The body also becomes less able to absorb nutrients as the digestive system slows, making a healthy diet especially important in late adulthood. Cataracts defined as a thickening of the lens causing cloudy and distorted vision, glaucoma or an excessive eye pressure causing damage to the optic nerve, and macular degeneration, a deterioration of the center of the retina, are some visual problems in older adults (Lally & Valentine-French, 2017). Pride and fear of looking old makes many older adults reluctant to wear a hearing aid. Yet the inability to follow conversations due to hearing loss can make the person appear cognitively deficient and can also isolate the elderly from social interaction. Although there are physical and sensory changes as we age, there is considerable variation, with some people retaining their abilities well into their senior years. Watch the first two sections of this video and think about the interactions between teen brains and their behavior. This free-online program, Growing Old in a New Age, includes 13 one-hour videos on a variety of topics related to aging. This fact was made apparent through the groundbreaking work of the Swiss psychologist Jean Piaget. During the 1920s, Piaget was administering intelligence tests to children to determine the kinds of logical thinking in which children were capable. Source His insights that children at different ages think in fundamentally different ways led to his stage model of cognitive development. Piaget argued that children do not just passively learn, but also actively try to make sense of their worlds. He argued that, as they learn and mature, children develop schemas or patterns of knowledge in long-term memory that help them remember, organize, and respond to information. Furthermore, Piaget thought that when children experience new things, they attempt to reconcile the new knowledge with existing schemas. When children employ assimilation, they use already developed schemas to understand new information. In this case, children fit the existing schema to the new information and label the new information with the existing knowledge. Accommodation, in contrast, involves learning new information, and thus changing the schema. The first developmental stage for Piaget was the sensorimotor stage, the cognitive stage that begins at birth and lasts until around the age of 2. It is defined by the direct physical interactions that babies have with the objects around them. During this stage, babies form their first schemas by using their primary senses, that is they stare at, listen to , reach for, hold, shake, and taste the things in their environments. Preoperational 2 to 7 years Children acquire the ability to internally represent the Loss of egocentrism world through language and mental imagery. Concrete 7 to 11 years Children become able to think logically, but not Conservation operational abstractly. Formal 11 years to Adolescents can think systematically, can reason Abstract logic operational adulthood about abstract concepts, and can understand ethics and scientific reasoning. During the sensorimotor stage, babiesuse of their senses to perceive the world is so central to their understanding that whenever babies do not directly perceive objects, as far as they are concerned, the objects do not exist. Piaget found, for instance, that if he first interested babies in a toy and then covered the toy with a blanket, children who were younger than 6 months of age would act as if the toy had disappeared completely. They never tried to find it under the blanket, but would nevertheless smile and reach for it when the blanket was removed. Piaget found that it was not until about 8 months that the children realized that the object was merely covered and not gone.

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Where infants and young children are involved gastritis diet suggestions order 15mg prevacid otc, the feeding plan may include special attention to supporting mothers in Early food and eating experiences form the foundation maintaining their human milk supply gastritis diet purchase prevacid 30 mg with mastercard. The nutrition plan of attitudes about food gastritis diet prevacid 30 mg, eating behavior gastritis loose stools purchase online prevacid, and consequently gastritis weight gain order 30mg prevacid, should include steps to take when problems require rapid food habits gastritis helicobacter symptoms purchase prevacid. Responsive feeding, where the parents/ response by the staf, such as when a child chokes during guardians or caregivers/teachers recognize and respond mealtime or has an allergic reaction to a food. The com to infant and child cues, helps foster trust and reduces pleted plan should be on fle, easily accessible to staf, and overfeeding. Sound food habits are built on eating and available to parents/guardians on request. Including culturally specifc family foods is a dietary goal for feeding infants If the facility is large enough to justify employment of a and young children. Current research documents that full-time nutritionist/registered dietitian or child care food a balanced diet, combined with daily and routine age service manager, the facility should delegate to this person appropriate physical activity, can reduce diet-related risks the responsibility for implementing the written plan. The facility Center; Large Family Child Care Home; Small Family needs to inform all families and staf if certain foods, such Child Care Home as nut products. Our overweight children: What parents, schools, and Because children grow and develop more rapidly during the communities can do to control the fatness epidemic. Children can learn healthy eating habits and be better equipped to maintain a healthy weight 163 Chapter 4: Nutrition and Food Service if they eat nourishing food while attending early care and 4. Children can self-regulate their food Assessment and Planning of Nutrition intake and are able to determine an appropriate amount of for Individual Children food to eat in any one sitting when allowed to feed them As a part of routine health supervision by a primary selves. Excessive prompting, feeding in response to emo health care provider, children should be evaluated for tional distress, and using food as a reward have all been nutrition related medical problems, such as failure to shown to lead to excessive weight gain in children (5,6). The thrive, overweight, obesity, food allergy, refux disease, obesity epidemic makes this an important lesson today. For a child diagnosed as obese or Individual Children overweight, the plan would focus on controlling portion 4. Accessed September 7, 2017 larger sized portions and increased energy intake, prompt 2. Bright Futures: Guidelines for Health ing the importance of implementing proper portion sizing Supervision of Infants, Children, and Adolescents. Caring ensures that food oferings are congruent with nutritional for Infants and Toddlers in Groups: Developmentally Appropriate Practice. Accessed September 19, 2017 weight and lifestyle that, in turn, prevent the onset of over Holt K, Wooldridge N, Story M, Sofa D. Children in care for 8 or fewer hours in 1 day should sugars and, therefore, not recommended for consump be ofered at least 1 meal and 2 snacks or 2 meals and tion. Scientifc evidence documents 2 hours apart but not more than 3 hours apart unless and supports the nutritional and health contributions of the child is asleep. Lunch may need to be Center, Large Family Child Care Home served to toddlers earlier than preschool-aged children because of their need for an earlier nap schedule. Appropriate timing of meals and snacks prevents children from snacking throughout the Appendix Q: Getting Started with MyPlate day and ensures that children maintain healthy appetites Appendix R: Choose MyPlate: 10 Tips to a Great Plate during mealtimes (2,3). Accessed September 19, 2017 Some states have regulations that indicate suggested 3. They should not be allowed may be approved to claim up to 2 reimbursable meals to have water continuously in hand in a sippy cup or bottle. Many cup flled with water, to soothe themselves, may cause nutri afer-school programs provide before-school care or full tional or, in rare instances, electrolyte imbalances. Many toothbrushing is not done afer a feeding, children should of these programs ofer breakfast and/or a morning snack. In some states afer When children are thirsty between meals and snacks, school programs also have the option of providing supper. Personal and environmental factors, such Caregiver/Teacher as age, weight, gender, physical activity level, outside air 4. Association between water consumption and body weight outcomes: a systematic review. Academy of Nutrition On hot days, infants receiving human milk in a bottle can and Dietetics Web site. Children should learn to drink water from a cup or drinking fountain with 168 Caring for Our Children: National Health and Safety Performance Standards 4. Fruit or vegetable juice may be served once per day during a Fruit juice in infants, children, and adolescents: current recommendations. All juices should be pasteurized and 100% juice without American Academy of Pediatrics HealthyChildren. Whole consumption on diet and weight status of children: an evidence-based fruit, mashed or pureed, is recommended for infants begin review. Talking about juice safety: what you While 100% fruit juice can be included in a healthy eating need to know. Accessed September 19, 2017 nutrients, including dietary fber, not found in juices (4). The frequency of exposure and liquids being pooled in the mouth are important in determining the cause of tooth 4. Beverages labeled as fruit punch, fruit nectar, or fruit cocktail contain less than 100% Feeding Plans and Dietary Modifcations fruit juice and may be higher in overall sugar content. Some children are unable to tolerate diabetes, and severe food allergy (anaphylaxis). In some certain foods because of their allergy to the food or their cases, a child may become ill if he/she is unable to eat, so inability to digest it. Staf members must know ahead of time what procedures to follow, as For a child with special health care needs who requires well as their designated roles, during an emergency. Dietary of metabolism, diabetes, celiac disease, tongue thrust, or modifcations should be recorded. Tese written instruc special health care needs related to feeding, such as requir tions must identify ing special feeding utensils or equipment, nasogastric or gastric tube feedings, or special positioning. Any foods to be omitted from the diet and any foods to In some cases, dietary modifcations are based on religious be substituted or cultural beliefs. What, if anything, needs to be done if the child is staf in meeting the nutritional needs of all the children exposed to restricted foods in their care. Parents/guardians with experience in disciplines related to special nutrition may have to provide food on a temporary, or even perma needs, including nutrition, nursing, speech therapy, occu nent, basis, if the facility, afer exploring all community pational therapy, and physical therapy, should participate resources, is unable to provide the special diet. Completing a Written Allergy and Anaphylaxis Emergency The feeding plan should include steps to take when a situa Plan (4). The completed plan should be on fle and accessible Care Needs to staf and available to parents/guardians on request. Food, eating style, food utensils, and equip ment, including furniture, may have to be adapted to meet the developmental and physical needs of individual children (2,3,). The decision to feed specifc foods should be made in consultation with the parents/ 4. It is recommended that caregivers/teachers be Written Menus and Introduction of given written instructions on the introduction and feeding New Foods of foods from the parents/guardians and the infantsFacilities should develop, at least one month in advance, primary health care providers. Menus in child care: a the number of times they are fed and other important comparison of state regulations with national standards. Parental infuence on eating behavior: teachers can follow a schedule of introducing new foods one conception to adolescence. Accessed infantsparents/guardians a list of foods that have already September 20, 2017 6. Accessed September 20, 2017 foods with parents/guardians prior to their introduction. Posting menus in a prominent area and distrib uting them to parents/guardians helps to inform parents/ 4. Some regulatory agencies require menus as care provider, to include a part of the licensing and auditing process (1). A written list of the food(s) to which the child is Consistency between home and the early care and educa allergic and instructions for steps that need to be tion setting is essential during the period of rapid change taken to avoid that food. Exposure may also occur through contact that would indicate the need to administer one or between children or by contact with contaminated surfaces, more medications. Some children may have an allergic reaction just teachers should receive training, demonstrate compe from being in proximity to the ofending food, without tence in, and implement measures for actually ingesting it. Recognizing the symptoms of an allergic reaction when a food is used as part of an art or craf project, such 3. Treating allergic reactions as the use of peanut butter to make a bird feeder or wheat c. Caregivers/teachers should promptly and properly severe, life-threatening reactions with respiratory and/or administer prescribed medications in the event of an cardiovascular compromise. Hospitalizations from food allergic reaction according to the instructions in the allergy are being reported in increasing numbers, especially care plan. A major factor in death from anaphylaxis ately of any suspected allergic reactions, the ingestion has been a delay in the administration of lifesaving emer of the problem food, or contact with the problem food, gency medication, particularly epinephrine (3). In other cases, early care and treats or special foods brought into the early care and education staf may be able to provide safe foods as long as education setting. The written child care plan, a mobile phone, and a list example, milk could be listed as casein, caseinate, whey, of the proper medications for appropriate treatment if and/or lactoglobulin.

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Although he professes usual moral standards he seems obviously uninfluenced by them in his actions. In summary, he shows fairly typical characteristics of what would psychiatrically be called a severe character disorder. They did not fare very well, though each of them negotiated some skimpily favorable remark before the protesting prosecution, which contended that personal comments of this nature were incompetent, irrelevant, immaterial, hushed and banished them. His childhood, related to me and verified by portions of the prison records, was marked by brutality and lack of concern on the part of both parents. He seems to have grown up without direction, without love, and without ever having absorbed any fixed sense of moral values. He is oriented, hyperalert to things going on about him, and shows no sign of confusion. He is above average in intelligence, and has a good range of information considering his poor educational background. He is overly sensitive to criticisms that others make of him, and cannot tolerate being made fun of. He not infrequently groups all people together as being hypocritical, hostile, and deserving of whatever he is able to do to them. Both he and his acquaintances have been aware of these rages, which he saysmount upin him, and of the poor control he has over them. The inappropriate force of his anger and lack of ability to control or channel it reflect a primary weakness of personality structure. He has had few close emotional relationships with other people, and these have not been able to stand small crises. He has little feeling for others outside a very small circle of friends, and attaches little real value to human life. More extensive evaluation would be necessary to make an exact psychiatric diagnosis, but his present personality structure is very nearly that of a paranoid schizophrenic reaction. When rational motives are conspicuous (for example, when a man kills for personal gain) or when the irrational motives are accompanied by delusions or hallucinations (for example, a paranoid patient who kills his fantasied persecutor), the situation presents little problem to the psychiatrist. But murderers who seem rational, coherent, and controlled, and yet whose homicidal acts have a bizarre, apparently senseless quality, pose a difficult problem, if courtroom disagreements and contradictory reports about the same offender are an index. All of them, too, had been concerned throughout their early years about being consideredsissies,physically undersized or sickly. In all four cases, there was historical evidence of altered states of consciousness, frequently in connection with the outbursts of violence. Two of the men reported severe dissociative trancelike states during which violent and bizarre behavior was seen, while the other two reported less severe, and perhaps less well-organized, amnesiac episodes. During moments of actual violence, they often felt separated or isolated from themselves, as if they were watching someone else. Also seen in the historical background of all the cases was the occurrence of extreme parental violence during childhood. Another of the men had many violent beatings in order tobreakhim of his stammering andfits,as well as to correct him for his allegedlybadbehavior. People were scarcely real to them, in the sense of being warmly or positively (or even angrily) felt about. The three men under sentence of death had shallow emotions regarding their own fate and that of their victims. The murderous potential can become activated, especially if some disequilibrium is already present, when the victim to-be is unconsciously perceived as a key figure in some past traumatic configuration. The behavior, or even the mere presence, of this figure adds a stress to the unstable balance of forces that results in a sudden extreme discharge of violence, similar to the explosion that takes place when a percussion cap ignites a charge of dynamite. The hypothesis of unconscious motivation explains why the murderers perceived innocuous and relatively unknown victims as provocative and thereby suitable targets for aggression. Most people, fortunately, do not respond with murderous outbursts even under extreme provocation. The cases described, on the other hand, were predisposed to gross lapses in reality contact and extreme weakness in impulse control during periods of heightened tension and disorganization. Theoldconflict was reactivated and aggression swiftly mounted to murderous proportions. Moreover, the circumstances of the crime seem to him to fit exactly the concept of murder without apparent motive. Clutter he was under a mental eclipse, deep inside a schizophrenic darkness, for it was not entirely a flesh-and-blood man he suddenly discovered himself destroying, but a key figure in some past traumatic configuration: his father Their presence was a courteous gesture toward Judge Tate and Logan Green, esteemed members of their own order. An expert criminal lawyer, his usual role is that of defender, but in this instance the state had retained him as a special assistant to Duane West, for it was felt that the young county attorney was too unseasoned to prosecute the case without experienced support. In Exodus Twenty, Verse Thirteen, we have one of the Ten Commandments:Thou shalt not kill. Of course it does, because in the next chapter, Verse Twelve, the penalty for disobedience of that Commandment reads:He that smiteth a man, so that he die, shall be surely put to death. Our state provides that the punishment for murder in the first degree shall be imprisonment for life or death by hanging. What are you going to do with these men that bind a man hand and foot and cut his throat and blow out his brains And there remains the mother, bound and gagged and having to listen as her husband, her beloved children died one by one. Listen until at last the killers, these defendants before you, entered her room, focused a flashlight in her eyes, and let the blast of a shotgun end the existence of an entire household. Judge Tate, however, had to be fetched from his farm, where he had gone to feed his horses. Then he dismissed the jury (You have performed a courageous service), and the condemned men were led away. Hickock; she visited with me several times while the trial was going on, and I wished I could have helped her, only what can you say to someone in a situation like that The oldest of the prisons is the Kansas State Penitentiary for Men, a turreted black-and-white palace that visually distinguishes an otherwise ordinary rural town, Lansing. Nowadays the convict population averages around two thousand; the present warden, Sherman H. The upper story is reached by climbing a circular iron staircase; at the top is Death Row. The doomed themselves can see out well enough; what they see is an empty dirt lot that serves in summer as a baseball diamond, beyond the lot a piece of prison wall, and above that, a piece of sky. Kansas abolished capital punishment in 1907; in 1935, due to a sudden prevalence in the Midwest of rampaging professional criminals (Alvin Old Creepy Karpis, Charles Pretty Boy Floyd, Clyde Barrow and his homicidal sweetheart, Bonnie Parker), the state legislators voted to restore it. However, it was not until 1944 that an executioner had a chance to employ his craft; over the next ten years he was given nine additional opportunities. Occasionally, important visitors to the prison are invited to take what one high official calls a little peek at Death Row. Prior to leaving office in January, 1961, Governor Docking, who had been defeated for re-election (in large measure because of his attitude toward capital punishment), commuted the sentences of both these men to life imprisonment, which generally meant that they could apply for parole in seven years. But the public was not much aware of either Wilson or Spencer; compared to Smith and Hickock, or the fifth man on the Row, Lowell Lee Andrews, the press had rather slighted them. But inside the quiet young scholar there existed a second, unsuspected personality, one with stunted emotions and a distorted mind through which cold thoughts flowed in cruel directions. The elder Andrews was a prosperous farmer; he had not much money in the bank, but he owned land valued at approximately two hundred thousand dollars. For the secret Lowell Lee, the one concealed inside the shy churchgoing biology student, fancied himself an ice-hearted master criminal: he wanted to wear gangsterish silk shirts and drive scarlet sports cars; he wanted to be recognized as no mere bespectacled, bookish, overweight, virginal schoolboy; and while he did not dislike any member of his family, at least not consciously, murdering them seemed the swiftest, most sensible way of implementing the fantasies that possessed him. On the evening of November 28, somewhere around seven, Jennie Marie was sitting with her parents in the parlor watching television; Lowell Lee was locked in his bedroom reading the last chapter of the Brothers Karamazov. He fitted the revolver into a hip holster, shouldered the rifle, and ambled down a hall to the parlor, which was dark except for the flickering television screen. He switched on a light, aimed the rifle, pulled the trigger, and hit his sister between the eyes, killing her instantly. Departing, he visited a movie theater, where, uncharacteristically, he chatted with an usher and a candy vendor. And this big dark-haired boy, Lowell Lee, he was sitting on the porch petting his dog. Lieutenant Athey asked the boy what happened, and he pointed to the door, real casual, and said,Look in there. It proved a fatal interview for the latter, who many months afterward gave this account of it to a friend: Mr. And I knew your daddy all his life, we grew up together, we were childhood friends.

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