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Category: Psycho-Excursions (Page 1 of 3)

Hypnosis, Placebo, TikTok Tics: “Its All in Your Mind!”

Hypnosis

Consider hypnosis. We engage in a relatively brief exchange with a stranger who possesses some measure of authority. As a result, we become capable of feats that are usually considered impossible: parts of our body are “anesthetized,” and surgery can be performed without pain; untreatable warts and congenital skin disorders disappear; wounds heal faster; surgical blood loss is greatly reduced. We undergo auditory, visual, and proprioceptive disorientation, experience visions that are perceived as real and lose our sense of volition. Suggestions can be made under hypnosis that we subsequently enact, post-hypnosis, but attribute the impetus for the actions to ourselves, with no memory of it having been suggested.

Almost everything we hold sacred and inviolate about ourselves is upended in hypnosis. The sinews that hold us together are all severed: our sense of continuity in time (i.e., memory), our grounding in the material world (i.e., perception), our compelling sense of personal agency (i.e., volition), and the boundaries of our physical capacities (i.e., pain tolerance, wound healing, curing skin disorders). What is the cause? An interpersonal exchange. That’s it. The lack of a physical cause that can be objectively measured is why hypnosis has been rejected by the biomedical profession for 250 years—hypnosis is not considered a “real” phenomenon. Rather, it is all shamming, trickery, hocus-pocus, all in your mind, etc. Name calling for 250 years that avoids the fundamental challenge posed by hypnosis to our basic understanding of ourselves: our assumptions about the relationships among body, psyche, I, we, mind, and “reality”.1

Hypnosis and Placebo

The hocus-pocus, all-in-your-mind conclusion about hypnosis was, ironically, given support in 1784 by the first scientific placebo-control study. Mesmer (from whose name the word mesmerize is derived) asserted that he could channel an invisible physical fluid, which he called animal magnetism, to cure multiple ailments, produce remarkable effects on mind and body, and anesthetize patients to perform surgery. Mesmer posed a grave challenge to the medical profession and to the social order in France, so the King of France commissioned a group of eminent scientists, led by Benjamin Franklin, to discredit Mesmer.

The Commission examined the claims of Mesmer using two groups: an experimental group that received Mesmeric treatment, and a second that received, unknowingly, a sham treatment. The sham treatment proved to be as effective as the Mesmeric. The Commission concluded that animal magnetism is not real; that the effects resulted from imagination and imitation and, therefore, should be dismissed. Mesmer was discredited, left Paris in disgrace, and the Royal Society of Medicine issued a decree obligating all physicians to sign an official statement rejecting the practice of animal magnetism. Failure to do so would result in dismissal from the ranks of physicians. 

Note that the effects of the Mesmeric treatment were not disputed. Only the presumed cause. This did not stop practitioners, often outside the medical community, and people suffering from various ailments from using Mesmeric procedures. Animal magnetism later came to be called hypnosis, which continues to experience a similar fate—rejected or viewed with deep suspicion because of a lack of objective physical cause and, perhaps, a professional threat for offering cures that lie outside the biomedical corridors of power and financial remuneration.

It is revealing that this methodology, first used in 1784 to discredit hypnosis, was not used to test the efficacy of standard medical practices, including purgatives, evacuants, humectants, vesicatories, and spoliative bleedings. This would be a pattern for the next century and a half: Blind and double-blind placebo control experiments, as they were later to be called, were only used to investigate threats to traditional medical practices.

Placebo

Randomized Clinical Trials (RCT), which include placebo control groups, only began to be systematically used in medical research in the 1950’s and is now the standard experimental methodology for demonstrating that a physical treatment has an effect that is not the result of placebo. Although this is a step forward, the conclusion that a placebo effect is a measure of failure of a physical effect, not a documentation of the remarkable power of a placebo, continues this long history whereby objective, physically caused effects are real, while psychosocial causes are just “in-your-mind.” Let’s flip that script and briefly review several recent findings about the placebo as documentation its startling effects.

Placebo pills afford the same measure of pain relief as 75% of pain medications submitted for FDA approval that must undergo clinical trials. Most of these do provide measurable pain relief, but not significantly more than a placebo, so they are not approved. But the pain relief is real, for both the placebo and chemically active medications. Furthermore, the rate of FDA rejection of pain medications undergoing clinical trials has recently risen to over 90%—but only in the US, not in Europe. Why? Cultural differences of some kind are likely at play.2

The way a treatment is administered also makes a difference. Trust, honesty, kindness, and the appearance of competence increase the effects of a placebo. Bedside manners matter. Indeed, what gives a sugar pill, or any faux treatment, its power is the sociocultural context in which it is enacted. The rituals and contexts associated with treating illnesses—the scripted  drama of healing—can prompt the body to respond in a healing manner, and the scripts vary from culture to culture.

Placebo treatments can be effective even if the patient is informed that it is a placebo. The color of the pill also matters—blue, not red pills are more effective for pain relief. Placebo pills clearly labeled and (cleverly) marketed are for sale online. You can purchase 45 “Pure, Honest, Placebo Pills ” with “inert ingredients” “trusted by consumers, clinicians, researchers since 2014” for $25 (4.2 stars on Amazon). The scripted drama of healing at work.

Only recently have there been efforts to identify neurobiological mechanisms that might account for the power of the placebo. The quest is motivated by trying to prove that the placebo effect is, in fact, “real”; that there is a objective biological basis, and therefore it is a legitimate object for scientific scrutiny. This reasoning is baffling. First, the effects ARE REAL! The lack of objective physical cause does not render the obvious and profound effects of placebo “not real.” Second, the fact that the remarkable effects of placebo are evoked by social interactions exposes our faulty assumptions about what constitutes “real.” Third, of course there are biological factors of some kind that make this possible.

Our experience, including social exchange, does not float, untethered, from our biology. However, whatever the biological factors are, and research has recently begun to address this question, they enable the psychosocial influence. They do not cause it to occur. The cause resides in the interaction of biology with psychological expectancies, situational influences, cultural rituals, personal relationships, and prior conditioning that come into play in a sociocultural context of healing.3

Not Panaceas

Placebo and hypnosis are not panaceas. Hypnosis can alter our perceptions and subjective experiences, have an impact on some bodily functions, and remediate the effects of chemotherapy. Placebos can treat the nausea and pain associated with cancer treatment, heart disease, and ameliorate subjective experiences associated with illnesses. But hypnosis and placebos cannot cure cancer, Parkinson disease, and most other serious illnesses and diseases. These limitations, however, do not diminish what they can do, or the challenge they poses to our conventional understanding of ourselves.

Other “Family Members”

Hypnosis and placebo are the two most prominent members of a family of anomalies that defy traditional medical explanation. Others include: TikTok tics, a world-wide outbreak of tics induced by a TikTok posting that went “viral” (this is an appropriate name for it, as there are many instances of social contagions of a similar nature spreading like a viral contagion)4; conversion disorders, where individuals experience paralysis, blindness, deafness, and seizures but have no neurobiological impairments; and Dissociative Identity Disorder, often referred to as multiple personalities, where completely different personas inhabit the same individual, each without awareness of the others.

It’s All in Your Mind

Hypnosis, placebo, TikTok tics, and their “family members” startle and disturb because they undermine our conventional understanding about the relationships among body, psyche, I, we, culture, mind, and “real.” The assumption that girds this understanding is that there is a disjuncture between the body, which is a physical, biological entity, and therefore “real”, and psyche, social exchange, culture, and mind, which are viewed as incorporeal phantoms, and therefore not “real.” An accompanying assumption is that the body can influence these incorporeal phantoms, but they, however, can have no effect on the body.5

Are these anomalies simply curiosities that will eventually be explained with more research? I think not. Their peculiarity arises from the conceptual straitjacket we use to try to capture them. An alternative explanation can be summed up in a word—any word. A word, spoken (or written) is a nonsense sound (or marking) given signification by a communal, cultural agreement that confers its meaning.6 We are born into a cultural web of meanings, and propelled by our biological heritage to acquire words—any and all words, in any and all languages!!–from the earliest, first years of life. Words stretch from the biological to the interpersonal to the cultural, all seamlessly united in the act of communication.7 These “incorporeal phantoms” can evoke strong bodily reactions, from erotic to heart stopping, from gut retching to uncontrolled weeping.

Hypnosis, placebo, and TikTok tics are merely noteworthy examples of the primal power of human communication in its many forms. Mind is the looping networks of meanings that encompasses body, psyche, I and we.8 It is all in your mind! And it is, indeed, real!9

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A Strange Loop

Captive and Captor

We are all hostages. We are restrained, imprisoned, bound, under surveillance, and subject to the will and whim of our captor; judged, criticized, rewarded, praised, tempted, punished, cajoled, encouraged, assured, castigated, condemned. Our captor’s voice is our own inner voice, sometimes a cacophonous chorus of discordant voices, that arise, unbidden, from the depths of our being. We are hostage to ourselves.

The one constant companion in our life’s journey is ourselves. This is the most powerful, intimate, passionate, and important relationship that accompanies us till our last breath. We cannot escape it, except temporally though sleep, drugs, passionate endeavors, or other mind-bending practices.

We each have our own unique set of reoccurring themes and rhythms in this chorus of voices derived from temperament, early life experiences, cultural and historical contexts, intimate relationships, that which is shouted and whispered to us at various points throughout our lives by various notable personages, traumas and travails, and who knows what else. Our lives are shaped by this chorus. While we are captors, we are also are aware that we are hostages. Hostage and captor—we are both, and our awareness of this also makes us hostage negotiator. We are a strange loop; not a single I, not a unitary self, but a hierarchical looping of self-referring dynamic I’s—a tangle of voices, voices about voices. . . about voices.1 Here is an example of the complexity of this relationship: “I” write about “my” experience of noting common themes that arise from the darkness of “my” being that imprison “me” and “I” find this quite amusing, baffling, and remarkable. Just who am “I”? And who is asking?? What a confusing “I” are we!2

Psychotherapy Loops

Psychotherapy, in its various forms, offers navigational guides for understanding ourselves and gaining some leverage to change strands of our strange loop. Psychotherapy provides a framework that names and maps the working of our inner self, paying particular attention to the voices of the “captor” who has imprisoned “us” and offering strategies to the “negotiator”.3

So, for example, Cognitive Behavioral Therapy (CBT) tells us that the “captor” voices carry irrational and self-destructive statements that must be identified, challenged, and replaced with more rational, adaptive ones (by the “negotiator”). Acceptance and Commitment Therapy (ACT) instructs that these voices are simply a stream of ideas that have power only if we (the “captive”) attend to and act on them; instead, we should simply accept, note, and let them pass without being “hooked” by them. Psychoanalysis identifies these voices as the eruption of id impulses that must be rooted out, their symbolic meaning divined and transmuted to adaptive responses by our ego. Other therapies follow a similar pattern using different models—identifying features of the captor (e.g. irrational statements; idea stream; id impulses), and offering strategies for the negotiator to free the captive. Each model configures a unique “reality” of our interiority, which can be confusing, especially as arguments abound among proponents of the models, thus revealing the provisional nature of our understanding of ourselves.

This strange loop exemplifies the modern idea of the self; a self-contained interiority where all the voices are within us. The forces in the external world are subject to their own laws and principles and do not intrude or influence the inner sanctity of the self. We perceive the external world from the portals of the citadel of our solitary self. This idea of a self is of recent origins, historically, arising hand-in-glove with the rise of modern secular culture in the West.4 It is a manifestation of a culture whose governing principals, political structures, economic policies, communal practices, and basis for truth presume independent individuals, each possessing inalienable rights, making rational decisions based on self-interest, and guided by the methods, reasoning, and findings of science.

Inspirited Cosmos

Most cultures and religions throughout most of human history, in contrast, have presumed we dwell in a world infused with magical and supernatural powers, populated by hosts of strange, dangerous, threatening, helpful, and inexplicable spirits. In this inspirited world, no clear boundaries divide our phenomenological experience and these forces let loose upon the earth. Thoughts can be experienced as the voice of gods, goblins, ghouls, genies, demons, angels, saints, sirens, fairies, ancestors, ghosts, witches, wizards, or spirits. Furthermore, omens, amulets, holy water, and sacred relics radiate influence that, unbeknownst to us, can overtake us, seize our wishes and will, compel us to act.

The shear range and number of presumed voices and supernatural powers that have been believed by various religions and cultures is staggering. Are we experiencing the voice of God? Satan? Ghosts? Ancestors? Hallucinations? Naming and understanding our experience encompasses an entire cosmology, a communal history of sanctioned practices and foundational beliefs about ourselves and our place in the world.5

Each of us is inseparably bound to our communal “we.” It is through “we” that we tether our body and being to a larger system of meanings, and also how, individually, we unite to form a community that embodies its meanings.6 “I” and “we” form two sides of the same coin. This is also so for the citadel of the modern self, which is constituted from modern secular culture. This looping influence between “I” and “we” is another strand in the strange loop that is us.7

These looping paradoxes are the curse and the gift of a self-reflective species that dwells within a symbolically created universe that has great power and scope of apprehension, but also engenders paradox, contradiction, confusion, and disagreement. It is thus that we bewildered primates gain some measure of order and stability.8

Adrift

Much is at stake for the individual and for the community in how our phenomenological experience is understood. Experiences that defy communal beliefs, violate taboos, or threaten the social order can have dire consequences. While each communal cosmology may offer a reassuring sense of order and stability, the aggregate and bizarre differences among them, sometimes resulting in armed conflict and mass deaths(!), highlights our profound lack of understanding of ourselves and the provisional nature of our endeavors to do so.

The mortal importance we give them is, perhaps, precisely because alternatives are possible. We are adrift in a sea of uncertainty—we are a strange loop in a strange and uncanny cosmos.

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Psychological Toll of The Climate Crisis

It’s easy enough to see the damaging physical effects of climate change on communities and ecosystems directly impacted by fires, floods, droughts, and super storms. Less visible is the psychological toll of experiencing a slow-motion train wreck—a toll especially felt by young people, who are aware their futures are at stake. What is the toll? How might we understand it? And what can we do about it? I offer some tentative answers.1

Our understanding is in an embryonic stage. Considerable attention has been devoted to the topic recently, with articles appearing in various outlets of the popular press, in discussions and suggestions within professional mental health organizations, and insights and advice offered by therapists and others who have some experience with the issue in various ways. The psychological toll also cuts across many mental health issues making it difficult to encapsulate.

Demographics of the Climate Crisis

Young people. A remarkable survey of over 10,000 young people between the ages of 16 to 25, from 10 countries, across 6 continents, documents the anxiety, distress, and anguish felt across the entire globe: 75% feel the future is frightening; 56% believe humanity is doomed; that their government is failing young people (65%), lies to them about the impact of what they are doing (64%), and is betraying them and future generations (58%). These reactions are more intense in developing countries, where the Climate Crisis is more acutely experienced. Needless to say, young people are angry about their lack of power and disillusioned with authority.

Childbearing age. Those with children or contemplating having children must face a climate-impacted future, which even in the best of estimates looks harrowing, and decide if they want to bring a child into the world that awaits them. Among those who already have children, 1/3 report that the climate crisis is the reason for choosing to have fewer children. Birthstrike and #NoFutureChildren are two social media movements by those who do not have children, and pledging not to—with considerable anger, sorrow, sadness and despair.

Parents and grandparents. The research is sparse for these cohorts, but informal conversations and reports indicate that when the Climate Crisis is appreciated, the consequences for their children and grandchildren are a source of deep concern. Of course, the caveat that “the crisis need be appreciated” is the critical fact determining whether anyone has any concern at all. Survey results over the past 6 years suggest that a significant and growing number of Americans are aware and concerned about the Climate Crisis.

Factors Influencing Mental Health

Several factors influence the mental health impact of the Climate Crisis:

  • Whether the climate events are acute (e.g., flooding, fires, and super storms) or chronic (e.g., drought, rising sea levels, and significant changes in normal climate patterns).
  • If exposure is direct (e.g., loss of food water, shelter, loved ones), indirect (e.g., displacement, disruption of food, electric, and water systems, loss of employment), or vicarious (e.g., observing others, media reports).
  • Vulnerability risk factors including previous trauma and mental health issues, socioeconomic inequities, age (older adults and young children are more vulnerable), and gender (girls and women are more at risk).

Much more research exists for acute events with both direct and indirect exposure. As you might imagine, the impact is profound. Basic survival needs demand immediate attention: food, water, shelter, health care, safety. The mental health consequences span the entire range of human misery and suffering—trauma, grief, depression, impulsive and self-destructive behavior, suicide, substance abuse, etc., etc.—and are often long-lasting.

Evidence for chronic climate events with direct and indirect exposure also suggests a similarly wide range of mental health reverberations, but the incidence may likely be considerably less than acute events. Less systematic research exists for vicariously experienced climate events, but a considerable and growing number of clinical reports, observations, and discussions point to similar mental health outcomes.

What’s in a Name?

What we call something, the name we use, allows us to grasp and understand it, and potentiates possible responses. Is something dirt? Or soil? Is something garbage? Or compost? The first term in each pair suggests filth; something revolting demanding disposal. The second term signifies regeneration; something to be prized and used. Important climate consequences result from which of the pair we choose to use. Same, too, for how we choose to talk about climate-crisis mental health outcomes.

Eco-anxiety and climate anxiety are oft used names, especially within American Psychiatric and American Psychological Associations. Anxiety is the key word as it positions the experience within the possible domain of anxiety disorders. Indeed, there are some who suggest that it might, at some point, be considered for inclusion in the Diagnostic and Statistical Manual (DSM), published by the American Psychiatric Association; the Manual that defines what is to be considered a legitimate mental disorder.

The paradigm of disorders inadequately addresses the mental health consequences of the Climate Crisis because the problem is of a different kind, requiring a new framework for understanding and responding. The disorders approach presumes the difficulties reside within the individual, that a disorder is an abnormality or pathology likely of biological origin, and that treatment involves eliminating the pathology within the individual, often though medication. In addition, its use sometimes implies that eco-anxiety encompasses the entire psychological toll of the Climate Crisis.

The Climate Crisis is a global, communal experience caused by very real biosphere realities that pose a mortal danger to human life as well as many of our fellow terrestrial mates. Distress is an understandable response to this global existential threat. Resiliency, not cure, is required in the face of existing realities. The psychological toll also encompasses much more than anxiety. Finally, the pathogenetic model misleads about how we are to understand and respond to this toll: “What we are witnessing isn’t a tsunami of mental illness but a long overdue outbreak of  sanity”.2

Existential Threats, Debilitating Responses

The Climate Crisis poses existential challenges that haunt us:  
-“The Climate Crisis is so huge, and scope of individual responses so infinitesimally small, what can I possibly do that will make a difference”?  
“What if…??” “The future is so uncertain, so foreboding, I can’t plan, dream, hope.”

These challenges evoke a range of intense reactions: despair, depression, grief, anxiety, panic, suicide and so much more. A host of names have been coined to capture the many emotional responses provoked by the Climate Crisis, including terrafurie, eco-depression, climate trauma, environmental melancholia, solastalgia (nostalgia + desolation + longing for solace), and climate stress. Eco-anxiety also can be properly placed in this family of names that situate the causal locus outside the individual, in the Climate Crisis.

Some psychological difficulties, when they become debilitating, require comprehensive evaluation for proper care. The Climate Crisis may be one thread in a weave of factors that give rise to impairment, which also might include prior mental health issues, trauma history, interpersonal conflict, social injustices, medications, physical illness, etc. Professional help is required in these cases, but it is also important that the evaluation include assessment of the role the Climate Crisis might play in the difficulties.

Resiliency

Resiliency is the ability to adapt to challenging life circumstances—and even grow from them. The Climate Crisis threat is ongoing, requiring us to develop and maintain habits of mind, body, and behavior that foster wellbeing in the face of adversity.

The biggest obstacle to addressing the Climate Crisis is individual and collective denial. The sources of denial are many and the motivation for it is high. Some of the more common and alluring forms of denial include: reality is too disturbing and disruptive (oh boy, is this true!); minimizing the problem and misattributing the magnitude of our response (e.g., “I recycle, that should be enough”); resisting significant changes in values and behavior; prioritizing immediate over long term concerns; dismissing the problem because there is no direct experience of the consequences; ignoring data because it is too abstract and sources are questionable; and social norming (“My friends do/say this, so it must be true”).

“Action is the Antidote to Despair”3

Activism includes both external activism and internal activism for fostering resiliency. External activism is important because it empowers; we are making concrete contribution to addressing the Crisis, and it connects our actions with core values. However, if we become too obsessively focused on our goals, without attending to our internal needs and self-care, this can lead to depletion of our energies and burnout.

Internal Activism

Internal activism involves attention to our mind, body, and behavior. What follows are ways to foster resiliency. Each looks simple, but they are hard, often demanding new habits and routines of mind, body, and behavior. I have provided a Resiliency Resource Outline with further explanation, discussion, references and resources for the suggestions that that you can explore in more depth in this footnote.4 5

For the Mind
Validate experience. Not something wrong with us; not impaired, stupid. Acknowledge that the problem is a global one that everyone must face.
Identify what we can control and what we cannot. Focus on what we can control.
Attend to and counter negative “mind habits”.
Accept change.
Mindfulness. Shift from the mundane ways we engage the world to becoming aware of being alive, experiencing the presence of the world. Gratitude for this moment.
For the Body
Physical wellness. Eat healthy, sleep, exercise.
For Behavior
Connecting with others. The Climate Crisis is a communal, societal, and global experience, so it is important that we connect with social networks for support, understanding, validation, solidarity, inspiration. This can take many forms, from a small group of friends who share concerns, to online climate support cafes, to social involvement with community and environmental groups that foster personal connections and friendships.
Online resources can be very helpful.
Limit social media, with its sometimes negative influences on our state of mind.
Connect with nature, as a source of solace and rejuvenation.
Live in accordance with our values. Find ways to live meaningfully with full appreciation of the threat.
Individual Differences
Individuals differ in response to crisis and what may be most helpful. Self-awareness is important for effective internal activism. Developing habits, routines, and deliberate attention to mind, body, and behavior is HARD. It is an ongoing challenge, a marathon, not a single trial. We will fail. And fail again. Practice. Practice. Practice. Requires as much effort, diligence, and is as important as external action. Imperfectly, together, we unite, we change.

Hope

“Hope is a moral commitment.”6

Hope is essential for resiliency. We must have hope to carry on. Not the kind of hope prompted by a Pollyannaish belief that everything turns out for the best, which is a passive renunciation of reality and our role in influencing the future.

Hope, realistic hope, is forged in the face of adversity and challenges, sometimes in the face of overwhelming odds, to envision a better future; a future not brought about by ease and accident, but by sweat, toil, hardship, and sometimes blood, to “make it so” in the face of daunting obstacles. We must ask ourselves: “What gives us hope?” Sometimes it comes from others who inspire us. Martin Luther King offered hope, inspiration, and a motivating dream. The history of slavery, racial murder, violence, persecution, and soul-crushing humiliation can easily overwhelm and make such pronouncements of a dream seem misguided naïve shouts into the darkness. It is precisely why hope is a moral commitment. It is precisely what we need for The Climate Crisis.

What we are experiencing is a source of hope: “Climate anxiety may be the crucible through which humanity must pass to harness the energy and commitment that are needed for the lifesaving changes now required.” 7

Homo Economicus

We are no longer Homo sapiens—wise humans, which is what sapiens means. We have evolved into Homo economicus. These creatures are motivated by rational self-interest who seek to maximize their wealth and the “utility,” or satisfaction, derived from consumption of purchased goods. Homo economicus arose in the 17th-18th centuries in response to a dramatically altered environment where capital replaced land as the basis for wealth, and large scale production of goods in an industrialized landscape changed the living conditions of Homo sapiens.

The Wealth of Nations, published by Adam Smith in 1776 when market economies were emerging, is considered by many to be the progenitor of Homo economicus. This revolutionary work, offered at a tumultuous time when capital markets and democratic uprisings where transforming human life, offered a radically new way to understand wealth and government. Although he did not use the term, Homo economicus, Smith’s analysis hinges on the revolutionary assumptions that characterize Homo economicus: individuals, motivated by rational self-interest, seek to maximize their profit.1 

The Wealth of Nations has become a sacred text, often quoted chapter and verse by contemporary economists whose dizzyingly complex, mathematically based analyses typically begin with the assumptions of Homo economicus. The reach of these assumptions is not confined to economic concerns, but are presumed to motivate all human actions, behaviors, and habits. Here is what Nobel Prize winning economist Gary Becker has to say: “All human behavior can be regarded as participants who maximize their utility from a stable set of preferences and accumulate an optimal amount of information and other inputs in a variety of markets.”

Becker articulates, in the jargon of his profession, what is often presumed by many Homo economicus supporters, and these assumptions have guided analysis of almost all areas of human life, from the most intimate matters of love and family to government policies and practices. His analysis of the family, for example, addresses “marital-specific capital” (i.e., children) and argues that child services are “the commodity that provides the utility a couple receives” from this “marital-specific capital”. And here is an example of an analysis at the institutional level: A World Health Organization initiative to end river blindness in Africa prevented hundreds of thousands of people from going blind. The World Bank’s cost analysis of the program, however, concluded that these benefits were not measurable; the benefits were conferred to people so poor that there was no measurable profit from the treatment.2

“Marital-Specific Capital”

These analytic, quantitative appraisals and balance-sheet conclusions of human endeavors clearly and unambiguously state the value, or profit, to be derived from them. Debate, then, centers on whether the profit justifies the cost. But is this a success, or a reason for concern? When children become “marital-specific capital,” and a wildly successful intervention that prevent blindness in hundreds of thousands of people is questioned because the recipients are poor, then maybe this is evidence that something is amiss. Perhaps Homo economicus is a mutation that needs to be modified or eliminated.

The central value of Homo economicus is profit. The balance-sheet determines worth. But why, for example, was a major initiative, at considerable cost, undertaken to prevent river blindness in impoverished areas of Africa? Certainty not to gain a profit on investments. And children are more than capital goods for most parents. Other values are at play.

Adam Smith would certainly agree. He considered himself a moral philosopher, and in his first book, The Theory of Moral Sentiments, he argues that we are inherently social and moral beings. We care about others and this social-moral sense is essential if we are to live together without destroying each other. Adam Smith’s self-interest is not greed. It is in everyone’s self-interest to conduct commerce and exchange within a moral framework of trust and honesty, which are essential for a successful society. Theory of Moral Sentiments, established the foundation for The Wealth of Nations; wealth is built within a social-moral framework.3

Economic, social, and moral values differ starkly in the kind of exchanges and relationships presumed, and the expected benefits.4 Economic values are individual and impersonal, and economic analysis treats families, communities, and societies as a collection of individuals. Exchange is contractual and who the other person is in the transaction does not matter. Economic values are instrumental; you expect to get something of equal or greater value in return. If it has no profit, it has no value.

Social values are personal and depend on the relationships involved. Our relationship with our children, spouse, or friends may be the most important thing in our life. They have no economic value, as we cannot buy, sell, or trade it. And social relationships are reciprocal, not instrumental. Each participant gains from it, but there is nothing definite about what we will gain, when we will gain it, or even if we will get anything tangible from it.

Moral values are altruistic; things are done for their intrinsic worth with no expectation of getting anything in return. They are neither individual or relational. They are universal. We do things for others because it is morally the right thing to do. These values are not proved or supported by evidence or analysis—they are axiomatic.

The lack of proof or evidential support for moral values does not diminish their importance. Quite the contrary. Their universality can give them the animating power of ideals. People commit their lives to fulfilling these values; care for others at great personal cost, risk their safety and well-being, even give their lives for a just cause and, too, commit unspeakable atrocities in the name of the good.

The Declaration of Independence embodies foundational moral values upon which our nation stands. Axioms:
1. “All (men) people are created equal.”
2. “They are endowed with unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness.”5
No justifications or proofs are provided, as “these truths are self-evident.” Moral and social values provide the grounding assumptions for how we govern ourselves; they embody our values of who we are, who we want to be, and how we define our relationships with each other. Commerce, economic transactions, and trade are conducted within the framework provided by the moral and social values that are the basis of our governance.

It is an inherently destructive act to treat all human life as some sort of financial transaction. Preventing river blindness is a moral and social value, not an economic one. Children, family, and friends are not commodities of exchange. Economic analysis should be used in the service of our social and moral values, not the determiner of them. Homo economicus hollows us out. If we do not harken the call of our foundational social and moral values, if we allow Homo economicus to become who are, we surrender our wisdom. And our humanity.

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Free Will?

Do we have free will? This question has bedeviled Western thought for millennia, spanning the centuries from Aristotle and the Greeks, to Thomas Aquinas and medieval Christian theology, to Einstein and modern science. The power of the question derives from a primal concern about the source of our sense of agency and responsibility for our decisions and actions.

The question has practical implications that reach well beyond a debate among philosophers and scholars. So, for example, should those who are severely mentally ill or cognitively impaired be held responsible for their criminal actions? What about children? Or someone who is drugged? Or forced at gunpoint to comply with a command?

No surprise—I do not have the answer. But I offer thoughts that help me to make sense of this question and enable me to reach an understanding that has some practical value. I will confine my comments to the psychological domain (although I think they can be applied to the physical sciences as well).

Psychological Science

Provocative findings from two areas of contemporary psychological research challenge the belief in free will. One research thread suggests that automatic cognitive processes occurring out of awareness control our actions. Our sense of agency occurs after our choices have been made; choice is an illusion. The second thread offers evidence that the neural impetus to act is already under way before the conscious intention to act occurs. Again, choice is an illusion. These data and conclusions, not surprisingly, have generated pointed challenges and heated disputes among scientists.

This debate is not new to psychology, as behaviorist researchers of previous generations also argued against free will. The most notable was B. F. Skinner, who in his book, “Beyond Freedom and Dignity,” argued that we are the product of our reinforcement history and, consequently, freedom, dignity, as well as all other terms describing human traits and ideals are empty fictions. Needless to say, a great uproar ensued.

I would like to focus on four conceptual issues that are often overlooked in these disputes about the methods and meaning of these research findings: science and truth; the nature of will; yin-yang; and the pragmatics of “I can”.

Science and Truth

M. C. Escher: Drawing Hand

Scientist are independent thinkers who consider a question, pose a hypothesis to answer the question, devise experiments to test the hypothesis, and use the evidence derived from the experiments to determine if the hypothesis is true. If the evidence supports the hypothesis, the scientists have empirical justification for drawing valid, if provisional, conclusions about the question.

Now, if we accept the scientific evidence from the recent psychological research suggesting we lack free will, surely this conclusion applies to the scientists as well; that their hypotheses, decisions, tests, and conclusions are all determined.1 Validity and truth are, thus, comforting fictions, and the entire scientific enterprise of discovering an objective truth untainted by our personal opinions, subjective biases, and blinkered perspectives is a pointless exercise. What legitimate claim can scientists make that their findings should receive any more credibility than, say, astrology, reading palms, or divining from bird entrails? Paradoxically, if we accept the validity of the findings we must conclude that the findings cannot be objectively true. Furthermore, if we accept the soundness of this paradoxical conclusion, we also must, then, accept that this conclusion is not really the result of our judiciously considering the logic and meaning of the argument. Rather, it is just another round of self-delusion. And round and round it goes. Hmm…

What is Will?

Heave of Effort

It is typically assumed, both in common understanding and in the methods and interpretation of the research, that will is a single, conscious, heave of effort that leads to action. An alternative, more comprehensive understanding is that will is a “mental agency that transforms awareness into action, it is the bridge between desire and action.”2

Consider St. Paul’s definition of sin: “I do not understand my own actions. For I do not do what I want, but I do the very thing I hate.… I can will what is right, but I cannot do it.”3 I can will what is right, but I cannot do it. This is a situation that we all understand and often is a major focus of psychotherapy. A simple exhortation to engage will, to “get up off your butt and do it,” in these circumstances often fails. A conscious heave of effort fails because we harbor contradictory intentions and desires, some of which may be out of awareness. Will, the bridge between desire and action, is conflicted.

Psychotherapy is often focused on bringing hidden desires and conflicts into awareness, thus disencumbering will, enabling deeper conscious understanding of the conflicts, allowing deliberative consideration of the choices, and embracing responsibility for action. Cognitive science provides evidence for the power of unconscious factors, and neuroscience documents the neurological run-up to a conscious “heave of effort.” Will includes both these and much more.

Either-Or or Yin-Yang?

An assumption often made is that the question of free will is a dichotomous choice: Yes or no. It might be more fruitful to assume it to be a yin-yang relationship; freedom and determinism are interdependent, two sides of the same coin. So, for example, a piano has 88 keys. It is a deterministic structure that limits the possible notes that can be played. This relatively small set of keys, however, allows for the composition of an infinite number of songs. The 88 keys constrain or determine the possibilities, but within these constraints resides freedom.

Now consider the psychological and neuropsychological evidence of unconscious influences and neurological readiness potential that precedes conscious intention. We are a biological piano. We are able to make music, but are constrained in many, multiple ways by our anatomy. We do not have complete freedom and much happens out of awareness (and be thankful that it does, for we would be overcome to the point of paralysis by the Niagara of sensations, perceptions, ideas, and choices flooding our every waking moment). We are bound by the constraints of our being, which provide us with the means to create our music, sing our (December) songs.

I Can

One of the most important steps in psychotherapy is believing “I can.” It is understandable why many who are in dire straits, who have endured harrowing trauma, personal loss and anguish, or whose lives have been blighted by misfortune, feel doomed, condemned, and believe “I can’t”. The often difficult first step of seeking therapy carries the tentative hope that, “Maybe I can”. It is the beginning of the journey from “I can,” to “I will,” to “I did.”

William James, who is (in my view) the greatest American psychologist and philosopher, experienced a bout of severe depression, unable to rise from his bed, convinced that he had no free will to alter his situation. He overcame his depression by deciding that regardless of the evidence and compelling arguments for determinism, he would act as if he had free will; believe “I can.” His “will to believe”4 created the reality of free will.

James was a leader of the philosophical school called Pragmatism and he coined the term “Cash Value” to describe criteria to assess the merit and truth of an assertion or belief. Cash Value is used metaphorically, meaning “does the assertion have practical utility; does it have real-world consequences or is it merely empty words”. Cash Value can be applied to the question of free will.

Therapy is an act of courage, requiring effort, commitment, humility, resiliency, and honesty. All of these attributes, along with truth, justice, guilt, responsibility, dignity, etc., etc., etc., are self-delusional fictions if we seriously believe we are puppets of deterministic forces. The question of free will is a captivating puzzle and an impetus to interesting research and lively dispute. But, ultimately, only a conclusion of free will has any cash value. “I can” gives us our world. The choice between “I can” or “I can’t” is a hard-fought, life or death decision for many in anguish and distress, and scientific evidence and philosophical arguments are irrelevant. I take a stand for free will. I have no choice. . .5

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What is Intelligence?

What is intelligence?

This has been among the most longstanding, fiercely debated questions across a wide range of disciplines, from philosophy and psychology, to sociology and education, to anthropology and comparative biology. The practical consequences of this debate touch every one of us. Intelligence tests mark us, route us, and shape the expectations of our teachers, parents, peers and ourselves, which have a profound effect on who we are, who we think we are, and who we become. IQ score: A single figure, so much power.

Intelligence Tests

The choice of how we measure intelligence reveals what we think intelligence is, and the history of this testing exposes assumptions that underlie the testing. Knowing these assumptions allows us to critically examine what is typically understood to be intelligence.

The first tests of mental abilities were initiated at the end of the 19th century in the newly established scientific field of psychology. Unlike the philosophical speculation about the nature of mind that dominated Western thought for millennia, scientific psychology is rooted in laboratory experimentation. Psychophysics, the measurement of the physical properties of mental activity, was the predominant approach to the measurement of mind, which assessed reaction time, memory, and various measures of sensory acuity and discrimination (e.g. visual, auditory, touch).

A revolutionary study by Wissler in 1901 overturned this entire approach to measuring intelligence. He used the newly developed statistical measure, the correlation coefficient, to demonstrate that these tests were not correlated with school performance. This is very telling. The skills necessary for success in school are presumed to be essential to intelligence. This seems so transparently obvious that we fail to see the far reaching implications.

This is understandable, as success in school is critically important in today’s modern world. Intelligence tests arose hand-in-glove with the emergence of industrialization, which required mandatory schooling to provide workers with the skills necessary for this new form of society.

The first practical intelligence test, the Binet-Simon, was first published in 1905 and became the standard for assessing school children, and a revised form is still used today. Binet’s aim was to help teachers identify children who struggled in traditional school settings and could profit from alternative settings. Binet thought that intelligence is flexible, influenced by motivational issues and personal circumstances, and that the test failed to assess other important traits, such as creativity and emotional intelligence. The measurement of intelligence quickly became swept into the eugenics movement and engulfed in raging controversies about nature-nurture, race, cultural fairness, treatment of those who score low, and a host of other emotionally charged issues; contentious issues that remain with us.

Environmental Fit

We think that we are measuring and debating a universal capacity measured by these tests, but it is an intelligence that “fits” today’s techno-industrial world. Ours is a human-made environment; a very narrow, artificial environmental niche. Humans have adapted to the most diverse environments on the planet: deserts, jungles, Arctic regions, mountain tops, tropical islands, caves, savannas. Almost everywhere. Homo sapiens evolved approximately 300,000 years ago. Written language emerged about 5000 years ago and the first educational system was created about 4000 years ago. Schools have been absent for 99% of humans’ time on the planet.1

If we think of intelligence as the ability of a species to adapt to its environment, and failure on this test has mortal consequences, then there must be much more to intelligence that school-related abilities. Consider, for example, the skills required for early Pacific Islanders who, in small canoes, navigated the vast Pacific using stars, sun, moon, wind, clouds, ocean currents, fish, birds, waves, etc., etc., to reach a destination thousands of miles away (e.g., Hawaii). What kind of “intelligence test” would they develop?2 Certainly nothing like ours. And what would Eskimo, or Pigmy “intelligence tests” consist of? Very different again.

Much speculation has been given to the abilities that underly human capacity to survive across these varied environments, and include bipedalism, opposing thumbs, a complex brain, language, tool-use, genetic changes (e.g., genetic protection against malaria; capacity to digest a variety of foods) which take generations, and non-genetic capacities to flexibly adjust to environmental changes (e.g., culture practices, individual learning, transmission of skills across individuals). None of these require literacy or schooling.

Species’ Intelligence

Human intelligence has long been considered the pinnacle of a hierarchy of intelligence among species. More than a century of research has sought to examine the comparative intelligence of other species using, of course, human abilities as the yardstick. These abilities include tool use, language skills (those species able to learn analogues to human communication ranked as the smartest) and self-reflective consciousness, which encompasses the ability to consider the mental state of others and evidenced in deception, empathy, grief, envy and cooperative action with others.

The species that we have long considered to occupy the next rung below human intelligence are primates; species that look like us. More recently, this has changed, as many other species have been identified that possess these capacities, including dolphins, whales, elephants, birds and dogs. What has also changed, dramatically, is that species’ intelligence is no longer considered a totem pole but a bush. Each species possesses an intelligence, an ensemble of capacities that enable it to adapt and survive, often involving capacities humans do not possess, such as flight, echolocation, and the ability to perceive sensations invisible to humans (e.g., infra-red light; high and low sound frequencies, etc., etc.). If a fly were to construct an intelligence test, how well do you think we would do?

Our Species Intelligence Test

Ironically, the type of intelligence that “fits” our human-made techo-industrial niche supersizes our ability to survive and thrive almost anywhere on the planet. And also, to dramatically alter the entire biosphere—so much so that it threatens our very existence.3 Is this a measure of our superior intelligence or proof that it is very limited? Have we out-smarted ourselves?

The scope of the climate catastrophe will require more that individual intelligence. Our techno-industrial world is the product of a collective, collaborative intelligence that can solve problems beyond what individuals could not even dream possible on their own. We each may be very smart, but alone we are incapable of providing the many essentials required for living in the modern world, from producing a simple screw that holds things together, to electricity that makes everything run. We are part of a “Hive Mind”.4

The products of this Mind are the source of our imperiled biosphere, as well as the wellspring of the cornucopia of riches enjoyed in our modern society. And, perhaps, it may be our salvation. Each of us is but a single “neuron” in this vast Mind. But we are in networks with other “neurons”, and by influencing them, and they in turn influencing their connections, which then influence other networks, a cascade of changes can result that alters the workings of the Mind. Individually, we can recognize threats to our species survival and adaptively respond, but our actions must be a part of a larger systemic response of the Mind if we are to survive.

How intelligent are we? Individually? Collectively? We will soon find out. We cannot afford to fail this intelligence test.

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Play with Your Digits

You are about to enter a Twilight Zone of contradiction and paradox, where the boundaries between “real” and “not real” are blurred. We will travel to strange, seemingly incomprehensible places, only to discover we have arrived home. I begin our journey with an invitation: “Let’s Play!”

Digital Logic

Let’s begin with the digits that compose our modern world.

Our virtual world, a dreamscape projected through a screen, is anchored in electrical processes and material hardware that follow the dictates of the physical world and logical laws. Microchips containing a staggering number of electrical “switches” that are knitted together in quick changing patterns of electrical circuits are the basis of cyberspace. Each of these switches, or bits, possess only two possibilities: either “on” or “off”, which typically are assigned a digital value of 1 or 0.

Pictures, music, images, broadcasts, streaming, data—just about all forms of information and electronic communication—are now digitalized. This process is accomplished by segmenting analog signals, such as sound or light waves, which are continuous, into the tiniest of discrete bits of information, and converting letters, numbers, and other forms of information into a bit string. The binary format, either 1 or 0, allows for easy transmission, manipulation, and storage of information. Our digitalized world is organized by machines that can, at lightning speed, conduct huge calculations with bits composed of the binary, either 1 or 0.

This binary, either-or structure presupposes an assumption that a bit cannot be “on” and “off”, “0” and “1”, simultaneously. This assumption is so obvious, so basic to our understanding of how things exist in the world that it constitutes a fundamental law of logic: the Law of Non-Contradiction. This Law states that it is impossible for something to be A (i.e., “on” or “1”) and not-A  (i.e., “off” or “0”) at the same time. This is considered a first principle of logic upon which all else rests.  

Cosmic Logic

The cosmos, surprisingly, defies our logical sensibilities. Quantum mechanics, which is the fundamental physical process that constitutes everything in the universe, is based on the seeming impossibility that something can simultaneously be A AND not-A. So, for example, in quantum mechanics, light can be both a wave AND a particle; we just don’t know which until we look.

Efforts are underway to construct a computer with exponentially greater power than current computers that exploits the logic-befuddling quantum properties that something can be simultaneously A and not-A. These properties include quantum entanglement and spooky action at a distance. When particles are quantum entangled, the effects on one particle will instantaneously affect the others—even if they are located at opposite ends of the cosmos. These instantaneous effects over such great distances cannot be explained by our current understanding of the physical universe; spooky action at a distance is the phrase used to describe this.1

Quantum mechanics not only is revolutionizing computing, it also has shattered our assumptions about reality. Obvious principles of logic—overturned. Entanglement of particles with mutual, instantaneous influence across unimaginable distances—inexplicable. The world hangs suspended, particle AND wave, “0” AND “1” awaiting interaction with a macroscopic system— such as us—to give it form. We cannot assume a “God’s eye” position of observing, measuring, and understanding the workings of the universe independent of our own place, time, and actions in it. The ground beneath our feet is unstable.

Playful Logic

Another AND subverts the seemingly obvious Law of Non-Contradiction: play. Playing is no simple matter, as it requires sophisticated communication abilities. A dog that playfully nips another must communicate, “This nip is not really a nip”, otherwise the nip could precipitate a fight rather than a playful response. This is typically communicated by exaggerated movements of some kind, such as paws out, head lowered, tail wagging, and galumphing about. These are metacommunicative messages that signal: The nip (A) is not really a nip (not-A).2

These metacommunications entail distancing from the ongoing stream of messages; stepping outside the stream to signal how these messages should be interpreted. Play requires self-referential awareness of being “the one doing the signaling,” as well as awareness of the other as the “one to whom the signals are meant” (and who, also, is “one who signals”).The player acts “as if” the bite is real and must have “double knowledge”: being able to tell the difference between the actual and pretend bite at the same time. It is both “real” and “not real.”

Play engenders a deeper kind of knowing; both a cognitive double knowledge of “as if,” and a social entanglement with another, forged in mutually sharing that a “bite is not a bite.” For these reasons, play is often used as a marker for assessing the relative cognitive and social capacities among species. It is also considered a nascent form of a much more sophisticated mental ability: representation.

Re-Present

“This is not a pipe.”

Representation consists of an object or referent (A) that is re-presented by a sign or symbol (not-A). The re-presentation is both A, as it acts “as if” it were A, AND not-A, because it stands in place of A. Representations can take many forms, from images, to words, numbers, and sounds. Untethered from reality, existing in its own created reality, a representation affords leeway from the represented, allowing us to play with it in symbolic ways, exploring novel, strange, fantastic, comical possibilities.

We easily can, and do, become swept into the represented reality without realizing that it is an “as if” one. We lead a “double life.” Magritte, a 20th century French painter, humorously points this out in his painting, “This is not a pipe.” We initially are confused by the painting because we immediately assume, it is a pipe. But it is, AND is not, a pipe. The painting amuses because it playfully exposes our taken-for-granted double life. We dwell within a representational world as strange, peculiar, and bizarre as quantum mechanics.3

Paradoxical Power of AND

While representation is not the real thing itself, it does, paradoxically, enable us to grasp reality in a more fundamental way. Quantum mechanics, for example, affords an exceedingly precise understanding of the cosmos, which is understood through mathematics, perhaps the most abstract and detached of all forms of representation. Indeed, quantum mechanics is an abstract mathematical reality whose representational fidelity to reality is tested, empirically, in extraordinarily complex and abstract ways. We are a like blind man, probing the world with a mathematical stick. The same can be said for language, art, and music—all of which, in themselves, are not “real”— but it is specifically their “as if” quality that affords us the ability to “see” with greater depth and clarity.

Logical contradictions and paradox, ironically, empower us. Thus do we catch a glimmer of the dizzying hall of mirrors that comprise ourselves and the cosmos that we inhabit.

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Attention Shoppers!

Restlessness

Attentiveness is the natural prayer of the soul.1

Attentiveness is not alertness, which is a restless scanning. Attentiveness requires time, intention, and focus. It is a meditative thoughtfulness about something. It is in this meditative thoughtfulness that we encounter, and discover, our soul; the core of our being.

Attentiveness is in short supply. We live in a restless time, poised to check and respond to the many digital alerts, messages, and prompts that ping, ting, and ding on our phones, watches, Fitbits, computer screens, televisions, and dashboards. Our waking hours are saturated with the presence of a virtual world, beckoning us to something more urgent, more important, more vital than our being in the present moment. Some even place their phone on their bedstand, just in case…

Sin and Shopping

If attentiveness is a form of prayer, then what is sin? St. Paul describes the experience of sin: “For the good that I would, I do not: but the evil which I would not, that I do.”2 Why do we feel compelled to violate our highest ideals? Religious spiritual traditions answer: The Devil. And how does the Devil manage this? By appealing to the desires of the flesh, which are sins against the commitment and command to live a life of the spirit. Sin offers the alure of euphoric oblivion, of being transported beyond the drab humdrum of daily concerns. No wonder sin is so appealing. 

Secular humanist traditions do not share the metaphysical beliefs of most religions, but much wisdom resides in religious concepts that can be meaningfully translated into a humanist framework.3 St. Paul’s description of sin provides a succinct description of the experience of addiction: We feel compelled to do what we know we shouldn’t. The devil, like the religious Devil, tempts us by appealing to desires, needs, and interests that are against our best interests. This can take many forms for different people. One source, however, invades the life of nearly us all: cyberspace.

Cyberspace is not inherently devilish. The digital world is seamlessly woven into almost every aspect of our lives and has been magnified during the pandemic. Workplaces for many have shifted from office to home. In-person contact with friends and colleagues, attending church services and schooling, business meetings, social gatherings, meet-ups, babysitting, with people near and far, are now conducted through Zoom and FaceTime. Limitless entertainment, recreational, and educational activities are available in podcasts, e-books, videos, streaming, gaming, news reports, weather updates, etc., etc., etc., all at our fingertips. And shopping. We can buy almost anything, at any time, with a simple “click”. It is hard not to delight in this dazzling world.

Our ubiquitous virtual experience, however, is largely governed and orchestrated by corporations whose only aim is profit. Many of these corporations offer what appears to be free services; email, doc sharing and storage, search engines, community messaging, etc., etc. It seems free because we fail to appreciate that we are paying with our most precious resource: our attention.

Others within the virtual world also seek our attention, where profit is measured in influence that can be leveraged for financial, political, and personal gain. The internet is an attentional economy. This virtual world is a modern midway with carnival barkers employing “clickbait” to snare our attention. The bait beckons us, flashing punchy, brief phrases, provocative imagery, and eye-catching banners that offer promises to fulfill desires we often didn’t know we had; to be enlarged by our participating in groups of “friends” who “like” us; to have our life changed by a purchase—to be transported, however briefly, beyond mundane daily life. The momentary hit afforded by a simple “click” triggers the desire for more. And more. The aim is to create addiction.

ATT *#/ EN +@% TIO &^+ N !

The alluring payoffs of the attention economy carry hidden costs. We check our phones, on average, every 10 minutes, spend less that 2 minutes for 70% of these sessions, and webpage visits typically last less that 10 to 20 seconds. Phone prompts, even if we ignore them, can disrupt attention and negatively impact performance on ongoing mental and physical tasks. Even the mere presence of a phone can lead to poorer performance. Media multitasking is common feature of web browsing and, surprisingly, can lead to a decrease in effective multitasking in other contexts, as individuals become more prone to distraction by irrelevant material.4 Restless, unsettled, alert, we scan the world, but have difficulty giving anything our full attention. Perhaps most importantly, our attention is in danger of being hijacked, as our minds are lured to the addictive tug of “more.”

Greatest Hazard

We cannot escape the cyber world we live in; cannot hold our breath, plug our ears, or close our eyes and hope it will go away. Even if we could, most of us would not want to.

Attentiveness is what has been eroded and attentiveness is what needs to be reclaimed. Attentiveness, not to a virtual world, but to the one we live our lives in, the one pressing on our skin, the one with cries and laughter, with flowers and weeds, with loves and friendships. These may lack the immediate buzz-hit of the fast-moving virtual stream, but that stream threatens to sweep us away from life, away from ourselves, numbing us to the awe and mystery of being here, now, alive. We are imperiled and much is at stake. Kierkegaard, that early Casandra of our modern age, warns:

“The greatest hazard of all, losing the self, can occur very quietly in the world, as if it were nothing at all. No other loss can occur so quietly; any other loss—an arm, a leg, five dollars, a wife, etc.—is sure to be noticed.”

May you find peace in this frenzied holiday season.

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Mind and Body Problems

Mental illness has ravaged many a life, ruined many a family, and has dramatically increased during the pandemic. Most of us probably know someone—a loved one, family member, friend, or colleague—who has been afflicted.  

Hidden within all this suffering is a long standing, seemingly intractable, philosophical quandary residing at the center of Western philosophy since the 17th century: The mind-body problem. This Gordian knot was prompted by the rise of science, which permits only physical causes and effects. The problem is this: How can a material, biological entity that obeys the laws of the physical world (our body) give rise to our rich, subjective, deeply personal experience of the world (our mind)? The debate ranges and rages across a wide landscape. Are we, for example, only body and our mind is, at best, an epiphenomenon? Or, alternatively, can we only be sure of our immediate phenomenological experience—our mind—and our body, as a physical entity, is a mirage?

This debate appears to have little to do with our everyday lives; simply another pointless intellectual game played by philosophers.1 This debate, however, cannot be so easily dismissed. Many will likely make decisions that have life consequences, sometimes life and death consequences, without realizing that they are determined by unexamined assumptions about the mind-body problem.

Mental Illness

Mental illness. The mind-body problem adheres in its very name. The term, mental illness, is a concatenation of mind (mental) and body (illness). The term also encodes a presumed resolution to the mind-body problem. Illness is the subject, the noun. Mental is the descriptor of the subject, an adjective. It identifies the type of illness. To reverse the order, “illness mental”, makes no sense. Illness is not an adjective. Because human distress, anguish, and dysfunction are defined as an illness, a physical affliction of the body, then the identification, diagnosis, cause, and cure must be treated as all illnesses are; as a medical condition.

Pills and Power

The illness approach to mental suffering gives “ownership” to MD’s; to psychiatrists. The manual for identifying and diagnosing mental illness (the DSM) is issued, and frequently updated, by psychiatrists; new illnesses are identified, some deleted, and diagnostic criteria added and amended.   

Understanding and treating mental illness underwent a revolution in the 1960’s. Prior to this time, identification, diagnosis, cause, and cure were predominately determined by Freudian trained psychiatrists. The revolution was sparked by the discovery of medications that ameliorate symptoms associated with profoundly disabling types of mental illness; neuroleptics to treat psychosis, antidepressants for depression, and mood stabilizers for bipolar disorder.

The chemical actions of these drugs were investigated with the aim of uncovering the pathophysiology responsible for the illness that the medications address. This research led to “chemical imbalance” causal models of mental illness. So, for example, neuroleptics, which contain dopamine, was hypothesized to offset an imbalance in dopamine presumed to cause psychosis. Similarly, antidepressants, which inhibit the uptake of serotonin, was hypothesized to prevent an imbalance of that neurotransmitter presumed to cause depression.

Given the severity of impairment of these illnesses, and the prolonged Freudian treatments using medically dubious means (talk) with uncertain results, these discoveries flashed on the scene as miracle drugs. Psychiatry was upended. The Freudian-based approach was replaced by a medical model anchored in physical causality, symptom-based diagnosis, and treatment by medication.

In addition to the obvious and profound benefits of relief of suffering, other important consequences followed from the positioning of mental illness within the body-causes-illness medical model. Insurance coverage is now routine, lifting the huge financial burden of treating these illnesses, and billions of federal dollars are now dedicated to research investigating the bio-medical causes and cures of mental illness. Medication is the default option typically used to treat mental illness.2 While philosophers debate the mind-body problem, it appears to have been solved in the laboratory.

Flies in the Ointment

Despite the success of medication and its widespread use, however, a host of troubling difficulties plague foundational aspects of the medical model of mental illness. Three are especially noteworthy.

Causality. Decades of research has failed to support the premise that specific biochemical deviations in the brain correspond to particular mental illnesses. Furthermore, symptom amelioration can be accomplished with drugs that do not contain the hypothesized chemical causal agent.3

It also has become clear that psychological stress and trauma can precipitate all manner of mental illness, from PTSD and anxiety disorders to schizophrenia and depression. Both body (biology) and mind (psycho-social) can predispose, prompt, or give rise to mental illness. Causality is a complex entanglement of body-to-mind and mind-to-body interactions. The nature of the entanglements are fuzzy, vary among mental disorders, and even vary among individuals sharing the same illness.

Diagnosis and Cure. Mental illness does not share essential diagnostic attributes of physical illness. Question: How many mental illnesses can be diagnosed using biomedical indices, including brain scans, genetic markers, blood tests, body scans, laboratory assays of bodily fluids and functions, identification of pathogens, etc.? Answer: None. Not one. Furthermore, the illnesses themselves are not identified by medical or biological symptoms. The symptoms are all psycho-behavioral. And cures consist of the reduction of the listed psycho-behavioral symptoms. Diagnosis and cure fall entirely within the circumference of “mind,” not body.

Treatment. The treatment of mental illness is a much researched area and the complications are head spinning. The best practice, empirically supported treatments vary for types and severity of illnesses, and can differ between individuals and circumstances. Medications can certainly be effective, but they are not a panacea. Indeed, for many, if not most, of the 157 mental disorders listed in the recent diagnostic manual, medications are not the most effective treatment. Instead, behavioral and psychological interventions often are, and they come with the added benefit of no long-term side effects.4

Mind-Body and You

The debate about the mind-body solution to mental illness ranges widely and rages on. It has not been solved. Confusion, dispute, and debate about all aspects of mental illness, from identification, to diagnosis, to cause, to cure, indeed, to the very legitimacy of the term “mental illness” itself, highlight the intractable nature of the issue. This is not simply a philosophical debate, and cannot be waved off as irrelevant to our daily lives. It is a dispute with life-altering consequences. Should you find yourself in need of treatment, you must choose your solution, and the stakes couldn’t be higher. Be informed. Choose wisely.

Abracadabra!

Consider. . . . . . . . . a tiger.

If I were speaking this, you would experience a silence after “Consider”. And when I eventually spoke again, you would then think of a tiger. Out of the anticipatory silence, the word conjured this remarkable creature—so utterly removed from your immediate experience—into awareness. The word “tiger” is “magic”. It “tricks” you into inhabiting an imaginary experience that overshadows the concrete reality that directly presents itself to your senses.

Language untethers us, liberates us from the immediate, allows us to reference distant things beyond our immediate experience; time travel forward to eternity or back to the Big Bang; contemplate zero and infinity, tennis and tigers, unicorns and utility bills; think about, and conduct, a “dialog” (!) with ourselves. Words have the power to charm, to evoke, to cast a spell. Words—puffs of air—are chants that enchant.1

We dwell within a reality that is conjured into existence through words. We typically think of enchantment as the experience of being transported into a state of wonderment apart from the mundane reality we navigate in our everyday lives. But our everyday world is defined, orchestrated, governed by words, and our body is habitually attuned to respond to these air-puffs. We dwell within the word meanings; they are grafted onto our brain and viscera evoking immediate, sometimes strong responses usually so automatic we are unaware of how we are being organically influenced and swayed. We live this enchanted life, walking, talking, thinking, feeling it—mesmerized. We experience it so directly and unquestionably that we think those who might suggest we live in a dream world slightly mad.

Collective Spell-Casting

This conjured reality is essential for our individual and collective survival—so essential that our brains are hard-wired to acquire and use language. We are, fundamentally, a social species, born so helpless that we must rely, for many years, on the intense care and attention of adults if we are to survive. As adults, we also cannot survive on our own; we must communicate and collaborate with others. Language makes this possible. Miraculously, our biology primes us, in our early years, to rapidly acquire words, regardless of the language.

Words are cultural covenants that exist before and beyond any individual, enabling those who share the word to inhabit a common intention. We speak through these covenants, breathing life into these ready-made forms, using them to express our personal meanings and intentions. When we “give our word” we make a promise to honor the shared intention of the word. And we “give our word” whenever we converse.

Power of Nonsense

Words are nonsense. Say a word over and over, fast. Doing so strips it of its power to charm, draining its meaning, exposing its sonic absurdity. Learning a foreign language has the same effect only in reverse. It is an act of faith that the nonsense sounds we try so hard to master will, in the right linguistic context, exert their magic. I spent many months laboring to learn basic French in preparation for a two month visit to France. When there I finally was able to utter the rehearsed sounds. . . others responded—as promised! I experienced toddlerhood, saying sounds and being startled and delighted to see others respond to me. It was an “abracadabra” moment.

Words are power. My French gave me power to participate with others in a meaningful way and navigate the simple cultural pathways of everyday engagements. My thrill derived from the remarkable power of words to reach beyond myself and animate reactions in others. I was initially elated: “I can speak French!” Over time, however, I became aware of just how limited I was. Culturally, I was a babe. As I fumbled my way through exchanges, I was met with kindness—not unlike that accorded a young child. I became aware of my vulnerability. I could not command adult authority, could not understand much of what was said or happening around me. I became concerned of being cheated, duped, mislead, and worried that if I was to find myself in a disagreement or situation of some personal consequence, I was a toddler. l discovered what it is like to be a “foreigner,” a migrant, an immigrant, an “alien”. Powerless.

Writing

Now consider writing. The sound-stream of words frozen into visual images no less absurd than the sounds themselves. Time is stopped. The author is disemboweled, a non-present presence made manifest. The words of those not only absent but long-ago dead can now be conjured, speaking to the those now-present and to those yet-to-be-born. Immortality. Unimagined places, ideas, experiences, lives, and so much more, whispered to us across the chasms of time, space, and death. Writing is magic. And those who can read and those who can write—conjurers. No wonder the written word has oft been considered sacred.

So, dear reader, as you read this you bring me to life in your life. Words and writing, conjuring, allowing us to share these personal, private moments together. You—alive. Me—who knows?  Abracadabra!

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