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Javier E

By the Book: Charles Frazier Wants You to Wait Before Reading the Classics - The New Yo... - 0 views

www.nytimes.com/...ier-by-the-book-interview.html

book badness overrated dislike art quality evaluation context bias

shared by Javier E on 17 Apr 23 - No Cached
  • Disappointing, overrated, just not good: What book did you feel as if you were supposed to like, and didn’t? Do you remember the last book you put down without finishing?
  • If I’m really not enjoying a book, I bog down after 50 pages or so and stop. In those cases, I try to remind myself that not every book was written specifically for my tastes and that it’s best not to confuse my own preferences with gospel truth. I also find it useful to recognize that the writer may have spent years writing the book and knows it better — or at least deeper — than I do, so maybe the fault or flaw resides partially or completely in me.
Javier E

Opinion | Empathy Is Exhausting. There Is a Better Way. - The New York Times - 0 views

www.nytimes.com/...israel-war-empathy-pain.html

empathy compassion response indifference evil distress

shared by Javier E on 03 Jan 24 - No Cached
  • “What can I even do?”Many people are feeling similarly defeated, and many others are outraged by the political inaction that ensues. A Muslim colleague of mine said she was appalled to see so much indifference to the atrocities and innocent lives lost in Gaza and Israel. How could anyone just go on as if nothing had happened?
  • inaction isn’t always caused by apathy. It can also be the product of empathy. More specifically, it can be the result of what psychologists call empathic distress: hurting for others while feeling unable to help.
  • I felt it intensely this fall, as violence escalated abroad and anger echoed across the United States. Helpless as a teacher, unsure of how to protect my students from hostility and hate. Useless as a psychologist and writer, finding words too empty to offer any hope. Powerless as a parent, searching for ways to reassure my kids that the world is a safe place and most people are good. Soon I found myself avoiding the news altogether and changing the subject when war came up
  • ...22 more annotations...
  • Understanding how empathy can immobilize us like that is a critical step for helping others — and ourselves.
  • Early researchers labeled it compassion fatigue and described it as the cost of caring.
  • Having concluded that nothing they do will make a difference, they start to become indifferent.
  • The symptoms of empathic distress were originally diagnosed in health care, with nurses and doctors who appeared to become insensitive to the pain of their patients.
  • Empathic distress explains why many people have checked out in the wake of these tragedies
  • when two neuroscientists, Olga Klimecki and Tania Singer, reviewed the evidence, they discovered that “compassion fatigue” is a misnomer. Caring itself is not costly. What drains people is not merely witnessing others’ pain but feeling incapable of alleviating it.
  • In times of sustained anguish, empathy is a recipe for more distress, and in some cases even depression. What we need instead is compassion.
  • empathy and compassion aren’t the same. Empathy absorbs others’ emotions as your own: “I’m hurting for you.”
  • Compassion focuses your action on their emotions: “I see that you’re hurting, and I’m here for you.”
  • “Empathy is biased,” the psychologist Paul Bloom writes. It’s something we usually reserve for our own group, and in that sense, it can even be “a powerful force for war and atrocity.”
  • Dr. Singer and their colleagues trained people to empathize by trying to feel other people’s pain. When the participants saw someone suffering, it activated a neural network that would light up if they themselves were in pain. It hurt. And when people can’t help, they escape the pain by withdrawing.
  • To combat this, the Klimecki and Singer team taught their participants to respond with compassion rather than empathy — focusing not on sharing others’ pain but on noticing their feelings and offering comfort.
  • A different neural network lit up, one associated with affiliation and social connection. This is why a growing body of evidence suggests that compassion is healthier for you and kinder to others than empathy:
  • When you see others in pain, instead of causing you to get overloaded and retreat, compassion motivates you to reach out and help
  • The most basic form of compassion is not assuaging distress but acknowledging it.
  • in my research, I’ve found that being helpful has a secondary benefit: It’s an antidote to feeling helpless.
  • To figure out who needs your support after something terrible happens, the psychologist Susan Silk suggests picturing a dart board, with the people closest to the trauma in the bull’s-eye and those more peripherally affected in the outer rings.
  • Once you’ve figured out where you belong on the dart board, look for support from people outside your ring, and offer it to people closer to the center.
  • Even if people aren’t personally in the line of fire, attacks targeting members of a specific group can shatter a whole population’s sense of security.
  • If you notice that people in your life seem disengaged around an issue that matters to you, it’s worth considering whose pain they might be carrying.
  • Instead of demanding that they do more, it may be time to show them compassion — and help them find compassion for themselves, too.
  • Your small gesture of kindness won’t end the crisis in the Middle East, but it can help someone else. And that can give you the strength to help more.
Javier E

Opinion | The Question of Transgender Care - The New York Times - 0 views

www.nytimes.com/...nsgender-care-cass-report.html

epistemic bubble evidence ethic belief trans debate humility research

shared by Javier E on 19 Apr 24 - No Cached
  • Doctors and researchers have proposed various theories to try to explain these trends. One is that greater social acceptance of trans people has enabled people to seek these therapies. Another is that teenagers are being influenced by the popularity of searching and experimenting around identity. A third is that the rise of teen mental health issues may be contributing to gender dysphoria.
  • Some activists and medical practitioners on the left have come to see the surge in requests for medical transitioning as a piece of the new civil rights issue of our time — offering recognition to people of all gender identities.
  • Transition through medical interventions was embraced by providers in the United States and Europe after a pair of small Dutch studies showed that such treatment improved patients’ well-being
  • ...11 more annotations...
  • a 2022 Reuters investigation found that some American clinics were quite aggressive with treatment: None of the 18 U.S. clinics that Reuters looked at performed long assessments on their patients, and some prescribed puberty blockers on the first visit.
  • As Cass writes in her report, “The toxicity of the debate is exceptional.” She continues, “There are few other areas of health care where professionals are so afraid to openly discuss their views, where people are vilified on social media and where name-calling echoes the worst bullying behavior.”
  • The report’s greatest strength is its epistemic humility. Cass is continually asking, “What do we really know?” She is carefully examining the various studies — which are high quality, which are not. She is down in the academic weeds.
  • he notes that the quality of the research in this field is poor. The current treatments are “built on shaky foundations,” she writes in The BMJ. Practitioners have raced ahead with therapies when we don’t know what the effects will be. As Cass tells The BMJ, “I can’t think of another area of pediatric care where we give young people a potentially irreversible treatment and have no idea what happens to them in adulthood.”
  • She writes in her report, “The option to provide masculinizing/feminizing hormones from age 16 is available, but the review would recommend extreme caution.
  • her core conclusion is this: “For most young people, a medical pathway will not be the best way to manage their gender-related distress.” She realizes that this conclusion will not please many of the young people she has come to know, but this is where the evidence has taken her.
  • In 1877 a British philosopher and mathematician named William Kingdon Clifford published an essay called “The Ethics of Belief.” In it he argued that if a shipowner ignored evidence that his craft had problems and sent the ship to sea having convinced himself it was safe, then of course we would blame him if the ship went down and all aboard were lost. To have a belief is to bear responsibility, and one thus has a moral responsibility to dig arduously into the evidence, avoid ideological thinking and take into account self-serving biases.
  • “It is wrong always, everywhere, and for anyone, to believe anything upon insufficient evidence,” Clifford wrote
  • A belief, he continued, is a public possession. If too many people believe things without evidence, “the danger to society is not merely that it should believe wrong things, though that is great enough; but that it should become credulous, and lose the habit of testing things and inquiring into them; for then it must sink back into savagery.”
  • Since the Trump years, this habit of not consulting the evidence has become the underlying crisis in so many realms. People segregate into intellectually cohesive teams, which are always dumber than intellectually diverse teams. Issues are settled by intimidation, not evidence
  • Our natural human tendency is to be too confident in our knowledge, too quick to ignore contrary evidence. But these days it has become acceptable to luxuriate in those epistemic shortcomings, not to struggle against them. See, for example, the modern Republican Party.
Javier E

Synthetic Thinking | Jerome Groopman | The New York Review of Books - 0 views

www.nybooks.com/...hetic-thinking-jerome-groopman

medicine political theory writing synthesis progress adaptation identity

shared by Javier E on 27 Apr 24 - No Cached
  • Did you hope to combine chemistry and political philosophy in some way in your medical career?
  • Chemistry requires synthetic thinking. You have to bring disparate pieces of knowledge together in order to look for a chemical structure. Political philosophy, to some degree, also involves disparate aspects of knowledge: economics, sociology, history, pure philosophy
  • I found that in medicine, you don’t have an answer when you start out. You’re looking for clues that are often distributed in different places: family history, as there might be a genetic predisposition; social history, because the person smoked or was exposed to a toxin; the physical examination, where you find that an organ might be disordered. Add to that the blood test, the CAT scan, all of it, but most importantly, the person, the psychology of the person you’re dealing with. It’s the same kind of synthetic process as political philosophy, but in a different dimension.
  • ...8 more annotations...
  • Writing, especially the kind of writing that I do, brings together narrative, science, sometimes history, and an appreciation for the person who might be at the center of the narrative.
  • The greatest influence on me was Oliver Sacks, because he could capture people as people, and he always integrated serious science into his pieces.
  • The two subjects that were most prominent for him, as I once wrote for you, were identity and adaptation: Who is this person, despite their illness? How does that illness interface with their behavior and their decisions, how do people perceive them from the outside, and how do they try to find meaning and adapt to what looks like a disability, but sometimes—not always, but sometimes—gives them hidden strength?
  • I’ve gone from witnessing the depths of disability and death, like with AIDS: I saw some of the first people with AIDS in California, in 1982 or so. The average lifespan was six months. They were mostly young gay men, and it was devastating, the infections they got, the cancers they got. Now, with all the new drugs that have been developed, someone who gets HIV is projected to have a normal lifespan. From six months to fifty years: it’s miraculous
  • that’s part of what keeps you going: the belief that things can advance in a meaningful way.
  • Are there any major or interesting medical stories that the public doesn’t know enough about? 
  • The idea of genetic treatments. Often when people hear the words “genetics” or “DNA” or “RNA,” they shut down. The challenge is how to make it accessible.
  • There’s a wonderful line in the Talmud that says, “Whoever saves a single life saves the whole world.” There might be only a few hundred people in the whole country who have a particular genetic disorder. I
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