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Friday, May 31, 2019

OCD Patients

Obsessive-Compulsive Disorder Patients


Soon after obsessive worries begin, OCD patients typically do something to diminish the worry, a compulsive act. If they feel they have been contaminated by germs, they wash themselves; when that doesn't make the worry go away, they wash all their clothing, the floors, and then the walls. If a woman fears she will kill her baby, she wraps the butcher knife in cloth, packs it in a box, locks it in the basement, then locks the door to the basement. The UCLA psychiatrist Jeffrey M. Schwartz describes a man who feared being contaminated by the battery acid spilled in car accidents. Each night he lay in bed listening for sirens that would signal an accident nearby. When he heard them, he would get up, no matter what the hour, put on special running shoes, and drive until he found the site. After the police left, he would scrub the asphalt with a brush for hours, then skulk home and throw out the shoes he had worn.

Obsessive doubters often develop “checking compulsions.” If they doubt they've turned off the stove or locked the door, they go back to check and recheck often a hundred or more times. Because the doubt never goes away, it might take them hours to leave the house.

People who fear that a thud they heard while driving might mean they ran someone over will drive around the block just to make sure there is no corpse in the road. If their obsessional fear is of a dread disease, they will scan and rescan their body for symptoms or make dozens of visits to the doctor. After a while these checking compulsions are ritualized. If they feel they have been dirtied, they must clean themselves in a precise order, putting on gloves to turn on the tap and scrubbing their bodies in a particular sequences ; if they have blasphemous or sexual thoughts, they may invent a ritual was of praying a certain number of times. These rituals are probably related to the magical and superstitious beliefs most obsessionals have. If they have managed to avoid disaster, it is only because they checked themselves in a certain way, and their only hope is to keep checking in the same way each time.

Obsessive-compulsives, so often filled with doubt, may become terrified of making a mistake and start compulsively correcting themselves and others. One woman took hundreds of hours to write brief letters because she felt so unable to find words that didn't feel “mistaken”. Many a Ph.D. Dissertation stalls – not because the author is a perfectionist, but because the doubting writer with OCD can't find words that don't “feel” totally wrong.

When a person tries to resist a compulsion, his tension mounts to a fever pitch. If he acts on it, he gets temporary relief, but this makes it more likely that the obsessive thought and compulsive urge will only be worse when it strikes again.

OCD is very difficult to treat. Medication and behavior therapy are only partially helpful for many people. 

Even some forms of obsessive jealousy, substance abuse, compulsive sexual behaviors, and excessive concern about what others think about us, self-image, the body, and self-esteem can be helped.

(Brain Lock Unlocked. The Brain That Changes Itself by Norman Doidge, M.D., excerpt).

Monkey Wrench Gang

The Monkey Wrench Gang

(excerpt)

By Edward Abbey


He turned back on the highway and followed it for another ten miles, driving without lights. Dangerous? Perhaps. But not impossible. Hayduke had not noo much difficulty staying on the road. Bonnie Abbxug chewed her anxious knuckles and offered plenty of unwanted advice, like ”For God's sake turn the light on. You want to get us both killed?” His only immediate worry was horses: hard enough to see horses at night even with the lights.

They arrived at the dirt road leading northeast to Shonto and Betatakin. Hayduke turned and once well away from the state road switched on the lights. They made good time, stopping only at a lonely spot out in the desert, between two wind-stripped, dead and silvery junipers to recover the goods, packed in heavy canvas duffel bags, which the Gang had cached there after the railway bridge operation. That had been Hayduke's idea – he wanted the dynamite in the bags for what he called “sanitary” reasons and for easier backpacking later. Abbzug had salvaged the empty boxes; that was her idea.

As Hayduke loaded the two bulging bags into the rear she again complained, “I'm not going to ride in the same car with that stuff! But again - “Walk then!” - she was overruled. They trundled on. Getting low on fuel. Hayduke stopped under the seats until he found campground at Betatakin. He groped under the seats until he found his Oklahoma cred card, a length of neoprene tubing – My leetle robber hose, senor, as he called it fondly – and disappeared into the darkness with siphon and two gasoline cans.

Bonnie waited, rehearsing once again all the tedious questions about her own sanity. No question at all about that of her companion, or that polygamous jack-Mormon river guide, or poor mad Doc. But what am I doing here? Me, a nice Jewish girl, with an M.A. In Classican (yeah!) French Lit. With a mother who worries about me and a father who makes 40,000 a year. Forty thousand what” Forty thousand ladies' foundation garments, what else. Me, Abbzug. A solid, sensible  gril with a keppela on her shoulders. Running around with these crazy goyim in the middle of Arabia. We'll never get away with it. They got laws.

Hayduke came back, two full cans pulling his arms down straight. Groping again under the front seats-copping as he did a free feel between Bonnie's thighs – he found his spout and poured ten gallons into the tank. Started to walk away again with the empties.

“Where're you going now?”

“Go to fill the auxiliary tank.”

God! Gone. She waited, cursing herself, wanting to sleep and quite unable, dozing in fits and waking up in terror.

Sound and smell of pouring gasoline. They were off again, into the night, running as Hayduke liked it best, full and cool. With transfigured license plates both fore an aft. “We're from South Dakota tonight,” he explained.

Bonnie groaned.

“Relax,” he said, “we're crossing the river soon. We're getting out of this overdeveloped hypercivilized goddamn Indian country. Going back to the canyons where people like us belong. They won't find un is a million years.”

A little lady. Illustration by Elena.

Perfectibility of Our Brain

Perfectibility – the Mixed Blessing


The idea of the brain as plastic has appeared in previous times, in flashes, then disappeared. But even though it is only now being established as a fact of mainstream science, these earlier appearances left their traces and made possible a receptivity to the idea, in spite of the enormous opposition each of the neuroplasticians faced from fellow scientists.

As early as 1762 the Swiss philosopher Jean-Jacques Rousseau (1712-1778), who faulted the mechanistic view of nature of his time, argued that nature was alive and had a history and was changing over time; our nervous systems are not like machines, he said, but are alive and able to change. In his booke Émile, or on Education – the first detailed book on child development ever written – he proposed that the “organization of the brain” was affected by our experience, and that we need to “exercise” our senses and mental abilities the way we exercise our muscles. Rousseau maintained that even our emotions and passions are, to a great extent, learned early in childhood. He imagined radically transforming human education and culture, based on the premise that many aspects of our nature that we think are fixed are, in fact, changeable and that this malleability is a defining human trait. He wrote, “To understand a man, look to men; and to understand men, look to the animals.” When he compared us with other species, he saw what he called human “perfectibility” - and brought the French word perfectibilité into vogue – using it to describe a specifically human plasticity or malleability, which distinguishes us in degree from animals. Several months after an animal's birth, he observed, it is for the most part what it will be for the rest of its life. But human beings change throughout life because of their “perfectibility”.

While we may rejoice at the thought that the brain and human nature may be “improved”, the idea of human perfectibility or plasticity stirs up a hornet's nest of moral problems. Illustration by Elena.

It was our “perfectibility”, he argued, that allowed us to develop different kinds of mental faculties and to change the balance among our existing mental faculties and senses, but this could also be problematic because it disrupted the natural balance of our senses. Because our brains were so sensitive to experience, they were also more vulnerable to being shaped by it. Educational schools such as the Montessori School, with its emphasis on the education of the senses, grew out of Rousseau's observations. He was also the precursor to McLuhan, who would argue centuries later that certain technologies and media alter the ratio of balance of the senses. When we say that the instantaneous electronic media, television sound bites, and a shift away from literacy have created overly intense, “wired” people with short attention spans, we are speaking Rousseau's language, about a new kind of environmental problem that interferes with our cognition. Rousseau was also concerned that the balance between our senses and our imagination can be disturbed by the wrong kinds of experience.

In 1783 Rousseau's contemporary Charles Bonnet (1720-1793), also a Swiss philosopher and a naturalist familiar with Rousseau's writings, wrote to an Italian scientist, Michel Vincenzo Malacarne (1744-1816), proposing that neural tissue might respond to exercise as do muscles. Malacarne set out to test Bonnet's hypothesis experimentally. He took pairs of birds that came from the same clutch of eggs and raised half of them under enriched circumstances, stimulated bu intensive training for several years. The other half received no training. He did the same experiment with litter-mate dogs. When Malacarne sacrificed the animals and compared their brain size, he found that the animals that received training had larger brains, particularly in a part of the brain called the cerebellum, demonstrating the influence of “enriched circumstances” and “training” on the development of an individual's brain. Malacarne's work was all but forgotten, until revived and mastered by Rosenzweig, and others in the twentieth century.

Though Rousseau, who died in 1778, could not have known Malacarne's results, he showed an uncanny ability to anticipate what perfectibility meant for humanity. It provided hope but was not always a blessing. Because we could change, we did not always know what was natural in us and what was acquired from our culture. Because we could change, we could be overly shaped by culture and society, to a point where we drifted too far from our true nature and became alienated from ourselves.

Perfectibility means that we can no longer be so certain about what it means to perfect ourselves. Photo by Elena.
(The Brain That Changes Itself by Norman Doidge, M.D., excerpt).

Where Is Prague?

Cosmic Mystery or the Hand of God, Geometer


Johannes Kepler stood at a cusp in history; the last scientific astrologer was the first astrophysicist of the Earth.

In 1598, one of the many premonitory tremors of the coming Thirty Years’ War engulfed Kepler, a provincial schoolteacher of humble origins, absolutely unknown to all but a few scientists. He was living in Graz, a cozy German town, when the war began. Fortunately for Kepler, Tycho Brahe, a famous astronomer offered the mathematician to join him in Prague.

Leaving Graz, Kepler, his wife and stepdaughter set out on the difficult journey to Prague.

Chronically ill, having lost two young children, his wife was described as “ignorant”. She had no understanding of her husband’s work and, having been raised among the minor rural gentry, she despised his impecunious profession. She didn’t know where Prague was and what country was it the capital of.

Kepler for his part described his thoughts toward his wife as follows: "for my studies sometimes made me thoughtless; but I learned my lesson, I learned to have patience with her. When I saw that she took my words to heart, I would rather have bitten by own finger to give her further offense”.

But Kepler aspired to become a colleague of the great Tycho Brahe, who for thirty-five years had devoted himself to the measurement of a clockwork universe, ordered and precise.

Kepler’s expectations were to be unfulfilled. Tycho himself was a flamboyant figure, festooned with a golden nose, the original having been lost in a student duel.

“Hypocrisy I have never learned. I am in earnest about faith. I do not play with it”, Kepler said and he tried to work harder and harder in order to forget that his wife didn’t know where they lived.

Kepler’s fundamental innovation is nothing short of breathtaking: he proposed that quantitative physical laws that apply to the Earth are also the underpinnings of quantitative physical laws that govern the heavens. It was the first non-mystical explanation of motion in the heavens. This discovery made the Earth a province of the Cosmos.

“Astronomy”, Kepler said, “is part of physics”. He considered that his first aim was to show that “the celestial machine is to be likened not to a divine organism but rather to a clockwork…, insofar as nearly all the manifold movements are carried out by means of a single, quite simple magnetic force, as in the case of clockwork, where all motions are caused by a simple weight.”

There were only six planets known in Kepler’s time : Mercury, Venus, Earth,  Mars, Jupiter and Saturn. Kepler wondered, why only six? Why not twenty or a hundred? Why did they have the spacing between their orbits that Copernicus had deduced? No one has ever asked such questions before. There were known five regular or “platonic” solids, whose sides where regular polygons, as known to the ancient Greek mathematicians after their time of Pythagoras.

Curiously enough, within the symphony of voices, Kepler believed that the speed of each planet correspond to certain notes in the Latinate musical scale popular in his day – do, re, mi, fa, sol, la, ti, do. He claimed that in the harmony of the spheres, the tones of Earth are fa and mi, that the Earth is forever humming fa and mi, and that they stand in a straightforward way for the Latin word for famine.

Kepler believed he had recognised the invisible supporting structures for the spheres of the six planets. He called his revelation the Cosmic Mystery and thought that connection between the solids of Pythagoras and the disposition of the planets could admit but one explanation: The Hand of God, Geometer.

One week after Kepler’s discovery of his third law of nature, the incident that unleashed the Thirty Years’ War transpired in Prague. The war’s convulsions shattered the lives of millions, Kepler among them. He lost his wife and son to an epidemic carried by the soldiery, his royal patron was deposed, and he was excommunicated by the Lutheran Church for his uncompromising individualism on matters of doctrine. Johannes Kepler was a refugee once again. He had envisioned Tycho’s domain as a refuge from the evils of the time, as the place where his Cosmic Mystery would be confirmed, but he had to flee Prague, a town whose whereabouts his wife ignored.

The Hand of God, Geometer, revealed the Cosmic Mystery and created a Holy Geometry. Image by © Megan Jorgensen.

Embracing Our Cosmic Insignificance

Embracing Our Cosmic Insignificance 


Some find life too short because spanning an average of 67 years it seems too short to have any meaning. Other say it is too long and intentionally shorten their life story, but one thing is certain about living it eventually ends. The story of every fruit fly, king, janitor, beggar, computer guru, politician and so on doesn’t have a happy ending. We all perish and we perish only once.

This insignificance of life has bothered many of us, as our single and short life implies that it can be taken lightly. However, the fact that we are given just one life – no second chances, no secret shortcuts to endless options, no dress rehearsals – makes the lightness unbearable.

This lightness of being from the cosmic point of view proves to be liberating and a little less unbearable because it reminds us how fortunate we are for our existence. So let’s take several steps back and examine our current position. In doing so, we find what is perhaps best said by Daniel Dennett:

Every living thing is, from the cosmic perspective, incredibly lucky simply to be alive. Most, 90 percent and more, of all the organisms that have ever lived have died without viable offspring, but not a single one of your ancestors, going back to the dawn of life on Earth, suffered that normal misfortune.

You spring from an unbroken line of winners going back millions of generations, and those winners were, in every generation, the luckiest of the lucky, one out of a thousand or even a million. So however unlucky you may be on some occasion today, your presence on the planet testifies to the role luck has played in your past.

Carl Sagan also offers this cosmic perspective which helps us view our beloved Earth a “pale blue dot”. As soon as we adapt this vision, patriotism, nationalism and other dangerous words, which usually end in –ism or –ion, suddenly lose their importance. Instead, according to Carl Sagan, it highlights the importance of dealing more kindly with one another, and to preserve and cherish the only home we’ve ever known.

Nei Degrasse Tyson, the Carl Sagan of today shares the same opinion. He argues that visiting Sagan’s cosmic vantage points renders the constant conflicts in the name of boundaries or religion immature, silly and egoistic. This is similar to an adult (a word to which we generously associate the labels matured and grown-up) who treats a child’s complaints about broken toys and bruised knees as small problems (however these accidents are all traumatic experience to a kid).

Astronomy is unfairly and unfortunately considered “useless” compared to other sciences. However it has the power to reform our character and behaviour towards each other and the world we live in. It has the power to expand our view.

Astronomy lowers the omnipresent egoistic sentiments related to social status, culture, race, language. Lessons learnt through astronomy are capable of maturing up the mindset of any individual, family, institution, corporation and country.

Anyone who relishes the cosmic outlook will have qualities that will make him or her a better policy maker.

Thus, a crash course in astronomy is needed at every level. The situation should inspire us to spend less time on our cell phones and social media sites. It should broaden our minds, reduce unattractive competitiveness over journal names with the number of pages one has published in comparison with his or her neighbor. As researchers we should develop our attitudes towards learning.

As human beings, we should humble us down so that we can live up to our scientific name – homo sapiens (wise man).

We don’t suggest replacing the Bible in the motel rooms with a picture of the universe and an arrow showing where we are. We think this picture should complete the offer. Thus we could truly develop this fraction of an iota of a crumb of a grain of the universe which we call home.

Steve Jobs, an undeniable innovative man, said once (and we see here how our mortality influences our thoughts): “Remembering that you are going to die is the best way that I know to avoid the trap of thinking you have something to lose”. Yes, Steve Jobs used his cosmic lessons selectively, but these words illustrate the fact that our unbearably light life can be full of lights for everyone.

Cosmic Insignificance. “As flies to wanton boys are we to the gods. They kill us for their sport.” (William Shakespeare, King Lear). Illustration by Elena.