2009-04-10 Spike activity

Quick links from the past week in mind and brain news:

Tom has a fantastic post and brief radio segment on the psychology of coffee.

Savant and synaesthete Daniel Tammet gives an interesting interview on the neuroscience of exceptional abilities on the Quirks and Quarks radio show.

The New Republic has an extended review of ‘Hysterical Men’, a new well-regarded book on the neglected history of male hysteria.

Most psychiatrists who wrote clinical guidelines for the American Psychiatric Association had financial ties to drug companies, reports Medical News Today.

Not Exactly Rocket Science covers a nice study that shows <a href="http://scienceblogs.com/notrocketscience/2009/04/our_moral_thermostat_-_why_being_good_can_give_people_licens.php
“>moral behaviour is more like a balancing act than a recital.

An elegant study of how scratching stops an itch is covered by BBC News.

The Chronicle of Higher Education reports that the much discussed ‘Voodoo Correlations in Social Neuroscience’ paper, will now be <a href="http://chronicle.com/news/article/6236/a-much-debated-neuroscience-paper-has-lost-its-voodoo
“>retitled ‘Puzzlingly High Correlations in fMRI Studies of Emotion, Personality, and Social Cognition’ on its May publication.

There’s a great round-up of recent sex and science news on Dr Petra.

An article on the effects of poverty on brain development was published by Economist. You must read an excellent follow-up by Language Log showing all is not what it seems.

BBC News reports on seemingly higher rates of birth defects in babies of women sedated as children in UK care homes.

People with schizophrenia are not susceptible to the hollow-mask illusion, reports New Scientist with cool hollow-mask video.

Scientific American Mind has an interesting piece about mapping the brain circuits in depression for the purpose of modulating them with deep brain stimulation. More background on Neuron Culture.

Investigative journalist Phil Dawdy gives an ass-kicking pharma-sceptical interview on Christopher Lane’s Psychology Today blog.

Psychologist Colin Ross wins the James Randi Educational Foundation award for pseudoscience for his claim that he can send electromagnetic beams out of his eyes and capture them with a machine. Gives him something to do when he’s not writing articles for Scientology magazines I suppose.

Wired has a short but sweet piece on pioneering neurosurgeon Harvey Cushing.

Even isolated cultures understand emotions conveyed by Western music, suggest research expertly covered by Cognitive Daily.

The Times has a piece on psychiatrist and Big Pharma target / critic David Healy, branded the ‘enfant terrible’ of psychiatry.

Brain decline reflected in patient’s brush strokes, with photos from New Scientist.

SciAm Mind Matters has an interview with free-thinking developmental psychologist Judith Rich Harris on who influences the social development of children.

High-tech hobbit phrenology? Homo floresiensis may have been cognitively advanced suggests skull study reported in Science News.

Salon reports on a US Army psychologist caught on tape saying “I am under a lot of pressure to not diagnose PTSD“.

An intriguing new theory on why fever helps autism and how it could finger the brain area the locus coeruleus as key is covered in Time. Scientific paper here.

American Psychological Association Monitor magazine has a two part special on neuroimaging in psychology.

Neuroanthropology finds some vintage Oliver Sacks video footage and discusses the importance of integrating neurobiological and cultural viewpoints.

There’s a fascinating piece on the effect of gendered nouns on perception, plus a great experiment testing Shakespeare’s maxim ‘a rose by any other name would still smell as sweet’, on NPR radio.

Wired has a beautiful image gallery entitled ‘How to Map Neural Circuits With an Electron Microscope’.

A study on people with Parkinson’s disease being bad at lying is covered by Pure Pedantry.

PsyBlog asks whether visual attention can be truly divided.

Mind Hacks thinks about renaming Spike Activity to Spike Train because they’re so damn long these days.

Brains ads, via telepathy

Brain Ads is a web business where you can pay for your product promotion to be telepathically sent to anyone, and indeed, everyone, on the planet. I’ve yet to work out whether the guy is joking or serious.

It has been a long journey to discover that people were reading my mind, and although I came to think this already 7 years ago, everyone denied it. I was even given drugs without my knowledge. It all came down to trusting myself and accepting what I was experiencing.

Slowly I have explored the repercussions that having this ability has had on my life. Consequently, I also began to understand how other people had been using my ablity for their own personal, financial and emotional purposes.

As I realized that TV shows were following my daily thoughts and stores began bringing products I had been wishing for, it finally dawned on me that they were not just teasing me, they were actually getting more viewers and selling more products!

Everyone seemed to be getting a share of the bounty except me!

It’ll cost you $2,000 USD to have your one page advert sent to the world telepathically. Actually, it’s pretty cheap for the advertising world and at least it’s better value for money than a neuromarketing company.

And if that’s not your sort of brain advert, Street Anatomy have a gallery of print adverts that have used some rather nifty brain images.

I recommend click on the images in the gallery, as full size, the pictures are even more impressive.

Link to Brain Ads web business.
Link to Street Anatomy brain adverts gallery (via @mocost).

What are we celebrating?

Photo by Flickr user DeeJayTee23. Click for sourceI’ve just re-read the fantastic Social Issues Research Centre article on social and cultural aspects of drinking and it has an amusing section illustrating the difference between British and French drinking cultures which helps to explain why the British have a reputation for drunkenness when they visit the continent.

The article discusses the link between alcohol and the marking of celebrations in different cultures, noting that in the UK, serving alcohol socially is usually associated with marking the occasion as ‘special’ or ‘different’ in some way whereas in France, booze has a more neutral meaning, so social drink doesn’t so strongly imply something is being celebrated.

The British visit France. Hilarity ensues.

McDonald (1994) provides an amusing illustration of the different perceptions of the drinking/festivity connection in different European cultures, and the misunderstandings that can result:

“Many modern visitors from Britain on a first visit to France have had experience of this for themselves. Drinks may be offered at ten o‚Äôclock in the morning, for example. This is obviously going to be one of those days. What are we celebrating? During the midday meal, wine is served. What fun! What are we celebrating? The bars are open all afternoon, and people seem to be drinking. What a riot! What are we celebrating?

Pastis is served at six o‚Äôclock. Whoopee! These people certainly know how to celebrate. More wine is served with dinner. And so on. Wine has different meanings, different realities, in the two contexts, and a festive and episodic drinking culture meets a daily drinking culture, generating a tendency to celebrate all day. This has often happened to groups of young British tourists, now renowned in France and elsewhere in Europe for their drinking and drunkenness.”

Link to SIRC article ‘Social and Cultural Aspects of Drinking’.

The unclear boundary between human and robot

I am pleased to see a letter in this week’s Nature that shows that I’m not the only neuroscientist concerned about the coming robot war. Brain researchers Olaf Blanke and Jane Aspell wrote in to warn about the use of brain-machine interfaces, not to control machines with thoughts, but to control thoughts with machines.

Imagine if insights from the field of cortical prosthetics in human and non-human primates were combined with research on bodily self-consciousness in humans. Signals recorded by multi-electrodes implanted in the motor cortex can already be used to control robotic arms and legs. Cognitive cortical prosthetics will allow the use of other cortical signals and regions for prosthesis control. Several research groups are investigating indications that the conscious experience of being in a body can be experimentally manipulated.

The frontal and temporoparietal signals that seem to be involved encode fundamental aspects of the self, such as where humans experience themselves to be in space and which body they identify with (O. Blanke and T. Metzinger Trends Cogn. Sci. 13, 7‚Äì13; 2009). If research on cortical prosthetics and on the bodily self were applied to humans using brain-controlled prosthetic devices, there might be no clear answer to Clausen’s question: which of them is responsible for involuntary acts?

It may sound like science fiction, but if human brain regions involved in bodily self-consciousness were to be monitored and manipulated online via a machine, then not only will the boundary between user and robot become unclear, but human identity may change, as such bodily signals are crucial for the self and the ‘I’ of conscious experience. Such consequences differ from those outlined by Clausen for deep brain stimulation and treatment with psychoactive drugs.

The letter is a follow-up to a recent Nature piece on potential new ethical issues raised by the development of implantable brain technology.

Unfortunately, these sort of in-house scientific debates rarely do much to raise the public consciousness about the importance of such issues.

However, I have high hopes for the future. Not least because a new film in the Terminator documentary series is soon to be released.

Link to letter in Nature.

Laugh, I almost died

I’ve just discovered some important psychological research on cartoons, which, I think, has an important social message for us all.

A 1983 study published in the Journal of Personality and Social Psychology found that cartoon violence is hilarious, no matter whether you’re adult or child, native or foreign, rich or poor, cat or mouse.

More aggressive cartoons are funnier

McCauley C, Woods K, Coolidge C, Kulick W.

J Pers Soc Psychol. 1983 Apr;44(4):817-23.

Independent rankings of humor and aggressiveness were obtained for sets of cartoons drawn randomly from two different magazines. The correlation of median humor and median aggressiveness rankings ranged from .49 to .90 in six studies involving six different sets of cartoons and six different groups of subjects, including children and adults, high and low socioeconomic status (SES) individuals, and native- and foreign-born individuals. This correlation is consistent with Freudian, arousal, and superiority theories of humor. Another prediction of Freudian theory, that high-SES subjects should be more appreciative of aggressive humor than low-SES subjects, was not supported.

This is a proud day for the Acme Corporation.

Link to PubMed study on the funniness of aggressive cartoons.

Follow your pride

The New York Times has an interesting article on the psychology of pride and how it has an impact on ourselves and others.

The piece starts with the predictable ‘credit crunch’ hook, but goes on to discuss some of the few studies that have investigated the effects of pride.

Considering that it’s supposedly one of the ‘deadly sins’, one study struck me as particularly interesting. The researchers asked participants to take a test and then gave them rigged scores…

The researchers manipulated the amount of pride each participant felt in his or her score. They either said nothing about the score; remarked, in a matter-of-fact tone, that it was one of the best scores they had seen; or gushed that the person’s performance was wonderful, about as good as they had ever seen.

The participants then sat down in a group to solve similar puzzles. Sure enough, the students who had been warmly encouraged reported feeling more pride than the others. But they also struck their partners in the group exercise as being both more dominant and more likable than those who did not have the inner glow of self-approval. The participants, whether they had been buttered up or not, were completely unaware of this effect on the group dynamics.

“We wondered at the beginning whether these people were going to come across as arrogant jerks,” Dr. DeSteno said. “Well, no, just the opposite; they were seen as dominant but also likable. That’s not a combination we expected.”

The article also makes the interesting point that pride is one of those psychological concepts we discuss on a day-to-day basis but which has been largely neglect by research psychologists.

Wisdom is another, and probably by this measure, one of the most neglected psychological areas.

However, I noticed this week that the Archives of General Psychiatry published a review article entitled ‘Neurobiology of wisdom: a literature overview’ which seemed very commendable if not a little over-enthusiastic.

I’ve no idea why it was published in a psychiatry journal. Presumably, a drug company will shortly try and market one of their medications as a treatment for ‘judgement deficit disorder’ or ‘experience-based reasoning fatigue’.

You laugh now, but just wait six months.

Link to NYT article ‘When All You Have Left Is Your Pride’.
Link to summary of wisdom article.

When dreams come to life

Photo by Flickr user Pensiero. Click for sourceIn C.S. Lewis’ Narnia novel The Voyage of the Dawn Treader the heroes find a man stranded on an island where dreams come true. They initially express delight but the man rages “Fools!” “Do you hear what I say? This is where dreams – dreams, do you understand? – come to life, come real. Not daydreams: dreams.”

But dreams can come to life and the effect is no less fantastical. In REM sleep behaviour disorder (RBD), normal sleep paralysis breaks down and sleepers act out their dreams – giving observers a remarkable insight into the dreaming mind.

An article recently published in Neurology charted the range of sleep behaviours seen in people with neurological disturbances such as narcolepsy, Parkinson’s disease or other types of dementia, all of which can trigger the problem.

Incidental cases of nonviolent behaviors during RBD included masturbating-like behavior and coitus-like pelvic thrusting, mimicking eating and drinking, urinating and defecating, displaying pleasant behaviors (laughing, singing, dancing, whistling, smoking a fictive cigarette, clapping and gesturing “thumbs up”), greeting, flying, building a stair, dealing textiles, inspecting the army, searching a treasure, and giving lessons. Speeches were mumbled or contained logical sentences with normal prosody [voice tone, rhythm and stress].

The paper also contains two case studies which describe, in detail, exactly what each patient was doing when they were acting out their dreams. This is from the description of ‘Patient 2’:

These behaviors, which occurred with eyes closed, were complex, various, and usually accompanied with sentences resembling a teacher with children (first sequence) or a captain inspecting his troop (second sequence): “(Professorial) Can we all return to our seats! (pause) (Overbearing) What do you do, standing there in the middle? (pause) Remove your finger away from the switch! (pause) Well, if that’s so, I’ll take the numbers. (Ironic) And . . . late! (pause). (Professorial) Get back to your seats. I’m going to start.”

Mumbles for 6 minutes. Then: “(bossy) Raise your hands, raise your hands, raise your hands, I said raise! I didn’t say to pull away! I said: raise your hands!” Here the patient quickly raised his left arm and waved his hand it as if he were showing something. “(Bossy and rhythmic) Halt! (pause) Halt! (pause) Halt!” Three minutes later, he shouted “(Bossy, like in a military parade) Attention! Gentleman, please, attention! (pause) Halt, halt, I said! (pause) Halt, I said!”

This study specifically focused on the less researched non-violent sleep behaviours, as the disorder is more typically associated with acting out aggressive dreams.

This is possibly because the disturbances that cause the disorder also affect the content of the dreams.

An earlier study found that patients with the disorder reported having more aggressive dreams, even though they were not more aggressive in waking life.

It’s a fascinating article and worth reading in full as it contains many ‘wow, that’s amazing’ moments, both for the scientific insights, and the windows into the mental life of sleep.

Link to Neurology article on sleep behaviours.
Link to PubMed entry for same.

The mysterious death of “Mad King” Ludwig

This is an interesting snippet about the mysterious 1886 death of “Mad King” Ludwig II of Bavaria and his psychiatrist found in the final part of a Lancet article on the equally mysterious Ganser syndrome.

Born in Dresden in 1853, Sigbert Josef Maria Ganser emerged from the colourful Munich circle of neurologists and psychiatrists that included Jung, Bleuler, and Alzheimer. He trained as a psychiatrist in Wurzburg, then completed his thesis in Munich under Johan Von Gudden, editor of the Archiv für Psychiatrie und Nervenkrankheiten.

Von Gudden was also the supervisor of Emil Kraepelin, and physician to the “Mad King” Ludwig II of Bavaria, last of the German feudal princes [picture on right]. Both Von Gudden and the king were to die in mysterious circumstances three days after Von Gudden certified Ludwig insane.

Their drowned bodies were found in Lake Starnberg, and it is believed that King Ludwig took his own life, as well as that of his physician who wrestled in vain to prevent him from leaping into the lake.

According to the Wikipedia page for “Mad King” Ludwig, the death by drowning is only one version of the story and (unsurprisingly) there are various conspiracy theories about what killed the monarch.

Link to Lancet article on Ganser’s Syndrome.
Link to PubMed entry for same.

Drug company pushes jet lag as a medical disorder

Photo by Flickr user sparktography. Click for sourceThe Wall Street Journal’s health blog reports that drug company Cephalon are trying to get jet lag recognised as a ‘circadian rhythm sleep disorder’ in an attempt to promote their stay-up-forever drugs modafinil and armodafinil.

Modafinil, under the trade name Provigil, is currently a big seller for the company owing to the fact that it deletes the need for sleep and improves concentration typically without making the person feel particularly ‘wired’.

It’s licensed for the treatment of narcolepsy but is widely used by people without a prescription to stay awake and fend off mental tiredness.

Unfortunately, for Cephalon, modafinil will go out of patent in 2012, meaning its profit making capabilities virtually disappear as competitors will be able to produce the compound at a markedly reduced price.

In the mean time, the company has been developing a very similar but newly patentable drug named armodafinil. In fact, armodafinil has been created by a common ploy used by drug companies when they need to renew a patent on a drug.

Many drug molecules have two versions – both identical but mirror images of each other. Drugs work when the drug molecule ‘hand’ inserts itself into the appropriately matching neuroreceptor ‘glove’.

In the same way that you can’t put your left hand into a right glove, mirror image drug molecules need their matching receptor and each might have a different effect.

Many drugs, like modafinil, are mixture of both left and right-handed enantiomers, even though only one of the mirror images has the desired effect. In the case of modafinil, it’s the right-handed mirror image that seems the most potent.

So a common drug company ploy is to released a new drug which has been synthesised to remove the inactive or less active molecule.

Armodafinil, their new drug, is just this. It’s just the right-handed modafinil molecules.

So essentially it’s the same drug but without the action of the other ‘half’. This can sometimes reduce side effects, or improve the action of the drug, but in general the difference is relatively minor.

Importantly though, you can get a new patent on this synthesized version, meaning profit is guaranteed as long as you can convince people that your new drug is worth switching too. And this is where the spin comes in.

Because in many countries drug must be approved for a medical problem, Cephalon are trying to get jet lag classified as a disorder so they have a whole new market for their compound.

It also turns out that they’re sharply hiking the price on modafinil, so when the new, initially lower-priced armodafinil appears, people will switch.

They’ll then get used to using armodafinil and when modafinil becomes super-cheap and generic sometime later they’ve already established their market on their ‘premium branded’ new compound. Normally, the price begins to rise afterwards.

Isn’t progress great?

Link to WSJ on Cephalon and jet lag as a ‘disorder’.
Link to WSJ on modafinil price hike strategy.

Everybody can read minds except you

Conch Tees have a wonderfully philosophical or worryingly paranoid t-shirt that reads “Everybody can read minds except you!”.

It’s got an unwrapping brain in the centre, and the company claims it refers to conspiracy theories about other people reading your thoughts.

However, it could also be a reference to the problem of other minds, a key philosophical issue in the understanding of consciousness.

As consciousness is a first-person subjectively experienced state, we can never know whether other people are conscious, or even what their minds are like, so we just have to make our best guess from what they say and do.

They don’t say they can read minds, but they wouldn’t, would they?

Link to Conch Tees mind reading t-shirt.

Neural integration of transplanted hand

Neurophilosophy has an excellent article on a man whose brain’s sensation areas have reorganised to integrate a hand transplanted from a corpse, 35 years after the man’s original hand was destroyed in an accident.

The somatosensory cortex is literally a ‘map’ of the body. Each part on this strip of brain corresponds to an area of the body and is involved in perceiving bodily sensation.

We know that the somatosensory map is quite malleable, and can change when limbs are amputated and so no longer feed information into the system.

What happens when new limbs are attached is still largely a mystery as this type of transplant is a relatively new procedure. Nevertheless, this is now beginning to be studied and, as the Neurophilosophy article recounts, it’s starting to show us how the brain responds to a changing body:

One consequence of this functional reorganization is phantom limb syndrome, which Savage experienced for a short time following removal of his hand. This is thought to occur because although the deprived somatosensory cortical region takes on another function, it somehow retains a representation of the amputated limb. As a result, the amputee will occasionally experience sensations, sometimes painful ones, which are perceived to be in the missing body part.

In Savage’s case, it was thought that these changes may be irreversible, because his brain had been deprived of inputs from the right hand for some 35 years. But a team of neuroscientists led by Scott Frey of the University of Oregon now show that this is not the case. In a functional neuroimaging study published today in Current Biology, they report that Savage’s somatosensory cortex has been restored to something like its pre-amputation state, with the transplanted hand “recapturing” the cortical area which represented his own right hand.

The research team have put the full text of the scientific report online as a pdf file if you want to get to the nitty-gritty, otherwise the Neurophilosophy article is an elegant summary of a fascinating study.

Link to Neurophilosophy on neuroscience of hand transplant.
pdf of scientific paper.
Link to PubMed entry for same.

Bias we can believe in

Time magazine has a recent article on how the Obama team are making behavioural economics the centre of their financial policies in the hope of altering the behaviour of US citizens. But where are the sceptical voices?

Behavioural economics is primarily an academic discipline where researchers investigate how our cognitive biases divert us from strictly rational reasoning and affect our financial decision-making.

More recently, however, researchers have started touting these findings as a basis for making financial policy. This was most conspicuously done in Richard Thaler and Cass Sunstein’s book Nudge, which the article notes was an inspiration for the Obama campaign.

In fact, the article reveals that several well-known behavioural economists were advisors for the Obama campaign team:

The existence of this behavioral dream team ‚Äî which also included best-selling authors Dan Ariely of MIT (Predictably Irrational) and Richard Thaler and Cass Sunstein of the University of Chicago (Nudge) as well as Nobel laureate Daniel Kahneman of Princeton ‚Äî has never been publicly disclosed, even though its members gave Obama white papers on messaging, fundraising and rumor control as well as voter mobilization. All their proposals ‚Äî among them the famous online fundraising lotteries that gave small donors a chance to win face time with Obama ‚Äî came with footnotes to peer-reviewed academic research. “It was amazing to have these bullet points telling us what to do and the science behind it,” Moffo tells TIME. “These guys really know what makes people tick.”

President Obama is still relying on behavioral science. But now his Administration is using it to try to transform the country. Because when you know what makes people tick, it’s a lot easier to help them change.

And the fact that Obama has picked behavioural economist and Nudge co-author Cass Sunstein to head up the policy tweaking ‘Office of Information and Regulatory Affairs’ office is evidence that behavioural science is being taken seriously in the new administration.

What’s remarkable, however, is how so few of the high profile stories on this new influence in the Obama team has asked any difficult questions – they’re all almost relentlessly enthusiastic.

For example, one major problem is knowing how well largely lab-based studies will scale up to whole-population economic systems.

It’s perhaps no accident that almost all the articles cite a 2001 study that found that simply making the US’s 401(k) retirement savings scheme opt-out instead of opt-in vastly increased participation simply because it’s a hassle to change and employees perceive the ‘default’ as investment advice.

But it’s probably true to say that this example has been so widely repeated but it’s one of the minority of behavioural economics studies that have looked at the relation between the existence of a cognitive bias and real-world economic data from the population.

And it’s notable that behavioural economists who specialise in making this link, a field they call behavioural macroeconomics, seem absent from the Obama inner circle.

In fact, the two most prominent, George Akerlof and Bob Shiller, are certainly guys worth listening to.

Akerlof won the Nobel prize in economics for his work on behavioural macroeconomics and Shiller has predicted the tech crash in his 2000 book Irrational Exuberance, and then the housing crash in the second edition.

It is essential to check lab findings against real-world economic data because the responses of small groups of undergraduates should not be the basis of economic policy.

Link to Time article ‘How Obama is Using the Science of Change’.
Link to Economist on behavioural macroeconomics book by Akerlof and Shiller.
Link to Atlantic interview with Akerlof on behaviour and economic policy.
Link to Atlantic interview with Shiller on the same.

Imaging the transgendered brain

For the first time, the brain structure of male-to-female transsexuals has been investigated in living individuals using MRI brain scans, helping to fuel the debate over the possible neural basis of gender identity.

The scientific article, shortly to appear in the neuroscience journal NeuroImage, used MRI brain scans and a technique called voxel based morphometry to compare grey matter in a group of male-to-female transexuals to groups of males and females who have never had gender-identity concerns.

This is not the first time that brain structure has been compared in this way, but earlier studies had been based on post-mortem comparisons. These three studies had found that certain areas in male-to-female transsexuals more commonly resembled the equivalent area in females than males.

This has led some researchers to go as far as suggesting that perhaps the differences are present from birth and that gender-identity difficulties could result from the body and brain following different paths as the developing foetus begins to develop into a specific sex.

However, one difficulty is that all the transgender people examined in these post-mortem studies had been on oestrogen treatment to feminize their bodies, and it hasn’t been clear whether the differences were due to the effect of this hormone rather than something present before.

This new study, led by neuroscientist Eileen Luders, specifically recruited male-to-female transsexuals who had never taken oestrogen and, being in living people, wasn’t affected by whatever led to the person’s death.

In contrast to previous investigations, this new study found that male-to-female transsexuals grey-matter was similar in most areas of the brain to the male rather than female comparison group.

Except, that is, for one area, the putamen, a deep brain structure that forms part of the basal ganglia – known for its wide range of functions and connections to the frontal lobes and action control areas.

Because we know so little about the neuroscience of self-image and gender-identity it’s almost impossible to draw any conclusions for the fact that this specific area seems more ‘feminine’, or that the majority of the other areas seem more ‘masculine’ in terms of size.

What this study does do, however, is add to the increasing evidence that there are some detectable neurological differences in the brains of transgendered people. We’re just not in a position to say much about the significance of this yet.

Link to PubMed entry for ‘in press’ paper.

The myth of Thomas Szasz?

Psychiatrist and iconoclast Thomas Szasz takes part in a hard-hitting interview on ABC Radio National’s All in the Mind where he shows that at the age of 89 he’s lost none of his fire which has raged through psychiatry for almost 50 years.

It’s a two part interview with the second appearing next week and it’s classic Szasz.

He’s an important thinker because he relentlessly attacks the conceptual foundations of psychiatry, the definitions which usually can’t be empirically tested because they’re philosophical issues – in other words, the assumptions we need to make about the world before we can start measuring anything.

Szasz comes from a classical liberal perspective, citing the rights and responsibilities of the individual as primary in any social decision-making.

As psychiatry is involved in changing behaviour, detaining individuals against their will, and discharging responsibility for serious crimes through the insanity defence – all based on what Szasz argues is a flawed concept of ‘mental illness’ – he fundamentally opposes much of the psychiatric system.

He’s always fascinating to read or listen to as there are always ‘that man is a genius’ and ‘how can he be so stupid?’ moments following closely together. Of course, not everyone agrees on which are which.

The presenter, Natasha Mitchell, does a fantastic job of pressing hard questions and doesn’t shy away from tackling accusations of anti-psychiatry, medical irresponsibility and collusion with scientology (next week).

Great stuff.

Link to AITM ‘Thomas Szasz speaks’ Part 1.
Link to more background on the AITM blog.

Solitary confinement as psychological torture

The New Yorker magazine has just published an important article questioning whether the widespread use of solitary confinement in the US prison system should be outlawed as a form of torture.

It’s an in-depth piece that piece that looks at numerous cases of people who have experienced solitary confinement first hand, either as hostages or legitimate prisoners, and discusses the psychological impact of this extreme form of social isolation.

I’ve just looked up the research on the effects of solitary confinement and there’s remarkably little, although everything I could find that directly addressed the question found that it had a negative impact on the mind.

In fact, the ‘The Istanbul statement on the use and effects of solitary confinement’ [pdf], an international consensus statement on solitary confinement, notes that it “harms prisoners who are not previously mentally ill and tends to worsen the mental health of those who are” and questions whether it breaches UN Human Rights laws.

It also describes the punishment as being linked to “long list of symptoms ranging from insomnia and confusion to hallucinations and psychosis”.

The New Yorker article contrasts the research findings with the fact that the US has a whole ‘supermax‘ prison system dedicated to solitary confinement and the highest population of prisoners kept in these conditions in the world.

It also notes the fact that there is no evidence that solitary confinement actually reduces prison violence, which it is intended to do.

The article is an important and hard-hitting piece that tries to get to convey the impact of extreme social isolation and asks some difficult questions over a common practice in the US justice system.

Link to New Yorker article ‘Hellhole’.

A dark inheritance

There’s a brief but powerful piece in today’s New York Times on inheritance, environment and suicide by the daughter of poet Anne Sexton, who ended her own life in 1974 while in her mid-forties.

The article reflects on the recent suicide of Nicholas Hughes, the son of poet Sylvia Plath who also die in the same way.

It’s a striking piece because Sexton’s daughter has made her own suicide attempts and tries to untangle what contributes to a risk for self-harm which can run through families.

If you’ve not read it, Edge, Plath’s last poem, written only days before she died is a remarkable thing, dark yet calm and at once fluent and disjointed.

Link to NYT piece ‘A Tortured Inheritance’ (via Trouble with Spikol)