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At fifty-nine, Anderson is the chair of the University of Michigan’s department of philosophy and a champion of the view that equality and freedom are mutually dependent, enmeshed in changing conditions through time.

She has built a case, elaborated across decades, that equality is the basis for a free society

Because she brings together ideas from both the left and the right to battle increasing inequality, Anderson may be the philosopher best suited to this awkward moment in American life. She builds a democratic frame for a society in which people come from different places and are predisposed to disagree.

she sketched out the entry-level idea that one basic way to expand equality is by expanding the range of valued fields within a society.

The ability not to have an identity that one carries from sphere to sphere but, rather, to be able to slip in and adopt whatever values and norms are appropriate while retaining one’s identities in other domains?” She paused. “That is what it is to be free.”

How do you move from a basic model of egalitarian variety, in which everybody gets a crack at being a star at something, to figuring out how to respond to a complex one, where people, with different allotments of talent and virtue, get unequal starts, and often meet with different constraints along the way?

The problem, she proposed, was that contemporary egalitarian thinkers had grown fixated on distribution: moving resources from lucky-seeming people to unlucky-seeming people, as if trying to spread the luck around.

Egalitarians should agree about clear cases of blameless misfortune: the quadriplegic child, the cognitively impaired adult, the teen-ager born into poverty with junkie parents. But Anderson balked there, too. By categorizing people as lucky or unlucky, she argued, these egalitarians set up a moralizing hierarchy.

In Anderson’s view, the way forward was to shift from distributive equality to what she called relational, or democratic, equality: meeting as equals, regardless of where you were coming from or going to.

By letting the lucky class go on reaping the market’s chancy rewards while asking others to concede inferior status in order to receive a drip-drip-drip of redistributive aid, these egalitarians were actually entrenching people’s status as superior or subordinate.

To the ugly and socially awkward: . . . Maybe you won’t be such a loser in love once potential dates see how rich you are.

. To the stupid and untalented: Unfortunately, other people don’t value what little you have to offer in the system of production. . . . Because of the misfortune that you were born so poorly endowed with talents, we productive ones will make it up to you: we’ll let you share in the bounty of what we have produced with our vastly superior and highly valued abilities. . . 

she imagined some citizens getting a state check and a bureaucratic letter:

This was, at heart, an exercise of freedom. The trouble was that many people, picking up on libertarian misconceptions, thought of freedom only in the frame of their own actions.

To be truly free, in Anderson’s assessment, members of a society had to be able to function as human beings (requiring food, shelter, medical care), to participate in production (education, fair-value pay, entrepreneurial opportunity), to execute their role as citizens (freedom to speak and to vote), and to move through civil society (parks, restaurants, workplaces, markets, and all the rest).

Anderson’s democratic model shifted the remit of egalitarianism from the idea of equalizing wealth to the idea that people should be equally free, regardless of their differences.

A society in which everyone had the same material benefits could still be unequal, in this crucial sense; democratic equality, being predicated on equal respect, wasn’t something you could simply tax into existence. “People, not nature, are responsible for turning the natural diversity of human beings into oppressive hierarchies,”

Her first book, “Value in Ethics and Economics,” appeared that year, announcing one of her major projects: reconciling value (an amorphous ascription of worth that is a keystone of ethics and economics) with pluralism (the fact that people seem to value things in different ways).

Philosophers have often assumed that pluralistic value reflects human fuzziness—we’re loose, we’re confused, and we mix rational thought with sentimental responses.

She offered an “expressive” theory: in her view, each person’s values could be various because they were socially expressed, and thus shaped by the range of contexts and relationships at play in a life. Instead of positing value as a basic, abstract quality across society (the way “utility” functioned for economists), she saw value as something determined by the details of an individual’s history.

Like her idea of relational equality, this model resisted the temptation to flatten human variety toward a unifying standard. In doing so, it helped expand the realm of free and reasoned economic choice.

Anderson’s model unseated the premises of rational-choice theory, in which individuals invariably make utility-maximizing decisions, occasionally in heartless-seeming ways. It ran with, rather than against, moral intuition. Because values were plural, it was perfectly rational to choose to spend evenings with your family, say, and have guilt toward the people you left in the lurch at work.

The theory also pointed out the limits on free-market ideologies, such as libertarianism.

In ethics, it broke across old factional debates. The core idea “has been picked up on by people across quite a range of positions,” Peter Railton, one of Anderson’s longtime colleagues, says. “Kantians and consequentialists alike”—people who viewed morality in terms of duties and obligations, and those who measured the morality of actions by their effects in the world—“could look at it and see something important.”

Traditionally, the discipline is taught through a-priori thought—you start with basic principles and reason forward. Anderson, by contrast, sought to work empirically, using information gathered from the world, identifying problems to be solved not abstractly but through the experienced problems of real people.

“Dewey argued that the primary problems for ethics in the modern world concerned the ways society ought to be organized, rather than personal decisions of the individual,”

In 2004, the Stanford Encyclopedia of Philosophy asked Anderson to compose its entry on the moral philosophy of John Dewey, who helped carry pragmatist methods into the social realm. Dewey had an idea of democracy as a system of good habits that began in civil life. He was an anti-ideologue with an eye for pluralism.

She started working with historians, trying to hone her understanding of ideas by studying them in the context of their creation. Take Rousseau’s apparent support of direct democracy. It’s rarely mentioned that, at the moment when he made that argument, his home town of Geneva had been taken over by oligarchs who claimed to represent the public. Pragmatism said that an idea was an instrument, which naturally gave rise to such questions as: an instrument for what, and where, and when?

In “What Is the Point of Equality?,” Anderson had already started to drift away from what philosophers, following Rawls, call ideal theory, based on an end vision for a perfectly just society. As Anderson began a serious study of race in America, though, she found herself losing faith in that approach entirely.

Broadly, there’s a culturally right and a culturally left ideal theory for race and society. The rightist version calls for color blindness. Instead of making a fuss about skin and ethnicity, its advocates say, society should treat people as people, and let the best and the hardest working rise.

The leftist theory envisions identity communities: for once, give black people (or women, or members of other historically oppressed groups) the resources and opportunities they need, including, if they want it, civil infrastructure for themselves.

In “The Imperative of Integration,” published in 2010, Anderson tore apart both of these models. Sure, it might be nice to live in a color-blind society, she wrote, but that’s nothing like the one that exists.

But the case for self-segregation was also weak. Affinity groups provided welcome comfort, yet that wasn’t the same as power or equality, Anderson pointed out. And there was a goose-and-gander problem. Either you let only certain groups self-segregate (certifying their subordinate status) or you also permitted, say, white men to do it,

Anderson’s solution was “integration,” a concept that, especially in progressive circles, had been uncool since the late sixties. Integration, by her lights, meant mixing on the basis of equality.

in attending to these empirical findings over doctrine, she announced herself as a non-ideal theorist: a philosopher with no end vision of society. The approach recalls E. L. Doctorow’s description of driving at night: “You can see only as far as the headlights, but you can make the whole trip that way.”

or others, though, a white woman making recommendations on race policy raised questions of perspective. She was engaging through a mostly white Anglo-American tradition. She worked from the premise that, because she drew on folders full of studies, the limits of her own perspective were not constraining.

Some philosophers of color welcomed the book. “She’s taking the need for racial justice seriously, and you could hardly find another white political philosopher over a period of decades doing that,”

Recently, Anderson changed the way she assigns undergraduate essays: instead of requiring students to argue a position and fend off objections, doubling down on their original beliefs, she asks them to discuss their position with someone who disagrees, and to explain how and why, if at all, the discussion changed their views.

The challenge of pluralism is the challenge of modern society: maintaining equality amid difference in a culture given to constant and unpredictable change.

Rather than fighting for the ascendancy of certain positions, Anderson suggests, citizens should fight to bolster healthy institutions and systems—those which insure that all views and experiences will be heard. Today’s righteous projects, after all, will inevitably seem fatuous and blinkered from the vantage of another age.

Smith saw the markets as an escape from that order. Their “most important” function, he explained, was to bring “liberty and security” to those “who had before lived almost in a continual state of war with their neighbours, and of servile dependency upon their superiors.”

Anderson zeroed in on Adam Smith, whose “The Wealth of Nations,” published in 1776, is taken as a keystone of free-market ideology. At the time, English labor was subject to uncompensated apprenticeships, domestic servitude, and some measure of clerical dominion.

Smith, in other words, was an egalitarian. He had written “The Wealth of Nations” in no small part to be a solution to what we’d now call structural inequality—the intractable, compounding privileges of an arbitrary hierarchy.

It was a historical irony that, a century later, writers such as Marx pointed to the market as a structure of dominion over workers; in truth, Smith and Marx had shared a socioeconomic project. And yet Marx had not been wrong to trash Smith’s ideas, because, during the time between them, the world around Smith’s model had changed, and it was no longer a useful tool.

mages of free market society that made sense prior to the Industrial Revolution continue to circulate today as ideals, blind to the gross mismatch between the background social assumptions reigning in the seventeenth and eighteenth centuries, and today’s institutional realities. We are told that our choice is between free markets and state control, when most adults live their working lives under a third thing entirely: private government.

Today, people still try to use, variously, both Smith’s and Marx’s tools on a different, postindustrial world:

The unnaturalness of this top-heavy arrangement, combined with growing evidence of power abuses, has given many people reason to believe that something is fishy about the structure of American equality. Socialist and anti-capitalist models are again in vogue.

Anderson offers a different corrective path. She thinks it’s fine for some people to earn more than others. If you’re a brilliant potter, and people want to pay you more than the next guy for your pottery, great!

The problem isn’t that talent and income are distributed in unequal parcels. The problem is that Jeff Bezos earns more than a hundred thousand dollars a minute, while Amazon warehouse employees, many talented and hardworking, have reportedly resorted to urinating in bottles in lieu of a bathroom break. That circumstance reflects some structure of hierarchical oppression. It is a rip in the democratic fabric, and it’s increasingly the norm.

Andersonism holds that we don’t have to give up on market society if we can recognize and correct for its limitations—it may even be our best hope, because it’s friendlier to pluralism than most alternatives are.

we must be flexible. We must remain alert. We must solve problems collaboratively, in the moment, using society’s ears and eyes and the best tools that we can find.

“You can see that, from about 1950 to 1970, the typical American’s wages kept up with productivity growth,” she said. Then, around 1974, she went on, hourly compensation stagnated. American wages have been effectively flat for the past few decades, with the gains of productivity increasingly going to shareholders and to salaries for big bosses.

What changed? Anderson rattled off a constellation of factors, from strengthened intellectual-property law to winnowed antitrust law. Financialization, deregulation. Plummeting taxes on capital alongside rising payroll taxes. Privatization, which exchanged modest public-sector salaries for C.E.O. paydays. She gazed into the audience and blinked. “So now we have to ask: What has been used to justify this rather dramatic shift of labor-share of income?”

It was no wonder that industrial-age thinking was riddled with contradictions: it reflected what Anderson called “the plutocratic reversal” of classical liberal ideas. Those perversely reversed ideas about freedom were the ones that found a home in U.S. policy, and, well, here we were.

Sometimes, changing your circumstances is difficult but absolutely necessary, such as in cases of abuse or violence. And sometimes, changing your circumstances is fairly easy: If you are lethargic every morning, start going to bed earlier.

But in the gray areas in between, fighting against reality can be impossible, or incredibly inefficient. Maybe you have been diagnosed with a chronic illness for which there are no promising treatment options. Perhaps your romantic partner has left you against your wishes and cannot be persuaded otherwise.

In these sorts of situations, changing how you feel can actually be much easier than changing your physical reality, even if it seems unnatural.

No surprise, then, that chronic stress often leads to maladaptive coping mechanisms in modern life. These include the misuse of drugs and alcohol, rumination on the sources of stress, self-harm, and self-blaming

That can be blamed in part on biology. Negative emotions such as anger and fear activate the amygdala, which increases vigilance toward threats and improves your ability to detect and avoid danger.

In other words, stress makes you fight, flee, or freeze—not think, What would a prudent reaction be at this moment? Let’s consider the options.

But in the modern world, stress and anxiety are usually chronic, not episodic.

you no longer need your amygdala to help you outrun the tiger without asking your conscious brain’s permission. Instead, you use it to handle the nonlethal problems that pester you all day long. Even if you don’t have tigers to outrun, you can’t relax in your cave, because the emails are piling up.

Your emotions can seem out of your control at the best of times, and even more so during a crisis

Similarly, the Stoics believed that human reason, practiced studiously, could override knee-jerk emotions.

Buddhism posits that our minds are habitually unbalanced, but not intrinsically so; the key is to build new habits of thinking.

These ideas (especially the last) have inspired modern schools of psychotherapy, such as rational emotive behavior therapy and cognitive behavioral therapy, which aim to create practical strategies for changing our reactions to negative situations in our life—and thus becoming happier.

4. Give more.

you can follow four steps to arrive at a happier frame of mind:

1. Notice your feelings.

Self-observation requires that you be mindful of what you are feeling in the moment and approach your emotions with detached curiosity.

Say you are sick of working from home all day, with endless Zoom meetings and no real human contact. Rather than fantasizing about quitting, spend some time dissecting your boredom and discomfort. At what time of day are they worst?

Following this procedure during the coronavirus pandemic shutdowns, I started taking virtual meetings while out for a walk. It made a big difference.

2. Accept your feelings.

in much of life, negative feelings are part of a full human experience; erasing them would make life grayer. Furthermore, ample research shows that negative emotions and experiences help us find life’s meaning and purpose.

In the journal you started in Step 1 above, ponder the things that you can’t realistically alter and the emotions they spark in you. Ask what you are learning about yourself from each of these feelings, and how you might grow as a result.

3. Lower your expectations.

Once, as a young man, I told my father over the phone that I planned to quit my job. “Why?” he asked. “Because it doesn’t make me happy,” I told him. He paused for a long time, and finally said, “What makes you so special?

My problem—and it’s a common one—was that I had set unreasonable expectations about how happy the world was supposed to make me.

Calmly ask yourself whether you’re asking the world for something it can’t or won’t give you. If you are, you might be looking in the wrong place for your bliss

you shouldn’t assume that all your happiness can come from any single romance, material object, or activity. You need a “portfolio” approach, balancing faith or philosophy, family, friendship, and work in which you earn your success and serve others.

Ancient thinkers recognized this difficulty but believed that we can manage our reactions effectively if we have the right tools.

Research from the INSEAD business school in France shows that people who consider themselves a victim of circumstances don’t feel like they have any responsibility for them. They are also likely to be victimizers themselves, hurting the people who try to help them.

One way to break this cycle is to help others voluntarily and charitably. Not only is serving others one of the most effective ways to raise one’s own happiness; maintaining the two opposing ideas that you are both a victim and a helper is very difficult.

Because of its large population, India alone accounted for an estimated 22% -- or 4.1 million -- of the global deaths. The U.S. and Russia were the next highest with 1.1 million each, followed by Mexico, Brazil and Indonesia.

In the end, the scientists estimated there was an excess of 120 deaths for every 100,000 people around the world. The study found 21 countries had estimated mortality rates higher than 300 per 100,000, led by Bolivia and Bulgaria

Places with the lowest estimated excess mortality rate were Iceland, Australia, Singapore and New Zealand.

Mask-wearing, physical distancing and other public health measures led to a decline in other communicable diseases, which reduced mortality in some countries

the prevalence of obesity and older age in a population were two of the biggest determinants of excess mortality, Murray said. 

The Bloomberg article cites a July meta-analysis in the medical journal Lancet, which found a tenuous link between higher temperatures and suicides and mental illness. But the study deems the collective evidence of “low certainty” owing to inconsistent study findings, methodologies, measured variables and definitions.

“climate change might not necessarily increase mental health issues because people might adapt over time, meaning that higher temperatures could become normal and not be experienced as anomalous or extreme.”

yes. Before the media began reporting on putative temperature records—the scientific evidence for which is also weak—heat waves were treated as a normal part of summer. Uncomfortable, but figuratively nothing to sweat about.

according to a World Health Organization report last year, the very “awareness of climate change and extreme weather events and their impacts” may lead to a host of ills, including strained social relationships, anxiety, depression, intimate-partner violence, helplessness, suicidal behavior and alcohol and substance abuse.

“First and foremost, it is imperative that adults understand that youth climate anxiety (also referred to as eco-anxiety, solastalgia, eco-guilt or ecological grief) is an emotionally and cognitively functional response to real existential threats,” a May 10 editorial in the journal Nature explained. “Although feelings of powerlessness, grief and fear can be profoundly disruptive—particularly for young people unaccustomed to the depth and complexity of such feelings—it is important to acknowledge that this response is a rational one.”

Forty-five percent claimed they were so worried that they struggled to function on a daily basis, the definition of an anxiety disorder.

A study in 2021 of 16- to 25-year-olds in 10 countries including the U.S. reported that 59% were very or extremely worried about climate change, and 84% were at least moderately worried

These anxieties are no more rational than the threats from climate change are existential.

A more apt term for such fear is climate hypochondria.

The New Yorker magazine earlier this month published a 4,400-word piece titled “What to Do With Climate Emotions” by Jia Tolentino, a woman in the throes of such neurosis

Ms. Tolentino goes on to describe how climate therapists can help patients cope. “The goal is not to resolve the intrusive feeling and put it away” but, as one therapist advises her, “to aim for a middle ground of sustainable distress.” Even the climate left’s despair must be “sustainable.”

there’s nothing normal about climate anxiety, despite the left’s claims to the contrary.

Progressives may even use climate change to displace their other anxieties—for instance, about having children

Displacement is a maladaptive mechanism by which people redirect negative emotions from one thing to another

Climate hypochondriacs deserve to be treated with compassion, much like anyone who suffers from mental illness. They shouldn’t, however, expect everyone else to enable their neuroses.

that joy also feels misguided, misplaced, or simply out of time—from an era that definitively ended. The aughties era of universal social-media onboarding that includes Twitter was defined by Millennial optimism and its whoop-whoop soundtrack.

Threads represents a memory of a time that has probably passed but of which we cannot yet let go.

With a few threads posted, and the most eager followees following or followed, the dopamine high cleared, revealing reality: The age of social media is over, and it cannot be recovered.

Zuckerberg has merely copied and pasted a social network, and we are back where we started, only with all the baggage and psychological scarring of previous connectivity experiences.

Big tech companies now dictate where attention, and therefore money, power, and influence, reside. You don’t have to like that fact to admit that it’s the case: Is Threads a thing? Should we be on it? MrBeast has 1 million Thread followers already.

Who, if anyone, is this for? Did anyone ask for this? Why are these hot people with excellent skin, blue check marks, and 750,000 followers so excited?

Who, if

The cascade of new followers, the collective rush of establishing new communication norms on the fly with friends and total strangers—all of that is fleeting. And the true sickos know what happens next: the trolls, the spam, the ads, the Conversations About Politics. Even if those things never materialize, the nagging feeling is still there

It’s not exactly like rebuilding your home on the coastline after it was destroyed by a hurricane, but the vibe is similar: rebirth and hope, but also regret and dread. If only it had all just fallen into the sea.

Though Hoover’s settings bop around America from Boston to New York to Texas to Vermont, the only contextual references pertain to pop culture, social media and the occasional local attraction.

Politics are confined to the daunting gulf between haves and have-nots, and even when Hoover’s striving heroines find themselves among the haves, their hearts remain forever with the have-nots.

In these novels what matters more than anything else is hardship: Hardship is everywhere, women must suffer, women can heal, and those who make it through all this have the capacity to find themselves/love/happiness. The reader can’t help feeling that the heroine/Hoover is speaking to me/for me/like me.

Fiction of this sort reflects a strain in the culture that has shifted from a fascination with the other — the rich, the powerful, the exclusive — to a more inward preoccupation with the self and the desire to see oneself reflected in the stories one consumes

Women’s popular fiction of the ’80s, when the glitter and glamour of “Dallas” and “Dynasty” dominated prime-time TV, offers a sharp contrast. In best sellers of that period, the settings jetted from Monte Carlo to Capri to Rodeo Drive, populated by the rich, famous and destined-to-be. Heroines could have been peeled off the cover of Cosmopolitan magazine

As with TikTok testimonials of adolescent mental health challenges and group-chat confessions, it’s about “relatability” and the willingness to reveal all. Even celebrities must bare all

I never shed a tear while reading Sheldon, but that wasn’t the point. The point was exuberant voyeurism, the literary equivalent of “Lifestyles of the Rich and Famous.” The heroines’ lives were nothing like mine nor were they meant to be. That’s what made them so absurdly entertaining.

Colleen Hoover paints on a more intimate canvas. Her stories aren’t about attaining worldly power on a grand scale, but about finding power within

Hoover offers readers an emotional road map to recovery from imposter syndrome, domestic abuse, betrayal, victimization. It’s a very different kind of achievement.

In a country where economic inequalities can seem insurmountable and systems of power ever more remote, this may be the best her hard-knock heroines — and readers — can hope for.

For readers invested in characters who are like themselves — if perhaps more beautiful and with more exciting sex lives — the emotional payoff can still feel hard-earned. And, just possibly, the story could happen to them.

he forces his employees to bridge the enormous gap between technological reality and his dreams. This disconnect fosters a negligent and sometimes cruel workplace, to disastrous effect.

That fully self-driving announcement that so delighted his fans came as a far more jarring revelation to the project’s engineers, who found out about their staggering new mission when Mr. Musk tweeted about it.

This is the fundamental weakness of every organization run as a cult of personality: The dear leader can’t be everywhere or make every decision but often fails to provide the clear code of values that allows managers to independently shape their decisions around common goals.

Lawsuits by workers and California’s Department of Fair Employment and Housing allege that Black workers were tasked with menial physical labor in parts of the factory nicknamed “the plantation,” where they were subjected to racist slurs and graffiti.

lantatio

Female workers have sued, alleging a pervasive culture of sexual harassment and groping by supervisors. Mr. Musk was indifferent, emailing workers who experienced abuse that “it is important to be thick-skinned.”

He ultimately gave up and cobbled together a manual-labor-intensive production line in an open-air tent.

Mr. Musk’s reliance on hype is especially jarring.

By moving to buy Twitter, Mr. Musk has not only added another distraction to his long list but has also already shown the same drive to announce sweeping decisions in public.

Ultimately Mr. Musk’s goals for Twitter, as they are for Tesla, are not about making the right decisions for his companies or the people who make them possible.

They are about playing to the crowd and burnishing the legend that keeps fresh bodies and minds moving through the businesses that chew them up and spit them out.

The 23-year-old Zuckerberg hired Sandberg in 2008 to figure out how to build Facebook into a large and lasting business.

Sandberg spearheaded a plan to build from scratch a more sophisticated system of advertising that was largely based on what she had helped develop at Google. Ads on Facebook were tied to people’s activities and interests on the site. As at Google, many advertisers bought Facebook ads online rather than through sales personnel, as had been typical for TV or newspaper ads. Later, Sandberg cultivated new systems for Facebook advertisers to pinpoint their potential customers with even more precision.

Google and Facebook transformed product marketing from largely an art to a sometimes creepy science, and Sandberg is among the architects of that change. She shares in the credit (or blame) for developing two of the most successful, and perhaps least defensible, business models in internet history.

All the anxiety today about apps snooping on people to glean every morsel of activity to better pitch us dishwashers — that’s partly Sandberg’s doing. So are Facebook and Google’s combined $325 billion in annual advertising sales and those of all other online companies that make money from ads.

In their 2021 book, “An Ugly Truth,” Sheera and Cecilia wrote that to Sandberg’s detractors, her response was part of a pattern of trying to preserve the company’s reputation or her own rather than do the right thing.

Some reports appear to show that at least some of the gunman’s communications used Apple’s encrypted iPhone messaging services, which makes messages almost impossible for anyone else to read when sent to another iPhone user.

Facebook parent company Meta, which also owns Instagram, says it is working with law enforcement but declined to provide details.

A series of posts appeared on his Instagram in the days leading up to the shooting, including photos of a gun magazine in hand and two AR-style semi-automatic rifles. An Instagram user who was tagged in one post shared parts of what appears to be a chilling exchange on Instagram with Ramos, asking her to share his gun pictures with her more than 10,000 followers.

Meta has said it monitors people’s private messages for some kinds of harmful content, such as links to malware or images of child sexual exploitation. But copied images can be detected using unique identifiers — a kind of digital signature — which makes them relatively easy for computer systems to flag. Trying to interpret a string of threatening words — which can resemble a joke, satire or song lyrics — is a far more difficult task for artificial intelligence systems.

Facebook could, for instance, flag certain phrases such as “going to kill” or “going to shoot”, but without context — something AI in general has a lot of trouble with — there would be too many false positives for the company to analyze.

A recent Meta-commissioned report emphasized the benefits of such privacy but also noted some risks — including users who could abuse the encryption to sexually exploit children, facilitate human trafficking and spread hate speech.

Security experts say this could be done if Apple were to engineer a “backdoor” to allow access to messages sent by alleged criminals. Such a secret key would let them decipher encrypted information with a court order.

Albert Fox Cahn, founder and executive director of the Surveillance Technology Oversight Project and a fellow at the NYU School of Law, said the findings add to mounting concerns around the collection of data among young people. In recent months, there has been intense scrutiny from lawmakers about the impact tech platforms have on teens.

"We already knew technologies were being abused and putting children at risk, but this report is really important because it shows the scale of harm and how the same mistake is being made by educators and governments around the world," he said.

"Students must be able to do their schoolwork without surveillance by companies looking to harvest their data to pad their bottom line," said Samuel Levine

"The data must serve a purpose, but the purpose cannot be advertising," he said. "If it is not something we do in physical classrooms, it is not something that should be part of digital school life."

No, says the other camp, led by Jonathan Haidt; the kids are not all right, their devices are partly to blame, and here are the studies showing why.

we should not wait for the replication crisis in the social sciences to resolve itself before we consider the question of whether the naysayers are on to something. And normal powers of observation and imagination should be sufficient to make us at least wary of smartphones.

These powerful instruments represent a technological advance on par with that of the power loom or the automobile

The achievement can be difficult to properly appreciate because instead of exerting power over physical processes and raw materials, they operate on social processes and the human psyche: They are designed to maximize attention, to make it as difficult as possible to look away.

they have transformed the qualitative experience of existing in the world. They give a person’s sociality the appearance and feeling of a theoretically endless open network, while in reality, algorithms quietly sort users into ideological, aesthetic, memetic cattle chutes of content.

Importantly, the process by which smartphones change us requires no agency or judgment on the part of a teen user, and yet that process is designed to provide what feels like a perfectly natural, inevitable, and complete experience of the world.

Smartphones offer a tactile portal to a novel digital environment, and this environment is not the kind of space you enter and leave

One reason commonly offered for maintaining our socio-technological status quo is that nothing really has changed with the advent of the internet, of Instagram, of Tiktok and Youtube and 4Chan

It is instead a complete shadow world of endless images; disembodied, manipulable personas; and the ever-present gaze of others. It lives in your pocket and in your mind.

The price you pay for its availability—and the engine of its functioning—is that you are always available to it, as well. Unless you have a strength of will that eludes most adults, its emissaries can find you at any hour and in any place to issue your summons to the grim pleasure palace.

the self-restraint and self-discipline required to use a smartphone well—that is, to treat it purely as an occasional tool rather than as a totalizing way of life—are unreasonable things to demand of teenagers

these are unreasonable things to demand of me, a fully adult woman

To enjoy the conveniences that a smartphone offers, I must struggle against the lure of the permanent scroll, the notification, the urge to fix my eyes on the circle of light and keep them fixed. I must resist the default pseudo-activity the smartphone always calls its user back to, if I want to have any hope of filling the moments of my day with the real activity I believe is actually valuable.

for a child or teen still learning the rudiments of self-control, still learning what is valuable and fulfilling, still learning how to prioritize what is good over the impulse of the moment, it is an absurd bar to be asked to clear

The expectation that children and adolescents will navigate new technologies with fully formed and muscular capacities for reason and responsibility often seems to go along with a larger abdication of responsibility on the part of the adults involved.

adults have frequently given in to a Faustian temptation: offering up their children’s generation to be used as guinea pigs in a mass longitudinal study in exchange for a bit more room to breathe in their own undeniably difficult roles as educators, caretakers, and parents.

It is not a particular activity that you start and stop and resume, and it is not a social scene that you might abandon when it suits you.

And this we must do without waiting for social science to hand us a comprehensive mandate it is fundamentally unable to provide; without cowering in panic over moral panics

The pre-internet advertising world was vicious, to be sure, but when the “pre-” came off, its vices were moved into a compound interest account. In the world of online advertising, at any moment, in any place, a user engaged in an infinite scroll might be presented with native content about how one Instagram model learned to accept her chunky (size 4) thighs, while in the next clip, another model relates how a local dermatologist saved her from becoming an unlovable crone at the age of 25

developing pathological interests and capacities used to take a lot more work than it does now

You had to seek it out, as you once had to seek out pornography and look someone in the eye while paying for it. You were not funneled into it by an omnipresent stream of algorithmically curated content—the ambience of digital life, so easily mistaken by the person experiencing it as fundamentally similar to the non-purposive ambience of the natural world.

And when interpersonal relations between teens become sour, nasty, or abusive, as they often do and always have, the unbalancing effects of transposing social life to the internet become quite clear

For both young men and young women, the pornographic scenario—dominance and degradation, exposure and monetization—creates an experiential framework for desires that they are barely experienced enough to understand.

This is not a world I want to live in. I think it hurts everyone; but I especially think it hurts those young enough to receive it as a natural state of affairs rather than as a profound innovation.

so I am baffled by the most routine objection to any blaming of smartphones for our society-wide implosion of teenagers’ mental health,

In short, and inevitably, today’s teenagers are suffering from capitalism—specifically “late capitalism,

what shocks me about this rhetorical approach is the rush to play defense for Apple and its peers, the impulse to wield the abstract concept of capitalism as a shield for actually existing, extremely powerful, demonstrably ruthless capitalist actors.

This motley alliance of left-coded theory about the evils of business and right-coded praxis in defense of a particular evil business can be explained, I think, by a deeper desire than overthrowing capitalism. It is the desire not to be a prude or hysteric of bumpkin

No one wants to come down on the side of tamping off pleasures and suppressing teen activity.

No one wants to be the shrill or leaden antagonist of a thousand beloved movies, inciting moral panics, scheming about how to stop the youths from dancing on Sunday.

But commercial pioneers are only just beginning to explore new frontiers in the profit-driven, smartphone-enabled weaponization of our own pleasures against us

To limit your moral imagination to the archetypes of the fun-loving rebel versus the stodgy enforcers in response to this emerging reality is to choose to navigate it with blinders on, to be a useful idiot for the robber barons of online life rather than a challenger to the corrupt order they maintain.

The very basic question that needs to be asked with every product rollout and implementation is what technologies enable a good human life?

this question is not, ultimately, the province of social scientists, notwithstanding how useful their work may be on the narrower questions involved. It is the free privilege, it is the heavy burden, for all of us, to think—to deliberate and make judgments about human good, about what kind of world we want to live in, and to take action according to that thought.

I am not sure how to build a world in which childrens and adolescents, at least, do not feel they need to live their whole lives online.

whatever particular solutions emerge from our negotiations with each other and our reckonings with the force of cultural momentum, they will remain unavailable until we give ourselves permission to set the terms of our common life.

But the environments in which humans find themselves vary significantly, and in ways that have equally significant downstream effects on the particular expression of human nature in that context.

most of all, without affording Apple, Facebook, Google, and their ilk the defensive allegiance we should reserve for each other.

Greg Rutkowski, a hugely popular concept artist, has been used in a prompt for Stable Diffusion upward of 100,000 times. Now, his name is no longer attached to just his own work, but it also summons a slew of imitations of varying quality that he hasn’t approved. This could confuse clients, and it muddies the consistent and precise output he usually produces. When I saw what was happening to him, I thought of my battle with my shadow self. We were each fighting a version of ourself that looked similar but that was uncanny, twisted in a way to which we didn’t consent.

In theory, everyone is at risk for their work or image to become a vulgarity with A.I., but I suspect those who will be the most hurt are those who are already facing the consequences of improving technology, namely members of marginalized groups.

In the future, with A.I. technology, many more people will have a shadow self with whom they must reckon. Once the features that we consider personal and unique — our facial structure, our handwriting, the way we draw — can be programmed and contorted at the click of a mouse, the possibilities for violations are endless.

I’ve been playing around with several generators, and so far none have mimicked my style in a way that can directly threaten my career, a fact that will almost certainly change as A.I. continues to improve. It’s undeniable; the A.I.s know me. Most have captured the outlines and signatures of my comics — black hair, bangs, striped T-shirts. To others, it may look like a drawing taking shape.I see a monster forming.

There is no such thing as a trans child. Mermaids passionately advocates for the availability of puberty blockers for kids, despite the growing bank of evidence that they can cause a multitude of harms. The vast majority of those prescribed blockers go to take cross-sex hormones further down the line.

In the dim and distant past, lobotomies were performed on those with mental illness and psychosis, and today distressed children are being fed the line that they are trapped in the wrong body and that drugs and surgery is the solution. When and how did it become acceptable to pump kids full of harmful hormones and remove healthy body parts as opposed to offering them therapy?

I was in court during the cross examination of Mermaids and its supporter, and heard loud and clear its dismissal of the fact that sex is immutable. As far as Mermaids and its lackeys are concerned, all that is necessary to identify and live as the opposite sex is an inner ‘feeling’ of gender identity. The witnesses declared that trans men are men, and trans women, women. They were seemingly unconcerned when presented with the fact that there has been a 4000-plus per cent increase in girls presenting at clinics such as the Tavistock GIDS, claiming to be trans boys.

A recent interim report on the Tavistock GIDs recommended that it be closed down in due course, and that much of the ‘treatment’ at the clinic was focused solely on affirming a child’s trans identity and not scrutinising related issues such as mental health issues, autistic disorders, and abuse within the family home.

I first contacted Mermaids in 2003, when investigating the notion of ‘trans children’ and was given the cold shoulder. Many other individuals and organisations that have grave concerns about its practices have spoken out, and as a result have been labelled bigots and transphobes. That we are now about to be validated is little comfort, bearing in mind the number of lives ruined by irreversible medical intervention on children who, if supported therapeutically, would likely have grown up to be lesbian or gay.

As a result of its spiteful attempt to discredit LGB Alliance, it seems the practice and ideology of Mermaids is now being exposed. In my view it is an organisation led by dangerous ideology that promotes medical intervention to kids that simply need to be supported in who they are and in the bodies they were born with. I believe it deserves to be shut down.

Diamond and Dybvig offered a stylized but insightful model of what banks do. They argued that there is always a tension between individuals’ desire for liquidity — ready access to funds — and the economy’s need to make long-term investments that can’t easily be converted into cash.

Banks square that circle by taking money from depositors who can withdraw their funds at will — making those deposits highly liquid — and investing most of that money in illiquid assets, such as business loans.

So banking is a productive activity that makes the economy richer by reconciling otherwise incompatible desires for liquidity and productive investment. And it normally works because only a fraction of a bank’s depositors want to withdraw their funds at any given time.

This does, however, make banks vulnerable to runs. Suppose that for some reason many depositors come to believe that many other depositors are about to cash out, and try to beat the pack by withdrawing their own funds. To meet these demands for liquidity, a bank will have to sell off its illiquid assets at fire sale prices, and doing so can drive an institution that should be solvent into bankruptcy

If that happens, people who didn’t withdraw their funds will be left with nothing. So during a panic, the rational thing to do is to panic along with everyone else.

There was, of course, a huge wave of banking panics in 1930-31. Many banks failed, and those that survived made far fewer business loans than before, holding cash instead, while many families shunned banks altogether, putting their cash in safes or under their mattresses. The result was a diversion of wealth into unproductive uses. In his 1983 paper, Bernanke offered evidence that this diversion played a large role in driving the economy into a depression and held back the subsequent recovery.

In the story told by Friedman and Anna Schwartz, the banking crisis of the early 1930s was damaging because it led to a fall in the money supply — currency plus bank deposits. Bernanke asserted that this was at most only part of the stor

a government backstop — either deposit insurance, the willingness of the central bank to lend money to troubled banks or both — can short-circuit potential crises.

Such arrangements offered a higher yield than conventional deposits. But they had no safety net, which opened the door to an old-style bank run and financial panic.

So banks need to be regulated as well as backstopped. As I said, the Diamond-Dybvig analysis had remarkably large implications for policy.

From an economic point of view, banking is any form of financial intermediation that offers people seemingly liquid assets while using their wealth to make illiquid investments.

This insight was dramatically validated in the 2008 financial crisis.

By the eve of the crisis, however, the financial system relied heavily on “shadow banking” — banklike activities that didn’t involve standard bank deposits

But providing such a backstop raises the possibility of abuse; banks may take on undue risks because they know they’ll be bailed out if things go wrong.

And the panic came. The conventionally measured money supply didn’t plunge in 2008 the way it did in the 1930s — but repo and other money-like liabilities of financial intermediaries did:

Fortunately, by then Bernanke was chair of the Federal Reserve. He understood what was going on, and the Fed stepped in on an immense scale to prop up the financial system.

a sort of meta point about the Diamond-Dybvig work: Once you’ve understood and acknowledged the possibility of self-fulfilling banking crises, you become aware that similar things can happen elsewhere.

Perhaps the most notable case in relatively recent times was the euro crisis of 2010-12. Market confidence in the economies of southern Europe collapsed, leading to huge spreads between the interest rates on, for example, Portuguese bonds and those on German bonds. The conventional wisdom at the time — especially in Germany — was that countries were being justifiably punished for taking on excessive debt

the Belgian economist Paul De Grauwe argued that what was actually happening was a self-fulfilling panic — basically a run on the bonds of countries that couldn’t provide a backstop because they no longer had their own currencies.

Sure enough, when Mario Draghi, the president of the European Central Bank at the time, finally did provide a backstop in 2012 — he said the magic words “whatever it takes,” implying that the bank would lend money to the troubled governments if necessary — the spreads collapsed and the crisis came to an end:

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.

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. 

hose promises have also fueled anxiety over how people will be able to compete for jobs outsourced to eerily refined machines or trust the accuracy of what they see online.

Officials with the San Francisco lab said GPT-4’s “multimodal” training across text and images would allow it to escape the chat box and more fully emulate a world of color and imagery, surpassing ChatGPT in its “advanced reasoning capabilities.”

A person could upload an image and GPT-4 could caption it for them, describing the objects and scene.

AI language models often confidently offer wrong answers because they are designed to spit out cogent phrases, not actual facts. And because they have been trained on internet text and imagery, they have also learned to emulate human biases of race, gender, religion and class.

GPT-4 still makes many of the errors of previous versions, including “hallucinating” nonsense, perpetuating social biases and offering bad advice. It also lacks knowledge of events that happened after about September 2021, when its training data was finalized, and “does not learn from its experience,” limiting people’s ability to teach it new things.

Microsoft has invested billions of dollars in OpenAI in the hope its technology will become a secret weapon for its workplace software, search engine and other online ambitions. It has marketed the technology as a super-efficient companion that can handle mindless work and free people for creative pursuits, helping one software developer to do the work of an entire team or allowing a mom-and-pop shop to design a professional advertising campaign without outside help.

it could lead to business models and creative ventures no one can predict.

sparked criticism that the companies are rushing to exploit an untested, unregulated and unpredictable technology that could deceive people, undermine artists’ work and lead to real-world harm.

the company held back the feature to better understand potential risks. As one example, she said, the model might be able to look at an image of a big group of people and offer up known information about them, including their identities — a possible facial recognition use case that could be used for mass surveillance.

OpenAI researchers wrote, “As GPT-4 and AI systems like it are adopted more widely,” they “will have even greater potential to reinforce entire ideologies, worldviews, truths and untruths, and to cement them or lock them in.”

“We can agree as a society broadly on some harms that a model should not contribute to,” such as building a nuclear bomb or generating child sexual abuse material, she said. “But many harms are nuanced and primarily affect marginalized groups,” she added, and those harmful biases, especially across other languages, “cannot be a secondary consideration in performance.”

OpenAI said its new model would be able to handle more than 25,000 words of text, a leap forward that could facilitate longer conversations and allow for the searching and analysis of long documents.

OpenAI developers said GPT-4 was more likely to provide factual responses and less likely to refuse harmless requests

Duolingo, the language learning app, has already used GPT-4 to introduce new features, such as an AI conversation partner and a tool that tells users why an answer was incorrect.

The company did not share evaluations around bias that have become increasingly common after pressure from AI ethicists.

GPT-4 will have competition in the growing field of multisensory AI. DeepMind, an AI firm owned by Google’s parent company Alphabet, last year released a “generalist” model named Gato that can describe images and play video games. And Google this month released a multimodal system, PaLM-E, that folded AI vision and language expertise into a one-armed robot on wheels: If someone told it to go fetch some chips, for instance, it could comprehend the request, wheel over to a drawer and choose the right bag.

The systems, though — as critics and the AI researchers are quick to point out — are merely repeating patterns and associations found in their training data without a clear understanding of what it’s saying or when it’s wrong.

GPT-4, the fourth “generative pre-trained transformer” since OpenAI’s first release in 2018, relies on a breakthrough neural-network technique in 2017 known as the transformer that rapidly advanced how AI systems can analyze patterns in human speech and imagery.

The systems are “pre-trained” by analyzing trillions of words and images taken from across the internet: news articles, restaurant reviews and message-board arguments; memes, family photos and works of art.

Giant supercomputer clusters of graphics processing chips are mapped out their statistical patterns — learning which words tended to follow each other in phrases, for instance — so that the AI can mimic those patterns, automatically crafting long passages of text or detailed images, one word or pixel at a time.

In 2019, the company refused to publicly release GPT-2, saying it was so good they were concerned about the “malicious applications” of its use, from automated spam avalanches to mass impersonation and disinformation campaigns.

Altman has also marketed OpenAI’s vision with the aura of science fiction come to life. In a blog post last month, he said the company was planning for ways to ensure that “all of humanity” benefits from “artificial general intelligence,” or AGI — an industry term for the still-fantastical idea of an AI superintelligence that is generally as smart as, or smarter than, the humans themselves.

Since the 1960s, advances in resuscitation had helped to revive thousands of people who might otherwise have died. About 10% or 20% of those people brought with them stories of near-death experiences in which they felt their souls or selves departing from their bodies

According to several international surveys and studies, one in 10 people claims to have had a near-death experience involving cardiac arrest, or a similar experience in circumstances where they may have come close to death. That’s roughly 800 million souls worldwide who may have dipped a toe in the afterlife.

In the 1970s, a small network of cardiologists, psychiatrists, medical sociologists and social psychologists in North America and Europe began investigating whether near-death experiences proved that dying is not the end of being, and that consciousness can exist independently of the brain. The field of near-death studies was born.

in 1975, an American medical student named Raymond Moody published a book called Life After Life.

Meanwhile, new technologies and techniques were helping doctors revive more and more people who, in earlier periods of history, would have almost certainly been permanently deceased.

“We are now at the point where we have both the tools and the means to scientifically answer the age-old question: What happens when we die?” wrote Sam Parnia, an accomplished resuscitation specialist and one of the world’s leading experts on near-death experiences, in 2006. Parnia himself was devising an international study to test whether patients could have conscious awareness even after they were found clinically dead.

Borjigin, together with several colleagues, took the first close look at the record of electrical activity in the brain of Patient One after she was taken off life support. What they discovered – in results reported for the first time last year – was almost entirely unexpected, and has the potential to rewrite our understanding of death.

“I believe what we found is only the tip of a vast iceberg,” Borjigin told me. “What’s still beneath the surface is a full account of how dying actually takes place. Because there’s something happening in there, in the brain, that makes no sense.”

Over the next 30 years, researchers collected thousands of case reports of people who had had near-death experiences

Moody was their most important spokesman; he eventually claimed to have had multiple past lives and built a “psychomanteum” in rural Alabama where people could attempt to summon the spirits of the dead by gazing into a dimly lit mirror.