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Savewith a NBCUniversal ProfileCreate your free profile or log in to save this articleOct. 14, 2025, 5:12 PM EDTBy Angela YangBefore Sebastian Castillo cracks open a book on the bus, he has an intrusive thought: Should he tap the stranger next to him on the shoulder and clarify that yes, he’s starting this book on Page 1, but he has, in fact, read many other books before?Castillo, a novelist and English literature instructor, said he realizes that is extreme. He’d never do that. But the urge reflects a recent anxiety that has burgeoned around the act of reading in public in the digital age, when everything is scrutinized as possibly “performative.”“If you’re on the bus or at the park or at a cafe, nobody really cares about you or what you’re doing,” said Castillo, 37. “And so I think it’s, more than anything, just kind of a silly way to think about how people tend to observe themselves more than how other people observe them.”It’s a feeling that many people have started to put into words.On social media, real and staged videos of people reading at coffee shops, on escalators or at basketball games have become fodder for jokes about “performative reading,” or the idea that people want to look like they’re reading without actually doing so. Some have playfully shared their own lists of books they deem suitable to “read performatively” on public transit. The singer Sombr even poked fun at the concept in the middle of a concert this year.Many of the callouts are simply memes, running jokes for people to get in on. But avid readers say the concept of reading for social points is a very real phenomenon that has unwittingly influenced how people approach books.The discourse around so-called performative reading is the latest iteration of a broader cultural fixation on authenticity in the era of casual social media surveillance — when anything done in public could be farmed for content and people could find themselves going viral at any time.And it’s not just books. “Performative male” contests have also popped up across the United States this year in which people offer their own tongue-in-cheek versions of men who dress and act in ways that come off as socially aware — complete with tote bags, matcha lattes and dog-eared copies of feminist literature under their arms.That idea has particularly resonated in the online book community.On platforms like TikTok, Instagram, X and Goodreads, bookish users often tout images of impressive titles and aesthetically pleasing reading setups or monthly reading lists with dozens of books already checked off.Raol Muong, a creator who shares video essays about internet culture, made a TikTok video analyzing why books have seemingly become the new accessory in public spaces, as well as in literary circles online. “Especially on TikTok and in Instagram Reels, we can see that the algorithm basically rewards what looks good, like the eye-catching cover and the staged coffee shots in a downtown cafe,” said Muong, 17. “They’re focusing on what looks good and not whether the book is being read or not. And I think, because of this, platforms turn books into basically aesthetic props to curate in their Instagram dumps.”Muong said literary classics by the likes of Jane Austen and Joan Didion appear more performative, as it’s tempting to scrutinize whether people are carrying around popularly renowned books to give off an air of intellectualism or good taste.Even some longtime readers say they’ve sometimes been influenced by the pressure to perform.Éva Jéga-Szabó, a book lover since she was a young child, typically reads about 50 books a year. But she said the online culture of judgment around how quickly people read, or even the format in which they read — in some circles, audiobooks don’t count — pushed her to change her habits.“I found myself going for shorter books or novellas rather than what I actually wanted to read. I was pushing for the numbers rather than just engaging with literature the way I wanted. And only recently, when I stopped being attached to the numbers, did I start enjoying it again,” said Jéga-Szabó, 25. “I see this from a lot of people who say that they feel a lot of pressure and shame and they’re going through these reading slogs and they don’t want to read anymore.”Selwa Khan, a recent university graduate who enjoys sharing her reads on social media, said she feels it’s common for many online, including her, to “aestheticize our hobbies” for content. But Khan, 21, said a little bit of performance doesn’t necessarily take away from the authentic joy of reading.“I think social media makes everybody perform, whether they acknowledge it or not,” she said. “We’re all performing, and a lot of us are saying that we’re not performing, but the fact that you’re on a platform at all implies the existence of performance, right?”Khan said she also takes issue with the assumption that any visible reading must be an act, noting that that mindset only reveals the people who can’t imagine themselves genuinely taking pleasure in a book.“I’ve seen for years posts on BookTok, Bookstagram and all these platforms of titles that are ‘performative,’ which always happen to be titles that I really enjoy,” Khan said. “So there’s always this thought in my head of: What makes these performative? Or are people just projecting their own insecurities with reading?”Much of the mockery around performative reading seems to take aim at men. Over time, reading has taken on a reputation of being more of a woman-dominated activity. Many in-person book clubs have also noticed a dearth of male members. To some online, that has led to the perception that heterosexual men are so unlikely to pick up a book that if one is reading, he must be trying to impress a woman.Jafei Pollitt, a frequent reader who has jokingly pushed back against that meme online, said she hopes young men don’t take the trend too seriously or let it discourage them from reading in public.“Even if it is to impress a girl, if they do have a feminist piece of literature in their hand and they are actually reading it, I don’t quite see the harm in that,” said Pollitt, 27. “Because they’re getting some knowledge in their brain, and by the end of it, they might genuinely be like, ‘Oh, this is how to respect women.’”Similarly, Pollitt said, she doesn’t judge anyone who does appear to be reading performatively, because even pretending to read still encourages somebody to actually take in the words.“It’s a little bit of ‘fake until you make it.’ Yes, you can start off wanting to read for the aesthetics, but eventually you might involve yourself in the book, and you actually might like reading,” she said. “So as long as the book is in your hand and you’re reading the book, I don’t know if it totally matters how you got there.”Angela YangAngela Yang is a culture and trends reporter for NBC News.

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Before Sebastian Castillo cracks open a book on the bus, he has an intrusive thought: Should he tap the stranger next to him on the shoulder and clarify that yes, he’s starting this book on Page 1, but he has, in fact, read many other books before



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By Berkeley Lovelace Jr., Aria Bendix and Erika EdwardsPresident Donald Trump said Monday the Food and Drug Administration approved a chemotherapy drug called leucovorin as a treatment to alleviate symptoms of autism, despite little evidence that the medication works.Trump also said the administration is issuing a warning to doctors not to recommend acetaminophen — the active ingredient in Tylenol and other widely used medications — for pregnant women, claiming it may be linked to autism in children. Trump had been teasing the announcement for days, as Health Secretary Robert F. Kennedy Jr. and other health officials have pledged to determine the cause of the developmental disorder by September.The administration had planned to release its long-awaited report on causes of autism around Sept. 29 or Sept. 30, a person familiar with the matter told NBC News. But Trump pre-empted the rollout over the weekend, and details soon appeared in The Washington Post.“We understood a lot more than a lot of people who studied it,” Trump said from the White House, referring to autism. He spoke alongside Kennedy, Food and Drug Administration Commissioner Marty Makary, National Institutes of Health Director Jay Bhattacharya and Mehmet Oz, administrator of the Centers for Medicare and Medicaid Services. ”Taking Tylenol is not good,” Trump said. “I’ll say it. It’s not good.”Leucovorin is a drug approved by the FDA to counteract the side effects of certain chemotherapy drugs and sometimes used off-label to treat vitamin B9 deficiency. Leucovorin is a form of folinic acid, a B vitamin. It has shown promise in clinical trials with helping some children with autism improve their speech. But the Autism Science Foundation, which funds evidence-based autism research, does not recommend it as a treatment yet and says more studies are needed.Trump said the FDA updated the drug’s label Monday for the treatment of autism symptoms. Oz said Medicaid — in partnership with states — will cover it with a prescription.“We believe insurance companies will rapidly follow our lead,” he said.Kennedy also said the FDA will issue a letter advising health care providers that the over-the-counter medication should be used during pregnancy only in cases of high fever, when the fever itself may pose a health risk to the fetus. The FDA’s notice, sometimes called a “Dear Doctor” letter, is meant to alert physicians and other prescribers about urgent or clinically significant safety issues it has identified with a drug. Kennedy also said the FDA will begin the process to initiate a safety label change for the drug.Bhattacharya said at Monday’s briefing that the NIH will dedicate $50 million to 13 research projects focused on identifying root causes and treatments for autism, an effort known as the “autism data science initiative.” The research will focus on environmental and medical factors, nutrition, events during pregnancy, biology and genetics, he said.“Given this wide range of symptoms across the spectrum, it seems certain that there will be a wide range of biological contributors to explaining the cause,” he said.Researchers who’ve spent decades researching potential causes of autism say the administration hasn’t uncovered any new evidence — and the existing data still doesn’t support its claims.“This is not new,” Dr. Allison Bryant, a high-risk obstetrician at Massachusetts General Hospital in Boston, said in an earlier interview. “It has bubbled up every now and again with studies that show maybe some kind of association but not clearly showing any cause and effect.”Experts say autism spectrum disorder, which is characterized by challenges with social and speech skills and by repetitive behaviors, most likely stems from multiple factors rather than a single cause. It affects 1 in 31 children in the United States, according to the Centers for Disease Control and Prevention.The bulk of scientific research hasn’t identified a link between acetaminophen and autism.“The science hasn’t changed regardless of what comes out from the report,” said Brian K. Lee, a professor of epidemiology at Drexel University in Philadelphia, referring to the Trump administration’s finding. “I’m not sure what the administration is doing, but it looks like they’re just going back and reviewing the evidence and they’re coming to a different conclusion than many scientists would.”Acetaminophen was introduced in the United States in the 1950s as a prescription alternative to aspirin. By the 1970s, it had been made available over the counter and became one of the most commonly used pain and fever medications in the country. The American College of Obstetricians and Gynecologists and other major medical groups say acetaminophen is one of the only safe pain relievers for women during pregnancy, and studies have shown no clear evidence that use during pregnancy leads to developmental issues in kids. The drug is also found in name brands like Theraflu and Excedrin.Forty percent to 65% of women use acetaminophen at some point during pregnancy, according to a 2014 study published in the American Family Physician.Earlier Monday, White House press secretary Karoline Leavitt touted a “major announcement” from Trump, telling reporters at a briefing to go into the autism announcement with “some critical thinking skills and with some open ears.”“They are paying attention to studies, and the gold standard of science and research, that many in this city for far too long have turned a blind eye to,” she said.Trump administration officials are citing previous research, including a literature review Mount Sinai and Harvard researchers published last month in the journal BMC Environmental Health. The review concluded there was most likely an association between autism and acetaminophen exposure during pregnancy. Outside autism researchers, however, said that the review wasn’t rigorously conducted and that it cherry-picked studies that supported its conclusion. The review’s senior author, Andrea Baccarelli, served in 2023 as a paid expert in a class action lawsuit against acetaminophen manufacturers, in which he testified that there was a link between the medication and autism. A judge ultimately excluded his testimony for being scientifically unsound and last year dismissed the case, which is being appealed.Baccarelli said in a statement that he and his colleagues conducted a rigorous review and that the association with neurodevelopmental disorders was strongest when acetaminophen was taken for four weeks or longer. He said he discussed his findings with Kennedy and Bhattacharya in recent weeks.“Further research is needed to confirm the association and determine causality, but based on existing evidence, I believe that caution about acetaminophen use during pregnancy — especially heavy or prolonged use — is warranted,” Baccarelli said.However, other autism researchers have pointed to a large study last year published in the Journal of the American Medical Association, which found no link between acetaminophen use in pregnancy and autism, ADHD or intellectual disability. The study, from Lee and his colleagues in Sweden, analyzed data from more than 2.4 million children. When the researchers looked solely at children with autism, there was a small increased risk possibly associated with acetaminophen. But when the researchers compared siblings within the same families — one exposed during pregnancy, the other not — the link disappeared. The comparison allowed them to control for variables that past studies couldn’t. Siblings share a large part of their genetic background and often have similar environmental exposures in utero and at home.“The biggest elephant in the room here is genetics,” Lee said. “We know that autism, ADHD and other neurodevelopmental disorders are highly heritable.”In an emailed statement, a spokesperson for Kenvue, the maker of Tylenol, said the drug is the safest pain reliever option for pregnant women.“Without it, women face dangerous choices: suffer through conditions like fever that are potentially harmful to both mom and baby or use riskier alternatives,” the spokesperson said. “We believe independent, sound science clearly shows that taking acetaminophen does not cause autism.”Bryant, of Massachusetts General Hospital, said, “The best science that we have available would still suggest that acetaminophen is a safe pain reliever and fever reducer in pregnancy.”Berkeley Lovelace Jr.Berkeley Lovelace Jr. is a health and medical reporter for NBC News. 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