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margogramiak

Brain tissue yields clues to causes of PTSD -- ScienceDaily - 0 views

  • diagnosed with post-traumatic stress disorder (PTSD)
  • diagnosed with post-traumatic stress disorder (PTSD)
    • margogramiak
       
      We have talked about PTSD in class, and how certain triggers associate with memories and feelings.
  • why women are more susceptible to it
    • margogramiak
       
      I didn't realize women were more susceptible.
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  • prefrontal cortex
    • margogramiak
       
      This is another thing we have talked and read about.
  • Major differences in gene activity particularly affected two cell types in PTSD patients -- interneurons, which inhibit neural activity, and microglia, immune system cells in the central nervous system, the researchers report Dec. 21 in the journal Nature Neuroscience.
    • margogramiak
       
      I had no idea there was any sort of genetic links with PTSD. That's very interesting, and I'm assuming important info to know from a medical standpoint.
  • as many as 35% exhibit PTSD symptoms.
    • margogramiak
       
      Not that I know a lot about PTSD, but this makes sense to me.
  • About 8% of the general population has been diagnosed with PTSD.
    • margogramiak
       
      That's a lot of people.
  • These differences might help explain why women are more than twice as likely to develop PTSD and other anxiety disorders than men and why they are likely to experience more severe symptoms, the findings suggest.
    • margogramiak
       
      That's super interesting. Again, I had no idea how disproportionately women were affected.
  • "This is a new beginning for the PTSD field,
    • margogramiak
       
      Awesome! Maybe that means closer to a cure.
  • "We need new treatments for PTSD, and studies like this will provide the scientific foundation for a new generation of medication development efforts."
    • margogramiak
       
      That's fantastic.
margogramiak

Brain imaging predicts PTSD after brain injury: Brain volume measurement may provide ea... - 0 views

  • Posttraumatic stress disorder (PTSD) is a complex psychiatric disorder brought on by physical and/or psychological trauma
  • Posttraumatic stress disorder (PTSD) is a complex psychiatric disorder brought on by physical and/or psychological trauma
    • margogramiak
       
      We've talked about PTSD in class before, and its links to memories, thoughts, and feelings.
  • Now, researchers using magnetic resonance imaging (MRI) have found potential brain biomarkers of PTSD in people with traumatic brain injury (TBI).
    • margogramiak
       
      Are they just now identifying something to read from an MRI that marks PTSD? Or is it a new type of MRI? As far as I know, the type of MRI they are referring to is nothing new.
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  • The relationship between TBI and PTSD has garnered increased attention in recent years as studies have shown considerable overlap in risk factors and symptoms,
    • margogramiak
       
      Overlap between traumatic brain injuries and PTSD. Interesting.
  • At 3 months, 77 participants, or 18 percent, had likely PTSD; at 6 months, 70 participants or 16 percent did. All subjects underwent brain imaging after injury.
    • margogramiak
       
      That's interesting. So, the numbers were decreasing?
  • "MRI studies conducted within two weeks of injury were used to measure volumes of key structures in the brain thought to be involved in PTSD,"
    • margogramiak
       
      What part of the brain is that?
  • Specifically, smaller volume in brain regions called the cingulate cortex, the superior frontal cortex, and the insula predicted PTSD at 3 months.
    • margogramiak
       
      Answers my previous question. I'm unfamiliar with the cingulate cortex.
  • Together, the findings suggest that a "brain reserve," or higher cortical volumes, may provide some resilience against PTSD.
    • margogramiak
       
      Is that something they can alter?
clairemann

Service dogs can help veterans with PTSD - growing evidence shows they may reduce anxie... - 0 views

  • As many as 1 in 5 of the roughly 2.7 million Americans deployed to Iraq and Afghanistan since 2001 are experiencing post-traumatic stress disorder.
  • Our lab is studying whether service dogs can help these military veterans, who may also have depression and anxiety – and run an elevated risk of death by suicide – in addition to having PTSD.
  • Unlike emotional support dogs or therapy dogs, service dogs must be trained to do specific tasks – in this case, helping alleviate PTSD symptoms. In keeping with the Americans with Disabilities Act, service dogs are allowed in public places where other dogs are not.
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  • Once veterans got service dogs, they described themselves in surveys as more satisfied with their lives, said they felt a greater sense of well-being and deemed themselves as having better relationships with friends and loved ones.
  • There can also be a new sense of stigma that goes along with making a disability that might otherwise be hidden readily apparent. Someone who has PTSD might not stick out until they get a service dog that is always present.
annabaldwin_

A Marine Attacked an Iraqi Restaurant. But Was It a Hate Crime or PTSD? - The New York ... - 0 views

  • After a Marine attacked an Iraqi restaurant inPortland, Ore., his family said he was provoked bytrauma, not hate, and that he needed help, not jail time.
  • PORTLAND, Ore
  • The Iraqi family who ran it felt welcome in this eclectic city.
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  • After about a half-hour, he got up, walked over to the cash register, began cursing about Iraq, and threw a chair at a waiter’s head, sending him dazed to the floor.
  • Portland has been on edge over a sharp increase in hate crimes this year.
  • As the case unfolded over the summer, it raised questions about what constitutes a hate crime and how effectively the legal system treats combat veterans who suffer from PTSD.
  • There is no evidence that combat veterans are more prone to committing hate crimes, but studies suggest combat veterans with PTSD commit violent acts at a much higher rate than civilians.
sophie mester

David Lynch Is Back … as a Guru of Transcendental Meditation - NYTimes.com - 0 views

  • As the car hummed along and we relived his spiritual journey, I asked Lynch what he really believed. Did he see Transcendental Meditation as simply a technique for relaxation, perfect for young Hollywood actresses, or rather as an all-encompassing way of life, as Maharishi had encouraged — one with peace palaces and an army of meditators fomenting world peace? Lynch paused, and then spoke for more than five minutes, explaining that T.M. was the answer for all seeking true inner happiness. He ended with this thought: “Things like traumatic stress and anxiety and tension and sorrow and depression and hate and bitter, selfish anger and fear start to lift away. And that’s a huge sense of freedom when that heavy weight of negativity begins to lift. So it’s like gold flowing in from within and garbage going out. The things in life that used to almost kill you, stress you, depress you, make you sad, make you afraid — they have less and less power. It’s like you’re building up a flak jacket of protection. You’re starting to glow with this from within.”
    • sophie mester
       
      belief that TM allows a person to consciously influence their emotions, and the power those emotions have over their lives.
  • I still meditate. For 20 minutes or more, twice a day, I’m able to step back from the news scroll of thoughts and be truly quiet. I use T.M. to deal with anxiety and fatigue and to stave off occasional despair. But that’s because, in my head, I’ve managed to excise the weird flotsam of spirituality that engulfed T.M. for the first part of my life. Now, for me, it is something very simple, like doing yoga or avoiding dairy. Objectively speaking, meditation has been shown to decrease the incidence of heart attacks and strokes and increase longevity. The Department of Veterans Affairs and the Department of Defense commissioned studies to determine whether T.M. can help veterans alleviate post-traumatic stress disorder. Thanks to the David Lynch foundation, low-performing public schools have instituted “Quiet Time,” an elective 10 minutes, twice a day, during which students meditate, with some encouraging results.
    • sophie mester
       
      Objective support for the power of TM - decrease incidence of heart attacks/strokes, increase longevity, help those suffering from PTSD.
  • The office of the David Lynch Foundation for Consciousness-Based Education and World Peace in New York is filled with young adults, many of whom grew up practicing Transcendental Meditation. Since Lynch started spreading the good news about T.M., the number of people learning the technique has increased tenfold. Close to Lynch’s heart are those suffering from PTSD, it seems, but it is in his own industry that he has made a more visible impact. Roth, who runs the foundation, spends much of his time flying around the world as well as initiating a long list of public figures: Gwyneth Paltrow, Ellen DeGeneres, Russell Simmons, Katy Perry, Susan Sarandon, Candy Crowley, Soledad O’Brien, George Stephanopoulos and Paul McCartney’s grandchildren.
    • sophie mester
       
      large following of TM suggests its potential to have a positive mental impact.
maxwellokolo

The Late Effects of Stress: New Insights Into How the Brain Responds to Trauma - 0 views

  •  
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Javier E

Untier Of Knots « The Dish - 0 views

  • Benedict XVI and John Paul II focused on restoring dogmatic certainty as the counterpart to papal authority. Francis is arguing that both, if taken too far, can be sirens leading us away from God, not ensuring our orthodoxy but sealing us off in calcified positions and rituals that can come to mean nothing outside themselves
  • In this quest to seek and find God in all things there is still an area of uncertainty. There must be. If a person says that he met God with total certainty and is not touched by a margin of uncertainty, then this is not good. For me, this is an important key. If one has the answers to all the questions – that is the proof that God is not with him. It means that he is a false prophet using religion for himself. The great leaders of the people of God, like Moses, have always left room for doubt. You must leave room for the Lord, not for our certainties; we must be humble.
  • If the Christian is a restorationist, a legalist, if he wants everything clear and safe, then he will find nothing. Tradition and memory of the past must help us to have the courage to open up new areas to God.
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  • In the end, you realize your only real option – against almost every fiber in your irate being – is to take each knot in turn, patiently and gently undo it, loosen a little, see what happens, and move on to the next. You will never know exactly when all the knots will resolve themselves – it can happen quite quickly after a while or seemingly never. But you do know that patience, and concern with the here and now, is the only way to “solve” the “problem.” You don’t look forward with a plan; you look down with a practice.
  • we can say what God is not, we can speak of his attributes, but we cannot say what He is. That apophatic dimension, which reveals how I speak about God, is critical to our theology
  • I would also classify as arrogant those theologies that not only attempted to define with certainty and exactness God’s attributes, but also had the pretense of saying who He was.
  • It is only in living that we achieve hints and guesses – and only hints and guesses – of what the Divine truly is. And because the Divine is found and lost by humans in time and history, there is no reachable truth for humans outside that time and history.
  • We are part of an unfolding drama in which the Christian, far from clinging to some distant, pristine Truth he cannot fully understand, will seek to understand and discern the “signs of the times” as one clue as to how to live now, in the footsteps of Jesus. Or in the words of T.S. Eliot, There is only the fight to recover what has been lost And found and lost again and again: and now, under conditions That seem unpropitious. But perhaps neither gain nor loss. For us, there is only the trying. The rest is not our business.
  • Ratzinger’s Augustinian notion of divine revelation: it is always a radical gift; it must always be accepted without question; it comes from above to those utterly unworthy below; and we are too flawed, too sinful, too human to question it in even the slightest respect. And if we ever compromise an iota on that absolute, authentic, top-down truth, then we can know nothing as true. We are, in fact, lost for ever.
  • A Christian life is about patience, about the present and about trust that God is there for us. It does not seek certainty or finality to life’s endless ordeals and puzzles. It seeks through prayer and action in the world to listen to God’s plan and follow its always-unfolding intimations. It requires waiting. It requires diligence
  • We may never know why exactly Benedict resigned as he did. But I suspect mere exhaustion of the body and mind was not the whole of it. He had to see, because his remains such a first-rate mind, that his project had failed, that the levers he continued to pull – more and more insistent doctrinal orthodoxy, more political conflict with almost every aspect of the modern world, more fastidious control of liturgy – simply had no impact any more.
  • The Pope must accompany those challenging existing ways of doing things! Others may know better than he does. Or, to feminize away the patriarchy: I dream of a church that is a mother and shepherdess. The church’s ministers must be merciful, take responsibility for the people, and accompany them like the good Samaritan, who washes, cleans, and raises up his neighbor. This is pure Gospel.
  • the key to Francis’ expression of faith is an openness to the future, a firm place in the present, and a willingness to entertain doubt, to discern new truths and directions, and to grow. Think of Benedict’s insistence on submission of intellect and will to the only authentic truth (the Pope’s), and then read this: Within the Church countless issues are being studied and reflected upon with great freedom. Differing currents of thought in philosophy, theology, and pastoral practice, if open to being reconciled by the Spirit in respect and love, can enable the Church to grow, since all of them help to express more clearly the immense riches of God’s word. For those who long for a monolithic body of doctrine guarded by all and leaving no room for nuance, this might appear as undesirable and leading to confusion. But in fact such variety serves to bring out and develop different facets of the inexhaustible riches of the Gospel.
  • Francis, like Jesus, has had such an impact in such a short period of time simply because of the way he seems to be. His being does not rely on any claims to inherited, ecclesiastical authority; his very way of life is the only moral authority he wants to claim.
  • faith is, for Francis, a way of life, not a set of propositions. It is a way of life in community with others, lived in the present yet always, deeply, insistently aware of eternity.
  • Father Howard Gray S.J. has put it simply enough: Ultimately, Ignatian spirituality trusts the world as a place where God dwells and labors and gathers all to himself in an act of forgiveness where that is needed, and in an act of blessing where that is prayed for.
  • Underlying all this is a profound shift away from an idea of religion as doctrine and toward an idea of religion as a way of life. Faith is a constantly growing garden, not a permanently finished masterpiece
  • Some have suggested that much of what Francis did is compatible with PTSD. He disowned his father and family business, and he chose to live homeless, and close to naked, in the neighboring countryside, among the sick and the animals. From being the dashing man of society he had once been, he became a homeless person with what many of us today would call, at first blush, obvious mental illness.
  • these actions – of humility, of kindness, of compassion, and of service – are integral to Francis’ resuscitation of Christian moral authority. He is telling us that Christianity, before it is anything else, is a way of life, an orientation toward the whole, a living commitment to God through others. And he is telling us that nothing – nothing – is more powerful than this.
  • I would not speak about, not even for those who believe, an “absolute” truth, in the sense that absolute is something detached, something lacking any relationship. Now, the truth is a relationship! This is so true that each of us sees the truth and expresses it, starting from oneself: from one’s history and culture, from the situation in which one lives, etc. This does not mean that the truth is variable and subjective. It means that it is given to us only as a way and a life. Was it not Jesus himself who said: “I am the way, the truth, the life”? In other words, the truth is one with love, it requires humbleness and the willingness to be sought, listened to and expressed.
  • “proselytism is solemn nonsense.” That phrase – deployed by the Pope in dialogue with the Italian atheist Eugenio Scalfari (as reported by Scalfari) – may seem shocking at first. But it is not about denying the revelation of Jesus. It is about how that revelation is expressed and lived. Evangelism, for Francis, is emphatically not about informing others about the superiority of your own worldview and converting them to it. That kind of proselytism rests on a form of disrespect for another human being. Something else is needed:
  • nstead of seeming to impose new obligations, Christians should appear as people who wish to share their joy, who point to a horizon of beauty and who invite others to a delicious banquet. It is not by proselytizing that the Church grows, but “by attraction.”
  • what you see in the life of Saint Francis is a turn from extreme violence to extreme poverty, as if only the latter could fully compensate for the reality of the former. This was not merely an injunction to serve the poor. It is the belief that it is only by being poor or becoming poor that we can come close to God
  • Pope Francis insists – and has insisted throughout his long career in the church – that poverty is a key to salvation. And in choosing the name Francis, he explained last March in Assisi, this was the central reason why:
  • Saint Francis. His conversion came after he had gone off to war in defense of his hometown, and, after witnessing horrifying carnage, became a prisoner of war. After his release from captivity, his strange, mystical journey began.
  • the priority of practice over theory, of life over dogma. Evangelization is about sitting down with anyone anywhere and listening and sharing and being together. A Christian need not be afraid of this encounter. Neither should an atheist. We are in this together, in the same journey of life, with the same ultimate mystery beyond us. When we start from that place – of radical humility and radical epistemological doubt – proselytism does indeed seem like nonsense, a form of arrogance and detachment, reaching for power, not freedom. And evangelization is not about getting others to submit their intellect and will to some new set of truths; it is about an infectious joy for a new way of living in the world. All it requires – apart from joy and faith – is patience.
  • “Preach the Gospel always. If necessary, with words.”
  • But there is little sense that a political or economic system can somehow end the problem of poverty in Francis’ worldview. And there is the discomfiting idea that poverty itself is not an unmitigated evil. There is, indeed, a deep and mysterious view, enunciated by Jesus, and held most tenaciously by Saint Francis, that all wealth, all comfort, and all material goods are suspect and that poverty itself is a kind of holy state to which we should all aspire.
  • Not only was Saint Francis to become homeless and give up his patrimony, he was to travel on foot, wearing nothing but a rough tunic held together with rope. Whatever else it is, this is not progressivism. It sees no structural, human-devised system as a permanent improver of our material lot. It does not envision a world without poverty, but instead a church of the poor and for the poor. The only material thing it asks of the world, or of God, is daily bread – and only for today, never for tomorrow.
  • From this perspective, the idea that a society should be judged by the amount of things it can distribute to as many people as possible is anathema. The idea that there is a serious social and political crisis if we cannot keep our wealth growing every year above a certain rate is an absurdity.
  • this is a 21st-century heresy. Which means, I think, that this Pope is already emerging and will likely only further emerge as the most potent critic of the newly empowered global capitalist project.
  • Now, the only dominant ideology in the world is the ideology of material gain – either through the relatively free markets of the West or the state-controlled markets of the East. And so the church’s message is now harder to obscure. It stands squarely against the entire dominant ethos of our age. It is the final resistance.
  • For Francis, history has not come to an end, and capitalism, in as much as it is a global ideology that reduces all of human activity to the cold currency of wealth, is simply another “ism” to be toppled in humankind’s unfolding journey toward salvation on earth.
  • Francis will grow as the church reacts to him; it will be a dynamic, not a dogma; and it will be marked less by the revelation of new things than by the new recognition of old things, in a new language. It will be, if its propitious beginnings are any sign, a patient untying of our collective, life-denying knots.
Javier E

Opinion | How to Be More Resilient - The New York Times - 1 views

  • As a psychiatrist, I’ve long wondered why some people get ill in the face of stress and adversity — either mentally or physically — while others rarely succumb.
  • not everyone gets PTSD after exposure to extreme trauma, while some people get disabling depression with minimal or no stress
  • What makes people resilient, and is it something they are born with or can it be acquired later in life?
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  • New research suggests that one possible answer can be found in the brain’s so-called central executive network, which helps regulate emotions, thinking and behavior
  • used M.R.I. to study the brains of a racially diverse group of 218 people, ages 12 to 14, living in violent neighborhoods in Chicago
  • the youths who had higher levels of functional connectivity in the central executive network had better cardiac and metabolic health than their peers with lower levels of connectivity
  • when neighborhood homicide rates went up, the young people’s cardiometabolic risk — as measured by obesity, blood-pressure and insulin levels, among other variables — also increased, but only in youths who showed lower activity in this brain network
  • “Active resilience happens when people who are vulnerable find resources to cope with stress and bounce back, and do so in a way that leaves them stronger, ready to handle additional stress, in more adaptive ways.”
  • the more medically hardy young people were no less anxious or depressed than their less fortunate peers, which suggests that while being more resilient makes you less vulnerable to adversity, it doesn’t guarantee happiness — or even an awareness of being resilient.
  • there is good reason to believe the link may be causal because other studies have found that we can change the activity in the self-control network, and increase healthy behaviors, with simple behavioral interventions
  • For example, mindfulness training, which involves attention control, emotion regulation and increased self-awareness, can increase connectivity within this network and help people to quit smoking.
  • n one study, two weeks of mindfulness training produced a 60 percent reduction in smoking, compared with no reduction in a control group that focused on relaxation. An M.R.I. following mindfulness training showed increased activity in the anterior cingulate cortex and prefrontal cortex, key brain areas in the executive self-control network
  • Clearly self-control is one critical component of resilience that can be easily fostered. But there are others.
  • One plausible explanation is that greater activity in this network increases self-control, which most likely reduces some unhealthy behaviors people often use to cope with stress, like eating junk food or smoking
  • she and colleagues studied the brains of depressed patients who died. They found that the most disrupted genes were those for growth factors, proteins that act like a kind of brain fertilizer.
  • “We came to realize that depressed people have lost their power to remodel their brains. And that is in fact devastating because brain remodeling is something we need to do all the time — we are constantly rewiring our brains based on past experience and the expectation of how we need to use them in the future,
  • one growth factor that is depleted in depressed brains, called fibroblast growth factor 2, also plays a role in resilience. When they gave it to stressed animals, they bounced back faster and acted less depressed. And when they gave it just once after birth to animals that had been bred for high levels of anxiety and inhibition, they were hardier for the rest of their lives.
  • The good news is that we have some control over our own brain BDNF levels: Getting more physical exercise and social support, for example, has been shown to increase BDNF.
  • Perhaps someday we might be able to protect young people exposed to violence and adversity by supplementing them with neuroprotective growth factors. We know enough now to help them by fortifying their brains through exercise, mindfulness training and support systems
  • Some people have won the genetic sweepstakes and are naturally tough. But there is plenty the rest of us can do to be more resilient and healthier.
anonymous

Opinion | How to Fix the Debate Over Guns - The New York Times - 0 views

  • We can find real solutions to gun violence if we recognize the trauma it causes.
  • In the span of a week, two acts of public violence have stolen the lives of 18 people and provided a stark reminder of the mass gun violence that characterized the pre-Covid United States
  • Gun violence did not go away during 2020. Gun homicides jumped 25 percent from the year before, apparently fueled in part by a rise in intimate partner violence
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  • In the U.S., people often reach for more guns as a response to mass shootings and in anticipation of needing a method of home protection, but also — as we saw in 2020 and into 2021 — in response to presidential elections, political unrest and mass-scale infectious disease.
  • Gun violence entails immediate physical trauma, but it also elicits forms of trauma that can ricochet far beyond its initial target
  • If we understand trauma as social, psychological and physical responses to experiences that cannot be assimilated into an individual’s existing understandings of themselves and the world around them, then gun trauma goes far beyond
  • Having someone taken through gun violence, surviving gun violence oneself, even hearing gunshots tears at our basic sense of safety, of security and of self
  • Research has found that surviving or being exposed to gun violence survival is associated with an increased risk of symptoms linked with PTSD (including anxiety and depression) in both urban and rural contexts, short-term decreases in reading ability, vocabulary, and impulse control, unemployment and substance use and even shifts in friendship formation
  • While gun trauma most certainly shapes the aftermath of shootings, it also shapes our day-to-day decisions and sensibilities far beyond specific acts of gun violence
  • Policies that purport to end the trauma of gun violence by increasing the punitive surveillance of individuals with mental illness, increasing police presence and surveillance of students at schools, or bringing more people into contact with the criminal justice system may ultimately create more, if different, trauma.
  • This trauma-violence cycle cannot break itself — but certainly has the power to break us.
  • Gun trauma is implicated in how guns harm us, why we turn to guns, and — to the extent that we depend on punitive criminal justice approaches to address it — how we attempt to solve the problem of gun violence.
  • We must dismantle this trauma-violence cycle, and the first step is centering gun trauma within the gun debate and addressing gun violence
  • what this might look like: the Community Justice Action Fund and Revolve Impact’s By Design campaign, which aims to “change the conversation” on gun violence by elevating leaders of color to “interrupt systems of violence and ultimately build power for communities most impacted by gun violence”
  • Approaching guns from the perspective of trauma will require some imagination — and some courage
anonymous

Opinion | I Survived 18 Years in Solitary Confinement - The New York Times - 0 views

  • I Survived 18 Years in Solitary Confinement
  • Mr. Manuel is an author, activist and poet. When he was 14 years old, he was sentenced to life in prison with no parole and spent 18 years in solitary confinement.
  • Imagine living alone in a room the size of a freight elevator for almost two decades.
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  • As a 15-year-old, I was condemned to long-term solitary confinement in the Florida prison system, which ultimately lasted for 18 consecutive years
  • From age 15 to 33.
  • For 18 years I didn’t have a window in my room to distract myself from the intensity of my confinement
  • I wasn’t permitted to talk to my fellow prisoners or even to myself. I didn’t have healthy, nutritious food; I was given just enough to not die
  • These circumstances made me think about how I ended up in solitary confinement.
  • United Nations standards on the treatment of prisoners prohibits solitary confinement for more than 15 days, declaring it “cruel, inhuman or degrading.”
  • For this I was arrested and charged as an adult with armed robbery and attempted murder.
  • My court-appointed lawyer advised me to plead guilty, telling me that the maximum sentence would be 15 years. So I did. But my sentence wasn’t 15 years — it was life imprisonment without the possibility of parole.
  • But a year and a half later, at age 15, I was put back into solitary confinement after being written up for a few minor infractions.
  • Florida has different levels of solitary confinement; I spent the majority of that time in one of the most restrictive
  • I was finally released from prison in 2016 thanks to my lawyer, Bryan Stevenson
  • Researchers have long concluded that solitary confinement causes post-traumatic stress disorder and impairs prisoners’ ability to adjust to society long after they leave their cell.
  • In the summer of 1990, shortly after finishing seventh grade, I was directed by a few older kids to commit a robbery. During the botched attempt, I shot a woman. She suffered serious injuries to her jaw and mouth but survived. It was reckless and foolish on my part, the act of a 13-year-old in crisis, and I’m simply grateful no one died.
  • More aggressive change is needed in state prison systems
  • In 2016, the Obama administration banned juvenile solitary confinement in federal prisons, and a handful of states have advanced similar reforms for both children and adults.
  • Yet the practice, even for minors, is still common in the United States, and efforts to end it have been spotty
  • Because solitary confinement is hidden from public view and the broader prison population, egregious abuses are left unchecked
  • I watched a corrections officer spray a blind prisoner in the face with chemicals simply because he was standing by the door of his cell as a female nurse walked by. The prisoner later told me that to justify the spraying, the officer claimed the prisoner masturbated in front of the nurse.
  • I also witnessed the human consequences of the harshness of solitary firsthand: Some people would resort to cutting their stomachs open with a razor and sticking a plastic spork inside their intestines just so they could spend a week in the comfort of a hospital room with a television
  • On occasion, I purposely overdosed on Tylenol so that I could spend a night in the hospital. For even one night, it was worth the pain.
  • Another time, I was told I’d be switching dorms, and I politely asked to remain where I was because a guard in the new area had been overly aggressive with me. In response, four or five officers handcuffed me, picked me up by my feet and shoulders, and marched with me to my new dorm — using my head to ram the four steel doors on the way there.
  • The punishments were wholly disproportionate to the infractions. Before I knew it, months in solitary bled into years, years into almost two decades.
  • As a child, I survived these conditions by conjuring up stories of what I’d do when I was finally released. My mind was the only place I found freedom from my reality
  • the only place I could play basketball with my brother or video games with my friends, and eat my mother’s warm cherry pie on the porch.
  • No child should have to use their imagination this way — to survive.
  • It is difficult to know the exact number of children in solitary confinement today. The Liman Center at Yale Law School estimated that 61,000 Americans (adults and children) were in solitary confinement in the fall of 2017
  • No matter the count, I witnessed too many people lose their minds while isolated. They’d involuntarily cross a line and simply never return to sanity. Perhaps they didn’t want to. Staying in their mind was the better, safer, more humane option.
  • Solitary confinement is cruel and unusual punishment, something prohibited by the Eighth Amendment, yet prisons continue to practice it.
  • When it comes to children, elimination is the only moral option. And if ending solitary confinement for adults isn’t politically viable, public officials should at least limit the length of confinement to 15 days or fewer, in compliance with the U.N. standards
  • As I try to reintegrate into society, small things often awaken painful memories from solitary. Sometimes relationships feel constraining. It’s difficult to maintain the attention span required for a rigid 9-to-5 job. At first, crossing the street and seeing cars and bikes racing toward me felt terrifying.
  • I will face PTSD and challenges big and small for the rest of my life because of what I was subjected to.
  • And some things I never will — most of all, that this country can treat human beings, especially children, as cruelly as I was treated.
  • Sadly, solitary confinement for juveniles is still permissible in many states. But we have the power to change that — to ensure that the harrowing injustice I suffered as a young boy never happens to another child in America.
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    A very eye-opening article and story told by a victim about young children facing solitary confinement.
caelengrubb

The forgotten part of memory - 0 views

  • But those scientists might have been looking at only half the picture. To understand how we remember, we must also understand how, and why, we forget.
  • Until about ten years ago, most researchers thought that forgetting was a passive process in which memories, unused, decay over time like a photograph left in the sunlight
  • But then a handful of researchers who were investigating memory began to bump up against findings that seemed to contradict that decades-old assumption. They began to put forward the radical idea that the brain is built to forget.
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  • forgetting seems to be an active mechanism that is constantly at work in the brain.
  • “To have proper memory function, you have to have forgetting.
  • Different types of memory are created and stored in varying ways, and in various areas of the brain.
  • Neurons communicate with each other through synapses — junctions between these cells that include a tiny gap across which chemical messengers can be sent
  • The more often a memory is recalled, the stronger its neural network becomes. Over time, and through consistent recall, the memory becomes encoded in both the hippocampus and the cortex
  • Because the hippocampus is not where long-term memories are stored in the brain, its dynamic nature is not a flaw but a feature
  • Neuroscientists often refer to this physical representation of a memory as an engram. They think that each engram has a number of synaptic connections, sometimes even in several areas of the brain, and that each neuron and synapse can be involved in multiple engrams
  • The brain is always trying to forget the information it’s already learnt,
  • Hardt’s lab showed that a dedicated mechanism continuously promotes the expression of AMPA receptors at synapses.
  • To forget certain things, it seemed that the rat brain had to proactively destroy connections at the synapse. Forgetting, Hardt says, “is not a failure of memory, but a function of it”.
  • Paul Frankland, a neuroscientist at the Hospital for Sick Children in Toronto, Canada, had also found evidence that the brain is wired to forget
  • Frankland was studying the production of new neurons, or neurogenesis, in adult mice. The process had long been known to occur in the brains of young animals, but had been discovered in the hippocampi of mature animals only about 20 years earlier. Because the hippocampus is involved in memory formation, Frankland and his team wondered whether increasing neurogenesis in adult mice could help the rodents to remember.
  • Eventually, it exists independently in the cortex, where it is put away for long-term storage.
  • Researchers think that the human brain might operate in a similar way
  • Studies of people with exceptional autobiographical memories or with impaired ones seem to bear this out
  • People with a condition known as highly superior autobiographical memory (HSAM) remember their lives in such incredible detail that they can describe the outfit that they were wearing on any particular day
  • Those with severely deficient autobiographical memory (SDAM), however, are unable to vividly recall specific events in their lives
  • As a result, they also have trouble imagining what might happen in the future
  • By better understanding how we forget, through the lenses of both biology and cognitive psychology, Anderson and other researchers might be edging nearer to improving treatments for anxiety, PTSD and even Alzheimer’s disease
  • Hardt thinks that Alzheimer’s disease might also be better understood as a malfunction of forgetting rather than remembering
  • But more memory researchers are shifting their focus to examine how the brain forgets, as well as how it remembers
  • In the past decade, researchers have begun to view forgetting as an important part of a whole
  • Why do we have memory at all? As humans, we entertain this fantasy that it’s important to have autobiographical details,
  • Forgetting enables us as individuals, and as a species, to move forwards.
ilanaprincilus06

'Brain fog': the people struggling to think clearly months after Covid | World news | T... - 1 views

  • Seven months later, the rollercoaster is far from over: the 36-year-old from Byron Bay, Australia is still experiencing symptoms – including difficulties with thinking that are often described as “brain fog”.
  • “Brain fog seems like such an inferior description of what is actually going on. It’s completely crippling. I am unable to think clearly enough to [do] anything,”
  • “When I get tired it becomes much worse and sometimes all I can do is lay in bed and watch TV.” Brain fog has made her forgetful to the point that she says she burns pots while cooking.
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  • “I feel like a shadow of my former self. I am not living right now, I am simply existing.”Nicholson-McKellar is far from alone.
  • “Doctors and scientists wouldn’t necessarily use [brain fog] as a diagnosis as it doesn’t exactly tell you what the problem is and what could be causing that,” says Zandi.
  • Zandi says there could be many causes of brain fog in Covid survivors, from inflammation in the body to a lack of oxygen to the brain – the latter is a particular concern for those who spent time on ventilators.
  • terms similar to “brain fog” have previously been used in connection with extreme tiredness, low mood and conditions such as post-traumatic stress disorder (PTSD) – the latter of which is thought to affect about a quarter of Covid survivors who were in intensive care.
  • The aim of the new work, he says, is to explore whether even those without neurological symptoms show markers of neurological damage, and to what extent any processes are ongoing.
  • “I’m just existing in this haze-like frame of mind in which I’m constantly on autopilot,” she says.
  • “What we don’t know is how long it will go on for,” says Zandi. “But we have seen patients who get better and are functioning.”
anonymous

Inside the Science of Memory | Johns Hopkins Medicine - 0 views

  • “Memories are who we are,” says Huganir. “But making memories is also a biological process.”
  • This process raises many questions. How does the process affect our brain? How do experiences and learning change the connections in our brains and create memories?
  • Memory: It’s All About Connections
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  • When we learn something—even as simple as someone’s name—we form connections between neurons in the brain. These synapses create new circuits between nerve cells, essentially remapping the brain.
  • The sheer number of possible connections gives the brain unfathomable flexibility—each of the brain’s 100 billion nerve cells can have 10,000 connections to other nerve cells.
  • Huganir and his team discovered that when mice are exposed to traumatic events, the level of neuronal receptors for glutamate increases at synapses in the amygdala, the fear center of the brain, and encodes the fear associated with the memory. Removing those receptors, however, reduces the strength of these connections, essentially erasing the fear component of the trauma but leaving the memory.
  • Now Huganir and his lab are developing drugs that target those receptors. The hope is that inactivating the receptors could help people with post-traumatic stress syndrome by reducing the fear associated with a traumatic memory, while strengthening them could improve learning, particularly in people with cognitive dysfunction or Alzheimer’s disease.
  • Dementia (di-men-sha): A loss of brain function that can be caused by a variety of disorders affecting the brain. Symptoms include forgetfulness, impaired thinking and judgment, personality changes, agitation and loss of emotional control. Alzheimer’s disease, Huntington’s disease and inadequate blood flow to the brain can all cause dementia. Most types of dementia are irreversible.
  • Post-traumatic stress disorder (PTSD): A disorder in which your “fight or flight,” or stress, response stays switched on, even when you have nothing to flee or battle. The disorder usually develops after an emotional or physical trauma, such as a mugging, physical abuse or a natural disaster. Symptoms include nightmares, insomnia, angry outbursts, emotional numbness, and physical and emotional tension.
annabaldwin_

How Getting Enough Sleep Can Make You Less Afraid - The Atlantic - 0 views

  • A new study suggests that people who naturally get more REM sleep may be less sensitive to frightening things.
  • For the study, a team of researchers from Rutgers University sent 17 subjects home with sleep-monitoring devices—headbands that monitor their brain waves, wristbands that track arm movements, and sleep logs—and asked them to sleep as they normally would for a week. They were monitoring how much sleep they were getting—especially REM, or rapid-eye-movement sleep.
  • Each night, most people sleep about seven or eight hours, about two hours of which is REM sleep, the stage of sleep in which the body relaxes fully and most dreams occur.
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  • The researchers then conditioned the participants to be afraid of certain images by showing them pictures of ordinary-looking rooms lit with lamps of various hues, some of which were paired with a mild shock to the finger. Through the shocks, they were taught to fear the rooms that were lit by certain colors.
  • The subjects with more REM sleep also had less activity in those areas of the brain. That suggests that the more well-rested subjects may not have been hard-wiring those fears into their brains quite as strongly.
  • PTSD is already known to be associated with sleep disturbances, and past studies have shown that sleep-deprived people have more activity in their amygdalae upon being shown upsetting pictures.
  • “REM is very unique because it’s the only time that area of the brain is completely silent,” said Shira Lupkin, one of the study’s authors and a researcher with the Center for Molecular and Behavioral Neuroscience at Rutgers University.
  • Because of that, people who get plenty of REM sleep might be less reactive to emotional stimuli.
  • If the study is replicated, there could be real-world implications for stopping trauma—before it starts.
manhefnawi

Two New Studies Explore the Neuroscience of Negative Emotions | Mental Floss - 0 views

  • We've all had experiences we'd prefer not to remember. That's especially true for people who have gone through a traumatic event such as childhood abuse, combat-related PTSD, or a bad accident. But there may be positive health applications for identifying, predicting, and retrieving negative emotions in the brain, according to two new studies. 
  • Researchers identified the different networks in the brain that all work together during a participant’s negative emotional experience, which they call a “brain signature.” Then, they used machine-learning algorithms to find global patterns of brain activity that best predicted the participants’ responses. “What we’re calling a 'brain signature' is basically a configuration—a brain pattern that is predictive of a state,” Chang tells mental_floss. He compares the process to the way that Netflix predicts who is watching a certain type of show based on the watcher’s choices in programming.
  • MEMORIES CAUSED—AND LOST—BY TRAUMA
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  • Many psychologists believe that in order for patients to recover from trauma, they often need to be able to recall what happened to them. The second study, published in Nature Neuroscience, investigated how the brain stores negative memories, known as “state-dependent learning.” The study, conducted in mice at Northwestern University’s Feinberg School of Medicine, suggests that negative memories caused—and then “lost”—by traumatic experiences may be retrieved by re-creating the state of the brain in which the memory first occurred.
  • The study suggests that in response to trauma, the brain activates this extra-synaptic GABA system, which appears to encode memories of fear-inducing events and hide them away from consciousness, rather than the glutamate system, which helps to store all memories, positive and negative. This research may provide a window into how to access these traumatic memories when needed for therapeutic reasons.
Javier E

How Climate Change Is Changing Therapy - The New York Times - 0 views

  • Andrew Bryant can still remember when he thought of climate change as primarily a problem of the future. When he heard or read about troubling impacts, he found himself setting them in 2080, a year that, not so coincidentally, would be a century after his own birth. The changing climate, and all the challenges it would bring, were “scary and sad,” he said recently, “but so far in the future that I’d be safe.”
  • That was back when things were different, in the long-ago world of 2014 or so. The Pacific Northwest, where Bryant is a clinical social worker and psychotherapist treating patients in private practice in Seattle, is a largely affluent place that was once considered a potential refuge from climate disruption
  • “We’re lucky to be buffered by wealth and location,” Bryant said. “We are lucky to have the opportunity to look away.”
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  • starting in the mid-2010s, those beloved blue skies began to disappear. First, the smoke came in occasional bursts, from wildfires in Canada or California or Siberia, and blew away when the wind changed direction. Within a few summers, though, it was coming in thicker, from more directions at once, and lasting longer.
  • Sometimes there were weeks when you were advised not to open your windows or exercise outside. Sometimes there were long stretches where you weren’t supposed to breathe the outside air at all.
  • Now lots of Bryant’s clients wanted to talk about climate change. They wanted to talk about how strange and disorienting and scary this new reality felt, about what the future might be like and how they might face it, about how to deal with all the strong feelings — helplessness, rage, depression, guilt — being stirred up inside them.
  • As a therapist, Bryant found himself unsure how to respond
  • while his clinical education offered lots of training in, say, substance abuse or family therapy, there was nothing about environmental crisis, or how to treat patients whose mental health was affected by it
  • Bryant immersed himself in the subject, joining and founding associations of climate-concerned therapists
  • could now turn to resources like the list maintained by the Climate Psychology Alliance North America, which contains more than 100 psychotherapists around the country who are what the organization calls “climate aware.”
  • Over and over, he read the same story, of potential patients who’d gone looking for someone to talk to about climate change and other environmental crises, only to be told that they were overreacting — that their concern, and not the climate, was what was out of whack and in need of treatment.
  • “You come in and talk about how anxious you are that fossil-fuel companies continue to pump CO2 into the air, and your therapist says, ‘So, tell me about your mother.’”
  • In many of the messages, people asked Bryant for referrals to climate-focused therapists in Houston or Canada or Taiwan, wherever it was the writer lived.
  • his practice had shifted to reflect a new reality of climate psychology. His clients didn’t just bring up the changing climate incidentally, or during disconcerting local reminders; rather, many were activists or scientists or people who specifically sought out Bryant because of their concerns about the climate crisis.
  • Climate change, in other words, surrounds us with constant reminders of “ethical dilemmas and deep social criticism of modern society. In its essence, climate crisis questions the relationship of humans with nature and the meaning of being human in the Anthropocene.”
  • It had been a challenging few years, Bryant told me when I first called to talk about his work. There were some ways in which climate fears were a natural fit in the therapy room, and he believed the field had coalesced around some answers that felt clear and useful
  • But treating those fears also stirred up lots of complicated questions that no one was quite sure how to answer. The traditional focus of his field, Bryant said, could be oversimplified as “fixing the individual”: treating patients as separate entities working on their personal growth
  • Climate change, by contrast, was a species-wide problem, a profound and constant reminder of how deeply intertwined we all are in complex systems — atmospheric, biospheric, economic — that are much bigger than us. It sometimes felt like a direct challenge to old therapeutic paradigms — and perhaps a chance to replace them with something better.
  • In one of climate psychology’s founding papers, published in 2011, Susan Clayton and Thomas J. Doherty posited that climate change would have “significant negative effects on mental health and well-being.” They described three broad types of possible impacts: the acute trauma of living through climate disasters; the corroding fear of a collapsing future; and the psychosocial decay that could damage the fabric of communities dealing with disruptive changes
  • All of these, they wrote, would make the climate crisis “as much a psychological and social phenomenon as a matter of biodiversity and geophysics.”
  • Many of these predictions have since been borne out
  • Studies have found rates of PTSD spiking in the wake of disasters, and in 2017 the American Psychological Association defined “ecoanxiety” as “a chronic fear of environmental doom.”
  • Climate-driven migration is on the rise, and so are stories of xenophobia and community mistrust.
  • eventually started a website, Climate & Mind, to serve as a sort of clearing house for other therapists searching for resources. Instead, the site became an unexpected window into the experience of would-be patients: Bryant found himself receiving messages from people around the world who stumbled across it while looking for help.
  • Many say it has led to symptoms of depression or anxiety; more than a quarter make an active effort not to think about it.
  • A poll by the American Psychiatric Association in the same year found that nearly half of Americans think climate change is already harming the nation’s mental health.
  • In June, the Yale Journal of Biology and Medicine published a paper cautioning that the world at large was facing “a psychological condition of ‘systemic uncertainty,’” in which “difficult emotions arise not only from experiencing the ecological loss itself,” but also from the fact that our lives are inescapably embedded in systems that keep on making those losses worse.
  • According to a 2022 survey by Yale and George Mason University, a majority of Americans report that they spend time worrying about climate change.
  • This is not an easy way to live.
  • Living within a context that is obviously unhealthful, he wrote, is painful: “a dimly intuited ‘fall’ from which we spend our lives trying to recover, a guilt we can never quite grasp or expiate” — a feeling of loss or dislocation whose true origins we look for, but often fail to see. This confusion leaves us feeling even worse.
  • When Barbara Easterlin first started studying environmental psychology 30 years ago, she told me, the focus of study was on ways in which cultivating a relationship with nature can be good for mental health
  • There was little or no attention to the fact that living through, or helping to cause, a collapse of nature can also be mentally harmful.
  • the field is still so new that it does not yet have evidence-tested treatments or standards of practice. Therapists sometimes feel as if they are finding the path as they go.
  • Rebecca Weston, a licensed clinical social worker practicing in New York and a co-president of the CPA-NA, told me that when she treats anxiety disorders, her goal is often to help the patient understand how much of their fear is internally produced — out of proportion to the reality they’re facing
  • climate anxiety is a different challenge, because people worried about climate change and environmental breakdown are often having the opposite experience: Their worries are rational and evidence-based, but they feel isolated and frustrated because they’re living in a society that tends to dismiss them.
  • One of the emerging tenets of climate psychology is that counselors should validate their clients’ climate-related emotions as reasonable, not pathological
  • it does mean validating that feelings like grief and fear and shame aren’t a form of sickness, but, as Weston put it, “are actually rational responses to a world that’s very scary and very uncertain and very dangerous for people
  • In the words of a handbook on climate psychology, “Paying heed to what is happening in our communities and across the globe is a healthier response than turning away in denial or disavowal.”
  • But this, too, raises difficult questions. “How much do we normalize people to the system we’re in?” Weston asked. “And is that the definition of health?
  • Or is the definition of health resisting the things that are making us so unhappy? That’s the profound tension within our field.”
  • “It seems to shift all the time, the sort of content and material that people are bringing in,” Alexandra Woollacott, a psychotherapist in Seattle, told the group. Sometimes it was a pervasive anxiety about the future, or trauma responses to fires or smoke or heat; other times, clients, especially young ones, wanted to vent their “sort of righteous anger and sense of betrayal” at the various powers that had built and maintained a society that was so destructive.
  • “I’m so glad that we have each other to process this,” she said, “because we’re humans living through this, too. I have my own trauma responses to it, I have my own grief process around it, I have my own fury at government and oil companies, and I think I don’t want to burden my clients with my own emotional response to it.”
  • In a field that has long emphasized boundaries, discouraging therapists from bringing their own issues or experiences into the therapy room, climate therapy offers a particular challenge: Separation can be harder when the problems at hand affect therapist and client alike
  • Some therapists I spoke to were worried about navigating the breakdown of barriers, while others had embraced it. “There is no place on the planet that won’t eventually be impacted, where client and therapist won’t be in it together,” a family therapist wrote in a CPA-NA newsletter. “Most therapists I know have become more vulnerable and self-disclosing in their practice.”
  • “If you look at or consider typical theoretical framings of something like post-traumatic growth, which is the understanding of this idea that people can sort of grow and become stronger and better after a traumatic event,” she said, then the climate crisis poses a dilemma because “there is no afterwards, right? There is no resolution anytime in our lifetimes to this crisis that we nonetheless have to build the capacities to face and to endure and to hopefully engage.”
  • “How,” she asked, “do you think about resilience apart from resolution?”
  • many of her patients are also disconnected from the natural world, which means that they struggle to process or even recognize the grief and alienation that comes from living in a society that treats nature as other, a resource to be used and discarded.
  • “I’m so excited by what you’re bringing in,” Woollacott replied. “I’m doing psychoanalytic training at the moment, and we study attachment theory” — how the stability of early emotional bonds affects future relationships and feelings of well-being. “But nowhere in the literature does it talk about our attachment to the land.”
  • Torres said that she sometimes takes her therapy sessions outside or asks patients to remember their earliest and deepest connections with animals or plants or places. She believes it will help if they learn to think of themselves “as rooted beings that aren’t just simply living in the human overlay on the environment.” It was valuable to recognize, she said, that “we are part of the land” and suffer when it suffers.
  • Torres described introducing her clients to methods — mindfulness, distress tolerance, emotion regulation — to help them manage acute feelings of stress or panic and to avoid the brittleness of burnout.
  • She also encourages them to narrativize the problem, including themselves as agents of change inside stories about how they came to be in this situation, and how they might make it different.
  • then she encourages them to find a community of other people who care about the same problems, with whom they could connect outside the therapy room. As Woollacott said earlier: “People who share your values. People who are committed to not looking away.”
  • Dwyer told the group that she had been thinking more about psychological adaptation as a form of climate mitigation
  • Therapy, she said, could be a way to steward human energy and creative capacities at a time when they’re most needed.
  • It was hard, Bryant told me when we first spoke, to do this sort of work without finding yourself asking bigger questions — namely, what was therapy actually about?
  • Many of the therapists I talked to spoke of their role not as “fixing” a patient’s problem or responding to a pathology, but simply giving their patients the tools to name and explore their most difficult emotions, to sit with painful feelings without instantly running away from them
  • many of the methods in their traditional tool kits continue to be useful in climate psychology. Anxiety and hopelessness and anger are all familiar territory, after all, with long histories of well-studied treatments.
  • They focused on trying to help patients develop coping skills and find meaning amid destabilization, to still see themselves as having agency and choice.
  • Weston, the therapist in New York, has had patients who struggle to be in a world that surrounds them with waste and trash, who experience panic because they can never find a place free of reminders of their society’s destruction
  • eston said, that she has trouble with the repeated refrain that therapist and patient experiencing the same losses and dreads at the same time constituted a major departure from traditional therapeutic practice
  • she believed this framing reflected and reinforced a bias inherent in a field that has long been most accessible to, and practiced by, the privileged. It was hardly new in the world, after all, to face the collapse of your entire way of life and still find ways to keep going.
  • Lately, Bryant told me, he’s been most excited about the work that happens outside the therapy room: places where groups of people gather to talk about their feelings and the future they’re facing
  • It was at such a meeting — a community event where people were brainstorming ways to adapt to climate chaos — that Weston, realizing she had concrete skills to offer, was inspired to rework her practice to focus on the challenge. She remembers finding the gathering empowering and energizing in a way she hadn’t experienced before. In such settings, it was automatic that people would feel embraced instead of isolated, natural that the conversation would start moving away from the individual and toward collective experiences and ideas.
  • There was no fully separate space, to be mended on its own. There was only a shared and broken world, and a community united in loving it.
Javier E

I Thought I Was Saving Trans Kids. Now I'm Blowing the Whistle. - 0 views

  • Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment. The center’s physician co-directors were essentially the sole authority.
  • At first, the patient population was tipped toward what used to be the “traditional” instance of a child with gender dysphoria: a boy, often quite young, who wanted to present as—who wanted to be—a girl. 
  • Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases. Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone. 
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  • The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.
  • This concerned me, but didn’t feel I was in the position to sound some kind of alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 
  • I certainly saw this at the center. One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 
  • There are no reliable studies showing this. Indeed, the experiences of many of the center’s patients prove how false these assertions are. 
  • The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.
  • To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 
  • When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.
  • Many encounters with patients emphasized to me how little these young people understood the profound impacts changing gender would have on their bodies and minds. But the center downplayed the negative consequences, and emphasized the need for transition. As the center’s website said, “Left untreated, gender dysphoria has any number of consequences, from self-harm to suicide. But when you take away the gender dysphoria by allowing a child to be who he or she is, we’re noticing that goes away. The studies we have show these kids often wind up functioning psychosocially as well as or better than their peers.” 
  • Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t).
  • Here’s an example. On Friday, May 1, 2020, a colleague emailed me about a 15-year-old male patient: “Oh dear. I am concerned that [the patient] does not understand what Bicalutamide does.” I responded: “I don’t think that we start anything honestly right now.”
  • Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys. As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue.
  • How little patients understood what they were getting into was illustrated by a call we received at the center in 2020 from a 17-year-old biological female patient who was on testosterone. She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away.
  • when there was a dispute between the parents, it seemed the center always took the side of the affirming parent.
  • Other girls were disturbed by the effects of testosterone on their clitoris, which enlarges and grows into what looks like a microphallus, or a tiny penis. I counseled one patient whose enlarged clitoris now extended below her vulva, and it chafed and rubbed painfully in her jeans. I advised her to get the kind of compression undergarments worn by biological men who dress to pass as female. At the end of the call I thought to myself, “Wow, we hurt this kid.”
  • There are rare conditions in which babies are born with atypical genitalia—cases that call for sophisticated care and compassion. But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet. They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.
  • Being put on powerful doses of testosterone or estrogen—enough to try to trick your body into mimicking the opposite sex—-affects the rest of the body. I doubt that any parent who's ever consented to give their kid testosterone (a lifelong treatment) knows that they’re also possibly signing their kid up for blood pressure medication, cholesterol medication, and perhaps sleep apnea and diabetes. 
  • Besides teenage girls, another new group was referred to us: young people from the inpatient psychiatric unit, or the emergency department, of St. Louis Children’s Hospital. The mental health of these kids was deeply concerning—there were diagnoses like schizophrenia, PTSD, bipolar disorder, and more. Often they were already on a fistful of pharmaceuticals.
  • no matter how much suffering or pain a child had endured, or how little treatment and love they had received, our doctors viewed gender transition—even with all the expense and hardship it entailed—as the solution.
  • Another disturbing aspect of the center was its lack of regard for the rights of parents—and the extent to which doctors saw themselves as more informed decision-makers over the fate of these children.
  • We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about.
  • During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 
  • I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.
  • Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.
  • Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.
  • For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt. 
  • The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. 
  • All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier. 
Javier E

Opinion | Do You Live in a 'Tight' State or a 'Loose' One? Turns Out It Matters Quite a... - 0 views

  • Political biases are omnipresent, but what we don’t fully understand yet is how they come about in the first place.
  • In 2014, Michele J. Gelfand, a professor of psychology at the Stanford Graduate School of Business formerly at the University of Maryland, and Jesse R. Harrington, then a Ph.D. candidate, conducted a study designed to rank the 50 states on a scale of “tightness” and “looseness.”
  • titled “Tightness-Looseness Across the 50 United States,” the study calculated a catalog of measures for each state, including the incidence of natural disasters, disease prevalence, residents’ levels of openness and conscientiousness, drug and alcohol use, homelessness and incarceration rates.
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  • Gelfand and Harrington predicted that “‘tight’ states would exhibit a higher incidence of natural disasters, greater environmental vulnerability, fewer natural resources, greater incidence of disease and higher mortality rates, higher population density, and greater degrees of external threat.”
  • The South dominated the tight states: Mississippi, Alabama Arkansas, Oklahoma, Tennessee, Texas, Louisiana, Kentucky, South Carolina and North Carolina
  • states in New England and on the West Coast were the loosest: California, Oregon, Washington, Maine, Massachusetts, Connecticut, New Hampshire and Vermont.
  • Cultural differences, Gelfand continued, “have a certain logic — a rationale that makes good sense,” noting that “cultures that have threats need rules to coordinate to survive (think about how incredibly coordinated Japan is in response to natural disasters).
  • “Rule Makers, Rule Breakers: How Tight and Loose Cultures Wire the World” in 2018, in which she described the results of a 2016 pre-election survey she and two colleagues had commissioned
  • The results were telling: People who felt the country was facing greater threats desired greater tightness. This desire, in turn, correctly predicted their support for Trump. In fact, desired tightness predicted support for Trump far better than other measures. For example, a desire for tightness predicted a vote for Trump with 44 times more accuracy than other popular measures of authoritarianism.
  • The 2016 election, Gelfand continued, “turned largely on primal cultural reflexes — ones that had been conditioned not only by cultural forces, but by a candidate who was able to exploit them.”
  • Gelfand said:Some groups have much stronger norms than others; they’re tight. Others have much weaker norms; they’re loose. Of course, all cultures have areas in which they are tight and loose — but cultures vary in the degree to which they emphasize norms and compliance with them.
  • In both 2016 and 2020, Donald Trump carried all 10 of the top “tight” states; Hillary Clinton and Joe Biden carried all 10 of the top “loose” states.
  • The tight-loose concept, Gelfand argued,is an important framework to understand the rise of President Donald Trump and other leaders in Poland, Hungary, Italy, and France,
  • cultures that don’t have a lot of threat can afford to be more permissive and loose.”
  • The gist is this: when people perceive threat — whether real or imagined, they want strong rules and autocratic leaders to help them survive
  • My research has found that within minutes of exposing study participants to false information about terrorist incidents, overpopulation, pathogen outbreaks and natural disasters, their minds tightened. They wanted stronger rules and punishments.
  • Gelfand writes that tightness encourages conscientiousness, social order and self-control on the plus side, along with close-mindedness, conventional thinking and cultural inertia on the minus side.
  • Looseness, Gelfand posits, fosters tolerance, creativity and adaptability, along with such liabilities as social disorder, a lack of coordination and impulsive behavior.
  • If liberalism and conservatism have historically played a complementary role, each checking the other to constrain extremism, why are the left and right so destructively hostile to each other now, and why is the contemporary political system so polarized?
  • Along the same lines, if liberals and conservatives hold differing moral visions, not just about what makes a good government but about what makes a good life, what turned the relationship between left and right from competitive to mutually destructive?
  • As a set, Niemi wrote, conservative binding values encompassthe values oriented around group preservation, are associated with judgments, decisions, and interpersonal orientations that sacrifice the welfare of individuals
  • She cited research thatfound 47 percent of the most extreme conservatives strongly endorsed the view that “The world is becoming a more and more dangerous place,” compared to 19 percent of the most extreme liberals
  • Conservatives and liberals, Niemi continued,see different things as threats — the nature of the threat and how it happens to stir one’s moral values (and their associated emotions) is a better clue to why liberals and conservatives react differently.
  • Unlike liberals, conservatives strongly endorse the binding moral values aimed at protecting groups and relationships. They judge transgressions involving personal and national betrayal, disobedience to authority, and disgusting or impure acts such as sexually or spiritually unchaste behavior as morally relevant and wrong.
  • Underlying these differences are competing sets of liberal and conservative moral priorities, with liberals placing more stress than conservatives on caring, kindness, fairness and rights — known among scholars as “individualizing values
  • conservatives focus more on loyalty, hierarchy, deference to authority, sanctity and a higher standard of disgust, known as “binding values.”
  • Niemi contended that sensitivity to various types of threat is a key factor in driving differences between the far left and far right.
  • For example, binding values are associated with Machiavellianism (e.g., status-seeking and lying, getting ahead by any means, 2013); victim derogation, blame, and beliefs that victims were causal contributors for a variety of harmful acts (2016, 2020); and a tendency to excuse transgressions of ingroup members with attributions to the situation rather than the person (2023).
  • Niemi cited a paper she and Liane Young, a professor of psychology at Boston College, published in 2016, “When and Why We See Victims as Responsible: The Impact of Ideology on Attitudes Toward Victims,” which tested responses of men and women to descriptions of crimes including sexual assaults and robberies.
  • We measured moral values associated with unconditionally prohibiting harm (“individualizing values”) versus moral values associated with prohibiting behavior that destabilizes groups and relationships (“binding values”: loyalty, obedience to authority, and purity)
  • Increased endorsement of binding values predicted increased ratings of victims as contaminated, increased blame and responsibility attributed to victims, increased perceptions of victims’ (versus perpetrators’) behaviors as contributing to the outcome, and decreased focus on perpetrators.
  • A central explanation typically offered for the current situation in American politics is that partisanship and political ideology have developed into strong social identities where the mass public is increasingly sorted — along social, partisan, and ideological lines.
  • What happened to people ecologically affected social-political developments, including the content of the rules people made and how they enforced them
  • Just as ecological factors differing from region to region over the globe produced different cultural values, ecological factors differed throughout the U.S. historically and today, producing our regional and state-level dimensions of culture and political patterns.
  • Joshua Hartshorne, who is also a professor of psychology at Boston College, took issue with the binding versus individualizing values theory as an explanation for the tendency of conservatives to blame victims:
  • I would guess that the reason conservatives are more likely to blame the victim has less to do with binding values and more to do with the just-world bias (the belief that good things happen to good people and bad things happen to bad people, therefore if a bad thing happened to you, you must be a bad person).
  • Belief in a just world, Hartshorne argued, is crucial for those seeking to protect the status quo:It seems psychologically necessary for anyone who wants to advocate for keeping things the way they are that the haves should keep on having, and the have-nots have got as much as they deserve. I don’t see how you could advocate for such a position while simultaneously viewing yourself as moral (and almost everyone believes that they themselves are moral) without also believing in the just world
  • Conversely, if you generally believe the world is not just, and you view yourself as a moral person, then you are likely to feel like you have an obligation to change things.
  • I asked Lene Aaroe, a political scientist at Aarhus University in Denmark, why the contemporary American political system is as polarized as it is now, given that the liberal-conservative schism is longstanding. What has happened to produce such intense hostility between left and right?
  • There is variation across countries in hostility between left and right. The United States is a particularly polarized case which calls for a contextual explanatio
  • I then asked Aaroe why surveys find that conservatives are happier than liberals. “Some research,” she replied, “suggests that experiences of inequality constitute a larger psychological burden to liberals because it is more difficult for liberals to rationalize inequality as a phenomenon with positive consequences.”
  • Numerous factors potentially influence the evolution of liberalism and conservatism and other social-cultural differences, including geography, topography, catastrophic events, and subsistence styles
  • Steven Pinker, a professor of psychology at Harvard, elaborated in an email on the link between conservatism and happiness:
  • t’s a combination of factors. Conservatives are likelier to be married, patriotic, and religious, all of which make people happier
  • They may be less aggrieved by the status quo, whereas liberals take on society’s problems as part of their own personal burdens. Liberals also place politics closer to their identity and striving for meaning and purpose, which is a recipe for frustration.
  • Some features of the woke faction of liberalism may make people unhappier: as Jon Haidt and Greg Lukianoff have suggested, wokeism is Cognitive Behavioral Therapy in reverse, urging upon people maladaptive mental habits such as catastrophizing, feeling like a victim of forces beyond one’s control, prioritizing emotions of hurt and anger over rational analysis, and dividing the world into allies and villains.
  • Why, I asked Pinker, would liberals and conservatives react differently — often very differently — to messages that highlight threat?
  • It may be liberals (or at least the social-justice wing) who are more sensitive to threats, such as white supremacy, climate change, and patriarchy; who may be likelier to moralize, seeing racism and transphobia in messages that others perceive as neutral; and being likelier to surrender to emotions like “harm” and “hurt.”
  • While liberals and conservatives, guided by different sets of moral values, may make agreement on specific policies difficult, that does not necessarily preclude consensus.
  • there are ways to persuade conservatives to support liberal initiatives and to persuade liberals to back conservative proposals:
  • While liberals tend to be more concerned with protecting vulnerable groups from harm and more concerned with equality and social justice than conservatives, conservatives tend to be more concerned with moral issues like group loyalty, respect for authority, purity and religious sanctity than liberals are. Because of these different moral commitments, we find that liberals and conservatives can be persuaded by quite different moral arguments
  • For example, we find that conservatives are more persuaded by a same-sex marriage appeal articulated in terms of group loyalty and patriotism, rather than equality and social justice.
  • Liberals who read the fairness argument were substantially more supportive of military spending than those who read the loyalty and authority argument.
  • We find support for these claims across six studies involving diverse political issues, including same-sex marriage, universal health care, military spending, and adopting English as the nation’s official language.”
  • In one test of persuadability on the right, Feinberg and Willer assigned some conservatives to read an editorial supporting universal health care as a matter of “fairness (health coverage is a basic human right)” or to read an editorial supporting health care as a matter of “purity (uninsured people means more unclean, infected, and diseased Americans).”
  • Conservatives who read the purity argument were much more supportive of health care than those who read the fairness case.
  • “political arguments reframed to appeal to the moral values of those holding the opposing political position are typically more effective
  • In “Conservative and Liberal Attitudes Drive Polarized Neural Responses to Political Content,” Willer, Yuan Chang Leong of the University of Chicago, Janice Chen of Johns Hopkins and Jamil Zaki of Stanford address the question of how partisan biases are encoded in the brain:
  • society. How do such biases arise in the brain? We measured the neural activity of participants watching videos related to immigration policy. Despite watching the same videos, conservative and liberal participants exhibited divergent neural responses. This “neural polarization” between groups occurred in a brain area associated with the interpretation of narrative content and intensified in response to language associated with risk, emotion, and morality. Furthermore, polarized neural responses predicted attitude change in response to the videos.
  • The four authors argue that their “findings suggest that biased processing in the brain drives divergent interpretations of political information and subsequent attitude polarization.” These results, they continue, “shed light on the psychological and neural underpinnings of how identical information is interpreted differently by conservatives and liberals.”
  • The authors used neural imaging to follow changes in the dorsomedial prefrontal cortex (known as DMPFC) as conservatives and liberals watched videos presenting strong positions, left and right, on immigration.
  • or each video,” they write,participants with DMPFC activity time courses more similar to that of conservative-leaning participants became more likely to support the conservative positio
  • Conversely, those with DMPFC activity time courses more similar to that of liberal-leaning participants became more likely to support the liberal position. These results suggest that divergent interpretations of the same information are associated with increased attitude polarizatio
  • Together, our findings describe a neural basis for partisan biases in processing political information and their effects on attitude change.
  • Describing their neuroimaging method, the authors point out that theysearched for evidence of “neural polarization” activity in the brain that diverges between people who hold liberal versus conservative political attitudes. Neural polarization was observed in the dorsomedial prefrontal cortex (DMPFC), a brain region associated with the interpretation of narrative content.
  • The question is whether the political polarization that we are witnessing now proves to be a core, encoded aspect of the human mind, difficult to overcome — as Leong, Chen, Zaki and Willer sugges
  • — or whether, with our increased knowledge of the neural basis of partisan and other biases, we will find more effective ways to manage these most dangerous of human predispositions.
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