Professional Documents
Culture Documents
D
E
HA NCE
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PhotoDisc
CO N T E N T S vii
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UNIT 6 H
ealthy Dietary Patterns, Dietary Guidelines,
MyPlate, and More 6-1
Healthy Eating: Achieving a Balance between Good Taste
Digital Vision/Alamy
and Good for You 6-2
Characteristics of Healthy Dietary Patterns 6-3
Healthy Dietary Patterns Identified for the United States 6-4
National Guides for Healthful Diets 6-5
Dietary Guidelines for Americans 6-6
ChooseMyPlate 6-9
ChooseMyPlate.gov Healthy Eating Messages 6-9
Healthy U.S.-Style Dietary Pattern 6-10
The DASH Eating Plan 6-13
The Healthy Mediterranean Dietary Pattern 6-13
Realities of the Food Environment 6-14
Portion Distortion 6-15
Bon Appétit! 6-17
NUTRITION UP CLOSE The Pros and Cons of Fast Food Dining 6-19
Review Questions 6-19
Nutrition Scoreboard Answers 6-20
UNIT 7 How the Body Uses Food: Digestion and Absorption 7-1
My Body, My Food 7-2
How Do Nutrients in Food Become Available for the Body’s Use? 7-2
Digestive Disorders 7-9
Constipation 7-9
Ulcers 7-11
Heartburn 7-11
Irritable Bowel Syndrome 7-11
Diarrhea 7-11
Flatulence 7-12
nutrition timeline
1775 1816 1833 1862 1871
Lavoisier (“the father of the science Protein and amino acids identified, Beaumont’s experiments on a U.S. Department of Agriculture Proteins, carbohydrates, and fats
of nutrition”) discovers the energy- followed by carbohydrates and fats wounded man’s stomach greatly founded by authorization of Presi- determined to be insufficient to sup-
producing property of food in the mid-1800s expand dent Abraham Lincoln port life; there are other “essential”
knowledge components
about digestion
Stefano Bianchetti/CORBIS
© Bettmann/Corbis
viii C ONTENTS
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UNIT 9 O
besity to Underweight: The Highs and Lows
of Weight Status 9-1
Variations in Body Weight 9-2
How Is Weight Status Defined? 9-2
Body Mass Index 9-3
Underweight 9-12
Underweight Defined 9-12
Underweight and Longevity in Adults 9-12
Toward a Realistic View of Body Weight 9-13
Scott Goodwin Photography
Bettman/CORBIS
PhotoDisc
CO N T E N T S ix
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UNIT 11 D
isordered Eating: Anorexia and Bulimia Nervosa,
Binge-Eating Disorder, and Pica 11-1
Eating Disorders 11-2
Anorexia Nervosa 11-2
Bulimia Nervosa 11-5
Binge-Eating Disorder 11-6
Pica 11-7
Proposed Eating Disorders 11-9
Resources for Eating Disorders 11-10
Prevention of Eating Disorders 11-11
nutrition timeline
1913 1914 1916 1917 1921
First vitamin discovered (vitamin A) Goldberger identifies the cause of First dietary guidance material First food groups published—the First fortified food produced: iodized
pellagra (niacin deficiency) in poor produced for the public released; Five Food Groups: Milk and Meat; salt, needed to prevent widespread
children to be a missing component title is “Food for Young Children” Vegetables and Fruits; Cereals; Fats iodine-deficiency goiter in many
of the diet rather than a germ as and Fat Foods; Sugars and parts of the
others believed Sugary Foods United States
PhotoDisc
Shutterstock.com
LunaseeStudios/
x C ONT E NTS
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Protein 15-2
Functions of Protein 15-2
Amino Acids 15-4
Protein Quality 15-5
Food as a Source of Protein 15-7
CO N T E N T S xi
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Creatas/Fotosearch
NUTRITION UP CLOSE Vegetarian Main Dish Options 16-11
Review Questions 16-11
Nutrition Scoreboard Answers 16-12
nutrition timeline
1941 1946 1947 1953 1956
First Recommended Dietary Allow- National School Lunch Act passed Vitamin B12 identified Double helix structure of DNA Basic Four Food Groups released by
ances (RDAs) announced by Presi- discovered the U.S. Department of Agriculture
dent Franklin Roosevelt on radio
C
G A
T G
C T
A
Presidential Library and
G
PhotoDisc
Franklin D. Roosevelt
C
T
A
C
A G
T
PhotoDisc
Museum
T G
C
A C
G
xii C ONTENTS
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NUTRITION UP CLOSE A Focus on DHA and EPA Safe Food Sources 18-14
NUTRITION UP CLOSE Evaluate Your Dietary and Lifestyle Strengths for Heart
Disease Prevention 19-10
Review Questions 19-10
Nutrition Scoreboard Answers 19-11
CO N T E N T S xiii
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nutrition timeline
1977 1978 1989 1992 1997
Dietary Goals for the United States First Health Objectives for the Nation First national scientific consensus The Food Guide pyramid is released RDAs expanded to Dietary Reference
issued released report on diet and chronic disease by the USDA Intakes (DRIs)
published
USDA
xiv C O NTENTS
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UNIT 27 N
utrition and Physical Fitness for
Everyone 27-1
Physical Activity: It Offers Something for
Everyone 27-2
The “Happy Consequences” of Physical Activity 27-2
What Is Physical Fitness? 27-3
Bill Milne/StockFood Creative/Getty Images
Flexibility 27-7
Fueling Physical Activity 27-8
Achieving Physical Fitness 27-9
CO N T E N T S xv
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UNIT 29 G
ood Nutrition for Life: Pregnancy,
Breastfeeding, and Infancy 29-1
Nutrition and a Healthy Start in Life 29-2
Improving the Health of U.S. Infants 29-3
Breastfeeding 29-12
What’s So Special about Breastmilk? 29-12
Is Breastfeeding Best for All New Mothers and Infants? 29-12
UNIT 30 N
utrition for the Growing Years: Childhood through
Adolescence 30-1
The Span of Growth and Development 30-2
The Nutritional Foundation 30-2
Characteristics of Growth in Children 30-2
xvi C O NTENTS
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CO N T E N T S xvii
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Welcome to the enhanced 8th edition of Nutrition Now, an introductory, science-based, and
application-oriented textbook for your nutrition courses. The text contains multiple
critical thinking and decision-making activities for students, organized around key
nutrition concepts and specific learning objectives. This updated release of Nutrition Now
reflects a move toward increased use of a broad variety of digital resources intended to
enhance student learning, and to lighten the weight and cost of this text book.
This edition of Nutrition Now catches up with advances in the field of nutrition:
●● MyPlate resources
●● healthy dietary patterns and health
●● prevention of peanut allergy
●● the prevalence of food allergies and likely reasons for it
●● microbiota, diet, and inflammation
●● nutrition label components
●● health effects of refined carbohydrates and highly processed foods
●● “relative energy deficiency in sports” (RED-S)
●● wheat intolerance syndrome
●● effects of total fat and saturated fat on health
●● functions and health effects of brown fat and white fat
●● “best sources” of fish and recommendations for intake
●● origins of gene variants, their interaction with dietary intake, and health effects related
to gene variants and diet
●● the lack of benefit of vitamin and mineral supplements, and other dietary supplements
●● salt intake, salt sensitivity, and blood pressure
●● physical activity recommendations
●● dietary and supplement recommendations for pregnancy
●● diagnostic standards for fetal alcohol syndrome
●● health effects of artificial sweeteners
●● infant feeding recommendations and the weight status group of “severe obesity” in
children
●● dietary and lifestyle factors related to recent decline in longevity
●● nutrition and menopause in women and andropause in men
xviii P REFACE
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Pedagogical Features
There are 33 units in Nutrition Now, and all but the first unit can be used in any
order. Each unit begins with learning objectives, and content and review questions at
the end of the units are organized around the learning objectives. Student group and
individual activities based on real-life situations are presented online in MindTap,
along with a variety of videos, review questions, and interactive learning activities.
Activities include taste testing to identify genetically determined sensitivity to
bitterness, developing a dietary behavioral change plan, anthropometry lab,
designing fraudulent nutrition products, a physical activity assessment, and an
assessment of three days of dietary intake.
P R E FACE xix
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Acknowledgments
My thanks and appreciation go out to Oden Connolly, Content Manager for Sciences
at Cengage. Oden effectively managed to build the complex web that now incorporates
updates to the Nutrition Now text and its expanding digital components.
It is said that instructors adopt a specific textbook but that students play a major role
in instructors’ decision to keep it. I am honored that you chose to adopt Nutrition Now
and deeply pleased with the thought that students are helping you decide to keep it.
Reviewers’ feedback is the lifeline of text writing, and the reviewers of the eighth
edition conveyed very useful advice that was incorporated into the eighth edition. The
advice led me to some very interesting places on specific topics that changed my
thinking and writing. Thank you for the helpful information and please keep your
comments coming.
xx P REFACE
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1 True/False
Concepts and
2 Nutrients are substances in food that are used by the
body for growth and health. True/False
3 Inadequate intakes of vitamins and minerals can harm
Terms
health, but high intakes do not. True/False
4 “Dietary Reference Intakes” (DRIs) provide science-
based standards for nutrient intake. True/False
Answers can be found at the end of the unit.
1-1
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Nutrition Defined
nutrition The study of foods, their In a nutshell, nutrition is the study of foods and health. It is a science that focuses on foods,
nutrients and other chemical constituents, their nutrient and other chemical constituents, and the effects of food and food constituents
and the effects that foods and food on body processes and health. The scope of nutrition extends from food choices to the
constituents have on health.
effects of diet and specific food components on biological processes and health.
Gary Conner/PhotoEdit
1-2 U N IT 1
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anyaivanova/Shutterstock.com
Uschi Gerschner/Newscom
Photodisc
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Pat Shearman/Alamy
Christian Science Monitor/Getty Images
1-4 U N IT 1
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CONSTRUCTIVE TREATMENT
Mr. Warren did wrong to deprive any pupil of a right use of the
playground or gymnasium.
When teams are formed, limit the time they may use the field and
apparatus so as to accommodate those who are not on the teams at
some time during the day.
COMMENTS
“Now girls, here in the library is Sam’s typewriter. Let’s each write
a part of this so we can all say we didn’t write it and lay it on
Elizabeth’s desk tomorrow.” All were agreed, so one after another
took a turn at writing. After many copies were spoiled they finally
wrote one that pleased them. Each took a turn at addressing the
envelope. When it was sealed they said, “E-ne me-ne mi-ne mo,” etc.,
to find out who was to place this on Elizabeth’s desk. The lot fell to
Lulu Miller, but she would do it only on condition that Sue go with
her and help her place it. The next morning the girls went to school
as soon as the doors were opened. They found nobody in the
assembly room, so they opened Elizabeth’s geometry text at that
day’s lesson. Each took hold of one corner of the envelope and placed
it in the book. Then they returned the book to the desk and went into
the history room where they diligently studied the maps until school
opened.
After opening exercises the four guilty girls watched from a corner
of their eyes to see Elizabeth get her missive. Susan saw her take out
the letter, open it and blush scarlet, while she wiped away tears of
vexation. Soon Elizabeth with letter in hand walked up to Mr.
Davidson’s desk and talked to him a few minutes. When she came
away again she didn’t have the letter.
The girls had not counted upon this turn of affairs.
Before school closed Mr. Davidson asked who put the note in
Elizabeth’s geometry. Nobody answered. He then questioned
everybody one at a time and each answered “No” to the question.
“Did you put it there?” Susan and Lulu tried to think they told the
truth because they neither of them did it alone.
Mr. Davidson said, “All right, we’ll stay right here till we find out
the guilty party.” Some laughed, others pouted and a few who drove
to school from the country looked worried. Mr. Davidson said,
“Somebody in this room knows who did that. I’m sorry to think
anybody is mean enough to keep all of his schoolmates in because he
will not tell the truth.”
Still nobody confessed. Mr. Davidson waited and scolded by turns
until dusk, all to no purpose. The girls’ fear of exposure, to say
nothing of confession, grew greater with every speech he made. He
finally dismissed the school, after saying that he would find the
culprit and suspend him.
Daily Mr. Davidson referred publicly to the note and made threats
as to what he would do with the guilty one. These frequent references
to the affair helped Elizabeth to remember her fault and practically
cured her of it. But the guilty ones were never found out and Mr.
Davidson had four pupils whose joy and efficiency in school work
were greatly diminished.
CONSTRUCTIVE TREATMENT
When you see that a pupil is truly selfish begin at once to treat
him. First find out, if possible, how this trait was developed and then
begin to correct the false notions. Say to the selfish one, “I want you
to study the pupils of this room this week, and tell me of all the
unselfish deeds done that you can make note of, and why you think
them unselfish.” Of course, other pupils will be given similar topics
and the reports, as well as the original requests, will be made in
public. These character studies may be connected with literature in
place of the fictitious personalities which are often studied.
When wishing to find the writer of a note go to work at it privately.
Having once made a threat do not lightly disregard it. Do not give
over to your pupils matters of discipline which you should attend to
yourself.
COMMENTS
Mr. Davidson doubtless knew that Elizabeth was selfish, but took
no measures to correct the fault. Some teachers say they are not
employed as character builders but only as instructors in secular
matters. The truth is, however, that they cannot escape instructing in
morals. Elizabeth was growing more selfish. The question as to
whether character grows during school life is settled. Pupils do
change in character. The teacher has no choice. He either confirms or
breaks up bad habits. The principle of substitution enables the selfish
pupil to grow less selfish by the study and admiration of unselfish
pupils and adults. It is in order to call forth this admiration that the
student is asked to tell why he names certain acts unselfish.
Teachers make mistakes often by publicly announcing a
misdemeanor about which there would otherwise be little known.
Cases where immediate danger does not threaten should not be
made public. Private inquiry is always much more fruitful of good
results. Public confession is especially hard. Furthermore, the
sidetracking of legitimate school interests by much discussion of
misdemeanors can be minimized by letting as few persons as
possible know about the wrong deed.
Threats that are not carried out weaken the teacher’s control.
Patient study and planning will show the teacher a way to cure
selfishness. By judicious observation a teacher can discover attitudes
taken toward a pupil by his schoolmates and these will be of great
value to him in any attempt at corrective measures.
It is doubtless true that the schoolmates often develop a wise and
effective cure for some wrong trait or attitude. In such cases they
may be permitted to carry out their program, without the connivance
of the teacher. But a close examination of the conditions is needful,
so that neglect of unformed characters may not be appropriately
charged against a teacher.
Earl Foley was fifteen years old when he entered high school and
came under the control of its principal, Mr. Mullendore.
Earl was large, with a round face, thick lips, a big mouth and a too
ready smile. He was very active and learned easily, but was
unmannerly and above all, selfish. He invariably selected the best for
himself, stood between others and the teacher, gave his views
unsought, and in many little ways annoyed his teachers and
companions.
Mr. Mullendore discovered that the boy Selfish Manners
simply needed teaching, so he decided that
in his private talks with Earl he would use illustrations easily
understood. He asked Earl one day what famous person he admired
above all others. Finding the man to be Lincoln, Mr. Mullendore
talked of Lincoln’s unselfishness and humility and even asked Earl
what kind of pencil he thought Lincoln would have taken if passed a
box containing one good pencil, and the others second grade, Lincoln
knowing, meanwhile, that all would be used by his classmates. Mr.
Mullendore talked of Earl’s work on the farm and asked him to recall
the practice of pigs, cattle and fowls in getting their share of food. He
asked Earl to study out the cause for the development of
unselfishness in the human race.
All this was said without a single reference to Earl’s own traits. It
seemed a part of the study of Lincoln. Earl was not slow to apply the
suggestions of the lesson, however, and before many months had
passed he was one of the most unselfish pupils in the high school.
(2) Jealousy. Some one has truly said, “In jealousy there is more
self-love than love.” It is an attitude which develops early, however.
Even very young children will sometimes destroy an object rather
than have it fall into the hands of another. As a rule the smaller the
number of individuals in competition and the narrower the range of
their interests the more intense will be the jealousy between them.
The teacher’s problems are complicated by jealousies in two ways:
(1) by a spirit of unkindly rivalry among patrons of the school, a
feeling which is sure to be reflected in the attitudes of the pupils
toward each other, and (2) by a spirit of jealousy arising among and
limited to the pupils themselves.
The first type has been treated incidentally in other parts of
Practical School Discipline and need not be further dealt with here.
The second type, fortunately, is not a very common cause of trouble
in the well ordered school-room, but it is a fault so harmful to the
child himself and in adult life, so harmful to all who come within its
blighting influence, that it can not be too carefully watched and
checked in its early development.
During adolescence and afterwards, jealous attitudes arise mainly
out of sports and out of competition for sex recognition and
appreciation. Jealousy breeds an angry resentment toward a person
who holds or seems likely to acquire one’s property or personal
privilege. It embraces a feeling of fear and a sense of helplessness in
the face of the aggressor. It develops an enlarged appreciation of the
treasures involved and a disposition to care for them by violence, or
if defence is useless, to destroy them.
Jealousy, envy, rivalry and covetousness are only varying forms of
the same anti-social attitude of selfishness. Tact and patience on the
part of parent and teacher and the judicious application of the Five
Fundamental Principles will uproot them all in time.
CONSTRUCTIVE TREATMENT
COMMENTS
June Dacey was a frail city girl whose health was such that her
parents feared to send her to the public schools in New York. One
September morning June’s father said to her: “June, how would you
like to spend a year in the country and attend school with your
cousins?”
June thought it would be, “Just fine!” and Mr. Dacey was not long
in arranging with his brother in Massachusetts to receive June into
his home and to see her well started in the country school.
All went well until June’s cousin Carrie Dacey began to show signs
of jealousy toward June. The two girls were just of an age, but Carrie
was an unusually vigorous, strong, healthy girl with double the
amount of endurance possessed by June. As a consequence the two
girls received very different treatment by their elders and even in a
half unconscious way by the other children who were, indeed,
somewhat overawed by June’s pretty clothes and refined manners.
“O, yes! of course June can have everything and I can’t have
anything,” said Carrie one day in a fit of petulance. “She has all the
nice clothes and I have to wear this old thing. She can ride to the
picnic while I have to walk. The teacher is always doing things for her
and nobody ever does anything for me. At home it’s just the same
way, June gets all the attention.”
Miss Scott, the teacher, happened to overhear the remark,
although it was not intended for her, and was thereby made
conscious of the ill-will that was springing up between the two girls.
She had had no desire to show partiality in any way toward June but
only to protect the frail girl from too fatiguing sport. Now she said to
herself, “This won’t do! We shall have a tragedy here soon! I must
think out some plan to overcome this feeling between the two
cousins.”
It so happened that the children had for their reading lesson “The
Story of the Twins.” The story was full of activity and fun and
mischief and the children liked it. Miss Scott had promised the class
that when they could read it very well they might dramatize it some
day.
“You two girls who are just of an age must be our twins,” said Miss
Scott, “the other children may take the other parts. Mary and Jane,
come help me make this crepe paper into costumes for ‘the twins.’
They must dress just alike.”
The children caught the idea, and, just as Miss Scott intended they
should do, immediately nicknamed the two girls “The Twins.” Miss
Scott strengthened the tendency still further by saying occasionally,
in a playful way, “Will the twins pass the paint boxes for us?” “Will
the twins collect the pencils?”
Carrie was soon quite cured of her jealous complainings. Through
suggestion, the feeling of coöperation and comradeship had been
substituted for the selfish emotion of jealousy, and in thus being
linked together in school duties and sports, in a way, too, that
emphasized the relation of equality, the two children soon became
firm friends.
Wendell Smith was a son of Dr. Smith, one of the most influential
men in the village. He was handsome, well-dressed, well-mannered
and very intelligent. He had delightful books, mechanical and
constructive toys, a bicycle, a watch, and now a few days after he
entered the fourth grade his father gave him a pony and carriage for
a birthday present.
Mark Hazard was in the same grade at Jealous of “Rich
school. Their teacher was Miss Hosiner. Boy”
Mark was a wide-awake boy who was often in mischief. He was
coarse in his speech and manners. He criticized adversely every one
of Wendell’s possessions and was always glad when for any reason
Wendell failed to recite well. When the boys played, Mark would say:
“Don’t ask Wendell to come, he might get his clothes dirty.” When
Wendell missed the word “giraffe” Mark whispered sibilantly, “He
can spell ‘pony’; that’s all the animal he knows.”
Miss Hosiner knew that Mark disliked Wendell and felt sure that
jealousy was at the bottom of his sneers and coarse remarks, but she
didn’t know how to bring about a change.
There was a pool of muddy water near the back door after every
rain. This was spanned by a plank over which the children walked to
the playground.
One day Mark and Wendell were both on the plank when Mark
deftly tripped Wendell, who fell splash into the muddy water. Had
Mark used common courtesy Wendell would doubtless have laughed
at his own plight, but when he looked up to see Mark’s sneer as he
said sarcastically, “Now you’re some dolled up ain’t you?” he said,
“Mark Hazard, you’ve got to smart for this.”
Miss Hosiner had seen it all from the window and understood the
situation perfectly. She went to the door and said, “Wendell, you may
go home and change your clothes; Mark, you may go in and take your
seat and you may have all of your intermissions alone for a week. As
soon as you come in the morning, and at noon, you may take your
seat at once. I will allow you a separate time for your recess from that
of pupils who know how to behave toward each other. Since you can’t
act decently toward other boys, you may play by yourself.”
As the group separated Mark shook his fist at Miss Hosiner’s
retreating back and openly made an ugly face at Wendell.
Not only during the week of his punishment but throughout the
year he showed insolence toward Miss Hosiner and distinct dislike
for Wendell.
CONSTRUCTIVE TREATMENT
COMMENTS
Emeline Carlisle was a little girl who talked about the maid, the
cook and the nurse at their house, of the company they had, the
vacations they spent and the clerks in “father’s store.”
Jessie Dodge was a child of a poor but refined widow who, with
extreme difficulty, was able to provide sufficient clothing and food
for her.
Miss Dunlap, the teacher in the fourth Jealous of “Rich
grade, saw that Jessie was destined to Girl”
become jealous of Emeline. So she pointed out to Emeline from time
to time the superior gifts and traits of Jessie. She would say:
“Jessie Dodge is such a refined girl. She knows how to reply
whenever she is spoken to. I think the girls who are her special
friends are fortunate.”
She appointed these two girls to do tasks together, saying, “Jessie
and Emeline may work together on the fifth problem, Emeline writes
well and Jesse thinks well. They will make good companions for this
work.”
By such handling of the situation, Emeline and Jessie became good
friends.
CONSTRUCTIVE TREATMENT
COMMENTS
The big, final basket ball game between Danvers and Winfield high
schools would determine which was the best team in the state. Prof.
Beatty of Danvers wrote to Prof. Ryland of Winfield and said, among
other things:
“Kindly write me a few words about each Appreciating
boy on your team to read to our boys. Are Opponents
they country or town boys? What is the favorite study of each? What
does each expect to do when he gets out of high school? What do you
consider the finest trait of each?
When the answer to this letter came, the Danvers boys read it
eagerly and later met the Winfield boys as friends. Not a hint of
jealousy was shown by Danvers when Winfield won.
CONSTRUCTIVE TREATMENT
Misses Phelps and Bender took a wise course in curing the fifth
and sixth graders under their charge, of snobbishness. They
combined forces and went into flower gardening on a small scale. A
plot of ground was procured and the children grouped by pairs
according to an inflexible rule adopted at the very start. There were
several motives behind this project, but we need consider only this
one point.
To insure a genuinely democratic spirit, Gardening in
two pairs were assigned each day for work Pairs