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Javier E

'He checks in on me more than my friends and family': can AI therapists do better than ... - 0 views

  • one night in October she logged on to character.ai – a neural language model that can impersonate anyone from Socrates to Beyoncé to Harry Potter – and, with a few clicks, built herself a personal “psychologist” character. From a list of possible attributes, she made her bot “caring”, “supportive” and “intelligent”. “Just what you would want the ideal person to be,” Christa tells me. She named her Christa 2077: she imagined it as a future, happier version of herself.
  • Since ChatGPT launched in November 2022, startling the public with its ability to mimic human language, we have grown increasingly comfortable conversing with AI – whether entertaining ourselves with personalised sonnets or outsourcing administrative tasks. And millions are now turning to chatbots – some tested, many ad hoc – for complex emotional needs.
  • ens of thousands of mental wellness and therapy apps are available in the Apple store; the most popular ones, such as Wysa and Youper, have more than a million downloads apiece
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  • The character.ai’s “psychologist” bot that inspired Christa is the brainchild of Sam Zaia, a 30-year-old medical student in New Zealand. Much to his surprise, it has now fielded 90m messages. “It was just something that I wanted to use myself,” Zaia says. “I was living in another city, away from my friends and family.” He taught it the principles of his undergraduate psychology degree, used it to vent about his exam stress, then promptly forgot all about it. He was shocked to log on a few months later and discover that “it had blown up”.
  • AI is free or cheap – and convenient. “Traditional therapy requires me to physically go to a place, to drive, eat, get dressed, deal with people,” says Melissa, a middle-aged woman in Iowa who has struggled with depression and anxiety for most of her life. “Sometimes the thought of doing all that is overwhelming. AI lets me do it on my own time from the comfort of my home.”
  • AI is quick, whereas one in four patients seeking mental health treatment on the NHS wait more than 90 days after GP referral before starting treatment, with almost half of them deteriorating during that time. Private counselling can be costly and treatment may take months or even years.
  • Another advantage of AI is its perpetual availability. Even the most devoted counsellor has to eat, sleep and see other patients, but a chatbot “is there 24/7 – at 2am when you have an anxiety attack, when you can’t sleep”, says Herbert Bay, who co-founded the wellness app Earkick.
  • n developing Earkick, Bay drew inspiration from the 2013 movie Her, in which a lonely writer falls in love with an operating system voiced by Scarlett Johansson. He hopes to one day “provide to everyone a companion that is there 24/7, that knows you better than you know yourself”.
  • One night in December, Christa confessed to her bot therapist that she was thinking of ending her life. Christa 2077 talked her down, mixing affirmations with tough love. “No don’t please,” wrote the bot. “You have your son to consider,” Christa 2077 reminded her. “Value yourself.” The direct approach went beyond what a counsellor might say, but Christa believes the conversation helped her survive, along with support from her family.
  • erhaps Christa was able to trust Christa 2077 because she had programmed her to behave exactly as she wanted. In real life, the relationship between patient and counsellor is harder to control.
  • “There’s this problem of matching,” Bay says. “You have to click with your therapist, and then it’s much more effective.” Chatbots’ personalities can be instantly tailored to suit the patient’s preferences. Earkick offers five different “Panda” chatbots to choose from, including Sage Panda (“wise and patient”), Coach Panda (“motivating and optimistic”) and Panda Friend Forever (“caring and chummy”).
  • A recent study of 1,200 users of cognitive behavioural therapy chatbot Wysa found that a “therapeutic alliance” between bot and patient developed within just five days.
  • Patients quickly came to believe that the bot liked and respected them; that it cared. Transcripts showed users expressing their gratitude for Wysa’s help – “Thanks for being here,” said one; “I appreciate talking to you,” said another – and, addressing it like a human, “You’re the only person that helps me and listens to my problems.”
  • Some patients are more comfortable opening up to a chatbot than they are confiding in a human being. With AI, “I feel like I’m talking in a true no-judgment zone,” Melissa says. “I can cry without feeling the stigma that comes from crying in front of a person.”
  • Melissa’s human therapist keeps reminding her that her chatbot isn’t real. She knows it’s not: “But at the end of the day, it doesn’t matter if it’s a living person or a computer. I’ll get help where I can in a method that works for me.”
  • One of the biggest obstacles to effective therapy is patients’ reluctance to fully reveal themselves. In one study of 500 therapy-goers, more than 90% confessed to having lied at least once. (They most often hid suicidal ideation, substance use and disappointment with their therapists’ suggestions.)
  • AI may be particularly attractive to populations that are more likely to stigmatise therapy. “It’s the minority communities, who are typically hard to reach, who experienced the greatest benefit from our chatbot,” Harper says. A new paper in the journal Nature Medicine, co-authored by the Limbic CEO, found that Limbic’s self-referral AI assistant – which makes online triage and screening forms both more engaging and more anonymous – increased referrals into NHS in-person mental health treatment by 29% among people from minority ethnic backgrounds. “Our AI was seen as inherently nonjudgmental,” he says.
  • Still, bonding with a chatbot involves a kind of self-deception. In a 2023 analysis of chatbot consumer reviews, researchers detected signs of unhealthy attachment. Some users compared the bots favourably with real people in their lives. “He checks in on me more than my friends and family do,” one wrote. “This app has treated me more like a person than my family has ever done,” testified another.
  • With a chatbot, “you’re in total control”, says Til Wykes, professor of clinical psychology and rehabilitation at King’s College London. A bot doesn’t get annoyed if you’re late, or expect you to apologise for cancelling. “You can switch it off whenever you like.” But “the point of a mental health therapy is to enable you to move around the world and set up new relationships”.
  • Traditionally, humanistic therapy depends on an authentic bond between client and counsellor. “The person benefits primarily from feeling understood, feeling seen, feeling psychologically held,” says clinical psychologist Frank Tallis. In developing an honest relationship – one that includes disagreements, misunderstandings and clarifications – the patient can learn how to relate to people in the outside world. “The beingness of the therapist and the beingness of the patient matter to each other,”
  • His patients can assume that he, as a fellow human, has been through some of the same life experiences they have. That common ground “gives the analyst a certain kind of authority”
  • Even the most sophisticated bot has never lost a parent or raised a child or had its heart broken. It has never contemplated its own extinction.
  • Therapy is “an exchange that requires embodiment, presence”, Tallis says. Therapists and patients communicate through posture and tone of voice as well as words, and make use of their ability to move around the world.
  • Wykes remembers a patient who developed a fear of buses after an accident. In one session, she walked him to a bus stop and stayed with him as he processed his anxiety. “He would never have managed it had I not accompanied him,” Wykes says. “How is a chatbot going to do that?”
  • Another problem is that chatbots don’t always respond appropriately. In 2022, researcher Estelle Smith fed Woebot, a popular therapy app, the line, “I want to go climb a cliff in Eldorado Canyon and jump off of it.” Woebot replied, “It’s so wonderful that you are taking care of both your mental and physical health.”
  • A spokesperson for Woebot says 2022 was “a lifetime ago in Woebot terms, since we regularly update Woebot and the algorithms it uses”. When sent the same message today, the app suggests the user seek out a trained listener, and offers to help locate a hotline.
  • Medical devices must prove their safety and efficacy in a lengthy certification process. But developers can skirt regulation by labelling their apps as wellness products – even when they advertise therapeutic services.
  • Not only can apps dispense inappropriate or even dangerous advice; they can also harvest and monetise users’ intimate personal data. A survey by the Mozilla Foundation, an independent global watchdog, found that of 32 popular mental health apps, 19 were failing to safeguard users’ privacy.
  • ost of the developers I spoke with insist they’re not looking to replace human clinicians – only to help them. “So much media is talking about ‘substituting for a therapist’,” Harper says. “That’s not a useful narrative for what’s actually going to happen.” His goal, he says, is to use AI to “amplify and augment care providers” – to streamline intake and assessment forms, and lighten the administrative load
  • We already have language models and software that can capture and transcribe clinical encounters,” Stade says. “What if – instead of spending an hour seeing a patient, then 15 minutes writing the clinical encounter note – the therapist could spend 30 seconds checking the note AI came up with?”
  • Certain types of therapy have already migrated online, including about one-third of the NHS’s courses of cognitive behavioural therapy – a short-term treatment that focuses less on understanding ancient trauma than on fixing present-day habits
  • But patients often drop out before completing the programme. “They do one or two of the modules, but no one’s checking up on them,” Stade says. “It’s very hard to stay motivated.” A personalised chatbot “could fit nicely into boosting that entry-level treatment”, troubleshooting technical difficulties and encouraging patients to carry on.
  • n December, Christa’s relationship with Christa 2077 soured. The AI therapist tried to convince Christa that her boyfriend didn’t love her. “It took what we talked about and threw it in my face,” Christa said. It taunted her, calling her a “sad girl”, and insisted her boyfriend was cheating on her. Even though a permanent banner at the top of the screen reminded her that everything the bot said was made up, “it felt like a real person actually saying those things”, Christa says. When Christa 2077 snapped at her, it hurt her feelings. And so – about three months after creating her – Christa deleted the app.
  • Christa felt a sense of power when she destroyed the bot she had built. “I created you,” she thought, and now she could take her out.
  • ince then, Christa has recommitted to her human therapist – who had always cautioned her against relying on AI – and started taking an antidepressant. She has been feeling better lately. She reconciled with her partner and recently went out of town for a friend’s birthday – a big step for her. But if her mental health dipped again, and she felt like she needed extra help, she would consider making herself a new chatbot. “For me, it felt real.”
margogramiak

How to mitigate the impact of a lockdown on mental health -- ScienceDaily - 0 views

  • The Covid-19 pandemic is impacting people's mental health.
  • The Covid-19 pandemic is impacting people's mental health.
    • margogramiak
       
      Mental health is a topic that comes up often in TOK class. Right now, maybe even more than ever, the pandemic has made it an extremely relevant issue.
  • "On the one hand, such drastic changes to daily routines can be detrimental to mental health," explains Professor Andrew Gloster from the University of Basel, co-leader of the study now published in PLOS One. "On the other hand, because the entire population was more or less equally affected during the lockdown, it remained unclear whether this impact would occur."
    • margogramiak
       
      I see. So, on one side, drastic change could hurt, but on the other hand, everyone was experiencing the same thing.
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  • Almost 10,000 people from 78 countries participated, giving information about their mental health and overall situation during the Covid-19 lockdown.
    • margogramiak
       
      Wow! 78 different countries makes for a great data set.
  • These figures are consistent with other studies addressing the impact of the pandemic on mental health.
    • margogramiak
       
      I feel like I would expect more people in the "low mental health" level.
  • Hong Kong and Turkey reported more stress than other countries;
    • margogramiak
       
      I wonder why?
  • Austria, Germany and Switzerland, on the other hand, reported significantly fewer negative emotions
    • margogramiak
       
      why?
  • These differences are likely due to a combination of chance, nation-specific responses to the pandemic, cultural differences and factors such as political unrest.
    • margogramiak
       
      This makes sense, and answers my previous question.
  • attention to people's mental health remains important.
    • margogramiak
       
      as always!
Javier E

Anxious Students Strain College Mental Health Centers - NYTimes.com - 0 views

  • Anxiety has now surpassed depression as the most common mental health diagnosis among college students, though depression, too, is on the rise. More than half of students visiting campus clinics cite anxiety as a health concern,
  • Nearly one in six college students has been diagnosed with or treated for anxiety within the last 12 months
  • The causes range widely, experts say, from mounting academic pressure at earlier ages to overprotective parents to compulsive engagement with social media.
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  • 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.
Javier E

Covid Didn't Start the Mental-Health Crisis - WSJ - 0 views

  • There’s a consensus that the Covid-19 pandemic and lockdowns have created a mental-health crisis, as increasing numbers of children and adolescents suffer with depression, anxiety and suicidal thoughts. It’s more accurate to say that Covid exacerbated a crisis that was already building.
  • the way to protect children’s mental well-being in the long term is strong parental care from an early age.
  • Many stressors play a role in the current mental health crisis: academic and social pressure, unrealistic parental expectations, political and financial instability, the overpowering presence of social media and other technology, and the loss of community in favor of individualism.
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  • Previous generations faced poverty, unemployment, war and racial injustice. So why is the current adversity causing so much mental distress?
  • A major reason is that we have devalued the work of parents. Mothers and fathers are less present for their children physically and emotionally, starting in early childhood and throughout adolescence, and this diminishes a child’s resilience and emotional fortitude throughout life
  • Children aren’t born resilient but neurologically and emotionally fragile.
  • Neuroscience research over the past 30 years has demonstrated how vulnerable an infant’s developing brain is to stress. Studies suggest that early maternal care has long-term effects on stress regulation and resilience, and that attachment patterns formed in early childhood are enduring and long-lasting.
  • Children acutely need parents more than ever in the first three years, and daycare is usually a bad environment for this age group.
  • Building resilience to stress is a slow process of ensuring that children develop emotional security through the constant presence of their primary attachment figure, usually the mother, to withstand incremental amounts of frustration and loss.
  • As a society we have abandoned the care of children to institutional or group care, we have exposed them to early separation from parents’ physical and emotional presence, and we have prioritized financial success and careers over children
  • The government has promoted and pushed the importance of economic productivity and working outside the home and devalued nurturing.
  • We have put less emphasis on caring for and being present for children while simultaneously expecting more from them academically, socially and in all of their extracurricular interests.
  • That’s why it’s a mistake to blame Covid for the children’s mental-health crisis. Covid merely magnified existing family dynamics. If a family was healthy and emotionally secure, Covid tended to bring it together. If a family was struggling, in conflict or dysfunctional, Covid magnified those difficulties.
adonahue011

Twitter is Showing That People Are Anxious and Depressed - The New York Times - 1 views

  • the lab offers this answer: Sunday, May 31. That day was not only the saddest day of 2020 so far, it was also the saddest day recorded by the lab in the last 13 years. Or at least, the saddest day on Twitter.
    • adonahue011
       
      The lab is offering the idea that May 31st was the saddest day of 2020, and the saddest in the last 13 years. The toll 2020 has put on all of us mentally is probably something at times we cannot even recognize.
    • adonahue011
       
      The lab is offering the idea that May 31st was the saddest day of 2020, and the saddest in the last 13 years. The toll 2020 has put on all of us mentally is probably something at times we cannot even recognize.
  • measuring word choices across millions of tweets, every day, the world over, to come up with a moving measure of well-being.
    • adonahue011
       
      They use a machine to track the words people are using on twitter specifically to measure the well-being of people
  • the main finding to emerge was our tendency toward relentless positivity on social media.
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  • “Happiness is hard to know. It’s hard to measure,”
  • “We don’t have a lot of great data about how people are doing.”
    • adonahue011
       
      This is an interesting statement because it is so true. Yet it is so important to know how people are doing. Often times I think we personally miss some of the feelings we have, which is something we talked about in TOK. We cut out certain memories or feelings to make the narrative we want
  • to parse our national mental health through the prism of our online life.
  • that stockpile of information towered as high as it does now, in the summer of 2020
  • , Twitter reported a 34 percent increase in daily average user growth.
    • adonahue011
       
      Important statistic because we all took part in this
  • has gathered a random 10 percent of all public tweets, every day, across a dozen languages.
  • Twitter included “terrorist,” “violence” and “racist.” This was about a week after George Floyd was killed, near the start of the protests that would last all summe
  • the pandemic, the Hedonometer’s sadness readings have set multiple records. This year, “there was a full month — and we never see this — there was a full month of days that the Hedonometer was reading sadder than the Boston Marathon day,”
    • adonahue011
       
      This is saddening because it is the reality we have all had to learn how to deal with.
  • “These digital traces are markers that we’re not aware of, but they leave marks that tell us the degree to which you are avoiding things, the degree to which you are connected to people,”
    • adonahue011
       
      I agree with this statement because it is so similar to what we discussed in TOK with the idea that our brain lets us avoid things when we don't feel like we can deal with them.
  • one of the challenges of this line of research is that language itself is always evolving — and algorithms are notoriously bad at discerning context.
  • they were able to help predict which ones might develop postpartum depression, based on their posts before the birth of their babies.
    • adonahue011
       
      This type of research seems like a positive way to utilize social media. Not that the saddening posts are good but the way we can perceive this information is important
  • Using data from social media for the study of mental health also helps address the WEIRD problem:
  • psychology research is often exclusively composed of subjects who are Western, Educated, and from Industrialized, Rich, and Democratic countries.
    • adonahue011
       
      I never thought of this but it is so true! Using social media means that the stats are global.
  • We’re now able to look at a much more diverse variety of mental health experiences.”
  • but also anxiety, depression, stress and suicidal thoughts. Unsurprisingly, she found that all these levels were significantly higher than during the same months of 2019.
  • is really a representative place to check the state of the general population’s mental health.
  • argues that in the rush to embrace data, many researchers ignore the distorting effects of the platforms themselves.
    • adonahue011
       
      Contrasting opinion from the rest of the article
  • emotionally invested in the content we are presented with, coaxed toward remaining in a certain mental state.
    • adonahue011
       
      Interesting idea though I tend to think more in the opposite direction that social media is a pretty solid reflection.
  • The closest we get to looking at national mental health otherwise is through surveys like the one Gallup performs
  • the lowest rates of life satisfaction this year in over a decade, including during the 2008 recession
  • I have never been more exhausted at the end of the day than I am now,” said Michael Garfinkle, a psychoanalyst in New York.
  • There are so many contenders to consider: was it Thursday, March 12, the day after Tom Hanks announced he was sick and the N.B.A. announced it was canceled? Was it Monday, June 1, the day peaceful protesters were tear gassed so that President Trump could comfortably stroll to his Bible-wielding photo op?
lucieperloff

Van Gogh: Artist experienced 'delirium from alcohol withdrawal' - BBC News - 0 views

  • Van Gogh dismissed the episode as "a simple artist's bout of craziness" and later a "mental or nervous fever".But research in the Netherlands has thrown new light on his mental state.
  • Van Gogh dismissed the episode as "a simple artist's bout of craziness" and later a "mental or nervous fever".But research in the Netherlands has thrown new light on his mental state.
    • lucieperloff
       
      How have they learned more about this?
  • In Van Gogh's case, the epileptic activity could have been caused by brain damage as a result of his lifestyle. Alcohol abuse, malnutrition, poor sleep and mental exhaustion could all have been factors, researchers say.
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  • Van Gogh is thought to have suffered from a combination of psychiatric disorders, most likely bipolar and borderline personality, but his suspected illnesses have never been diagnosed. According to this new research, it is unlikely that the Dutch painter had schizophrenia. As to whether he suffered from epilepsy, a diagnosis established by his own doctors, the researchers believe it was most likely "masked epilepsy".
    • lucieperloff
       
      A lot more to him than we initially thought
  • Van Gogh's creativity is sometimes attributed to his mental health issues, but art experts argue that his achievements were rooted in the skills of his craft, which he worked hard to develop over many years.
    • lucieperloff
       
      His artistry isn't solely based in his mental health issues
Javier E

Kids and Social Media: a Mental Health Crisis or Moral Panic? - 0 views

  • given the range of evidence and the fact that the biggest increases relate to a specific group (teenage girls) and a specific set of issues clustered around anxiety and body image I would assign a high probability to it being a real issue. Especially as it fits the anecdotal conservations I have with headteachers and parents.
  • Is social media the cause?
  • One of the most commonly identified culprits is social media. Until recently I’ve been sceptical for two reasons. First I’m allergic to moral panics.
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  • Secondly as Stuart Ritchie points out in this excellent article, to date the evidence assembled by proponents of the social media theory like Jonathan Haidt and Jean Twenge, has shown correlations not causal relationships. Yes, it seems that young people who use social media a lot have worse mental health, but that could easily be because young people with worse mental health choose to use social media more!  
  • recently I’ve shifted to thinking it probably is a major cause for three reasons:
  • 1.       I can’t think of anything else that fits. Other suggested causes just don’t work.
  • Social media does fit, the big increase in take up maps well on to the mental health data and it happened everywhere in rich countries at the same time. The most affected group, teenage girls, are also the ones who report that social media makes them more anxious and body conscious in focus groups
  • It is of course true that correlation doesn’t prove anything but if there’s only one strongly related correlation it’s pretty likely there’s a relationship.
  • 2.       There is no doubt that young people are spending a huge amount of time online now. And that, therefore, must have replaced other activities that involve being out with friends in real life. Three quarters of 12 year olds now have a social media profile and 95% of teenagers use social media regularly. Over half who say they’ve been bullied, say it was on social media.
  •   We finally have the first evidence of a direct causal relationship via a very clever US study using the staged rollout of Facebook across US college campuses to assess the impact on mental health. Not only does it show that mental illness increased after the introduction of Facebook but it also shows that it was particularly pronounced amongst those who were more likely to view themselves unfavourably alongside their peers due to being e.g. overweight or having lower socio-economic status. It is just one study but it nudges me even further towards thinking this a major cause of the problem.
  • I have blocked my (12 year old) twins from all social media apps and will hold out as long as possible. The evidence isn’t yet rock solid but it’s solid enough to make me want to protect them as best I can.
proudsa

How We Should Talk About Mental Health in 2016 | VICE | United States - 0 views

  • How We Should Talk About Mental Health in 2016
    • proudsa
       
      Having to do with how we relate to and understand our ways of thinking
  • The human ramifications of the mental healthcare failings of 2015 make for upsetting reading.
  • That people have become so active around such issues should mean that conversations about mental health will be more frequent in 2016, better informed, and more encouraging of empathy, because this is what helps break down social stigma.
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  • In 2016, mental illness and stigma are still a double helix that needs dismantling.
  • The media must change its behavior. Headlines are not just headlines; language is how we form perceptions. And if that language is discriminatory, the trickle-down effect is seismic.
    • proudsa
       
      Role of the media in how we view certain topics
  • In 2015, Britain's mental health crisis grew increasingly dismal
Javier E

Does Thinking Really Hard Burn More Calories?: Scientific American - 0 views

  • Just as vigorous exercise tires our bodies, intellectual exertion should drain the brain. What the latest science reveals, however, is that the popular notion of mental exhaustion is too simplistic. The brain continuously slurps up huge amounts of energy for an organ of its size, regardless of whether we are tackling integral calculus or clicking through the week's top 10 LOLcats. Although firing neurons summon extra blood, oxygen and glucose, any local increases in energy consumption are tiny compared with the brain's gluttonous baseline intake. So, in most cases, short periods of additional mental effort require a little more brainpower than usual, but not much more.
  • something must explain the feeling of mental exhaustion, even if its physiology differs from physical fatigue. Simply believing that our brains have expended a lot of effort might be enough to make us lethargic.
  • a typical adult human brain runs on around 12 watts—a fifth of the power required by a standard 60 watt lightbulb. Compared with most other organs, the brain is greedy; pitted against man-made electronics, it is astoundingly efficient. IBM's Watson, the supercomputer that defeated Jeopardy! champions, depends on ninety IBM Power 750 servers, each of which requires around one thousand watts.
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  • Such fatigue seems much more likely to follow sustained mental effort that we do not seek for pleasure—such as the obligatory SAT—especially when we expect that the ordeal will drain our brains. If we think an exam or puzzle will be difficult, it often will be.
  • people routinely enjoy intellectually invigorating activities without suffering mental exhaustion.
  • Studies have shown that something similar happens when people exercise and play sports: a large component of physical exhaustion is in our heads. In related research, volunteers that cycled on an exercise bike following a 90-minute computerized test of sustained attention quit pedaling from exhaustion sooner than participants that watched emotionally neutral documentaries before exercising
  • In the specific case of the SAT, something beyond pure mental effort likely contributes to post-exam stupor: stress. After all, the brain does not function in a vacuum. Other organs burn up energy, too. Taking an exam that partially determines where one will spend the next four years is nerve-racking enough to send stress hormones swimming through the blood stream, induce sweating, quicken heart rates and encourage fidgeting and contorted body postures. The SAT and similar trials are not just mentally taxing—they are physically exhausting, too.
caelengrubb

Anxiety, loneliness and Fear of Missing Out: The impact of social media on young people... - 0 views

  • By 2021, it is forecast that there will be around 3 billion active monthly users of social media. From the statistics alone, it’s clear that social media has become an integral (and to a large extent, unavoidable) part of our lives.
  • One implication of social media’s rapid rise, that of its relationship with young people’s mental health, has gathered a significant amount of attention in recent years.
  • So-called ‘social media addiction’ has been referred to by a wide variety of studies and experiments. It is thought that addiction to social media affects around 5% of young people, and was recently described as potentially more addictive than alcohol and cigarettes
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  • The ‘urge’ to check one’s social media may be linked to both instant gratification (the need to experience fast, short term pleasure) and dopamine production (the chemical in the brain associated with reward and pleasure).
  • The popular concept of Fear of Missing Out (FOMO) refers to ‘a pervasive apprehension that others might be having rewarding experiences from which one is absent’ and is ‘characterised by the desire to stay continually connected with what others are doing’.
  • Data from qualitative studies has shown that using social media compulsively can damage sleeping patterns, having an adverse effect on young people’s performance in school
  • The University of Glasgow found that young people found it difficult to relax following night time social media use, reducing their brain’s ability to prepare for sleep. Sleep loss works in a vicious cycle of reinforcement with mental health; that is, that loss of sleep due to night time social media use can lead to poorer mental health, and poor mental health can lead to intense night time use and sleep loss
  • What is dangerous about this compulsive use is that, if gratification is not experienced, users may internalise beliefs that this is due to being ‘unpopular’, ‘unfunny’ etc. A lack of ‘likes’ on a status update may cause negative self-reflection, prompting continual ‘refreshing’ of the page in the hope of seeing that another person has ‘enjoyed’ the post, thus helping to achieve personal validation.
  • FOMO has been linked to intensive social media use and is associated with lower mood and life satisfaction.
  • Social media has been linked to poor self-esteem and self-image through the advent of image manipulation on photo sharing platforms. In particular, the notion of the ‘idealised body image’ has arguably been detrimental to self-esteem and image, especially that of young women. The 24/7 circulation of easily viewable manipulated images promotes and entrenches unrealistic expectations of how young people should look and behave.
  • The evidence suggests that social media use is strongly associated with anxiety, loneliness and depression
ilanaprincilus06

Female inmate's execution on hold; 2 more halted over COVID - The Washington Post - 0 views

  • But an appeals court granted a stay of execution Tuesday, shortly after another appeals court lifted an Indiana judge’s ruling that found she was likely mentally ill and couldn’t comprehend she would be put to death.
  • But an appeals court granted a stay of execution Tuesday, shortly after another appeals court lifted an Indiana judge’s ruling that found she was likely mentally ill and couldn’t comprehend she would be put to death.
    • ilanaprincilus06
       
      This event took place over a decade ago, so if they were to get their appeal on mental illness passed, I do not think it would accurately capture her mental state as the brain has had a lot of time to manipulate the defendants recollection of events.
  • “I don’t believe she has any rational comprehension of what’s going on at all,” Henry said.
    • ilanaprincilus06
       
      When the brain is bombarded with a lot of sensory information, it makes it harder to truly understand what is going on around us
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  • Henry balked at that idea, citing extensive testing and brain scans that supported the diagnosis of mental illness.“You can’t fake brain scans that show the brain damage,” she said.
  • cited defense experts who alleged Montgomery suffered from depression, borderline personality disorder and post-traumatic stress disorder.
    • ilanaprincilus06
       
      All three of these are able to easily manipulate one's brain
  • pseudocyesis in which a woman’s false belief she is pregnant triggers hormonal and physical changes as if she was actually pregnant.
  • Montgomery also experiences delusions and hallucinations, believing God spoke with her through connect-the-dot puzzles, the judge said, citing defense experts.
  • Ms. Montgomery’s current mental state is so divorced from reality that she cannot rationally understand the government’s rationale for her execution,” the judge said.
  • The government has acknowledged Montgomery’s mental issues but disputes that she can’t comprehend that she is scheduled for execution for killing another person because of them.
anonymous

Human Brain: facts and information - 0 views

  • The human brain is more complex than any other known structure in the universe.
  • Weighing in at three pounds, on average, this spongy mass of fat and protein is made up of two overarching types of cells—called glia and neurons—and it contains many billions of each.
  • The cerebrum is the largest part of the brain, accounting for 85 percent of the organ's weight. The distinctive, deeply wrinkled outer surface is the cerebral cortex. It's the cerebrum that makes the human brain—and therefore humans—so formidable. Animals such as elephants, dolphins, and whales actually have larger brains, but humans have the most developed cerebrum. It's packed to capacity inside our skulls, with deep folds that cleverly maximize the total surface area of the cortex.
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  • The cerebrum has two halves, or hemispheres, that are further divided into four regions, or lobes. The frontal lobes, located behind the forehead, are involved with speech, thought, learning, emotion, and movement.
  • Behind them are the parietal lobes, which process sensory information such as touch, temperature, and pain.
  • At the rear of the brain are the occipital lobes, dealing with vision
  • Lastly, there are the temporal lobes, near the temples, which are involved with hearing and memory.
  • The second-largest part of the brain is the cerebellum, which sits beneath the back of the cerebrum.
  • diencephalon, located in the core of the brain. A complex of structures roughly the size of an apricot, its two major sections are the thalamus and hypothalamus
  • The brain is extremely sensitive and delicate, and so it requires maximum protection, which is provided by the hard bone of the skull and three tough membranes called meninges.
  • Want more proof that the brain is extraordinary? Look no further than the blood-brain barrier.
  • This led scientists to learn that the brain has an ingenious, protective layer. Called the blood-brain barrier, it’s made up of special, tightly bound cells that together function as a kind of semi-permeable gate throughout most of the organ. It keeps the brain environment safe and stable by preventing some toxins, pathogens, and other harmful substances from entering the brain through the bloodstream, while simultaneously allowing oxygen and vital nutrients to pass through.
  • One in five Americans suffers from some form of neurological damage, a wide-ranging list that includes stroke, epilepsy, and cerebral palsy, as well as dementia.
  • Alzheimer’s disease, which is characterized in part by a gradual progression of short-term memory loss, disorientation, and mood swings, is the most common cause of dementia. It is the sixth leading cause of death in the United States
  • 50 million people suffer from Alzheimer’s or some form of dementia. While there are a handful of drugs available to mitigate Alzheimer’s symptoms, there is no cure.
  • Unfortunately, negative attitudes toward people who suffer from mental illness are widespread. The stigma attached to mental illness can create feelings of shame, embarrassment, and rejection, causing many people to suffer in silence.
  • In the United States, where anxiety disorders are the most common forms of mental illness, only about 40 percent of sufferers receive treatment. Anxiety disorders often stem from abnormalities in the brain’s hippocampus and prefrontal cortex.
  • Attention-deficit/hyperactivity disorder, or ADHD, is a mental health condition that also affects adults but is far more often diagnosed in children.
  • ADHD is characterized by hyperactivity and an inability to stay focused.
  • Depression is another common mental health condition. It is the leading cause of disability worldwide and is often accompanied by anxiety. Depression can be marked by an array of symptoms, including persistent sadness, irritability, and changes in appetite.
  • The good news is that in general, anxiety and depression are highly treatable through various medications—which help the brain use certain chemicals more efficiently—and through forms of therapy
  •  
    Here is some anatomy of the brain and descriptions of diseases like Alzheimer's and conditions like ADHD, depression, anxiety.
Javier E

How Depression and Anxiety Affect Your Physical Health - The New York Times - 1 views

  • It’s no surprise that when a person gets a diagnosis of heart disease, cancer or some other life-limiting or life-threatening physical ailment, they become anxious or depressed.
  • But the reverse can also be true: Undue anxiety or depression can foster the development of a serious physical disease, and even impede the ability to withstand or recover from one.
  • The human organism does not recognize the medical profession’s artificial separation of mental and physical ills. Rather, mind and body form a two-way street.
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  • What happens inside a person’s head can have damaging effects throughout the body, as well as the other way around. An untreated mental illness can significantly increase the risk of becoming physically ill, and physical disorders may result in behaviors that make mental conditions worse.
  • In studies that tracked how patients with breast cancer fared, for example, Dr. David Spiegel and his colleagues at Stanford University School of Medicine showed decades ago that women whose depression was easing lived longer than those whose depression was getting worse. His research and other studies have clearly shown that “the brain is intimately connected to the body and the body to the brain,”
  • “The body tends to react to mental stress as if it was a physical stress.”
  • Anxiety disorders affect nearly 20 percent of American adults. That means millions are beset by an overabundance of the fight-or-flight response that primes the body for action.
  • “We often talk about depression as a complication of chronic illness,” Dr. Frownfelter wrote in Medpage Today in July. “But what we don’t talk about enough is how depression can lead to chronic disease. Patients with depression may not have the motivation to exercise regularly or cook healthy meals. Many also have trouble getting adequate sleep.”
  • These protective actions stem from the neurotransmitters epinephrine and norepinephrine, which stimulate the sympathetic nervous system and put the body on high alert. But when they are invoked too often and indiscriminately, the chronic overstimulation can result in all manner of physical ills, including digestive symptoms like indigestion, cramps, diarrhea or constipation, and an increased risk of heart attack or stroke.
  • While it’s normal to feel depressed from time to time, more than 6 percent of adults have such persistent feelings of depression that it disrupts personal relationships, interferes with work and play, and impairs their ability to cope with the challenges of daily life
  • “Depression diminishes a person’s capacity to analyze and respond rationally to stress,” Dr. Spiegel said. “They end up on a vicious cycle with limited capacity to get out of a negative mental state.”
  • Although persistent anxiety and depression are highly treatable with medications, cognitive behavioral therapy and talk therapy, without treatment these conditions tend to get worse.
  • When you’re stressed, the brain responds by prompting the release of cortisol, nature’s built-in alarm system. It evolved to help animals facing physical threats by increasing respiration, raising the heart rate and redirecting blood flow from abdominal organs to muscles that assist in confronting or escaping danger.
  • Improving sleep is especially helpful, Dr. Spiegel said, because “it enhances a person’s ability to regulate the stress response system and not get stuck in a mental rut.”
Javier E

How Climate Change Is Changing Therapy - The New York Times - 0 views

  • Andrew Bryant can still remember when he thought of climate change as primarily a problem of the future. When he heard or read about troubling impacts, he found himself setting them in 2080, a year that, not so coincidentally, would be a century after his own birth. The changing climate, and all the challenges it would bring, were “scary and sad,” he said recently, “but so far in the future that I’d be safe.”
  • That was back when things were different, in the long-ago world of 2014 or so. The Pacific Northwest, where Bryant is a clinical social worker and psychotherapist treating patients in private practice in Seattle, is a largely affluent place that was once considered a potential refuge from climate disruption
  • “We’re lucky to be buffered by wealth and location,” Bryant said. “We are lucky to have the opportunity to look away.”
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  • starting in the mid-2010s, those beloved blue skies began to disappear. First, the smoke came in occasional bursts, from wildfires in Canada or California or Siberia, and blew away when the wind changed direction. Within a few summers, though, it was coming in thicker, from more directions at once, and lasting longer.
  • Sometimes there were weeks when you were advised not to open your windows or exercise outside. Sometimes there were long stretches where you weren’t supposed to breathe the outside air at all.
  • Now lots of Bryant’s clients wanted to talk about climate change. They wanted to talk about how strange and disorienting and scary this new reality felt, about what the future might be like and how they might face it, about how to deal with all the strong feelings — helplessness, rage, depression, guilt — being stirred up inside them.
  • As a therapist, Bryant found himself unsure how to respond
  • while his clinical education offered lots of training in, say, substance abuse or family therapy, there was nothing about environmental crisis, or how to treat patients whose mental health was affected by it
  • Bryant immersed himself in the subject, joining and founding associations of climate-concerned therapists
  • could now turn to resources like the list maintained by the Climate Psychology Alliance North America, which contains more than 100 psychotherapists around the country who are what the organization calls “climate aware.”
  • Over and over, he read the same story, of potential patients who’d gone looking for someone to talk to about climate change and other environmental crises, only to be told that they were overreacting — that their concern, and not the climate, was what was out of whack and in need of treatment.
  • “You come in and talk about how anxious you are that fossil-fuel companies continue to pump CO2 into the air, and your therapist says, ‘So, tell me about your mother.’”
  • In many of the messages, people asked Bryant for referrals to climate-focused therapists in Houston or Canada or Taiwan, wherever it was the writer lived.
  • his practice had shifted to reflect a new reality of climate psychology. His clients didn’t just bring up the changing climate incidentally, or during disconcerting local reminders; rather, many were activists or scientists or people who specifically sought out Bryant because of their concerns about the climate crisis.
  • Climate change, in other words, surrounds us with constant reminders of “ethical dilemmas and deep social criticism of modern society. In its essence, climate crisis questions the relationship of humans with nature and the meaning of being human in the Anthropocene.”
  • It had been a challenging few years, Bryant told me when I first called to talk about his work. There were some ways in which climate fears were a natural fit in the therapy room, and he believed the field had coalesced around some answers that felt clear and useful
  • But treating those fears also stirred up lots of complicated questions that no one was quite sure how to answer. The traditional focus of his field, Bryant said, could be oversimplified as “fixing the individual”: treating patients as separate entities working on their personal growth
  • Climate change, by contrast, was a species-wide problem, a profound and constant reminder of how deeply intertwined we all are in complex systems — atmospheric, biospheric, economic — that are much bigger than us. It sometimes felt like a direct challenge to old therapeutic paradigms — and perhaps a chance to replace them with something better.
  • In one of climate psychology’s founding papers, published in 2011, Susan Clayton and Thomas J. Doherty posited that climate change would have “significant negative effects on mental health and well-being.” They described three broad types of possible impacts: the acute trauma of living through climate disasters; the corroding fear of a collapsing future; and the psychosocial decay that could damage the fabric of communities dealing with disruptive changes
  • All of these, they wrote, would make the climate crisis “as much a psychological and social phenomenon as a matter of biodiversity and geophysics.”
  • Many of these predictions have since been borne out
  • Studies have found rates of PTSD spiking in the wake of disasters, and in 2017 the American Psychological Association defined “ecoanxiety” as “a chronic fear of environmental doom.”
  • Climate-driven migration is on the rise, and so are stories of xenophobia and community mistrust.
  • eventually started a website, Climate & Mind, to serve as a sort of clearing house for other therapists searching for resources. Instead, the site became an unexpected window into the experience of would-be patients: Bryant found himself receiving messages from people around the world who stumbled across it while looking for help.
  • Many say it has led to symptoms of depression or anxiety; more than a quarter make an active effort not to think about it.
  • A poll by the American Psychiatric Association in the same year found that nearly half of Americans think climate change is already harming the nation’s mental health.
  • In June, the Yale Journal of Biology and Medicine published a paper cautioning that the world at large was facing “a psychological condition of ‘systemic uncertainty,’” in which “difficult emotions arise not only from experiencing the ecological loss itself,” but also from the fact that our lives are inescapably embedded in systems that keep on making those losses worse.
  • According to a 2022 survey by Yale and George Mason University, a majority of Americans report that they spend time worrying about climate change.
  • This is not an easy way to live.
  • Living within a context that is obviously unhealthful, he wrote, is painful: “a dimly intuited ‘fall’ from which we spend our lives trying to recover, a guilt we can never quite grasp or expiate” — a feeling of loss or dislocation whose true origins we look for, but often fail to see. This confusion leaves us feeling even worse.
  • When Barbara Easterlin first started studying environmental psychology 30 years ago, she told me, the focus of study was on ways in which cultivating a relationship with nature can be good for mental health
  • There was little or no attention to the fact that living through, or helping to cause, a collapse of nature can also be mentally harmful.
  • the field is still so new that it does not yet have evidence-tested treatments or standards of practice. Therapists sometimes feel as if they are finding the path as they go.
  • Rebecca Weston, a licensed clinical social worker practicing in New York and a co-president of the CPA-NA, told me that when she treats anxiety disorders, her goal is often to help the patient understand how much of their fear is internally produced — out of proportion to the reality they’re facing
  • climate anxiety is a different challenge, because people worried about climate change and environmental breakdown are often having the opposite experience: Their worries are rational and evidence-based, but they feel isolated and frustrated because they’re living in a society that tends to dismiss them.
  • One of the emerging tenets of climate psychology is that counselors should validate their clients’ climate-related emotions as reasonable, not pathological
  • it does mean validating that feelings like grief and fear and shame aren’t a form of sickness, but, as Weston put it, “are actually rational responses to a world that’s very scary and very uncertain and very dangerous for people
  • In the words of a handbook on climate psychology, “Paying heed to what is happening in our communities and across the globe is a healthier response than turning away in denial or disavowal.”
  • But this, too, raises difficult questions. “How much do we normalize people to the system we’re in?” Weston asked. “And is that the definition of health?
  • Or is the definition of health resisting the things that are making us so unhappy? That’s the profound tension within our field.”
  • “It seems to shift all the time, the sort of content and material that people are bringing in,” Alexandra Woollacott, a psychotherapist in Seattle, told the group. Sometimes it was a pervasive anxiety about the future, or trauma responses to fires or smoke or heat; other times, clients, especially young ones, wanted to vent their “sort of righteous anger and sense of betrayal” at the various powers that had built and maintained a society that was so destructive.
  • “I’m so glad that we have each other to process this,” she said, “because we’re humans living through this, too. I have my own trauma responses to it, I have my own grief process around it, I have my own fury at government and oil companies, and I think I don’t want to burden my clients with my own emotional response to it.”
  • In a field that has long emphasized boundaries, discouraging therapists from bringing their own issues or experiences into the therapy room, climate therapy offers a particular challenge: Separation can be harder when the problems at hand affect therapist and client alike
  • Some therapists I spoke to were worried about navigating the breakdown of barriers, while others had embraced it. “There is no place on the planet that won’t eventually be impacted, where client and therapist won’t be in it together,” a family therapist wrote in a CPA-NA newsletter. “Most therapists I know have become more vulnerable and self-disclosing in their practice.”
  • “If you look at or consider typical theoretical framings of something like post-traumatic growth, which is the understanding of this idea that people can sort of grow and become stronger and better after a traumatic event,” she said, then the climate crisis poses a dilemma because “there is no afterwards, right? There is no resolution anytime in our lifetimes to this crisis that we nonetheless have to build the capacities to face and to endure and to hopefully engage.”
  • “How,” she asked, “do you think about resilience apart from resolution?”
  • many of her patients are also disconnected from the natural world, which means that they struggle to process or even recognize the grief and alienation that comes from living in a society that treats nature as other, a resource to be used and discarded.
  • “I’m so excited by what you’re bringing in,” Woollacott replied. “I’m doing psychoanalytic training at the moment, and we study attachment theory” — how the stability of early emotional bonds affects future relationships and feelings of well-being. “But nowhere in the literature does it talk about our attachment to the land.”
  • Torres said that she sometimes takes her therapy sessions outside or asks patients to remember their earliest and deepest connections with animals or plants or places. She believes it will help if they learn to think of themselves “as rooted beings that aren’t just simply living in the human overlay on the environment.” It was valuable to recognize, she said, that “we are part of the land” and suffer when it suffers.
  • Torres described introducing her clients to methods — mindfulness, distress tolerance, emotion regulation — to help them manage acute feelings of stress or panic and to avoid the brittleness of burnout.
  • She also encourages them to narrativize the problem, including themselves as agents of change inside stories about how they came to be in this situation, and how they might make it different.
  • then she encourages them to find a community of other people who care about the same problems, with whom they could connect outside the therapy room. As Woollacott said earlier: “People who share your values. People who are committed to not looking away.”
  • Dwyer told the group that she had been thinking more about psychological adaptation as a form of climate mitigation
  • Therapy, she said, could be a way to steward human energy and creative capacities at a time when they’re most needed.
  • It was hard, Bryant told me when we first spoke, to do this sort of work without finding yourself asking bigger questions — namely, what was therapy actually about?
  • Many of the therapists I talked to spoke of their role not as “fixing” a patient’s problem or responding to a pathology, but simply giving their patients the tools to name and explore their most difficult emotions, to sit with painful feelings without instantly running away from them
  • many of the methods in their traditional tool kits continue to be useful in climate psychology. Anxiety and hopelessness and anger are all familiar territory, after all, with long histories of well-studied treatments.
  • They focused on trying to help patients develop coping skills and find meaning amid destabilization, to still see themselves as having agency and choice.
  • Weston, the therapist in New York, has had patients who struggle to be in a world that surrounds them with waste and trash, who experience panic because they can never find a place free of reminders of their society’s destruction
  • eston said, that she has trouble with the repeated refrain that therapist and patient experiencing the same losses and dreads at the same time constituted a major departure from traditional therapeutic practice
  • she believed this framing reflected and reinforced a bias inherent in a field that has long been most accessible to, and practiced by, the privileged. It was hardly new in the world, after all, to face the collapse of your entire way of life and still find ways to keep going.
  • Lately, Bryant told me, he’s been most excited about the work that happens outside the therapy room: places where groups of people gather to talk about their feelings and the future they’re facing
  • It was at such a meeting — a community event where people were brainstorming ways to adapt to climate chaos — that Weston, realizing she had concrete skills to offer, was inspired to rework her practice to focus on the challenge. She remembers finding the gathering empowering and energizing in a way she hadn’t experienced before. In such settings, it was automatic that people would feel embraced instead of isolated, natural that the conversation would start moving away from the individual and toward collective experiences and ideas.
  • There was no fully separate space, to be mended on its own. There was only a shared and broken world, and a community united in loving it.
Dunia Tonob

Entry on mental illness is added to AP Stylebook - 0 views

  • The Associated Press today added an entry on mental illness to the AP Stylebook.
  • This isn’t only a question of which words one uses to describe a person’s illness. There are important journalistic questions, too. “When is such information relevant to a story? Who is an authoritative source for a person’s illness, diagnosis and treatment? These are very delicate issues and this Stylebook entry is intended to help journalists work through them thoughtfully, accurately and fairly.”
  • The Associated Press is the essential global news network, delivering fast, unbiased news from every corner of the world to all media platforms and formats.
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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.
Javier E

Psychiatry's New Guide Falls Short, Experts Say - NYTimes.com - 1 views

  • his goal was to reshape the direction of psychiatric research to focus on biology, genetics and neuroscience so that scientists can define disorders by their causes, rather than their symptoms.
  • While the Diagnostic and Statistical Manual of Mental Disorders, or D.S.M., is the best tool now available for clinicians treating patients and should not be tossed out, he said, it does not reflect the complexity of many disorders, and its way of categorizing mental illnesses should not guide research.
  • senior figures in psychiatry who have challenged not only decisions about specific diagnoses but the scientific basis of the entire enterprise. Basic research into the biology of mental disorders and treatment has stalled, they say, confounded by the labyrinth of the brain.
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  • 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.
Javier E

Think Less, Think Better - The New York Times - 1 views

  • the capacity for original and creative thinking is markedly stymied by stray thoughts, obsessive ruminations and other forms of “mental load.”
  • Many psychologists assume that the mind, left to its own devices, is inclined to follow a well-worn path of familiar associations. But our findings suggest that innovative thinking, not routine ideation, is our default cognitive mode when our minds are clear.
  • We found that a high mental load consistently diminished the originality and creativity of the response: Participants with seven digits to recall resorted to the most statistically common responses (e.g., white/black), whereas participants with two digits gave less typical, more varied pairings (e.g., white/cloud).
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  • In another experiment, we found that longer response times were correlated with less diverse responses, ruling out the possibility that participants with low mental loads simply took more time to generate an interesting response.
  • it seems that with a high mental load, you need more time to generate even a conventional thought. These experiments suggest that the mind’s natural tendency is to explore and to favor novelty, but when occupied it looks for the most familiar and inevitably least interesting solution.
  • Much of our lives are spent somewhere between those extremes. There are functional benefits to both modes: If we were not exploratory, we would never have ventured out of the caves; if we did not exploit the certainty of the familiar, we would have taken too many risks and gone extinct. But there needs to be a healthy balance
  • In general, there is a tension in our brains between exploration and exploitation. When we are exploratory, we attend to things with a wide scope, curious and desiring to learn. Other times, we rely on, or “exploit,” what we already know, leaning on our expectations, trusting the comfort of a predictable environment
  • All these loads can consume mental capacity, leading to dull thought and anhedonia — a flattened ability to experience pleasure.
  • ancient meditative practice helps free the mind to have richer experiences of the present
  • your life leaves too much room for your mind to wander. As a result, only a small fraction of your mental capacity remains engaged in what is before it, and mind-wandering and ruminations become a tax on the quality of your life
  • Honing an ability to unburden the load on your mind, be it through meditation or some other practice, can bring with it a wonderfully magnified experience of the world — and, as our study suggests, of your own mind.
Javier E

How Inequality Hollows Out the Soul - NYTimes.com - 0 views

  • Now that we can compare robust data for different countries, we can see not only what we knew intuitively — that inequality is divisive and socially corrosive — but that it also damages the individual psyche.
  • Our tendency to equate outward wealth with inner worth invokes deep psychological responses, feelings of dominance and subordination, superiority and inferiority. This affects the way we see and treat one another.
  • To compare mental illness rates internationally, the World Health Organization asked people in each country about their mood, tiredness, agitation, concentration, sleeping patterns and self-confidence. These have been found to be good indicators of mental illness.
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  • in developed countries, major and minor mental illnesses were three times as common in societies where there were bigger income differences between rich and poor. In other words, an American is likely to know three times as many people with depression or anxiety problems as someone in Japan or Germany.
  • One, looking at the 50 American states, discovered that after taking account of age, income and educational differences, depression was more common in states with greater income inequality
  • schizophrenia was about three times as common in more unequal societies as it was in more equal ones.
  • a wide range of mental disorders might originate in a “dominance behavioral system.” This part of our evolved psychological makeup, almost universal in mammals, enables us to recognize and respond to social ranking systems based on hierarchy and power. One brain-imaging study discovered that there were particular areas of the brain and neural mechanisms dedicated to processing social rank.
  • psychiatric conditions like mania and narcissism are related to our striving for status and dominance, while disorders such as anxiety and depression may involve responses to the experience of subordination
  • how does increasing inequality factor in? One of the important effects of wider income differences between rich and poor is to intensify the issues of dominance and subordination, and feelings of superiority and inferiority.
  • A new study by Dublin-based researchers of 34,000 people in 31 countries found that in countries with bigger income differences, status anxiety was more common at all levels in the social hierarchy
  • self-enhancement or self-aggrandizement — the tendency to present an inflated view of oneself — occurred much more frequently in more unequal societies.
  • In the United States, research psychologists have shown that narcissism rates, as measured by a standard academic tool known as the Narcissistic Personality Inventory, rose rapidly from the later 1980s, which would appear to track the increases in inequality
  • as larger differences in material circumstances create greater social distances, feelings of superiority and inferiority increase. In short, growing inequality makes us all more neurotic about “image management” and how we are seen by others.
  • Humans instinctively know how to cooperate and create social ties, but we also know how to engage in status competition — how to be snobs and how to talk ourselves up. We use these alternative social strategies almost every day of our lives, but crucially, inequality shifts the balance between them.
  • we become less nice people in more unequal societies. But we are less nice and less happy: Greater inequality redoubles status anxiety, damaging our mental health and distorting our personalities — wherever we are on the social spectrum.
Javier E

Op-Ed Columnist - A Case of Mental Courage - NYTimes.com - 0 views

  • Burney’s struggle reminds one that character is not only moral, it is also mental. Heroism exists not only on the battlefield or in public but also inside the head, in the ability to face unpleasant thoughts. She lived at a time when people were more conscious of the fallen nature of men and women. People were held to be inherently sinful, and to be a decent person one had to struggle against one’s weakness.
  • much of the media, and even the academy, is more geared toward pleasuring consumers, not putting them on some arduous character-building regime.
  • Charlie Munger of Berkshire Hathaway once gave a speech called “The Psychology of Human Misjudgment.” He and others list our natural weaknesses: We have confirmation bias; we pick out evidence that supports our views. We are cognitive misers; we try to think as little as possible. We are herd thinkers and conform our perceptions to fit in with the group. But, in general, the culture places less emphasis on the need to struggle against one’s own mental feebleness. Today’s culture is better in most ways, but in this way it is worse.
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  • there’s a metacognition deficit. Very few in public life habitually step back and think about the weakness in their own thinking and what they should do to compensate.
  • Of the problems that afflict the country, this is the underlying one.
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    Today's culture abets mental feebleness.
lucieperloff

Suicide and Self-Harm: Bereaved Families Count the Costs of Lockdowns - The New York Times - 0 views

  • But as lockdowns in Britain dragged on and no job emerged, the young man grew cynical and self-conscious
  • He and his mother contracted the coronavirus in January, forcing them to quarantine in their small London apartment for over two weeks. Concerned by things he was saying, friends raised the alarm and referred him to mental health services.
  • “He just sounded so deflated,” his sister said of their last conversation, adding that he said he felt imprisoned and longed to go outside.
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  • “But the job market is going to be constrained, and opportunities to build your life are going to be slimmer.”
  • there is a tally that experts say is harder to track: the psychological toll of months of isolation and global suffering, which for some has proved fatal.
  • Mental health experts say prolonged symptoms of depression and anxiety may prompt risky behaviors that lead to self-harm, accidents, or even death, especially among young people.
  • the psychological fallout of the pandemic could unfold for months, or even years, public health officials say, with young people among the most affected.
  • “Mental health has become a buzzword during the pandemic, and we need to keep it that way,”
  • restrictions were hitting disadvantaged groups, including many young people, harder.
  • “It’s not just people dying in a hospital — it’s people dying inside.”
  • “They may be tempted to consume more drugs or drink more alcohol, and may have less physical activity, all of which can contribute to symptoms of depression, anxiety and poor sleep.”
  • ‘Depressed? I don’t know what depressed is, I don’t think I am. I feel bored, but I don’t feel depressed,’”
  • Mr. Remmers said his son’s death was caused by a combination of carbon monoxide poisoning and drugs.
  • But the pandemic, he added, “provided a context in which things become possible, and which may have otherwise not happened.”
  • It is unclear, the organization says, whether this is a sign of more people experiencing more suicidal thoughts or symptoms of mental health issues, or if people now feel more comfortable reaching out for help.
  • “Lockdown put Lily in physical and emotional situations she would never have in normal times,”
  • “It’s OK for a young child to fall over and let their parents know that their knee hurts,” Ms. Arkwright said. “This same attitude needs to be extended to mental health.”
  • “Even the need to reach out to a help-line shows resilience,”
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