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Javier E

Opinion | What College Students Need Is a Taste of the Monk's Life - The New York Times - 0 views

  • When she registered last fall for the seminar known around campus as the monk class, she wasn’t sure what to expect.
  • “You give up technology, and you can’t talk for a month,” Ms. Rodriguez told me. “That’s all I’d heard. I didn’t know why.” What she found was a course that challenges students to rethink the purpose of education, especially at a time when machine learning is getting way more press than the human kind.
  • Each week, students would read about a different monastic tradition and adopt some of its practices. Later in the semester, they would observe a one-month vow of silence (except for discussions during Living Deliberately) and fast from technology, handing over their phones to him.
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  • Yes, he knew they had other classes, jobs and extracurriculars; they could make arrangements to do that work silently and without a computer.
  • The class eased into the vow of silence, first restricting speech to 100 words a day. Other rules began on Day 1: no jewelry or makeup in class. Men and women sat separately and wore different “habits”: white shirts for the men, women in black. (Nonbinary and transgender students sat with the gender of their choice.)
  • Dr. McDaniel discouraged them from sharing personal information; they should get to know one another only through ideas. “He gave us new names, based on our birth time and day, using a Thai birth chart,”
  • “We were practicing living a monastic life. We had to wake up at 5 a.m. and journal every 30 minutes.”
  • If you tried to cruise to a C, you missed the point: “I realized the only way for me to get the most out of this class was to experience it all,” she said. (She got Dr. McDaniel’s permission to break her vow of silence in order to talk to patients during her clinical rotation.)
  • Dr. McDaniel also teaches a course called Existential Despair. Students meet once a week from 5 p.m. to midnight in a building with comfy couches, turn over their phones and curl up to read an assigned novel (cover to cover) in one sitting — books like James Baldwin’s “Giovanni’s Room” and José Saramago’s “Blindness.” Then they stay up late discussing it.
  • The course is not about hope, overcoming things, heroic stories,” Dr. McDaniel said. Many of the books “start sad. In the middle they’re sad. They stay sad. I’m not concerned with their 20-year-old self. I’m worried about them at my age, dealing with breast cancer, their dad dying, their child being an addict, a career that never worked out — so when they’re dealing with the bigger things in life, they know they’re not alone.”
  • Both courses have long wait lists. Students are hungry for a low-tech, introspective experience —
  • Research suggests that underprivileged young people have far fewer opportunities to think for unbroken stretches of time, so they may need even more space in college to develop what social scientists call cognitive endurance.
  • Yet the most visible higher ed trends are moving in the other direction
  • Rather than ban phones and laptops from class, some professors are brainstorming ways to embrace students’ tech addictions with class Facebook and Instagram accounts, audience response apps — and perhaps even including the friends and relatives whom students text during class as virtual participants in class discussion.
  • Then there’s that other unwelcome classroom visitor: artificial intelligence.
  • stop worrying and love the bot by designing assignments that “help students develop their prompting skills” or “use ChatGPT to generate a first draft,” according to a tip sheet produced by the Center for Teaching and Learning at Washington University in St. Louis.
  • It’s not at all clear that we want a future dominated by A.I.’s amoral, Cheez Whiz version of human thought
  • It is abundantly clear that texting, tagging and chatbotting are making students miserable right now.
  • One recent national survey found that 60 percent of American college students reported the symptoms of at least one mental health problem and that 15 percent said they were considering suicide
  • A recent meta-analysis of 36 studies of college students’ mental health found a significant correlation between longer screen time and higher risk of anxiety and depression
  • And while social media can sometimes help suffering students connect with peers, research on teenagers and college students suggests that overall, the support of a virtual community cannot compensate for the vortex of gossip, bullying and Instagram posturing that is bound to rot any normal person’s self-esteem.
  • We need an intervention: maybe not a vow of silence but a bold move to put the screens, the pinging notifications and creepy humanoid A.I. chatbots in their proper place
  • it does mean selectively returning to the university’s roots in the monastic schools of medieval Europe and rekindling the old-fashioned quest for meaning.
  • Colleges should offer a radically low-tech first-year program for students who want to apply: a secular monastery within the modern university, with a curated set of courses that ban glowing rectangles of any kind from the classroom
  • Students could opt to live in dorms that restrict technology, too
  • I prophesy that universities that do this will be surprised by how much demand there is. I frequently talk to students who resent the distracting laptops all around them during class. They feel the tug of the “imaginary string attaching me to my phone, where I have to constantly check it,”
  • Many, if not most, students want the elusive experience of uninterrupted thought, the kind where a hash of half-baked notions slowly becomes an idea about the world.
  • Even if your goal is effective use of the latest chatbot, it behooves you to read books in hard copies and read enough of them to learn what an elegant paragraph sounds like. How else will students recognize when ChatGPT churns out decent prose instead of bureaucratic drivel?
  • Most important, students need head space to think about their ultimate values.
  • His course offers a chance to temporarily exchange those unconscious structures for a set of deliberate, countercultural ones.
  • here are the student learning outcomes universities should focus on: cognitive endurance and existential clarity.
  • Contemplation and marathon reading are not ends in themselves or mere vacations from real life but are among the best ways to figure out your own answer to the question of what a human being is for
  • When students finish, they can move right into their area of specialization and wire up their skulls with all the technology they want, armed with the habits and perspective to do so responsibly
  • it’s worth learning from the radicals. Dr. McDaniel, the religious studies professor at Penn, has a long history with different monastic traditions. He grew up in Philadelphia, educated by Hungarian Catholic monks. After college, he volunteered in Thailand and Laos and lived as a Buddhist monk.
  • e found that no amount of academic reading could help undergraduates truly understand why “people voluntarily take on celibacy, give up drinking and put themselves under authorities they don’t need to,” he told me. So for 20 years, he has helped students try it out — and question some of their assumptions about what it means to find themselves.
  • “On college campuses, these students think they’re all being individuals, going out and being wild,” he said. “But they’re in a playpen. I tell them, ‘You know you’ll be protected by campus police and lawyers. You have this entire apparatus set up for you. You think you’re being an individual, but look at your four friends: They all look exactly like you and sound like you. We exist in these very strict structures we like to pretend don’t exist.’”
  • Colleges could do all this in classes integrated with general education requirements: ideally, a sequence of great books seminars focused on classic texts from across different civilizations.
  • “For the last 1,500 years, Benedictines have had to deal with technology,” Placid Solari, the abbot there, told me. “For us, the question is: How do you use the tool so it supports and enhances your purpose or mission and you don’t get owned by it?”
  • for novices at his monastery, “part of the formation is discipline to learn how to control technology use.” After this initial time of limited phone and TV “to wean them away from overdependence on technology and its stimulation,” they get more access and mostly make their own choices.
  • Evan Lutz graduated this May from Belmont Abbey with a major in theology. He stressed the special Catholic context of Belmont’s resident monks; if you experiment with monastic practices without investigating the whole worldview, it can become a shallow kind of mindfulness tourism.
  • The monks at Belmont Abbey do more than model contemplation and focus. Their presence compels even non-Christians on campus to think seriously about vocation and the meaning of life. “Either what the monks are doing is valuable and based on something true, or it’s completely ridiculous,” Mr. Lutz said. “In both cases, there’s something striking there, and it asks people a question.”
  • Pondering ultimate questions and cultivating cognitive endurance should not be luxury goods.
  • David Peña-Guzmán, who teaches philosophy at San Francisco State University, read about Dr. McDaniel’s Existential Despair course and decided he wanted to create a similar one. He called it the Reading Experiment. A small group of humanities majors gathered once every two weeks for five and a half hours in a seminar room equipped with couches and a big round table. They read authors ranging from Jean-Paul Sartre to Frantz Fanon
  • “At the beginning of every class I’d ask students to turn off their phones and put them in ‘the Basket of Despair,’ which was a plastic bag,” he told me. “I had an extended chat with them about accessibility. The point is not to take away the phone for its own sake but to take away our primary sources of distraction. Students could keep the phone if they needed it. But all of them chose to part with their phones.”
  • Dr. Peña-Guzmán’s students are mostly working-class, first-generation college students. He encouraged them to be honest about their anxieties by sharing his own: “I said, ‘I’m a very slow reader, and it’s likely some or most of you will get further in the text than me because I’m E.S.L. and read quite slowly in English.’
  • For his students, the struggle to read long texts is “tied up with the assumption that reading can happen while multitasking and constantly interacting with technologies that are making demands on their attention, even at the level of a second,”
  • “These draw you out of the flow of reading. You get back to the reading, but you have to restart the sentence or even the paragraph. Often, because of these technological interventions into the reading experience, students almost experience reading backward — as constant regress, without any sense of progress. The more time they spend, the less progress they make.”
  • Dr. Peña-Guzmán dismissed the idea that a course like his is suitable only for students who don’t have to worry about holding down jobs or paying off student debt. “I’m worried by this assumption that certain experiences that are important for the development of personality, for a certain kind of humanistic and spiritual growth, should be reserved for the elite, especially when we know those experiences are also sources of cultural capital,
  • Courses like the Reading Experiment are practical, too, he added. “I can’t imagine a field that wouldn’t require some version of the skill of focused attention.”
  • The point is not to reject new technology but to help students retain the upper hand in their relationship with i
  • Ms. Rodriguez said that before she took Living Deliberately and Existential Despair, she didn’t distinguish technology from education. “I didn’t think education ever went without technology. I think that’s really weird now. You don’t need to adapt every piece of technology to be able to learn better or more,” she said. “It can form this dependency.”
  • The point of college is to help students become independent humans who can choose the gods they serve and the rules they follow rather than allow someone else to choose for them
  • The first step is dethroning the small silicon idol in their pocket — and making space for the uncomfortable silence and questions that follow
Javier E

How to Find Joy in Your Sisyphean Existence - The Atlantic - 0 views

  • the gods. They took their revenge by condemning Sisyphus to eternal torment in the underworld: He had to roll a huge boulder up a hill. When he reached the top, the stone would roll back down to the bottom, and he would have to start all over, on and on, forever.
  • One could even argue that all of life is Sisyphean: We eat to just get hungry again, and shower just to get dirty again, day after day, until the end.
  • Absurd, isn’t it? Albert Camus, the philosopher and father of a whole school of thought called absurdism, thought so. In his 1942 book The Myth of Sisyphus, Camus singles out Sisyphus as an icon of the absurd, noting that “his scorn of the gods, his hatred of death, and his passion for life won him that unspeakable penalty in which the whole being is exerted toward accomplishing nothing.”
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  • It would be easy to conclude that an absurdist view of life rules out happiness and leads anyone with any sense to despair at her very existence. And yet in his book, Camus concludes, “One must imagine Sisyphus happy
  • this unexpected twist in Camus’ philosophy of life and happiness can help you change your perspective and see your daily struggles in a new, more equanimous way.
  • he argues that despite the hardships of this world, against all apparent odds, human beings regularly experience true happiness. People in terrible circumstances bask in love for one another. They enjoy simple diversions
  • Even Sisyphus was happy, according to Camus, because “the struggle itself toward the heights is enough to fill a man’s heart.” Simply put, he had something to keep him busy.
  • Instead of feeling desperation at the futility of life, Camus tells us to embrace its ridiculousness. It’s the only way to arrive at happiness, the most absurd emotion of all under these circumstances
  • We shouldn’t try to find some cosmic meaning in our relentless routines—getting, spending, eating, working, pushing our own little boulders up our own little hills
  • Instead, we should laugh uproariously at the fact that there is no meaning, and be happy anyway.
  • Happiness, for Camus, is an existential declaration of independence. Instead of advising “Don’t worry, be happy,” he offers a rebellious “Tell the universe to go suck eggs, be happy.”
  • If embracing the ridiculous seems impossible to you, Camus says it’s only because of your pride.
  • “Those who prefer their principles over their happiness, they refuse to be happy outside the conditions they seem to have attached to their happiness,”
  • In fact, each of us can consciously implement Camus’ absurdism in order to forge a happier life. Here are three practical ways to find joy in the ridiculous.
  • 1. Stand up to your ennui.
  • You can’t necessarily change your perception of the world, but, as I have written, you most certainly can change your response to that perception. Meet that feeling of despair with a personal motto, such as “I don’t know what everything means, but I do know I am alive right now, and I will not squander this moment
  • 2. Look for opportunities to do a little good.
  • One of the best ways to cultivate futility is by focusing on the big things you can’t control—war, natural disasters, hatred—as opposed to the little things you can.
  • Those little things include bringing a small blessing or source of relief to others.
  • if your commute to work is a soul-sucking existential nightmare, don’t ruminate on the cars stopped ahead of you. Rather, focus on making space for that poor sap stuck in the wrong lane who’s desperately trying to merge
  • 3. Be fully present.
  • Absurdity tends to sting only when we see it from the “outside”; for example, when you think about how meaningless it has been to wash the dishes every day in the past only to find them dirty again right now—and imagine the countless dish washings that the rest of your life will comprise.
  • Confronting the absurd is much more comfortable when you do so with mindfulness.
  • “While washing the dishes one should only be washing the dishes, which means that while washing the dishes one should be completely aware of the fact that one is washing the dishes.
  • When the broad sweep of life brings you horror, concentrate on this moment, and savor it. The pleasure and meaning you can find right now are real; the meaninglessness of the future is not.
  • Some mornings, I wake up seeing only boulders and can’t face pushing them once again up that hill
  • Those are the days when my old friend Camus comes in handy. Instead of despairing of the absurdity of life, I lean into it, laugh at it, and start my day in a light mood. Then I gather my beloved boulders and set out for the nearest hill.
manhefnawi

Three Balls of Wool: An Illustrated Celebration of Nonconformity and the Courage to Rem... - 0 views

  • It may be an elemental property of human nature to fantasize about utopias — a fantasy all the more alluring the more dystopian one’s actual society is. But the inescapable fallacy of the fantasy is that while a utopia promises universal flourishing for everyone, not everyone has the same criteria for flourishing. Homogeneity, as Zadie Smith observed in her superb essay on optimism and despair, is no guarantor of a just and equitable society.
sophie mester

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

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

Write For Purpose, Not People - The Dish | By Andrew Sullivan - The Daily Beast - 0 views

  • what he was telling me was not that publishing is not a good thing, but that it isn’t everything. It does not bestow value or worth on one’s work or on one’s self.
  • It does not make a published book better or worse than an unpublished one. And while the failure to achieve it may be no cause for despair, its attainment is certainly no cure.
  • "the struggle itself toward the heights is enough to fill a man’s heart. One must imagine Sisyphus happy."
anonymous

Trump's Plan to Bar Muslims Is Widely Condemned Abroad - The New York Times - 1 views

  • called for a ban on the entry of Muslims into the United States, much of the rest of the world on Tuesday looked at the American presidential election with a mix of befuddlement and despair.
  • ignited widespread condemnation that crossed ideological and social lines in many countries.
  • Mr. Trump, like others, fuels hatred,” and “Our only enemy is radical Islamism.”
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  • “A lot of people in the Middle East think of the United States as the last place we can go if things turn really bad, as it is the place of freedom and liberty,”
  • But Mr. Trump’s position also had its admirers. His stance on Muslim immigration drew several hundred favorable comments on China’s Twitter-like social media site, Weibo, where supporters linked his idea to their own fears of the Uighurs, a minority Muslim group in China’s northwestern region, some of whom have resorted to militancy and violence.
  • Mr. Trump has incited particularly intense debate, not least in predominantly Muslim countries and in Europe, where far-right parties like Marine Le Pen’s National Front have been gaining ground by invoking anti-immigrant messages similar to those of Mr. Trump and where memories of 20th-century fascism still run deep.
  • Donald Trump strikes me as a very different kind of populist right-winger than the kind we’ve grown used to in Europe in that he shows a complete ignorance about the world
  • Mr. Trump depressed her.
  • No, a country that voted twice for Obama cannot elect a man like that.”
Javier E

Gender-Reveal Parties and Cultural Despair : The New Yorker - 1 views

  • the nature of manufactured customs and instant traditions. They emerge from an atomized society in order to fill a perceived void where real ceremonies used to be, and they end by reflecting that society’s narcissism
  • At bottom, the invented rituals that proliferate in our culture signify a disenchantment with modernity. If, like millions of Americans, you’re secular and the traditions of a church or temple have no hold on you, or if you’re assimilated and ethnic identity has faded away, then what is there to sustain you on the lonely path through a turbulent, rootless, uncertain world?
  • Science might not be enough, which is why so many educated people have turned against it and adopted hostile theories about childhood vaccination. This is the same disenchantment that has produced religious revivalism through much of the world.
markfrankel18

Why Waiting in Line Is Torture - NYTimes.com - 1 views

  • the experience of waiting, whether for luggage or groceries, is defined only partly by the objective length of the wait. “Often the psychology of queuing is more important than the statistics of the wait itself,” notes the M.I.T. operations researcher Richard Larson, widely considered to be the world’s foremost expert on lines.
  • This is also why one finds mirrors next to elevators. The idea was born during the post-World War II boom, when the spread of high-rises led to complaints about elevator delays. The rationale behind the mirrors was similar to the one used at the Houston airport: give people something to occupy their time, and the wait will feel shorter.
  • Professors Carmon and Kahneman have also found that we are more concerned with how long a line is than how fast it’s moving. Given a choice between a slow-moving short line and a fast-moving long one, we will often opt for the former, even if the waits are identical. (This is why Disney hides the lengths of its lines by wrapping them around buildings and using serpentine queues.)
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  • Surveys show that many people will wait twice as long for fast food, provided the establishment uses a first-come-first-served, single-queue ordering system as opposed to a multi-queue setup. Anyone who’s ever had to choose a line at a grocery store knows how unfair multiple queues can seem; invariably, you wind up kicking yourself for not choosing the line next to you moving twice as fast. But there’s a curious cognitive asymmetry at work here. While losing to the line at our left drives us to despair, winning the race against the one to our right does little to lift our spirits. Indeed, in a system of multiple queues, customers almost always fixate on the line they’re losing to and rarely the one they’re beating.
Duncan H

The White Underclass - NYTimes.com - 0 views

  • Persistent poverty is America’s great moral challenge, but it’s far more than that.
  • As a practical matter, we can’t solve educational problems, health care costs, government spending or economic competitiveness so long as a chunk of our population is locked in an underclass. Historically, “underclass” has often been considered to be a euphemism for race, but increasingly it includes elements of the white working class as well.
  • Liberals sometimes feel that it is narrow-minded to favor traditional marriage. Over time, my reporting on poverty has led me to disagree: Solid marriages have a huge beneficial impact on the lives of the poor (more so than in the lives of the middle class, who have more cushion when things go wrong).
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  • I fear we’re facing a crisis in which a chunk of working-class America risks being calcified into an underclass, marked by drugs, despair, family decline, high incarceration rates and a diminishing role of jobs and education as escalators of upward mobility. We need a national conversation about these dimensions of poverty, and maybe Murray can help trigger it. I fear that liberals are too quick to think of inequality as basically about taxes. Yes, our tax system is a disgrace, but poverty is so much deeper and more complex than that.
  • to blame liberal social policies for the pathologies he examines. Yes, I’ve seen disability programs encourage some people to drop out of the labor force. But there were far greater forces at work, such as the decline in good union jobs.
  • Eighty percent of the people in my high school cohort dropped out or didn’t pursue college because it used to be possible to earn a solid living at the steel mill, the glove factory or sawmill. That’s what their parents had done. But the glove factory closed, working-class jobs collapsed and unskilled laborers found themselves competing with immigrants. There aren’t ideal solutions, but some evidence suggests that we need more social policy, not less. Early childhood education can support kids being raised by struggling single parents. Treating drug offenders is far cheaper than incarcerating them. A new study finds that a jobs program for newly released prison inmates left them 22 percent less likely to be convicted of another crime. This initiative, by the Center for Employment Opportunities, more than paid for itself: each $1 brought up to $3.85 in benefits.
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    What should we do about this?
Javier E

And Suddenly, The Door Just Gives Way « The Dish - 0 views

  • The poll above (source here), conducted last December, is arguably the critical one. It’s of Americans living in the states that ban marriage rights for gay couples. Commissioned by Freedom To Marry, it reveals the seismic shift of the last few years.
  • Something has fundamentally changed since the late 1980s when I first made this argument. Gay people have become human in the eyes of most straights. Not perfect and not identical – but human in our capacity for love and commitment.
  • that is not, in the end, a political gain. It is a moral one. And it reveals, once again, that those who despair of persuading resistant majorities of core moral arguments in America are wrong. Americans, in the end, are open to persuasion.
Javier E

Mind - Past Adversity May Aid Emotional Recovery - NYTimes.com - 0 views

  • “As with so many of life’s experiences, humans are simply not very good at predicting how they’ll behave when hit by a real adversity,”
  • no one can reliably predict who will move on quickly and who will lapse into longer-term despair.
  • the number of life blows a person has taken may affect his or her mental toughness more than any other factor.
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  • “Each negative event a person faces leads to an attempt to cope, which forces people to learn about their own capabilities, about their support networks — to learn who their real friends are. That kind of learning, we think, is extremely valuable for subsequent coping,” up to a point.
  • A subset of the participants, 194, reported that they had experienced not one of the fairly comprehensive list of 37 events on the survey. “We wondered: Who are these people who have managed to go through life with nothing bad happening to them?”
  • Dr. Cohen Silver said. “Are they hyper-conscientious? Socially isolated? Just young? Or otherwise unique?” They weren’t, the researchers found. Stranger still, they were not the most satisfied with their lives. Their sense of well-being was about the same, on average, as people who had suffered up to a dozen memorable blows.
  • It was those in the middle, those reporting two to six stressful events, who scored highest on several measures of well-being, and who showed the most resilience in response to recent hits.
Javier E

Video Nation - NYTimes.com - 0 views

  • “If you watch the nightly news it feels like the world is falling apart,” Obama said at a fundraiser last month. He’s half correct. Not many people watch the actual nightly news anymore, but millions watch the cinéma vérité of horrible things, from punching a loved one to beheading a journalist.
  • The president understands this dynamic, yet he seems helpless to do anything about it. He’s as reactive as the rest of the world. Nearly 200,000 people have died and three million refugees are wandering in despair because of the Syrian conflict. But the American public was resolute in not wanting any part of it until the beheadings of two of our citizens appeared.
  • “All you need to do is see the videos of the beheadings and we’re not worried about mission creep,”
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  • That’s it in a nutshell: public policy driven by visceral reaction to videos.
  • And for the cherry on top of that dollop of honesty, consider the candid cynicism of Representative Jack Kingston, of Georgia, explaining the Republican strategy on Obama’s initiative. “We can denounce it if it goes bad, and praise it if it goes well, and ask him what took him so long,” he said.
  • No person of conscience could watch the Ray Rice video without feeling revulsion. But that shouldn’t be the new standard for outrage and action. Trying to sway someone with an old-fashioned appeal — e.g., figures on the number of women who are kicked cold every day — is largely fruitless.
  • “The world has always been messy,” said Obama, a smart man, making a smart observation to a public that doesn’t reward that trait. “In part we’re just noticing now because of social media and our capacity to see in intimate detail the hardships that people are going through.”
Javier E

How Tech Can Turn Doctors Into Clerical Workers - The New York Times - 0 views

  • what I see in my colleague is disillusionment, and it has come too early, and I am seeing too much of it.
  • In America today, the patient in the hospital bed is just the icon, a place holder for the real patient who is not in the bed but in the computer. That virtual entity gets all our attention. Old-fashioned “bedside” rounds conducted by the attending physician too often take place nowhere near the bed but have become “card flip” rounds
  • My young colleague slumping in the chair in my office survived the student years, then three years of internship and residency and is now a full-time practitioner and teacher. The despair I hear comes from being the highest-paid clerical worker in the hospital: For every one hour we spend cumulatively with patients, studies have shown, we spend nearly two hours on our primitive Electronic Health Records, or “E.H.R.s,” and another hour or two during sacred personal time.
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  • 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.”/•/
Javier E

Skeptics read Jordan Peterson's '12 Rules for Life' - The Washington Post - 0 views

  • I do think that women tend to spend more time thinking about their lives, planning for the future, sort of sorting themselves out — and know how to do so. So they don’t need Peterson’s basic life advice as much as men do.
  • Emba: These days, young men seem far more lost than young women. And we’re seeing the results of that all over the place — men disappearing into video games, or pornography, or dropping out of the workforce, or succumbing to depression and despair. So maybe they need this more.
  • Rubin made it sound as though Peterson held some *hidden knowledge,* but there’s no secret to “stand up straight and make sure the people you keep around you pull you up rather than drag you down.”
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  • I actually think Peterson was right to observe that it’s remarkable how many students at the universities where they tested some of his theories hadn’t been told these things. Though I thought it was interesting that he seemed to think that teaching this kind of thing was a job for the educational system rather than the parents
  • I think perhaps we’re both lucky in that though our backgrounds are different, we both come from relatively stable families with parents and surrounding adults who inculcated these “rules” intrinsically, from our youth on. So the Peterson gospel doesn’t feel new to us.
  • The fact that there are whole swaths of our generation who are advantaged by already knowing this information about how to make your life better, and another whole swath who is being left behind, character and life-formation wise, because they don’t. And they are left to rely on Jordan Peterson.
  • He is convinced of the importance and significance of these stories, these words — and religion, and its significance. At one point he stated that he didn’t have a materialist view of the world, but actually a “deeply religious” one.
  • One thing that’s definitely central to the book is telling people (particularly men) that life is hard, and you need to get it together.
  • largely the message you come away with is that if you don’t like the way things are going, it’s your fault and your fault alone. And that’s an easier message to believe when you’re a white male and systemic obstacles aren’t really a thing you run into.
  • Jordan Peterson professes not to be religious, but he is. His book is built on what he describes as archetypal myths from different cultures, but leans *very* heavily on Judeo-Christian ones especially — Cain and Abel and the stories of Jesus’s life, from his temptation in the desert to his death and resurrection.
  • This tendency was even more pronounced in his live lecture. Basically every line, every piece of advice he gave, was supported by a Bible verse. At one point, he quoted the gospel of Matthew: “Knock and the door will be opened to you” — and said, “This is how life works, ACTUALLY” — basically glaring at the crowd and daring them to disagree.
  • Just in the week or so I was reading “12 Rules,” I had several men my age come up to me on buses or in coffee shops and strike up conversations with me about Peterson — the one thing they all talked about right away was how the book had a lot of “hard truths” that they needed to hear
  • He’s not keeping great company. But I think his personal work and statements are generally benign, in many cases actually helpful, in that they urge young people to seek out a better-structured and more meaningful life.
  • I agree it’s inaccurate to label him as alt-right, though that is a low bar to clear. Frankly I see him more as a mainstream conservative. I think part of the reason people get this wrong is that there’s a big gap between what boosted his fame and what the central thrust of his book is
  • I think “traditionalist” is probably the best label for him — both because his views are traditionalist and because his worldview is so dependent on traditions (or at least what he sees as traditions.)
Emilio Ergueta

What is Art? and/or What is Beauty? | Issue 108 | Philosophy Now - 1 views

  • Art is something we do, a verb. Art is an expression of our thoughts, emotions, intuitions, and desires, but it is even more personal than that: it’s about sharing the way we experience the world, which for many is an extension of personality. It is the communication of intimate concepts that cannot be faithfully portrayed by words alone.
  • eauty is much more than cosmetic: it is not about prettiness. There are plenty of pretty pictures available at the neighborhood home furnishing store; but these we might not refer to as beautiful; and it is not difficult to find works of artistic expression that we might agree are beautiful that are not necessarily pretty.
  • Works of art may elicit a sense of wonder or cynicism, hope or despair, adoration or spite; the work of art may be direct or complex, subtle or explicit, intelligible or obscure; and the subjects and approaches to the creation of art are bounded only by the imagination of the artist.
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  • The game changers – the square pegs, so to speak – are those who saw traditional standards of beauty and decided specifically to go against them, perhaps just to prove a point. Take Picasso, Munch, Schoenberg, to name just three. They have made a stand against these norms in their art. Otherwise their art is like all other art: its only function is to be experienced, appraised, and understood (or not).
  • art is not necessarily positive: it can be deliberately hurtful or displeasing: it can make you think about or consider things that you would rather not. But if it evokes an emotion in you, then it is art.
  • art cannot be simply defined on the basis of concrete tests like ‘fidelity of representation’ or vague abstract concepts like ‘beauty’. So how can we define art in terms applying to both cave-dwellers and modern city sophisticates? To do this we need to ask: What does art do? And the answer is surely that it provokes an emotional, rather than a simply cognitive response. One way of approaching the problem of defining art, then, could be to say: Art consists of shareable ideas that have a shareable emotional impact
  • . A work of art is that which asks a question which a non-art object such as a wall does not: What am I? What am I communicating? The responses, both of the creator artist and of the recipient audience, vary, but they invariably involve a judgement, a response to the invitation to answer. The answer, too, goes towards deciphering that deeper question – the ‘Who am I?’ which goes towards defining humanity.
Javier E

Andrew Sullivan: Putin's First Year in the White House - 0 views

  • at the end of 2017, I feel close to despair about the liberal-democratic project in the West. When it isn’t being assaulted by the identitarian thugs of the hard right, it is being corroded by the identitarian puritans of the “social justice” left. This is how liberal democracies die — or rather how they reveal that they are already, under the surface, dead.
clairemann

Why the Atlanta Shooter May Have Called Himself a Sex Addict | Time - 0 views

  • The Atlanta Police Department said the shooter told them that he was a sex addict and was seeking to eliminate the temptation that he perceived these outlets represented.
  • According to the shooter’s roommate, the shooter had sought treatment for his sex addiction at HopeQuest, a facility operated by an evangelical group and located just down the road from the first spa that he attacked in Acworth, Ga. The gunman was also a member of the evangelical Crabapple First Baptist church, in Milton, Ga., which has begun the process to expel him and called the shootings “the result of a sinful heart and depraved mind.”
  • the confusing rhetoric of the evangelical church about sex can lead to despair over a perceived sex addiction and a feeling that one must go to extremes to avoid it. He spoke to TIME about his research.
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  • That usually is not going on when Christian men like [the shooter] describe their behavior as an addiction. Oftentimes what they really mean is “I’m regularly engaging in this thing that I’d rather not, but I’m doing it consistently, so I feel like I’m out of control.”
  • That suggests that evangelicals are working with a very expansive definition of addiction that is basically shaped by this idea that if I’m doing something regularly that I’d rather not do, I can call myself an addict. And that’s a core aspect of their identity: I’m a porn addict or I’m a sex addict.
  • One of these interesting paradoxes among conservative Christian men is that sexual sin is a really bad sin and that you can reduce your entire spiritual life to how you’re doing sexually. It’s something I call sexual exceptionalism
Javier E

Climatologist Michael E Mann: 'Good people fall victim to doomism. I do too sometimes' ... - 0 views

  • the “inactivists”, as I call them, haven’t given up; they have simply shifted from hard denial to a new array of tactics that I describe in the book as the new climate war.
  • Who is the enemy in the new climate war?It is fossil fuel interests, climate change deniers, conservative media tycoons, working together with petrostate actors like Saudi Arabia and Russia. I call this the coalition of the unwilling.
  • Today Russia uses cyberware – bot armies and trolls – to get climate activists to fight one another and to seed arguments on social media. Russian trolls have attempted to undermine carbon pricing in Canada and Australia, and Russian fingerprints have been detected in the yellow-vest protests in France.
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  • I am optimistic about a favourable shift in the political wind. The youth climate movement has galvanised attention and re-centred the debate on intergenerational ethics. We are seeing a tipping point in public consciousness. That bodes well. There is still a viable way forward to avoid climate catastrophe.
  • You can see from the talking points of inactivists that they are really in retreat. Republican pollsters like Frank Luntz have advised clients in the fossil fuel industry and the politicians who carry water for them that you can’t get away with denying climate change any more.
  • Let’s dig into deniers’ tactics. One that you mention is deflection. What are the telltale signs?Any time you are told a problem is your fault because you are not behaving responsibly, there is a good chance that you are being deflected from systemic solutions and policies
  • Blaming the individual is a tried and trusted playbook that we have seen in the past with other industries. In the 1970s, Coca Cola and the beverage industry did this very effectively to convince us we don’t need regulations on waste disposal. Because of that we now have a global plastic crisis. The same tactics are evident in the gun lobby’s motto, “guns don’t kill people, people kill people”, which is classic deflection
  • look at BP, which gave us the world’s first individual carbon footprint calculator. Why did they do that? Because BP wanted us looking at our carbon footprint not theirs.
  • Of course lifestyle changes are necessary but they alone won’t get us where we need to be. They make us more healthy, save money and set a good example for others.
  • But we can’t allow the forces of inaction to convince us these actions alone are the solution and that we don’t need systemic changes
  • I don’t eat meat. We get power from renewable energy. I have a plug-in hybrid vehicle. I do those things and encourage others to do them. but i don’t think it is helpful to shame people people who are not as far along as you.
  • Instead, let’s help everybody to move in that direction. That is what policy and system change is about: creating incentives so even those who don’t think about their environmental footprint are still led in that direction.
  • Another new front in the new climate war is what you call “doomism”. What do you mean by that?Doom-mongering has overtaken denial as a threat and as a tactic. Inactivists know that if people believe there is nothing you can do, they are led down a path of disengagement
  • They unwittingly do the bidding of fossil fuel interests by giving up.What is so pernicious about this is that it seeks to weaponise environmental progressives who would otherwise be on the frontline demanding change. These are folk of good intentions and good will, but they become disillusioned or depressed and they fall into despair.
  • Many of the prominent doomist narratives – [Jonathan] Franzen, David Wallace-Wells, the Deep Adaptation movement – can be traced back to a false notion that an Arctic methane bomb will cause runaway warming and extinguish all life on earth within 10 years. This is completely wrong. There is no science to support that.
  • Good people fall victim to doomism. I do too sometimes. It can be enabling and empowering as long as you don’t get stuck there. It is up to others to help ensure that experience can be cathartic.
  • the entry of new participants. Bill Gates is perhaps the most prominent. His new book, How to Prevent a Climate Disaster, offers a systems analyst approach to the problem, a kind of operating system upgrade for the planet. What do you make of his take?I want to thank him for using his platform to raise awareness of the climate crisis
  • I disagree with him quite sharply on the prescription. His view is overly technocratic and premised on an underestimate of the role that renewable energy can play in decarbonising our civilisation
  • If you understate that potential, you are forced to make other risky choices, such as geoengineering and carbon capture and sequestration. Investment in those unproven options would crowd out investment in better solutions.
  • Gates writes that he doesn’t know the political solution to climate change. But the politics are the problem buddy. If you don’t have a prescription of how to solve that, then you don’t have a solution and perhaps your solution might be taking us down the wrong path.
  • What are the prospects for political change with Joe Biden in the White House?Breathtaking. Biden has surprised even the most ardent climate hawks in the boldness of his first 100 day agenda, which goes well beyond any previous president, including Obama when it comes to use of executive actions. He has incorporated climate policy into every single government agency and we have seen massive investments in renewable energy infrastructure, cuts in subsidies for fossil fuels, and the cancellation of the Keystone XL pipeline.
  • On the international front, the appointment of John Kerry, who helped negotiate the Paris Accord, has telegraphed to the rest of the world that the US is back and ready to lead again
  • That is huge and puts pressure on intransigent state actors like [Australian prime minister] Scott Morrison, who has been a friend of the fossil fuel industry in Australia. Morrison has changed his rhetoric dramatically since Biden became president. I think that creates an opportunity like no other.
  • Have the prospects for that been helped or hindered by Covid?I see a perfect storm of climate opportunity. Terrible as the pandemic has been, this tragedy can also provide lessons, particularly on the importance of listening to the word of science when facing risks
  • Out of this crisis can come a collective reconsideration of our priorities. How to live sustainably on a finite planet with finite space, food and water. A year from now, memories and impacts of coronavirus will still feel painful, but the crisis itself will be in the rear-view mirror thanks to vaccines. What will loom larger will be the greater crisis we face – the climate crisis.
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