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Avoid using mental health terms to describe non-health issues. Don’t say that an awards show, for example, was schizophrenic.

mental illness Do not describe an individual as mentally ill unless it is clearly pertinent to a story and the diagnosis is properly sourced.

The creators of the D.S.M. in the 1960s and ’70s “were real heroes at the time,” said Dr. Steven E. Hyman, a psychiatrist and neuroscientist at the Broad Institute and a former director at the National Institute of Mental Health. “They chose a model in which all psychiatric illnesses were represented as categories discontinuous with ‘normal.’ But this is totally wrong in a way they couldn’t have imagined. So in fact what they produced was an absolute scientific nightmare. Many people who get one diagnosis get five diagnoses, but they don’t have five diseases — they have one underlying condition.”

Decades of spending on neuroscience have taught scientists mostly what they do not know, undermining some of their most elemental assumptions. Genetic glitches that appear to increase the risk of schizophrenia in one person may predispose others to autism-like symptoms, or bipolar disorder. The mechanisms of the field’s most commonly used drugs — antidepressants like Prozac, and antipsychosis medications like Zyprexa — have revealed nothing about the causes of those disorders. And major drugmakers have scaled back psychiatric drug development, having virtually no new biological “targets” to shoot for.

Dr. Insel is one of a growing number of scientists who think that the field needs an entirely new paradigm for understanding mental disorders, though neither he nor anyone else knows exactly what it will look like.

Dr. Hyman, Dr. Insel and other experts said they hoped that the science of psychiatry would follow the direction of cancer research, which is moving from classifying tumors by where they occur in the body to characterizing them by their genetic and molecular signatures.

Dr. Insel said in the interview that his motivation was not to disparage the D.S.M. as a clinical tool, but to encourage researchers and especially outside reviewers who screen proposals for financing from his agency to disregard its categories and investigate the biological underpinnings of disorders instead.

It is clear that these products are designed to be maximally addictive, in order to harvest as much of our attention as they can. Tech humanists say this business model is both unhealthy and inhumane – that it damages our psychological well-being and conditions us to behave in ways that diminish our humanity

The main solution that they propose is better design. By redesigning technology to be less addictive and less manipulative, they believe we can make it healthier – we can realign technology with our humanity and build products that don’t “hijack” our minds.

its most prominent spokesman is executive director Tristan Harris, a former “design ethicist” at Google who has been hailed by the Atlantic magazine as “the closest thing Silicon Valley has to a conscience”. Harris has spent years trying to persuade the industry of the dangers of tech addiction.

In February, Pierre Omidyar, the billionaire founder of eBay, launched a related initiative: the Tech and Society Solutions Lab, which aims to “maximise the tech industry’s contributions to a healthy society”.

the tech humanists are making a bid to become tech’s loyal opposition. They are using their insider credentials to promote a particular diagnosis of where tech went wrong and of how to get it back on track

The real reason tech humanism matters is because some of the most powerful people in the industry are starting to speak its idiom. Snap CEO Evan Spiegel has warned about social media’s role in encouraging “mindless scrambles for friends or unworthy distractions”,

In short, the effort to humanise computing produced the very situation that the tech humanists now consider dehumanising: a wilderness of screens where digital devices chase every last instant of our attention.

After years of ignoring their critics, industry leaders are finally acknowledging that problems exist. Tech humanists deserve credit for drawing attention to one of those problems – the manipulative design decisions made by Silicon Valley.

these decisions are only symptoms of a larger issue: the fact that the digital infrastructures that increasingly shape our personal, social and civic lives are owned and controlled by a few billionaires

Because it ignores the question of power, the tech-humanist diagnosis is incomplete – and could even help the industry evade meaningful reform

Taken up by leaders such as Zuckerberg, tech humanism is likely to result in only superficial changes

they will not address the origin of that anger. If anything, they will make Silicon Valley even more powerful.

To the litany of problems caused by “technology that extracts attention and erodes society”, the text asserts that “humane design is the solution”. Drawing on the rhetoric of the “design thinking” philosophy that has long suffused Silicon Valley, the website explains that humane design “starts by understanding our most vulnerable human instincts so we can design compassionately”

this language is not foreign to Silicon Valley. On the contrary, “humanising” technology has long been its central ambition and the source of its power. It was precisely by developing a “humanised” form of computing that entrepreneurs such as Steve Jobs brought computing into millions of users’ everyday lives

Facebook had a new priority: maximising “time well spent” on the platform, rather than total time spent. By “time well spent”, Zuckerberg means time spent interacting with “friends” rather than businesses, brands or media sources. He said the News Feed algorithm was already prioritising these “more meaningful” activities.

They believe we can use better design to make technology serve human nature rather than exploit and corrupt it. But this idea is drawn from the same tradition that created the world that tech humanists believe is distracting and damaging us.

Tech humanists say they want to align humanity and technology. But this project is based on a deep misunderstanding of the relationship between humanity and technology: namely, the fantasy that these two entities could ever exist in separation.

The story of our species began when we began to make tools

All of which is to say: humanity and technology are not only entangled, they constantly change together.

This is not just a metaphor. Recent research suggests that the human hand evolved to manipulate the stone tools that our ancestors used

The ways our bodies and brains change in conjunction with the tools we make have long inspired anxieties that “we” are losing some essential qualities

Yet as we lose certain capacities, we gain new ones.

The nature of human nature is that it changes. It can not, therefore, serve as a stable basis for evaluating the impact of technology

Yet the assumption that it doesn’t change serves a useful purpose. Treating human nature as something static, pure and essential elevates the speaker into a position of power. Claiming to tell us who we are, they tell us how we should be.

Holding humanity and technology separate clears the way for a small group of humans to determine the proper alignment between them

Harris and his fellow tech humanists also frequently invoke the language of public health. The Center for Humane Technology’s Roger McNamee has gone so far as to call public health “the root of the whole thing”, and Harris has compared using Snapchat to smoking cigarettes

The public-health framing casts the tech humanists in a paternalistic role. Resolving a public health crisis requires public health expertise. It also precludes the possibility of democratic debate. You don’t put the question of how to treat a disease up for a vote – you call a doctor.

They also remain confined to the personal level, aiming to redesign how the individual user interacts with technology rather than tackling the industry’s structural failures. Tech humanism fails to address the root cause of the tech backlash: the fact that a small handful of corporations own our digital lives and strip-mine them for profit.

This is a fundamentally political and collective issue. But by framing the problem in terms of health and humanity, and the solution in terms of design, the tech humanists personalise and depoliticise it.

Far from challenging Silicon Valley, tech humanism offers Silicon Valley a useful way to pacify public concerns without surrendering any of its enormous wealth and power.

these principles could make Facebook even more profitable and powerful, by opening up new business opportunities. That seems to be exactly what Facebook has planned.

reported that total time spent on the platform had dropped by around 5%, or about 50m hours per day. But, Zuckerberg said, this was by design: in particular, it was in response to tweaks to the News Feed that prioritised “meaningful” interactions with “friends” rather than consuming “public content” like video and news. This would ensure that “Facebook isn’t just fun, but also good for people’s well-being”

Zuckerberg said he expected those changes would continue to decrease total time spent – but “the time you do spend on Facebook will be more valuable”. This may describe what users find valuable – but it also refers to what Facebook finds valuable

not all data is created equal. One of the most valuable sources of data to Facebook is used to inform a metric called “coefficient”. This measures the strength of a connection between two users – Zuckerberg once called it “an index for each relationship”

Facebook records every interaction you have with another user – from liking a friend’s post or viewing their profile, to sending them a message. These activities provide Facebook with a sense of how close you are to another person, and different activities are weighted differently.

Messaging, for instance, is considered the strongest signal. It’s reasonable to assume that you’re closer to somebody you exchange messages with than somebody whose post you once liked.

Why is coefficient so valuable? Because Facebook uses it to create a Facebook they think you will like: it guides algorithmic decisions about what content you see and the order in which you see it. It also helps improve ad targeting, by showing you ads for things liked by friends with whom you often interact

emphasising time well spent means creating a Facebook that prioritises data-rich personal interactions that Facebook can use to make a more engaging platform.

“time well spent” means Facebook can monetise more efficiently. It can prioritise the intensity of data extraction over its extensiveness. This is a wise business move, disguised as a concession to critics

industrialists had to find ways to make the time of the worker more valuable – to extract more money from each moment rather than adding more moments. They did this by making industrial production more efficient: developing new technologies and techniques that squeezed more value out of the worker and stretched that value further than ever before.

there is another way of thinking about how to live with technology – one that is both truer to the history of our species and useful for building a more democratic future. This tradition does not address “humanity” in the abstract, but as distinct human beings, whose capacities are shaped by the tools they use.

It sees us as hybrids of animal and machine – as “cyborgs”, to quote the biologist and philosopher of science Donna Haraway.

The cyborg way of thinking, by contrast, tells us that our species is essentially technological. We change as we change our tools, and our tools change us. But even though our continuous co-evolution with our machines is inevitable, the way it unfolds is not. Rather, it is determined by who owns and runs those machines. It is a question of power

The various scandals that have stoked the tech backlash all share a single source. Surveillance, fake news and the miserable working conditions in Amazon’s warehouses are profitable. If they were not, they would not exist. They are symptoms of a profound democratic deficit inflicted by a system that prioritises the wealth of the few over the needs and desires of the many.

If being technological is a feature of being human, then the power to shape how we live with technology should be a fundamental human right

The decisions that most affect our technological lives are far too important to be left to Mark Zuckerberg, rich investors or a handful of “humane designers”. They should be made by everyone, together.

Rather than trying to humanise technology, then, we should be trying to democratise it. We should be demanding that society as a whole gets to decide how we live with technology

What does this mean in practice? First, it requires limiting and eroding Silicon Valley’s power.

Antitrust laws and tax policy offer useful ways to claw back the fortunes Big Tech has built on common resources

democratic governments should be making rules about how those firms are allowed to behave – rules that restrict how they can collect and use our personal data, for instance, like the General Data Protection Regulation

This means developing publicly and co-operatively owned alternatives that empower workers, users and citizens to determine how they are run.

we might demand that tech firms pay for the privilege of extracting our data, so that we can collectively benefit from a resource we collectively create.

Even if the doctors couldn’t pin down what was going on with me, I was so alarmed by my symptoms and the doctors’ gravest guesses that I felt anxious about whether or not I would have a future.

What was certain is that I was shrinking. Rapidly, uncontrollably.

My clothes hung loose at the waist and sloughed off my shoulders as if they belonged to a stranger, so I bought a stranger’s dress. Kate Spade, $348 retail.

I found it for $50 at an online designer consignment store while on hold with the hospital; a nurse was checking on the results of my bone marrow biopsy.

Online shopping was the sort of thing one might do if she were on hold with her cable company, not awaiting a possible blood cancer diagnosis.

I filled my cart with a cobalt dress, a blush silk blouse, a slinky skirt.

On paper, the doctors said, it looked like it could be lymphoma. The symptoms were classic: fever, night sweats, weight loss.

A biopsy of my enlarged lymph node showed it to be benign.

Two weeks earlier, a doctor had taken a surgical drill to my hip and hollowed out my bones with a syringe fit for a large horse. “Painful” was a deficient descriptor.

“I just don’t know what else to do,” my doctor said.

I sat still while my insides turned over. A cold sweat crept across my face. I closed my eyes, shook my head and returned to my shopping cart. I was not going to dwell.

No — I was going to shop. I was going to shop until I could think of nothing else. I punched in my credit card number and bought the Kate Spade.

Then I rushed to my closet, threw open the double doors and began rifling through Target impulse buys and ill-fitting hand-me-down

we’ll have to keep looking

I couldn’t breathe. I couldn’t do illness anymore. I could only do this.

I spun around in it, watching the hem rise and fall. Something about it made me feel less like a haggard patient and more like the kind of woman who went to cocktail parties dripping with perfume and family money.

Over the next few months, I made it my mission to build a new wardrobe from scratch. The process demanded every moment of my free time, every spare thought

We both knew it was impractical. The clothes were expensive and high maintenance, most of them over-the-top fancy for my modest life in nonprofit communications.

But they felt vital. I told myself I was overdue for some frivolity, that I deserved to treat myself.

For my next doctor’s appointment, I picked out a Valentino pencil skirt that fit snugly against my new, withered body.

I hurled the clothes into boxes and garbage bags. They smelled like the hospital, all burned coffee and antiseptic. I didn’t want them. I didn’t even want to look at them. I wanted silk. I wanted velvet.

“Can I see you again in six weeks? We can repeat blood work then and come up with a timeline for scans. Does that sound like an OK plan?”

“Just that I live here,” I said, gesturing at my body. “I have to live here.”

That night I ran my fingers through my hair, and a clump of blond strands fell loose into my palm. “It’s just stress,” I told my cat. I brushed my hands together, letting my hair fall into the trash, and returned to my shopping list.

Each one had lived a life before me. Now I held onto them in the dim light of my bedroom like tangible hope.

We’re forced to find hope in what we used to mock: God, the afterlife, miracles, hemp oil. Healing, by any means. Healing, against all odds.

After every appointment, after every failed attempt to name my illness, I would prop myself in bed, choose new dresses and think of all the places I would wear them.

The clothes promised me something the doctors, as they continue to search for a diagnosis, still can’t: an uncomplicated future. And I promised a future to the clothes.

This was their life after life. And they deserved that, didn’t they?

But if the mess doesn’t bother you, it’s probably no big deal.

Having a messy room doesn't necessarily mean that there's anything else going on in terms of your mental health, but, in some cases, it can indicate something more serious.

Several of the criteria for a depression diagnosis — hopelessness, fatigue, and lack of concentration — can all play a role in why your messy room is in the state it's in.

If you're feeling a little less than hopeful, you might have a hard time understanding why you should even bother to clean up or organize things since, from where you're standing, everything seems to be going wrong anyway.

"Sometimes when life feels out of control or stressful other areas of your life get affected one being your working or living space,"

"So you can intend to put things in order in your room and never find the concentration or the energy to get around to it because you have so many other things going on.

Even if you don't recognize that you fit the criteria for an official diagnosis of depression (or just plain don't fit the criteria) if you're overwhelmed or have a lot going on in your head, cleaning your room can still be a major challenge.

Lack of concentration, too, can make the actual task of cleaning up your room impossible.

"If you're depressed or overwhelmed with life you may feel you don't have time to clean/organize, you may feel you don't deserve a clean space or you may be so preoccupied with other things you don't even notice how messy your room has become."

But just because your room is messy, doesn't mean you have depression, of course.

"If you're constantly hoping to stay more organized and keep the room clean, but find yourself unable to do it for other reasons, that's when you know that it's time for an intervention,"

every time some kind of calamity has come into my life, I and everyone around me have responded with activity, unexpected strength, even an all but unnatural calm.

It’s only when we’re living in the future, the realm of “what if,” that we brilliantly incapacitate ourselves.

The effectiveness of this process is so great that human brain is able to accurately identify words and whole phrases from a noisy background. This power of analysis brings to minds the great similarity between the brain and powerful supercomputers.

Functional imaging of the brain revealed that activated brain parts are different between native and non-native speakers. The superior temporal gyrus is an important brain region involved in language learning. For a native speaker this part is responsible for automated processing of lexical retrieval and the build of phrase structure. In native speakers this zone is much more activated than in non-native ones.

infants begin their lives with a very flexible brain that allows them to acquire virtually any language they are exposed to. Moreover, they can learn a language words almost equally by listening or by visual coding. This brain plasticity is the motor drive of the children capability of “cracking the speech code” of a language. With time, this ability is dramatically decreased and adults find it harder to acquire a new language.

clearly demonstrated that there are anatomical brain differences between fast and slow learners of foreign languages. By analyzing a group of people having a homogenous language background, scientists found that differences in specific brain regions can predict the capacity of a person to learn a second language.

Until the last decade few studies compared the language acquisition in adults and children. Thanks to modern imaging and electroencephalography we are now able to address this question.

Language acquisition is a long-term process by which information are stored in the brain unconsciously making them appropriate to oral and written usage. In contrast, language learning is a conscious process of knowledge acquisition that needs supervision and control by the person.

2) He will say whatever feels most comfortable or good to him at any given time. He will lie a lot, and say totally different things to different people. Stop being surprised by this. While it’s important to pretend “good faith” and remind him of promises, as Bernie Sanders and others are doing, that’s for his supporters, so *they* can see the inconsistency as it comes. He won’t care. So if you’re trying to reconcile or analyze his words, don’t. It’s 100% not worth your time. Only pay attention to and address his actions.

3) You can influence him by making him feel good. There are already people like Bannon who appear ready to use him for their own ends. The GOP is excited to try. Watch them, not him.

4) Entitlement is a key aspect of the disorder. As we are already seeing, he will likely not observe traditional boundaries of the office. He has already stated that rules don’t apply to him. This particular attribute has huge implications for the presidency and it will be important for everyone who can to hold him to the same standards as previous presidents.

5) We should expect that he only cares about himself and those he views as extensions of himself, like his children. (People with NPD often can’t understand others as fully human or distinct.) He desires accumulation of wealth and power because it fills a hole.

He will have no qualms *at all* about stealing everything he can from the country, and he’ll be happy to help others do so, if they make him feel good. He won’t view it as stealing but rather as something he’s entitled to do. This is likely the only thing he will intentionally accomplish.

6) It’s very, very confusing for non-disordered people to experience a disordered person with NPD. While often intelligent, charismatic and charming, they do not reliably observe social conventions or demonstrate basic human empathy. It’s very common for non-disordered people to lower their own expectations and try to normalize the behavior. DO NOT DO THIS

7) People with NPD often recruit helpers, referred to in the literature as “enablers” when they allow or cover for bad behavior and “flying monkeys” when they perpetrate bad behavior

8) People with NPD often foster competition for sport in people they control. Expect lots of chaos, firings and recriminations. He will probably behave worst toward those closest to him, but that doesn’t mean (obviously) that his actions won’t have consequences for the rest of us. He will punish enemies.

9) Gaslighting — where someone tries to convince you that the reality you’ve experienced isn’t true — is real and torturous. He will gaslight, his followers will gaslight.

Learn the signs and find ways to stay focused on what you know to be true. Note: it is typically not helpful to argue with people who are attempting to gaslight. You will only confuse yourself. Just walk away.

10) Whenever possible, do not focus on the narcissist or give him attention. Unfortunately we can’t and shouldn’t ignore the president, but don’t circulate his tweets or laugh at him — you are enabling him and getting his word out.

Anxiety has always played a role in the developmental drama of a student’s life, but now more students experience anxiety so intense and overwhelming that they are seeking professional counseling.

Because of escalating pressures during high school, he and other experts say, students arrive at college preloaded with stress.

Studies have repeatedly emphasized the nexus between mental health and academic success.

the consensus among therapists is that treating anxiety has become an enormous challenge for campus mental health centers.

More students are seeking help partly because the stigma around mental health issues is lessening

Because of escalating pressures during high school, he and other experts say, students arrive at college preloaded with stress. Accustomed to extreme parental oversight, many seem unable to steer themselves. And with parents so accessible, students have had less incentive to develop life skills.

Social media is a gnawing, roiling constant. As students see posts about everyone else’s fabulous experiences, the inevitable comparisons erode their self-esteem. The popular term is “FOMO” — fear of missing out.

Anxiety is an umbrella term for several disorders, including social anxiety disorder and agoraphobia. It can accompany many other diagnoses, such as depression, and it can be persistent and incapacitating.

Students who suffer from this acute manifestation can feel their very real struggles are shrugged off, because anxiety has become so ubiquitous, almost a cliché, on campus.

More often, anxiety is mild, intermittent or temporary, the manifestation of a student in the grip of a normal developmental issue — learning time management, for example, or how to handle rejection from a sorority.

Mild anxiety is often treatable with early, modest interventions. But to care for rising numbers of severely troubled students, many counseling centers have moved to triage protocols.

at Penn State, who have tracked campus counseling centers nationwide for six years, have documented a trend that other studies have noted: Students are arriving with ever more severe mental-health issues

Half of clients at mental health centers in their most recent report had already had some form of counseling before college. One-third have taken psychiatric medication. One quarter have self-injured.

He argues that the real object of healing is not the body, but the mind.  A plastic surgeon is a “psychologist with a scalpel in his hand.” This idea led Pitanguy to argue for the “union” of cosmetic and reconstructive procedures.  In both types of surgery beauty and mental healing subtly mingle, he claims, and both benefit health.

“What is the difference between a plastic surgeon and a psychoanalyst?  The psychoanalyst knows everything but changes nothing.  The plastic surgeon knows nothing but changes everything.”

Plastic surgery gained legitimacy in the early 20th century by limiting itself to reconstructive operations.  The “beauty doctor” was a term of derision.  But as techniques improved they were used for cosmetic improvements.  Missing, however, was a valid diagnosis. Concepts like psychoanalyst Alfred Adler’s inferiority complex — and later low self-esteem — provided a missing link.

Victorians saw a cleft palate as a defect that built character. For us it hinders self-realization and merits corrective surgery.  This shift reflects a new attitude towards appearance and mental health: the notion that at least some defects cause unfair suffering and social stigma is now widely accepted. But Brazilian surgeons take this reasoning a step further.  Cosmetic surgery is a consumer service in most of the world.  In Brazil it is becoming, as Ester put it, a “necessary vanity.”

Pitanguy, whose patients often have mixed African, indigenous and European ancestry, stresses that aesthetic ideals vary by epoch and ethnicity.  What matters are not objective notions of beauty, but how the patient feels.  As his colleague says, the job of the plastic surgeon is to simply “follow desires.”

Patients are on average younger than they were 20 years ago.  They often request minor changes to become, as one surgeon said, “more perfect.”

The growth of plastic surgery thus reflects a new way of working not only on the suffering mind, but also on the erotic body.  Unlike fashion’s embrace of playful dissimulation and seduction, this beauty practice instead insists on correcting precisely measured flaws.  Plastic surgery may contribute to a biologized view of sex where pleasure and fantasy matter less than the anatomical “truth” of the bare body.

It is not coincidental that Brazil has not only high rates of plastic surgery, but also Cesarean sections (70 percent of deliveries in some private hospitals), tubal ligations,  and other surgeries for women. Some women see elective surgeries as part of a modern standard of care, more or less routine for the middle class, but only sporadically available to the poor.

When a good life is defined through the ability to buy goods then rights may be reinterpreted to mean not equality before the law, but equality in the market. 

Beauty is unfair: the attractive enjoy privileges and powers gained without merit.  As such it can offend egalitarian values.  Yet while attractiveness is a quality “awarded” to those who don’t morally deserve it, it can also grant power to those excluded from other systems of privilege.  It is a kind of “double negative”: a form of power that is unfairly distributed but which can disturb other unfair hierarchies.  For this reason it may have democratic appeal.  In poor urban areas beauty often has a similar importance for girls as soccer (or basketball) does for boys: it promises an almost magical attainment of recognition, wealth or power.

For many consumers attractiveness is essential to economic and sexual competition, social visibility, and mental well being.  This “value” of appearance may be especially clear for those excluded from other means of social ascent.  For the poor beauty is often a form of capital that can be exchanged for other benefits, however small, transient, or unconducive to collective change.

First, campaigners have to present their case as a simple, compelling story that everyone can understand. This argument, like any political argument, won’t be won with data and graphs but with a narrative. It has to address our hearts, not our heads.

Next, the case for the climate has to be at least as much about remedy as diagnosis.

But that still leaves what may be the largest political challenge. Right now, climate change has become an issue of the left.

In the US, climate scepticism has become one of the defining traits of the right, a more reliable marker even than attitudes to abortion or gun control.

our immune system should hunt out and destroy mutated cells before they ever develop into cancer. Occasionally, however, these cells manage to sneak under the radar, reproducing until they grow into a full-blown tumour.

Dory, voiced by comedian Ellen DeGeneres, suffers classic symptoms of anterograde amnesia, which is typically associated with damage to the hippocampus, the area of the brain involved in encoding memories.

the portrayal of the condition is spot on. She has difficulty remembering names and retaining new information, but her condition doesn’t affect her sense of identity.

it’s just a perfect example of the neuromyth

Jason Bourne, the amnesiac main character of this action flick, exhibits no trouble with short-term memories, but wakes up after suffering an unspecified injury to the brain with no recollection of who he is.

explaining that the “double conk” myth – the idea that someone can lose their identity after being hit in the head and regain it after a second blow or psychological trigger – is actually a conflation of two ideas.

Identity loss is more closely associated with psychogenic amnesia, an extremely rare and controversial diagnosis, whose origins, some experts believe, may be influenced by culture.

This sci-fi action film relies on the conceit that humans only use 10 per cent of their brains.

Sure, filmmakers may take artistic licence, she says, but the trouble is many people actually believe we only use a portion of our brains.

she notes that due to its success, the film may have inadvertently contributed to the stereotype of the autistic savant – the notion that people with autism excel in a specific area, which, in the case of Hoffman’s character, involved dealing in numbers. In reality, Spiers says, this is very rare.

Western philosophy thus sprang from a dualism between the intellectual senses, crowned by sight, and the lower “animal” senses, stigmatized by touch.

opto-centrism prevailed for over 2,000 years, culminating in our contemporary culture of digital simulation and spectacle. The eye continues to rule in what Roland Barthes once called our “civilization of the image.” The world is no longer our oyster, but our screen.

our current technology is arguably exacerbating our carnal alienation. While offering us enormous freedoms of fantasy and encounter, digital eros may also be removing us further from the flesh

The move toward excarnation is apparent in what is becoming more and more a fleshless society. In medicine, “bedside manner” and hand on pulse has ceded to the anonymous technologies of imaging in diagnosis and treatment. In war, hand-to-hand combat has been replaced by “targeted killing” via remote-controlled drones.

certain cyber engineers now envisage implanting transmission codes in brains so that we will not have to move a finger — or come into contact with another human being — to get what we want.

We need to return from head to foot, from brain to fingertip, from iCloud to earth. To close the distance, so that eros is more about proximity than proxy. So that soul becomes flesh, where it belongs. Such a move, I submit, would radically alter our “sense” of sex in our digital civilization. It would enhance the role of empathy, vulnerability and sensitivity in the art of carnal love, and ideally, in all of human relations. Because to love or be loved truly is to be able to say, “I have been touched.”