Dr. Kenneth Barish, Clinical Professor of Psychology at Weill Cornell Medicine, argues that reintegrating grandparents and extended family into daily life is a critical solution to the U.S. Surgeon General’s identified teen mental health crisis. This support helps combat the 40% of American teenagers reporting persistent sadness by providing emotional stability and a sense of purpose through consistent, supportive relationships.
Why is extended family support a priority for adolescent mental health?
The U.S. Surgeon General has identified a prolonged crisis in child and adolescent mental health. Current data indicates that more than 40% of American teenagers report persistent feelings of hopelessness or sadness. Dr. Kenneth Barish suggests this trend stems partly from a societal shift toward individualism.
In his book, The Art and Science of Parenting and Grandparenting, Barish notes that American society has moved from a “we” orientation to an “I” orientation. He argues that the erosion of community and extended family support leaves parents to raise children in isolation, a method he claims contradicts human evolution.
Research indicates that the intense pressure for individual achievement in affluent communities often results in higher rates of substance abuse, anxiety, and depression. Barish posits that the traditional extended family structure provides a necessary buffer against these modern stressors.
According to research reviewed by psychologist Jane Piliavin, helping others is linked to improved self-esteem, lower depression rates, and better immune function in children.
How can grandparents build a child’s “emotional immune system”?
Barish introduces the concept of “molecules of emotional health” to describe the small, frequent moments of listening and encouragement provided by extended family. These interactions act as a defense mechanism against emotional distress.
According to Barish, a child’s most effective protection against emotional “pathogens” is the confident expectation that a trusted adult will listen and understand. He identifies three specific roles grandparents play in this process:
- Listening: Providing a space where children feel less alone.
- Problem-solving: Teaching that relationships can be repaired and problems solved.
- Perspective: Demonstrating that negative emotions are temporary.
Beyond emotional support, Barish suggests that grandparents can foster positive emotions through play and by expressing enthusiastic interest in a child’s specific goals and hobbies.
Pro Tip for Extended Family
Instead of focusing on grades or trophies, focus on the process. Use “growth mindset” language by praising the effort a child puts into a task rather than their innate talent.
What are the risks of unintentional criticism in modern parenting?
While many parents worry about over-praising their children, Barish reports that the most frequent issue in his clinical work is unintentional criticism from well-meaning family members. He states that frequent criticism does not motivate children to improve; instead, it breeds defiance and resentment.
Barish distinguishes between different types of feedback based on Carol Dweck’s research on growth mindsets. To build resilience rather than fragility, he recommends specific communication shifts:
| Avoid Praising… | Instead, Praise… |
|---|---|
| Intelligence | Effort and persistence |
| Natural Talent | The learning process |
| Grades/Results | Strategy and improvement |
How does purpose-driven living combat adolescent anxiety?
Barish argues that personal achievement is a “fragile source of motivation” that often carries a high cost in stress and anxiety. To counter this, he suggests that families should prioritize helping children develop a sense of purpose through service to others.
He recommends that grandparents and parents engage in volunteering together. These activities, combined with frequent family conversations about kindness and empathy, help strengthen a child’s sense of meaning. Barish asserts these conversations are as vital to development as academic success or behavioral correction.
Rather than clearing a path to success, Barish suggests the goal of caregivers should be to strengthen a child’s inner confidence. This approach aims to help children bounce back from setbacks and pursue interests with greater commitment.
Frequently Asked Questions
How can grandparents help with modern parenting challenges?
Grandparents can provide “molecules of emotional health” by listening, encouraging play, and helping children develop a sense of purpose through community involvement and kindness.

What is the difference between praise that helps and praise that hurts?
Praise that focuses on intelligence or talent can create fragility. Praise that focuses on effort and the learning process fosters a “growth mindset” and resilience.
Why is individual achievement linked to anxiety in teens?
According to Dr. Barish, relying solely on individual achievement as a motivator is fragile and often leads to high levels of stress and emotional instability.
What are your thoughts on the role of extended family in modern upbringing? Share your experiences in the comments below or subscribe to our newsletter for more insights into child development and family wellness.








