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pier-paolo

THE CLOSE READER; Powers of Perception - The New York Times - 0 views

  • Keller's writing jars the contemporary reader in three ways. First, she composes in the grandiose manner favored by the late-19th-century genteel essayist, with lots of quotations and inverted sentences. Second, she gushes with a girlish gratefulness that registers, in our more cynical time, as more ingratiating than genuine
  • Keller violates a cardinal rule of autobiography, which is to distinguish what you have been told from what you know from experience. She narrates, as if she knew them firsthand, events from very early childhood and the first stages of her education -- neither of which she could possibly remember herself, at least not in such detail.
  • When Keller's book came out in 1903, she was criticized by one reviewer for her constant, un-self-conscious allusions to color and music. ''All her knowledge is hearsay knowledge,'' this critic wrote in The Nation, ''her very sensations are for the most part vicarious, and yet she writes of things beyond her powers of perception with the assurance of one who has verified every word.'
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  • Maybe Shattuck is right and we are all like this -- creatures of language, rather than its masters. Much of what we think we know firsthand we probably picked up from books or newspapers or friends or lovers and never checked against the world at all.
  • Her ability to experience what others felt and heard, she said, illustrated the power of imagination, particularly one that had been developed and extended, as hers was, by books.
  • What she knew of her own observation is exactly what we want to know from her. We want to know what it felt like to be Helen Keller. We want to locate the boundaries between what was real to her and what she was forced to imagine. At least in this book, she seems not to have known where that boundary might lie.
  • He tries to remember what he looks like and discovers that he cannot. He asks: ''To what extent is loss of the image of the face connected with loss of the image of the self? Is this one of the reasons why I often feel that I am mere spirit, a ghost, a memory?''
  • Keller, in short, matured, both as a person and a writer. She mastered a lesson that relatively few with all their senses have ever mastered, which is to write about what you know.
anonymous

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

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

Phantom limb pain: A literature review - 0 views

  • . The purpose of this review article is to summarize recent researches focusing on phantom limb in order to discuss its definition, mechanisms, and treatments.
  • The incidence of phantom limb pain has varied from 2% in earlier records to higher rates today. Initially, patients were less likely to mention pain symptoms than today which is a potential explanation for the discrepancy in incidence rates. However, Sherman et al.4 discuss that only 17% phantom limb complaints were initiated treated by physicians. Consequently, it is important to determine what constitutes phantom pain in order to provide efficacious care. Phantom pain is pain sensation to a limb, organ or other tissue after amputation and/or nerve injury.5 In podiatry, the predominant cause of phantom limb pain is after limb amputation due to diseased state presenting with an unsalvageable limb. Postoperative pain sensations from stump neuroma pain, prosthesis, fibrosis, and residual local tissue inflammation can be similar to phantom limb pain (PLP). Patients with PLP complain of various sensations including burning, stinging, aching, and piercing pain with changing warmth and cold sensation to the amputated area which waxes and wanes.6 Onset of symptoms may be elicited by environmental, emotional, or physical changes.
  • The human body encompasses various neurologic mechanisms allowing reception, transport, recognition, and response to numerous stimuli. Pain, temperature, crude touch, and pressure sensory information are carried to the central nervous system via the anterolateral system, with pain & temperature information transfer via lateral spinothalamic tracts to the parietal lobe. In detail, pain sensation from the lower extremity is transported from a peripheral receptor to a first degree pseudounipolar neurons in the dorsal root ganglion and decussate and ascend to the third-degree neurons within the thalamus.7 This sensory information will finally arrive at the primary sensory cortex in the postcentral gyrus of the parietal lobe which houses the sensory homunculus.8 It is unsurprising that with an amputation that such an intricate highway of information transport to and from the periphery may have the potential for problematic neurologic developments.
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  • How does pain sensation, a protection mechanism for the human body, become chronic and unrelenting after limb loss? This is a question researchers still ask today with no concise conclusion. Phantom limb pain occurs more frequently in patients who also experience longer periods of stump pain and is more likely to subside as the stump pain subsides.9 Researchers have also found dorsal root ganglion cells change after a nerve is completely cut. The dorsal root ganglion cells become more active and sensitive to chemical and mechanical changes with potential for plasticity development at the dorsal horn and other areas.10 At the molecular level, increasing glutamate and NMDA (N-methyl d-aspartate) concentrations correlate to increased sensitivity which contributes to allodynia and hyperalgesia.11 Flor et al.12 further described the significance of maladaptive plasticity and the development of memory for pain and phantom limb pain. They correlated it to the loss of GABAergic inhibition and the development of glutamate induced long-term potentiation changes and structural changes like myelination and axonal sprouting.
  • Phantom limb pain in some patients may gradually disappear over the course of a few months to one year if not treated, but some patients suffer from phantom limb pain for decades. Treatments include pharmacotherapy, adjuvant therapy, and surgical intervention. There are a variety of medications to choose from, which includes tricyclic antidepressants, opioids, and NSAIDs, etc. Among these medications, Tricyclic antidepressant is one of the most common treatments. Studies have shown that Amitriptyline (a tricyclic antidepressant) has a good effect on relieving neuropathic pain.25
  • Phantom limb pain is very common in amputees. As a worldwide issue, it has been studied by a lot of researchers. Although phantom limb sensation has already been described and proposed by French military surgeon Ambroise Pare 500 years ago, there is still no detailed explanation of its mechanisms. Therefore, more research will be needed on the different types of mechanisms of phantom limb pain. Once researchers and physicians are able to identify the mechanism of phantom limb pain, mechanism-based treatment will be rapidly developed. As a result, more patients will be benefit from it in the long run.
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    One of the articles we read mentioned phantom limbs. This article goes more indepth on what a phantom limb is, why it happens and some cures.
katherineharron

The stimulus bill includes a tax break for the 1% (opinion) - CNN - 0 views

  • We face a frightening pandemic. More than 100,000 American have been infected with Covid-19, while tens of millions more continue to shelter at home. Meanwhile, the markets are crashing.
  • While health care workers and local governments frantically race against the clock to keep up with the escalating medical caseloads while trying to keep themselves and their families safe, Congress was still able to find the time to give money away to rich people.
  • Now here is what changed in the historic $2 trillion stimulus bill. Previously, if a married couple had depreciation deductions that exceeded their real estate business income, the couple could claim that "loss" to write off taxes on a maximum of $500,000 in income from other sources, like wages from a day job.
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  • Under the change, our rich taxpayer couple -- and this applies only for individuals, not corporations -- can now deduct an unlimited amount of "excess losses" in real estate against income from other sources. So now real estate moguls with lucrative day jobs or bountiful capital gains from other investments can go back to living tax-free, the Kushner way, before limits were put in place as part of the 2017 tax reform bill.
sanderk

1.5 degrees Celsius: the sad truth about our boldest climate change target - Vox - 0 views

  • the countries participating in the United Nations Framework Convention on Climate Change (UNFCCC) agreed to a common target: to hold the rise in global average temperature “well below 2 degrees Celsius above pre-industrial levels and to pursue efforts to limit the temperature increase even further to 1.5 degrees Celsius.” The lower end of that range, 1.5˚C, has become a cause célèbre among climate activists.
  • If we had peaked and begun steadily reducing emissions 20 years ago, the necessary pace of reductions would have been around 3 percent a year, which is ... well, “realistic” is too strong — it still would have required rapid, coordinated action of a kind never seen before in human history — but it was at least possible to envision.
  • it is not the job of those of us in the business of observation and analysis to make the public feel or do things. That’s what activists do.
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  • Now, to hit 1.5˚C, emissions would need to fall off a cliff, falling by 15 percent a year every year, starting in 2020, until they hit net zero.
  • Emissions have never fallen at 15 percent annually anywhere, much less everywhere. And what earthly reason do we have to believe that emissions will start plunging this year? Look around! The democratic world is in the grips of a populist authoritarian backlash that shows no sign of resolving itself any time soon
  • In short, there is no “safe” level of global warming
  • All of those impacts become much worse at 2˚C. (The World Resources Institute has a handy chart; see also this graphic from Carbon Brief.) Severe heat events will become 2.6 times worse, plant and vertebrate species loss 2 times worse, insect species loss 3 times worse, and decline in marine fisheries 2 times worse. Rather than 70 to 90 percent of coral reefs dying, 99 percent will die. Many vulnerable and low-lying areas will become uninhabitable and refugee flows will radically increase. And so on. At 2˚C, climate change will be devastating for large swathes of the globe.
  • We’ve waited too long. Practically speaking, we are heading past 1.5˚C as we speak and probably past 2˚C as well.
  • To really grapple with climate change, we have to understand it, and more than that, take it on board emotionally
  • Given the scale of the challenge and the compressed time to act, there is effectively no practical danger of anyone, at any level, doing too much or acting too quickly.
  • Right now, much of Australia is on fire — half a billion animals have likely died since September — and it is barely breaking the news cycle in the US
  • I can’t help but think that the first step in defending and expanding that empathy is reckoning squarely with how much damage we’ve already done and are likely to do, working through the guilt and grief, and resolving to minimize the suffering to come.
katherineharron

'All of us lost our jobs:' Food lines, tears, despair as layoffs mount - CNN - 0 views

  • Souder estimates at the rate of loss at his restaurant, it will lose $250,000 a quarter, which forced him to lay off 75 employees in one day.
  • Souder's restaurant is a microcosm of the coronavirus' ravaging of an industry and a sign of what awaits other sectors of the US economy.
  • In an open letter to President Donald Trump, House Speaker Nancy Pelosi and Senate Majority Leader Mitch McConnell, the National Restaurant Agency estimated a drop in sales by "$225 billion during the next three months, which will prompt the loss of between five and seven million jobs."
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  • "At first you're thinking about them. I feel horrible for them," said Souder, explaining the heartache of firing beloved staff. "And then they have to go and tell their family, 'I just got laid off.'"
  • "People are not going to be able to support their families for more than two months," said Bocken. "It's going to hit every aspect of life and the government needs to react and help us get through this. That's the only way it's going to work, by putting money back in people's hands."
katherineharron

What is dementia? - CNN Video - 0 views

  • 47.5 million people around the world suffer from dementia, which leads to a loss of memory and intellectual abilities. Watch this video to learn more.Source: CNN
  • 47.5 million people around the world suffer from dementia, which leads to a loss of memory and intellectual abilities. Watch this video to learn more.Source: CNN
blythewallick

The quiet loss of knowledge threatens indigenous communities -- ScienceDaily - 0 views

  • Plants play an important role for most indigenous communities in South America, and not merely as a source of food. They also provide the raw material for building materials, tools, medicine, and much more. The extinction of a plant species therefore also endangers the very foundation of these people's way of life. advertisement
  • The problem is that this is not written down. Passed down as a cultural inheritance, it exists only in the minds of the people -- and could therefore vanish almost unnoticed. "Very little is known about how vulnerable this knowledge is in the context of current global change," says Jordi Bascompte, professor of ecology at the University of Zurich.
  • "There is therefore an urgent need to find out how biological and cultural factors interact with each other in determining the services provided by biodiversity.."
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  • For their study, they analyzed knowledge held by 57 indigenous communities in the Amazon basin, the Andes and the Chocó region to collate their knowledge of palm trees. The researchers then depicted the different palm species and their uses in graphical form in a network, from which they could identify the local and regional links between the knowledge of indigenous communities.
  • "In this context, cultural diversity is just as important as biological diversity," says Jordi Bascompte. "In particular, the simultaneous loss of plant species and cultural inheritance leads to a much faster disintegration of the indigenous knowledge network."
  • However, the irreplaceable knowledge that is gradually disappearing from indigenous communities is equally important for the service that an ecosystem provides."
  • The study also highlights the value of transdisciplinary collaboration between ecology and social science: "The relationship established between biological and cultural diversity can help strengthen the resilience of indigenous communities in the face of global change."
Javier E

Andrew Sullivan: Nature, Nurture, and Weight Loss - 0 views

  • In his brilliant encyclopedia of “critical studies,” James Lindsay explains the core argument: “Like disability studies, fat studies draws on the work of Michel Foucault and queer theory to argue that negative attitudes to obesity are socially constructed and the result of systemic power that marginalizes and oppresses fat people (and fat perspectives) and of unjust medicalized narratives in order to justify prejudice against obese people.
  • Fatness — like race or gender — is not grounded in physical or biological reality. It is a function of systemic power. The task of fat studies is to “interrogate” this oppressive power and then dismantle it.
  • take the polar opposite position: Fatness is an unhealthy lifestyle that can be stopped by people just eating less and better. We haven’t always been this fat, and we should take responsibility for it, and the physical and psychological damage it brings. Some level of stigma is thereby inevitable, and arguably useful. Humans are not healthy when they are badly overweight; and the explosion in obesity in America has become a serious public-health issue.
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  • “When did it become taboo in this country to talk about getting healthy?” my friend Bill Maher asked in a recent monologue. “Fat shaming doesn’t need to end; it needs to make a comeback. Some amount of shame is good. We shamed people out of smoking and into wearing seat belts. We shamed them out of littering and most of them out of racism.”
  • On one side are helpless victims, who react to any debate with cries of oppression, and take no responsibility for their own physical destiny; on the other are brutal realists, with a callous touch, often refusing to see the genetic, social, and psychological complexity of fatness, or that serious health issues are not universal among heavier types
  • the two stances reflect our two ideological poles — not so much left and right anymore as nurture and nature. One pole argues nature doesn’t independently exist and everything is social; and one blithely asserts that nature determines everything. Both are ruinous attempts to bludgeon uncomfortable reality into satisfying ideology.
  • is to grapple with complexity in a way that can be rigorously empirical and yet also humane.
  • We are all driven by instinctive attraction, but men are particularly subject to fixed and crude notions of hotness. Beauty will thereby always be the source of extraordinary and extraordinarily unfair advantage, even if it captures only a tiny slice of what being human is about.
  • This is our reality. We are neither angels nor beasts, but we partake of both. We can rarely make the ugly beautiful, and if we do, it’s a moral achievement. However much we try, we will never correct the core natural inequalities and differences of our mammalian existence. But we can hazard a moral middle, seeing beauty in many ways, acknowledging the humanity of all shapes and sizes, while managing our health and weight in ways that are not totally subject to the gaze of others.
  • What we needed, in some ways, for our collective mental health, was a catalyst for greater physical socialization, more human contact, and more meaningful community. What we’re getting, I fear, is the opposite
Javier E

Gen Z Never Learned to Read Cursive - The Atlantic - 0 views

  • Who else can’t read cursive? I asked the class. The answer: about two-thirds. And who can’t write it? Even more. What did they do about signatures? They had invented them by combining vestiges of whatever cursive instruction they may have had with creative squiggles and flourishes.
  • Most of my students remembered getting no more than a year or so of somewhat desultory cursive training, which was often pushed aside by a growing emphasis on “teaching to the test.” Now in college, they represent the vanguard of a cursiveless world.
  • the decline in cursive seems inevitable. Writing is, after all, a technology, and most technologies are sooner or later surpassed and replaced.
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  • As Tamara Plakins Thornton demonstrates in her book Handwriting in America, it has always been affected by changing social and cultural forces. In 18th-century America, writing was the domain of the privileged.
  • By law or custom, the enslaved were prohibited from literacy almost everywhere
  • The notion of a signature as a unique representation of a particular individual gradually came to be enshrined in the law and accepted as legitimate legal evidence.
  • Writing, though, was much less widespread—taught separately and sparingly in colonial America, most often to men of status and responsibility and to women of the upper classes. Men and women even learned different scripts—an ornamental hand for ladies, and an unadorned, more functional form for the male world of power and commerce.
  • increase in the number of women able to write. By 1860, more than 90 percent of the white population in America could both read and write.
  • Penmanship came to be seen as a marker and expression of the self—of gender and class, to be sure, but also of deeper elements of character and soul.
  • n New England, nearly all men and women could read; in the South, which had not developed an equivalent system of common schools, a far lower percentage of even the white population could do so
  • No, most of these history students admitted, they could not read manuscripts. If they were assigned a research paper, they sought subjects that relied only on published sources.
  • Didn’t professors make handwritten comments on their papers and exams? Many of the students found these illegible. Sometimes they would ask a teacher to decipher the comments; more often they just ignored them.
  • I wondered how many of my colleagues have been dutifully offering handwritten observations without any clue that they would never be read.
  • I asked the students if they made grocery lists, kept journals, or wrote thank-you or condolence letters. Almost all said yes. Almost all said they did so on laptops and phones or sometimes on paper in block letters
  • “There is something charming about receiving a handwritten note,” one student acknowledged. Did he mean charming like an antique curiosity? Charming in the sense of magical in its capacity to create physical connections between human minds? Charming as in establishing an aura of the original, the unique, and the authentic? Perhaps all of these
  • there are dangers in cursive’s loss. Students will miss the excitement and inspiration that I have seen them experience as they interact with the physical embodiment of thoughts and ideas voiced by a person long since silenced by death. Handwriting can make the past seem almost alive in the present.
  • All of us, not just students and scholars, will be affected by cursive’s loss. The inability to read handwriting deprives society of direct access to its own past. We will become reliant on a small group of trained translators and experts to report what history—including the documents and papers of our own families—was about.
  • The spread of literacy in the early modern West was driven by people’s desire to read God’s word for themselves, to be empowered by an experience of unmediated connection. The abandonment of cursive represents a curious reverse parallel: We are losing a connection, and thereby disempowering ourselves.
Javier E

How to Navigate a 'Quarterlife' Crisis - The New York Times - 0 views

  • Satya Doyle Byock, a 39-year-old therapist, noticed a shift in tone over the past few years in the young people who streamed into her office: frenetic, frazzled clients in their late teens, 20s and 30s. They were unnerved and unmoored, constantly feeling like something was wrong with them.
  • “Crippling anxiety, depression, anguish, and disorientation are effectively the norm,”
  • her new book, “Quarterlife: The Search for Self in Early Adulthood.” The book uses anecdotes from Ms. Byock’s practice to outline obstacles faced by today’s young adults — roughly between the ages of 16 and 36 — and how to deal with them.
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  • Just like midlife, quarterlife can bring its own crisis — trying to separate from your parents or caregivers and forge a sense of self is a struggle. But the generation entering adulthood now faces novel, sometimes debilitating, challenges.
  • Many find themselves so mired in day-to-day monetary concerns, from the relentless crush of student debt to the swelling costs of everything, that they feel unable to consider what they want for themselves long term
  • “We’ve been constrained by this myth that you graduate from college and you start your life,” she said. Without the social script previous generations followed — graduate college, marry, raise a family — Ms. Byock said her young clients often flailed around in a state of extended adolescence.
  • nearly one-third of Gen Z adults are living with their parents or other relatives and plan to stay there.
  • Many young people today struggle to afford college or decide not to attend, and the “existential crisis” that used to hit after graduation descends earlier and earlier
  • Ms. Byock said to pay attention to what you’re naturally curious about, and not to dismiss your interests as stupid or futile.
  • Experts said those entering adulthood need clear guidance for how to make it out of the muddle. Here are their top pieces of advice on how to navigate a quarterlife crisis today.
  • She recommends scheduling reminders to check in with yourself, roughly every three months, to examine where you are in your life and whether you feel stuck or dissatisfied
  • From there, she said, you can start to identify aspects of your life that you want to change.
  • “Start to give your own inner life the respect that it’s due,”
  • But quarterlife is about becoming a whole person, Ms. Byock said, and both groups need to absorb each other’s characteristics to balance themselves out
  • However, there is a difference between self-interest and self-indulgence, Ms. Byock said. Investigating and interrogating who you are takes work. “It’s not just about choosing your labels and being done,” she said.
  • Be patient.
  • Quarterlifers may feel pressure to race through each step of their lives, Ms. Byock said, craving the sense of achievement that comes with completing a task.
  • But learning to listen to oneself is a lifelong process.
  • Instead of searching for quick fixes, she said, young adults should think about longer-term goals: starting therapy that stretches beyond a handful of sessions, building healthy nutrition and exercise habits, working toward self-reliance.
  • “I know that seems sort of absurdly large and huge in scope,” she said. “But it’s allowing ourselves to meander and move through life, versus just ‘Check the boxes and get it right.’”
  • take stock of your day-to-day life and notice where things are missing. She groups quarterlifers into two categories: “stability types” and “meaning types.”
  • “Stability types” are seen by others as solid and stable. They prioritize a sense of security, succeed in their careers and may pursue building a family.
  • “But there’s a sense of emptiness and a sense of faking it,” she said. “They think this couldn’t possibly be all that life is about.”
  • On the other end of the spectrum, there are “meaning types” who are typically artists; they have intense creative passions but have a hard time dealing with day-to-day tasks
  • “These are folks for whom doing what society expects of you is so overwhelming and so discordant with their own sense of self that they seem to constantly be floundering,” she said. “They can’t quite figure it out.”
  • That paralysis is often exacerbated by mounting climate anxiety and the slog of a multiyear pandemic that has left many young people mourning family and friends, or smaller losses like a conventional college experience or the traditions of starting a first job.
  • Stability types need to think about how to give their lives a sense of passion and purpose. And meaning types need to find security, perhaps by starting with a consistent routine that can both anchor and unlock creativity.
  • perhaps the prototypical inspiration for staying calm in chaos: Yoda. The Jedi master is “one of the few images we have of what feeling quiet amid extreme pain and apocalypse can look like,
  • Even when there seems to be little stability externally, she said, quarterlifers can try to create their own steadiness.
  • establishing habits that help you ground yourself as a young adult is critical because transitional periods make us more susceptible to burnout
  • He suggests building a practical tool kit of self-care practices, like regularly taking stock of what you’re grateful for, taking controlled breaths and maintaining healthy nutrition and exercise routines. “These are techniques that can help you find clarity,”
  • Don’t be afraid to make a big change.
  • It’s important to identify what aspects of your life you have the power to alter, Dr. Brown said. “You can’t change an annoying boss,” he said, “but you might be able to plan a career change.”
  • That’s easier said than done, he acknowledged, and young adults should weigh the risks of continuing to live in their status quo — staying in their hometown, or lingering in a career that doesn’t excite them — with the potential benefits of trying something new.
  • quarterlife is typically “the freest stage of the whole life span,
  • Young adults may have an easier time moving to a new city or starting a new job than their older counterparts would.
  • Know when to call your parents — and when to call on yourself.
  • Quarterlife is about the journey from dependence to independence, Ms. Byock said — learning to rely on ourselves, after, for some, growing up in a culture of helicopter parenting and hands-on family dynamics.
  • there are ways your relationship with your parents can evolve, helping you carve out more independence
  • That can involve talking about family history and past memories or asking questions about your parents’ upbringing
  • “You’re transitioning the relationship from one of hierarchy to one of friendship,” she said. “It isn’t just about moving away or getting physical distance.”
  • Every quarterlifer typically has a moment when they know they need to step away from their parents and to face obstacles on their own
  • That doesn’t mean you can’t, or shouldn’t, still depend on your parents in moments of crisis, she said. “I don’t think it’s just about never needing one’s parents again,” she said. “But it’s about doing the subtle work within oneself to know: This is a time I need to stand on my own.”
Javier E

Experts Want More Studies of Diet's Role for the Heart - NYTimes.com - 0 views

  • when it comes to diet and heart disease, doctors — and patients — have been going on hunches.
  • Dr. Estruch said he and his colleagues were so buoyed by the success of their study that they were planning another one. They intend to randomly assign people to consume the Mediterranean diet or to exercise while following a similar diet that is lower in calories. The hope is that adding weight loss and exercise will prevent even more heart disease.
  • for now, chaos reigns. The public is bombarded with diet advice, often contradictory and often lacking a rigorous scientific grounding, medical experts said.
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  • “Diets are an extreme case of accepting evidence we want to believe,”
  • That includes doctors, he added, who overlook that the evidence for the low-fat diets they often recommend is the sort “we would never accept in the practice of medicine.”
  • Doctors are in a bind, said Dr. Daniel J. Rader, a heart disease specialist at the University of Pennsylvania. When patients ask what to eat, he said, “you have to give them something.”
  • the best they have are studies that look at intermediate markers of risk, like cholesterol levels. In the end, he said, “most doctors just give dietary platitudes.”
Javier E

On Being Catholic - NYTimes.com - 0 views

  • I try to articulate a position that I expect many fellow Catholics will find congenial and that non-Catholics (even those who reject all religion) may recognize as an intellectually respectable stance.  Easter is the traditional time for Christians to reaffirm their faith.  I want to show that we can do this without renouncing reason.
  • I read “self-respect” as respect for what are (to borrow the title of the philosopher Charles Taylor’s great book) the “sources of the self.”  These are the sources nurturing the values that define an individual’s life.  For me, there are two such sources.  One is the Enlightenment, where I’m particularly inspired by Voltaire, Hume and the founders of the American republic.  The other is the Catholic Church
  • My Catholic education has left me with three deep convictions. First, it is utterly important to know, to the extent that we can, the fundamental truth about human life: where it came from, what (if anything) it is meant for, how it should be lived.  Second, this truth can in principle be supported and defended by human reason.  Third, the Catholic philosophical and theological tradition is a fruitful context for pursuing fundamental truth, but only if it is combined with the best available secular thought.  (The Jesuits I studied with were particularly strong on all three of these claims.)
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  • these three convictions do not include the belief that the specific teachings of the Catholic Church provide the fundamental truths of human life.  What I do believe is that these teachings are very helpful for understanding the human condition.  Here I distinguish three domains: metaphysical doctrines about the existence and nature of God, historical accounts from the Bible of how God has intervened in human history to reveal his truth and the ethics of love preached by Jesus.
  • The ethics of love I revere as the inspiration for so many (Catholics and others) who have led exemplary moral lives.  I don’t say that this ethics is the only exemplary way to live or that we have anything near to an adequate understanding of it.  But I know that it has been a powerful force for good. 
  • As to the theistic metaphysics, I’m agnostic about it taken literally, but see it as a superb intellectual construction that provides a fruitful context for understanding how our religious and moral experiences are tied to the ethics of love.  The historical stories, I maintain, are best taken as parables illustrating moral and metaphysical teachings.
  • I reverse this order, putting first the ethics of love as a teaching that directly captivates our moral sensibility, then taking the history and metaphysics as helpful elucidations of the ethics.
  • Catholicism too has reconciled itself to the Enlightenment view of religion.
  • First, the Church now explicitly acknowledges the right of an individual’s conscience in religious matters: No one may “be prevented from acting according to his conscience, especially in religious matters”  (“Catechism of the Catholic Church,” citing a decree from the Second Vatican Council).
  • Second, the Church, in practice, hardly ever excludes from its community those who identity themselves as Catholics but reinterpret central teachings (and perhaps reject less central ones).  The “faithful” who attend Mass, receive the sacraments, send their children to Catholic schools and sometimes even teach theology include many who hold views similar to mine.   Church leaders have in effect agreed that the right to follow one’s conscience includes the right of dissident Catholics to remain members of the Church.
  • there is deep disagreement within the Church about how its core doctrines, including those about the hierarchy’s authority, should be understood.  With the Second Vatican Council, the hierarchy began a move toward the liberal position, which the successors of John XXIII have tried to reverse.  But history shows that Catholics play in a very long game, and there is no reason to give up hope for a new blossoming of the liberal buds.
  • Critics outside the Church will ask how I adhere to an institution that has so many deep flaws.  My first response is that the Catholic tradition of thought and practice is the only stance toward religion that, in William James’s phrase, is a “live option” for me — the only place I feel at home.  Simply to renounce it would be, as I said at the outset, to lose my self-respect — to deny part of my moral core.
  • My second response is that the liberal drive for reform is the best hope of saving the Church.  Its greatest present danger is precisely the loss of the members whom the hierarchy and the rest of the conservative core want to marginalize.  I’m not willing to abandon the Church to them.
Javier E

The Atheist's Belief In Medicine « The Dish - 1 views

  • Hitchens’s beliefs about his advanced cancer and its treatment were, for a man whose fame rested on his scepticism, uncharacteristically optimistic. I hesitate to use the word delusional, as he admitted that he would be very lucky to survive, but he clearly steadfastly hoped, right to the end, that his particular case of advanced cancer might lie on the sparsely populated right side of the bell-shaped curve of outcome statistics.
  • I wonder if all that medicine – which was, in fact, a form of poison – was worth it. David got ten more years, and two young children. But he also endured a disfiguring, disabling, brutal physical battering from the surgeries and chemo-sessions that tackling a tough brain tumor allow for. I say “allow for” because “required” is not the right word. What the chemo did to Christopher was beyond description – and what’s left of your body, even if the chemo works, can be extremely vulnerable to infections and diseases that can be worse than the cancer.
  • It seems odder to me for Christians to be as exercized by life-extension as the atheist. Put that down to the strange extremism of Ratzinger’s innovations on the question of “life”.
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  • No one should seek to die or give in to a disease they can legitimately fight. God knows how many pills I take a day to keep the virus – and all its and their side-effects at bay. But I get to live healthily and meaningfully. The way some elaborate and cutting edge treatments all but kill the patient in order to save her troubles me. It’s a loss of perspective as well as immensely expensive for the entire system.
  • our culture’s gradual alienation from the fact of our deaths – our distancing ourselves even from the old and infirm in ways previous cultures didn’t and couldn’t – is not, in my view a healthy thing.
  • these sophisticated treatments are taking healthcare money away from the young, taking up more and more of our collective healthcare resources, and extending lives only be perpetuating continuous agony and nausea and pain for the patient and devastating consequences for families and friends.
  • We will all die. We should not seek it. But we should not flee from it for ever.
  • at some point what seems to me to matter more is not the length of our lives but the content of them and the manner of our deaths.
  • At some point, medicine is a function of a social disease of modernity: the flight from our own mortality. But fleeing it does not defuse it. Only facing it does.
Javier E

Study Finds That the Number of Protestant Americans Is Declining - NYTimes.com - 0 views

  • For the first time since researchers began tracking the religious identity of Americans, fewer than half said they were Protestants, a steep decline from 40 years ago when Protestant churches claimed the loyalty of more than two-thirds of the population.
  • it was not just liberal mainline Protestants, like Methodists or Episcopalians, who abandoned their faith, but also more conservative evangelical and “born again” Protestants. The losses were among white Protestants
  • When they leave, instead of switching churches, they join the growing ranks who do not identify with any religion. Nearly one in five Americans say they are atheist, agnostic or “nothing in particular.”
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  • The largest single faith group is Catholics, who make up about 22 percent of the population. Their numbers have held steady, mostly because an influx of immigrants
  • more than one-third of those ages 18 to 22 are religiously unaffiliated.
  • The “Nones,” as they are called, now make up the nation’s second-largest religious grouping
  • “The significant majority of the religiously unaffiliated tend to be left-leaning, tend to support the Democratic Party, support gay marriage and environmental causes,”
  • it is not clear that Americans are necessarily moving toward the European model. The Pew report found that even among Americans who claimed no religion, few qualified as purely secular. Two-thirds say they still believe in God, and one-fifth say they pray every day. Only 12 percent of the religiously unaffiliated group said they were atheists and 17 percent agnostic.
Duncan H

The Danger of Too Much Efficiency - NYTimes.com - 2 views

  • Each of these developments has made it easier to do one’s business without wasted time and energy — without friction. Each has made economic transactions quicker and more efficient. That’s obviously good, and that’s what Bain Capital tries to do in the companies it buys. You may employ a lazy brother-in-law who is not earning his keep. If you try to do something about it, you may encounter enormous friction — from your spouse. But if Bain buys you out, it won’t have any trouble at all getting rid of your brother-in-law and replacing him with someone more productive. This is what “creative destruction” is all about.
  • These are all situations in which a little friction to slow us down would have enabled both institutions and individuals to make better decisions. And in the case of individuals, there is the added bonus that using cash more and credit less would have made it apparent sooner just how much the “booming ’90s” had left the middle class behind. Credit hid the ever-shrinking purchasing power of the middle class from view.
  • e. If credit card companies weren’t allowed to charge outrageous interest, perhaps not everyone with a pulse would be offered credit cards. And if people had to pay with cash, rather than plastic, they might keep their hands in their pockets just a little bit longer.
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  • All these examples tell us that increased efficiency is good, and that removing friction increases efficiency. But the financial crisis, along with the activities of the Occupy movement and the criticism being leveled at Mr. Romney, suggests that maybe there can be too much of a good thing. If loans weren’t securitized, bankers might have taken the time to assess the creditworthiness of each applicant. If homeowners had to apply for loans to improve their houses or buy new cars, instead of writing checks against home equity, they might have thought harder before making weighty financial commitments. If people actually had to go into a bank and stand in line to withdraw cash, they might spend a little less and save a little mor
  • Finding the “mean” isn’t easy, even when we try to. It is sometimes said that the only way to figure out how much is enough is by experiencing too much. But the challenge is even greater when we’re talking about companies, because companies aren’t even trying to find the “mean.” For an individual company and its shareholders, there is no such thing as too much efficiency. The price of too much efficiency is not paid by the company. It is what economists call a negative externality, paid by the people who lose their jobs and the communities that suffer from job loss. Thus, we can’t expect the free market to find the level of efficiency that keeps firms competitive, provides quality goods at affordable prices and sustains workers and their communities. If we are to find the balance, we must consider stakeholders and not just shareholders. Companies by themselves won’t do this. Sensible regulation might.
  • So the real criticism embodied by current attacks on Bain Capital is not a criticism of capitalism. It is a criticism of unbridled, single-minded capitalism. Capitalism needn’t be either of those things. It isn’t in other societies with high standards of living, and it hadn’t been historically in the United States. Perhaps we can use the current criticism of Bain Capital as an opportunity to bring a little friction back into our lives. One way to do this is to use regulation to rekindle certain social norms that serve to slow us down. For example, if people thought about their homes less as investments and more as places to live, full of the friction of kids, dogs, friends, neighbors and community organizations attached, there might be less speculation with an eye toward house-flipping. And if companies thought of themselves, at least partly, as caretakers of their communities, they might look differently at streamlining their operations.
  • We’d all like a car that gets 100 miles to the gallon. The forces of friction that slow us down are an expensive annoyance. But when we’re driving a car, we know where we’re going and we’re in control. Fast is good, though even here, a little bit of friction can forestall disaster when you encounter an icy road. Life is not as predictable as driving. We don’t always know where we’re going. We’re not always in control. Black ice is everywhere. A little something to slow us down in the uncertain world we inhabit may be a lifesaver.
  •  
    What do you think of his argument?
  •  
    How interesting! And persuasive, too. However, it also defies easy integration into the simplistic models that most of us use as foundations for our thinking about society, and particularly, in our normative thinking ("What *should* we do?"). So I expect that 3% of readers will share my initial intellectual appreciation of the argument, but 97% of those who do will quickly forget it.
mcginnisca

Republicans have a candidate who could take back the White House. They're just not voti... - 0 views

  • John Kasich may be running a distant third in the primary, but he's the Republican presidential candidate best positioned to beat Hillary Clinton in a general election matchup
  • The researchers then took the results of those interviews and combined them with voter demographics and economic data to forecast an outcome in each state. These models, as expected, show Clinton pretty easily winning Electoral College majorities over Trump and Cruz, the two Republican frontrunners.
  • Yet she still loses overwhelmingly — she trails Kasich in a couple of traditional swing states (Colorado and Kasich's home state of Ohio), and even narrowly trails him in bluer states like Pennsylvania, Michigan, Wisconsin, Minnesota, Maine, and Oregon.
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  • By contrast, both Ted Cruz and Donald Trump would lose to Clinton in a general election battle, according to the Morning Consult projections — though, interestingly, not in historic blowouts but instead by similar margins to Mitt Romney's 2012 loss
  • "If the election were held today, John Kasich would receive 304 electoral votes to Hillary Clinton’s 234, largely due to strong performances in the Midwest and mid-Atlantic,
  • Trump would get just 210 electoral votes, and Cruz would get 206.
mcginnisca

Donald Trump says Washington Post is Amazon tax shelter. Huh? - Dec. 7, 2015 - 0 views

  • stock would crumble like a paper bag."
  • "big tax shelter" for Amazon since the paper is "losing a fortune."
  • Amazon is a "no profit" company.
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  • Trump didn't elaborate on Amazon's tax figures. He actually didn't cite any.
  • Trump's claims don't really hold up.
  • Amazon paid $167 million in income taxes in 2014 -- the first full year after Bezos acquired the paper. And that was despite the fact that Amazon reported a pre-tax loss in 2014.
  • So Trump is wrong when he said that Amazon is unprofitable.
aliciathompson1

Macy's, Univision, and NBC Dropping Trump Over Mexican Comments Could Cost Him - The At... - 0 views

  • Donald Trump’s run for the presidency is premised on one fact above all: He’s a fabulously successful businessman. And yet, paradoxically, running for president may be the most disastrous business decision he’s made—or, at the very least, his worst in a while.
  • How did Trump get from $250 million, the upper end of O’Brien’s range, in 2005 to $9 billion today? It’s been 10 years, and an already-wealthy person can make a lot of money in 10 years, but that decade also included a massive economic slump, a crisis in real estate (putatively Trump’s core business), and a 2009 declaration of Chapter 11 bankruptcy by his casino group. One way to get to the $9 billion figure is that, as Jordan Weissmann highlighted, Trump estimates that the value of his name alone is worth more than a third of tha
  • It’s unclear what the value of Trump’s NBC, Macy’s, and Serta deals were, but it’s a safe bet that altogether they’re a bigger deal to Trump than they are to any one of those corporations
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  • The thing about Trump’s comments about Mexicans and his clumsy attempts at clean-up since is that they don’t just hurt him directly, in the loss of earnings from the Miss USA contest or any of those ties and shirts; they also degrade the value of his brand and reputation. So even if you take Trump’s self-valuation at face value, you can see how his comments about Mexican immigrants have been costly.
  • And now he has validated his own point in an unfortunate way: By any measure, the campaign has been terrible for his brand.
Megan Flanagan

Biden says Obama offered financial help amid son's illness - CNNPolitics.com - 0 views

  • Joe Biden received an offer that floored him: financial support from his boss, President Barack Obama.
  • Biden recalled how concerned Obama had been
  • Biden said he told the President he was worried about caring for Beau's family without his son's salary
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  • 'But -- Jill and I will sell the house and be in good shape.'"
  • pushed back vehemently on the thought of Biden and his wife selling their home in Wilmington, Delaware
  • Don't sell that house. Promise me you won't sell the house,
  • I'll give you the money. Whatever you need, I'll give you the money
  • we're focusing on the inspiration of Beau, rather than loss of Beau."
  • "It's personal," Biden said. "It's family."
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