Philosophical Speculations

January 16, 2008

Raising Wine Prices Makes Wine Taste Better

Turns out the Associated Press doesn't read journal articles, either.

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November 14, 2007

The Extent Of Psychiatric Knowledge

 

Question of the Month

Test your knowledge with this question from our editors
Medscape from WebMD

Which of the following statements is true of childhood (vs adult) mania?


A.  Irritability tends to be more prominent
B.  The decrease in sleep is more pronounced
C.  Changes in appetite are less noticeable
D.  Racing thoughts are less common
 

If you got the right answer, you've wasted your life.  If you got the answer wrong but then learned the correct answer, you are wasting other people's lives.

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April 23, 2007

Desmond's Teleological Suspension of The Ethical-- Or My Novel?

A few weeks ago I had used a Lost storyline to explain  my own view that we pick our own identities, rather than have them given to us through either genetics or the environment.  I made Desmond the Abraham in Kierkegaard's Fear And Trembling.

The crux of the episode and the analogy is that Desmond thinks he can see the future, and see that Charlie will die.    But Desmond then makes a vital moral step: he decides that it is also his responsibility to keep this character alive. (Quoting myself:)

The real question is why Desmond actually believes such a choice exists.  How does he think he knows the future?   Anyone else in his shoes would have come to a very different, more logical, conclusion: this is insane.  What, he can predict the future?  Worse: what, he's the only reason Charlie is alive?  He's so-- necessary?  Isn't that narcissism?

If Desmond knew he could predict the future-- if it was a fact that he could predict the future-- then saving Charlie would have little moral heroism.  Any fool a step up from absolute evil would have tried to prevent a horrible outcome if he knew for certain what was going to happen.

What made Desmond worthy of admiration was, exactly, that he did not know for sure he could predict the future. He took it on faith that he could, and then proceeded to live his entire life based on this single, faith based, assumption.

 

That was Feb. 15.  Strangely, I just saw last week's episode, in which Desmond turns out to have once been a a monk, and he has a discussion about Abraham and Isaac with another monk; the wine they make is named Moriah; and later Desmond explicitly references the test of faith-- straight out of Fear And Trembling. 

I suppose this could be a coincidence. 

Another possibility is the writers read and and love this blog and have gone and reshot future episodes based on my ideas.  HA!

Another possibility is I write for Lost.  HA HA! 

But the final possibility is the most likely, and it has less to do with Lost and more to do with the direction of our fiction.

Pre 9-11, fiction, and especially sci-fi, had a distinctly post-modern flavor.  The main character wasn't really a person, but reality-- that it was wrong, or hidden.  This culminated in the Matrix.  The important concept wasn't altering reality for some purpose; it was that reality itself was a fabrication, the Demiurge hiding real reality behind a fake one.

The story goes that Darren Aranofsky (director of Pi) and Jared Leto walked out of the Matrix and asked, "What kind of science fiction movie can people make now?"  The point was that the  postmodern slant, cyber-realities, etc, were done as well as they could be. So, too, CGI.  From now on anything else would be coattail riding. (Think how Pulp Fiction degenerated into Go and 2 Days In The Valley.)  The genre was finished.

So what's next?  Well, for Aranofsky the answer was the mind (see The Fountain), but I'd suggest an even broader answer: ideas.  The next genre of sci-fi, or fiction- has to be about the conflict of  ideas, identities.  

If I was going to write a novel-- and who says I'm not?-- I'd take advantage of our societal narcissism, our search for identity-- and, more importantly, for excuses why we have certain identities; our fear of death manifesting as age-postponement; and the decline of truly meaningful relationships to write a sci-fi novel about what really keeps us linked to each other.

The operative question would be: if you could be anyone, had unlimited power, what would be the ethical system you use to make choices?  Who lives, who dies, who suffers, who doesn't?  How do you decide?

The first element would be Faith.  So, with a parting wave to postmodernism, the protagonist can see the future or alter reality, except that he's not sure he can do this.  Worse, every time he alters reality by avoiding a future he has supposedly seen, he creates a new future he didn't predict-- but this is, of course, no different than normal life.  In other words, by avoiding the future he predicted, he negates the proof that he saw the future.  So he has to have Faith that he has this power, in the absence of any evidence. The protagonist of my book won't have any objective evidence that he is right or doing the right thing, he simply will have to believe, to decide, that he's right.  It has to be identical to, say, psychosis.

In Lost, Desmond still has objective evidence that he predicted the future, even though it gets altered; he sees an arrow; they did talk about Superman; the parachutist looked the way he foresaw it.  So this isn't exactly a leap of faith.  Similarly, if Abraham really knows God exists, then sacrificing Isaac isn't wrong or even strange-- God wants, God gets.   

Unlike Desmond, who has to decide only if he should save Charlie, my character would have to both decide he can see the future, and also that it is his responsibility to act on it.  This brings us to:

The second element, Duty. In making these decisions and accepting these beliefs-- altering reality along the way-- he'll have to establish a hierarchy of good and bad.  What is he supposed to do?  Does he have any duty towards anything?  For the plot, this will require some symbol, metaphor.  A good one might be a piece of jewelry-- some object which changes depending on the chosen duty. It's a ring, it's a sword, it's a bandage, etc-- it's the same "object" that he carries, but it changes.

The third element is Rage. When you believe something that no one else believes-- especially if you believe you are somehow better, or even different, than others; and if others directly oppose you in this belief, the inevitable consequence is rage.  How to depict this?

The fourth element is Love. The negating force for Rage.  This character will need to identify what he loves, and how-- platonic, romantic, etc; a plot-trick might involve altering reality and therefore altering the character of his love (for example, a woman he loves may later become his sister, etc.)

To make the reader share the magnitude of the protagonist's Faith dilemma-- in order to ensure that the reader does not "suspend disbelief" and automatically buy into the protagonist's powers (the way we have with Desmond,) you'd have to write the book from the perspective of a second character, who describes the story of the protagonist.  You should never actually get to interact directly with the protagonist, you should never actually hear him speak, only this second character.   This way, you're never sure what to make of the protagonist or his adventures. 

Preliminary thoughts, anyway.  Looking forward to the next Lost and JJ Abrams stealing my ideas.  ;-) 

 

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April 11, 2007

The Trouble With Psychiatry-- "Not Even Wrong"

I recently read Martin Gardner's review in the New Criterion of Lee Smolin's The Trouble With Physics, and Peter Woit's Not Even Wrong: The Failure of String Theory.

I am almost finished Smolin's book, but I wanted to make a comment about Gardner's piece.  Writing in the New Criterion, he should have appreciated a wider view of the books, that they speak to more than physics.  They're just as much about psychiatry.


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March 14, 2007

Sleep Loss And Moral Judgment

dunkin donuts 

There's an article making the rounds that I'd like to kill off right now, before it becomes a meme, or worse, another unsupported postulate common among psychiatrists.

The title of the Reuters news story about the article (in Sleep) is this: "Sleepless nights may hinder moral judgments."  And has sentences like this: "[subjects] took a longer time to mull over the morally charged questions when they were sleep-deprived than when they were well rested. This was not the case with the more minor, non-moral scenarios."

And there's your self-serving, exculpatory imbecility of the day: a sleepless night or two turns us into lycanthropes, or at least hyenas. ("I was so tired I couldn't think straight.")   Fortunately for the existentialists, the Reuters reporter didn't actually read the Sleep article, which doesn't actually say this.

The Army study subjected volunteers to 53 hours of sleep deprivation and presented them with a battery of moral dilemma type questions ("is it morally appropriate or inappropriate to do X if Y is at stake?")

In contrast to the obvious suggestions of the Reuter's title, the study found that it took sleep deprived subjects longer to identify something as morally appropriate, but had no effect on how long it took to label it inappropriate.  In fact, relative to a non-moral issue, sleep deprived subjects were able to label something as morally inappropriate faster.

Quoting the authors:

When tested at rested baseline, participants showed no significant differences between response times for scenarios judged as “appropriate” versus those judged as “inappropriate” .... In contrast, when deprived of sleep for over 53 hours, these same participants showed significantly greater difficulty judging emotionally charged MP  (personal moral) courses of action as “appropriate” relative to judging them as “inappropriate.”

In other words, sleep deprivation made it harder for them to say something was right, but not harder to say it was wrong.  To use a metaphor, you "know" things are wrong; but you may have to judge if they are right.

The study also looked into whether people labeled something as morally appropriate more often if they were sleep deprived, i.e. were they more permissive.  First, if the subject had high emotional intelligence, sleep loss had no effect.  Secondly, having an "average" emotional intelligence lead to an increase in the number of scenarios labeled appropriate:  2/10 when rested vs. 4/10 when sleep deprived.  In other words, people with high emotional intelligence have stable, "unwavering" moral judgments, even in the face of sleep loss.  Or, put another way: if you're clear on what you believe, sleep deprivation isn't likely to confuse you.

This is important because the Reuter's title, and indeed the psychiatric utilization of this idea, puts the ability (or inability) to make moral judgments on external factors-- "he was sleep deprived, and that impacts your judgment."   This is prima facie false; but anyway is not supported even by the very science they themselves use to back the claims. 

We can set aside the debate on whether chemicals and psychosis can alter moral judgments; but I think it's fairly safe to say that if your moral judgments are affected by 53 hours of sleep deprivation, sleep isn't the problem.

------- 

Note: the study also found that caffeine did not reverse the alterations in moral judgments due to sleep loss.  I don't buy it; more later. 

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March 9, 2007

Reciprocal Determinism And Why Punching People Out Is Way Cool

And stay away from my man! 

 

A quick addendum to my previous post on the "Psychological Uncertainty Principle."

A reader pointed out that some of this is explained by "reciprocal determinism", which basically means that you respond to your environment, but then force a change in your environment which further changes your behavior.  For example:

  1. "Girls don't like me. Girls don't like me.   Girls don't like me."  Repeat x 100.
  2. So a girl thought she liked you, but then met you, and now decided you're a nutter. So she bolts.
  3. Now you have proof girls don't like you.

It sounds like reciprocal determinism says who you are affects your environment, which then affects you.  

That's wrong.  In the above example, it wasn't ever true that girls didn't like you.  You made it true.  You changed your behavior, somehow, that made it so that girls don't like you.  You received some gain from making it true that girls didn't like you-- perhaps it helps you avoid intimacy, etc, etc.  

So your identity never enters the equation.  Reciprocal determinism is about behavior, not identity.  Albert Bandura (the originator of this concept) was responding to Skinner's behaviorism.

Wikipedia's article on reciprocal determinism is a perfect example of this exactly wrong use of the concept.  They describe how low MAOA enzyme can cause you to be antisocial.  In fact, it is the opposite:  having low MAO-A does nothing, but having high MAO-A seems to be protective.  The reason people became antisocial (synonymous with criminal) in those studies was that they were abused-- in essence, they imitated the behavior. 

The experiment Bandura is famous for speaks to my point about the absoluteness of your responsibility for your identity:  kids watched adults beat up a bobo doll, and were then put in a room with a bobo doll, and, surprise, the majority then imitated this behavior, even using the same hitting techniques and repeating the same phrases the adults did.  Nothing genetic or even environmental affected this outcome-- almost all the kids did it (and almost none of the control kids who didn't watch the adults beat up the doll).

So watching the Matrix causes kids to go Columbine?  Bandura would have said yes.  But oddly no one ever wonders why then the cooking channel doesn't result in more pies, or why porn hasn't prompted rampant depilation.  Bandura's theory of reciprocal determinism required a key element: reinforcement.  There has to be a gain in the imitation, in the identification.  You may have "learned" the violence by watching it, but you won't display the violence unless there is some reward-- it isn't just a reflex, some part of your core identity.   You decide to imitate it, because it rewards you.  How?  "I want to be just like my Dad" (except he beats Mom.)  "Neo is so cool." (Didn't he kill all the human security guards?)  "Thug life!"  Etc. Note that no one ever imitates the violence of, say, Gollum. Want to know why?  Because Gollum never scores any chicks. 

So once again, you pick who you are.  Or: you picked who you are, how you behave, whether you know this or not. So now ask: why did you pick this person, this identity?  And what is preventing you from changing any or all of it?

 

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February 15, 2007

Lost TV Series: Desmond's Fear and Trembling

lost 

 

I'm no Lost expert, and I doubt the writers were thinking along these lines.  But yesterday's episode got me thinking about how we become who we are.

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November 9, 2006

Massacre of The Unicorns

The real problem of a critique of our own cultural models is to ask, when we see a unicorn, if by any chance it is not a rhinoceros.
 

It’s a convenient fiction that the difficulties with psychiatric diagnosis and treatment are due to incomplete knowledge- if we just knew more about dopamine!—but the real source of the failings is inherent in its structure.  Psychiatry fails because it is designed to fail.  (continued below...)

 

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