Quotulatiousness

April 19, 2015

The latest “breakthrough” in helping schizophrenics take their medicine

Filed under: Health,Humour — Tags: , , , — Nicholas @ 03:00

Scott Alexander recently attended a local psychiatry conference, with some essential themes being emphasized:

This conference consisted of a series of talks about all the most important issues of the day, like ‘The Menace Of Psychologists Being Allowed To Prescribe Medication’, ‘How To Be An Advocate For Important Issues Affecting Your Patients Such As The Possibility That Psychologists Might Be Allowed To Prescribe Them Medication’, and ‘Protecting Members Of Disadvantaged Communities From Psychologists Prescribing Them Medication’.

As somebody who’s noticed that the average waiting list for a desperately ill person to see a psychiatrist is approaching the twelve month mark in some places, I was pretty okay with psychologists prescribing medication. The scare stories about how psychologists might prescribe medications unsafely didn’t have much effect on me, since I continue to believe that putting antidepressants in a vending machine would be a more safety-conscious system than what we have now (a vending machine would at least limit antidepressants to people who have $1.25 in change; the average primary care doctor is nowhere near that selective). Annnnnyway, this made me kind of uncomfortable at the conference and I Struck A Courageous Blow Against The Cartelization Of Medicine by sneaking out without putting my name on their mailing list.

But before I did, I managed to take some notes about what’s going on in the wider psychiatric world, including:

– The newest breakthrough in ensuring schizophrenic people take their medication (a hard problem!) is bundling the pills with an ingestable computer chip that transmits data from the patient’s stomach. It’s a bold plan, somewhat complicated by the fact that one of the most common symptoms of schizophrenia is the paranoid fear that somebody has implanted a chip in your body to monitor you. Can you imagine being a schizophrenic guy who has to explain to your new doctor that your old doctor put computer chips in your pills to monitor you? Yikes. If they go through with this, I hope they publish the results in the form of a sequel to The Three Christs of Ypsilanti.

– The same team is working on a smartphone app to detect schizophrenic relapses. The system uses GPS to monitor location, accelerometer to detect movements, and microphone to check tone of voice and speaking pattern, then throws it into a machine learning system that tries to differentiate psychotic from normal behavior (for example, psychotic people might speak faster, or rock back and forth a lot). Again, interesting idea. But again, one of the most common paranoid schizophrenic delusions is that their electronic devices are monitoring everything they do. If you make every one of a psychotic person’s delusions come true, such that they no longer have any beliefs that do not correspond to reality, does that technically mean you’ve cured them? I don’t know, but I’m glad we have people investigating this important issue.

April 11, 2015

Encounter a wine snob? Fight back!

Filed under: Humour,Wine — Tags: , — Nicholas @ 10:09

An older article at Wine Folly gives you some useful tactics should you ever be trapped by one of the worst kind of party bores, the wine snob:

A know-it-all wine snob can ruin a wine experience by forcing the “right” agenda down your throat, along with the “right” wine. Wine is one of those things about which some people obsess the arcane minutia. Snobbery is when that obsession bleeds into casual social circumstance. We’ve all been to a party where a wine snob is talking down their nose at the complimentary 2-Buck Chuck. Their condescending words spewing forth from their mouth like vomit, pushing amiable party-goers into reluctant participants in a one-sided debate.

Here are some tricks to shut that jerk up, open the floor to everyone’s tasting experiences, and most importantly: not be a wine snob yourself.

keep your patch of prairie snob free.

keep your patch of prairie snob free.

Rule #4 Fight Fire with Fire

If you are left with no more outs, it’s time to silence the beast. Remember how I said don’t be a jerk? Well, sometimes a little sarcastic snobbery is in order.
Dealing With a Snob: You call that a platitude?!?!?

If put on the spot, keep repeating “Interesting…very interesting” after every sip. Nod your head knowingly.

Say, “OH WOW” at awkward times to intentionally interrupt them.

Hold your glass up to the light and admire the wine. If someone asks you what you see simply respond, “it’s just very surprising.”

Wait for them to describe the wine, then smile and while shaking your head encouragingly say “Yeah, you’re close, keep trying.”

One-upmanship

AKA, like when Crocodile Dundee says: “You call that a knife? This is a knife”

Oh, so they like a wine from 2006 (enter vintage)?
Response: I don’t drink wine that young.

They favor Italian (or region)?
Response: What a shame, given the situation over there (BE VAGUE!) … Defer if confronted, it’s really not classy discussing such dated news after all …

Oh, they think this wine has an interesting nose on it?
Response: It must be hard to tell drinking out of that glass.

Did they just spew a pretentious wine description at you?
Response: *wince* Really? Huh. Do you smoke?

(UNSUBSTANTIATED ACCUSATIONS ARE UNASSAILABLE!)

April 9, 2015

QotD: The subconscious mind of the poet

Filed under: Media,Quotations — Tags: , , — Nicholas @ 01:00

One of the things to remember here (too often it is forgotten, and Dr. Prescott deserves favorable mention for stressing it) is that a man’s conscious desires are not always identical with his subconscious longings; in fact, the two are often directly antithetical. No doubt the real man lies in the depths of the subconscious, like a carp lurking in mud. His conscious personality is largely a product of his environment — the reaction of his subconscious to the prevailing notions of what is meet and seemly.

Here, of course, I wander into platitude, for the news that all men are frauds was already stale in the days of Hammurabi. The ingenious Freud simply translated the fact into pathological terms, added a bedroom scene, and so laid the foundations for his psychoanalysis. Incidentally, it has always seemed to me that Freud made a curious mistake when he brought sex into the foreground of his new magic. He was, of course, quite right when he set up the doctrine that, in civilized societies, sex impulses were more apt to be suppressed than any other natural impulses, and that the subconscious thus tended to be crowded with their ghosts. But in considering sex impulses, he forgot sex imaginings. Digging out, by painful cross-examination in a darkened room, some startling tale of carnality in his patient’s past, he committed the incredible folly of assuming it to be literally true. More often than not, I believe, it was a mere piece of boasting, a materialization of desire — in brief, a poem. It is astonishing that this possibility never occurred to the venerable professor; it is more astonishing that it has never occurred to any of his disciples. He should have psychoanalyzed a few poets instead of wasting all his time upon psychopathic women with sclerotic husbands. He would have dredged amazing things out of their subconsciouses, heroic as well as amorous. Imagine the billions of Boers, Germans, Irishmen and Hindus that Kipling would have confessed to killing!

H.L. Mencken, “The Poet and His Art”, Prejudices, Third Series, 1922.

April 4, 2015

QotD: DO NOT GIVE PSYCHOTHERAPY TO PEOPLE WITHOUT THEIR CONSENT

Filed under: Health,Quotations — Tags: , , — Nicholas @ 01:00

You know, I love science as much as anyone, maybe more, but I have grown to dread the phrase “…according to the research”.

They say that “Confronting triggers, not avoiding them, is the best way to overcome PTSD”. They point out that “exposure therapy” is the best treatment for trauma survivors, including rape victims. And that this involves reliving the trauma and exposing yourself to traumatic stimuli, exactly what trigger warnings are intended to prevent. All this is true. But I feel like they are missing a very important point.

YOU DO NOT GIVE PSYCHOTHERAPY TO PEOPLE WITHOUT THEIR CONSENT.

Psychotherapists treat arachnophobia with exposure therapy, too. They expose people first to cute, little spiders behind a glass cage. Then bigger spiders. Then they take them out of the cage. Finally, in a carefully controlled environment with their very supportive therapist standing by, they make people experience their worst fear, like having a big tarantula crawl all over them. It usually works pretty well.

Finding an arachnophobic person, and throwing a bucket full of tarantulas at them while shouting “I’M HELPING! I’M HELPING!” works less well.

And this seems to be the arachnophobe’s equivalent of the PTSD “advice” in the Pacific Standard. There are two problems with its approach. The first is that it avoids the carefully controlled, anxiety-minimizing setup of psychotherapy.

The second is that YOU DO NOT GIVE PSYCHOTHERAPY TO PEOPLE WITHOUT THEIR CONSENT.

If a person with post-traumatic stress disorder or some other trigger-related problem doesn’t want psychotherapy, then even as a trained psychiatrist I am forbidden to override that decision unless they become an immediate danger to themselves or others.

And if they do want psychotherapy, then very likely they want to do it on their own terms. I try to read things that challenge my biases and may even insult or trigger me, but I do it when I feel like it and not a moment before. When I am feeling adventurous and want to become stronger in some way, I will set myself some strenuous self-improvement task, whether it be going on a long run or reading material I know will be unpleasant. But at the end of a really long and exasperating day when I’m at my wit’s end and just want to relax, I don’t want you chasing me with a sword and making me run for my life, and I don’t want you forcing traumatic material at me.

Scott Alexander, “The Wonderful Thing About Triggers”, Slate Star Codex, 2014-05-30.

March 28, 2015

George Orwell gets a letter from his former teacher

Filed under: Britain,History,Media — Tags: , , , , — Nicholas @ 04:00

I didn’t know that Orwell was a former pupil of Aldous Huxley:

Wrightwood. Cal.

21 October, 1949

Dear Mr. Orwell,

It was very kind of you to tell your publishers to send me a copy of your book. It arrived as I was in the midst of a piece of work that required much reading and consulting of references; and since poor sight makes it necessary for me to ration my reading, I had to wait a long time before being able to embark on Nineteen Eighty-Four.

Agreeing with all that the critics have written of it, I need not tell you, yet once more, how fine and how profoundly important the book is. May I speak instead of the thing with which the book deals — the ultimate revolution? The first hints of a philosophy of the ultimate revolution — the revolution which lies beyond politics and economics, and which aims at total subversion of the individual’s psychology and physiology — are to be found in the Marquis de Sade, who regarded himself as the continuator, the consummator, of Robespierre and Babeuf. The philosophy of the ruling minority in Nineteen Eighty-Four is a sadism which has been carried to its logical conclusion by going beyond sex and denying it. Whether in actual fact the policy of the boot-on-the-face can go on indefinitely seems doubtful. My own belief is that the ruling oligarchy will find less arduous and wasteful ways of governing and of satisfying its lust for power, and these ways will resemble those which I described in Brave New World. I have had occasion recently to look into the history of animal magnetism and hypnotism, and have been greatly struck by the way in which, for a hundred and fifty years, the world has refused to take serious cognizance of the discoveries of Mesmer, Braid, Esdaile, and the rest.

Partly because of the prevailing materialism and partly because of prevailing respectability, nineteenth-century philosophers and men of science were not willing to investigate the odder facts of psychology for practical men, such as politicians, soldiers and policemen, to apply in the field of government. Thanks to the voluntary ignorance of our fathers, the advent of the ultimate revolution was delayed for five or six generations. Another lucky accident was Freud’s inability to hypnotize successfully and his consequent disparagement of hypnotism. This delayed the general application of hypnotism to psychiatry for at least forty years. But now psycho-analysis is being combined with hypnosis; and hypnosis has been made easy and indefinitely extensible through the use of barbiturates, which induce a hypnoid and suggestible state in even the most recalcitrant subjects.

Within the next generation I believe that the world’s rulers will discover that infant conditioning and narco-hypnosis are more efficient, as instruments of government, than clubs and prisons, and that the lust for power can be just as completely satisfied by suggesting people into loving their servitude as by flogging and kicking them into obedience. In other words, I feel that the nightmare of Nineteen Eighty-Four is destined to modulate into the nightmare of a world having more resemblance to that which I imagined in Brave New World. The change will be brought about as a result of a felt need for increased efficiency. Meanwhile, of course, there may be a large scale biological and atomic war — in which case we shall have nightmares of other and scarcely imaginable kinds.

Thank you once again for the book.

Yours sincerely,

Aldous Huxley

March 25, 2015

Millennials, philosophical malaise, and the moving target of “adulthood”

Filed under: Britain,Economics,Media — Tags: , , , — Nicholas @ 05:00

In Spiked, Tom Slater reviews a recent book by Susan Neiman, calling it “the philosophical kick up the arse my generation so desperately needs”:

Why Grow Up?, the latest book by American philosopher and essayist Susan Neiman, begins with a slyly subversive statement: ‘Being grown up is itself an ideal.’ In Britain today, this couldn’t seem further from the truth. Today, we’re told, is the worst time to be reaching adulthood. With economic strife, rising house prices, tuition fees and widespread youth unemployment weighing on Generation Y’s pasty back, coming of age merely means coming to the realisation that debt, destitution and living with mum and dad into your thirties is your inevitable inheritance. And that’s hardly an adulthood worth having.

The question this book seeks to answer is why growing up seems such a grim prospect today. From the off, Neiman dispenses with the sort of neuroscientific apologism that we’ve become accustomed to in recent years. Within the current, fatalistic climate, adulthood has been defined down. The Science now says that adolescence stretches into your mid-twenties. But, as Neiman observes in her introduction, there’s nothing scientific about growing up. The lines between childhood, adolescence and adulthood are mutable, and have changed over time. Less than a century ago, childhood, as a time of pampered play and dependence, lasted barely a few years for the vast majority of the population. And when most young people were out of school and married by the end of their teens, adolescence – the rebellious grace period between Tonka trucks and 2.4 children – didn’t even exist.

Instead, Neiman presents adulthood as a process of coming to terms with the circumstances you find yourself in and then committing to changing them – reconciling the ‘is’ and the ‘ought’. She situates this in the history of Enlightenment thought, in which the doomy realism of Hume clashed with the rugged idealism of Rousseau. ‘It would take Kant’, Neiman writes, ‘to appreciate the fact that we must take both seriously – if we are ever to arrive at an adulthood we need not merely acquiesce in but actively claim as [our] own’.

March 20, 2015

QotD: Power in sexual relationships

Filed under: Quotations,Science — Tags: , — Nicholas @ 01:00

The reproductive instinct (sex instinct) and the nurturing instinct (caring for the brood) are social drives, as we have said, in contrast to the instinct of self-preservation, which focuses on one’s own person, while the two first-named, focusing on another person, make us dependent upon that person and vice versa. The reproductive instinct and the nurturing instinct, therefore, are the key to power and powerlessness.

Power consists in making oneself the goal of another person’s social instincts, without seeking to satisfy one’s own social instincts through him. The other then does everything one asks. Powerlessness consists in wanting or having to satisfy one’s social instincts through another person whose social instincts one has not succeeded in concentrating on oneself — one then does everything the other asks. According to whether one has made someone dependent upon oneself for the satisfaction of one or both instincts, one controls that person partially or wholly, has partial or absolute power over him. (We are referring to biologically determined power; psychologically conditioned power will be dealt with later on.)

To know which of two people has the upper hand, then, one merely needs to know which member of the couple is in a position to manipulate the sex or nurturing instinct of the other. The same is true for the relationship between groups, classes, races, religious communities, generations and clans. It is whichever has the leverage, the favorable starting point or whatever it takes to concentrate the other’s social instincts upon himself, while remaining emotionally uncommitted. Since the most important social instincts involve sex or nurturing the brood, sex and parentage are the basic areas in which the question of power arises. Real power over another person — paradoxical as it may sound — is held by protégés and sex objects only. There is also the kind of power that depends on force, or physical strength. Where there is superior force, I serve under constraint; where there is power, I serve willingly. An adult of my own sex, a social class, an alien race, a political body can at most force me to submit i.e. only by superior physical pressure. But real power is held by whomever I want or need to satisfy my basic social instincts, even if that person is incomparably weaker than I am — I would be bound to do willingly whatever he/she asks. To rule effectively, it is power we need; force is second rate by comparison and far from equally compelling.

Esther Vilar, The Polygamous Sex, 1976.

March 14, 2015

“If this is feminism, it’s feminism hijacked by melodrama”

Filed under: Politics,USA — Tags: , , , , — Nicholas @ 09:53

In Reason, Elizabeth Nolan Brown looks at the reactions to a recent article in the Chronicle of Higher Education:

I just came across this great February piece in the Chronicle of Higher Education about the current “melodramatic” strain in mainstream feminist politics. In it Laura Kipnis, a cultural critic and film professor, writes of a “sexual paranoia” that pervades academia, turning once typical behavior suspect and infantilizing students (especially young women) in the process.

Kipnis, 58, has seen a few cycles of feminist thought and activism since her time as an undergraduate, now witnessing millennial politics firsthand from Northwestern University. The author of books such as Bound and Gagged: Pornography and the Politics of Fantasy in America and The Female Thing: Dirt, Envy, Sex, Vulnerability, she’s very much a feminist herself. In a review of Kipnes’ latest book of essays — covered and praised widely by major media — Salon book critic Laura Miller called her a “worldly, ambiguity-friendly thinker.” This is all to say that Kipnis is no Phyllis Schlafly, or even Caitlin Flanagan. Her liberal-feminist credentials are solid, and she has no need to be provocative just to be provocative.

[…]

Many of the most contentious campus rape stories to be popularized by the media involve students who didn’t initially see themselves as victims. Only after talking with friends, professors, or others do they “come to view” the experience as sexual assault. This certainly isn’t always lamentable — young, inexperienced women may be genuinely unsure about what’s abusive or atypical sexual behavior. But it’s clear that in at least some cases, young women are being steered into more sinister interpretations than may be warranted.

“If this is feminism,” writes Kipnis, “it’s feminism hijacked by melodrama. The melodramatic imagination’s obsession with helpless victims and powerful predators is what’s shaping the conversation of the moment, to the detriment of those whose interests are supposedly being protected, namely students. The result? Students’ sense of vulnerability is skyrocketing.”

Kipnis is far from the only one to suggest that by treating students as “trauma cases waiting to happen,” we’re creating exquisitely fragile monsters, to students’ own detriment — stunting their emotional growth and distorting their interpersonal expectations.

In December, Megan McArdle excoriated the view that because young women tend to be uncomfortable saying “no” to sexual suitors, we need a new framework for sorting out sexual consent. “It is not the word ‘no’ that women are struggling with; it is the concept of utter refusal,” wrote McArdle. “That is what has to change, not the words to describe it. … Unfortunately, no one else can bear the burden of deciding who we want to have sex with, and then articulating it forcefully.” And a feminism that tries to compensate for this, rather than teach young women to be firm about their own sexual wishes, is counterproductive.

The same goes for protecting students from pyschological “triggers,” which they will certainly encounter in the real world. If someone is so traumatized by certain subjects or language that they can’t cope upon exposure, it speaks to deeper psychological issues that should be addressed, not sidestepped and saved for a later day.

March 13, 2015

Revealed! Men who are nice to women are “insidious” and “treacherous” sexists

Filed under: Media — Tags: , , — Nicholas @ 04:00

Katherine Timpf has the shocking details of evil, sexist males who attempt to ingratiate themselves to women by being nice to them:

If you’re a man who smiles at women and makes an effort to be kind to them, you’re probably an “insidious” and “treacherous” sexist, according to a study conducted by researchers from Northeastern University in Boston.

Seriously.

After observing 27 people playing Trivial Pursuit, the researchers determined that these kind of behaviors — previously known as “chivalry” — were actually signs of what’s called “benevolent sexism.”

In other words: Men who think that women deserve to be treated well often also think that women should be treated particularly well because they’re women. This, they explain, perpetuates gender inequality. Offering your jacket to a shivering women isn’t helping her — it’s hurting her by perpetuating the patriarchal idea that a woman is more likely to be cold than you are just because she’s a woman.

Other warning signs of “benevolent sexism” include being friendly and chatty to women — which head researcher Jin Goh said is in some ways worse than being mean and/or straight up ignoring them: “Sexism can appear very friendly and very welcoming, so in the paper we said that sexism can act like a wolf in sheep’s clothing,” Goh said, according to an article in the Washington Post. “We add that sexism can consciously or unconsciously cloak itself in friendliness, so in a way it’s more insidious and treacherous than hostile sexism.”

So, the instant you detect a male being “nice” to you is the perfect time to denounce him for his hateful, patronizing sexist impulses. No deviation can be allowed, as even a brief “enjoyment” of this kind of patriarchal trick can set the cause back by literally decades!

February 27, 2015

The changes in language describing changing gender

Filed under: Health,USA — Tags: , , , — Nicholas @ 02:00

Charlotte Allen discusses how quickly the language has changed when talking about transsexuality over a very short time:

In 2012 the board of trustees of the American Psychiatric Association (APA) approved a set of proposed revisions to its Diagnostic and Statistical Manual of Mental Disorders (the new version is the DSM-5), designed to remove the stigma of mental illness from the transgender classification. Earlier versions of the DSM had defined transgenderism as “gender identity disorder,” which seemed to imply illness. The DSM-5 changed that term to “gender dysphoria.” The change paralleled the association’s removal of homosexuality as a mental disorder in 1973. It signaled that whatever problems transgenders might experience were not due to a pathological misconception that their bodies and gender identities were mismatched but to the fact that their bodies and gender identities were mismatched. Hormones, surgery, cosmetics, and different clothes might still be the “cure” (enabling transgenders to qualify for medical reimbursement for a variety of procedures), but the APA was making it clear, as far as it was concerned, that the problem was not inside the transgender’s head.

The medical evidence for a mismatch between brains and bodies is ambiguous. The two studies cited most frequently by transgender activists, published in 1995 and 2000, examined the brains of a total of seven male-to-female transgenders and found that a region of the hypothalamus, an almond-shaped area of the brain that controls the release of hormones by the pituitary gland, was female-typical in those brains. But those studies have been criticized for not controlling for the estrogen​—​which affects the size of the hypothalamus​—​that most male-to-female transgenders take daily in order to maintain their feminine appearance.

Accompanying the APA’s change of classification was a change of vocabulary. Ever since the days of Christine Jorgensen (1926-1989), the World War II serviceman whose surgery in Denmark during the early 1950s brought transgenderism under the media spotlight for the first time, the procedure was known in popular parlance as a “sex change operation.” Then in the 1990s, when the idea of one’s “gender” as something distinct from one’s biological sex began to take hold (thanks to the efforts of academic feminists and other postmodernists, who argued that gender is “socially constructed”), the preferred term became “gender reassignment surgery.” Now the preferred phrase seems to be “gender confirmation surgery.” The change in terminology renders more credible transpeople’s claims to have always belonged to the gender to which they have transitioned.

The once commonly used word “transsexual” has thus become passé ​—​ even verboten in the most sensitive circles —​ just during the past decade. For example, Washington Post reporter Abby Ohlheiser issued a severe scolding to news media for using the word “transsexual” in reference to a 27-year-old male-to-female victim of a grisly murder and dismemberment at the hands of her 28-year-old male lover (who subsequently committed suicide) in Brisbane, Australia, in October 2014. “Although some individuals do identify as ‘transsexual,’ the term is often viewed as old-fashioned and not an appropriate umbrella word,” Ohlheiser wrote in a column deriding the coverage of the crime as “transphobic.” Ohlheiser also objected to media describing the victim, Mayang Prasetyo, as a “prostitute” (Prasetyo had been working as an escort before her death) and reproducing photos of Prasetyo’s busty self clad in a tiny swimsuit that she had posted on the Internet. “Many of the articles covering the murder are laden with provocative photographs of the victim in a bikini, as if any story about a trans person is an excuse to view and scrutinize trans bodies,” Ohlheiser wrote.

February 25, 2015

Dealing with “dark tetrad” personalities

Filed under: Health — Tags: , — Nicholas @ 02:00

Bobby Stein linked to this column in Psychology Today from last summer, talking about how to deal with sadists, psychopaths, narcissists, and Machiavellians:

There are several personality types that are more likely to harm another than the average person would. Sadists possess an intrinsic motivation to inflict suffering on innocent others, even when this comes at a personal cost. This is because for sadistic personalities, cruelty is pleasurable, generally exciting, and can be sexually stimulating.

In a recent study, Buckels and colleagues examined examples of everyday sadism as part of what they refer to as the “Dark Tetrad,” sadism plus the original members of the “Dark Triad”—psychopathy, narcissism, and Machiavellianism. These personalities have some overlap and are characterized by callous manipulation, self-centeredness, disagreeableness, and exploitation. In their research, the team sought to determine whether everyday sadism could be captured in the laboratory, as well as whether measures of sadistic personality would predict these behaviors beyond already established measures of the Dark Triad. Among the findings were that sadistic personalities were the most likely members of the Dark Tetrad to select the task involving killing from an array of unpleasant tasks. Those sadists who killed more bugs derived greater pleasure from the act than those who killed fewer bugs.

In a second, related study, those high in sadism, psychopathy, and/or narcissism, as well as those low in empathy and perspective-taking, were willing to aggress against an innocent person when aggression was easy. Only sadists increased the intensity of their attack once they realized the person would not fight back, however. Furthermore, sadists, unlike the other “dark personalities,” were the only ones willing to expend additional time and energy (in this case, first completing a boring task) in order to have the opportunity to hurt an innocent person.

Previous research has found that although psychopaths have no qualms about hurting others, they are more likely to do so when it serves a specific purpose. Narcissists are less likely to aggress upon another unless their ego is threatened. Machiavellians will usually aggress upon others only if there are sufficient perceived benefits and the risk to themselves is acceptably low.

February 24, 2015

The bitter war between men and women

Filed under: Health,History,Religion — Tags: , , , , — Nicholas @ 03:00

Sarah Hoyt recently reposted her rant (in her words) about the ongoing struggle between men and women:

I know this goes completely against everything you’ve ever heard and learned. History — and SF — is full of dreamers who are convinced that if women ruled the world it would all be beauty flowers and non aggression. (To these dreamers I say spend a week as a girl in an all-girl school. It will be a rude awakening.)

Dreamers of the Dan Brown stripe posit a peaceful female worship, with yet more beauty and flowers and non-aggression. They ignore the fact that 99% of the goddess-worshiping religions were scary. And don’t tell me that’s patriarchal slander — it’s not. The baby-killing of Astoreth worship has been documented extensively. (Of course, the Phoenicians were equal-opportunity baby killers.) The castrations of Cybele worship were also well documented. Now, I can hardly imagine a female divinity without imagining hormonal episodes requiring appeasement — but that’s because I’m a woman of a certain age, and that’s fodder for another altogether different discussion. Suffice it to say that the maiden and mother usually also had a crone persona who was … er… “not a nice person.”

Anyway — all this to say since I joined the MOB (Mothers Of Boys) the scales about such things as the inherent equality of men and women as far as their brain structure and basic behavior have fallen from my eyes. (Well, the scales that remained. My experience in school notwithstanding, I’d been TAUGHT that females were getting the short end of the stick and that’s a hard thing to overcome. Learned wisdom is so much more coherent than lived wisdom, after all.)

Again — indulge me — I’m going to make a lot of statements I can too back up, but which would take very, very, very long to document — so it will seem like I’m ranting mid air. Stay with it. If I feel up to it later, I’ll post some references.

Yes, women have been horribly oppressed throughout history including the rather disgusting Victorian period that most Americans seem to believe is how ALL of history went. I contend, though, that women were not oppressed by some international conspiracy of males — yes, I know what Women’s Studies professors say. I would however remind you we’re talking of a group of people — men — who a) have issues finding their own socks in the dresser they’ve used for ten years. b) Are so good at communicating as a group that they couldn’t coordinate their way out of a wet paper bag, or to quote my friend Kate, couldn’t organize a bonk in a brothel. (In most large organizations the “social/coordinating” function is performed by females at various levels.) c) That women being oppressed by a patriarchy so thorough it altered history and changed all records of peaceful female religion would require a conspiracy lasting thousands of years and involving almost every male on Earth. If you believe that, I have this bridge in NY that I would like to sell you. — Women were oppressed by their own bodies.

Throughout most of history women had no safe and effective means of stopping pregnancy. — please, spare me the “herbal” remedies. I grew up in a village that had little access to medicine. If there had been an effective means of preventing pregnancy we’d have known it. TRUST me. There are abortificients, but they endanger the mother as well. However, until the pill there was no safe contraceptive. The herbal contraceptive is a plot device dreamed up by fantasy writers. Also, btw, the People’s Republic of China TESTED all these methods (including swallowing live tadpoles at the full moon.) NONE of them worked. SERIOUSLY.

What this meant in practical fact is that most women were pregnant from menarche to menopause, if they were lucky to live that long. I’ve been pregnant. If you haven’t, take it from me it’s not a condition conducive to brilliant discourse or reasoned logic. On top of that, of course, women would suffer the evils of repeated child bearing with no rest. In effect this DID make women frail and not the intellectual equals of men. And it encouraged any male around to “oppress” them. I.e., when the majority of females around you need a minder, you’re going to assume ALL females need a minder. It’s human nature. Note that beyond suffrage, the greatest advance in women’s equality came from the pill. Not a coincidence, that.

However, the people who think that women were oppressed by an international historical cabal rule the establishment. Including the educational establishment. I find it hilarious that in their minds men/boys are so powerful that they must be kept back and are suspected of being criminals just because they have a penis. This is attributing to them god-like powers to rival what any Victorian housewife would believe.

Anyway — these people have decided all efforts must be made to equal male and female performance in school. Since, in practical fact, this is impossible because males and females develop at different paces and favor different areas, they’ve settled for hobbling the all-powerful males.

You see this everywhere from Saturday morning cartoons to kindergarten to all the grades beyond. In cartoons these days, the girls ALWAYS rescue the boys. (They do it while keeping impeccably groomed hair, too. Impressive, that.) And in school all the girls are assumed to be right and all the boys are assumed to be wrong.

February 17, 2015

QotD: Psychology as the modern civic religion

Filed under: Quotations,Religion,Science,USA — Tags: , — Nicholas @ 01:00

There’s a certain sense in which psychology has taken the place of religious faith for many in the western world. When people seek answers for the bad that we do, how we can deal with our faults, motivation for a better life, and deeper questions of meaning and purpose, psychologists and psychology are where modern westerners tend to turn.

Where previous cultures saw acts of evil as evidence of internal sin against an external code of righteousness, psychologists tend to explain this as the product of environment and upbringing, external pressures causing improper behavior.

Even many otherwise religious people have so embraced this system of understanding. Many mainstream churches every Sunday have content very similar to the latest psychological teachings and popular psychology with a few religious themes thrown in. Popular teachers and writers such as Rick Warren are less minister of the gospel than motivational speaker, with more in common with Dr Phil than Jesus Christ.

Christopher Taylor, “COMMON KNOWLEDGE: Psychological myths”, Word Around the Net, 2014-05-28

February 7, 2015

Is there a relationship between physical illness and depression?

Filed under: Health,Science — Tags: , , , — Nicholas @ 02:00

Last month, Scott Alexander tried to show the evidence, pro and con, on whether we have detected a causal relationship between physical ailments and depression:

Start with From inflammation to sickness and depression [PDF], Dantzer et al (2008), who note that being sick makes you feel lousy [citation needed]. Drawing upon evolutionary psychology, they theorize this is an adaptive response to make sick people stay in bed (or cave, or wherever) so the body can focus all of its energy on healing. A lot of sickness behavior – being tired, not wanting to do anything, not eating, not wanting to hang around other people – seems kind of like mini-depression.

All of this stuff is regulated by chemicals called cytokines, which are released by immune cells that have noticed an injury or infection or something. They are often compared to a body-wide “red alert” sending the message “sickness detected, everyone to battle stations”. This response is closely linked to the idea of “inflammation”, the classic example of which is the locally infected area that has turned red and puffy. Most inflammatory cytokines handle the immune response directly, but a few of them – especially interleukin-1B and tumor necrosis factor alpha – cause this depression-like sickness behavior.

[…]

Here are some other suspicious facts about depression and inflammation:

– Exercise, good diet and sleep reduce inflammation; they also help depression.

– Stress increases inflammation and is a known trigger for depression.

– Rates of depression are increasing over time, with the condition seemingly very rare in pre-modern non-Westernized societies. This is commonly attributed to the atomization and hectic pace of modern life. But levels of inflammation are also increasing over time, probably because we have a terrible diet that disrupts the gut microbiota that are supposed to be symbioting with the immune system. Could this be another one of the things we think are social that turn out to be biological?

– SSRI antidepressants, like most medications, have about five zillion effects. One of the effects is to reduce the level of inflammatory cytokines in the body. Is it possible that this is why they work, and all of this stuff about serotonin receptors in the brain is a gigantic red herring?

– It’s always been a very curious piece of trivia that treating depression comorbid with heart disease significantly decreases your chances of dying from the heart disease. People just sort of nod their heads and say “You know, mind-body connection”. But inflammation is known to be implicated in cardiovascular disease. If treating depression is a form of lowering inflammation, this would make perfect sense.

– Rates of depression are much higher in sick people. Cancer patients are especially famous for this. No one gets too surprised here, because having cancer is hella depressing. But it’s always been interesting (to me at least) that as far as we can tell, antidepressants treat cancer-induced depression just as well as any other type. Are antidepressants just that good? Or is the link between cancer being sad and cancer causing depression only part of the story, with the other part being that the body’s immune response to cancer causes inflammatory cytokine release, which antidepressants can help manage?

– Along with cancer, depression is common in many other less immediately emotion-provoking illnesses like rheumatoid arthritis and diabetes. The common thread among these illnesses is inflammation.

– Inflammation changes the activity level of the enzyme indoleamine 2,3 dioxygenase. This enzyme produces kynurenines which interact with the NMDA receptor, a neurotransmitter receptor implicated in depression and various other psychiatric diseases (in case your first question upon learning about this pathway is the same as mine: yes, kynurenines got their name because they were first found in dog urine).

– Sometimes doctors treat diseases like hepatitis by injecting artificial cytokines to make the immune system realize the threat and ramp up into action. Cytokine administration treatments very commonly cause depression as a side effect. This depression can be treated with standard antidepressants.

– Also, it turns out we can just check and people with depression have more cytokines.

There’s also some evidence against the theory. People with depression have more cytokines, but it’s one of those wishy-washy “Well, if you get a large enough sample size, you’ll see a trend” style relationships, rather than “this one weird trick lets you infallibly produce depression”.

[…]

So in conclusion, I think the inflammatory hypothesis of depression is very likely part of the picture. Whether it’s the main part of the picture or just somewhere in the background remains to be seen, but for now it looks encouraging. Anti-inflammatory drugs do seem to treat depression, which is a point in the theory’s favor, but right now the only one that has strong evidence behind it has side effects that make it undesirable for most people. There’s a lot of room to hope that in the future researchers will learn more about exactly how this cytokine thing works and be able to design antidepressant drugs that target the appropriate cytokines directly. Until then, your best bets are the anti-inflammatory mainstays: good diet, good sleep, plenty of exercise, low stress levels, and all the other things we already know work.

February 2, 2015

Your favourite wine might just reveal more about you than you think

Filed under: Humour,Wine — Tags: — Nicholas @ 03:00

Why pay for therapy sessions, when Wine Folly can tell you all about your inner self just by finding out what kind of wine you prefer:

what-your-wine-says-about-you

If you love Pinot Noir…
pinot-noir-bottle
You’re the person who loves the idea of the beach but hates sand in between your toes. Pinot Noir is the ideal wine because it’s not too fruity, not too herbaceous, not too tannic and not too bold. Your go-to color to wear is gray. You have a silver car.

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