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katherineharron

How to be a human lie detector of fake news - CNN - 0 views

  • Fake news existed long before the internet. In an essay on political lying in the early 18th century, the writer Jonathan Swift noted that "Falsehood flies and the truth comes limping after it." You have to hire a train to pull the truth, explained English pastor Charles Spurgeon in the 19th century, while a lie is "light as a feather ... a breath will carry it."
  • MIT researchers recently studied more than 10 years' worth of data on the most shared stories on Facebook. Their study covered conspiracy theories about the Boston bombings, misleading reports on natural disasters, unfounded business rumors and incorrect scientific claims. There is an inundation of false medical advice online, for example, that encourages people to avoid life-saving treatments such as vaccines and promotes unproven therapies. (Gwyneth Paltrow's Goop is just one example.)
  • The psychological research does, however, offer us a silver lining to this storm cloud, with various experiments demonstrating that people can learn to be better lie detectors with a little training in critical thinking.
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  • If you would like to improve your own lie detection, a good first step is to learn the common logical fallacies -- red herrings, appeals to ignorance, straw men and "ad populum" appeals to the bandwagon -- that purveyors of misinformation may use to create the illusion of truth.
  • These efforts are often called "inoculations," since they use a real-life example in one domain to teach people about the strategies used to spread lies and therefore equipping people to spot them more easily. Educating people about the tobacco industry's attempts to question the medical consensus on smoking, for example, led people to be more skeptical of articles denying climate change, according to one study.
  • Another project aimed to inoculate students at North Carolina State University in Raleigh, involved a course on misinformation throughout history. The class was taught about everything from the myth that aliens somehow built the Egyptian pyramids to the theories that NASA's moon landings were faked. Along the way, the students had to identify the erroneous logic that helped create the arguments, and the motivations that may lead some people to spread those ideas.
  • You could also try basic strategies such as cross-checking different outlets and finding the original source of a claim. You might also look at independent fact-checking websites used in the MIT study such as Snopes, PolitiFact and TruthOrFiction.com.
  • The psychological literature offers us one good strategy against bias, called the "consider the opposite" method. This involves asking yourself whether you would have been so credulous of a claim if its opinions had differed from your own. And if not, what kind of additional scrutiny might you have applied? This should help you to identify the weaknesses in your own thinking.
  • Falsehoods may fly, but with this lie detection kit, you can better ensure your actions and beliefs remain grounded in the truth.
anniina03

A.I. Comes to the Operating Room - The New York Times - 0 views

  • Brain surgeons are bringing artificial intelligence and new imaging techniques into the operating room, to diagnose tumors as accurately as pathologists, and much faster, according to a report in the journal Nature Medicine.
  • The traditional method, which requires sending the tissue to a lab, freezing and staining it, then peering at it through a microscope, takes 20 to 30 minutes or longer. The new technique takes two and a half minutes.
  • In addition to speeding up the process, the new technique can also detect some details that traditional methods may miss, like the spread of a tumor along nerve fibers
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  • The new process may also help in other procedures where doctors need to analyze tissue while they are still operating, such as head and neck, breast, skin and gynecologic surgery, the report said. It also noted that there is a shortage of neuropathologists, and suggested that the new technology might help fill the gap in medical centers that lack the specialty. Video Advertisement LIVE 00:00 1:05
  • Algorithms are also being developed to help detect lung cancers on CT scans, diagnose eye disease in people with diabetes and find cancer on microscope slides.
  • The diagnoses were later judged right or wrong based on whether they agreed with the findings of lengthier and more extensive tests performed after the surgery.The result was a draw: humans, 93.9 percent correct; A.I., 94.6 percent.
  • At some centers, he said, brain surgeons do not even order frozen sections because they do not trust them and prefer to wait for tissue processing after the surgery, which may take weeks to complete.
  • Some types of brain tumor are so rare that there is not enough data on them to train an A.I. system, so the system in the study was designed to essentially toss out samples it could not identify.
  • “It won’t change brain surgery,” he said, “but it’s going to add a significant new tool, more significant than they’ve stated.”
katherineharron

With just one ICU bed available, Montgomery, Alabama, is sending sick patients to Birmingham - CNN - 0 views

  • The city of Montgomery, Alabama, which has only one intensive care unit bed left, is sending sick patients to Birmingham, more than an hour away, officials said.
  • "Right now, if you are from Montgomery, and you need an ICU bed, you are in trouble," Reed said at a press conference. "If you're from central Alabama, and you need an ICU bed, you may not be able to get one."
  • Alabama had 13,288 confirmed Covid-19 cases as of Thursday afternoon, according to Johns Hopkins University data. At least 528 people have died. That's 2,358 more cases than reported the same time last week. At that time, 450 deaths had been reported.
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  • "This is a serious matter and we have to maintain our practices even as many people are relaxing restrictions and the economy is opening back up," Reed said in a phone interview.
  • Social distancing and masks "really work," she said.
  • Most states across the country can ease some restrictions safely, but projects spikes in areas that have broadly reopened early, according to the model put together by a team at the Children's Hospital of Philadelphia and the University of Pennsylvania.
  • "While our models show that rising temperatures and humidity levels are having an impact on reducing the spread of Covid-19, those hot, humid days of summer are not going to eliminate the threat of virus resurgence," said PolicyLab's Dr. Gregory Tasian, senior scholar in the Center for Clinical Epidemiology and Biostatistics at the University of Pennsylvania's Perelman School of Medicine.
  • Jefferson County, where Birmingham is located, had 1,453 confirmed cases as of Thursday, according to the state's health department data -- which is a jump of 35% from the 1,075 cases reported two weeks ago. The county has had 85 deaths attributed to Covid-19.
  • As of May 11, restaurants and bars were allowed to serve customers on site, gyms and athletic facilities, hair and nail salons and barber shops were allowed to open. Groups of any size are allowed, as long as the 6 feet distance guidance is followed.
katherineharron

Lawmakers around the nation are proposing bills for -- and against -- vaccinations - CNN - 0 views

  • At a time when almost everything is politicized, vaccination has planted itself squarely on the national stage.
  • On one side of the debate are parents who are rebelling against settled science and calling on states to broaden vaccine exemptions. They cite their faith or believe vaccines pose danger to their children, even though no major religion opposes them and claims of vaccines' link to autism has been long debunked.
  • "I won't be surprised if we see many pro-vaccine bills this year," said Dr. Sean O'Leary, a member of the American Academy of Pediatrics Committee on Infectious Diseases. "The measles outbreaks were really a wake-up call, showing legislators that maintaining high vaccination rates is not just a theoretical goal."
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  • An overwhelming majority of American adults (88%) say the benefits of the measles, mumps and rubella (MMR) vaccine outweigh the risks, according to a new Pew Research Center survey.And last year, 14 states proposed eliminating religious exemptions for vaccines -- a marked increase from years past, according to the American Academy of Pediatrics.
  • "When you choose not to vaccinate, you're putting your child at risk of disease, but you're also putting other people at risk," O'Leary said.
  • "We need to have the ability in our country, if we find a commercial pharmaceutical product is not as safe and effective as we're being told it is, we should have the right to make informed consent to use the product," she said.
  • "Science is really on the side of vaccinations," said O'Leary, who is an associate professor of pediatrics at the University of Colorado School of Medicine. "They're one of the best public health interventions in history in terms of the numbers of lives saved. The benefits far outweigh the risk."
  • "When vaccination rates fall, we see disease, and people suffer. Protecting children in schools is a worthy goal of government, regardless of political affiliation," he said. "There's really no good reason to exempt your child from vaccination -- only medical."
  • New York, California and Washington state took action after massive measles outbreaks in 2019, a year that saw the highest reported measles cases since the disease was declared eliminated nationwide in 2000.
  • Many of the religious exemption laws are not new. Several states first passed them in the 1960s and 1970s, thanks to an influx of lobbyists from the Christian Science Church, which doesn't ban members from using vaccines but encourages healing through prayer.
  • Supporters of vaccine exemptions see laws like those passed in New York and Washington as "fundamentally a threat to their ability to make informed consent about vaccinations," said Fisher, president of the National Vaccine Information Center.
  • Proponents on both sides of the debate have found allies across the political spectrum. Republican lawmakers have sponsored stricter bills, and Democratic governors have drawn the line at mandating vaccines.
  • "It's a tough balance, but you're using a public -- and private -- resource in conjunction with lots of other kids," Harris told CNN. "There are other venues where they can be educated, they can still have their freedom, but they're not going into a public school and spread their disease."
krystalxu

Decision Making: Why do we make the wrong choices although we are aware of the right ones? - Quora - 0 views

  • you blame yourself for not opting for 7 (which was available to you) forgetting that you would not have known that at time of buying the ticket.
  • Unknown Variables
  • two possibilities based on the information available.
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  • your estimation was not proven to be correct because the price fell as there were more people who were willing to sell than to buy.
  • It is wrong to blame yourself for something which you were not capable of knowing at the time of making decisions.
  • Competitive Atmosphere
  • We win or lose not only on the basis of  how good or bad we performed but also how good or bad our competitors performed.
  • t is futile to blame yourself or the organization in case your expectations are not fulfilled.
  • Compatibility Issues
  • Hasty Decisions
  • We often take decisions based on impulse rather than careful analysis of the pros and cons of taking decisions. 
  • you may have to repent in leisure.
  • You can avoid much failure if you decide after due analysis and due consideration.
  • Choosing Soft Options
  • There is no inherent reason why medicines should taste horrible — but effective ones usually do. Similarly, there is no inherent reason why decisions should be distasteful — but most effective ones are.” 
  • you are sure to pay the price later for buying immediate peace.
blythewallick

You're Only as Old as You Feel - The New York Times - 0 views

  • Simply asking people how old they feel may tell you a lot about their health and well-being.
  • “I don’t know if she dropped something and had to pick it up, or if her shoe was untied,” Ms. Heller said, but she eagerly bounded over to help. The woman blamed old age for her incapacity, explaining that she was 70. But Ms. Heller was 71.“This woman felt every bit her age,” she recalled. “I don’t let age stop me. I think it’s a mind-set, really.”
  • People with a healthy lifestyle and living conditions and a fortunate genetic inheritance tend to score “younger” on these assessments and are said to have a lower “biological age.” But there’s a much easier way to determine the shape people are in. It’s called “subjective age.”
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  • When scientists ask: “How old do you feel, most of the time?” the answer tends to reflect the state of people’s physical and mental health. “This simple question seems to be particularly powerful,” says Antonio Terracciano, a professor of geriatrics at Florida State University College of Medicine in Tallahassee.Sign up for the Well NewsletterGet the best of Well, with the latest on health, fitness and nutrition.Sign Up* Captcha is incomplete. Please try again.Thank you for subscribingYou can also view our other newsletters or visit your account to opt out or manage email preferences.An error has occurred. Please try again later.You are already subscribed to this email.View all New York Times newsletters.
  • Scientists are finding that people who feel younger than their chronological age are typically healthier and more psychologically resilient than those who feel older. They perform better on memory tasks and are at lower risk of cognitive decline.
  • If you’re over 40, chances are you feel younger than your driver’s license suggests. Some 80 percent of people do, according to Dr. Stephan. A small fraction of people — fewer than 10 percent — feel older.
  • At age 50, people may feel about five years, or 10 percent, younger, but by the time they’re 70 they may feel 15 percent or even 20 percent younger.
  • In a 2018 German study, investigators asked people in their 60s, 70s and early 80s how old they felt, then measured their walking speed in two settings. Participants walked 20 feet in the laboratory while being observed and timed. They also wore belts containing an accelerometer while out and about in their daily lives. Those who reported feeling younger tended to walk faster during the lab assessment. But feeling younger had no impact on their walking speed in real life.
  • Indeed, in cultures where elders are respected for their wisdom and experience, people don’t even understand the concept of subjective age, he said. When a graduate student of Dr. Weiss’s did research in Jordan, the people he spoke with “would say, ‘I’m 80. I don’t know what you mean by ‘How old do I feel?’”
  • As we age, we tend to become generally happier and more satisfied, said Dr. Tracey Gendron, a gerontologist at Virginia Commonwealth University who questions the whole notion of subjective age research
  • “Older age is a time that we can actually look forward to. People really just enjoy themselves more and are at peace with who they are. I would love for everyone to say their age at every year and celebrate it.”
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."
manhefnawi

Two New Studies Explore the Neuroscience of Negative Emotions | Mental Floss - 0 views

  • We've all had experiences we'd prefer not to remember. That's especially true for people who have gone through a traumatic event such as childhood abuse, combat-related PTSD, or a bad accident. But there may be positive health applications for identifying, predicting, and retrieving negative emotions in the brain, according to two new studies. 
  • Researchers identified the different networks in the brain that all work together during a participant’s negative emotional experience, which they call a “brain signature.” Then, they used machine-learning algorithms to find global patterns of brain activity that best predicted the participants’ responses. “What we’re calling a 'brain signature' is basically a configuration—a brain pattern that is predictive of a state,” Chang tells mental_floss. He compares the process to the way that Netflix predicts who is watching a certain type of show based on the watcher’s choices in programming.
  • MEMORIES CAUSED—AND LOST—BY TRAUMA
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  • Many psychologists believe that in order for patients to recover from trauma, they often need to be able to recall what happened to them. The second study, published in Nature Neuroscience, investigated how the brain stores negative memories, known as “state-dependent learning.” The study, conducted in mice at Northwestern University’s Feinberg School of Medicine, suggests that negative memories caused—and then “lost”—by traumatic experiences may be retrieved by re-creating the state of the brain in which the memory first occurred.
  • The study suggests that in response to trauma, the brain activates this extra-synaptic GABA system, which appears to encode memories of fear-inducing events and hide them away from consciousness, rather than the glutamate system, which helps to store all memories, positive and negative. This research may provide a window into how to access these traumatic memories when needed for therapeutic reasons.
Javier E

This Time-Management Trick Changed My Whole Relationship With Time - The New York Times - 0 views

  • A couple of years ago I was told a rumor about a notable artist who would break up everything she did, from making films in the day to running her studio in the afternoon to reading books in the evening, into intervals of 25 minutes, with five-minute breaks in between — 25 minutes on, five minutes off, over and over again.
  • the Pomodoro technique. Invented by Francesco Cirillo, a student at Rome’s Luiss Business School in the late 1980s, it’s a time-management method that takes its name from the tomato-shaped kitchen timer he used to regulate its core process, breaking the day into brief intervals
  • A pomodoro, once started, must not be interrupted, otherwise it has to be abandoned
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  • there is relief: You are not allowed to extend a pomodoro, either. After a set of four 25-minute intervals are completed, you’re supposed to take a longer break of 15 to 30 minutes before continuing.
  • It tells us when to start, and also when to stop; and now, more than ever, we have to be told when to stop.
  • An unquestioned assumption in our culture holds that the more hours spent on work — whether a passion project or office drudgery — the better we’ll perform and the more successful and happier we’ll be. What if none of that’s true?
  • Leisure time has also taken on a timeless, hypnotic quality lately. Everything our culture produces feels at once never-ending and meaningless — or perhaps meaningless because it’s never-ending.
  • An everlasting present expands around us in all directions, and it’s easy to get lost in there — all the more reason to set some boundaries.
  • Now that my breaks are short and fleeting, I think more carefully about what I’d like to do with them, and I’ve found it’s quite different from the unimaginative temptations I would otherwise default to
  • Instead I’ll make a sandwich, do a quick French lesson, reply to a few texts, have a shower, go to the laundromat; and such humdrum activities, now that they’re restricted, have become sources of great pleasure.
  • I’ve found that tackling a range of tasks in short bursts keeps things interesting and provides a more rounded life.
  • Variety is the sugar that helps the medicine go down; not the mirage of variety conjured by infinite scrolling content, by nearly a hundred different flavors of Oreos, but the genuine variety of pursuing different sorts of interests every day.
  • time-management techniques are for me a way of better understanding which things matter and which don’t.
  • time management makes time uncanny by revealing how it speeds up and slows down throughout the day, and how many different ways 25 minutes can feel;
  • it’s not an exaggeration to say that, by changing my relationship with and appreciation of time, the technique has brought me to some profound existential questions about whether I’m wasting my life — my fragile, fleeting life — on activities I neither care about nor enjoy
  • It has forced me to think about what I’d most like to be doing every day instead. It has made me see time afresh — as something we really don’t have enough of, as something precious precisely because it’s ephemeral.
Javier E

Opinion | How I Became Extremely Open-Minded - The New York Times - 0 views

  • This is a key dynamic in political as well as biomedical debates. The conspicuous elite failures in the last 20 years have driven many voters to outsider narratives, which blend plausible critiques of the system with outlandish paranoia.
  • But the insiders only see the paranoia, the QAnon shaman and his allies at the gates. So instead of reckoning with their own failures they pull up the epistemic drawbridge and assign fact checkers to patrol the walls. Which in turn confirms the outsiders in their belief that the establishment has essentially blinded itself, and only they have eyes to see.
  • What we need, I’m convinced, are more people and institutions that sustain a position somewhere in between. We need a worldview that recognizes that our establishment fails in all kinds of ways, that there’s a wider range of experiences than what fits within the current academic-bureaucratic lines … and yet at the same time still accepts the core achievements of modern science, treats populist information sources at least as skeptically as it treats establishment sources and refuses to drink the voter-fraud Kool-Aid that Sidney Powell and the MyPillow guy served to thirsty Trump supporters.
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  • when the next disaster or derailment comes along, in my own life or the life of our society, I hope that I will be ready to trust experts as far as it seems wise to trust them — while always being aware that there are more things under heaven than their philosophies encompass, and a lot of strange surprises lurking deep below the not-entirely-solid earth.
Javier E

Is Facebook Bad for You? It Is for About 360 Million Users, Company Surveys Suggest - WSJ - 0 views

  • Facebook FB 1.57% researchers have found that 1 in 8 of its users report engaging in compulsive use of social media that impacts their sleep, work, parenting or relationships, according to documents reviewed by The Wall Street Journal.
  • These patterns of what the company calls problematic use mirror what is popularly known as internet addiction. They were perceived by users to be worse on Facebook than any other major social-media platform
  • A Facebook team focused on user well-being suggested a range of fixes, and the company implemented some, building in optional features to encourage breaks from social media and to dial back the notifications that can serve as a lure to bring people back to the platform.
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  • Facebook shut down the team in late 2019.
  • “We have a role to play, which is why we’ve built tools and controls to help people manage when and how they use our services,” she said in the statement. “Furthermore, we have a dedicated team working across our platforms to better understand these issues and ensure people are using our apps in ways that are meaningful to them.”
  • They wrote that they don’t consider the behavior to be a clinical addiction because it doesn’t affect the brain in the same way as gambling or substance abuse. In one document, they noted that “activities like shopping, sex and Facebook use, when repetitive and excessive, may cause problems for some people.”
  • In March 2020, several months after the well-being team was dissolved, researchers who had been on the team shared a slide deck internally with some of the findings and encouraged other teams to pick up the work.
  • The researchers estimated these issues affect about 12.5% of the flagship app’s more than 2.9 billion users, or more than 360 million people. About 10% of users in the U.S., one of Facebook’s most lucrative markets, exhibit this behavior
  • In the Philippines and in India, which is the company’s largest market, the employees put the figure higher, at around 25%.
  • “Why should we care?” the researchers wrote in the slide deck. “People perceive the impact. In a comparative study with competitors, people perceived lower well-being and higher problematic use on Facebook compared to any other service.
  • Facebook’s findings are consistent with what many external researchers have observed for years,
  • said Brian Primack, a professor of public health and medicine and dean of the College of Education and Health Professions at the University of Arkansas
  • His research group followed about a thousand people over six months in a nationally representative survey and found that the amount of social media that a person used was the No. 1 predictor of the variables they measured for who became depressed.
  • In late 2017, a Facebook executive and a researcher wrote a public blog post that outlined some of the issues with social-media addiction. According to the post, the company had found that while passive consumption of social media could make you feel worse, the opposite was true of more active social-media use.
  • Inside Facebook, the researchers registered concern about the direction of Facebook’s focus on certain metrics, including the number of times a person logs into the app, which the company calls a session. “One of the worries with using sessions as a north star is we want to be extra careful not to game them by creating bad experiences for vulnerable populations,” a researcher wrote, referring to elements designed to draw people back to Facebook frequently, such as push notifications.
  • Facebook then made a switch to more heavily weigh “meaningful social interactions” in its news feed as a way to combat passive consumption. One side effect of that change, as outlined in a previous Journal article in The Facebook Files, was that the company’s algorithms rewarded content that was angry or sensational, because those posts increased engagement from users.
  • Facebook said any algorithm can promote objectionable or harmful content and that the company is doing its best to mitigate the problem.
  • “Every second that I wasn’t occupied by something I had to do I was fooling around on my phone scrolling through Facebook,” Ms. Gandy said. “Facebook took over my brain.”
  • “Actively interacting with people—especially sharing messages, posts and comments with close friends and reminiscing about past interactions—is linked to improvements in well-being,” the company said.
  • The well-being team, according to people familiar with the matter, was reshuffled at least twice since late 2017 before it was disbanded, and could get only about half of the resources the team requested to do its work.
  • In 2018, Facebook’s researchers surveyed 20,000 U.S. users and paired their answers with data about their behavior on Facebook. The researchers found about 3% of these users said they experienced “serious problems” in their sleep, work or relationships related to their time on Facebook that they found difficult to change. Some of the researchers’ work was published in a 2019 paper.
  • According to that study, the researchers also said that a liberal interpretation of the results would be that 14% of respondents spent “a lot more time on Facebook than they want to,” although they didn’t label this group problematic users.
  • In 2019, the researchers had come to a new figure: What they called problematic use affects 12.5% of people on Facebook, they said. This survey used a broader definition for the issue, including users who reported negative results on key aspects of their life as well as feelings of guilt or a loss of control, according to the documents.
  • The researchers also asked Facebook users what aspects of Facebook triggered them most. The users said the app’s many notifications sucked them in. “Red dots are toxic on the home screen,” a male young adult in the U.S. told the researchers, referring to the symbol that alerts a user to new content.
  • One entrepreneur came up with his own solution to some of these issues. In 2016, software developer Louis Barclay manually unfollowed all the people, pages and groups he saw on Facebook in an attempt to be more deliberate about how he used technology. The process, which isn’t the same as unfriending, took him days, but he was happy with the result: an empty newsfeed that no longer sucked him in for hours. He could still visit the profile pages of everyone he wanted to connect with on Facebook, but their content would no longer appear in the never-ending scroll of posts.
  • Thinking other people might benefit from a similar experience on Facebook, he built a tool that would enable anyone to automate the process. He created it as a piece of add-on software called a browser extension that anyone could download. He called it Unfollow Everything and made it available on Chrome’s web store free of charge.
  • In July, Facebook sent Mr. Barclay a cease-and-desist letter, which the inventor earlier wrote about for Slate, saying his tool was a breach of its terms of service for automating user interactions. It also permanently disabled Mr. Barclay’s personal Facebook and Instagram accounts.
  • Ms. Lever, the company spokeswoman, said Mr. Barclay’s extension could pose risks if abused, and said Facebook offers its own unfollow tool that allows users to manually unfollow accounts.
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.”
peterconnelly

'Quantum Internet' Inches Closer With Advance in Data Teleportation - The New York Times - 0 views

  • From Santa Barbara, Calif., to Hefei, China, scientists are developing a new kind of computer that will make today’s machines look like toys.
  • the technology will perform tasks in minutes that even supercomputers could not complete in thousands of years.
  • The new experiment indicates that scientists can stretch a quantum network across an increasingly large number of sites. “We are now building small quantum networks in the lab,” said Ronald Hanson
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  • Quantum teleportation — what he called “spooky action at a distance” — can transfer information between locations without actually moving the physical matter that holds it.
  • This technology could profoundly change the way data travels from place to place. It draws on more than a century of research involving quantum mechanics, a field of physics that governs the subatomic realm and behaves unlike anything we experience in our everyday lives. Quantum teleportation not only moves data between quantum computers, but it also does so in such a way that no one can intercept it.
  • These entangled systems could be electrons, particles of light or other objects. In the Netherlands, Dr. Hanson and his team used what is called a nitrogen vacancy center — a tiny empty space in a synthetic diamond in which electrons can be trapped.
  • Traditional computers perform calculations by processing “bits” of information, with each bit holding either a 1 or a 0. By harnessing the strange behavior of quantum mechanics, a quantum bit, or qubit, can store a combination of 1 and 0 — a little like how a spinning coin holds the tantalizing possibility that it will turn up either heads or tails when it finally falls flat on the table.
  • Researchers believe these devices could one day speed the creation of new medicines, power advances in artificial intelligence and summarily crack the encryption that protects computers vital to national security. Across the globe, governments, academic labs, start-ups and tech giants are spending billions of dollars exploring the technology.
  • Although it cannot move objects from place to place, it can move information by taking advantage of a quantum property called “entanglement”: A change in the state of one quantum system instantaneously affects the state of another, distant one.
  • “It does not work that way today. Google knows what you are running on its servers.”
  • The information also cannot be intercepted. A future quantum internet, powered by quantum teleportation, could provide a new kind of encryption that is theoretically unbreakable.
Javier E

"Falsehood Flies, And Truth Comes Limping After It" - 0 views

  • “I traced a throughline: from Sandy Hook to Pizzagate to QAnon to Charlottesville and the coronavirus myths to the election lie that brought violence to the Capitol on January 6th,” she told Vox earlier this year. “I started to understand how individuals, for reasons of ideology or social status, tribalism, or for profit, were willing to reject established truths, and how once they’d done that, it was incredibly difficult to persuade them otherwise.”
  • She describes the 2012 mass shooting in Newtown, CT as “a foundational moment in the world of misinformation and disinformation that we now live in.”
  • the NYT’s Elizabeth Williamson about her book, Sandy Hook: An American Tragedy and the Battle for Truth, which was recently named one of the best books of 2022 by Publishers Weekly.
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  • “The struggle to defend objective truth against people who consciously choose to deny or distort it has become a fight to defend our society, and democracy itself.”
  • Jonathan Swift, it’s worth noting that he was not an optimist about “truth.”
  • By the time a lie is refuted, he wrote, “it is too late; the jest is over, and the tale has had its effect: like a man, who has thought of a good repartee, when the discourse is changed, or the company parted; or like a physician, who has found out an infallible medicine, after the patient is dead.'“
  • “Considering that natural disposition in many men to lie, and in multitudes to believe,” he wrote in 1710, “I have been perplexed what to do with that maxim so frequent in every body's mouth; that truth will at last prevail.
  • A recent Washington Post tally found that nearly 300 Republicans running for congressional and state offices are election deniers. That means, as a FiveThirtyEight analysis found, 60 percent of Americans will have at least one election denier on their ballot next week.
  • In a new USA Today/Suffolk University poll, 63 percent of Republicans say they worry “the election results could be manipulated.”
  • From the New York Times: When asked, six Trump-backed Republican nominees for governor and the Senate in midterm battlegrounds would not commit to accepting this year’s election results.
  • The big mistake people have made is in assuming this could blow up only in an extensive struggle in 2024 and perhaps involving Donald Trump. What seems entirely unanticipated, yet is extremely predictable, is that smaller skirmishes could break out all over the country this year.
  • Democrats have got themselves in a situation where the head of their party holds the most popular position on guns and crime—and yet they’re getting crushed on the issue because they’ve let GOP campaign ads, the right wing media ecosystem, and assorted progressive big city prosecutors shape the narrative on the issue rather than doing so themselves.
Javier E

There Is More to Us Than Just Our Brains - The New York Times - 0 views

  • we are less like data processing machines and more like soft-bodied mollusks, picking up cues from within and without and transforming ourselves accordingly.
  • Still, we “insist that the brain is the sole locus of thinking, a cordoned-off space where cognition happens, much as the workings of my laptop are sealed inside its aluminum case,”
  • We get constant messages about what’s going on inside our bodies, sensations we can either attend to or ignore. And we belong to tribes that cosset and guide us
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  • we’re networked organisms who move around in shifting surroundings, environments that have the power to transform our thinking
  • Annie Murphy Paul’s new book, “The Extended Mind,” which exhorts us to use our entire bodies, our surroundings and our relationships to “think outside the brain.”
  • In 2011, she published “Origins,” which focused on all the ways we are shaped by the environment, before birth and minute to minute thereafter.
  • “In the nature-nurture dynamic, nurture begins at the time of conception. The food the mother eats, the air she breathes, the water she drinks, the stress or trauma she experiences — all may affect her child for better or worse, over the decades to come.”
  • a down-to-earth take on the science of epigenetics — how environmental signals become catalysts for gene expression
  • the parallel to this latest book is that the boundaries we commonly assume to be fixed are actually squishy. The moment of a child’s birth, her I.Q. scores or fMRI snapshots of what’s going on inside her brain — all are encroached upon and influenced by outside forces.
  • awareness of our internal signals, such as exactly when our hearts beat, or how cold and clammy our hands are, can boost our performance at the poker table or in the financial markets, and even improve our pillow talk
  • “Though we typically think of the brain as telling the body what to do, just as much does the body guide the brain with an array of subtle nudges and prods. One psychologist has called this guide our ‘somatic rudder,’
  • The “body scan” aspect of mindfulness meditation that has been deployed by the behavioral medicine pioneer Jon Kabat-Zinn may help people lower their heart rates and blood pressure,
  • techniques that help us pinpoint their signals can foster well-being
  • Tania Singer has shown how the neural circuitry underlying compassion is strengthened by meditation practice
  • our thoughts “are powerfully shaped by the way we move our bodies.” Gestures help us understand spatial concepts; indeed, “without gesture as an aid, students may fail to understand spatial ideas at all,”
  • looking out on grassy expanses near loose clumps of trees and a source of water helps us solve problems. “Passive attention,” she writes, is “effortless: diffuse and unfocused, it floats from object to object, topic to topic. This is the kind of attention evoked by nature, with its murmuring sounds and fluid motions; psychologists working in the tradition of James call this state of mind ‘soft fascination.’”
  • The chapters on the ways natural and built spaces reflect universal preferences and enhance the thinking process felt like a respite
Javier E

Opinion | Do I Have to Floss My Teeth? The Science Is Inconclusive - The New York Times - 0 views

  • the more I learn about science, the more I discover basic mysteries that I assumed were solved long ago. Perhaps we’ve exited the Dark Ages, but our own age still seems rather dim.
  • How do you make sense of a world where the scientific sands are always shifting and where so much remains unknown? It’s taken me a long time, but I’ve made my peace with it by learning to hold everything loosely, to remain ever humble about what we do know and ever optimistic about what we will.
  • What sustains me now is neither certainty nor hopelessness, but a determined, humble optimism. The right answers are often simply unknown, and I might die without getting to know the truth
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  • It was hard to get there, because I had to learn over and over again that extreme conviction requires extraordinary evidence, and the evidence we have is usually far from extraordinary.
  • Just as we solved many of the mysteries that befuddled our ancestors, our descendants will solve many of the mysteries that befuddle us. Our ignorance is profound, forgivable and temporary. There are only two true errors: One is believing that we have no errors left to make, and the other is believing that those errors are permanent and irreversible.
  • It’s hard to maintain this attitude when you realize just how much we have left to figure out. And we often have to cultivate this attitude for ourselves, because our educators and experts often fail to give it to us.
  • Experts, for their part, are perfectly comfortable issuing blanket recommendations with scant evidence and then shaming people for not following them.
  • Our teachers and officials may think the public simply can’t handle uncertainty, and maybe that’s why they project so much confidence, even when the science is faulty. But the best way to cultivate informed citizens is to give them the evidence that we have, not the evidence we wish we had.
Javier E

Opinion | A New Dark Age Looms - The New York Times - 0 views

  • IMAGINE a future in which humanity’s accumulated wisdom about Earth — our vast experience with weather trends, fish spawning and migration patterns, plant pollination and much more — turns increasingly obsolete. As each decade passes, knowledge of Earth’s past becomes progressively less effective as a guide to the future. Civilization enters a dark age in its practical understanding of our planet.
  • as Earth warms, our historical understanding will turn obsolete faster than we can replace it with new knowledge. Some patterns will change significantly; others will be largely unaffected, though it will be difficult to say what will change, by how much, and when.
  • Until then, farmers will struggle to reliably predict new seasonal patterns and regularly plant the wrong crops. Early signs of major drought will go unrecognized, so costly irrigation will be built in the wrong places. Disruptive societal impacts will be widespread.
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  • Such a dark age is a growing possibility. In a recent report, the National Academies of Sciences, Engineering and Medicine concluded that human-caused global warming was already altering patterns of some extreme weather events
  • disrupting nature’s patterns could extend well beyond extreme weather, with far more pervasive impacts.
  • Our foundation of Earth knowledge, largely derived from historically observed patterns, has been central to society’s progress.
  • Science has accelerated this learning process through advanced observation methods and pattern discovery techniques. These allow us to anticipate the future with a consistency unimaginable to our ancestors
  • As Earth’s warming stabilizes, new patterns begin to appear. At first, they are confusing and hard to identify. Scientists note similarities to Earth’s emergence from the last ice age. These new patterns need many years — sometimes decades or more — to reveal themselves fully, even when monitored with our sophisticated observing systems
  • The list of possible disruptions is long and alarming. We could see changes to the prevalence of crop and human pests, like locust plagues set off by drought conditions; forest fire frequency; the dynamics of the predator-prey food chain; the identification and productivity of reliably arable land, and the predictability of agriculture output.
  • Historians of the next century will grasp the importance of this decline in our ability to predict the future. They may mark the coming decades of this century as the period during which humanity, despite rapid technological and scientific advances, achieved “peak knowledge” about the planet it occupies
  • The intermediate time period is our big challenge. Without substantial scientific breakthroughs, we will remain reliant on pattern-based methods for time periods between a month and a decade. The problem is, as the planet warms, these patterns will become increasingly difficult to discern.
  • The oceans, which play a major role in global weather patterns, will also see substantial changes as global temperatures rise. Ocean currents and circulation patterns evolve on time scales of decades and longer, and fisheries change in response. We lack reliable, physics-based models to tell us how this occurs
  • Civilization’s understanding of Earth has expanded enormously in recent decades, making humanity safer and more prosperous. As the patterns that we have come to expect are disrupted by warming temperatures, we will face huge challenges feeding a growing population and prospering within our planet’s finite resources. New developments in science offer our best hope for keeping up, but this is by no means guaranteed
  • Our grandchildren could grow up knowing less about the planet than we do today. This is not a legacy we want to leave them. Yet we are on the verge of ensuring this happens.
Javier E

The Sad Trombone Debate: The RNC Throws in the Towel and Gets Ready to Roll Over for Trump. Again. - 0 views

  • Death to the Internet
  • Yesterday Ben Thompson published a remarkable essay in which he more or less makes the case that the internet is a socially deleterious invention, that it will necessarily get more toxic, and that the best we can hope for is that it gets so bad, so fast, that everyone is shocked into turning away from it.
  • Ben writes the best and most insightful newsletter about technology and he has been, in all the years I’ve read him, a techno-optimist.
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  • this is like if Russell Moore came out and said that, on the whole, Christianity turns out to be a bad thing. It’s that big of a deal.
  • Thompson’s case centers around constraints and supply, particularly as they apply to content creation.
  • In the pre-internet days, creating and distributing content was relatively expensive, which placed content publishers—be they newspapers, or TV stations, or movie studios—high on the value chain.
  • The internet reduced distribution costs to zero and this shifted value away from publishers and over to aggregators: Suddenly it was more important to aggregate an audience—a la Google and Facebook—than to be a content creator.
  • Audiences were valuable; content was commoditized.
  • What has alarmed Thompson is that AI has now reduced the cost of creating content to zero.
  • what does the world look like when both the creation and distribution of content are zero?
  • Hellscape
  • We’re headed to a place where content is artificially created and distributed in such a way as to be tailored to a given user’s preferences. Which will be the equivalent of living in a hall of mirrors.
  • What does that mean for news? Nothing good.
  • It doesn’t really make sense to talk about “news media” because there are fundamental differences between publication models that are driven by scale.
  • So the challenges the New York Times face will be different than the challenges that NPR or your local paper face.
  • Two big takeaways:
  • (1) Ad-supported publications will not survive
  • Zero-cost for content creation combined with zero-cost distribution means an infinite supply of content. The more content you have, the more ad space exists—the lower ad prices go.
  • Actually, some ad-supported publications will survive. They just won’t be news. What will survive will be content mills that exist to serve ads specifically matched to targeted audiences.
  • (2) Size is determinative.
  • The New York Times has a moat by dint of its size. It will see the utility of its soft “news” sections decline in value, because AI is going to be better at creating cooking and style content than breaking hard news. But still, the NYT will be okay because it has pivoted hard into being a subscription-based service over the last decade.
  • At the other end of the spectrum, independent journalists should be okay. A lone reporter running a focused Substack who only needs four digits’ worth of subscribers to sustain them.
  • But everything in between? That’s a crapshoot.
  • Technology writers sometimes talk about the contrast between “builders” and “conservers” — roughly speaking, between those who are most animated by what we stand to gain from technology and those animated by what we stand to lose.
  • in our moment the builder and conserver types are proving quite mercurial. On issues ranging from Big Tech to medicine, human enhancement to technologies of governance, the politics of technology are in upheaval.
  • Dispositions are supposed to be basically fixed. So who would have thought that deep blue cities that yesterday were hotbeds of vaccine skepticism would today become pioneers of vaccine passports? Or that outlets that yesterday reported on science and tech developments in reverent tones would today make it their mission to unmask “tech bros”?
  • One way to understand this churn is that the builder and the conserver types each speak to real, contrasting features within human nature. Another way is that these types each pick out real, contrasting features of technology. Focusing strictly on one set of features or the other eventually becomes unstable, forcing the other back into view.
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.
Javier E

I Thought I Was Saving Trans Kids. Now I'm Blowing the Whistle. - 0 views

  • Soon after my arrival at the Transgender Center, I was struck by the lack of formal protocols for treatment. The center’s physician co-directors were essentially the sole authority.
  • At first, the patient population was tipped toward what used to be the “traditional” instance of a child with gender dysphoria: a boy, often quite young, who wanted to present as—who wanted to be—a girl. 
  • Until 2015 or so, a very small number of these boys comprised the population of pediatric gender dysphoria cases. Then, across the Western world, there began to be a dramatic increase in a new population: Teenage girls, many with no previous history of gender distress, suddenly declared they were transgender and demanded immediate treatment with testosterone. 
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  • The girls who came to us had many comorbidities: depression, anxiety, ADHD, eating disorders, obesity. Many were diagnosed with autism, or had autism-like symptoms. A report last year on a British pediatric transgender center found that about one-third of the patients referred there were on the autism spectrum.
  • This concerned me, but didn’t feel I was in the position to sound some kind of alarm back then. There was a team of about eight of us, and only one other person brought up the kinds of questions I had. Anyone who raised doubts ran the risk of being called a transphobe. 
  • I certainly saw this at the center. One of my jobs was to do intake for new patients and their families. When I started there were probably 10 such calls a month. When I left there were 50, and about 70 percent of the new patients were girls. Sometimes clusters of girls arrived from the same high school. 
  • There are no reliable studies showing this. Indeed, the experiences of many of the center’s patients prove how false these assertions are. 
  • The doctors privately recognized these false self-diagnoses as a manifestation of social contagion. They even acknowledged that suicide has an element of social contagion. But when I said the clusters of girls streaming into our service looked as if their gender issues might be a manifestation of social contagion, the doctors said gender identity reflected something innate.
  • To begin transitioning, the girls needed a letter of support from a therapist—usually one we recommended—who they had to see only once or twice for the green light. To make it more efficient for the therapists, we offered them a template for how to write a letter in support of transition. The next stop was a single visit to the endocrinologist for a testosterone prescription. 
  • When a female takes testosterone, the profound and permanent effects of the hormone can be seen in a matter of months. Voices drop, beards sprout, body fat is redistributed. Sexual interest explodes, aggression increases, and mood can be unpredictable. Our patients were told about some side effects, including sterility. But after working at the center, I came to believe that teenagers are simply not capable of fully grasping what it means to make the decision to become infertile while still a minor.
  • Many encounters with patients emphasized to me how little these young people understood the profound impacts changing gender would have on their bodies and minds. But the center downplayed the negative consequences, and emphasized the need for transition. As the center’s website said, “Left untreated, gender dysphoria has any number of consequences, from self-harm to suicide. But when you take away the gender dysphoria by allowing a child to be who he or she is, we’re noticing that goes away. The studies we have show these kids often wind up functioning psychosocially as well as or better than their peers.” 
  • Frequently, our patients declared they had disorders that no one believed they had. We had patients who said they had Tourette syndrome (but they didn’t); that they had tic disorders (but they didn’t); that they had multiple personalities (but they didn’t).
  • Here’s an example. On Friday, May 1, 2020, a colleague emailed me about a 15-year-old male patient: “Oh dear. I am concerned that [the patient] does not understand what Bicalutamide does.” I responded: “I don’t think that we start anything honestly right now.”
  • Bicalutamide is a medication used to treat metastatic prostate cancer, and one of its side effects is that it feminizes the bodies of men who take it, including the appearance of breasts. The center prescribed this cancer drug as a puberty blocker and feminizing agent for boys. As with most cancer drugs, bicalutamide has a long list of side effects, and this patient experienced one of them: liver toxicity. He was sent to another unit of the hospital for evaluation and immediately taken off the drug. Afterward, his mother sent an electronic message to the Transgender Center saying that we were lucky her family was not the type to sue.
  • How little patients understood what they were getting into was illustrated by a call we received at the center in 2020 from a 17-year-old biological female patient who was on testosterone. She said she was bleeding from the vagina. In less than an hour she had soaked through an extra heavy pad, her jeans, and a towel she had wrapped around her waist. The nurse at the center told her to go to the emergency room right away.
  • when there was a dispute between the parents, it seemed the center always took the side of the affirming parent.
  • Other girls were disturbed by the effects of testosterone on their clitoris, which enlarges and grows into what looks like a microphallus, or a tiny penis. I counseled one patient whose enlarged clitoris now extended below her vulva, and it chafed and rubbed painfully in her jeans. I advised her to get the kind of compression undergarments worn by biological men who dress to pass as female. At the end of the call I thought to myself, “Wow, we hurt this kid.”
  • There are rare conditions in which babies are born with atypical genitalia—cases that call for sophisticated care and compassion. But clinics like the one where I worked are creating a whole cohort of kids with atypical genitals—and most of these teens haven’t even had sex yet. They had no idea who they were going to be as adults. Yet all it took for them to permanently transform themselves was one or two short conversations with a therapist.
  • Being put on powerful doses of testosterone or estrogen—enough to try to trick your body into mimicking the opposite sex—-affects the rest of the body. I doubt that any parent who's ever consented to give their kid testosterone (a lifelong treatment) knows that they’re also possibly signing their kid up for blood pressure medication, cholesterol medication, and perhaps sleep apnea and diabetes. 
  • Besides teenage girls, another new group was referred to us: young people from the inpatient psychiatric unit, or the emergency department, of St. Louis Children’s Hospital. The mental health of these kids was deeply concerning—there were diagnoses like schizophrenia, PTSD, bipolar disorder, and more. Often they were already on a fistful of pharmaceuticals.
  • no matter how much suffering or pain a child had endured, or how little treatment and love they had received, our doctors viewed gender transition—even with all the expense and hardship it entailed—as the solution.
  • Another disturbing aspect of the center was its lack of regard for the rights of parents—and the extent to which doctors saw themselves as more informed decision-makers over the fate of these children.
  • We found out later this girl had had intercourse, and because testosterone thins the vaginal tissues, her vaginal canal had ripped open. She had to be sedated and given surgery to repair the damage. She wasn’t the only vaginal laceration case we heard about.
  • During the four years I worked at the clinic as a case manager—I was responsible for patient intake and oversight—around a thousand distressed young people came through our doors. The majority of them received hormone prescriptions that can have life-altering consequences—including sterility. 
  • I left the clinic in November of last year because I could no longer participate in what was happening there. By the time I departed, I was certain that the way the American medical system is treating these patients is the opposite of the promise we make to “do no harm.” Instead, we are permanently harming the vulnerable patients in our care.
  • Today I am speaking out. I am doing so knowing how toxic the public conversation is around this highly contentious issue—and the ways that my testimony might be misused. I am doing so knowing that I am putting myself at serious personal and professional risk.
  • Almost everyone in my life advised me to keep my head down. But I cannot in good conscience do so. Because what is happening to scores of children is far more important than my comfort. And what is happening to them is morally and medically appalling.
  • For almost four years, I worked at The Washington University School of Medicine Division of Infectious Diseases with teens and young adults who were HIV positive. Many of them were trans or otherwise gender nonconforming, and I could relate: Through childhood and adolescence, I did a lot of gender questioning myself. I’m now married to a transman, and together we are raising my two biological children from a previous marriage and three foster children we hope to adopt. 
  • The center’s working assumption was that the earlier you treat kids with gender dysphoria, the more anguish you can prevent later on. This premise was shared by the center’s doctors and therapists. Given their expertise, I assumed that abundant evidence backed this consensus. 
  • All that led me to a job in 2018 as a case manager at The Washington University Transgender Center at St. Louis Children's Hospital, which had been established a year earlier. 
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