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To the Stoics, contributing to public affairs was a critical duty of the philosopher. Could Seneca decline to serve because he disagreed with the emperor? Could he leave a deranged Nero unsupervised? In time, Seneca would also come to the conclusion that when “the state is so rotten as to be past helping, if evil has entire dominion over it, the wise man will not labor in vain or waste his strength in unprofitable efforts.”

My own early career involved some questionable service to businesspeople. Employed and paid by them, I planned and carried out controversial publicity stunts, and used dishonest tactics with the public and the media. When I finally left those roles, I found a knowledge of Stoic philosophy integral to my ability to assess my past actions, and set a more honorable course going forward.

Seneca seemed to realize only belatedly that one can contribute to his fellow citizens in ways other than through the state — for instance, by writing or simply by being a good man at home.

In 65 A.D., Seneca would again find that philosophy did not exist only in the ethereal world. Conspirators began to plot against Nero’s life, and Seneca, finally accepting that the monster he had helped create needed to be stopped, appears to have participated — or covered for those who did.

The effort failed but provided Seneca an opportunity: His life up to that point had contradicted many of his own teachings, but now when Nero’s guards came and demanded his life, he would be brave and wise. The man who had written much about learning how to die and facing the end without fear would comfort his friends, finish an essay he was writing and distribute some finished pieces for safekeeping. Then, he slit his veins, took hemlock and succumbed to the suffocating steam of a bath.

What none of these parents understand is that their children’s and teens’ destructive obsession with technology is the predictable consequence of a virtually unrecognized merger between the tech industry and psychology.

Dr. B.J. Fogg, is a psychologist and the father of persuasive technology, a discipline in which digital machines and apps — including smartphones, social media, and video games — are configured to alter human thoughts and behaviors. As the lab’s website boldly proclaims: “Machines designed to change humans.”

These parents have no idea that lurking behind their kids’ screens and phones are a multitude of psychologists, neuroscientists, and social science experts who use their knowledge of psychological vulnerabilities to devise products that capture kids’ attention for the sake of industry profit.

psychology — a discipline that we associate with healing — is now being used as a weapon against children.

This alliance pairs the consumer tech industry’s immense wealth with the most sophisticated psychological research, making it possible to develop social media, video games, and phones with drug-like power to seduce young users.

Likewise, social media companies use persuasive design to prey on the age-appropriate desire for preteen and teen kids, especially girls, to be socially successful. This drive is built into our DNA, since real-world relational skills have fostered human evolution.

Called “the millionaire maker,” Fogg has groomed former students who have used his methods to develop technologies that now consume kids’ lives. As he recently touted on his personal website, “My students often do groundbreaking projects, and they continue having impact in the real world after they leave Stanford… For example, Instagram has influenced the behavior of over 800 million people. The co-founder was a student of mine.”

Persuasive technology (also called persuasive design) works by deliberately creating digital environments that users feel fulfill their basic human drives — to be social or obtain goals — better than real-world alternatives.

Kids spend countless hours in social media and video game environments in pursuit of likes, “friends,” game points, and levels — because it’s stimulating, they believe that this makes them happy and successful, and they find it easier than doing the difficult but developmentally important activities of childhood.

While persuasion techniques work well on adults, they are particularly effective at influencing the still-maturing child and teen brain.

“Video games, better than anything else in our culture, deliver rewards to people, especially teenage boys,” says Fogg. “Teenage boys are wired to seek competency. To master our world and get better at stuff. Video games, in dishing out rewards, can convey to people that their competency is growing, you can get better at something second by second.”

it’s persuasive design that’s helped convince this generation of boys they are gaining “competency” by spending countless hours on game sites, when the sad reality is they are locked away in their rooms gaming, ignoring school, and not developing the real-world competencies that colleges and employers demand.

Persuasive technologies work because of their apparent triggering of the release of dopamine, a powerful neurotransmitter involved in reward, attention, and addiction.

As she says, “If you don’t get 100 ‘likes,’ you make other people share it so you get 100…. Or else you just get upset. Everyone wants to get the most ‘likes.’ It’s like a popularity contest.”

there are costs to Casey’s phone obsession, noting that the “girl’s phone, be it Facebook, Instagram or iMessage, is constantly pulling her away from her homework, sleep, or conversations with her family.

Casey says she wishes she could put her phone down. But she can’t. “I’ll wake up in the morning and go on Facebook just… because,” she says. “It’s not like I want to or I don’t. I just go on it. I’m, like, forced to. I don’t know why. I need to. Facebook takes up my whole life.”

B.J. Fogg may not be a household name, but Fortune Magazine calls him a “New Guru You Should Know,” and his research is driving a worldwide legion of user experience (UX) designers who utilize and expand upon his models of persuasive design.

“No one has perhaps been as influential on the current generation of user experience (UX) designers as Stanford researcher B.J. Fogg.”

the core of UX research is about using psychology to take advantage of our human vulnerabilities.

As Fogg is quoted in Kosner’s Forbes article, “Facebook, Twitter, Google, you name it, these companies have been using computers to influence our behavior.” However, the driving force behind behavior change isn’t computers. “The missing link isn’t the technology, it’s psychology,” says Fogg.

UX researchers not only follow Fogg’s design model, but also his apparent tendency to overlook the broader implications of persuasive design. They focus on the task at hand, building digital machines and apps that better demand users’ attention, compel users to return again and again, and grow businesses’ bottom line.

the “Fogg Behavior Model” is a well-tested method to change behavior and, in its simplified form, involves three primary factors: motivation, ability, and triggers.

“We can now create machines that can change what people think and what people do, and the machines can do that autonomously.”

Regarding ability, Fogg suggests that digital products should be made so that users don’t have to “think hard.” Hence, social networks are designed for ease of use

Finally, Fogg says that potential users need to be triggered to use a site. This is accomplished by a myriad of digital tricks, including the sending of incessant notifications

moral questions about the impact of turning persuasive techniques on children and teens are not being asked. For example, should the fear of social rejection be used to compel kids to compulsively use social media? Is it okay to lure kids away from school tasks that demand a strong mental effort so they can spend their lives on social networks or playing video games that don’t make them think much at all?

Describing how his formula is effective at getting people to use a social network, the psychologist says in an academic paper that a key motivator is users’ desire for “social acceptance,” although he says an even more powerful motivator is the desire “to avoid being socially rejected.”

the startup Dopamine Labs boasts about its use of persuasive techniques to increase profits: “Connect your app to our Persuasive AI [Artificial Intelligence] and lift your engagement and revenue up to 30% by giving your users our perfect bursts of dopamine,” and “A burst of Dopamine doesn’t just feel good: it’s proven to re-wire user behavior and habits.”

Ramsay Brown, the founder of Dopamine Labs, says in a KQED Science article, “We have now developed a rigorous technology of the human mind, and that is both exciting and terrifying. We have the ability to twiddle some knobs in a machine learning dashboard we build, and around the world hundreds of thousands of people are going to quietly change their behavior in ways that, unbeknownst to them, feel second-nature but are really by design.”

Programmers call this “brain hacking,” as it compels users to spend more time on sites even though they mistakenly believe it’s strictly due to their own conscious choices.

Banks of computers employ AI to “learn” which of a countless number of persuasive design elements will keep users hooked

A persuasion profile of a particular user’s unique vulnerabilities is developed in real time and exploited to keep users on the site and make them return again and again for longer periods of time. This drives up profits for consumer internet companies whose revenue is based on how much their products are used.

“The leaders of Internet companies face an interesting, if also morally questionable, imperative: either they hijack neuroscience to gain market share and make large profits, or they let competitors do that and run away with the market.”

Social media and video game companies believe they are compelled to use persuasive technology in the arms race for attention, profits, and survival.

Children’s well-being is not part of the decision calculus.

one breakthrough occurred in 2017 when Facebook documents were leaked to The Australian. The internal report crafted by Facebook executives showed the social network boasting to advertisers that by monitoring posts, interactions, and photos in real time, the network is able to track when teens feel “insecure,” “worthless,” “stressed,” “useless” and a “failure.”

The report also bragged about Facebook’s ability to micro-target ads down to “moments when young people need a confidence boost.”

These design techniques provide tech corporations a window into kids’ hearts and minds to measure their particular vulnerabilities, which can then be used to control their behavior as consumers. This isn’t some strange future… this is now.

The official tech industry line is that persuasive technologies are used to make products more engaging and enjoyable. But the revelations of industry insiders can reveal darker motives.

Revealing the hard science behind persuasive technology, Hopson says, “This is not to say that players are the same as rats, but that there are general rules of learning which apply equally to both.”

After penning the paper, Hopson was hired by Microsoft, where he helped lead the development of the Xbox Live, Microsoft’s online gaming system

“If game designers are going to pull a person away from every other voluntary social activity or hobby or pastime, they’re going to have to engage that person at a very deep level in every possible way they can.”

This is the dominant effect of persuasive design today: building video games and social media products so compelling that they pull users away from the real world to spend their lives in for-profit domains.

Persuasive technologies are reshaping childhood, luring kids away from family and schoolwork to spend more and more of their lives sitting before screens and phones.

“Since we’ve figured to some extent how these pieces of the brain that handle addiction are working, people have figured out how to juice them further and how to bake that information into apps.”

Today, persuasive design is likely distracting adults from driving safely, productive work, and engaging with their own children — all matters which need urgent attention

Still, because the child and adolescent brain is more easily controlled than the adult mind, the use of persuasive design is having a much more hurtful impact on kids.

But to engage in a pursuit at the expense of important real-world activities is a core element of addiction.

younger U.S. children now spend 5 ½ hours each day with entertainment technologies, including video games, social media, and online videos.

Even more, the average teen now spends an incredible 8 hours each day playing with screens and phones

U.S. kids only spend 16 minutes each day using the computer at home for school.

Quietly, using screens and phones for entertainment has become the dominant activity of childhood.

Younger kids spend more time engaging with entertainment screens than they do in school

teens spend even more time playing with screens and phones than they do sleeping

kids are so taken with their phones and other devices that they have turned their backs to the world around them.

many children are missing out on real-life engagement with family and school — the two cornerstones of childhood that lead them to grow up happy and successful

persuasive technologies are pulling kids into often toxic digital environments

A too frequent experience for many is being cyberbullied, which increases their risk of skipping school and considering suicide.

And there is growing recognition of the negative impact of FOMO, or the fear of missing out, as kids spend their social media lives watching a parade of peers who look to be having a great time without them, feeding their feelings of loneliness and being less than.

The combined effects of the displacement of vital childhood activities and exposure to unhealthy online environments is wrecking a generation.

as the typical age when kids get their first smartphone has fallen to 10, it’s no surprise to see serious psychiatric problems — once the domain of teens — now enveloping young kids

Self-inflicted injuries, such as cutting, that are serious enough to require treatment in an emergency room, have increased dramatically in 10- to 14-year-old girls, up 19% per year since 2009.

While girls are pulled onto smartphones and social media, boys are more likely to be seduced into the world of video gaming, often at the expense of a focus on school

it’s no surprise to see this generation of boys struggling to make it to college: a full 57% of college admissions are granted to young women compared with only 43% to young men.

Economists working with the National Bureau of Economic Research recently demonstrated how many young U.S. men are choosing to play video games rather than join the workforce.

The destructive forces of psychology deployed by the tech industry are making a greater impact on kids than the positive uses of psychology by mental health providers and child advocates. Put plainly, the science of psychology is hurting kids more than helping them.

Hope for this wired generation has seemed dim until recently, when a surprising group has come forward to criticize the tech industry’s use of psychological manipulation: tech executives

Tristan Harris, formerly a design ethicist at Google, has led the way by unmasking the industry’s use of persuasive design. Interviewed in The Economist’s 1843 magazine, he says, “The job of these companies is to hook people, and they do that by hijacking our psychological vulnerabilities.”

Marc Benioff, CEO of the cloud computing company Salesforce, is one of the voices calling for the regulation of social media companies because of their potential to addict children. He says that just as the cigarette industry has been regulated, so too should social media companies. “I think that, for sure, technology has addictive qualities that we have to address, and that product designers are working to make those products more addictive, and we need to rein that back as much as possible,”

“If there’s an unfair advantage or things that are out there that are not understood by parents, then the government’s got to come forward and illuminate that.”

Since millions of parents, for example the parents of my patient Kelly, have absolutely no idea that devices are used to hijack their children’s minds and lives, regulation of such practices is the right thing to do.

Another improbable group to speak out on behalf of children is tech investors.

How has the consumer tech industry responded to these calls for change? By going even lower.

Facebook recently launched Messenger Kids, a social media app that will reach kids as young as five years old. Suggestive that harmful persuasive design is now honing in on very young children is the declaration of Messenger Kids Art Director, Shiu Pei Luu, “We want to help foster communication [on Facebook] and make that the most exciting thing you want to be doing.”

the American Psychological Association (APA) — which is tasked with protecting children and families from harmful psychological practices — has been essentially silent on the matter

APA Ethical Standards require the profession to make efforts to correct the “misuse” of the work of psychologists, which would include the application of B.J. Fogg’s persuasive technologies to influence children against their best interests

Manipulating children for profit without their own or parents’ consent, and driving kids to spend more time on devices that contribute to emotional and academic problems is the embodiment of unethical psychological practice.

“Never before in history have basically 50 mostly men, mostly 20–35, mostly white engineer designer types within 50 miles of where we are right now [Silicon Valley], had control of what a billion people think and do.”

Some may argue that it’s the parents’ responsibility to protect their children from tech industry deception. However, parents have no idea of the powerful forces aligned against them, nor do they know how technologies are developed with drug-like effects to capture kids’ minds

Others will claim that nothing should be done because the intention behind persuasive design is to build better products, not manipulate kids

similar circumstances exist in the cigarette industry, as tobacco companies have as their intention profiting from the sale of their product, not hurting children. Nonetheless, because cigarettes and persuasive design predictably harm children, actions should be taken to protect kids from their effects.

in a 1998 academic paper, Fogg describes what should happen if things go wrong, saying, if persuasive technologies are “deemed harmful or questionable in some regard, a researcher should then either take social action or advocate that others do so.”

I suggest turning to President John F. Kennedy’s prescient guidance: He said that technology “has no conscience of its own. Whether it will become a force for good or ill depends on man.”

The APA should begin by demanding that the tech industry’s behavioral manipulation techniques be brought out of the shadows and exposed to the light of public awareness

Changes should be made in the APA’s Ethics Code to specifically prevent psychologists from manipulating children using digital machines, especially if such influence is known to pose risks to their well-being.

Moreover, the APA should follow its Ethical Standards by making strong efforts to correct the misuse of psychological persuasion by the tech industry and by user experience designers outside the field of psychology.

It should join with tech executives who are demanding that persuasive design in kids’ tech products be regulated

The APA also should make its powerful voice heard amongst the growing chorus calling out tech companies that intentionally exploit children’s vulnerabilities.

Sartre listened to his problem and said simply, ‘You are free, therefore choose — that is to say, invent.’ No signs are vouchsafed in this world, he said. None of the old authorities can relieve you of the burden of freedom. You can weigh up moral or practical considerations as carefully as you like, but ultimately you must take the plunge and do something, and it’s up to you what that something is.

Even if the situation is unbearable — perhaps you are facing execution, or sitting in a Gestapo prison, or about to fall off a cliff — you are still free to decide what to make of it in mind and deed. Starting from where you are now, you choose. And in choosing, you also choose who you will be.

The war had made people realise that they and their fellow humans were capable of departing entirely from civilised norms; no wonder the idea of a fixed human nature seemed questionable.

If this sounds difficult and unnerving, it’s because it is. Sartre does not deny that the need to keep making decisions brings constant anxiety. He heightens this anxiety by pointing out that what you do really matters. You should make your choices as though you were choosing on behalf of the whole of humanity, taking the entire burden of responsibility for how the human race behaves. If you avoid this responsibility by fooling yourself that you are the victim of circumstance or of someone else’s bad advice, you are failing to meet the demands of human life and choosing a fake existence, cut off from your own ‘authenticity’.

Along with the terrifying side of this comes a great promise: Sartre’s existentialism implies that it is possible to be authentic and free, as long as you keep up the effort.

almost all agreed that it was, as an article in Les nouvelles littéraires phrased it, a ‘sickening mixture of philosophic pretentiousness, equivocal dreams, physiological technicalities, morbid tastes and hesitant eroticism … an introspective embryo that one would take distinct pleasure in crushing’.

he offered a philosophy designed for a species that had just scared the hell out of itself, but that finally felt ready to grow up and take responsibility.

In this rebellious world, just as with the Parisian bohemians and Dadaists in earlier generations, everything that was dangerous and provocative was good, and everything that was nice or bourgeois was bad.

Such interweaving of ideas and life had a long pedigree, although the existentialists gave it a new twist. Stoic and Epicurean thinkers in the classical world had practised philosophy as a means of living well, rather than of seeking knowledge or wisdom for their own sake. By reflecting on life’s vagaries in philosophical ways, they believed they could become more resilient, more able to rise above circumstances, and better equipped to manage grief, fear, anger, disappointment or anxiety.

In the tradition they passed on, philosophy is neither a pure intellectual pursuit nor a collection of cheap self-help tricks, but a discipline for flourishing and living a fully human, responsible life.

For Kierkegaard, Descartes had things back to front. In his own view, human existence comes first: it is the starting point for everything we do, not the result of a logical deduction. My existence is active: I live it and choose it, and this precedes any statement I can make about myself.

Studying our own moral genealogy cannot help us to escape or transcend ourselves. But it can enable us to see our illusions more clearly and lead a more vital, assertive existence.

What was needed, he felt, was not high moral or theological ideals, but a deeply critical form of cultural history or ‘genealogy’ that would uncover the reasons why we humans are as we are, and how we came to be that way. For him, all philosophy could even be redefined as a form of psychology, or history.

For those oppressed on grounds of race or class, or for those fighting against colonialism, existentialism offered a change of perspective — literally, as Sartre proposed that all situations be judged according to how they appeared in the eyes of those most oppressed, or those whose suffering was greatest.

She observed that we need not expect moral philosophers to ‘live by’ their ideas in a simplistic way, as if they were following a set of rules. But we can expect them to show how their ideas are lived in. We should be able to look in through the windows of a philosophy, as it were, and see how people occupy it, how they move about and how they conduct themselves.

the existentialists inhabited their historical and personal world, as they inhabited their ideas. This notion of ‘inhabited philosophy’ is one I’ve borrowed from the English philosopher and novelist Iris Murdoch, who wrote the first full-length book on Sartre and was an early adopter of existentialism

What is existentialism anyway?

An existentialist who is also phenomenological provides no easy rules for dealing with this condition, but instead concentrates on describing lived experience as it presents itself. — By describing experience well, he or she hopes to understand this existence and awaken us to ways of living more authentic lives.

Existentialists concern themselves with individual, concrete human existence. — They consider human existence different from the kind of being other things have. Other entities are what they are, but as a human I am whatever I choose to make of myself at every moment. I am free — — and therefore I’m responsible for everything I do, a dizzying fact which causes — an anxiety inseparable from human existence itself.

On the other hand, I am only free within situations, which can include factors in my own biology and psychology as well as physical, historical and social variables of the world into which I have been thrown. — Despite the limitations, I always want more: I am passionately involved in personal projects of all kinds. — Human existence is thus ambiguous: at once boxed in by borders and yet transcendent and exhilarating. —

The first part of this is straightforward: a phenomenologist’s job is to describe. This is the activity that Husserl kept reminding his students to do. It meant stripping away distractions, habits, clichés of thought, presumptions and received ideas, in order to return our attention to what he called the ‘things themselves’. We must fix our beady gaze on them and capture them exactly as they appear, rather than as we think they are supposed to be.

Husserl therefore says that, to phenomenologically describe a cup of coffee, I should set aside both the abstract suppositions and any intrusive emotional associations. Then I can concentrate on the dark, fragrant, rich phenomenon in front of me now. This ‘setting aside’ or ‘bracketing out’ of speculative add-ons Husserl called epoché — a term borrowed from the ancient Sceptics,

The point about rigour is crucial; it brings us back to the first half of the command to describe phenomena. A phenomenologist cannot get away with listening to a piece of music and saying, ‘How lovely!’ He or she must ask: is it plaintive? is it dignified? is it colossal and sublime? The point is to keep coming back to the ‘things themselves’ — phenomena stripped of their conceptual baggage — so as to bail out weak or extraneous material and get to the heart of the experience.

Husserlian ‘bracketing out’ or epoché allows the phenomenologist to temporarily ignore the question ‘But is it real?’, in order to ask how a person experiences his or her world. Phenomenology gives a formal mode of access to human experience. It lets philosophers talk about life more or less as non-philosophers do, while still being able to tell themselves they are being methodical and rigorous.

Besides claiming to transform the way we think about reality, phenomenologists promised to change how we think about ourselves. They believed that we should not try to find out what the human mind is, as if it were some kind of substance. Instead, we should consider what it does, and how it grasps its experiences.

For Brentano, this reaching towards objects is what our minds do all the time. Our thoughts are invariably of or about something, he wrote: in love, something is loved, in hatred, something is hated, in judgement, something is affirmed or denied. Even when I imagine an object that isn’t there, my mental structure is still one of ‘about-ness’ or ‘of-ness’.

Except in deepest sleep, my mind is always engaged in this aboutness: it has ‘intentionality’. Having taken the germ of this from Brentano, Husserl made it central to his whole philosophy.

Husserl saw in the idea of intentionality a way to sidestep two great unsolved puzzles of philosophical history: the question of what objects ‘really’ are, and the question of what the mind ‘really’ is. By doing the epoché and bracketing out all consideration of reality from both topics, one is freed to concentrate on the relationship in the middle. One can apply one’s descriptive energies to the endless dance of intentionality that takes place in our lives: the whirl of our minds as they seize their intended phenomena one after the other and whisk them around the floor,

Understood in this way, the mind hardly is anything at all: it is its aboutness. This makes the human mind (and possibly some animal minds) different from any other naturally occurring entity. Nothing else can be as thoroughly about or of things as the mind is:

Some Eastern meditation techniques aim to still this scurrying creature, but the extreme difficulty of this shows how unnatural it is to be mentally inert. Left to itself, the mind reaches out in all directions as long as it is awake — and even carries on doing it in the dreaming phase of its sleep.

a mind that is experiencing nothing, imagining nothing, or speculating about nothing can hardly be said to be a mind at all.

Three simple ideas — description, phenomenon, intentionality — provided enough inspiration to keep roomfuls of Husserlian assistants busy in Freiburg for decades. With all of human existence awaiting their attention, how could they ever run out of things to do?

For Sartre, this gives the mind an immense freedom. If we are nothing but what we think about, then no predefined ‘inner nature’ can hold us back. We are protean.

way of this interpretation. Real, not real; inside, outside; what difference did it make? Reflecting on this, Husserl began turning his phenomenology into a branch of ‘idealism’ — the philosophical tradition which denied external reality and defined everything as a kind of private hallucination.

For Sartre, if we try to shut ourselves up inside our own minds, ‘in a nice warm room with the shutters closed’, we cease to exist. We have no cosy home: being out on the dusty road is the very definition of what we are.

One might think that, if Heidegger had anything worth saying, he could have communicated it in ordinary language. The fact is that he does not want to be ordinary, and he may not even want to communicate in the usual sense. He wants to make the familiar obscure, and to vex us. George Steiner thought that Heidegger’s purpose was less to be understood than to be experienced through a ‘felt strangeness’.

He takes Dasein in its most ordinary moments, then talks about it in the most innovative way he can. For Heidegger, Dasein’s everyday Being is right here: it is Being-in-the-world, or In-der-Welt-sein. The main feature of Dasein’s everyday Being-in-the-world right here is that it is usually busy doing something.

Thus, for Heidegger, all Being-in-the-world is also a ‘Being-with’ or Mitsein. We cohabit with others in a ‘with-world’, or Mitwelt. The old philosophical problem of how we prove the existence of other minds has now vanished. Dasein swims in the with-world long before it wonders about other minds.

Sometimes the best-educated people were those least inclined to take the Nazis seriously, dismissing them as too absurd to last. Karl Jaspers was one of those who made this mistake, as he later recalled, and Beauvoir observed similar dismissive attitudes among the French students in Berlin.

In any case, most of those who disagreed with Hitler’s ideology soon learned to keep their view to themselves. If a Nazi parade passed on the street, they would either slip out of view or give the obligatory salute like everyone else, telling themselves that the gesture meant nothing if they did not believe in it. As the psychologist Bruno Bettelheim later wrote of this period, few people will risk their life for such a small thing as raising an arm — yet that is how one’s powers of resistance are eroded away, and eventually one’s responsibility and integrity go with them.

for Arendt, if you do not respond adequately when the times demand it, you show a lack of imagination and attention that is as dangerous as deliberately committing an abuse. It amounts to disobeying the one command she had absorbed from Heidegger in those Marburg days: Think!

‘Everything takes place under a kind of anaesthesia. Objectively dreadful events produce a thin, puny emotional response. Murders are committed like schoolboy pranks. Humiliation and moral decay are accepted like minor incidents.’ Haffner thought modernity itself was partly to blame: people had become yoked to their habits and to mass media, forgetting to stop and think, or to disrupt their routines long enough to question what was going on.

Heidegger’s former lover and student Hannah Arendt would argue, in her 1951 study The Origins of Totalitarianism, that totalitarian movements thrived at least partly because of this fragmentation in modern lives, which made people more vulnerable to being swept away by demagogues. Elsewhere, she coined the phrase ‘the banality of evil’ to describe the most extreme failures of personal moral awareness.

His communicative ideal fed into a whole theory of history: he traced all civilisation to an ‘Axial Period’ in the fifth century BC, during which philosophy and culture exploded simultaneously in Europe, the Middle East and Asia, as though a great bubble of minds had erupted from the earth’s surface. ‘True philosophy needs communion to come into existence,’ he wrote, and added, ‘Uncommunicativeness in a philosopher is virtually a criterion of the untruth of his thinking.’

The idea of being called to authenticity became a major theme in later existentialism, the call being interpreted as saying something like ‘Be yourself!’, as opposed to being phony. For Heidegger, the call is more fundamental than that. It is a call to take up a self that you didn’t know you had: to wake up to your Being. Moreover, it is a call to action. It requires you to do something: to take a decision of some sort.

Being and Time contained at least one big idea that should have been of use in resisting totalitarianism. Dasein, Heidegger wrote there, tends to fall under the sway of something called das Man or ‘the they’ — an impersonal entity that robs us of the freedom to think for ourselves. To live authentically requires resisting or outwitting this influence, but this is not easy because das Man is so nebulous. Man in German does not mean ‘man’ as in English (that’s der Mann), but a neutral abstraction, something like ‘one’ in the English phrase ‘one doesn’t do that’,

for Heidegger, das Man is me. It is everywhere and nowhere; it is nothing definite, but each of us is it. As with Being, it is so ubiquitous that it is difficult to see. If I am not careful, however, das Man takes over the important decisions that should be my own. It drains away my responsibility or ‘answerability’. As Arendt might put it, we slip into banality, failing to think.

Jaspers focused on what he called Grenzsituationen — border situations, or limit situations. These are the moments when one finds oneself constrained or boxed in by what is happening, but at the same time pushed by these events towards the limits or outer edge of normal experience. For example, you might have to make a life-or-death choice, or something might remind you suddenly of your mortality,

Jaspers’ interest in border situations probably had much to do with his own early confrontation with mortality. From childhood, he had suffered from a heart condition so severe that he always expected to die at any moment. He also had emphysema, which forced him to speak slowly, taking long pauses to catch his breath. Both illnesses meant that he had to budget his energies with care in order to get his work done without endangering his life.

If I am to resist das Man, I must become answerable to the call of my ‘voice of conscience’. This call does not come from God, as a traditional Christian definition of the voice of conscience might suppose. It comes from a truly existentialist source: my own authentic self. Alas, this voice is one I do not recognise and may not hear, because it is not the voice of my habitual ‘they-self’. It is an alien or uncanny version of my usual voice. I am familiar with my they-self, but not with my unalienated voice — so, in a weird twist, my real voice is the one that sounds strangest to me.

Marcel developed a strongly theological branch of existentialism. His faith distanced him from both Sartre and Heidegger, but he shared a sense of how history makes demands on individuals. In his essay ‘On the Ontological Mystery’, written in 1932 and published in the fateful year of 1933, Marcel wrote of the human tendency to become stuck in habits, received ideas, and a narrow-minded attachment to possessions and familiar scenes. Instead, he urged his readers to develop a capacity for remaining ‘available’ to situations as they arise. Similar ideas of disponibilité or availability had been explored by other writers,

Marcel made it his central existential imperative. He was aware of how rare and difficult it was. Most people fall into what he calls ‘crispation’: a tensed, encrusted shape in life — ‘as though each one of us secreted a kind of shell which gradually hardened and imprisoned him’.

Bettelheim later observed that, under Nazism, only a few people realised at once that life could not continue unaltered: these were the ones who got away quickly. Bettelheim himself was not among them. Caught in Austria when Hitler annexed it, he was sent first to Dachau and then to Buchenwald, but was then released in a mass amnesty to celebrate Hitler’s birthday in 1939 — an extraordinary reprieve, after which he left at once for America.

we are used to reading philosophy as offering a universal message for all times and places — or at least as aiming to do so. But Heidegger disliked the notion of universal truths or universal humanity, which he considered a fantasy. For him, Dasein is not defined by shared faculties of reason and understanding, as the Enlightenment philosophers thought. Still less is it defined by any kind of transcendent eternal soul, as in religious tradition. We do not exist on a higher, eternal plane at all. Dasein’s Being is local: it has a historical situation, and is constituted in time and place.

For Marcel, learning to stay open to reality in this way is the philosopher’s prime job. Everyone can do it, but the philosopher is the one who is called on above all to stay awake, so as to be the first to sound the alarm if something seems wrong.

Second, it also means understanding that we are historical beings, and grasping the demands our particular historical situation is making on us. In what Heidegger calls ‘anticipatory resoluteness’, Dasein discovers ‘that its uttermost possibility lies in giving itself up’. At that moment, through Being-towards-death and resoluteness in facing up to one’s time, one is freed from the they-self and attains one’s true, authentic self.

If we are temporal beings by our very nature, then authentic existence means accepting, first, that we are finite and mortal. We will die: this all-important realisation is what Heidegger calls authentic ‘Being-towards-Death’, and it is fundamental to his philosophy.

Hannah Arendt, instead, left early on: she had the benefit of a powerful warning. Just after the Nazi takeover, in spring 1933, she had been arrested while researching materials on anti-Semitism for the German Zionist Organisation at Berlin’s Prussian State Library. Her apartment was searched; both she and her mother were locked up briefly, then released. They fled, without stopping to arrange travel documents. They crossed to Czechoslovakia (then still safe) by a method that sounds almost too fabulous to be true: a sympathetic German family on the border had a house with its front door in Germany and its back door in Czechoslovakia. The family would invite people for dinner, then let them leave through the back door at night.

As Sartre argued in his 1943 review of The Stranger, basic phenomenological principles show that experience comes to us already charged with significance. A piano sonata is a melancholy evocation of longing. If I watch a soccer match, I see it as a soccer match, not as a meaningless scene in which a number of people run around taking turns to apply their lower limbs to a spherical object. If the latter is what I’m seeing, then I am not watching some more essential, truer version of soccer; I am failing to watch it properly as soccer at all.

Much as they liked Camus personally, neither Sartre nor Beauvoir accepted his vision of absurdity. For them, life is not absurd, even when viewed on a cosmic scale, and nothing can be gained by saying it is. Life for them is full of real meaning, although that meaning emerges differently for each of us.

For Sartre, we show bad faith whenever we portray ourselves as passive creations of our race, class, job, history, nation, family, heredity, childhood influences, events, or even hidden drives in our subconscious which we claim are out of our control. It is not that such factors are unimportant: class and race, in particular, he acknowledged as powerful forces in people’s lives, and Simone de Beauvoir would soon add gender to that list.

Sartre takes his argument to an extreme point by asserting that even war, imprisonment or the prospect of imminent death cannot take away my existential freedom. They form part of my ‘situation’, and this may be an extreme and intolerable situation, but it still provides only a context for whatever I choose to do next. If I am about to die, I can decide how to face that death. Sartre here resurrects the ancient Stoic idea that I may not choose what happens to me, but I can choose what to make of it, spiritually speaking.

But the Stoics cultivated indifference in the face of terrible events, whereas Sartre thought we should remain passionately, even furiously engaged with what happens to us and with what we can achieve. We should not expect freedom to be anything less than fiendishly difficult.

Freedom does not mean entirely unconstrained movement, and it certainly does not mean acting randomly. We often mistake the very things that enable us to be free — context, meaning, facticity, situation, a general direction in our lives — for things that define us and take away our freedom. It is only with all of these that we can be free in a real sense.

Nor did he mean that privileged groups have the right to pontificate to the poor and downtrodden about the need to ‘take responsibility’ for themselves. That would be a grotesque misreading of Sartre’s point, since his sympathy in any encounter always lay with the more oppressed side. But for each of us — for me — to be in good faith means not making excuses for myself.

Camus’ novel gives us a deliberately understated vision of heroism and decisive action compared to those of Sartre and Beauvoir. One can only do so much. It can look like defeatism, but it shows a more realistic perception of what it takes to actually accomplish difficult tasks like liberating one’s country.

Camus just kept returning to his core principle: no torture, no killing — at least not with state approval. Beauvoir and Sartre believed they were taking a more subtle and more realistic view. If asked why a couple of innocuous philosophers had suddenly become so harsh, they would have said it was because the war had changed them in profound ways. It had shown them that one’s duties to humanity could be more complicated than they seemed. ‘The war really divided my life in two,’ Sartre said later.

Poets and artists ‘let things be’, but they also let things come out and show themselves. They help to ease things into ‘unconcealment’ (Unverborgenheit), which is Heidegger’s rendition of the Greek term alētheia, usually translated as ‘truth’. This is a deeper kind of truth than the mere correspondence of a statement to reality, as when we say ‘The cat is on the mat’ and point to a mat with a cat on it. Long before we can do this, both cat and mat must ‘stand forth out of concealedness’. They must un-hide themselves.

Heidegger does not use the word ‘consciousness’ here because — as with his earlier work — he is trying to make us think in a radically different way about ourselves. We are not to think of the mind as an empty cavern, or as a container filled with representations of things. We are not even supposed to think of it as firing off arrows of intentional ‘aboutness’, as in the earlier phenomenology of Brentano. Instead, Heidegger draws us into the depths of his Schwarzwald, and asks us to imagine a gap with sunlight filtering in. We remain in the forest, but we provide a relatively open spot where other beings can bask for a moment. If we did not do this, everything would remain in the thickets, hidden even to itself.

The astronomer Carl Sagan began his 1980 television series Cosmos by saying that human beings, though made of the same stuff as the stars, are conscious and are therefore ‘a way for the cosmos to know itself’. Merleau-Ponty similarly quoted his favourite painter Cézanne as saying, ‘The landscape thinks itself in me, and I am its consciousness.’ This is something like what Heidegger thinks humanity contributes to the earth. We are not made of spiritual nothingness; we are part of Being, but we also bring something unique with us. It is not much: a little open space, perhaps with a path and a bench like the one the young Heidegger used to sit on to do his homework. But through us, the miracle occurs.

Beauty aside, Heidegger’s late writing can also be troubling, with its increasingly mystical notion of what it is to be human. If one speaks of a human being mainly as an open space or a clearing, or a means of ‘letting beings be’ and dwelling poetically on the earth, then one doesn’t seem to be talking about any recognisable person. The old Dasein has become less human than ever. It is now a forestry feature.

Even today, Jaspers, the dedicated communicator, is far less widely read than Heidegger, who has influenced architects, social theorists, critics, psychologists, artists, film-makers, environmental activists, and innumerable students and enthusiasts — including the later deconstructionist and post-structuralist schools, which took their starting point from his late thinking. Having spent the late 1940s as an outsider and then been rehabilitated, Heidegger became the overwhelming presence in university philosophy all over the European continent from then on.

As Levinas reflected on this experience, it helped to lead him to a philosophy that was essentially ethical, rather than ontological like Heidegger’s. He developed his ideas from the work of Jewish theologian Martin Buber, whose I and Thou in 1923 had distinguished between my relationship with an impersonal ‘it’ or ‘them’, and the direct personal encounter I have with a ‘you’. Levinas took it further: when I encounter you, we normally meet face-to-face, and it is through your face that you, as another person, can make ethical demands on me. This is very different from Heidegger’s Mitsein or Being-with, which suggests a group of people standing alongside one another, shoulder to shoulder as if in solidarity — perhaps as a unified nation or Volk.

For Levinas, we literally face each other, one individual at a time, and that relationship becomes one of communication and moral expectation. We do not merge; we respond to one another. Instead of being co-opted into playing some role in my personal drama of authenticity, you look me in the eyes — and you remain Other. You remain you.

This relationship is more fundamental than the self, more fundamental than consciousness, more fundamental even than Being — and it brings an unavoidable ethical obligation. Ever since Husserl, phenomenologists and existentialists had being trying to stretch the definition of existence to incorporate our social lives and relationships. Levinas did more: he turned philosophy around entirely so that these relationships were the foundation of our existence, not an extension of it.

Her last work, The Need for Roots, argues, among other things, that none of us has rights, but each one of us has a near-infinite degree of duty and obligation to the other. Whatever the underlying cause of her death — and anorexia nervosa seems to have been involved — no one could deny that she lived out her philosophy with total commitment. Of all the lives touched on in this book, hers is surely the most profound and challenging application of Iris Murdoch’s notion that a philosophy can be ‘inhabited’.

Other thinkers took radical ethical turns during the war years. The most extreme was Simone Weil, who actually tried to live by the principle of putting other people’s ethical demands first. Having returned to France after her travels through Germany in 1932, she had worked in a factory so as to experience the degrading nature of such work for herself. When France fell in 1940, her family fled to Marseilles (against her protests), and later to the US and to Britain. Even in exile, Weil made extraordinary sacrifices. If there were people in the world who could not sleep in a bed, she would not do so either, so she slept on the floor.

The mystery tradition had roots in Kierkegaard’s ‘leap of faith’. It owed much to the other great nineteenth-century mystic of the impossible, Dostoevsky, and to older theological notions. But it also grew from the protracted trauma that was the first half of the twentieth century. Since 1914, and especially since 1939, people in Europe and elsewhere had come to the realisation that we cannot fully know or trust ourselves; that we have no excuses or explanations for what we do — and yet that we must ground our existence and relationships on something firm, because otherwise we cannot survive.

One striking link between these radical ethical thinkers, all on the fringes of our main story, is that they had religious faith. They also granted a special role to the notion of ‘mystery’ — that which cannot be known, calculated or understood, especially when it concerns our relationships with each other. Heidegger was different from them, since he rejected the religion he grew up with and had no real interest in ethics — probably as a consequence of his having no real interest in the human.

Meanwhile, the Christian existentialist Gabriel Marcel was also still arguing, as he had since the 1930s, that ethics trumps everything else in philosophy and that our duty to each other is so great as to play the role of a transcendent ‘mystery’. He too had been led to this position partly by a wartime experience: during the First World War he had worked for the Red Cross’ Information Service, with the unenviable job of answering relatives’ inquiries about missing soldiers. Whenever news came, he passed it on, and usually it was not good. As Marcel later said, this task permanently inoculated him against warmongering rhetoric of any kind, and it made him aware of the power of what is unknown in our lives.

As the play’s much-quoted and frequently misunderstood final line has it: ‘Hell is other people.’ Sartre later explained that he did not mean to say that other people were hellish in general. He meant that after death we become frozen in their view, unable any longer to fend off their interpretation. In life, we can still do something to manage the impression we make; in death, this freedom goes and we are left entombed in other’s people’s memories and perceptions.

We have to do two near-impossible things at once: understand ourselves as limited by circumstances, and yet continue to pursue our projects as though we are truly in control. In Beauvoir’s view, existentialism is the philosophy that best enables us to do this, because it concerns itself so deeply with both freedom and contingency. It acknowledges the radical and terrifying scope of our freedom in life, but also the concrete influences that other philosophies tend to ignore: history, the body, social relationships and the environment.

The aspects of our existence that limit us, Merleau-Ponty says, are the very same ones that bind us to the world and give us scope for action and perception. They make us what we are. Sartre acknowledged the need for this trade-off, but he found it more painful to accept. Everything in him longed to be free of bonds, of impediments and limitations

Of course we have to learn this skill of interpreting and anticipating the world, and this happens in early childhood, which is why Merleau-Ponty thought child psychology was essential to philosophy. This is an extraordinary insight. Apart from Rousseau, very few philosophers before him had taken childhood seriously; most wrote as though all human experience were that of a fully conscious, rational, verbal adult who has been dropped into this world from the sky — perhaps by a stork.

For Merleau-Ponty, we cannot understand our experience if we don’t think of ourselves in part as overgrown babies. We fall for optical illusions because we once learned to see the world in terms of shapes, objects and things relevant to our own interests. Our first perceptions came to us in tandem with our first active experiments in observing the world and reaching out to explore it, and are still linked with those experiences.

Another factor in all of this, for Merleau-Ponty, is our social existence: we cannot thrive without others, or not for long, and we need this especially in early life. This makes solipsistic speculation about the reality of others ridiculous; we could never engage in such speculation if we hadn’t already been formed by them.

As Descartes could have said (but didn’t), ‘I think, therefore other people exist.’ We grow up with people playing with us, pointing things out, talking, listening, and getting us used to reading emotions and movements; this is how we become capable, reflective, smoothly integrated beings.

In general, Merleau-Ponty thinks human experience only makes sense if we abandon philosophy’s time-honoured habit of starting with a solitary, capsule-like, immobile adult self, isolated from its body and world, which must then be connected up again — adding each element around it as though adding clothing to a doll. Instead, for him, we slide from the womb to the birth canal to an equally close and total immersion in the world. That immersion continues as long as we live, although we may also cultivate the art of partially withdrawing from time to time when we want to think or daydream.

When he looks for his own metaphor to describe how he sees consciousness, he comes up with a beautiful one: consciousness, he suggests, is like a ‘fold’ in the world, as though someone had crumpled a piece of cloth to make a little nest or hollow. It stays for a while, before eventually being unfolded and smoothed away. There is something seductive, even erotic, in this idea of my conscious self as an improvised pouch in the cloth of the world. I still have my privacy — my withdrawing room. But I am part of the world’s fabric, and I remain formed out of it for as long as I am here.

By the time of these works, Merleau-Ponty is taking his desire to describe experience to the outer limits of what language can convey. Just as with the late Husserl or Heidegger, or Sartre in his Flaubert book, we see a philosopher venturing so far from shore that we can barely follow. Emmanuel Levinas would head out to the fringes too, eventually becoming incomprehensible to all but his most patient initiates.

Sartre once remarked — speaking of a disagreement they had about Husserl in 1941 — that ‘we discovered, astounded, that our conflicts had, at times, stemmed from our childhood, or went back to the elementary differences of our two organisms’. Merleau-Ponty also said in an interview that Sartre’s work seemed strange to him, not because of philosophical differences, but because of a certain ‘register of feeling’, especially in Nausea, that he could not share. Their difference was one of temperament and of the whole way the world presented itself to them.

The two also differed in their purpose. When Sartre writes about the body or other aspects of experience, he generally does it in order to make a different point. He expertly evokes the grace of his café waiter, gliding between the tables, bending at an angle just so, steering the drink-laden tray through the air on the tips of his fingers — but he does it all in order to illustrate his ideas about bad faith. When Merleau-Ponty writes about skilled and graceful movement, the movement itself is his point. This is the thing he wants to understand.

We can never move definitively from ignorance to certainty, for the thread of the inquiry will constantly lead us back to ignorance again. This is the most attractive description of philosophy I’ve ever read, and the best argument for why it is worth doing, even (or especially) when it takes us no distance at all from our starting point.

By prioritising perception, the body, social life and childhood development, Merleau-Ponty gathered up philosophy’s far-flung outsider subjects and brought them in to occupy the centre of his thought.

In his inaugural lecture at the Collège de France on 15 January 1953, published as In Praise of Philosophy, he said that philosophers should concern themselves above all with whatever is ambiguous in our experience. At the same time, they should think clearly about these ambiguities, using reason and science. Thus, he said, ‘The philosopher is marked by the distinguishing trait that he possesses inseparably the taste for evidence and the feeling for ambiguity.’ A constant movement is required between these two

As Sartre wrote in response to Hiroshima, humanity had now gained the power to wipe itself out, and must decide every single day that it wanted to live. Camus also wrote that humanity faced the task of choosing between collective suicide and a more intelligent use of its technology — ‘between hell and reason’. After 1945, there seemed little reason to trust in humanity’s ability to choose well.

Merleau-Ponty observed in a lecture of 1951 that, more than any previous century, the twentieth century had reminded people how ‘contingent’ their lives were — how at the mercy of historical events and other changes that they could not control. This feeling went on long after the war ended. After the A-bombs were dropped on Hiroshima and Nagasaki, many feared that a Third World War would not be long in coming, this time between the Soviet Union and the United States.

seeing them categorized by country does reveal some striking patterns, differences, and commonalities, the most obvious of which is the fact that the images consist overwhelmingly of women.

with few exceptions, they tend even in non-Western countries to be of fair-skinned, Western-looking women.

even in countries with very different cultural backgrounds, search engines appear to be saturated with a heavily biased, Westernized ideal of attractiveness.

There’s a staggering number of beauty products, makeup applicators, and spa treatments, all of which essentially suggest that beauty is something to be purchased and applied.

What are some other key search terms that you find particularly revealing?

The idea behind the class is deceptively simple, and many of the lessons — such as gratitude, helping others, getting enough sleep — are familiar.

“A lot of people are waking up, realizing that we’re struggling,

All semester, hundreds of students tried to rewire themselves — to exercise more, to thank their mothers, to care less about the final grade and more about the ideas.

But in ways small and large, silly and heartbreakingly earnest, simple and profound, this class changed the conversation at Yale. It surfaced in late-night talks in dorms, it was dissected in newspaper columns, it popped up, again and again, in memes.

It’s the application that’s difficult, a point Santos made repeatedly: Our brains often lead us to bad choices, and even when we realize the choices are bad, it’s hard to break habits.

In a way, the class is the very essence of a liberal-arts education: learning, exploration, insight into oneself and the world. But many students described it as entirely unlike any class they had ever taken — nothing to do with academics, and everything to do with life.

There’s no longer the same stigma around mental-health issues, he said. “Now, so many people are admitting they want to lead happier lives.”

The impact is not limited to Yale. Stories about PSYC157 spread around the world. Santos created a pared-down version of the class and offered it to anyone on the online education site Coursera.

She taught students about cognitive biases.

“We called it the ways in which our minds suck,” Forti said. “Our minds make us think that certain things make us happy, but they don’t.”

Then, they had to apply the lessons

There was a palpable difference on campus, several students said, during the week when they performed random acts of kindness.

The biggest misconception people have about the class is that Santos is offering some kind of easy happiness fix. “It’s something you have to work on every day. . . . If I keep using these skills, they’ll, over time, help me develop better habits and be happier.

So many students have told her the class changed their lives. “If you’re really grateful, show me that,” she told them. “Change the culture.

for now students stood and clapped and clapped and clapped, beaming, drowning out even Kanye with their standing ovation. As if they had nothing but time.

The living, breathing source of the data and images we juggle, meanwhile, is in the bed and left wondering: Where is everyone? What are they doing? Hello! It’s my body, you know

Our $3.4 trillion health care system is responsible for more than a quarter of a million deaths per year because of medical error, the rough equivalent of, say, a jumbo jet’s crashing every day.

I can get cash and account details all over America and beyond. Yet I can’t reliably get a patient record from across town, let alone from a hospital in the same state, even if both places use the same brand of E.H.R

the leading E.H.R.s were never built with any understanding of the rituals of care or the user experience of physicians or nurses. A clinician will make roughly 4,000 keyboard clicks during a busy 10-hour emergency-room shift

In the process, our daily progress notes have become bloated cut-and-paste monsters that are inaccurate and hard to wade through. A half-page, handwritten progress note of the paper era might in a few lines tell you what a physician really thought

so much of the E.H.R., but particularly the physical exam it encodes, is a marvel of fiction, because we humans don’t want to leave a check box empty or leave gaps in a template.

For a study, my colleagues and I at Stanford solicited anecdotes from physicians nationwide about patients for whom an oversight in the exam (a “miss”) had resulted in real consequences, like diagnostic delay, radiation exposure, therapeutic or surgical misadventure, even death. They were the sorts of things that would leave no trace in the E.H.R. because the recorded exam always seems complete — and yet the omission would be glaring and memorable to other physicians involved in the subsequent care. We got more than 200 such anecdotes.

The reason for these errors? Most of them resulted from exams that simply weren’t done as claimed. “Food poisoning” was diagnosed because the strangulated hernia in the groin was overlooked, or patients were sent to the catheterization lab for chest pain because no one saw the shingles rash on the left chest.

I worry that such mistakes come because we’ve gotten trapped in the bunker of machine medicine. It is a preventable kind of failure

How we salivated at the idea of searchable records, of being able to graph fever trends, or white blood counts, or share records at a keystroke with another institution — “interoperability”

The seriously ill patient has entered another kingdom, an alternate universe, a place and a process that is frightening, infantilizing; that patient’s greatest need is both scientific state-of-the-art knowledge and genuine caring from another human being. Caring is expressed in listening, in the time-honored ritual of the skilled bedside exam — reading the body — in touching and looking at where it hurts and ultimately in localizing the disease for patients not on a screen, not on an image, not on a biopsy report, but on their bodies.

What if the computer gave the nurse the big picture of who he was both medically and as a person?

a professor at M.I.T. whose current interest in biomedical engineering is “bedside informatics,” marvels at the fact that in an I.C.U., a blizzard of monitors from disparate manufacturers display EKG, heart rate, respiratory rate, oxygen saturation, blood pressure, temperature and more, and yet none of this is pulled together, summarized and synthesized anywhere for the clinical staff to use

What these monitors do exceedingly well is sound alarms, an average of one alarm every eight minutes, or more than 180 per patient per day. What is our most common response to an alarm? We look for the button to silence the nuisance because, unlike those in a Boeing cockpit, say, our alarms are rarely diagnosing genuine danger.

By some estimates, more than 50 percent of physicians in the United States have at least one symptom of burnout, defined as a syndrome of emotional exhaustion, cynicism and decreased efficacy at work

It is on the increase, up by 9 percent from 2011 to 2014 in one national study. This is clearly not an individual problem but a systemic one, a 4,000-key-clicks-a-day problem.

The E.H.R. is only part of the issue: Other factors include rapid patient turnover, decreased autonomy, merging hospital systems, an aging population, the increasing medical complexity of patients. Even if the E.H.R. is not the sole cause of what ails us, believe me, it has become the symbol of burnou

burnout is one of the largest predictors of physician attrition from the work force. The total cost of recruiting a physician can be nearly $90,000, but the lost revenue per physician who leaves is between $500,000 and $1 million, even more in high-paying specialties.

I hold out hope that artificial intelligence and machine-learning algorithms will transform our experience, particularly if natural-language processing and video technology allow us to capture what is actually said and done in the exam room.

as with any lab test, what A.I. will provide is at best a recommendation that a physician using clinical judgment must decide how to apply.

True clinical judgment is more than addressing the avalanche of blood work, imaging and lab tests; it is about using human skills to understand where the patient is in the trajectory of a life and the disease, what the nature of the patient’s family and social circumstances is and how much they want done.

Much of that is a result of poorly coordinated care, poor communication, patients falling through the cracks, knowledge not being transferred and so on, but some part of it is surely from failing to listen to the story and diminishing skill in reading the body as a text.

As he was nearing death, Avedis Donabedian, a guru of health care metrics, was asked by an interviewer about the commercialization of health care. “The secret of quality,” he replied, “is love.”/•/

Liu’s tomes—they tend to be tomes—have been translated into more than twenty languages, and the trilogy has sold some eight million copies worldwide. He has won China’s highest honor for science-fiction writing, the Galaxy Award, nine times, and in 2015 he became the first Asian writer to win the Hugo Award, the most prestigious international science-fiction prize

“The Three-Body Problem” takes its title from an analytical problem in orbital mechanics which has to do with the unpredictable motion of three bodies under mutual gravitational pull. Reading an article about the problem, Liu thought, What if the three bodies were three suns? How would intelligent life on a planet in such a solar system develop? From there, a structure gradually took shape that almost resembles a planetary system, with characters orbiting the central conceit like moons. For better or worse, the characters exist to support the framework of the story rather than to live as individuals on the page.

Concepts that seemed abstract to others took on, for him, concrete forms; they were like things he could touch, inducing a “druglike euphoria.” Compared with ordinary literature, he came to feel, “the stories of science are far more magnificent, grand, involved, profound, thrilling, strange, terrifying, mysterious, and even emotional

Pragmatic choices like this one, or like the decision his grandparents made when their sons were conscripted, recur in his fiction—situations that present equally unconscionable choices on either side of a moral fulcrum

The great flourishing of science fiction in the West at the end of the nineteenth century occurred alongside unprecedented technological progress and the proliferation of the popular press—transformations that were fundamental to the development of the genre

Joel Martinsen, the translator of the second volume of Liu’s trilogy, sees the series as a continuation of this tradition. “It’s not hard to read parallels between the Trisolarans and imperialist designs on China, driven by hunger for resources and fear of being wiped out,” he told me. Even Liu, unwilling as he is to endorse comparisons between the plot and China’s current face-off with the U.S., did at one point let slip that “the relationship between politics and science fiction cannot be underestimated.”

Speculative fiction is the art of imagining alternative worlds, and the same political establishment that permits it to be used as propaganda for the existing regime is also likely to recognize its capacity to interrogate the legitimacy of the status quo.

Liu has been criticized for peopling his books with characters who seem like cardboard cutouts installed in magnificent dioramas. Liu readily admits to the charge. “I did not begin writing for love of literature,” he told me. “I did so for love of science.”

Liu believes that this trend signals a deeper shift in the Chinese mind-set—that technological advances have spurred a new excitement about the possibilities of cosmic exploration.

Liu’s imagination is dauntingly capacious, his narratives conceived on a scale that feels, at times, almost hallucinogenic. The time line of the trilogy spans 18,906,450 years, encompassing ancient Egypt, the Qin dynasty, the Byzantine Empire, the Cultural Revolution, the present, and a time eighteen million years in the future

The first book is set on Earth, though some of its scenes take place in virtual reality; by the end of the third book, the scope of the action is interstellar and annihilation unfolds across several dimensions. The London Review of Books has called the trilogy “one of the most ambitious works of science fiction ever written.”

Although physics furnishes the novels’ premises, it is politics that drives the plots. At every turn, the characters are forced to make brutal calculations in which moral absolutism is pitted against the greater good

In Liu’s fictional universe, idealism is fatal and kindness an exorbitant luxury. As one general says in the trilogy, “In a time of war, we can’t afford to be too scrupulous.” Indeed, it is usually when people do not play by the rules of Realpolitik that the most lives are lost.

“I know what you are thinking,” he told me with weary clarity. “What about individual liberty and freedom of governance?” He sighed, as if exhausted by a debate going on in his head. “But that’s not what Chinese people care about. For ordinary folks, it’s the cost of health care, real-estate prices, their children’s education. Not democracy.”

Liu closed his eyes for a long moment and then said quietly, “This is why I don’t like to talk about subjects like this. The truth is you don’t really—I mean, can’t truly—understand.”

Liu explained to me, the existing regime made the most sense for today’s China, because to change it would be to invite chaos. “If China were to transform into a democracy, it would be hell on earth,”

It was an opinion entirely consistent with his systems-level view of human societies, just as mine reflected a belief in democracy and individualism as principles to be upheld regardless of outcomes

“I cannot escape and leave behind reality, just like I cannot leave behind my shadow. Reality brands each of us with its indelible mark. Every era puts invisible shackles on those who have lived through it, and I can only dance in my chains.

Chinese people of his generation were lucky, he said. The changes they had seen were so huge that they now inhabited a world entirely different from that of their childhood. “China is a futuristic country,” he said. “I realized that the world around me became more and more like science fiction, and this process is speeding up.”

“We have statues of a few martyrs, but we never—We don’t memorialize those, the individuals.” He took off his glasses and blinked, peering into the wide expanse of green and concrete. “This is how we Chinese have always been,” he said. “When something happens, it passes, and time buries the stories.”

More generative for him are the examples of artists who became known as Minimalists even as they disavowed the term.

What’s most striking about Chayka’s minimalist gestures is how frail they seem next to the larger upheavals that are taking place.

Discussing the renunciatory philosophy of the Stoics and Henry David Thoreau, he discerns “a strategy of avoidance, especially in moments when society feels chaotic or catastrophic.” There’s a strain of this in contemporary lifestyle minimalism, which offers self-protection and retreat: “Your bedroom might be cleaner, but the world stays bad.”

The minimalism that Chayka seeks encourages not an escape from the world but a deeper engagement with it

Chayka’s journey ends in a rock garden in Kyoto, where serene contemplation contends with jostling visitors.

“Up through the 20th century, material accumulation and stability made sense as forms of security,” Chayka writes. “Little of this feels true today.” Tangible goods now cost exceedingly less, and intangible “forms of security” cost exceedingly more.

After all, it’s unlikely that the tchotchkes or the new TV set will toss you into financial straits; it’s the college tuition that will put you into crushing debt, the very real possibility you’ll outlive your meager retirement account, or the medical treatment not covered by insurance.

Reading Chayka’s book put me in mind of a longing for less stuff, and a longing for more support.

They are the masters; we are not. They are built to addict us, as the social psychologist Adam Alter’s new book “Irresistible” points out — and to madden us, distract us, arouse us and deceive us.

We primp and perform for them as for a lover; we surrender our privacy to their demands; we wait on tenterhooks for every “like.” The smartphone is in the saddle, and it rides mankind.

the internet, like alcohol, may be an example of a technology that should be sensibly restricted in custom and in law.

Used within reasonable limits, of course, these devices also offer us new graces. But we are not using them within reasonable limits.

there are also excellent reasons to think that online life breeds narcissism, alienation and depression, that it’s an opiate for the lower classes and an insanity-inducing influence on the politically-engaged, and that it takes more than it gives from creativity and deep thought. Meanwhile the age of the internet has been, thus far, an era of bubbles, stagnation and democratic decay — hardly a golden age whose customs must be left inviolate.

So a digital temperance movement would start by resisting the wiring of everything, and seek to create more spaces in which internet use is illegal, discouraged or taboo. Toughen laws against cellphone use in cars, keep computers out of college lecture halls, put special “phone boxes” in restaurants where patrons would be expected to deposit their devices, confiscate smartphones being used in museums and libraries and cathedrals, create corporate norms that strongly discourage checking email in a meeting.

Then there are the starker steps. Get computers — all of them — out of elementary schools, where there is no good evidence that they improve learning. Let kids learn from books for years before they’re asked to go online for research; let them play in the real before they’re enveloped by the virtual

The age of consent should be 16, not 13, for Facebook accounts. Kids under 16 shouldn’t be allowed on gaming networks. High school students shouldn’t bring smartphones to school. Kids under 13 shouldn’t have them at all.

I suspect that versions of these ideas will be embraced within my lifetime by a segment of the upper class and a certain kind of religious family. But the masses will still be addicted, and the technology itself will have evolved to hook and immerse — and alienate and sedate — more completely and efficiently.

All great art allows us this: a glimpse across the limits of our self.

They are moments of genuine expansion. They are at the heart of our humanity. Our future depends on them.

the particular in great literature has always flowed to the universal.

. “Every reader,” as Marcel Proust writes in “Time Regained,” “is actually the reader of himself.

Books can’t install unknown feelings or passions into us. What they can do is develop our emotional, psychological and intellectual life, and, by doing so, show us how and to what extent we are connected.

Consider a common diagnostic question used to help identify addiction, such as “I always use X to relax after a bad day.” Well, if X is methamphetamine, that’s a worrisome choice, one that presumably indicates addiction. But if X is playing video games, how is that different from unwinding after work by knitting, watching sports or playing bridge?

What, then, was his contribution?

Far more significantly, he attempted to provide an overall theoretical description of how capitalism worked

in many parts the author is highly critical. For instance, he points out that Marx displayed “condescension towards developments in political economy”

More damning, the “Grundrisse”, an unfinished manuscript which many neo-Marxists see as a treasure trove of theory, has “defects [in the] core arguments”.

The author encapsulates a feeling of many students of Marx: read the dense, theoretical chapters of “Capital” closely, and no matter how much you try, it is hard to escape the conclusion that there is plenty of nonsense in there.

The real value of such a work, in Mr Stedman Jones’s eyes, lies in its documentation of the actual day-to-day life faced by the English working classes.

He did not pay enough attention, for example, to objective measures of living standards (such as real wages), which by the 1850s were clearly improving.

“At first, I was startled, and worried for myself, but it was so beautiful that I just stood in my slippers and stared.” It was like, “watching a slow-motion film.”

Before, he never rose beyond pre-Algebra.

savant syndrome

Padgett is one of the few people on earth who can draw fractals accurately, freehand.

There are two ways for it to occur, either through an injury that causes brain damage or through a disorder, such as autism.

It’s estimated that around 50% of those with savant syndrome are autistic.

“The most common ability to emerge is art, followed by music,” Treffert told The Guardian. “But I’ve had cases where brain damage makes people suddenly interested in dance, or in Pinball Wizard.”

And yet they did. What I learned in Hum 110 is that so-called Western civilization is a narrative much like any other—except that it happens to affect just about everyone on earth. No matter where we were born or what we look like or what we believe, the narrative of Western civilization is part of the cultural water we swim in. By taking me back to the origins of that narrative, Hum 110 did me the great favor of hauling it into view—and impressing me with the universal right and duty to question it.

Members of Reedies Against Racism argue that Hum 110 simply perpetuates the most familiar version of the Western-civilization narrative—that positioning Plato and Aristotle at the very center of the college curriculum helps ensure their continued influence, along with the continued silencing of other voices from the past. This is worth considering

To many of the campus protesters, then, the Hum 110 syllabus looks like a monument overdue for toppling; online discussions have even compared it to the Confederate flag.

I respect the beauty and boldness and skill displayed in all these texts, and I respect the expertise of those who devote their lives to studying them. But I learned in Hum 110 that to respect a text is to keep experimenting with it, and to keep testing its relevance. Some of these works have already survived thousands of years of scrutiny; let’s see if they can take a few millennia more.

In my experience, the Hum 110 syllabus wasn’t a tool of exclusion but a route to inclusion.

The syllabus is more diverse, as is the faculty that teaches it and the student body that reads it. This is not to say that the syllabus is perfect—far from it. It’s to say that it isn’t carved in stone—and unlike a monument or a flag, it’s not meant to teach reverence. In fact, Hum 110 is intended to teach precisely the opposite.

Not long ago, a friend of mine told me about some classical theater she’d seen. “I enjoyed it,” she said, “but I don’t feel like it’s really mine.” She wasn’t talking about representation, about whether someone who looked or acted like her had appeared on stage. She just felt that despite her smarts, and her multiple graduate degrees, she wasn’t familiar enough with the work to engage with it.

But by exposing the roots of the narrative known as Western civilization, Hum 110 opened a door to me that’s never closed.

What I really learned in Hum 110 is that the ancient Greeks—and the rest of our collective cultural ancestries, for that matter—are mine. They’re mine and yours and theirs and ours, to honor with our sharpest spears.

poor readers can sound out words from print, so in that sense, they can read. Yet they are functionally illiterate — they comprehend very little of what they can sound out. So what does comprehension require? Broad vocabulary, obviously. Equally important, but more subtle, is the role played by factual knowledge.

All prose has factual gaps that must be filled by the reader.

Knowledge also provides context.

You might think, then, that authors should include all the information needed to understand what they write.

Current education practices show that reading comprehension is misunderstood. It’s treated like a general skill that can be applied with equal success to all texts. Rather, comprehension is intimately intertwined with knowledge.

students who score well on reading tests are those with broad knowledge; they usually know at least a little about the topics of the passages on the test.

One experiment tested 11th graders’ general knowledge with questions from science (“pneumonia affects which part of the body?”), history (“which American president resigned because of the Watergate scandal?”), as well as the arts, civics, geography, athletics and literature. Scores on this general knowledge test were highly associated with reading test scores.

But those details would make prose long and tedious for readers who already know the information. “Write for your audience” means, in part, gambling on what they know.

That suggests three significant changes in schooling.

First, it points to decreasing the time spent on literacy instruction in early grades.

Third-graders spend 56 percent of their time on literacy activities but 6 percent each on science and social studies. This disproportionate emphasis on literacy backfires in later grades, when children’s lack of subject matter knowledge impedes comprehension.

Another positive step would be to use high-information texts in early elementary grades. Historically, they have been light in content.

Second, understanding the importance of knowledge to reading ought to make us think differently about year-end standardized tests. If a child has studied New Zealand, she ought to be good at reading and thinking about passages on New Zealand. Why test her reading with a passage about spiders, or the Titanic?

Third, the systematic building of knowledge must be a priority in curriculum design.

The Common Core Standards for reading specify nearly nothing by way of content that children are supposed to know — the document valorizes reading skills. State officials should go beyond the Common Core Standards by writing content-rich grade-level standards

Don’t blame the internet, or smartphones, or fake news for Americans’ poor reading. Blame ignorance. Turning the tide will require profound changes in how reading is taught, in standardized testing and in school curriculums. Underlying all these changes must be a better understanding of how the mind comprehends what it reads.

Daniel T. Willingham (@DTWillingham) is a professor of psychology at the University of Virginia and the author, most recently, of “The Reading Mind: A Cognitive Approach to Understanding How the Mind Reads.”

We were led to wonder whether a broken robot can break a child.

Kids are central to the sociable-robot project, because its agenda is to make people more comfortable with robots in roles normally reserved for humans, and robotics companies know that children are vulnerable consumers who can bring the whole family along.

In October, Mattel scrapped plans for Aristotle — a kind of Alexa for the nursery, designed to accompany children as they progress from lullabies and bedtime stories through high school homework — after lawmakers and child advocacy groups argued that the data the device collected about children could be misused by Mattel, marketers, hackers and other third parties. I was part of that campaign: There is something deeply unsettling about encouraging children to confide in machines that are in turn sharing their conversations with countless others.

Recently, I opened my MIT mail and found a “call for subjects” for a study involving sociable robots that will engage children in conversation to “elicit empathy.” What will these children be empathizing with, exactly? Empathy is a capacity that allows us to put ourselves in the place of others, to know what they are feeling. Robots, however, have no emotions to share

What they can do is push our buttons. When they make eye contact and gesture toward us, they predispose us to view them as thinking and caring. They are designed to be cute, to provoke a nurturing response. And when it comes to sociable AI, nurturance is the killer app: We nurture what we love, and we love what we nurture. If a computational object or robot asks for our help, asks us to teach it or tend to it, we attach. That is our human vulnerability.

digital companions don’t understand our emotional lives. They present themselves as empathy machines, but they are missing the essential equipment: They have not known the arc of a life. They have not been born; they don’t know pain, or mortality, or fear. Simulated thinking may be thinking, but simulated feeling is never feeling, and simulated love is never love.

Breazeal’s position is this: People have relationships with many classes of things. They have relationships with children and with adults, with animals and with machines. People, even very little people, are good at this. Now, we are going to add robots to the list of things with which we can have relationships. More powerful than with pets. Less powerful than with people. We’ll figure it out.

The nature of the attachments to dolls and sociable machines is different. When children play with dolls, they project thoughts and emotions onto them. A girl who has broken her mother’s crystal will put her Barbies into detention and use them to work on her feelings of guilt. The dolls take the role she needs them to take.

Sociable machines, by contrast, have their own agenda. Playing with robots is not about the psychology of projection but the psychology of engagement. Children try to meet the robot’s needs, to understand the robot’s unique nature and wants. There is an attempt to build a mutual relationship.

Some people might consider that a good thing: encouraging children to think beyond their own needs and goals. Except the whole commercial program is an exercise in emotional deception.

when we offer these robots as pretend friends to our children, it’s not so clear they can wink with us. We embark on an experiment in which our children are the human subjects.

it is hard to imagine what those “right types” of ties might be. These robots can’t be in a two-way relationship with a child. They are machines whose art is to put children in a position of pretend empathy. And if we put our children in that position, we shouldn’t expect them to understand what empathy is. If we give them pretend relationships, we shouldn’t expect them to learn how real relationships — messy relationships — work. On the contrary. They will learn something superficial and inauthentic, but mistake it for real connection.

In the process, we can forget what is most central to our humanity: truly understanding each other.

For so long, we dreamed of artificial intelligence offering us not only instrumental help but the simple salvations of conversation and care. But now that our fantasy is becoming reality, it is time to confront the emotional downside of living with the robots of our dreams.

Trained at the prestigious Faculty of Dramatic Arts in Belgrade, Danijela Stajnfeld had, by the age of 26 in 2011, won two major theater prizes

The following year, she abruptly and mysteriously dropped from public view. It wasn’t until last summer that she publicly revealed why.

In her documentary, “Hold Me Right,” about victims and perpetrators of sexual assault, Stajnfeld said that she too had been sexually assaulted eight years earlier by a powerful Serbian man, which had prompted her move to the United States.

“I thought no one remembered me, I didn’t keep in touch with anyone in Serbia,” she said in an interview.

Stajnfeld’s face was suddenly all over the Serbian press again. Television and online commentators praised her for speaking out or savaged her for not disclosing the man’s name.

She said she did not identify the man because she wanted the film to focus on survivors and healing, rather than singling out a perpetrator

Critics questioned her motives. “Sick!” read one headline. “Actress made up the rape to advertise her film.”

While the country has taken steps to advance the cause of women’s rights in recent years — in 2013 it ratified a human rights convention addressing gender-based violence — in Serbia, as in the surrounding region, sexual harassment and assaults are still only rarely reported, and victim shaming abounds.

A longer version, he said, would reveal the broader context, that they were merely improvising dialogue, and that she was possibly claiming he assaulted her to gain publicity for her film.

In January, several other Serbian actresses came out publicly with allegations that they had been raped, and a MeToo-like movement roared to life in this region where the culture of calling out abusers had yet to gain a foothold.

Using the hashtag #NisiSama, which means “You are not alone,” and on the Facebook page Nisam Trazila, or “I didn’t ask for it,” which has 40,000 followers, supporters urged that victims of sexual harassment be believed and perpetrators be held to account.

“After opening up, it was so liberating; I thought the narrative was in my hands,” Stajnfeld said. “But it caused even more unsafety and ridiculous dehumanization.”