PsychMind
Tuesday, October 30, 2018
What is the Memory Capacity of the Human Brain?
What is the memory capacity of the human brain? Is there a physical limit to the amount of information it can store?
Mr. Osborne, may I be excused? My brain is full,” a student with a particularly tiny head asks his classroom teacher in a classic Far Side comic by Gary Larson. The deadpan answer to this question would be, “No, your brain is almost certainly not full.” Although there must be a physical limit to how many memories we can store, it is extremely large. We don’t have to worry about running out of space in our lifetime.
The human brain consists of about one billion neurons. Each neuron forms about 1,000 connections to other neurons, amounting to more than a trillion connections. If each neuron could only help store a single memory, running out of space would be a problem. You might have only a few gigabytes of storage space, similar to the space in an iPod or a USB flash drive. Yet neurons combine so that each one helps with many memories at a time, exponentially increasing the brain’s memory storage capacity to something closer to around 2.5 petabytes (or a million gigabytes). For comparison, if your brain worked like a digital video recorder in a television, 2.5 petabytes would be enough to hold three million hours of TV shows. You would have to leave the TV running continuously for more than 300 years to use up all that storage.
The brain’s exact storage capacity for memories is difficult to calculate. First, we do not know how to measure the size of a memory. Second, certain memories involve more details and thus take up more space; other memories are forgotten and thus free up space. Additionally, some information is just not worth remembering in the first place.
This is good news because our brain can keep up as we seek new experiences over our lifetime. If the human life span were significantly extended, could we fill our brains? I’m not sure. Ask me again in 100 years.
Tuesday, July 25, 2017
Being a Social Advocate
Far too many future health care professionals ignore the importance of the social determinants of health. Where a person lives, learns, works and plays can affect a wide array of health risks and outcomes. These forces shape one’s lifestyle and continue to influence their health for many years to come. Racism, xenophobia, sexism and other forms of prejudice can have a more dramatic influence on health than biological factors. These factors play into poverty, the safety of neighborhoods, substandard education, and overall access to resources. How can a patient get access to proper health care if they are living on minimum wage and cannot skip work to go to the urgent clinic? During the school year, there are children who only get a full meal every day because it is provided by the school. If you were to compound this problem with a diagnosis of diabetes, health inequity would become our primary obstacle in treating our patients.
As future health care professionals, we need to look at the statistics and reject the stereotypes that are associated with these at-risk communities. It is immoral for minorities and the impoverished to die earlier than others. It is immoral for the South Side of Chicago to have a lower life expectancy compared to the richer North Side of Chicago. It is immoral to cherish a chosen few lives over others. We must reject these notions and affirm equality amongst all people.
Achieving health equity is a daunting task, but even as a medical student, I can advocate for my future patients. Advocacy takes many forms: contacting our congressional leaders to discuss health care reforms, discussing health issues with the community, staying informed on current events in global health, educating our peers or protesting at a rally. it could even be as simple as attending a conference like those hosted by the Social Medicine Consortium. Even with the grueling workload of our daily affairs, future medical professionals can still engage in activism and advocacy to build towards health equity for all communities; especially those at risk.
To start advocacy and activism, start off by focusing on a topic that you are most passionate about. Think about what matters to you most: LGBTQ+ health, women’s health, gun violence, climate change, opioid epidemic, etc. Begin to open a conversation on these topics with your peers. Start by questioning the underlying issues behind these topics. What systems are in place that are preventing the betterment of these issues? And the most important question to discuss is, what can I do? As we begin to open a dialogue on these issues, we can start to engage in our communities and give a voice to the voiceless. Go out and advocate — even if it is just at your school or within your own homes. And as we spread the news of our advocacy and raise awareness to these issues, the snowball effect can lead to the global health equity that we all envision.
As future health care professionals, we need to look at the statistics and reject the stereotypes that are associated with these at-risk communities. It is immoral for minorities and the impoverished to die earlier than others. It is immoral for the South Side of Chicago to have a lower life expectancy compared to the richer North Side of Chicago. It is immoral to cherish a chosen few lives over others. We must reject these notions and affirm equality amongst all people.
Achieving health equity is a daunting task, but even as a medical student, I can advocate for my future patients. Advocacy takes many forms: contacting our congressional leaders to discuss health care reforms, discussing health issues with the community, staying informed on current events in global health, educating our peers or protesting at a rally. it could even be as simple as attending a conference like those hosted by the Social Medicine Consortium. Even with the grueling workload of our daily affairs, future medical professionals can still engage in activism and advocacy to build towards health equity for all communities; especially those at risk.
To start advocacy and activism, start off by focusing on a topic that you are most passionate about. Think about what matters to you most: LGBTQ+ health, women’s health, gun violence, climate change, opioid epidemic, etc. Begin to open a conversation on these topics with your peers. Start by questioning the underlying issues behind these topics. What systems are in place that are preventing the betterment of these issues? And the most important question to discuss is, what can I do? As we begin to open a dialogue on these issues, we can start to engage in our communities and give a voice to the voiceless. Go out and advocate — even if it is just at your school or within your own homes. And as we spread the news of our advocacy and raise awareness to these issues, the snowball effect can lead to the global health equity that we all envision.
Friday, June 3, 2016
Mind-Reading Motivation (MRM): Observing Behavior to Understand a Person’s Perspective
Researchers have coined a new term for the practice of observing and interpreting bits of social information that helps to understand other people’s perspectives.
The strategy is called mind-reading motivation, an approach that has strong implications for teamwork or relationships.
For instance, observing that the person next to you is rhythmically drumming his fingers may be because he’s anxious. Likewise, you may deduce that someone is preoccupied when she is gazing off into the distance.
Mind-reading motivation (MRM) is the tendency to engage with the mental states and perspectives of others. But it’s much more than just a means of passing idle time.
Being high in MRM leads to many social benefits, including better teamwork, according to Melanie Green.
Green is an associate professor in the University at Buffalo Department of Communication and the corresponding author of the a new study published in the journal Motivation and Emotion.
“We’re not talking about the psychic phenomenon or anything like that, but simply using cues from other people’s behavior, their non-verbal signals, to try to figure out what they’re thinking,” says Green.
MRM is an entirely new construct, according to those who developed it: Green and her coauthors Jordan M. Carpenter at the University of Pennsylvania and Tanya Vacharkulksemsuk at Haas School of Business, University of California, Berkeley. The researchers also believe this approach has implications for advertising and relationships.
Individuals high in mind-reading motivation enjoy speculating on others’ thoughts based on the potentially hundreds of social cues they might receive. Those low in MRM dislike or have no interest in doing so. MRM is about the motivation to engage with other minds, and is distinct from the ability to accurately interpret others’ cues.
“We didn’t measure ability directly in our study of teamwork, but the research suggests that just the motivation to understand others, and presumably the behaviors that go along with that motivation, appear to lead to benefits,” says Green.
In addition to facilitating cooperation and better teamwork, people high in MRM also consider people in great detail and have a nuanced understanding of those around them.
That is, the practice of ‘getting into someone’s’ head can have social benefits.
“Those high in MRM seem to develop richer psychological portraits of those around them,” says Green. “It’s the difference between saying ‘this person strives for success, but is afraid of achieving it’ as opposed to ‘this person is a great cook.'”
The relevance of those portraits also appears to have implications for advertising and the salience of certain messages.
“High MRM people are more drawn to and pay more attention to messages with an identifiable source – a spokesperson or an ad focusing on company values – that is, someone whose perspective they can try to understand.” says Green.
“On the other hand, low mind-reading motivation people seem to pay more attention to ads that are more impersonal, like those that just discuss the product – a message that does not appear to come from a particular person or group.”
Although there is no previous research in MRM, there is a long history of studies on perspective taking. But much of that research has focused on situations where perspective taking, in a sense, is required.
“Think about seeing some kind of trouble and trying to figure out what’s wrong,” she says. “Or noticing your partner is upset and you try to figure out what they’re thinking.”
Green and her colleagues thought there might be a difference in how much people enjoy or were motivated to speculate on people’s thoughts in situations where there was no situational need or institutional pressure. It could be as simple as a bus passenger considering the thoughts of those across the aisle.
“This hadn’t been previously considered from the standpoint of individual differences,” says Green. “That’s where this research is something new.”
Tuesday, January 19, 2016
Medical Marijuana Shown to Ease Migraines
Patients diagnosed with migraine headaches saw a significant drop in their frequency when treated with medical marijuana, according to a new study.
Published in the journalPharmacotherapy, the study examined patients diagnosed with migraines and treated with medical marijuana between January 2010 and September 2014.
It found the frequency of migraines dropped from 10.4 to 4.6 headaches per month, a number considered statistically and clinically significant, according to researchers at the Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of Colorado Anschutz Medical Campus.
Of the 121 patients studied, 103 reported a decrease in monthly migraines, while 15 reported the same number, and three saw an increase in migraines.
The researchers found various forms of cannabis utilized. Inhaled marijuana appeared to be the favorite for treating acute migraines, while edible cannabis, which takes longer to impact the body, helped prevent headaches.
Exactly how cannabis relieves migraines is still not fully understood, the researchers noted.
Cannabinoid receptors can be found throughout the body, including the brain, connective tissues and immune system. And they appear to have anti-inflammatory and pain-relieving properties, according to Borgelt. These cannabinoids also seem to affect critical neurotransmitters like serotonin and dopamine, she noted.
“We believe serotonin plays a role in migraine headaches, but we are still working to discover the exact role of cannabinoids in this condition,” Borgelt said.
She added that while the results were “quite remarkable,” more controlled studies are needed in the future.
The ideal study, she said, would be a randomized, placebo-controlled clinical trial with a marijuana washout period prior to start. It would also require providing subjects with standardized quantities and potencies of medical marijuana while tracking the occurrence of migraines just like prescription drug studies.
But given federal anti-drug laws, that kind of study would likely require legislative changes before it could be done, Borgelt said.
“If patients are considering medical marijuana they should speak to their health care provider and then follow up so we can track the impact of their overall treatment,” she said. “Open communication is necessary because we need to know how all of these treatments work together.”
Friday, January 15, 2016
Emotional Tone of Your Own Voice Affects Your Mood
As we listen to other people speak, we can usually determine whether they are happy, sad, bored, nervous, and so on, based on the sound of their voice.
A new study has found that we may actually be doing this with our own voices as well — listening to pick up on our own emotional states — rather than simply using our voices to reflect how we already feel.
For the study, researchers developed a digital audio platform that is able to change the emotional tone of people’s voices to make them sound happier, sadder or more fearful right as they are speaking (not listening to an older recording). The findings show that while listening to their altered voices, participants’ emotional states change to match the new emotion.
“Very little is known about the mechanisms behind the production of vocal emotion,” said lead author Jean-Julien Aucouturier, Ph.D., from the French National Centre for Scientific Research (CNRS), France.
“Previous research has suggested that people try to manage and control their emotions, for example hold back an expression or reappraise feelings. We wanted to investigate what kind of awareness people have of their own emotional expressions.”
During the experiment, participants read a short story aloud while hearing their own voice, altered to sound happier, sadder or more fearful, through a headset.
The findings show that the participants were unaware that their voices were being manipulated, even as their emotional state changed in accordance with the manipulated emotion in their voices. This suggests that people do not always control their own voice to meet a specific goal and that people listen to their own voice to learn how they are feeling.
“The relationship between the expression and experience of emotions has been a long-standing topic of disagreement in the field of psychology,” said Petter Johansson, Ph.D., one of the authors from Lund University, Sweden. “This is the first evidence of direct feedback effects on emotional experience in the auditory domain.”
The researchers developed algorithms to simulate the acoustic components of emotional vocalizations. For example, to make a voice sound happier, the researchers manipulated the speaker’s original pitch, inflection, and range to make it sound more positive, confident, and excited.
The researchers believe this novel audio platform opens up many new areas of research.
“Previously, this kind of emotion manipulation has not been done on running speech, only on recorded segments,” said Aucouturier. “We are making a version of the voice manipulation platform available as open-source on our website, and we invite anyone to download and experiment with the tools.”
The researchers believe the findings could help enhance the emotional impact of Karaoke or live singing performances, or perhaps alter the emotional atmosphere of conversations in online meetings and gaming.
Importantly, the findings could open the door for new types of psychological therapies, particularly for patients with mood disorders. For example, a patient might experience a positive mood change from retelling emotional memories or events in a modified tone of voice.
Students Think Better While Standing
New research suggests standing tests improve cognitive performance among high school students.
The study is the first to find evidence of neurocognitive benefits of stand-height desks in classrooms — where students are given the choice to stand or sit based on their preferences.
Researchers from the Texas A&M School of Public Health studied high school freshman assessing academic performance at the beginning and again at the end of the academic year.
Study findings appear in the International Journal of Environmental Research and Public Health.
Ranjana Mehta, Ph.D. explored the neurocognitive benefits using four computerized tests to assess executive functions. Executive functions are cognitive skills we all use to analyze tasks, break them into steps and keep them in mind until we get them done.
These skills are directly related to the development of many academic skills that allow students to manage their time effectively, memorize facts, understand what they read, solve multi-step problems, and organize their thoughts in writing.
Because these functions are largely regulated in the frontal brain regions, a portable brain-imaging device (functional near infrared spectroscopy) was used to examine associated changes in the frontal brain function by placing biosensors on students’ foreheads during testing.
“Test results indicated that continued use of standing desks was associated with significant improvements in executive function and working memory capabilities,” Mehta said.
“Changes in corresponding brain activation patterns were also observed.”
While prior studies focused on energy expenditure the current study observed increased attention and better behavior of students using standing desks. Mehta’s research study is the first study not subject to bias or interpretation that objectively exams students’ cognitive responses and brain function while using standing desks.
“Interestingly, our research showed the use of standing desks improved neurocognitive function, which is consistent with results from previous studies on school-based exercise programs,” Mehta said.
“The next step would be to directly compare the neurocognitive benefits of standing desks to school-based exercise programs.”
“There has been lots of anecdotal evidence from teachers that students focused and behaved better while using standing desks,” added Mark Benden, Ph.D., CPE, co-researcher and director of the Texas A&M Ergonomics Center.
“This is the first examination of students’ cognitive responses to the standing desks, which to date have focused largely on sedentary time as it relates to childhood obesity.”
Experts believe continued investigation of this research may have influence policy makers, public health professionals and school administrators to consider simple and sustainable environmental changes in classrooms.
The small changes may help to reduce obesity and enhance cognitive development and education outcomes.
The study is the first to find evidence of neurocognitive benefits of stand-height desks in classrooms — where students are given the choice to stand or sit based on their preferences.
Researchers from the Texas A&M School of Public Health studied high school freshman assessing academic performance at the beginning and again at the end of the academic year.
Study findings appear in the International Journal of Environmental Research and Public Health.
Ranjana Mehta, Ph.D. explored the neurocognitive benefits using four computerized tests to assess executive functions. Executive functions are cognitive skills we all use to analyze tasks, break them into steps and keep them in mind until we get them done.
These skills are directly related to the development of many academic skills that allow students to manage their time effectively, memorize facts, understand what they read, solve multi-step problems, and organize their thoughts in writing.
Because these functions are largely regulated in the frontal brain regions, a portable brain-imaging device (functional near infrared spectroscopy) was used to examine associated changes in the frontal brain function by placing biosensors on students’ foreheads during testing.
“Test results indicated that continued use of standing desks was associated with significant improvements in executive function and working memory capabilities,” Mehta said.
“Changes in corresponding brain activation patterns were also observed.”
While prior studies focused on energy expenditure the current study observed increased attention and better behavior of students using standing desks. Mehta’s research study is the first study not subject to bias or interpretation that objectively exams students’ cognitive responses and brain function while using standing desks.
“Interestingly, our research showed the use of standing desks improved neurocognitive function, which is consistent with results from previous studies on school-based exercise programs,” Mehta said.
“The next step would be to directly compare the neurocognitive benefits of standing desks to school-based exercise programs.”
“There has been lots of anecdotal evidence from teachers that students focused and behaved better while using standing desks,” added Mark Benden, Ph.D., CPE, co-researcher and director of the Texas A&M Ergonomics Center.
“This is the first examination of students’ cognitive responses to the standing desks, which to date have focused largely on sedentary time as it relates to childhood obesity.”
Experts believe continued investigation of this research may have influence policy makers, public health professionals and school administrators to consider simple and sustainable environmental changes in classrooms.
The small changes may help to reduce obesity and enhance cognitive development and education outcomes.
Psychiatry Ponders Whether Extreme Bias Can Be an Illness
The 48-year-old man turned down a job because he feared that a co-worker would be gay. He was upset that gay culture was becoming mainstream and blamed most of his personal, professional and emotional problems on the gay and lesbian movement.
These fixations preoccupied him every day. Articles in magazines about gays made him agitated. He confessed that his fears had left him socially isolated and unemployed for years: A recovering alcoholic, the man even avoided 12-step meetings out of fear he might encounter a gay person.
"He had a fixed delusion about the world," said Sondra E. Solomon, a psychologist at the University of Vermont who treated the man for two years. "He felt under attack, he felt threatened."
Mental health practitioners say they regularly confront extreme forms of racism, homophobia and other prejudice in the course of therapy, and that some patients are disabled by these beliefs. As doctors increasingly weigh the effects of race and culture on mental illness, some are asking whether pathological bias ought to be an official psychiatric diagnosis.
Advocates have circulated draft guidelines and have begun to conduct systematic studies. While the proposal is gaining traction, it is still in the early stages of being considered by the professionals who decide on new diagnoses.
If it succeeds, it could have huge ramifications on clinical practice, employment disputes and the criminal justice system. Perpetrators of hate crimes could become candidates for treatment, and physicians would become arbiters of how to distinguish "ordinary prejudice" from pathological bias.
Several experts said they are unsure whether bias can be pathological. Solomon, for instance, is uncomfortable with the idea. But they agreed that psychiatry has been inattentive to the effects of prejudice on mental health and illness.
"Has anyone done a word search for 'racism' in DSM-IV? It doesn't exist," said Carl C. Bell, a Chicago psychiatrist, referring to psychiatry's manual of mental disorders. "Has anyone asked, 'If you have paranoia, do you project your hostility toward other groups?' The answer is 'Hell, no!' "
The proposed guidelines that California psychologist Edward Dunbar created describe people whose daily functioning is paralyzed by persistent fears and worries about other groups. The guidelines have not been endorsed by the American Psychiatric Association, which publishes the Diagnostic and Statistical Manual of Mental Disorders (DSM); advocates are mostly seeking support for systematic study.
Darrel A. Regier, director of research at the psychiatric association, said he supports research into whether pathological bias is a disorder. But he said the jury is out on whether a diagnostic classification would add anything useful, given that clinicians already know about disorders in which people rigidly hold onto false beliefs.
"If you are going to put racism into the next edition of DSM, you would have enormous criticism," Regier said. Critics would ask, " 'Are you pathologizing all of life?' You better be prepared to defend that classification."
"I think it's absurd," said Sally Satel, a psychiatrist and the author of "PC, M.D.: How Political Correctness Is Corrupting Medicine." Satel said the diagnosis would allow hate-crime perpetrators to evade responsibility by claiming they suffered from a mental illness. "You could use it as a defense."
Psychiatrists who advocate a new diagnosis, such as Gary Belkin, deputy chief of psychiatry at New York's Bellevue Hospital, said social norms play a central role in how all psychiatric disorders are defined. Pedophilia is considered a disorder by psychiatrists, Belkin noted, but that does not keep child molesters from being prosecuted.
"Psychiatrists who are uneasy with including something like this in the Diagnostic and Statistical Manual need to get used to the fact that the whole manual reflects social context," said Belkin, who is planning to launch a study on pathological bias among patients at his hospital. "That is true of depression on down. Pathological bias is no more or less scientific than major depression."
Advocates for the new diagnosis also say most candidates for treatment, such as the man Solomon treated, are not criminals or violent offenders. Rather, they are like the young woman in Los Angeles who thought Jews were diseased and would infect her -- she carried out compulsive cleansing rituals and hit her head to drive away her obsessions. She realized she needed help but was afraid her therapist would be Jewish, said Dunbar, a Los Angeles psychologist who has amassed several case studies and treated several dozen patients for racial paranoia and other forms of what he considers pathological bias.
Another patient was a waiter so hostile to black people that he flung plates on the table when he served black patrons and got fired from multiple jobs.
A third patient was a Vietnam War veteran who was so fearful of Asians that he avoided social situations where he might meet them, Dunbar said.
"When I see someone who won't see a physician because they're Jewish, or who can't sit in a restaurant because there are Asians, or feels threatened by homosexuals in the workplace, the party line in mental health says, 'This is not our problem,' " the psychologist said. "If it's not our problem, whose problem is it?"
Opponents say making pathological bias a diagnosis raises the specter of social engineering -- brainwashing individuals who do not fit society's norms. But Dunbar and others say patients with disabling levels of prejudice should be treated for the same reason as are patients with any other disorder: They would feel, live and function better.
"They are delusional," said Alvin F. Poussaint, a professor of psychiatry at Harvard Medical School, who has long advocated such a diagnosis. "They imagine people are going to do all kinds of bad things and hurt them, and feel they have to do something to protect themselves.
"When they reach that stage, they are very impaired," he said. "They can't work and function; they can't hold a job. They would benefit from treatment of some type, particularly medication."
Doctors who treat inmates at the California State Prison outside Sacramento concur: They have diagnosed some forms of racist hatred among inmates and administered antipsychotic drugs.
"We treat racism and homophobia as delusional disorders," said Shama Chaiken, who later became a divisional chief psychologist for the California Department of Corrections, at a meeting of the American Psychiatric Association. "Treatment with antipsychotics does work to reduce these prejudices."
* * *
Amid a profusion of recent studies into the nature of prejudice, researchers have found that biases are very common. Almost everyone harbors what might be termed "ordinary prejudice," the research indicates.
Anthony Greenwald, a psychologist at the University of Washington in Seattle, and Mahzarin R. Banaji, a psychologist at Harvard, developed tests for such biases. By measuring the speed with which people make mental associations, the psychologists found that biases affect even those who actively resist them.
"When things are more strongly paired in our minds, we can respond to them more quickly," Banaji said. "Large numbers of Americans cannot as swiftly make the association between 'black' and 'good' as they can between 'white' and 'good.' "
Similarly, psychologist Margo Monteith at the University of Kentucky in Lexington found that people can have prejudices against groups they know nothing about. She administered a test in which volunteers, under time pressure, had to associate a series of words with either "America" or a fictitious country she called "Marisat."
Volunteers more easily associated Marisat with such words as "poison," "death" and "evil," while associating America with "sunrise," "paradise" and "loyal."
"A large part of our self-esteem derives from our group membership," Monteith said. "To the extent we can feel better about our group relative to other groups, we can feel good about ourselves. It's likely a built-in mechanism."
If biases are so common, many doctors ask, can racism really be a mental illness?
"I don't think racism is a mental illness, and that's because 100 percent of people are racist," said Paul J. Fink, a former president of the American Psychiatric Association. "If you have a diagnostic category that fits 100 percent of people, it's not a diagnostic category."
But Poussaint said there is a difference between ordinary prejudice and pathological bias -- the same distinction that psychiatrists make between sadness and depression. All people experience sadness, anxiety and fear, but extreme, disabling forms of these emotions are called disorders.
While people with ordinary prejudice try very hard to conceal their biases, Solomon said, her homophobic patient had no embarrassment about his attitude toward gays. Dunbar said people with pathological prejudice often lack filtering capabilities. As a result, he said, they face problems at work and home.
"Everyone is inculcated with stereotypes and biases with cultural issues, but some individuals not only hold beliefs that are very rigid, but they are part of a psychological problem," Dunbar said.
The psychologist said he has helped such patients with talk therapy, which encourages patients to question the basis for their beliefs, and by steering them toward medications such as antipsychotics.
The woman with the bias against Jews did not overcome her prejudice, Dunbar said, but she learned to control her fear response in social settings. The patient with hostility against African Americans realized his beliefs were "stupid."
Solomon discovered she was most effective dealing with the homophobic man when she was nonjudgmental. When he claimed there were more gays and lesbians than ever before, she presented him with data showing there was no such shift.
At those times, she reported in a case study, the patient would say, "I know, I know." He would recognize that he was not being logical, but then get angry and return to the same patterns of obsession. Solomon did not identify the man because of patient confidentiality.
Standing in the central yard of the maximum-security California State Prison with inmates exercising around her, Chaiken explained how she distinguished pathological bias from ordinary prejudice: A prisoner who belonged to a gang with racist views might express such views to fit in with his gang, but if he continues "yelling racial slurs, assaulting others when it's clear there is no benefit" after he leaves the gang, the behavior was no longer "adaptive."
Prison officials declined to identify inmates who had been treated, or make them available for interviews.
Chicago psychiatrist Bell said he has not made up his mind on whether bias can be pathological. But in proposing a research agenda for the next edition of psychiatry's DSM of mental disorders, Bell and researchers from the Mayo Clinic, McGill University, the University of California at Los Angeles and other academic institutions wrote: "Clinical experience informs us that racism may be a manifestation of a delusional process, a consequence of anxiety, or a feature of an individual's personality dynamics."
The psychiatrists said their profession has neglected the issue: "One solution would be to encourage research that seeks to delineate the validity and reliability of racism as a symptom and to investigate the possibility of including it in some diagnostic criteria sets in future editions of DSM."
Saturday, December 10, 2005
"He had a fixed delusion about the world," said Sondra E. Solomon, a psychologist at the University of Vermont who treated the man for two years. "He felt under attack, he felt threatened."
Mental health practitioners say they regularly confront extreme forms of racism, homophobia and other prejudice in the course of therapy, and that some patients are disabled by these beliefs. As doctors increasingly weigh the effects of race and culture on mental illness, some are asking whether pathological bias ought to be an official psychiatric diagnosis.
Advocates have circulated draft guidelines and have begun to conduct systematic studies. While the proposal is gaining traction, it is still in the early stages of being considered by the professionals who decide on new diagnoses.
If it succeeds, it could have huge ramifications on clinical practice, employment disputes and the criminal justice system. Perpetrators of hate crimes could become candidates for treatment, and physicians would become arbiters of how to distinguish "ordinary prejudice" from pathological bias.
Several experts said they are unsure whether bias can be pathological. Solomon, for instance, is uncomfortable with the idea. But they agreed that psychiatry has been inattentive to the effects of prejudice on mental health and illness.
"Has anyone done a word search for 'racism' in DSM-IV? It doesn't exist," said Carl C. Bell, a Chicago psychiatrist, referring to psychiatry's manual of mental disorders. "Has anyone asked, 'If you have paranoia, do you project your hostility toward other groups?' The answer is 'Hell, no!' "
The proposed guidelines that California psychologist Edward Dunbar created describe people whose daily functioning is paralyzed by persistent fears and worries about other groups. The guidelines have not been endorsed by the American Psychiatric Association, which publishes the Diagnostic and Statistical Manual of Mental Disorders (DSM); advocates are mostly seeking support for systematic study.
Darrel A. Regier, director of research at the psychiatric association, said he supports research into whether pathological bias is a disorder. But he said the jury is out on whether a diagnostic classification would add anything useful, given that clinicians already know about disorders in which people rigidly hold onto false beliefs.
"If you are going to put racism into the next edition of DSM, you would have enormous criticism," Regier said. Critics would ask, " 'Are you pathologizing all of life?' You better be prepared to defend that classification."
"I think it's absurd," said Sally Satel, a psychiatrist and the author of "PC, M.D.: How Political Correctness Is Corrupting Medicine." Satel said the diagnosis would allow hate-crime perpetrators to evade responsibility by claiming they suffered from a mental illness. "You could use it as a defense."
Psychiatrists who advocate a new diagnosis, such as Gary Belkin, deputy chief of psychiatry at New York's Bellevue Hospital, said social norms play a central role in how all psychiatric disorders are defined. Pedophilia is considered a disorder by psychiatrists, Belkin noted, but that does not keep child molesters from being prosecuted.
"Psychiatrists who are uneasy with including something like this in the Diagnostic and Statistical Manual need to get used to the fact that the whole manual reflects social context," said Belkin, who is planning to launch a study on pathological bias among patients at his hospital. "That is true of depression on down. Pathological bias is no more or less scientific than major depression."
Advocates for the new diagnosis also say most candidates for treatment, such as the man Solomon treated, are not criminals or violent offenders. Rather, they are like the young woman in Los Angeles who thought Jews were diseased and would infect her -- she carried out compulsive cleansing rituals and hit her head to drive away her obsessions. She realized she needed help but was afraid her therapist would be Jewish, said Dunbar, a Los Angeles psychologist who has amassed several case studies and treated several dozen patients for racial paranoia and other forms of what he considers pathological bias.
Another patient was a waiter so hostile to black people that he flung plates on the table when he served black patrons and got fired from multiple jobs.
A third patient was a Vietnam War veteran who was so fearful of Asians that he avoided social situations where he might meet them, Dunbar said.
"When I see someone who won't see a physician because they're Jewish, or who can't sit in a restaurant because there are Asians, or feels threatened by homosexuals in the workplace, the party line in mental health says, 'This is not our problem,' " the psychologist said. "If it's not our problem, whose problem is it?"
Opponents say making pathological bias a diagnosis raises the specter of social engineering -- brainwashing individuals who do not fit society's norms. But Dunbar and others say patients with disabling levels of prejudice should be treated for the same reason as are patients with any other disorder: They would feel, live and function better.
"They are delusional," said Alvin F. Poussaint, a professor of psychiatry at Harvard Medical School, who has long advocated such a diagnosis. "They imagine people are going to do all kinds of bad things and hurt them, and feel they have to do something to protect themselves.
"When they reach that stage, they are very impaired," he said. "They can't work and function; they can't hold a job. They would benefit from treatment of some type, particularly medication."
Doctors who treat inmates at the California State Prison outside Sacramento concur: They have diagnosed some forms of racist hatred among inmates and administered antipsychotic drugs.
"We treat racism and homophobia as delusional disorders," said Shama Chaiken, who later became a divisional chief psychologist for the California Department of Corrections, at a meeting of the American Psychiatric Association. "Treatment with antipsychotics does work to reduce these prejudices."
* * *
Amid a profusion of recent studies into the nature of prejudice, researchers have found that biases are very common. Almost everyone harbors what might be termed "ordinary prejudice," the research indicates.
Anthony Greenwald, a psychologist at the University of Washington in Seattle, and Mahzarin R. Banaji, a psychologist at Harvard, developed tests for such biases. By measuring the speed with which people make mental associations, the psychologists found that biases affect even those who actively resist them.
"When things are more strongly paired in our minds, we can respond to them more quickly," Banaji said. "Large numbers of Americans cannot as swiftly make the association between 'black' and 'good' as they can between 'white' and 'good.' "
Similarly, psychologist Margo Monteith at the University of Kentucky in Lexington found that people can have prejudices against groups they know nothing about. She administered a test in which volunteers, under time pressure, had to associate a series of words with either "America" or a fictitious country she called "Marisat."
Volunteers more easily associated Marisat with such words as "poison," "death" and "evil," while associating America with "sunrise," "paradise" and "loyal."
"A large part of our self-esteem derives from our group membership," Monteith said. "To the extent we can feel better about our group relative to other groups, we can feel good about ourselves. It's likely a built-in mechanism."
If biases are so common, many doctors ask, can racism really be a mental illness?
"I don't think racism is a mental illness, and that's because 100 percent of people are racist," said Paul J. Fink, a former president of the American Psychiatric Association. "If you have a diagnostic category that fits 100 percent of people, it's not a diagnostic category."
But Poussaint said there is a difference between ordinary prejudice and pathological bias -- the same distinction that psychiatrists make between sadness and depression. All people experience sadness, anxiety and fear, but extreme, disabling forms of these emotions are called disorders.
While people with ordinary prejudice try very hard to conceal their biases, Solomon said, her homophobic patient had no embarrassment about his attitude toward gays. Dunbar said people with pathological prejudice often lack filtering capabilities. As a result, he said, they face problems at work and home.
"Everyone is inculcated with stereotypes and biases with cultural issues, but some individuals not only hold beliefs that are very rigid, but they are part of a psychological problem," Dunbar said.
The psychologist said he has helped such patients with talk therapy, which encourages patients to question the basis for their beliefs, and by steering them toward medications such as antipsychotics.
The woman with the bias against Jews did not overcome her prejudice, Dunbar said, but she learned to control her fear response in social settings. The patient with hostility against African Americans realized his beliefs were "stupid."
Solomon discovered she was most effective dealing with the homophobic man when she was nonjudgmental. When he claimed there were more gays and lesbians than ever before, she presented him with data showing there was no such shift.
At those times, she reported in a case study, the patient would say, "I know, I know." He would recognize that he was not being logical, but then get angry and return to the same patterns of obsession. Solomon did not identify the man because of patient confidentiality.
Standing in the central yard of the maximum-security California State Prison with inmates exercising around her, Chaiken explained how she distinguished pathological bias from ordinary prejudice: A prisoner who belonged to a gang with racist views might express such views to fit in with his gang, but if he continues "yelling racial slurs, assaulting others when it's clear there is no benefit" after he leaves the gang, the behavior was no longer "adaptive."
Prison officials declined to identify inmates who had been treated, or make them available for interviews.
Chicago psychiatrist Bell said he has not made up his mind on whether bias can be pathological. But in proposing a research agenda for the next edition of psychiatry's DSM of mental disorders, Bell and researchers from the Mayo Clinic, McGill University, the University of California at Los Angeles and other academic institutions wrote: "Clinical experience informs us that racism may be a manifestation of a delusional process, a consequence of anxiety, or a feature of an individual's personality dynamics."
The psychiatrists said their profession has neglected the issue: "One solution would be to encourage research that seeks to delineate the validity and reliability of racism as a symptom and to investigate the possibility of including it in some diagnostic criteria sets in future editions of DSM."
Shankar Vedantam
Washington Post Staff Writer Saturday, December 10, 2005
Saturday, August 29, 2015
The Nomophobia Test: Fear of Being Without Your Mobile Phone
Take the test for ‘nomophobia': short for “no-mobile-phone phobia”.
Psychologists have developed a test for nomophobia: the fear of being without your phone.
Nomophobia is short for “no-mobile-phone phobia”.
The researchers found four aspects to nomophobia:
not being able to communicate,
losing connectedness,
not being able to access information,
and giving up convenience.
People in the study responded to the statements below on a scale of 1 (strongly disagree) to 7 (strongly agree).
You can add up your total score, by adding your responses to each item.
The higher the score, the more you ‘suffer’ from nomophobia.
Here are the statements:
I would feel uncomfortable without constant access to information through my smartphone.
I would be annoyed if I could not look information up on my smartphone when I wanted to do so.
Being unable to get the news (e.g., happenings, weather, etc.) on my smartphone would make me nervous.
I would be annoyed if I could not use my smartphone and/or its capabilities when I wanted to do so.
Running out of battery in my smartphone would scare me.
If I were to run out of credits or hit my monthly data limit, I would panic.
If I did not have a data signal or could not connect to Wi-Fi, then I would constantly check to see if I had a signal or could find a Wi-Fi network.
If I could not use my smartphone, I would be afraid of getting stranded somewhere.
If I could not check my smartphone for a while, I would feel a desire to check it.
If I did not have my smartphone with me:
I would feel anxious because I could not instantly communicate with my family and/or friends.
I would be worried because my family and/or friends could not reach me.
I would feel nervous because I would not be able to receive text messages and calls.
I would be anxious because I could not keep in touch with my family and/or friends.
I would be nervous because I could not know if someone had tried to get a hold of me.
I would feel anxious because my constant connection to my family and friends would be broken.
I would be nervous because I would be disconnected from my online identity.
I would be uncomfortable because I could not stay up-to-date with social media and online networks.
I would feel awkward because I could not check my notifications for updates from my connections and online networks.
I would feel anxious because I could not check my email messages.
I would feel weird because I would not know what to do.
The study was published in the journal Computers in Human Behavior (Yildrim et al., 2015).
Friday, August 28, 2015
Making a mistake can be rewarding
The human brain learns two ways -- either through avoidance learning, which trains the brain to avoid committing a mistake, or through reward-based learning, a reinforcing process that occurs when someone gets the right answer. Scientists have found that making a mistake can feel rewarding, though, if the brain is given the opportunity to learn from its mistakes and assess its options.
Many political leaders, scientists, educators and parents believe that failure is the best teacher.
Scientists have long understood that the brain has two ways of learning. One is avoidance learning, which is a punishing, negative experience that trains the brain to avoid repeating mistakes. The other is reward-based learning, a positive, reinforcing experience in which the brain feels rewarded for reaching the right answer.
A new MRI study by USC and a group of international researchers has found that having the opportunity to learn from failure can turn it into a positive experience -- if the brain has a chance to learn from its mistakes.
"We show that, in certain circumstances, when we get enough information to contextualize the choices, then our brain essentially reaches towards the reinforcement mechanism, instead of turning toward avoidance," said Giorgio Coricelli, a USC Dornsife associate professor of economics and psychology.
For the study, researchers engaged 28 subjects, each around 26 years old, in a series of questions that challenged them to maximize their gains by providing the right answers. If they chose a wrong answer, they lost money, while right answers helped them earn money.
One trial prompted their brains to respond to getting the wrong answer with avoidance learning. A second trial prompted a reward-based learning reaction, and a third but separate trial tested whether participants had learned from their mistakes, allowing them to review and understand what they got wrong.
In that third round, the participants responded positively, activating areas in their brains that some scientists call the "reward circuit" -- or the "ventral striatum." This experience mimicked the brain's reward-based learning response -- as opposed to an avoidance-learning response, an experience that involves different parts of the brain that together comprise the "anterior insula."
Coricelli said this process is similar to what the brain experiences when feeling regret: "With regret, for instance, if you have done something wrong, then you might change your behavior in the future," he said.
Coricelli conducted the study with scientists from the University College London, the French Institute for Robotics and Intelligent Systems, the French Institute of Health and Medical Research, and the French National Center for Scientific Research. The findings were published on Aug. 25 in the journal Nature Communications.
Monday, August 18, 2014
Normalcy???
I always find it interesting that we tend to look at behaviors from others or ourselves and although we see the uncommon characteristics of that person, life goes on, although we may find humor or sometimes fear in what we just witnessed. In my 27 years in being a therapist I heard many stories that sometimes held for me almost disbelief anyone would think like that, but the human potential is anything but predicable. One thing we know in studying psychology is what we attempt to call “normal” is usually an illusion of our own need to feel normal ourselves. Many times sitting in my office meeting a new client for the first time, thinking there is nothing anyone can say that will shock me, and then hearing another story that defies belief. We are amazing creatures full of mystery and individuality and yet there is so much to learn about how we think reason and act. Yes there are those stories that most of would ask, how could someone do that to another person, harm them, bring so much misery to others? We may never fully understand those “horror” stories that we read about in the newspapers or watch on the news, but we continue to look at the causes and reasons why some people act the way they do. So how do we define “normal”? Is it what we in our society deem acceptable or does a behavior need to conform to our own personality and psyche?
Monday, May 19, 2014
Mid-life Crisis: An Outdated Myth?
The stereotype that many middle-aged people get depressed and must perk up their lives with sports cars and affairs may be an outdated myth, scientists say. In fact, these days many people often feel more fulfilled in their middle and later years, data shows.
The term "mid-life crisis" was coined 40 years ago by psychologist Elliot Jacques, who reasoned that people's quality of life generally declines after age 35 (at the time, the average lifespan was about 70 years). Jacques suggested that some extreme reactions to looming mortality were to be expected at around this time of life.
But psychologist Carlo Strenger of Israel's Tel Aviv University says that's no longer true, and that studies show mid-life can be one of the happiest periods of people's lives.
"At this point we have surveys of around 1,500 [middle-aged] people," Strenger told LiveScience. "Most of them actually say that they are better off and happier and more balanced than they were when they were 20 years younger. It's quite surprising."
Though the research has so far been confined to Western cultures, Strenger thinks the same trends, as well as similar stereotypes, may apply to other cultures.Strenger says that common notions of what mid-life is supposed to be like are stuck in the past, when life-expectancy was lower, people's health, especially in later years, was much worse, and there was less emphasis on education and self-awareness. "People are so used to thinking of mid-life as basically a period of loss that it often does become a self-fulfilling prophecy," he said. 'But some people, you really see that they begin to blossom, they begin to be more fruitful. They do things on a larger scale." Nowadays, when people are in their 40s and 50s, they have matured, learned to take some of life's hiccups in stride, learned more about themselves and the world around them, and so are uniquely poised to take advantage of the next phase of their lives.
"When you are 50, statistically you have as many adult years ahead of you as you have behind you," Strenger said. "It really takes time to internalize what that really means. It would mean that this whole lifetime that you have behind you, you have ahead of you, and the question is what you want to do with it."
In fact, this may be the time for many people to finally tackle projects or dreams that they've been putting off. They might have a better chance of succeeding because their choices will be based on knowledge and experience, rather than youthful blind ambition.
"Give yourself the chance to truly reassess your choices and to see how you can now use your self-knowledge and live a much more meaningful life than you've lived before. Mid-life can be the moment where you can truly realize your dreams because you know yourself much better."
Monday, January 13, 2014
Are We Becoming Less Creative?
Research in recent years has suggested that young Americans might be less creative now than in decades past, even while their intelligence -- as measured by IQ tests -- continues to rise.
But new research from the University of Washington Information School and Harvard University, closely studying 20 years of student creative writing and visual artworks, hints that the dynamics of creativity may not break down as simply as that.
Instead, it may be that some aspects of creativity -- such as those employed in visual arts -- are gently rising over the years, while other aspects, such as the nuances of creative writing, could be declining.
The paper will be published in Creativity Research Journal in January 2014. The lead author is Emily Weinstein, a doctoral student in the Harvard Graduate School of Education.
Katie Davis, UW assistant professor, and fellow researchers studied 354 examples of visual art and 50 examples of creative writing by teenagers published between 1990 and 2011. The question they pursued, Davis said, was "How have the style, content and form of adolescents' art-making and creative writing changed over the last 20 years?"
The artwork came from a monthly magazine for teens, the writing from a similar annual publication featuring student fiction. The researchers analyzed and coded the works, blind as to year, looking for trends over that time.
The review of student visual art showed an increase in the sophistication and complexity both in the designs and the subject matter over the years. The pieces, Davis said, seemed "more finished, and fuller, with backgrounds more fully rendered, suggesting greater complexity." Standard pen-and-ink illustrations grew less common over the period studied, while a broader range of mixed media work was represented.
Conversely, the review of student writing showed the young authors adhering more to "conventional writing practices" and a trend toward less play with genre, more mundane narratives and simpler language over the two decades studied.
Still, Davis said, it's too simple to just say creativity increased in one area and decreased in another over the years.
"There really isn't a standard set of agreed-upon criteria to measure something as complex and subjective as creativity," she said. "But there are markers of creativity -- like complexity and risk-taking and breaking away from the standard mold -- that appear to have changed."
The researchers also note that the period of study was a time of great innovation in digital art, with new tools for creative production and boundless examples of fine art a mere click or two away, serving to inform and inspire the students in their own work.
Davis said that while previous research has typically studied creativity in a lab setting, this work examined student creative work in a more "naturalistic" setting, where it is found in everyday life.
She added that with data from such a naturalistic setting, researchers cede a degree of control over the characteristics of the sample being studied, and the findings cannot safely be generalized to all American youth.
"It remains an open question as to whether the entire U.S. has seen a decline in literary creativity and a parallel increase in visual creativity among its youth over the last 20 years," Davis said. "Because society -- indeed any society -- depends on the creativity of its citizens to flourish, this is a question that warrants serious attention in future creativity research."
Wednesday, August 21, 2013
Amazing Connection We Have With Plants
Have you ever felt a connection a connection with trees and plants as if they share some wavelength with you? We apparently share more of a connection with plants than we give ourselves credit for:
Dr. Cleve Backster, former CIA operative, was one of the early developers of the polygraph machine (lie detector test that picks up electrical activity on the skin). While in his lab, Dr. Backster got the idea to hook up a plant leaf to the polygraph machine and try to get a reaction out of it. He tried tapping the leaf with a pen and dipping a leaf in his coffee, and there was no reaction on the polygraph chart.
Then he had the thought "I'll go to my desk and burn the leaf with some matches", and as soon as this thought entered into his mind, the plant had an energetic response: the lines on the graph excelled to the top of the chart similar to electrical activity a person gives off during feelings of anxiety. The plant "screamed" from his thoughts alone, but only when it knew his thoughts were genuine making the plant feel threatened.
This effect was repeated in his lab, in front of live audiences, and even on the television show "Myth Busters". Backster also got similar polygraph results from shrimp, eggs, and even human DNA. If you are interested in this, there is a book called “The Secret Life of Plants” which also has many other scientists accounts of the physical, emotional, and spiritual connections between plants and man.
The creation is alive and conscious. It is energetically sensitive to its environment just as we are. We share the consciousness field with all of creation, and our thoughts produce energetic currents that propagate through space that all life is aware of on a scientifically measurable level. You and your thoughts are one with it in the most direct way. So to all the tree huggers out there who claim that the trees understand them and communicate with them, there may be more validity to that they we think;)
Original study in the International Journey of Parapsychology: "The significance of the experiment results provides evidence of the existence of a yet undefined primary perception in plant life
"http://www.rebprotocol.net/clevebaxter/Evidence%20of%20a%20Primary%20Perception%20In%20Plant%20Life%2023pp.pdf
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