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Lawrence Hrubes

Executing Them Softly - NYTimes.com - 0 views

  • Since the late 19th century in the United States, critical responses to the spectacle of pain in executions have continued to spur ardent calls for the improvement of killing technology. One of the most prolific legal theorists of capital punishment, Austin Sarat, has concisely referred to this history: “The movement from hanging to electrocution, from electrocution to the gas chamber, from gas to lethal injection, reads like someone’s version of the triumph of progress, with each new technique enthusiastically embraced as the latest and best way to kill without imposing pain.” Recent debates over the administration of midazolam and pentobarbital, and in what dosage, seamlessly integrate themselves into Sarat’s grim progress narrative. The inexhaustible impulse to seek out less painful killing technologies puts a series of questions in sharp relief: What is, and should be, the role of pain in retributive justice? And how has the law come to rationalize the condemned’s experience of pain during an execution? While the Eighth Amendment stipulates the necessity of avoiding “cruel and unusual punishment,” in 1890 the Supreme Court decided this clause could mean that no method of execution should impose “something more than the mere extinguishment of life.” And then, in 1958, the court also determined that the amendment should reflect the “evolving standards of decency that mark the progress of a maturing society.” If we were to consider the “standard of decency” in our society today, we would be pushed to ask: By what moral order have we continued to establish the “extinguishment of life” as something “mere,” and the pain of the condemned as excessive? In other words, how has the pain experienced during an execution become considered cruel and unconstitutional but not the very act of killing itself? We should dial back to older histories of law to tap into pain’s perennially vexed role in retributive theories of justice.
markfrankel18

Strong placebo response thwarts painkiller trials : Nature News & Comment - 0 views

  • Drug companies have a problem: they are finding it ever harder to get painkillers through clinical trials. But this isn't necessarily because the drugs are getting worse. An extensive analysis of trial data1 has found that responses to sham treatments have become stronger over time, making it harder to prove a drug’s advantage over placebo. The change in reponse to placebo treatments for pain, discovered by researchers in Canada, holds true only for US clinical trials. "We were absolutely floored when we found out," says Jeffrey Mogil, who directs the pain-genetics lab at McGill University in Montreal and led the analysis. Simply being in a US trial and receiving sham treatment now seems to relieve pain almost as effectively as many promising new drugs. Mogil thinks that as US trials get longer, larger and more expensive, they may be enhancing participants’ expectations of their effectiveness.
markfrankel18

Acupuncture Doesn't Work « Science-Based Medicine - 0 views

  • Clinical research can never prove that an intervention has an effect size of zero. Rather, clinical research assumes the null hypothesis, that the treatment does not work, and the burden of proof lies with demonstrating adequate evidence to reject the null hypothesis. So, when being technical, researchers will conclude that a negative study “fails to reject the null hypothesis.” Further, negative studies do not demonstrate an effect size of zero, but rather that any possible effect is likely to be smaller than the power of existing research to detect. The greater the number and power of such studies, however, the closer this remaining possible effect size gets to zero. At some point the remaining possible effect becomes clinically insignificant. In other words, clinical research may not be able to detect the difference between zero effect and a tiny effect, but at some point it becomes irrelevant. What David and I have convincingly argued, in my opinion, is that after decades of research and more than 3000 trials, acupuncture researchers have failed to reject the null hypothesis, and any remaining possible specific effect from acupuncture is so tiny as to be clinically insignificant.
  • It is clear from meta-analyses that results of acupuncture trials are variable and inconsistent, even for single conditions. After thousands of trials of acupuncture and hundreds of systematic reviews,18 arguments continue unabated. In 2011,Pain published an editorial31 that summed up the present situation well. “Is there really any need for more studies? Ernst et al.18 point out that the positive studies conclude that acupuncture relieves pain in some conditions but not in other very similar conditions. What would you think if a new pain pill was shown to relieve musculoskeletal pain in the arms but not in the legs? The most parsimonious explanation is that the positive studies are false positives. In his seminal article on why most published research findings are false, Ioannidis32 points out that when a popular but ineffective treatment is studied, false positive results are common for multiple reasons, including bias and low prior probability.” Since it has proved impossible to find consistent evidence after more than 3000 trials, it is time to give up. It seems very unlikely that the money that it would cost to do another 3000 trials would be well-spent.
markfrankel18

Paul Bloom: The Case Against Empathy : The New Yorker - 0 views

  • Empathy research is thriving these days, as cognitive neuroscience undergoes what some call an “affective revolution.” There is increasing focus on the emotions, especially those involved in moral thought and action. We’ve learned, for instance, that some of the same neural systems that are active when we are in pain become engaged when we observe the suffering of others. Other researchers are exploring how empathy emerges in chimpanzee and other primates, how it flowers in young children, and the sort of circumstances that trigger it.
  • Rifkin calls for us to make the leap to “global empathic consciousness.” He sees this as the last best hope for saving the world from environmental destruction, and concludes with the plaintive question “Can we reach biosphere consciousness and global empathy in time to avoid planetary collapse?”
  • This enthusiasm may be misplaced, however. Empathy has some unfortunate features—it is parochial, narrow-minded, and innumerate. We’re often at our best when we’re smart enough not to rely on it.
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  • Empathy research is thriving these days, as cognitive neuroscience undergoes what some call an “affective revolution.” There is increasing focus on the emotions, especially those involved in moral thought and action. We’ve learned, for instance, that some of the same neural systems that are active when we are in pain become engaged when we observe the suffering of others. Other researchers are exploring how empathy emerges in chimpanzee and other primates, how it flowers in young children, and the sort of circumstances that trigger it.
  • This interest isn’t just theoretical. If we can figure out how empathy works, we might be able to produce more of it.
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    "Empathy research is thriving these days, as cognitive neuroscience undergoes what some call an "affective revolution." There is increasing focus on the emotions, especially those involved in moral thought and action. We've learned, for instance, that some of the same neural systems that are active when we are in pain become engaged when we observe the suffering of others."
Lawrence Hrubes

The Family That Built an Empire of Pain | The New Yorker - 0 views

  • “It’s a parallel to what the tobacco industry did,” Mike Moore told me. “They got caught in America, they saw their market share decline, so they export it to places with even fewer regulations than we have.” He added, “You know what’s going to happen. You’re going to see lots and lots of death.” In May, several members of Congress wrote to the World Health Organization, urging it to help stop the spread of OxyContin, and mentioning the Sackler family by name. “The international health community has a rare opportunity to see the future,” they wrote. “Do not allow Purdue to walk away from the tragedy they have inflicted on countless American families simply to find new markets and new victims elsewhere.”
Lawrence Hrubes

'Son of Saul,' Kierkegaard and the Holocaust - The New York Times - 1 views

  • The spectacular success of science in the past 300 years has raised hopes that it also holds the key to guiding human beings towards a good life. Psychology and neuroscience has become a main source of life advice in the popular media. But philosophers have long held reservations about this scientific orientation to how to live life.
  • The 18th century Scottish philosopher David Hume, for instance, famously pointed out, no amount of fact can legislate value, moral or otherwise. You cannot derive ought from is.
  • Science is the best method we have for approaching the world objectively. But in fact it is not science per se that is the problem, from the point of view of subjectivity. It is objectivizing, in any of its forms. One can frame a decision, for example, in objective terms. One might decide between career choices by weighing differences in workloads, prestige, pay and benefits between, say, working for an advanced technology company versus working for a studio in Hollywood. We are often encouraged to make choices by framing them in this way. Alternatively, one might try to frame the decision more in terms of what it might be like to work in either occupation; in this case, one needs to have the patience to dwell in experience long enough for one’s feelings about either alternative to emerge. In other words, one might deliberate subjectively.
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  • Most commonly, we turn our back on subjectivity to escape from pain. Suffering, one’s own, or others’, might become bearable, one hopes, when one takes a step back and views it objectively, conceptually, abstractly. And when it comes to something as monumental as the Holocaust, one’s mind cannot help but be numbed by the sheer magnitude of it. How could one feel the pain of all those people, sympathize with millions? Instead one is left with the “facts,” the numbers.
Lawrence Hrubes

Lights Out: A New Reckoning for Brain Death : The New Yorker - 0 views

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    "But brain death is not quite as certain as these bioethicists might like. A doctor can't always determine whether the brain is truly dead. The diagnosis is made the old-fashioned way: by careful observation. A doctor checks to see whether the eyes are responsive to light or touch; she pricks the nailbeds to discern whether the pain registers; she tests muscle reflexes; she determines whether the buildup of carbon dioxide triggers spontaneous breathing if the ventilator is shut off; and she may use an electroencephalograph to detect electrical activity in the brain. (However, even a dead brain may produce some voltage.) If all the findings are negative, then the declaration is made. Even then, the doctor can be wrong. "
Lawrence Hrubes

I Had My DNA Picture Taken, With Varying Results - NYTimes.com - 0 views

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    "So I decided to read the tea leaves of my DNA. I reasoned that it was worth learning painful information if it might help me avert future illness. Like others, I turned to genetic testing, but I wondered if I could trust the nascent field to give me reliable results. In recent years, a handful of studies have found substantial variations in the risks for common diseases predicted by direct-to-consumer companies. I set out to test the tests: Could three of them agree on me? The answers were eye-opening"
Lawrence Hrubes

BBC World Service - The Why Factor, Swearing - 0 views

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    "#*?@! %$&@*! Why do a few, select words have such power to shock and offend? With help from swearing historian Melissa Mohr, Mike Williams traces the history of taboo language from Roman times to the present day and hears how cultural taboos have shaped offensive language down the centuries. He talks to American psychologist Professor Tim Jay about why we swear and discovers that children start using profane language at a much earlier age than you might imagine. And he meets psychologist Dr Richard Stephens who persuades him to take part in two swearing experiments, one of them rather painful, with some surprising results. "
markfrankel18

Teaching robots right from wrong -- ScienceDaily - 0 views

  • In a project funded by the Office of Naval Research and coordinated under the Multidisciplinary University Research Initiative, scientists will explore the challenges of infusing autonomous robots with a sense for right, wrong, and the consequences of both. "Moral competence can be roughly thought about as the ability to learn, reason with, act upon, and talk about the laws and societal conventions on which humans tend to agree," says principal investigator Matthias Scheutz, professor of computer science at Tufts School of Engineering and director of the Human-Robot Interaction Laboratory (HRI Lab) at Tufts. "The question is whether machines -- or any other artificial system, for that matter -- can emulate and exercise these abilities." One scenario is a battlefield, he says. A robot medic responsible for helping wounded soldiers is ordered to transport urgently needed medication to a nearby field hospital. En route, it encounters a Marine with a fractured leg. Should the robot abort the mission to assist the injured? Will it? If the machine stops, a new set of questions arises. The robot assesses the soldier's physical state and determines that unless it applies traction, internal bleeding in the soldier's thigh could prove fatal. However, applying traction will cause intense pain. Is the robot morally permitted to cause the soldier pain, even if it's for the soldier's well-being?
Lawrence Hrubes

If Animals Have Rights, Should Robots? - The New Yorker - 0 views

  • People projected thoughts into Harambe’s mind. “Our tendency is to see our actions through human lenses,” a neuroscientist named Kurt Gray told the network as the frenzy peaked. “We can’t imagine what it’s like to actually be a gorilla. We can only imagine what it’s like to be us being a gorilla.” This simple fact is responsible for centuries of ethical dispute. One Harambe activist might believe that killing a gorilla as a safeguard against losing human life is unjust due to our cognitive similarity: the way gorillas think is a lot like the way we think, so they merit a similar moral standing. Another might believe that gorillas get their standing from a cognitive dissimilarity: because of our advanced powers of reason, we are called to rise above the cat-eat-mouse game, to be special protectors of animals, from chickens to chimpanzees. (Both views also support untroubled omnivorism: we kill animals because we are but animals, or because our exceptionalism means that human interests win.) These beliefs, obviously opposed, mark our uncertainty about whether we’re rightful peers or masters among other entities with brains.
  • The big difference, they argue, is “sentience.” Many animals have it; zygotes and embryos don’t. Colb and Dorf define sentience as “the ability to have subjective experiences,” which is a little tricky, because animal subjectivity is what’s hard for us to pin down. A famous paper called “What Is It Like to Be a Bat?,” by the philosopher Thomas Nagel, points out that even if humans were to start flying, eating bugs, and getting around by sonar they would not have a bat’s full experience, or the batty subjectivity that the creature had developed from birth.
  • If animals suffer, the philosopher Peter Singer noted in “Animal Liberation” (1975), shouldn’t we include them in the calculus of minimizing pain? Such an approach to peership has advantages: it establishes the moral claims of animals without projecting human motivations onto them. But it introduces other problems. Bludgeoning your neighbor is clearly worse than poisoning a rat.
Lawrence Hrubes

The placebo effect: A new study underscores its remarkable power - The Globe and Mail - 0 views

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    "But according to new research, the therapeutic effects of a placebo are so powerful that an inert pill has a good chance of reducing symptoms - even if patients know they are taking a dummy pill."
markfrankel18

Are We Really Conscious? - NYTimes.com - 1 views

  • I believe a major change in our perspective on consciousness may be necessary, a shift from a credulous and egocentric viewpoint to a skeptical and slightly disconcerting one: namely, that we don’t actually have inner feelings in the way most of us think we do.
  • How does the brain go beyond processing information to become subjectively aware of information? The answer is: It doesn’t. The brain has arrived at a conclusion that is not correct. When we introspect and seem to find that ghostly thing — awareness, consciousness, the way green looks or pain feels — our cognitive machinery is accessing internal models and those models are providing information that is wrong. The machinery is computing an elaborate story about a magical-seeming property. And there is no way for the brain to determine through introspection that the story is wrong, because introspection always accesses the same incorrect information.
Philip Drobis

BBC News - A Point Of View: What is history's role in society? - 2 views

  • ostering innovation and helping people to think analytically,
  • Called simply Bronze, it celebrates a metal so important it has its own age of history attached to it, and so responsive to the artist's skill that it breathes life into gods, humans, mythological creatures and animals with equal success.
  • It is remarkable to think that had Bronze been mounted say 15 years ago, the portrait of the past that it delivered would have been subtly different. History is very far from a done deal.
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  • Historians are always rewriting the past. The focus on what is or is not important in history, is partly determined by the time they themselves live in and therefore the questions that they ask.
  • practise of micro-history for example - the way you could construct pictures of forgotten communities or individual lives from state, parish or court records proved breath-taking.
  • man claiming to be him walks back into both. But is he really Martin Guerre? With no images or mirrors in such places (how does that affect memory, and the construction of identity?) no-one can be sure. Except, surely, his wife?
  • he study of history, English, philosophy or art doesn't really help anyone get a job and does not contribute to the economy to the same degree that science or engineering or business studies obviously do. Well, let's run a truck though that fast shall we? The humanities, alongside filling one in on human history, teach people how to think analytically while at the same time noting and appreciating innovation and creativity. Not a bad set of skills for most jobs wouldn't you say? As for the economy - what about the billion pound industries of publishing, art, television, theatre, film - all of which draw on our love of as well as our apparently insatiable appetite for stories, be they history or fiction?
  • No-one would dare to mess with science in the way they mess with history.
  • but larger topics such as emotions or physical pain - their role and changing meanings within history - are very much up for grabs with big studie
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    -ties in with what we have been discussing
markfrankel18

The scant science behind anything that claims to boost your brainpower - Quartz - 0 views

  • The team of researchers, led by Madhav Goyal of Johns Hopkins University, examined over eighteen thousand studies that assessed the effects of various types of meditation.
  • Aggregating the results of the 47 studies that met the researchers’ methodological requirements, they measured meditation impact on a litany of stress-related criteria: anxiety, depression, stress and distress, positive mood, mental health-related quality of life, attention, substance use, eating habits, sleep, pain, and weight. Mantra-based programs showed no benefits over and above placebos. + Does that mean that meditation doesn’t work? Not necessarily. Placebo effects are both real and beneficial, and the relaxation that stems from chanting mantras may be therapeutic in and of itself.
  • Furthermore, mindfulness meditation—a variant that stems from the Buddhist tradition and involves fostering a nonjudgmental awareness of the present moment—was found by Goyal’s group to decrease anxiety and depression.
markfrankel18

You knew it was crap, but you bought it anyway. This is why. - Boing Boing - 0 views

  • David McRaney explores the sunk cost fallacy, a strangely twisted bit of logic that seems to pop into the human mind once a person has experienced the pain of loss or the ickiness of waste on his or her way toward a concrete goal. It’s illogical, irrational, unreasonable - and as a perfectly normal human being, you act under its influence all the time.
markfrankel18

Experiment Gives Illusion of That Shrinking Feeling - New York Times - 0 views

  • The point of his experiment was to use the illusion as a tool, to force the brain to change its perception of body size so that the scientists could use a scanner to spy on the mental work in progress. This kind of mapping to find the origins of body image had not been done before, Dr. Ehrsson said. "It's a little bit of a forgotten sense," he said. "We know about touch, pain and position, but the sense of size of body parts has been a mystery. There are no receptors in skin or muscle that tell the brain the size of body parts, so the brain has to figure it out by comparing signals."
Lawrence Hrubes

A Pioneer for Death With Dignity - NYTimes.com - 0 views

  • More than two decades before Brittany Maynard’s public advocacy for death with dignity inspired lawmakers in Washington, D.C., and at least 16 states to introduce legislation authorizing the medical practice of aid in dying for the terminally ill, Senator Frank Roberts of Oregon sponsored one of the nation’s first death-with-dignity bills.
  • Medical aid in dying has always had enormous public support. Recent polls by Gallup and Harris show that 69 to 74 percent of people believe terminally ill adults should have access to medical means to bring about a peaceful death. This belief is strong throughout the nation and across all demographic categories, including age, disability, religion and political party.
  • First, the phenomenon of Brittany Maynard has transformed the movement for end-of-life-choice into an unstoppable force. Ms. Maynard was the 29-year-old woman dying of brain cancer, who moved, with her family, from her home in California to establish residency in Oregon and gain access to aid in dying. As her pain and seizures escalated and as inevitable paralysis, blindness and stupor approached, she drank medication obtained under Oregon’s Death With Dignity Act and died quietly in a circle of her loved ones last fall. Her family vows to fulfill her legacy of legal reform in her native California and beyond. Young and old alike identify with Brittany Maynard. Her experience as a refugee for dignity sparks the “aha!” moment when people understand the grave injustice of government’s withholding from a competent, dying adult the elements of choice and control over suffering.
Lawrence Hrubes

Is It Wrong to Watch Football? - Room for Debate - NYTimes.com - 0 views

  • Is It Wrong to Watch Football?
  • His body wrecked at 36, Antwaan Randle El regrets ever playing in the National Football League. After he died of an overdose of pain medication at 27, Tyler Sash was found to have chronic traumatic encephalopathy, the degenerative brain disease believed to be caused by repeated blows to the head. Concussion diagnoses have increased by about a third since the league let independent medical officials assess players. And it seems that with each N.F.L. veteran’s death, another diagnosis of C.T.E. is revealed. How can fans enjoy watching a game that helps ruin players’ lives?
Lawrence Hrubes

Textbooks for Peace in Israel and the West Bank - The New Yorker - 0 views

  • One of the few Palestinians who has tried to teach the Holocaust, Muhammad S. Dajani Daoudi, included it in a course at Al Quds University, in Jerusalem, and took twenty-seven Palestinian students to visit Auschwitz last year. He was vilified and hounded into resigning.
  • All eight students firmly denied that Jewish temples had ever stood in Jerusalem, a repudiation that has gained widespread currency among Palestinians, both Christian and Muslim. Textbooks don’t have to go that far; merely ignoring Jewish history in Jerusalem creates a vacuum, into which flow fabrications.
  • By contrast, Israeli textbooks acknowledge Islam’s connection to Jerusalem, according to Daniel Bar-Tal, of Tel Aviv University, the leading Israeli researcher for the Council of Religious Institutions study. Their central silence concerns the Palestinians’ angry pain over the founding of the Jewish state, which they mourn as “Al Nakba” (“the catastrophe”), in which they see alien outsiders as having stolen their land, killing and expelling innocent Arabs.
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