Thursday, March 15, 2012

Eric Kandel's Visions

3/15/12.

"...In the 1960s, Kandel found clinical psychiatry, his initial calling, to be insufficiently empirical and turned his back on it. In what he later called "the most difficult career decision of my life," he turned down the chairmanship of the Harvard Medical School psychiatry department for the pleasures of working with the sea snail Aplysia, a move that even some of his fellow neuroscientists found alarming, given their focus on the vertebrate brain. His key findings on the snail, for which he shared the 2000 Nobel Prize in Physiology or Medicine, showed that learning and memory change not the neuron's basic structure but rather the nature, strength, and number of its synaptic connections. Further, through focus on the molecular biology involved in a learned reflex like Aplysia's gill retraction, Kandel demonstrated that experience alters nerve cells' synapses by changing their pattern of gene expression. In other words, learning doesn't change what neurons are, but rather what they do..."

http://chronicle.com/article/Eric-Kandels-Visions/131095/

Tuesday, March 13, 2012

The Big Hoax

3/13/12. 

Thomas Sowell:

"There have been many frauds of historic proportions -- for example, the financial pyramid scheme for which Charles Ponzi was sent to prison in the 1920s, and for which Franklin D. Roosevelt was praised in the 1930s, when he called it Social Security. In our own times, Bernie Madoff's hoax has made headlines.

"But the biggest hoax of the past two generations is still going strong -- namely, the hoax that statistical differences in outcomes for different groups are due to the way other people treat those groups..."

http://www.realclearpolitics.com/articles/2012/03/13/the_big_hoax_113456.html

Sunday, March 11, 2012

How To Be Creative

3/11/12,

Jonah Leher:

"...But creativity is not magic, and there's no such thing as a creative type. Creativity is not a trait that we inherit in our genes or a blessing bestowed by the angels. It's a skill. Anyone can learn to be creative and to get better at it. New research is shedding light on what allows people to develop world-changing products and to solve the toughest problems. A surprisingly concrete set of lessons has emerged about what creativity is and how to spark it in ourselves and our work..."
http://online.wsj.com/article/SB10001424052970203370604577265632205015846.html?mod=WSJ_LifeStyle_Lifestyle_6

What About the Kids Who Behave?

3/11/12. The liberal racism of low expectations and no responsbility.

By JASON L. RILEY
The Obama administration is waving around a new study showing that black school kids are "suspended, expelled, and arrested in school" at higher rates than white kids. According to the report, which looked at 72,000 schools, black students comprise just 18% of those enrolled yet account for 46% of those suspended more than once and 39% of all expulsions.

Education Secretary Arne Duncan said the administration is "not alleging overt discrimination in some or all of these cases," but that's certainly what he's implying when he bleats on about the "fundamental unfairness" of the situation. "The undeniable truth," said Mr. Duncan in a press call this week, "is that the everyday education experience for too many students of color violates the principle of equity at the heart of the American promise." Of course, if racial animus toward blacks explains higher black discipline rates, what explains the fact that white kids are disciplined at higher rates than Asian kids? Is the school system anti-white, too?...

http://online.wsj.com/article/SB10001424052970204603004577271422640770022.html?mod=WSJ_Opinion_LEADTop

Wednesday, March 7, 2012

Joseph Epstein: "Old Age and Other Laughs. Am I Losing It?"

3/7/12.

Joseph Epstein has written a brilliant article on getting old (Commentary," March 2012).

Mr. Epstein ends his article:

"...At 75, I feel I am playing with house money - the rest of my life, as people used to say before the worry with cholesterol set in, is gravy. Lovely it would be to stay in the game for another 10 years or so, and I hope I am able to do so. But if some bright young oncologist or grave neurologist informs me that the time has come for me to cease flossing, I shall be mightily disappointed but scarcely shocked or even much surprised. On such occasion I hope to retain the calm to count my blessings, which in my case have not been few. Among them will be that I have lived in freedom during a time of unprecedented prosperity, been allowed to do work of my own choosing that has been appreciated and decently rewarded, while never having been called upon to betray my friends or my ideals. Another blessing has been that thus far I have dodged the land mines, the flying darts, and the machine gunner, and arrived at old age..."

Amen

(n.b. see 3/22/12 post for the entire article)

Another Child is Dead

Tuesday, March 6, 2012

The Rediscovery of Character

James Q. Wilson (1931 - 2012)

3/6/12. Thomas Sowell writes:

"There are undoubtedly many people who are alive today because of James Q. Wilson, who died last week. He was not a doctor or medical scientist, nor was he a fireman or coast guardsman who rescued people from immediate dangers.

James Q. Wilson was a scholar who studied crime. He saved lives because his penetrating analyses of crime, and the effect of the criminal law, debunked the theories of other intellectuals, which had led judges and legislators to ease up on criminals -- leading in turn to skyrocketing rates of crime, including murder..."

http://www.realclearpolitics.com/articles/2012/03/06/james_q_wilson_1931-2012_113376.html

Monday, March 5, 2012

A Quest to Understand How Memory Works

3/5/12.

INSIDE THE MIND Dr. Eric R. Kandel at Columbia University Medical Center

"...As a student at Harvard in the 1950s, you aspired to be a psychoanalyst. Was this because of your Viennese background?
In part I was drawn to it because it promised much. In the 1950s and early 1960s, psychoanalysis swept through the intellectual community, and it was the dominant mode of thinking about the mind. People felt that this was a completely new set of insights into human motivation and that its therapeutic potential was significant. It was seen as the treatment that solved everything in the world, from schizophrenia to ingrown toenails. It’s amazing how it was oversold. When this turned out to be more hope than reality, things flipped in the other direction. In my case, I didn’t pursue it because I fell in love with research.
Did this overselling discredit psychoanalysis?
I think so. And it’s a shame. There are many fantastically interesting components to it that are worthwhile. The problem of psychoanalysis is not the body of theory that Freud left behind, but the fact that it never became a medical science. It never tried to test its ideas. When you asked, “How come there are not outcome studies?” you were told, “You can’t study this. How are you going to measure it?”
In fact, there were questions it was possible to ask. For instance, under what circumstances does psychoanalysis work better than a placebo? Does it work better than other kinds of therapy? Who are the best therapists for what kinds of patients..."

http://www.nytimes.com/2012/03/06/science/a-quest-to-understand-how-memory-works.html?_r=1&hpw=&pagewanted=all

Teller Reveals His Secrets

Sunday, March 4, 2012

William Zinsser

3/4/12. The Friday writings of William Zinsser in the "American Scholar." Treat yourself to one of the best.

http://theamericanscholar.org/the-complete-zinsser-on-friday/

Book Review: "How We Age"

3/4/12.


How We AgeReview - How We Age
A Doctor's Journey into the Heart of Growing Old
by Marc Agronin
Da Capo, 2010
Review by Nassir Ghaemi, MD MPH
Feb 21st 2012 (Volume 16, Issue 8)

Any man or woman in his or her mid forties, like Marc Agronin and me, will have many questions about old age. One's grandparents go, then one's aunts and uncles, and then there are one's parents. Even some friends, the same age or younger as a middle-aged proband, go. If you live through your youth, which is full of questions, you reach the middle of life, where even more questions arise. When does it ever end? What is it like to be old? And then what?

Agronin has a special perspective: he is both a middle-aged, red-blooded American male. And he is a geriatric psychiatrist. He asks these questions in his professional, as well as his personal, time.

http://metapsychology.mentalhelp.net/poc/view_doc.php?type=book&id=6423&cn=139

James Q. Wilson. "Angry about inequality? Don't blame the rich."

3/4/12. James Q. Wilson ---- a recent article from an intellectual giant.

"...Making the poor more economically mobile has nothing to do with taxing the rich and everything to do with finding and implementing ways to encourage parental marriage, teach the poor marketable skills and induce them to join the legitimate workforce. It is easy to suppose that raising taxes on the rich would provide more money to help the poor. But the problem facing the poor is not too little money, but too few skills and opportunities to advance themselves..."

http://www.aei.org/article/society-and-culture/poverty/angry-about-inequality-dont-blame-the-rich/

James Q. Wilson. The Moral Sense

3/4/12.

Roger Kimball on Professor Wilson's book,  "The Moral Sense:"

We must be careful of what we think we are, because we may become that.
—James Q. Wilson, The Moral Sense
 
"Wilson, whose previous books include Thinking about Crime, Bureaucracy, and other works concerned with public policy, writes about morality as a public fact. The language of virtue and morality has had a tough time lately. 'Our reluctance to speak of morality,' he notes, 'and our suspicion, nurtured by our best minds, that we cannot ‘prove’ our moral principles has amputated our public discourse at the knees.' Consequently, part of his purpose in this book is 'to help people recover the confidence with which they once spoke about virtue and morality.' It is not, he writes,
an effort to state or justify moral rules; that is, it is not a book of philosophy. Rather, it is an effort to clarify what ordinary people mean when they speak of their moral feelings and to explain, in so far as one can, the origins of those feelings.
 

James Q. Wilson. Man of Reason

3/4/12.

Heather MacDonald:

"...Wilson’s Public Interest article set the pattern for his intellectual career. Over the next 45 years, Wilson would continue patiently to point out when the emperor had no clothes, to exercise skepticism toward conventional wisdom, and to derive his ground-breaking insights from a close attention to the facts on the ground..."

http://www.city-journal.org/2012/eon0304hm.html

Monday, February 27, 2012

Monday Quotations

2/27/12.

"You can persuade a man to believe almost anything
provided he is clever enough, but it is much more
difficult to persuade someone less clever."

--- Tom Stoppard (1937 -   )

"Sentence structure is innate but whining is acquired."

--- Woody Allen (1935 -  )

"More than any other time in history, mankind faces
a crossroads. One path leads to despair and utter
hopelessness. The other, to total extinction. Let us pray
we have the wisdom to choose correctly."

--- Woody Allen (1935 -  )

"Haec ebun ridentur vel sola vel maxime
quae notant et designant turpitudinem
         aliquam non turpiter."

"An indecency decently put is the thing
        we laugh at hardest."

--- Cicero (106 BC - 43 BC)

Tuesday, February 21, 2012

Why do men go bald?

2/21/12. Hair today, gone tomorrow.

http://sciencenordic.com/why-do-men-grow-bald

Defying the Doomsayers

2/21/12.
"If every image made and every word written from the earliest stirring of civilization to the year 2003 were converted to digital information, the total would come to five exabytes. An exabyte is one quintillion bytes, or one billion gigabytes—or just think of it as the number one followed by 18 zeros. That's a lot of digital data, but it's nothing compared with what happened from 2003 through 2010: We created five exabytes of digital information every two days. Get ready for what's coming: By next year, we'll be producing five exabytes every 10 minutes. How much information is that? The total for 2010 of 912 exabytes is the equivalent of 18 times the amount of information contained in all the books ever written. The world is not just changing, and the change is not just accelerating; the rate of the acceleration of change is itself accelerating..."

http://online.wsj.com/article/SB10001424052970203646004577213203698503484.html?mod=WSJ_Opinion_LEFTTopOpinion

What Can Neurology Tell Us About the Human Brain?

2/21/12.
"So here is something staring you in the face, an extraordinary syndrome, utterly mysterious, where a person wants his normal limb removed. Why does this happen? There are all kinds of crazy theories about it including Freudian theories. One theory asserts, for example, that it's an attention seeking behavior. This chap wants attention so he asks you to remove his arm. It doesn't make any sense. Why does he not want his nose removed or ear removed or something less drastic? Why an arm? It seems a little bit too drastic for seeking attention."

http://edge.org/conversation/adventures_behavioral_neurology

Sunday, February 12, 2012

Blaming the Private Sector

2/12/12. Nobel prize winning economist Gary Becker tells the truth about America's financial crises --- and how government made the crisis worse.

http://www.hoover.org/publications/hoover-digest/article/103996

Thursday, February 9, 2012

Charles Murray Steps Back in the Ring

Robert Nozick on Intellectuals

2/9/12. The late philosopher Robert Nozick (1938 - 1998) was quoted in today's Wall Street Journal:

"From the beginnings of recorded thought, intellectual have told us their activity is most valuable. Plato valued the rational faculty above courage and the appetites and deemed that philosophers should rule; Aristotle held that intellectual contemplation was the highest activity. It is not surprising that surviving texts record this high evaluation of intellectual activity. The people who formulated evaluations, who wrote them down with reasons to back them up, were intellectuals, after all. They were praising themselves. Those who valued other things more than thinking through with words, whether hunting or power or uninterrupted sensual pleasure, did not bother to leave enduring written records. Only the intellectual worked out a theory of who was best."

In 1998, I had the privilege of spending a day with Professor Nozick, inviting him to speak at the American Psychological Association convention held in San Franciso.

My introduction to Professor Nozick's talk:

August 15, 1998.

 It is a privilege to be here.  I am Steve Ceresnie, President of the Michigan Psychological Association, a long time student---from afar---of Robert Nozick’s work.

Professor Nozick assures me that today’s experience is real, and not the product of my being connected to an experience machine that generates such desires as introducing your favorite philosopher to APA psychologists --- I’ll explain more about this experience machine in a minute. 

 I am one of the many friends of Marty Seligman, the psychologist’s psychologist,  whose creative ideas, optimism, and commitment to bridging the worlds of science and practice, have inspired so much of this APA Convention.

Unlike many of his professional colleagues, Robert Nozick, the Arthur Kingsley Porter Professor of Philosophy at Harvard, has the courage, concern, and commitment to deal with the topics of life, living, and the massive problems of the 20th century. 

 He goes after fundamental questions of social justice and human existence that his colleagues ignore:

 “Are there objective ethical truths?”

“Do we have a free will?”

“Is there meaning to life?”

 In his words, Robert Nozick was born “just one generation from the shtetl…” in Brooklyn, New York.  He grew up in the ethnic, working-class neighborhoods of Brownsville and East Flatbush.

 After graduating from Columbia College, he enrolled in the doctoral program at Princeton.  During his Princeton years, a Libertarian capitalist at Princeton whose arguments he could not refute effectively challenged his own beliefs, making Professor Nozick more friendly, in his own words to “capitalist acts between consenting adults.”

 Robert Nozick has been a member of the philosophy department at Harvard University since 1965. And shortly after celebrating his 30th birthday, he was granted tenure at Harvard.

 Professor Nozick has been known primarily for his early work Anarchy, State, and Utopia, which won a National Book Award.   One reviewer wrote that Nozick “has observed the breath-taking wickedness of what the state is capable.” Yet, I must add, Professor Nozick is no apologist for the status quo. 

 In fact, Professor Nozick has never thought of himself as a political philosopher. He has not responded to the sizable literature on Anarchy, State, and Utopia and the vast majority of his writing and attention has focused on topics of importance to all psychologists: knowledge, the self, and why is there something rather than nothing.

Professor Nozick is the author of five books:

Besides Anarchy, State, and Utopia, he has written: Philosophical Explanations, The Examined Life (my favorite), The Nature of Rationality, and most recently, Socratic Puzzles, published in the spring of 1997. A reviewer described Robert Nozick as “a professorial stand-up comic steeped in the tradition of Woody Allen and Philip Roth."

In the spring of 1997, he delivered the six John Locke Lectures at Oxford University, and a revision of these lectures will be published by Harvard University with the title Objectivity and Invariance.”

He has also published stories in literary magazines including the piece: “God --- A Story” which begins:  “Proving God’s existence isn’t all that easy---even when you’re God. So, I ask you, how can people expect to do it?”

To read his books is to imagine a brilliant friend over for dinner who goes long into the night drawing from his wealth of readings and depth of understandings.

 The following chapter headings from some of his books give you a taste of this wealth and depth of his writings:

 Parents and Children; Love’s Bond; Dying; The Nature of God, the Nature of Faith; Sexuality; Creating; Emotions; The Holocaust.

 His chapter on the Holocaust --- alone --- should be required reading.

 In  the introduction to his book The Examined Life, which every psychologist should read at least once, Professor Nozick writes and I quote:

“I want to think about living and what is important in life, to clarify my thinking---and also my life. Mostly we tend---I do too---to live on automatic pilot, following through the views of ourselves and the aims we acquired early, with only minor adjustments…”

No doubt there is just too much meat in Professor Nozick’s writings to summarize. But I must tell you that when you read Professor Nozick’s work, your mind starts associating to startlingly fresh perspectives, and is aroused by his gift for elegant, witty, and playful thought experiments to represent philosophical problems. My favorite thought experiment is what he calls “The Experience Machine.”

Professor Nozick’s describes this experience machine: the one I still think I may be hooked up to.

 Imagine a machine that could give you any experience (or sequence of experiences) you might desire. When connected to this experience machine, you can have the experience of writing a great poem or bringing about world peace or loving someone and being loved in return. You can experience the felt pleasures of these things, how they feel from the inside. You can program your experiences for tomorrow, or this week, or this year or even for the rest of your life. If your imagination is impoverished, you can use the library of suggestions extracted from biographies and enhanced by novelists and psychologists. You can live you fondest dreams “from the inside.” Would you choose to do this for the rest of your life? If not, why not?

Professor Nozick tells us that this thought experiment is designed to isolate one question: 

Do only our internal feelings matter to us?  

 Professor Robert Nozick, the current President of the American Philosophical Association (Eastern Division) will speak on:

THE PLACE OF CONSCIOUSNESS.  A discussion of the function of consciousness and the relation of conscious experience to neurophysiological process and events.

Please welcome Robert Nozick.

           
















































  

Saturday, February 4, 2012

The Ultimate Brain Quest: "Connectome"

2/4/12.

[CONNECT1] Thomas Deerinck/NCMIR/Photo Researchers

Nerve cells in the brain. Neurons are supported and protected by smaller, and even more numerous, glial cells.

"Every day we recall the past, perceive the present and imagine the future. How do our brains accomplish these feats? It's safe to say that nobody really knows," Sebastian Seung writes early in "Connectome," his exploration of how researchers have at least made a start toward understanding how those feats are accomplished. Mr. Seung, a professor of brain science at the Massachusetts Institute of Technology, is an amiable guide, witty and exceptionally clear in describing complex matters for the general reader... the best lay book on brain science I've ever read."

http://online.wsj.com/article/SB10001424052970204740904577192974245115762.html?mod=WSJ_Opinion_MIDDLESecondBucket

Connectome:

http://connectomethebook.com/?page_id=40

Two Cheers for Ritalin II

2/4/12. Dr. Ned Hallowell - co-author of "Driven to Distraction," tells the truth about living with ADHD and the benefits of medication. He ought to know - he is a world-renowned psychiatrist who has ADHD.

http://www.additudemag.com/adhdblogs/11/9378.html

What Musicians Can Teach Doctors

2/4/12.

Abstract

Medicine is a learned profession, but clinical practice is above all a matter of performance, in the best and deepest sense of the word. Because music is, at its core, a pure distillate of real-time performance, musicians are in an excellent position to teach us about better ways to become and remain expert performers in health care and ways for our teachers and mentors to help us do that. Ten features of the professionalization of musicians offer us lessons on how the clinical practice of medicine might be learned, taught, and performed more effectively

http://www.annals.org/content/154/6/426.full

Friday, February 3, 2012

My Thoughts on Health Care

2/3/12.

The current health care system is an inefficient mix of private and public bureaucracies. Some say we need more government intervention to reduce costs, and cover the uninsured. Some say we need less government intervention, and more market-based reform to reduce costs, and increase the number of the insured.
Many people distrust corporations, abhor the for profit system of health care, and point to wealthy insurance executives as a symptom of a larger problem.

It is hard to be against helping those who can’t afford health insurance, and making sure people, who need medical help, get the best care available.

We hear that government health care programs are more efficient than private medicine --- yet many people from other countries with government run medical care come to the United States for care.

 Studies of Medicare indicate a waste of about $1.00 for every $3.00 the program spends. Of course, some will cite studies showing the waste of private insurance companies.

 At least with private insurance companies --- when people are allowed to purchase insurance across state lines --- may compete for our business, which may lower insurance costs. With the Internet, we could search out the best price for insurance, with benefits tailored to our needs. This may require a loosening of the tax benefits for employers to provide health care, and giving individuals the tax benefits of purchasing their own medical insurance. Of course, some will say corporations should be obligated to pay medical benefits for their employees.

Every year psychologists --- along with physicians, fight to stop decreases in Medicare payments. Does anyone think that when we have a government run system --- the fight to maintain our fees will get easier?

There is ongoing controversy about how many uninsured people there are in America. Many people who are eligible for government run services, never sign up for these benefits. Of course, there are still people who are uninsured. Why not supply those people without insurance an opportunity to buy government subsidized insurance, rather than overhaul the whole system? You may recall it took President Obama one year to convince a Democratic Congress to pass his health care bill --- and he needed to provide many exceptions and deals to unions and corporations

Thursday, February 2, 2012

The Sad Saga of Little Albert

2/2/12. Every student who takes introductory psychology has heard of  Little Albert.

Now we find out that what happened to Little Albert may not fit the behavioral theory of John Watson, the psychologist who put Little Albert on the map.

http://chronicle.com/blogs/percolator/a-new-twist-in-the-sad-saga-of-little-albert/28423

Tuesday, January 31, 2012

Book Review: Coming Apart

1/31/12. Read this book.

W. Bradford Wilcox reviews Charles Murray's new book:

"So much for the idea that the white working class remains the guardian of core American values like religious faith, hard work and marriage. Today the denizens of upscale communities like McLean, Va., New Canaan, Conn., and Palo Alto, Calif., according to Charles Murray in "Coming Apart," are now much more likely than their fellow citizens to embrace these core American values. In studying, as his subtitle has it, "the state of white America, 1960-2010," Mr. Murray turns on its head the conservative belief that bicoastal elites are dissolute and ordinary Americans are virtuous..."

http://online.wsj.com/article/SB10001424052970203806504577181750916067234.html?KEYWORDS=charles+murray

Monday, January 30, 2012

What the Bible Teaches about Capitalism

What's Wrong with the Teenage Mind?

1/30/12.
"What was he thinking?" It's the familiar cry of bewildered parents trying to understand why their teenagers act the way they do.

How does the boy who can thoughtfully explain the reasons never to drink and drive end up in a drunken crash? Why does the girl who knows all about birth control find herself pregnant by a boy she doesn't even like? What happened to the gifted, imaginative child who excelled through high school but then dropped out of college, drifted from job to job and now lives in his parents' basement..."

http://online.wsj.com/article/SB10001424052970203806504577181351486558984.html

The Tribal Psychology of Politics

1/30/12.

Jonathan Haidt:

"...Haidt (pronounced like "height") made his name arguing that intuition, not reason, drives moral judgments. People are more like lawyers building a case for their gut feelings than judges reasoning toward truth. He later theorized a series of innate moral foundations that evolution etched into our brains like the taste buds on our tongues—psychological bases that underlie both the individual-protecting qualities that liberals value, like care and fairness, as well as the group-binding virtues favored by conservatives, like loyalty and authority..."

http://chronicle.com/article/Jonathan-Haidt-Decodes-the/130453/

Sunday, January 29, 2012

Nature, Nurture, and Liberal Values

1/29/12.

Roger Scruton:

"Human beings are diverse and live in diverse ways. Should we accept that we are diverse by nature, having followed separate evolutionary paths? Or should we suppose that we share our biological inheritance, but develop differently according to environment and culture? Over recent years scientific research has reshaped this familiar “nature-nurture” debate, which remains central to our understanding of human nature and morality..."

http://www.prospectmagazine.co.uk/2012/01/nature-nurture-and-liberal-values-roger-scruton-jesse-prinz-david-eagleman-neuroscience/

Two Cheers for Ritalin

1/29/12.

Attention-deficit/hyperactivity disorder (ADHD) is a well-known disorder that is not known well.  

Dr. Sroufe's recent article "Ritalin Gone Wrong," (New York Times, 1/29/12) stands in a long line of CNN-ical media attacks on the safety and efficacy of medication to treat ADHD. His article takes a well known disorder and ignores what has gone right with Ritalin.

The following, for example, is an exceptionally intelligent 40 year old female describing growing up undiagnosed with this well- known disorder:

...Growing up I came by a reputation (honestly earned) of being very forgetful and not finishing things...I seemed to be an extreme case, by all accounts from friends and family...As a teenager I had a difficult time with the repetitive, routine jobs in my family’s bakery...I have always tended to be disorganized and messy...I have found I function best in jobs that I can move around a lot...I find I need an externally imposed structure to my days. It is difficult for me to prioritize and organize myself when faced with an ‘open’ day...Socially, I have a tendency to interrupt others during conversations, small talk can be hard because my mind starts to drift...I tend to lose things quite a bit...I think I am rather ‘stimulus bound’ - that is, I get distracted by things that are happening at the moment and drift towards the distraction, forgetting the task I was originally doing...In this sense, I am impulsive and reactive...Mood swings can be a problem for me...Some months they seem related to PMS, but those symptoms tend to lessen the more I exercise...luckily, I’ve also got a light side that somehow pulls me through...

The plural of clinical vignette is not data, but what is not known well about ADHD is the wealth of scientific data on the clinical description, epidemiology, developmental course, prognosis, etiology, evaluation, differential diagnosis, and treatment for ADHD --- accumulated over more than fifty years of peer-reviewed research that informs clinical practice:

(1)    The psychostimulants methylphenidate (Ritalin) and amphetamine (Adderall) are the oldest and most established pharmacological agents in child psychiatry. The beneficial effects of stimulant medication for ADHD have been extensively studied over many years (e.g. Jadad et al., 1999; Swanson, 1993; American Academy of Child and Adolescent Psychiatry, 2007; Greenhill, 2002; Spencer et al., 2006; Wilens et al., 2006). Medications are underused in some areas and may be prescribed too freely in others, not using proper evaluation and follow-up. These medications work for the vast majority of people who are properly diagnosed.

(2)    There are some excellent long-term studies about the effects of medication for ADHD (e.g. Weiss and Hechtman, 2003; Mannuzza et al, 1998; Barkley et al., 2006).

(3)    There is strong evidence that ADHD is a genetic disorder (e.g Sprich et al., 2000).

If you type ADHD into the Google search engine, the prestigious National Institute of Mental Health web site pops up, linking you to a 46 page pamphlet on ADHD -- a disorder affecting 3 - 5 percent of youngsters under age 18 years characterized by chronic (since childhood) and pervasive (across settings) problems with hyperactivity (trouble doing nothing), impulsivity (trouble putting the "brakes" on emotions and actions) and/or inattentiveness (trouble filtering out external distractions)-- a neurophysiological disorder that doctors have known about and successfully treated for decades.

Physicians cannot persuade their patients to take the required eight days of antibiotics to treat their infections. Yet, some professionals and citizens claim that physicians are convincing parents to drug their children with Ritalin everyday with the help of harried teachers and lazy, self-preoccupied, permissive parents. .Others claim that ADHD is nothing but another myth of mental illness.

My experience - over 35 years - is that most parents never want their child to take medication for any psychiatric disorder.

Some hesitation about prescribing Ritalin for ADHD - and medicines for other psychological disturbances stems from contemplating the complexity of our brains:

In considering the brain, we are talking about a population of hundreds of billions of cells that far exceeds the number of stars in the sky. The number of possible connections these cells can make exceeds the numbers of particles in the universe. To give a sense of this, consider that the cortex of your brain has 30 billion neurons. It has a million billion connections, at least. If you counted one connection per second, you would not finish counting until 32 million years later. (Edelman, 2004).

No doubt scientists have made huge gains in our knowledge about the workings of the brain and the mind. But we do not know how the brain produces the mind --- how consciousness flows from brain tissue.

To circumvent this brain-mind gap in our knowledge and to clarify our diagnostic thinking about the multiple causal pathways of such disorders as ADHD, we benefit from considering the following four etiological families of psychological disorders (McHugh and Slavney, 1998; Kagan, 2010):

(1) brain disease (e.g. autism, dementia, schizophrenia, delirium).

(2) temperamental biases for anxiety and depression (e.g. phobias, PTSD, panic disorder, obsessive-compulsive-disorder, depression).

(3) temperamental biases that make it difficult to regulate impulsive behavior (e.g. ADHD, conduct disorder).

(4) distressful life encounters (e.g. grief, adjustment disorders, trauma).

Not all twisted thoughts are caused by twisted neurons. We live in a time when our excitement with the remarkable technology of brain imaging and advances in understanding brain biochemistry lead to promoting pills for complex problems. Some brain scientists call this obsession with brain based explanations - neuromania (Tallis, 2011).

For those who may remember, we have lived through decades of environmental mania - when experts on the human mind told us that autism and schizophrenia were created by refrigerator mothers who just happened to defrost enough to produce a child (e.g. Kanner, 1943).

We must focus on the individual circumstances and social contexts of patients whose problems result from  unique combinations of these multiple etiologies. For example, a youngster with ADHD can be depressed, have an anxiety disorder, live in a family that frequently moves, and have an alcoholic, violent father.

With this ADHD youngster, psychiatric medications sometimes offer life-enhancing measures to improve a youngster’s faulty "hard drive" - improving mood stability, ability to filter out external distractions, reducing anxiety  and bolstering self-control. Medication is rarely enough to insure effective treatment. Psychological therapies are required.

Understanding family relationships and individual psychodynamics - and prescribing pharmacotherapy are not incompatible, but often complimentary methods of treatment.

Psychological therapies do much to repair "software," providing supportive settings to promote hope, reroute faulty emotional learning and beliefs, enhance family and peer relationships, and help the youngster enjoy life more. Psychological therapies for ADHD frequently make creative use of principles of behavioral psychology (e.g. Pelham et al., 1998).

Until we have a medical test for ADHD, no amount of anecdotes, scientific data, or testimonials from patients, will convince some professionals and citizens that ADHD is not a myth, but a well researched psychological disorder that can be accurately diagnosed and effectively treated. 

References:

American Academy of Child and Adolescent Psychiatry: Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 46: 894 – 921, 2007.

Barkley. R.  et al., Young adult outcome of hyperactive children:  adaptive functioning in major life activities. J Am Acad Child Adolesc Psychiatry 45: 192 – 202, 2006.

Edelman, G. New Perspectives Quarterly, V. 21, No. 3, Summer, 2004

Greenhill, L. Stimulant medication treatment of children with attention deficit hyperactivity disorder, in Attention Deficit Hyperactivity Disorder: State of Science, Best Practices, Edited By Jensen, P. et al. Kingston, NJ:  Civic Research Institute, 2002, pp 9-1 – 9-27, 2002.

Jadad et al. Treatment of attention-deficit/hyperactivity disorder. Evid Rep Technol Assess (Summ) Nov:i-viii, 1 – 341,1999.

Kanner, L. Autistic disturbances of affective contact. Nervous Child, V. 2, No. 2:  217 - 230, 1943.

Kagan, J. The Temperamental Thread: How Genes, Culture, Time and Luck Make Us Who We Are. New York:  The Dana Foundation, 2010.

McHugh, P.  and Slavney, P. The Perspectives of Psychiatry. Baltimore:  The John Hopkins University Press, 1998.

Mannuzza, S. et al. Adult psychiatric status of hyperactive boys grown up. Am J Psychiatry 155: 493 – 498, 1998.

Pelham, W.E. et al. Empirically supported psychosocial treatment for attention-deficit hyperactivity disorder. J Clin Child Psychol 27: 190 – 205, 1998.

Spencer, T.J.  et al. Efficacy and safety of mixed amphetamine salts extended release (Adderall XR) in the management of oppositional defiant disorder with or without comorbid attention-deficit/hyperactivity disorder in school-aged children and adolescents: a 4-week, multicenter, randomized, double-blind, parallel-group, placebo-controlled, forced-dose-escalation study. Clin Ther 28:402 – 418, 2006.

Swanson, J.M. Effect of stimulant medication on children with attention deficit disorder: a “review of reviews.” Except Child 60: 154 – 162, 1993.

Tallis, R. Aping Mankind:  Neuromania, Dawinitis, and the Misrepresentation of Humanity. Durham:  Acumen Publishing, 2011.

Weiss, G., and,  Hechtman, L. Hyperactive Children Grown Up. New York: Guilford, 2003.

Wilens T.E. et al. Multisite controlled study of OROS methylphenidate in the treatment of adolescents with attention-deficit/hyperactivity disorder. Arch Pediatr Adolex Med 160:82 – 90, 2006.

___________________________________________________________________________________
Srouge, L. Alan ."Ritalin Gone Wrong." The New York Times, 1/29/12:

http://www.nytimes.com/2012/01/29/opinion/sunday/childrens-add-drugs-dont-work-long-term.html?_r=2&nl=todaysheadlines&emc=tha212

Information on Attention-Deficit/Hyperactivity Disorder from the National Institute of Mental Health:

http://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd/index.shtml

__________________________________________________________________________________



Forum:  Please share you experiences, concerns, and knowledge about ADHD in general, and psychiatric medications in general.


Wednesday, January 25, 2012

White Blight

1/25/12.
Kay Hymowitz writes:
"Charles Murray depicts an increasingly two-tiered white America.
Charles Murray is back, and the debate about wealth and inequality will never be the same. Readers of the political scientist’s earlier work, especially The Bell Curve and Losing Ground, might assume that with his new book he is returning to the vexed subject of race. He is, but with a twist: Murray’s area of intensive focus (and data mining) is “the state of white America”—and it’s not what you might think.."

http://www.city-journal.org/2012/bc0125kh.html

Review in the New York Times:

http://www.nytimes.com/2012/02/06/books/charles-murrays-coming-apart-the-state-of-white-america.html?_r=1&hpw=&pagewanted=print

An Honest Speech

1/25/12. Mitch Daniel's response to President Obama's State of the Union.

http://www.weeklystandard.com/blogs/mitch-danielss-response-state-union_618456.html

Tuesday, January 24, 2012

Joseph Fischhoff, M.D. RIP

1/24/12. My friend, colleague, and mentor Dr. Joseph Fischhoff died today after suffering a stroke on January 16, 2012. He was 87 years old. The I.Q. of the world has declined.

I had the privilege of meeting with Joe, a child psychiatrist, for more than 35 years. He was a remarkable man. Although trained as a psychoanalyst, he was never seduced by the religions of psychiatric theories. He went where his experience and the data took him. He was steeped in pharmacology as deeply as he understood the unconscious mind. He loved a good joke.

Joe played the trumpet like he approached life --- he knew the scales, when to improvise, and cherished effective surprises.

From his years of sailing, he always knew which way the wind was blowing.

He touched the lives of all who knew him.

To life!

Steve Ceresnie



Michigan Psychoanalytic Institute

Tribute to Joseph Fischhoff, M.D. (see page 8)

http://www.mpi-mps.org/main/uploads/fa2012,1.pdf

Quote of the Day

1/24/12.

"I tend to choose narcissists as my friends; that way I don’t worry that they’re talking about me behind my back."

--- Sara Levine

What Consciousness is Not

1/24/12. 

Question:How does the brain generate the mind?

Answer:  We don't know.

Raymond Tallis:

"...Chalmers’s latest book, The Character of Consciousness (2010), at least begins well, and there is much in it to recommend. The early chapters are a significant contribution to clarifying and deepening the fundamental questions of the philosophy of mind:
What is consciousness? How can it be explained? Can there be a science of consciousness? What is the neural basis of consciousness? What is the place of consciousness in nature? Is consciousness physical or nonphysical? How do we know about consciousness? How do we think about consciousness? What are the contents of consciousness? How does consciousness relate to the external world? What is the unity of consciousness?
The multiplicity of these questions is to be entirely expected, given that consciousness is, as Chalmers puts it,
an extraordinary and multifaceted phenomenon whose character can be approached from many different directions. It has a phenomenological and a neurobiological character. It has a metaphysical and an epistemological character. It has a perceptual and a cognitive character. It has a unified and a differentiated character.
And that’s just for starters. The mystery of consciousness is a network of mysteries, touching on the mystery of ourselves, the mystery of the intrinsic nature (if any) of the non-conscious world, and the mystery of our knowledge of ourselves, the natural world, and the human world atop it. If there is such a thing as a First Philosophy, the philosophy of the conscious mind is it. It is the ground in which every other branch of philosophy takes root..."

http://www.thenewatlantis.com/publications/what-consciousness-is-not

Twenty Brain-Bending TED Talks for Philosophy Students

Saturday, January 21, 2012

The Myth of American Decline

1/21/12. Robert Kagan:

"Is the United States in decline, as so many seem to believe these days? Or are Americans in danger of committing pre-emptive superpower suicide out of a misplaced fear of their own declining power? A great deal depends on the answer to these questions. The present world order—characterized by an unprecedented number of democratic nations; a greater global prosperity, even with the current crisis, than the world has ever known; and a long peace among great powers—reflects American principles and preferences, and was built and preserved by American power in all its political, economic, and military dimensions. If American power declines, this world order will decline with it. It will be replaced by some other kind of order, reflecting the desires and the qualities of other world powers. Or perhaps it will simply collapse, as the European world order collapsed in the first half of the twentieth century. The belief, held by many, that even with diminished American power “the underlying foundations of the liberal international order will survive and thrive,” as the political scientist G. John Ikenberry has argued, is a pleasant illusion. American decline, if it is real, will mean a different world for everyone..."

http://www.tnr.com/article/politics/magazine/99521/america-world-power-declinism?passthru=ZDkyNzQzZTk3YWY3YzE0OWM5MGRiZmIwNGQwNDBiZmI

Metacognition and Learning

1/21/12. Why are so many people wrong about their abilities?

http://chronicle.com/article/MetacognitionStudent/130327/

Friday, January 20, 2012

Freud: the last great Enlightenment thinker

1/20/12.

"...Freud’s ideas are today not simply rejected as false. They are repudiated as being dangerous or immoral; the “gloomy mythology” of warring instincts is condemned as a kind of slander on the species, the fundamental nobility of which it is sacrilege to deny. To be sure, righteous indignation has informed the response to Freud’s thought from the beginning. But its new strength helps explain one of the more remarkable features of intellectual life at the start of the 21st century, a time that in its own eyes is more enlightened than any other: the intense unpopularity of Freud, the last great Enlightenment thinker..."

http://www.prospectmagazine.co.uk/2011/12/freud-the-last-great-enlightenment-thinker/

Monday, January 16, 2012

WHAT IS YOUR FAVORITE DEEP, ELEGANT, OR BEAUTIFUL EXPLANATION?

1/16/12.     192 contributors.

"To arrive at the edge of the world's knowledge, seek out the most complex and sophisticated minds, put them in a room together, and have them ask each other the questions they are asking themselves."

http://www.edge.org/responses/what-is-your-favorite-deep-elegant-or-beautiful-explanation

Saturday, January 14, 2012

Are We Holding a New Ice Age at Bay?

1/14/12.

"The entire 10,000-year history of civilization has happened in an unusually warm interlude in the Earth's recent history. Over the past million years, it has been as warm as this or warmer for less than 10% of the time, during 11 brief episodes known as interglacial periods. One theory holds that agriculture and dense settlement were impossible in the volatile, generally dry and carbon-dioxide-starved climates of the ice age, when crop plants would have grown more slowly and unpredictably even in warmer regions..."

http://online.wsj.com/article/SB10001424052970204257504577150812451167538.html

Thursday, January 12, 2012

Billions of Other Planets

1/12/12. Feeling small.

"Astronomers said Wednesday that each of the 100 billion stars in the Milky Way probably has at least one companion planet, on average, adding credence to the notion that planets are as common in the cosmos as grains of sand on the beach.

The finding underscores a fundamental shift in scientific understanding of planetary systems in the cosmos. Our own solar system, considered unique not so long ago, turns out to be just one among billions..."

http://online.wsj.com/article/SB10001424052970203436904577154803588270744.html?mod=WSJ_hp_mostpop_read

Wednesday, January 11, 2012

Intelligence: New Findings and Theoretical Developments

1/11/12.

The authors introduce their paper:

"We review new findings and new theoretical developments
in the field of intelligence. New findings include the following:
(a) Heritability of IQ varies significantly by social
class. (b) Almost no genetic polymorphisms have been
discovered that are consistently associated with variation
in IQ in the normal range. (c) Much has been learned
about the biological underpinnings of intelligence. (d)
“Crystallized” and “fluid” IQ are quite different aspects of
intelligence at both the behavioral and biological levels.
(e) The importance of the environment for IQ is established
by the 12-point to 18-point increase in IQ when children
are adopted from working-class to middle-class homes. (f)
Even when improvements in IQ produced by the most
effective early childhood interventions fail to persist, there
can be very marked effects on academic achievement and
life outcomes. (g) In most developed countries studied,
gains on IQ tests have continued, and they are beginning in
the developing world. (h) Sex differences in aspects of
intelligence are due partly to identifiable biological factorsand partly to socialization factors. (i) The IQ gap between
Blacks and Whites has been reduced by 0.33 SD in recent
years..."

http://scottbarrykaufman.com/wp-content/uploads/2012/01/Nisbett-et-al.-2012.pdf

On Human Nature

In 1945 the American anthropologist George P. Murdock listed the following characteristics that have been recorded in every culture known to history and ethnography:

Age-grading, athletic sports, bodily adornment, calendar, cleanliness training, community organization, cooking, cooperative labor, cosmology, courtship, dancing, decorative art, divination, division of labor, dream interpretation, education, eschatology, ethics, ethnobotany, etiquette, faith healing, family feasting, fire making, folklore, food taboos, funeral rites, games, gestures, gift giving, government, greetings, hair styles, hospitality, housing, hygiene, incest taboos, inheritance rules, joking, kin groups, kinship nomenclature, medicine, obstetrics, penal sanctions, personal names, population policy, postnatal care, pregnancy usages, property rights, propitiation of supernatural beings, puberty customs, religious ritual, residence rules, sexual restrictions, soul concepts, status differentiation, surgery, tool making, trade, visiting, weaving, and weather control.

cited in Wilson, E.O.  "On Human Nature."  Cambridge:  Harvard University Press, 1978.

Religion, Science and Human Nature


"The essence of humanity's spiritual dilemma is that we evolved genetically to accept one truth and discovered another. Is there a way to erase the dilemma, to resolve the contradictions between the transcendentalist and the empiricist world views."

"People need a sacred narrative. They must have a sense of larger purpose, in one form or another, however intellectualized. They will find a way to keep ancestral spirits alive."


"The human mind evolved to believe in the gods. It did not evolve to believe in biology."

--- E. O. Wilson (1929 -  ). Biologist.

The Sinatra of Social Science

Monday, January 9, 2012

Have your opinions regarding human nature changed over with years?

1/9/12.

Steven J. Ceresnie writes:

Yes. My current view is that human nature is deeply woven with contradictions, conflicts, and discontents. Genetics and environments are equally important contributions to understanding human nature. The proper use of reason is to recognize reason's limitations. Reason is the rider holding the reins on the elephant of unconscious desires and values. Understanding human nature springs from the mystery of consciousness, the basic experience of humans on which our social and personal relationships rest. We do not understand how consciousness is produced, nor do we understand its full potential. There is little science that applies to our understanding of human nature. So our understanding of human nature takes the form of stories, religions, ideologies, and beliefs.

How have your opinions regarding human nature changed over the years?

Saturday, January 7, 2012

Forgiveness is a Kind of Wild Justice

1/7/12. Dr. Theodore Dalrymple muses about forgiveness and justice.

"Recently I was asked at a public discussion of crime and punishment at which I was a speaker whether I thought it was right that the government (in Britain) had made it illegal for an employer to ask a prospective employee whether he had a criminal record and, if so, its nature and extent. This is a question that I have turned over in my mind, or at least let bubble away in my subconscious, ever since, for it in turn raises several interesting and important questions..."

http://www.newenglishreview.org/custpage.cfm/frm/104668/sec_id/104668

Interview with Stephen Hawking

Breaking Out of Our Righteous Minds

1/7/12.

Psychologist Jonathan Haidt on morality and self-righteous beliefs.

Professor Haidt:

"When I say that human nature is selfish, I mean that our minds contain a variety of mental mechanisms that make us adept at promoting our own interests, in competition with our peers. When I say that human nature is also groupish, I mean that our minds contain a variety of mental mechanisms that make us adept at promoting our group’s interests, in competition with other groups. We are not saints, but we are sometimes good team players.” This is what people who had studied morality had not realized, “that we evolved not just so I can treat you well or compete with you, but at the same time we can compete with them.”

http://blogs.scientificamerican.com/guest-blog/2011/12/08/jonathan-haidt-the-moral-matrix-breaking-out-of-our-righteous-minds/

American Psychological Association: Your Mind and Body

1/7/12. Experienced psychologists write about what's on their mind ---- and body.

http://www.yourmindyourbody.org/

Charles Murray: Belmont and Fishtown

1/7/12.

"American exceptionalism is not just something that Americans claim for themselves. Historically, Americans have been seen as different, even peculiar, to people around the world.1 I am thinking of qualities such as American industriousness—not just hard work, but the way that Americans have treated their work and their efforts to get ahead in life as a central expression of who they are. There is American neighborliness. Many cultures have traditions of generous hospitality to guests, but widespread voluntary mutual assistance among unrelated people who happen to live alongside each other has been rare. In the United States, it has been ubiquitous. I am thinking also of qualities such as American optimism, present even when there doesn’t seem to be any good reason for it; our striking lack of class envy; the assumption by most Americans that they are in control of their own destinies; and our famous naïveté in assuming the best of a random person that we come across. Finally, there is the most lovable of exceptional American qualities: our tradition of insisting that we are part of the middle class, even if we aren’t, and of interacting with our fellow citizens as if we were all middle class..."

http://www.newcriterion.com/articles.cfm/Belmont---Fishtown-7250

Don Carter RIP

Friday, January 6, 2012

Why anti-Semitism is moving towards the mainstream

1/6/12. Alan Dershowitz tells the truth.

"For the first time since the end of World War II, classic anti-Semitic tropes – “the Jews” control the world and are to blame for everything that goes wrong, including the financial crisis; “The Jews killed Christian children in order to use the blood to bake matza; the Holocaust never happened – are becoming acceptable and legitimate subjects for academic and political discussion..."

http://frontpagemag.com/2012/01/04/why-anti-semitism-is-moving-toward-the-mainstream/

Wednesday, December 28, 2011

The Way the Brain Buys

12/28/11. The psychology of shopping. We have come a long way since Vance Packard wrote "The Hidden Persuaders" in 1957.

http://www.economist.com/node/12792420

Antonio Damsio: The Quest to Understand Consciousness

Going Pogo

12/28/11. The life and times of Walt Kelly's Pogo.

"On the first Earth Day, in 1970, a cartoon poster appeared at rallies in all 50 states. It showed a rueful opossum picking up papers, bottles, cans, wrappers—the detritus of modern life. Superimposed on the image were the words WE HAVE MET THE ENEMY AND HE IS US..."

http://www.city-journal.org/2011/21_4_urb-walt-kelly.html

Thursday, December 22, 2011

Essaying Epstein

12/22/11.

"Books of essays don’t sell, an editor once told me, so don’t send me one. Joseph Epstein, who considers the label “essayist” an honorific and who himself has been one of the editors of the annual series, The Best American Essays, has compared the essayist’s place in the realm of literature to a seat at the children’s table at the family holiday dinner. Not to get too snooty about it, as Joe Epstein might say, the essay deserves a better seat than that, maybe even one at the high table..."

http://www.the-american-interest.com/article.cfm?piece=1171