Health

EASY OUTS:

Are smartphones really destroying the mental health of a generation? (Glynn Harrison, Apr. 21st, 2024, Spectator)

[T]he idea of the one-factor solution has never been particularly attractive to me. After all, over the first half of the last century, the lure of a surgical solution to mental health ailments scarred the lives of tens of thousands of patients who were subject to brain lobotomies. The same problem – good intentions but bad science – drove the over-use of electro-convulsive therapy (ECT) and, more recently, rocketing prescriptions for the latest pharmaceutical remedies. The scandalous use of puberty blockers may yet turn out to have been the latest intervention fuelled by our need for the big fix.

Add in the replication-crisis engulfing the behavioural sciences right now (many study findings reported with great fanfare don’t hold up when other researchers try to repeat the experiments), and the latest health scare to wash up on our shores – an apparent link between social media and an epidemic of teenage mental illness – is not promising.

IT’S ABOUT THEM, NOT YOU:

Empathy, It Seems, Is Overrated (Jeannette Cooperman, APRIL 18, 2024, Common Reader)

But empathy springs from compassion, I mutter. Compassion without empathy is just sympathy, a sentiment that is easily mawkish, condescending, and deliberately distanced. Or so I have always believed.

Dr. Tania Singer, a social neuroscientist and psychologist at the Max Planck Institute for Human Cognitive and Brain Sciences in Berlin, disagrees. A world-class expert in empathy and compassion, she scanned the brains of Buddhist monk Matthieu Ricard, also a neuroscientist, and other monks close to the Dalai Lama. She wanted to see where their brains lit up at moments of compassion and at moments of empathy. She found two entirely different neural pathways.

When empathizing with human tragedy, even wise contemplative monks become overwhelmed. Empathy causes you to feel the pain you are witnessing—in the same part of the brain that the sufferer feels it. Cut off from the meditative practice that buffers reactive emotions, the monks found the experience almost intolerable. But in the next round of scans, they were allowed to return to meditative compassion, which let them feel the pain without withdrawing or shutting down. Soak what you are perceiving with loving kindness, Ricard says, “and in the brain, complete change.”

The problem with pure, unadulterated empathy is that it becomes unbearable. Too much, too often, and you either withdraw or let it paralyze you. Either way, you are useless. Researchers say those who feel compassion are much more likely to help the other person than those who feel empathic distress.

MIND THE GAP:

Finding Awe Amid Everyday Splendor: A new field of psychology has begun to quantify an age-old intuition: Feeling awe is good for us. (HENRY WISMAYER, JANUARY 5, 2023, Noema)

“Yeah, that’s very nice,” he replied in a slow, portentous way, which I took to imply that I should stop commentating. And then we stood in silence for a long time.

“I’m 60, so I need to pee,” Keltner said suddenly, striding off down the slope. “It’s the great antagonist of awe in later life!”

With that, the moment passed. […]


The word “awe” derives from the Old Norse “agi” and the Old English “ege,” both of which denoted feelings of fear or terror. Its modern English derivative evolved to encapsulate a more nuanced emotion, one in which that same medieval dread mingles with a sense of pleasing, almost euphoric, overwhelm.

During the Scientific Revolution in Europe, awe fell into vogue as an explosion of discovery prompted fascination in all that remained inexplicable and out of reach. Europe’s wealthy developed a fashion for wunderkammern, or cabinets of curiosities, collections of esoteric miscellanea from around the world. These displays, which often included animal specimens, arcane artworks and scientific instruments, were partly an ostentation: a show of their owner’s discernment. But they were also a cognitive tool. Awe, and its milder cousin “wonder,” had come to be seen as an aesthetic prompt for the inquiring mind.

In 1757, the Irish political philosopher Edmund Burke revolutionized the intellectual contemplation of awe with his celebrated “Philosophical Enquiry,” in which he described the distinction between beauty and “the sublime,” a de facto synonym for awe. Burke argued that the sublime was “our strongest passion.” It could often stem from sensory impression, but it differed from beauty in that it also required a note of astonishment, the hint of threat. “Terror is a passion which always produces delight when it does not press too close,” he wrote.

Soon, this blossoming interest in wonder would give rise to great literary movements. In Europe, the Romantic poets found lofty words to echo the rarefied feelings of the awestruck soul. America’s transcendentalists struck out into the woods and mountains of New England to seek sanctity in the everyday.


Such thinking was at once a retort to the burgeoning fields of empirical science and a source of inspiration for some of its most famous exponents. In his history of the Romantic scientists, “The Age of Wonder,” the biographer Richard Holmes quotes an early poem by William Wordsworth, in which he describes a statue of Isaac Newton in terms that transform him from scholarly philomath to dauntless navigator, “Voyaging through strange seas of Thought, alone.”

William Herschel’s maps of the cosmos; Alexander von Humboldt’s concept of the web of life; Charles Darwin’s theory of evolution: Generations were spurred to genius by a desire to unlock the mysteries of the interconnected universe. Decades later, Albert Einstein would write: “He to whom this emotion is a stranger, who can no longer pause to wonder or stand rapt in awe, is as good as dead: His eyes are closed.” For trailblazers and heretics, awe was a driving force, the handmaiden of revelation.

As these notions of the virtue of explorations both physical and intellectual percolated through to the masses, this era yielded what we might recognize today as the modern pursuit of awe. The transition away from agricultural work and intermittent peace in Europe would eventually give rise to the weekend, to holidays, to leisure. “When previously wildernesses had been shunned,” Robert Macfarlane wrote in “Mountains of the Mind,” “now they were sought out as arenas of intense experience.”

Still, awe itself remained a scientific enigma. In his 1605 treatise “The Advancement of Learning,” the father of empiricism, Francis Bacon, described wonder as “broken knowledge” — a facet of the human condition, in other words, that defied his scientific method. For all the words expended on its cause and effect, awe was still the preserve of the metaphysical, its vagaries explained away as the handiwork of God, beyond human comprehension. Awe and science existed in tension, even as the one fed the other. It was a lacuna in our understanding of the human condition that future wonderers would seek to fill.

GENDER DYSPHORIA WASN’T COOL YET:

A history of hypochondria wonders why we worry (Becca Rothfeld, April 12, 2024, Washington Post)

In the late 14th century, a spate of patients scattered across Europe developed an unusual delusion: They came to believe that their bodies were made of glass. Those suffering from this bizarre affliction were terrified of shattering — at least one of them insisted on sleeping in heaps of straw so as to prevent any mishaps.

There’s nothing new about socially communicable mental disorders.

IT’S ALL IN YOUR HEAD:

Manufacturing Bliss (Nadia Asparouhova, April 2024, Asterisk)

If the mind is like a car, we are still learning how to tune its gears. Psychedelic substances such as MDMA, psilocybin, and LSD offer one promising path, having reemerged from the shadows of prohibition to find new roles in therapeutic treatment. It turns out that inducing altered states of consciousness, in the right setting, can help people work through depression, anxiety, and addiction, as well as navigate major life transitions such as loss or terminal illness.

But what if we could engineer these altered states without any external substances or stimuli? Enter the jhanas, a growing meditation trend that’s made its way into some corners of tech. Practitioners claim they can induce extremely blissful mental states that rival life’s peak experiences, available at any time with enough concentration.

Jhanas, if they are as accessible and transformative as they seem, create new inroads to understanding, and improving, how our brains work. By revealing the mind’s potential to transform our subjective experience, they point toward a radically expanded notion of what happiness can be — and where it comes from.

IT’S LONG COVID:

Britain Is Leaving the U.S. Gender-Medicine Debate Behind: The Cass report challenges the scientific basis of medical transition for minors. (Helen Lewis, 4/14/24, The Atlantic)

The report drew on extensive interviews with doctors, parents, and young people, as well as on a series of new, systematic literature reviews. Its publication marks a decisive turn away from the affirmative model of treatment, in line with similar moves in other European countries. What Cass’s final document finds, largely, is an absence. “The reality is that we have no good evidence on the long-term outcomes of interventions to manage gender-related distress,” Cass writes. We also don’t have strong evidence that social transitioning, such as changing names or pronouns, affects adolescents’ mental-health outcomes (either positively or negatively). We don’t have strong evidence that puberty blockers are merely a pause button, or that their benefits outweigh their downsides, or that they are lifesaving care in the sense that they prevent suicides. We don’t know why the number of children turning up at gender clinics rose so dramatically during the 2010s, or why the demographics of those children changed from a majority of biological males to a majority of biological females. Neither “born that way” nor “it’s all social contagion” captures the complexity of the picture, Cass writes.

What Cass does feel confident in saying is this: When it comes to alleviating gender-related distress, “for the majority of young people, a medical pathway may not be the best way to achieve this.”

FADS ARE NOT MEDICINE:

How a cult captured the NHS Society fails when it treats children like adults (Kathleen Stock, APRIL 12, 2024, UnHerd)


Pity poor Dr Hilary Cass, the eminent paediatrician charged with managing an independent review of NHS gender services for young people, whose final report was published this week. Given the hair-trigger sensibilities of interested parties, she seems to have been unable to state unambiguously that now-popular treatments for young people confused or distressed by their sexed bodies are blatant quackery: keeping pre-pubescent kids in suspended chemical animation on the basis of a single, discredited study; dosing teenagers liberally with opposite-sex hormones; or — when a child reaches the tender age of 18, though even earlier in other countries — empowering her to have major body parts cut off.

Instead, time and again in Cass’s report she is forced back into the conceit that the most pressing problem for contemporary gender medicine is the lack of good evidence for such interventions either way. It is as if a modern-day medic had been tasked with reviewing the efficacy of trepanning, and then ordered to defend her findings in front of fanatical fifth-century devotees. “It’s not that drilling a hole in a child’s skull to release demons is necessarily harmful, you understand — indeed, it may be the best outcome in some cases. The main issue is the lack of long-term follow up.”

Alongside Cass’s cumulatively devastating account of reckless decision-making, poor evidential standards, and patchy record-keeping at Gids and elsewhere, a whole section of the report gently attempts to educate its readership about “the components of evidence-based medicine” — complete with basic explainers about randomised controlled trials, blinding processes, and the possibility of bias. She might as well be addressing an archaic people who have just emerged blinking from a time capsule, still convinced that disease is God’s punishment for insufficient acts of propitiation.

In a sense, though, this is indeed very like one group to whom the report is addressed: those clinicians, parents and patients immersed in bubbles of identity affirmation, and cognitively isolated from any reasoning or evidence that would confound their worldview. Perhaps unusually for a medical review, it is clear from Cass’s overtly respectful tone and at times still-euphemistic language that her aim is not just to inform these readers but also to deprogram them.

IT COULD HARDLY BE MORE CONVENTIONAL:

Some therapists now offer unconventional form of treatment with surprising benefits: ‘It connects me to being human’ (Jenny Allison, March 21, 2024, The Cool Down)

Over the last several decades, but particularly the last several years, more and more psychotherapists, psychiatrists, therapists, counselors, and social workers have begun incorporating nature into their treatments. These approaches range from simply conducting talk therapy sessions outdoors to going hiking, going skiing, and even building fires. […]

Therapists agree — the technique shows promise, especially for people who are hesitant about traditional therapy or interested in something that doesn’t feel one-size-fits-all. It’s the reason why groups such as Maryland’s Center for Nature Informed Therapy or New York’s Boda Therapy have been growing in recent years.

“By blending the healing properties of the natural world with proven modalities such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), Nature Informed Therapy addresses a wide range of mental health concerns, promoting overall well-being, life satisfaction, and a harmonious relationship with the environment,” the Center for Nature Informed Therapy’s website explains.

The benefits aren’t just anecdotal, either. A 2023 study of forest bathing, the Japanese practice of taking a mindful stroll in the woods, found that taking such walks significantly reduced symptoms of depression and anxiety. In fact, simply just hearing birdsong has been shown to soothe anxiety.

Get out of your own head.

I DON’T THINK WE’RE IN HAVANA ANYMORE:

Long COVID patients report improvements following self-regulation therapy, study finds (Will Houston, 3/13/24, UCLA Health)

Clinical psychologist Dr. Natacha Emerson, the study’s lead author and assistant clinical professor in the UCLA Department of Psychiatry and Biobehavioral Sciences, said her study sought to test whether biofeedback would improve both the physical symptoms associated with long COVID and the psychological distress that often accompanies untreated chronic symptoms. While biofeedback has been established for chronic somatic symptoms, this is the first study to explore its effects in long COVID.

Immediately following the six-weeks of treatment, participants self-reported significant improvements in physical, depression and anxiety symptoms as well as in sleep and quality of life. The benefits were also sustained three months later without further intervention.