Psychology

Culture / Psychology / Relationships — No Comments
25
Nov 06

Medicating the future

I am a believer that we are both the creator and observer of our own reality. What does it mean then if you have an overpowering psychological condition like severe depression, schizophrenia, bipolar or obsessive compulsive disorder? The belief can still stand, but it is fair to say that the chemistry and construction of the brain and body got a little too creative, or maybe not creative enough.

I have experienced through reading, administering developmental and behavioral experiments in college and, best of all, life, a variety of people with their demons. In every case, even when they were labeled with the same words, the demons were different and more importantly, the people were different. I start listening as if I know nothing, because for any given person it might be different and who am I to put my baggage on them.

For all the desire to master the brain through therapy and psychopharmacology, everyone is a unique case that we flounder to understand, the most talented among us saving our fellow man. Add to that my general feeling that we all have demons, even the most blessed and hopefully you get a sense that I am not against medication. I am, however, against what is a growing trend of medicating without answering why we are suddenly in the position of having to do so at such an alarming rate. A recent New York Times article, Proof Is Scant on Psychiatric Drug Mix for Young, by Gardiner Harris, pulled together some great research on medicating children.

Antidepressants are commonly paired with stimulants, but antidepressant use has declined over the last year after the F.D.A. warning about suicide risk. In their place, physicians are prescribing combinations that include antipsychotic and anticonvulsant drugs, according to Medco. From 2001 to 2005, the use of antipsychotic drugs in children and teenagers grew 73 percent, Medco found. Among girls, antipsychotic use more than doubled.

As with almost anything worth thinking about, there is plenty of complexity below the surface. This article is about how we medicate our children, apparently 1.6 million of them with 280K under 10 years old. To be counted, they needed to be prescribed two psychiatric drugs.

More than 500,000 were prescribed at least three psychiatric drugs. More than 160,000 got at least four medications together, the analysis found.

Harris tells us that some studies show adults benefiting from two drug cocktails specifically around depression, OCD, and the mania associated with bipolar. As with any study, others show no conclusions of import.

The use of two-medicine combinations in children is on much shakier ground. Even for single drugs, the effectiveness of some psychiatric medications in younger patients is questionable: most trials of antidepressants in depressed children, for instance, fail to show any beneficial effect. But hardly any studies have examined the safety or the effectiveness of medicine combinations in children. A 2003 review in The American Journal of Psychiatry found only six controlled trials of two-drug combinations. Four of the six failed to show any benefit; in a fifth, the improvement was offset by greater side effects.

If the evidence for two-drug combinations is minimal, for three-drug combinations it is nonexistent, several top experts said.

As members of one of the most developed societies, it is safe to say even the adults are struggling to make sense of their world, even the non-medicated. We have data showing that since 2001 we have begun heavily medicating our children in ways our best psychiatrists are unable to rationalize. If the reality we create in our minds, arguably the only reality that exists, is unnecessarily affected by doping, what is the affect on our ability to construct a different one?

For some, medication brings them closer to center, often with side affects, but more desirable than being consumed with self-destruction. I have heard that relative to their un-medicated state, some drugs slow things down too much or keep people in a fuzz. I think it is probably worth it if you suddenly have the opportunity to ponder the world of your design – for all you know you might be living in someone else’s.

For those of us who are challenged with loved ones who need medication, may we have the wisdom to withhold our own discomfort and psychological effects, so that medicating is done, not for us, but for you. As for the overly medicated children among us, may we not screw you up to the point where you can no longer consider what is real.

Psychology / Relationships — 1 Comment
11
Sep 06

Have a hug, trust me

I heard today that hugs over twenty seconds create more trust. A little research shows that oxytocin [ok-si-toh-suhn] is at the heart of this thinking – a neurotransmitter in the brain expressed in women during labor, breastfeeding and when males or females orgasm.

Zack Lynch, someone who seems to be well regarded, highlights the research of Paul Zak and Ahlam Fakhar which shows that increases in oxytocin and estrogen affects country wide levels of trust. Lynch summarizes the findings ending with “trusting people are happier.” Dr. John Schinnerer, added that Shelly Taylor’s research links oxytocin as the foundation for the difference in innate reaction to fear when comparing males and females. Taylor et al. conclude:

It is now well-established that both animals and humans show health benefits from social contact (e.g., House, Umberson, & Landis, 1988). Positive physical contact in the form of touching, hugging, cuddling, and the like is known to release oxytocin which, in turn, has anti-stress properties. The present analysis suggests some mechanisms whereby social support may provide health protection … accompanying relaxation. As such, oxytocin may confer health benefits (cf. Ryff & Singer, 1998).

Dr. Schinnerer gives us the winning quote:

…oxytocin can be produced via hugs longer than 20 seconds which creates more trust in women.

Simple lesson of the day, hug more and hug longer.

Culture / Psychology / Relationships — 1 Comment
29
Aug 06

The rise of a truly literate class

I once heard that eighty percent of what we think of today, we thought of yesterday. I enjoy optimizing my world, so increasing the percentage of new thought seems a worthy goal.

Wikipedia lists the United States having a 99.9% literacy rate, citing the CIA World Fact Book. Check the footnote reading that 44 million people (one in seven) can read but not to level of understanding a job application, a food label or utility bill. Consider the fact that when I consider literacy, I do not include this group of 44 million.

Among the educated workforce – college level and above – I routinely witness great disparities in literacy. Being able to read and write are the single most important capabilities of an educated mind and those who write well often read.

Reading is an activity where the brain is engaged. Active readers comprehend the content, exploring what it means. The content influences the formation of language and founds our ability to create more complex conceptual relationships. This complexity adds layers of depth to our thinking and appreciation of the world around us.

Add to the list of what it means to be literate the appreciation of art and music and we get closer to what real literacy is about. There is a texture that only can be felt by wide exposure to new ideas through the mediums of text, images and sound. More importantly is for us to share the pieces of our overwhelming vast and growing collection of media that we believe are of meaningful quality.

The more we read the more we change and the less yesterday’s thinking is today’s.

Culture / Psychology / Relationships — No Comments
27
Aug 06

Relationships with partners, mentors, muses and figments

Being better together is part of healthy relationships. Without one of the two something possible is suddenly not. Life in general has always struck me as an endless list of Choose Your Own Adventure. Pick something, live it and pick another. Anything is possible and some of the best choices are who we pick to connect with, to relate to.

We automatically get our parents, regardless of their availability and quality. No matter their condition, parents form foundational psychological artifacts creating a relationship. The impossibility was your existence and any psychological reality they provided you with, at a minimum their absence or presence.

An obvious relationship is that of the significant other, the wife, husband, girl-friend, boy-friend or lover. These are the people with whom you are truly better with than without and the one that society will identify as your other half. Together quality of life is often enhanced and more psychological artifacts are created, offering future possibilities to work through our reality and conceptions therein. We hope this person will deliver the trust, security and love it requires to break down deeper fears and barriers to wonderment.

Other fantastic relationships are those who are our mentors. Mentors are objects in the mirror that are closer than they appear. They are often individuals who can see something about you that you desire for yourself or they know you need and can help you achieve. In business, mentors are invaluable. They should be sought after even more in life. Even the bad ones teach some of the best lessons. The best transform in a way that no one else could – the envy of a significant other, the one who desires to be all things to their partner. While a significant other might be a mentor, they tend not to have the objectivity or know-how to articulate the required personal change. Mentors are often reverse mentored receiving from the relationship, not just giving. Together, both individuals have the opportunity to grow, create some more psychological artifacts, hopefully more building blocks than plaque.

Muses are a bit tricky. A muse inspires. Together the fruits of that inspiration better the world, regardless of the significance. The psychological artifacts come from both the interactions with the muse and the resulting product of the inspiration. For some a muse helps create better poetry and art. In other instances it is a significant other inspiring to create a better life, be a better person. Mentors could be muses, both helping move in a specific direction and acting as the model and inspiration for how to execute (i.e. how to act a certain way by replicating seen behavior). They can be people we do not know well or those who are our closest friends. Muses are important to have so that we may dream the next turn in our adventure instead of just turning the page to find out what happens.

Figments are things of our own creation. We are the lone creators of the psychological artifact. They help articulate the relationship we have with ourselves. Figments can be dreams or visualizations of our how we want the world to be.

One of the best questions I recently started asking of any relationship, is why am I looking for something here instead of somewhere else. It forces you to articulate the purpose of your actions and identify meaning specific to this relationship and in turn, the connections you have with others. With the multitude of relationships we create in the world, knowing why we seek the company of one and not another can deepen our understanding and connection to all.

Psychology — No Comments
19
Aug 06

What happens if you cannot feel the healing?

This past Friday afternoon, I was having an interesting conversation with a friend from work. We were talking about spas and more particularly massages – the general need and healing from being touched by other humans.

This morning on CNN a story ran on a child who never felt pain. I made a comment that it reminded me of the stories one might find by Oliver Sacks in The Man Who Mistook His Wife for a Hat, and more specifically the one about the woman who could not feel her own body.

CIPA (congenital insensitivity to pain with anhidrosis) is an inherited degenerative disorder affecting the autonomic nervous system – a big deal, as this is where the heart comes in and the nervous system lives. Two key symptoms surface as the lack of feeling pain and the lack of perspiration. In CNN’s story about Roberto, they mention he can not be held, because he sucks the heat out of you. My comment was not speaking to the scientific characteristics; instead it was one of the social impacts of not feeling.

What kind of mental model for pain would a person who can not feel it, have? What kind of mental model for world pain (not individual human suffering) would they have? If they do not have the concrete knowledge of pain, how would they work with the abstract concept when applied to thoughts, imagination, inanimate objects or abstract concepts like a country?

Reach back into a psychology class and thinking about Skinner and conditioning. Try and recall the experiment where the animal, I think it was a rodent, was provided food when it hit a lever – reward the rat and the rat will continue. Map this back to people with CIPA. In the absence of sensory stimuli and limited interactions with others (not being able to be held, presumably cuddled), what is created to match the Skinner-stimuli we all use to operate in the world? Roberto might be aware of a lava stone massage one might get at a spa, but not think much of it. For those who see touch as healing and the need for it, what does it mean for those with CIPA?

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