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About FmH

70-something psychiatrist, counterculturalist, autodidact, and unrepentent contrarian.

Why Are So Many Choppers Crashing?

“It’s a sad fact of military aviation that helicopters flying in combat are accidents waiting to happen.” They are slow, they fly low, and they have lots of external vulnerable targets. They can be brought down by small-arms fire. Most of the downings that the Pentagon is quick to assert did not result from hostile fire actually turn out indeed to have been shot down. The role of copters in the upcoming ‘surge’ remains to be seen… (Time)

Also: 

Copter Crashes Suggest Shift in Iraqi Tactics: “American officials say the streak strongly suggests that insurgents have adapted their tactics and are now putting more effort into shooting down the aircraft….Some aspects of the recent crashes indicate that insurgents have become smarter about anticipating American flight patterns and finding ways to use old weapons to down helicopters, according to military and witness reports. The aircraft, many of which are equipped with sophisticated antimissile technology, still can be vulnerable to more conventional weapons fired from the ground.” (New York Times )

Excessive Drinking, Not Alcoholism, May Lead To Most Alcohol-related Problems

“Most people realize that too much alcohol can lead to multiple health problems, injuries and violence. Numerous statistics support the accuracy of this perception. Many people also assume that a substantial proportion of people who drink to excess are probably alcoholics. This may not be accurate. A recent study of the general population in New Mexico reveals that, in fact, most alcohol-related problems may be due to excessive drinking — especially binge drinking — among persons who are not alcoholics.” (Science Daily)

I am puzzled by what I think is a specious distinction here. There are many ways to be a problem drinker. Alcoholism is an imprecise term that has little utility and serves to make people either defensive or self-satisfied. It is a common occurrence for people entering treatment for alcohol-related problems to bolster their denial with the assertion that, after all, they are “not alcoholic”. It is true, not all problem drinkers are alcohol-dependent, by which we mean physiologically addicted, needing to drink daily, going into withdrawal if deprived of access to alcohol, and requiring a medical detox to become sober. DSM-IV, the ‘bible’ of official psychiatric diagnoses, makes a distinction between alcohol dependence and alcohol abuse, but IMHO both qualify as “alcoholism”. Just my .02.

Girl fed fatal overdoses, court told

Four-year old Rebecca Riley was found dead on the floor of the family home in Hull on December 13. Prosecutors are charging her parents with first-degree murder for allegedly “regularly giving her drug overdoses, ostensibly to keep her calm and help her sleep”. (Boston Globe)

Rebecca had been diagnosed at age 2 1/2 [sic] with attention deficit hyperactivity disorder and bipolar disorder and was being medicated by a Tufts-New England Medical Center psychiatrist who was also prescribing nearly identical drug regimens for her older brother and sister. The medical center rushed to stand behind their clinician, stating

“Rebecca Riley’s death is a terrible tragedy. The care we provided was appropriate and within responsible professional standards. The appropriate care of our patients is our greatest duty. Dr. Kifuji has outstanding credentials and is respected within her field.”

With the caveat that of course I don’t know the clinical details of Rebecca Riley’s case, I would have to say that there is at least one psychiatric colleague here in Massachusetts who questions the appropriateness of the care little Rebecca received. I find it difficult to imagine how any 2 1/2-year old could possibly be diagnosed with these disorders in the first place. As readers of FmH know, I think the field suffers from rampant overmedicalization of variant behaviors. In particular, I have vented my spleen about the irresponsible epidemic of diagnosing ADHD — there is not an epidemic of ADHD; there is one of diagnosing it! (Perhaps we ought to have a psychopharmacological treatment for disordered diagnostic practices among caregivers…) And childhood bipolar disorder, a controversial diagnosis which seems defined, Alice-in-Wonderland fashion, by little more than the fact that it does not present anything like the adult bipolar disorder with which we are familiar, is the newest abused diagnosis in child psychiatry. Then consider for a moment, even granting the validity of the diagnoses, whether one should ever medicate small children so heavily, or medicate them at all. The only possible consolation from this horrendous travesty of medical care will be if Rebecca’s death becomes a cause celebre that leads to earnest reform. Whatever aspersions one might cast on the parents’ role in their daughter’s death, this entire family should be considered poster children for the affront to human dignity that mental health diagnosis and treatment have become.

“Prescription drugs and behavioral issues were a part of life in the Riley household, the affidavit indicates. Carolyn Riley told investigators she was taking Paxil to deal with depression and anxiety, and Michael Riley admitted he often became verbally abusive with his children and once, a number of years ago, struck his wife. He blamed his temper on bipolar disorder and “intermittent rage disorder,” conditions for which he said he took no medication…”

Your thoughts?

Happy Birthday, Cognitive Dissonance

“Until Leon Festinger published his 1957 book, A Theory of Cognitive Dissonance, the word “dissonance” was pretty much confined to music. Now it’s a standard part of the lexicon for everyone from psychobabblers to political analysts (well, maybe that’s not such a wide range).” (New York Times )

Hmm, sounds like it should be right up my alley, and in fact I find cognitive dissonance a psychological concept of crucial importance. We change our beliefs to avoid the distress of conflicting thoughts. Is it to salve our egos or to avoid agonizing over past mistakes, as the New York Times birthday appreciation poses the question? I actually think there is not much of a distinction. A sense of certainty allows us to have confidence in our minds, our ability to decipher the world and to act decisively. It is one of the foundations of effective functioning. As a mental health clinician, I see every day how devastating it is to lose confidence in the reliability of one’s own thought processes and the lengths to which people will go to avoid doing so.

Colorblind

“Barack Obama would be the great black hope in the next presidential race — if he were actually black.” (Salon)

Debra J. Dickerson, author of The End of Blackness and An American Story, argues that Obama is “black” rather than black, as he cannot claim ancestry from African slaves.

“Lumping us all together.. erases the significance of slavery and continuing racism while giving the appearance of progress. Though actually, it is a kind of progress. And that’s why I break my silence: Obama, with his non-black ass, is doing us all a favor. Since he had no part in our racial history, he is free of it. And once he’s opened the door to even an awkward embrace of candidates of color for the highest offices, the door will stay open. A side door, but an open door.”

I Won’t Be Happy Until I Lose My Legs

I have written before, here (“A New Way to be Mad”; scroll down or use your browser’s search function to find ‘apotemnophilia’) (2000) and here (“Costing an Arm and a Leg”; ditto) (2003), about apotemnophilia. It is back in the news because of this Guardian article, but it seems it has a less tongue-tying name now — BIID or body identity integrity disorder. Here are a spate of recent references (Google) under the new name. [“Squick!” — acm]

Trouble sleeping?

“Insomniacs can take heart from a new drug that makes the brain enter a state similar to narcolepsy.” In narcolepsy, people suddenly fall asleep, probably because neurons that normally release orexins, proteins that promote the waking state, are defective. Swiss researchers have developed an orexin-receptor blocking drug which, in preliminary tests, promotes sleepiness in laboratory animals and human subjects. As opposed to current sedative-hypnotic drugs, this sleep would be more physiological, i.e. natural: “Unlike other sleeping pills, the drug also increases the time spent in REM sleep, when the brain is thought to organise memories, so it may not cause the forgetfulness and memory disruption linked to regular sleeping pill use.” (New Scientist)

Mysterious Wis. Wonder Spot soon to go

Date with a bulldozer: “In a wooded ravine tucked away from the water parks, restaurants and mega-resorts that dominate this tourist town, a piece of history is quietly dying. After more than half a century of wowing tourists (and causing probably more than a few cases of nausea), the Wonder Spot, a mysterious cabin where people can’t stand up straight, water runs uphill and chairs balance on two legs, is no more.

Owner Bill Carney has sold the iconic attraction to the village of Lake Delton for $300,000. The village wants to build a road through the crevice where the Wonder Spot has stood since the 1950s.

Now, the Wonder Spot, one of more than a dozen sites around the nation dubbed ‘gravity vortexes’ and a throwback to postwar, family-oriented tourist attractions, has a date with a bulldozer.” (Yahoo! News)

My family and I never tire of these, having visited a number of such sites (Roadside America ) in the US (as well as abroad). I always detour if one is within reach of our road trip route. (By the way, I subscribe to the theory that these are not-very-mysterious optical illusions.)

U.S. Set to Begin a Vast Expansion of DNA Sampling

“The goal, justice officials said, is to make the practice of DNA sampling as routine as fingerprinting for anyone detained by federal agents, including illegal immigrants. Until now, federal authorities have taken DNA samples only from convicted felons.

…Peter Neufeld, a lawyer who is a co-director of the Innocence Project, which has exonerated dozens of prison inmates using DNA evidence, said the government was overreaching by seeking to apply DNA sampling as universally as fingerprinting.

“Whereas fingerprints merely identify the person who left them,” Mr. Neufeld said, “DNA profiles have the potential to reveal our physical diseases and mental disorders. It becomes intrusive when the government begins to mine our most intimate matters.”

…Immigration lawyers noted that most immigration violations, including those committed when people enter the country illegally, are civil, not criminal, offenses. They warned that the new law would make it difficult for immigrants to remove their DNA profiles from the federal database, even if they were never found to have committed any serious violation or crime. (New York Times )

Scientists offered cash to dispute climate study

“Scientists and economists have been offered $10,000 each by a lobby group funded by one of the world’s largest oil companies to undermine a major climate change report due to be published today.

Letters sent by the American Enterprise Institute (AEI), an ExxonMobil-funded thinktank with close links to the Bush administration, offered the payments for articles that emphasise the shortcomings of a report from the UN’s Intergovernmental Panel on Climate Change (IPCC).” (Guardian.UK)

Furious Seasons: Caveat Emptor

A weblog about mental healthcare from an investigative journalist who has been a mental health consumer.

“…there isn’t much of a free market of ideas in the mental health world–it’s pretty much the mental health establishment versus the anti-psychiatry movement. Let me stress that I am not a member of the latter movement.

What I am is a long-time psych patient who has become quite skeptical about where we are with mental health in this country…. [and] an actual journalist, for what that might be worth in the blogosphere. I am also mentally-ill, having been diagnosed with bipolar disorder (more commonly called manic-depression back then) in 1989. I have been an attentive eyewitness to the psychopharmacological revolution that has swept this nation since about 1990. I have seen and experienced the good. I have seen and experienced the bad. I have lived the in-between.”

Scientists offered cash to dispute climate study

“Scientists and economists have been offered $10,000 each by a lobby group funded by one of the world’s largest oil companies to undermine a major climate change report due to be published today.

Letters sent by the American Enterprise Institute (AEI), an ExxonMobil-funded thinktank with close links to the Bush administration, offered the payments for articles that emphasise the shortcomings of a report from the UN’s Intergovernmental Panel on Climate Change (IPCC).” (Guardian.UK)

Maternal Blood Test Diagnoses Down’s Syndrome

“A blood test for pregnant women may be able to diagnose trisomy 21, which leads to Down’s syndrome, and other chromosomal abnormalities in the fetus, according to a preliminary study.

The new test yielded a false positive rate under 2% for trisomy 21 with a detection rate of 66%, said Ravinder Dhallan, M.D., of Ravgen Inc., here, and colleagues. Their company-sponsored, preliminary study of 60 pregnant women was published online in the Feb. 3 issue of The Lancet.” (MedPage Today)

The test is not yet commercially available, and take note that the detection rate is only around 2/3 although there is a negligible false positive rate. But it is far safer than amniocentesis as a first screen.

Stroke of Insight

“Jill Bolte Taylor, Phd, a neuroanatomist at Indiana University, Bloomington, had a major stroke and discusses it in her fascinating book, My Stroke of Insight: A Brain Scientist’s Personal Journey.

As a brain expert, Dr. Bolte Taylor was able to analyze the physical and mental effects of her stroke — as it occurred, and as she recovered from the life-changing event.”

And:

Injured Brains of Medical Minds: Views from Within Edited by Narinder Kapur: “This book provides a unique perspective on what it is like to be brain-damaged, seen through the eyes of doctors or neurosurgeons who have themselves suffered a brain injury or brain illness. Each of the personal accounts, written over the past 120 years, is accompanied by a commentary written by the author which critically examines the experiences of the sufferer, relating them to current issues in clinical neurology and cognitive neuroscience.”

Through a Glass, Darkly

Jeff Sharlet on How the Christian Right is reimagining U.S. history: “Is “fundamentalism” too limited a word for a belief system of such scope and intimacy? Lately, some scholars prefer “maximalism,” a term meant to convey the movement’s ambition to conform every aspect of society to God. In contemporary America—from the Cold War to the Iraq War, the period of the current incarnation’s ascendancy—that means a culture born again in the image of a Jesus strong but tender, a warrior who hates the carnage he must cause, a man-god ordinary men will follow. These are days of the sword, literally; affluent members of the movement gift one another with real blades crafted to medieval standards, a fad inspired by a bestselling book called Wild at Heart. As jargon, then, “maximalism” isn’t bad, an unintended tribute to Maximus, the fighting hero of Gladiator, which is a film celebrated in Christian manhood guides as almost supplemental scripture. But I think “fundamentalism”—coined in 1920 as self-designation by those ready to do “battle royal for the fundamentals,” hushed up now as too crude for today’s chevaliers—still strikes closest to the movement’s desire for a story that never changes, a story to redeem all that seems random, a rock upon which history can rise.

If the term “fundamentalism” endures, the classic means of explaining it away—class envy, sexual anxiety—do not. We cannot, like H. L. Mencken, writing from the Scopes “monkey” trial of 1925, dismiss the Christian right as a carnival of backward buffoons jealous of modernity’s privileges. We cannot, like the Washington Post, in 1993, explain away the movement as “largely poor, uneducated and easy to command.” We cannot, like the writer Theodor Adorno, a refugee from Nazi Germany who sat squinting in the white light of L.A., unhappily scribbling notes about angry radio preachers, attribute radical religion—nascent fascism?—to Freudian yearning for a father figure.

The old theories have failed. The new Christ, fifty years ago no more than a corollary to American power, twenty-five years ago at its vanguard, is now at the very center. His followers are not anxiously awaiting his return at the Rapture; he’s here right now. They’re not envious of the middle class; they are the middle class. They’re not looking for a hero to lead them; they’re building biblical households, every man endowed with “headship” over his own family. They don’t silence sex; they promise sacred sex to those who couple properly—orgasms more intense for young Christians who wait than those experienced by secular lovers.” (Harper’s)

How many legislators does it take to change a lightbulb?

California may ban conventional lightbulbs by 2012: “A California lawmaker wants to make his state the first to ban incandescent lightbulbs as part of California’s groundbreaking initiatives to reduce energy use and greenhouse gases blamed for global warming…

‘Incandescent lightbulbs were first developed almost 125 years ago, and since that time they have undergone no major modifications,’ California Assemblyman Lloyd Levine said on Tuesday.

‘Meanwhile, they remain incredibly inefficient, converting only about 5 percent of the energy they receive into light.’

Levine is expected to introduce the legislation this week, his office said.

If passed, it would be another pioneering environmental effort in California, the most populous U.S. state. It became the first state to mandate cuts in greenhouse gas emissions, targeting a 25 percent reduction in emissions by 2020.

Compact fluorescent lightbulbs (CFLs) use about 25 percent of the energy of conventional lightbulbs.” (Yahoo! News)

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World Scientists Near Consensus on Warming

“Scientists from across the world gathered Monday to hammer out the final details of an authoritative report on climate change that is expected to project centuries of rising temperatures and sea levels unless there are curbs in emissions of carbon dioxide and other gases that trap heat in the atmosphere.” (New York Times) The central consensus is that carbon dioxide levels in the atmosphere are reaching twice preindustrial levels as a result of human activities, and that this will result in a 3-8 degree (F) increase in ambient temperatures. Where the consensus founders is on the extent of sea level rise and coastal impact. Some climate scientists fear that existing models are too conservative, in light of recent findings about the instability of Antarctic and Greenland ice caps. Competing agendas have led to leaks of information from the upcoming reports designed to be either as frightening or reassuring as possible. (Which would you rather hear?)

Our Delusional Hedgehog

Harold Meyerson: “The decline in Bush’s support to Watergate-era Nixonian depths since he announced that his new Iraq policy was his old Iraq policy, only more so, stems, I suspect, from three conclusions that the public has reached about the president and his war. The first, simply, is that the war is no longer winnable and, worse, barely comprehensible since it has evolved into a Sunni-Shiite conflict. The second is that Bush, in all matters pertaining to his war, is a one-trick president who keeps doing the same thing over and over, never mind that it hasn’t worked. In Isaiah Berlin’s typology of leaders, Bush isn’t merely a hedgehog who knows one thing rather than many things. He’s a delusional hedgehog who knows one thing that isn’t so.” (Washington Post op-ed)

Pelosi puzzled by Bush’s ineptitude

Wake up and smell the coffee, Nancy: ‘In an interview, Pelosi also said she was puzzled by what she considered the president’s minimalist explanation for his confidence in the new surge of 21,500 U.S. troops that he has presented as the crux of a new “way forward” for U.S. forces in Iraq.

“He’s tried this two times — it’s failed twice,” the California Democrat said. “I asked him at the White House, ‘Mr. President, why do you think this time it’s going to work?’ And he said, ‘Because I told them it had to.’ ” ‘ (The Politico) When has Bush’s rationale for any Presidential decision ever gone beyond groundless confidence and infantile willfulness?

Robert Novak: Pelosi’s first 100 hours a ‘success’; Bush and staff ‘irrelevant’

Bush completely ignored the social issues dear to much of his conservative base [in the State of the Union] … Republicans are divided and disorganized. Senior Republicans in Congress refer to President George W. Bush and his staff as irrelevant and out of touch. Younger conservative members are going their own way, feeling that neither the White House nor the party’s congressional leadership shows the way for the GOP.” (The Raw Story)

‘There is no war on terror’

//www.cps.gov.uk/assets_new/images/2004/k_macdonald.jpg' cannot be displayed] Exactly my sentiments:

“‘London is not a battlefield. Those innocents who were murdered on July 7 2005 were not victims of war. And the men who killed them were not, as in their vanity they claimed on their ludicrous videos, ‘soldiers’. They were deluded, narcissistic inadequates. They were criminals. They were fantasists. We need to be very clear about this. On the streets of London, there is no such thing as a ‘war on terror’, just as there can be no such thing as a ‘war on drugs’.

‘The fight against terrorism on the streets of Britain is not a war. It is the prevention of crime, the enforcement of our laws and the winning of justice for those damaged by their infringement.'” — Sir Ken Macdonald, Head of the UK’s Crown Prosecution Service and Director of Public Prosecutions (The Guardian via rc3)

Amnesiacs Not Only Forget the Past, They Cannot Imagine the Future

The attempts of brain damage victims to imagine falter thanks to an inability to marshal the places of the past.” (Scientific American) Bilateral damage to the hippocampus is known to cause amnesia. Now a study from the University of London found deficiencies in the abilities of five amnesiac men, compared with matched subjects, to imagine. It points to a greater role for the hippocampus in adding a temporal dimension to our experience; without its functions we exist in a timeless present. It makes a sort of sense that if you cannot have the experience of remembering a time gone by, you cannot imagine a time when the present moment will have passed. And one FmH reader [thanks, Joel] noted the resonance with T.S. Eliot:

And right action is freedom
From past and future also. (The Dry Salvages)

The Museum of Unworkable Devices

“… a celebration of fascinating devices that don’t work. It houses diverse examples of the perverse genius of inventors who refused to let their thinking be intimidated by the laws of nature, remaining optimistic in the face of repeated failures. Watch and be amazed as we bring to life eccentric and even intricate perpetual motion machines that have remained steadfastly unmoving since their inception. Marvel at the ingenuity of the human mind, as it reinvents the square wheel in all of its possible variations. Exercise your mind to puzzle out exactly why they don’t work as the inventors intended.”

Unhappy Meals

Eat food. Not too much. Mostly plants.

That, more or less, is the short answer to the supposedly incredibly complicated and confusing question of what we humans should eat in order to be maximally healthy. I hate to give away the game right here at the beginning of a long essay, and I confess that I’m tempted to complicate matters in the interest of keeping things going for a few thousand more words. I’ll try to resist but will go ahead and add a couple more details to flesh out the advice. Like: A little meat won’t kill you, though it’s better approached as a side dish than as a main. And you’re much better off eating whole fresh foods than processed food products. That’s what I mean by the recommendation to eat “food.” Once, food was all you could eat, but today there are lots of other edible foodlike substances in the supermarket. These novel products of food science often come in packages festooned with health claims, which brings me to a related rule of thumb: if you’re concerned about your health, you should probably avoid food products that make health claims. Why? Because a health claim on a food product is a good indication that it’s not really food, and food is what you want to eat.” — Michael Pollan (New York Times)

Unhappy Meals

Eat food. Not too much. Mostly plants.

That, more or less, is the short answer to the supposedly incredibly complicated and confusing question of what we humans should eat in order to be maximally healthy. I hate to give away the game right here at the beginning of a long essay, and I confess that I’m tempted to complicate matters in the interest of keeping things going for a few thousand more words. I’ll try to resist but will go ahead and add a couple more details to flesh out the advice. Like: A little meat won’t kill you, though it’s better approached as a side dish than as a main. And you’re much better off eating whole fresh foods than processed food products. That’s what I mean by the recommendation to eat “food.” Once, food was all you could eat, but today there are lots of other edible foodlike substances in the supermarket. These novel products of food science often come in packages festooned with health claims, which brings me to a related rule of thumb: if you’re concerned about your health, you should probably avoid food products that make health claims. Why? Because a health claim on a food product is a good indication that it’s not really food, and food is what you want to eat.” — Michael Pollan (New York Times)

The Radical Christian Right Is Built on Suburban Despair

“The engine that drives the radical Christian Right in the United States, the most dangerous mass movement in American history, is not religiosity, but despair. It is a movement built on the growing personal and economic despair of tens of millions of Americans, who watched helplessly as their communities were plunged into poverty by the flight of manufacturing jobs, their families and neighborhoods torn apart by neglect and indifference, and who eventually lost hope that America was a place where they had a future.” — Chris Hedges, former Pulitzer-prize winning foreign correspondent for The New York Times and author of American Fascists: The Christian Right and the War on America (Alternet via PopMatters)

The Invisible Enemy

Steve Silberman:

“Interviews with current and former military physicians, recent articles in medical journals, and internal reports reveal that the Department of Defense has been waging a secret war within the larger mission in Iraq and Afghanistan – a war against antibiotic-resistant pathogens.” (Wired News)

In a major scoop, Silberman, who has become one of the best-informed and best-sourced reporters about neuroscience and medical topics, exposes an epidemic of multiply resistant Acinetobacter baumannii infecting wounded troops in the ‘evacuation chain’ from field hospitals in Iraq through medevac facilities to civilian hospitals in Europe and the US; it has already spread to civilian patients in those hospitals. Although the US government long maintained that the organism originated in Iraqi soil and infected soldiers wounded by IEDs, it is clear that the real culprits are the unsterile conditions and unrestrained use of broad-spectrum state-of-the-art antibiotics in US field hospitals in Iraq. Silberman does a good job of laying out the factors that continue to prevent an effective response to these issues. These include, of course, Rumsfeld’s doctrine of fighting the war on a shoestring and the military’s misuse of medical resources to keep casualties on the front lines as long as possible.

“The wounded soldiers were not smuggling bacteria from the desert into military hospitals after all. Instead, they were picking it up there. The evacuation chain itself had become the primary source of infection. By creating the most heroic and efficient means of saving lives in the history of warfare, the Pentagon had accidentally invented a machine for accelerating bacterial evolution and was airlifting the pathogens halfway around the world.”

Silberman’s story is one of the Huffington Post’s “most huffed stories.” Huffit is HuffPo’s new Digg-like feature in which readers register which stories they feel are most newsworthy.

Multiply-resistant strains of bacteria are becoming a fact of life. As a physician working in a medical hospital, I am dealing with increasing regularity with patients with MRSA or C. difficile. The situation is only going to become worse as resistant bacteria’s sharing of drug resistance genes (a process which Silberman aptly likens to sharing open source software code) accelerates and we enter a fallow period in antibiotic development. There has always been an ‘arms race’ (another apt metaphor) between infectious disease organisms and medical tactics, and medicine is losing out. Could the Iraq war end up playing a major role in the end of the era of medical ascendancy over infectious disease?

Brain Region That Fuels Addiction Found

//upload.wikimedia.org/wikipedia/commons/thumb/2/2b/Gray731.png/250px-Gray731.png' cannot be displayed]After a patient who had had a stroke that damaged his insula readily and abruptly quit smoking, researchers at the University of Iowa looked at a number of other stroke victims and found that those with insular damage often quit smoking effortlessly and suddenly. (Forbes)

The emerging neurobiology of addictions (both behavioral and substance) emphasizes a two component system, one of which controls cravings and the other the satisfaction or reward associated with the addictive behavior. Separate and complementary interventions target these two components; for example, the concurrent use of the medications acamprosate and naltrexone to assist relapse prevention in recovering severely alcohol-dependent patients. The insula seems to be instrumental to the craving component.

Neuroscientists have long relished studying patients with circumscribed lesions in specific brain areas, to see which functions those areas subsume. Far more precise knowledge can be derived than the newer brain imaging techniques to study regional activation during certain mental tasks.

Can Polyester Save the World?

A report from Cambridge University researchers suggests that people lease clothes instead of buying them, in light of the resource impact of the textile industry. New York Times readers respond. The point seems to be to encourage reuse rather than discarding clothes. If leasing caught on, it would essentially be a piece of jiu jitsu to achieve an expansion of the second-hand clothes market. My guess is that tying the concept of leasing to the resource reuse meme will actually do little to promote it, given the intimate relationship most people have with their clothing. A P.R. campaign about the ludicrousness of buying clothes in response to everchanging notions of style foisted on consumers by the clothing industry (whether we are talking about high-end couturiers or The Gap), rather than durability and serviceability, would be energy better spent. Along with this should come efforts to encourage donation of used clothes or even the implementation of frank recycling systems similar to those in place for other resource-intensive genres of waste.

Mississippi Man Arrested in Killing of 2 Blacks in ’64

A 71-year-old man was arrested Wednesday in Mississippi on federal kidnapping charges stemming from the 1964 killing of two black teenagers who were tied to trees, whipped and drowned. The charges against Mr. Seale, some seven years after the Federal Bureau of Investigation reopened the case, are the latest in a string of prosecutions of racially motivated slayings from the 1950s and ’60s. While virtually all the prosecutions so far have proved successful, investigators have long warned that every passing year makes it more difficult to build a case.” (New York Times )

Can Johnny Come Out and (Be Taught to) Play?

“The experiment, if it inspires other cities, would mark the first significant change in playground design in decades, since municipalities began replacing steel monkey bars and slides with the boxy, plastic equipment common in many urban areas today.

It already raises fundamental questions about childhood.

How much help do children need to do what should come naturally? And to what extent does expert guidance — embodied by the so-called play workers — represent adults’ expectations of children, rather than what the youngsters themselves want or need?

“My first impression is that this is more evidence that we don’t trust kids to play by themselves,” said Peter Stearns, provost of George Mason University in Fairfax, Va., and author of “Anxious Parents: A History of Modern Childrearing in America.” “And I think it’s fair to ask: Is this really for parents, to make them feel their kids are being properly guided while playing?”

On the surface, a managed playground is a natural extension of a culture that increasingly parcels childhood into schedules. Many children in urban areas from Boston to Houston no longer run out the front door to find their friends; their parents make play dates instead. And youngsters who once might have played on a sandlot or a backyard ice rink now enter organized leagues by first grade.

Pickup games are still around, but they have migrated from the street to computers, where friends gather online at sites like Neopets and Club Penguin.

Cultural critics have warned of the dangers of replacing spontaneous play with organized activities since the 1930s, when the historian Johan Huizinga published his classic, “Homo Ludens,” about the importance of spontaneous and unstructured play to the health of societies.

Children chasing, creeping, diving into alleyways and bushes may look somehow suspect, even dangerous. But experts say the free-for-all has a point: children develop independent judgment, and a sense of risk, privacy and invention all their own when they create play worlds that exclude parents and other adults. Forcing a children’s game to have some goal, as many parents have the urge to do, in effect installs a hall monitor in the game room.

Psychologists who spend time with children, moreover, say that it is important for youngsters to navigate kids-only play situations to develop their social instincts, such as how to join a game that has already started. Designers of the proposed playground were aiming for a space that, in a sense, recaptures the imaginative, collaborative games children used to organize routinely in their neighborhoods, before play dates and the American Youth Soccer Organization.” (New York Times )

Expert Ties Ex-Player’s Suicide to Brain Damage

“Since the former National Football League player Andre Waters killed himself in November, an explanation for his suicide has remained a mystery. But after examining remains of Mr. Waters’s brain, a neuropathologist in Pittsburgh is claiming that Mr. Waters had sustained brain damage from playing football and he says that led to his depression and ultimate death.

The neuropathologist, Dr. Bennet Omalu of the University of Pittsburgh, a leading expert in forensic pathology, determined that Mr. Waters’s brain tissue had degenerated into that of an 85-year-old man with similar characteristics as those of early-stage Alzheimer’s victims. Dr. Omalu said he believed that the damage was either caused or drastically expedited by successive concussions Mr. Waters, 44, had sustained playing football.” (New York Times )

Why Do People Cling to Odd Rituals?

“Psychologists and anthropologists have typically turned to faith healers, tribal cultures or New Age spiritualists to study the underpinnings of belief in superstition or magical powers. Yet they could just as well have examined their own neighbors, lab assistants or even some fellow scientists. New research demonstrates that habits of so-called magical thinking — the belief, for instance, that wishing harm on a loathed colleague or relative might make him sick — are far more common than people acknowledge.

These habits have little to do with religious faith, which is much more complex because it involves large questions of morality, community and history. But magical thinking underlies a vast, often unseen universe of small rituals that accompany people through every waking hour of a day.

The appetite for such beliefs appears to be rooted in the circuitry of the brain, and for good reason. The sense of having special powers buoys people in threatening situations, and helps soothe everyday fears and ward off mental distress. In excess, it can lead to compulsive or delusional behavior. This emerging portrait of magical thinking helps explain why people who fashion themselves skeptics cling to odd rituals that seem to make no sense, and how apparently harmless superstition may become disabling.” (New York Times )

The Epidemic That Wasn’t

Dartmouth-Hitchcock Medical Center was overrun by the most disruptive and extensive of an increasing number of pseudo-epidemics caused by faith in rapid screening tests that ultimately turn out to be false positives — sensitive but not particularly specific.

“Many of the new molecular tests are quick but technically demanding, and each laboratory may do them in its own way. These tests, called “home brews,” are not commercially available, and there are no good estimates of their error rates. But their very sensitivity makes false positives likely, and when hundreds or thousands of people are tested, as occurred at Dartmouth, false positives can make it seem like there is an epidemic.” (New York Times )

The so-called epidemic of pertussis at Dartmouth turned out to be a spate of run-of-the-mill respiratory infections. Specific, but slower, tests failed to find any pertussis in any of the affected individuals. Proponents of the rapid tests argue that there is no way to be prepared for a potentially devastating pandemic without the risk of false positives from the rapid tests.

The brain theory behind altruism

Researchers at Duke University have shown with functional MRI that the degree of activation of the posterior superior temporal sulcus [PSTS], a brain region activated when people observe others’ actions but not perform them themselves, correlated with personality ratings of subjects’ degree of altruism. (Hindustan Times ) This has some relationship to the ‘mirror neurons’ with which I have been fascinated and about which I have written repeatedly in FmH, which I think of as the neurophysiological basis for interpersonal empathy and — to extrapolate — socialization.

The capacity to have an interior experience upon watching someone else’s behavior similar to the experience of performing that behavior yourself may be a basis of the sense of inherent congruence between others’ feelings and thoughts and our own, the ability to have a so-called ‘theory of mind’, which is an important developmental achievement for humans. As suggested in the article, this body of work may help explicate the neural basis for certain conditions, in which I am interested in my work as a clinical psychiatrist, in which the capacity for empathy or mutuality break down, such as antisocial personality disorder or autistic spectrum disorders. (I am overwhelmed by the incident at Lincoln-Sudbury [MA] High School, down the road from my hospital, last Friday in which a student with a mild autistic-spectrum condition stabbed another student, apparently unknown to him, to death in one of the school restrooms.)

Here is what you come up with if you search on PSTS and ‘mirror neurons’ together. Two good starting point reviews of the nascent field of social cognitive neuroscience, which is built on these and similar observations and speculations, are these papers by Rebecca Saxe of MIT (Current Opinion in Neurobiology) and the Friths of London (Science). And, while I was browsing related materials, I came upon this paper by Chatterjee (Journal of Medical Ethics), which you might find intriguing if you are interested in this area at all.

Don’t Call. Don’t Write. Let Me Be

“The popularity of the do-not-call list unleashed a demand for other opt-out lists. A consumer can now opt out of the standard practice of their banks or loan companies selling their information to others. Other opt-outs stop credit card companies from soliciting consumers or end the flow of junk mail and catalogs.

While most of the opt-outs are intended to make life less annoying, they can also have the side effect of protecting personal information that can be misused by identity thieves or unscrupulous merchants.

“Over the years, it has gotten so much easier to opt out,” said Ari Schwartz, deputy director of the Center for Democracy and Technology, a public interest group that lobbies Congress on privacy issues. “There are still gray areas.”

While financial companies have to provide an opportunity to opt out of sharing personal information, other kinds of companies do not. Some that tell you they will share the information do not offer the option to protect personal information (other than not doing business with the company).

For those who just can’t take it anymore, here is a master list of where you can take control…” (New York Times )

Surging and Purging ?

“In case you’re wondering, such a wholesale firing of prosecutors midway through an administration isn’t normal. U.S. attorneys, The Wall Street Journal recently pointed out, “typically are appointed at the beginning of a new president’s term, and serve throughout that term.” Why, then, are prosecutors that the Bush administration itself appointed suddenly being pushed out?

The likely answer is that for the first time the administration is really worried about where corruption investigations might lead.” — Paul Krugman

What if success is no longer an option in Iraq?

Dan Froomkin: “Over much of the course of the war Bush has incrementally made concessions that things are not going well in Iraq. Yesterday’s admission was just the latest. And while it suggests a dawning acceptance of some aspects of reality, it doesn’t speak to the quality of his decisions, or to any learning.

Bush has never said: I made a wrong decision in this case, here’s why, and here’s what I learned from it, which is why you can have greater faith in me this time.

So why should he be trusted now? Bush is constantly being asked that very question these days, but he can’t come up with a persuasive answer. He simply says that he believes we can succeed.” (Washington Post)

What if success is no longer an option in Iraq?

Dan Froomkin: “Over much of the course of the war Bush has incrementally made concessions that things are not going well in Iraq. Yesterday’s admission was just the latest. And while it suggests a dawning acceptance of some aspects of reality, it doesn’t speak to the quality of his decisions, or to any learning.

Bush has never said: I made a wrong decision in this case, here’s why, and here’s what I learned from it, which is why you can have greater faith in me this time.

So why should he be trusted now? Bush is constantly being asked that very question these days, but he can’t come up with a persuasive answer. He simply says that he believes we can succeed.” (Washington Post)

5 Minutes To Midnight

//www.thebulletin.org/export/bulletin_pics/clock5.gif' cannot be displayed]“Doomsday Clock” Moves Two Minutes Closer. Since 1947, The Bulletin of the Atomic Scientists has graphically gauged the world’s proximity to nuclear devastation with its famous clock, which edged as close as 3 minutes to midnight during the era of US and Soviet arms development and testing; and as far away as 15 minutes to the hour, after the nuclear test ban treaty. Now the clock edges two minutes closer to doomsday. “Reflecting global failures to solve the problems posed by nuclear weapons and the climate crisis, the decision by the BAS Board of Directors was made in consultation with the Bulletin’s Board of Sponsors, which includes 18 Nobel Laureates.”

Interesting broadening of their considerations to include the dangers posed by climate change, another global catastrophe paralleling the effects of a thermonuclear exchange, but not as far afield as it might seem, given that the devastating changes of ‘nuclear winter’ would envelop the earth after a nuclear war. Here’s a timeline of the advances and retreats of the minute hand over the past 60 years of the nuclear era.

Interestingly, the propagandistic Voice of America covers the BAS announcement. I suppose it is because the BAS decision focuses heavily on the nuclear threats posed by those the U.S. so needs to demonize, Iran and North Korea as well as the extant Soviet arsenal, thus allowing obliviousness to the fact that the US has always represented the preeminent nuclear threat to the world.

In the beginning was the bit

Philosophers/physicists have long drawn parallels between information theory and quantum theory. The contention that the physical world is built, ultimately, of information — that the distinction between the world and information about the world is murky — has troubled me, until I read this description of Viennese physicist Anton Zeilinger’s explanation of quantum mechanics.

‘Zeilinger avoids the question “What is an elementary system?” and asks instead, “What can be said about an elementary system?” His conclusion is simply stated: an elementary system carries one bit of information.

It sounds innocuous. But the consequences of Zeilinger’s principle promise to be breathtaking. In the first place, it contains the fact that the world is quantised–the very starting point of quantum mechanics. Because we can only interrogate nature the way a lawyer interrogates a witness, by means of simple yes-or-no questions, we should not be surprised that the answers come in discrete chunks. Because there is a finest grain to information there has to be a finest grain to our experience of nature. This is why electrons are restricted to fixed energy levels in atoms, why light comes in pieces we call photons, and perhaps, ultimately, why the Universe seems to be made out of discrete particles. To the question, “Why does the world appear to be quantised?” Zeilinger replies, “Because information about the world is quantised.” ‘ (New Scientist)

The Risks of the Collapse of the Bush Presidency

Unclaimed Territory by Glenn Greenwald: “If George Bush continues to appear in public and makes speeches, he’s going to soon be within the margin of error of Nixon’s resignation-compelling unpopularity. While a weakened Bush presidency may appear intuitively to be a cause for celebration, it poses a serious danger.

…The most dangerous George Bush is one who feels weak, powerless and under attack. Those perceptions are intolerable for him and I doubt there are many limits, if there are any, on what he would be willing to do in order to restore a feeling of power and to rid himself of the sensations of his own weakness and defeat.”

The Unfilmables

With the arrival of a film adaptation of Perfume, discussion of so-called ‘unfilmable’ novels is burgeoning. Here is Screenhead‘s list of the supposedly hardest novels to film, for example, and here a discussion from Time Out London. But the adaptability of a novel is only a problem if one somehow believes that the book and the film are in some sense the same thing; this is usually the same mindset whose grasp of a work of art goes no further than what it is ‘about’; in the case of narrative arts what story they tell and visual arts what they show.

I thought the twentieth century was all about art transcending the denotative and freeing us to have a more complicated reaction to a work of art, experiencing a complex and subtle interplay between what we think and feel in the encounter. We grasp this in Literature 101 and Film 101 early in our college education, it seems to me. The experience of reading a book and that of seeing a film, even if they have the same title and even the same plot, are intrinsically and irreconcilably distinct. (In fact, one might argue, so are two different film adaptations of the same story!)

A ‘faithful’ adaptation of a novel will become a ‘movie’, not a film, which an audience receives merely as a good yarn and whose reaction begins and ends with how ‘awesome’ it was or not.

Addendum: as a counterpoint, I just came across this line from a London Review of Books review of The Prestige, based on a novel I had enjoyed several years ago.

Daylight Saving Time – The Year 2007 Problem

“This March, Daylight Saving Time (DST) changes for the United States, starting the time change 4 weeks early. Congress in its infinite wisdom changed DST in the Energy Policy Act of 2005. Other countries such as Australia have followed suit. For most people, this will come as an early relief from winter doldrums, but for IT, the DST change is a major headache. After Year 2000, IT vendors were smart enough to start using 4-digit date codes, but DST changes are still hard-coded for the 1st Sunday of April and the last Sunday of October.

To accommodate the DST change, most IT systems must be patched. Otherwise, timestamps will be off, and some applications my fail to work.”

What follows is a list of vendors with links to their 2007 DST fixes. (edgeblog)

Bush’s Strategy of Massive Resistance

Paul Begala: : “On October 19 I debated Bob Novak at Emory University. The topic was ‘Civil Liberties in a Time of War.’ I kicked his ass, but that’s not why I mention it. In the debate I predicted that, after the Democrats captured the Congress, Pres. Bush would provoke a Constitutional crisis by refusing to comply with congressional subpoenas….

Novak said I was crazy. It’s beginning to look like I was right.

The only reason George W. Bush would turn loose of White House Counsel Harriett Miers – who gazes upon our president with an adoration and veneration bordering on idolatry – is because he wants a war-time consigliere.” (The Huffington Post thanks to walker)

Report suggests Mars microbes overlooked

“Two NASA space probes that visited Mars 30 years ago may have stumbled upon alien microbes on the Red Planet and inadvertently killed them, a scientist theorizes in a paper released Sunday.

The problem was the Viking space probes of 1976-77 were looking for the wrong kind of life and didn’t recognize it, the researcher said in a paper presented at a meeting of the American Astronomical Society in Seattle.” (Yahoo! News)

U.S. Selecting Hybrid Design for Warheads

A little New York Times reading this morning:

With all the furor about the Bush administration’s preoccupation with Iraq’s nonexistent ‘weapons of mass destruction’, and with Iran’s and North Korea’s nuclear ambitions, let us not forget that the major proponent of WMD in our time has been the U.S. One of the most egregious historical legacies of the Bush administration will be its reversal of the world’s nuclear stability. Now we learn that it will be announcing this week a major step forward in the building of the first new nuclear warhead in nearly two decades. continuing its single-minded destabilization of the ‘arms race’. Yes, the new weapon would not add to, but replace, existing nuclear armaments, but as an untested and, some say, risky hybrid incorporating elements from competing designs it will require costly refurbishment of the nation’s entire nuclear weapons manufacturing edifice and seems likely — probably by design — to force an end to the U.S. moratorium on nuclear weapons testing to make sure the new design works. As with most of its follies these days, the administration insults our intelligence, justifying this boondoggle by invoking the War on Terror® — that it is necessary to make our arsenal more secure from theft by terrorists. (Are we now to believe that assurances about the last generation’s nuclear security measures were lies?)

Why Our Hero Leapt Onto the Tracks…

…and We Might Not. Now I’m a psychiatrist, and sometimes I even call myself a neuropsychiatrist, but don’t waste my time with this pitifully reductionist take on an act of heroism:

When Mr. Autrey saw the stranger, Cameron Hollopeter, 20, tumble onto the tracks, his brain reacted just as anyone else’s would. His thalamus, which absorbs sensory information, registered the fall, and sent the information to other parts of the brain for processing, said Gregory L. Fricchione, an associate professor of psychiatry at Harvard Medical School. Mr. Autrey’s amygdala, the part of the brain that mediates fear responses, was activated and sent sensory information to the motor cortex, which sent it down for emotional processing. His anterior cingulate, a sort of brain within the brain that helps people make choices, kicked in, helping trigger his decision about how to act, Dr. Fricchione said.

And especially when you are going to end up with a conclusion acknowledging how little you’ve really ‘explained’:

No single factor explains heroism, said Samuel P. Oliner, a sociology professor at Humboldt State University in Arcata, Calif. Yet in interviewing Holocaust rescuers and 911 responders, he found that people who acted heroically often came from more nurturing families and were imbued with an ethic of caring, empathy and compassion.

“The other people, the bystanders, are not bad people,” Dr. Oliner said. “But they have been cut from a slightly different cloth.” (New York Times )

My Country, My Country

Controversy Rules Oscar Contenders: ““This is the year of the angry documentary, of the ‘Take back America’ documentary,” Sheila Nevins, president of HBO Documentary Films, said in a telephone interview. “The theatrical documentary,” she added, “has replaced the television documentary in terms of talking back to the administration. That’s one of the only places where one can do it.”” (New York Times )

The DNA so dangerous it does not exist

Like looking for the needle that’s not in the haystack: “Most genome sequencers are looking for genes inside living species to understand their function. But one genome project is deliberately searching for the smallest DNA sequences that are completely absent from species – perhaps because they are so harmful they are simply not compatible with life. The US team believe their results will have far-reaching applications, which could stretch to the construction of a “suicide gene”…” (New Scientist)

Unanswered Questions

Digging through the bottom of the Explainer’s mailbag: “It’s been a long year for the Explainer. In the past 12 months, we’ve answered more than 200 questions. The Explainer has revealed that President Bush is shrinking and investigated why Satan smells like rotten eggs. Regular readers have learned how to deliver a professional head butt, what to do when your eyeball falls out of its socket, and how many cell phones can fit up your rear end.

There’s only space to answer a small fraction of the questions that arrive in our in-box. Today, the Explainer offers a glimpse at a few of the 7,000 queries that, for one reason or another, Slate felt ill-equipped or unwilling to answer in 2006.” (Slate )

Around the World, Unease and Criticism of Penalty

//d.yimg.com/us.yimg.com/p/afp/20061230/capt.sge.eid30.301206161007.photo00.photo.default-512x427.jpg?x=380&y=316&sig=q9CYkAymuAqVdPrvBemhxQ--' cannot be displayed]Far too little outrage was inspired by Saddam Hussein’s hanging. (New York Times ) Despite the heinousness of his crimes, his execution should have inspired widespread repugnance from the civilized world (as the invasion of Iraq should have in the first place). Mockery that his trial was, he will never stand trial for his major crimes against humanity. Insult was added to injury by setting the killing on the eve of Id al-Adha. All in all, this is entirely in the spirit of unilateralism by the US and its Iraqi puppets, and its historical significance is likely to be an inflammatory one.

New Year’s Day History, Custom and Tradition

This is a reprise and an amplification of a New Year’s Day post from FmH in years past:

Years ago, the Boston Globe ran a January 1st article compiling folkloric beliefs about what to do, what to eat, etc. on New Year’s Day to bring good fortune for the year to come. I’ve regretted since — I usually think of it around once a year (grin) — not clipping out and saving the article. Especially since we’ve had children, I’m interested in enduring traditions that go beyond getting drunk [although some comment that this is a profound enactment of the interdigitation of chaos and order appropriate to the New Year’s celebration — FmH], watching the bowl games and making resolutions.

A web search brought me this, less elaborate than what I recall from the Globe but to the same point. It is weighted toward eating traditions, which is odd because, unlike most other major holidays, the celebration of New Year’s in 21st century America does not seem to be centered at all around thinking about what we eat (except in the sense of the traditional weight-loss resolutions!) and certainly not around a festive meal. But…

//gelwan.com/oro1.jpg' cannot be displayed]“Traditionally, it was thought that one could affect the luck they would have throughout the coming year by what they did or ate on the first day of the year. For that reason, it has become common for folks to celebrate the first few minutes of a brand new year in the company of family and friends. Parties often last into the middle of the night after the ringing in of a new year. It was once believed that the first visitor on New Year’s Day would bring either good luck or bad luck the rest of the year. It was particularly lucky if that visitor happened to be a tall dark-haired man.

“Traditional New Year foods are also thought to bring luck. Many cultures believe that anything in the shape of a ring is good luck, because it symbolizes “coming full circle,” completing a year’s cycle. For that reason, the Dutch believe that eating donuts on New Year’s Day will bring good fortune.

“Many parts of the U.S. celebrate the new year by consuming black-eyed peas. These legumes are typically accompanied by either hog jowls or ham. Black-eyed peas and other legumes have been considered good luck in many cultures. The hog, and thus its meat, is considered lucky because it symbolizes prosperity. Cabbage is another ‘good luck’ vegetable that is consumed on New Year’s Day by many. Cabbage leaves are also considered a sign of prosperity, being representative of paper currency. In some regions, rice is a lucky food that is eaten on New Year’s Day.”

The further north one travels in the British Isles, the more the year-end festivities focus on New Year’s. The Scottish observance of Hogmanay has many elements of warming heart and hearth, welcoming strangers and making a good beginning:

“Three cornered biscuits called hogmanays are eaten. Other special foods are: wine, ginger cordial, cheese, bread, shortbread, oatcake, carol or carl cake, currant loaf, and a pastry called scones. After sunset people collect juniper and water to purify the home. Divining rituals are done according to the directions of the winds, which are assigned their own colors. First Footing:The first person who comes to the door on midnight New Year’s Eve should be a dark-haired or dark-complected man with gifts for luck. Seeing a cat, dog, woman, red-head or beggar is unlucky. The person brings a gift (handsel) of coal or whiskey to ensure prosperity in the New Year. Mummer’s Plays are also performed. The actors called the White Boys of Yule are all dressed in white, except for one dressed as the devil in black. It is bad luck to engage in marriage proposals, break glass, spin flax, sweep or carry out rubbish on New Year’s Eve.”

Here’s why we clink our glasses when we drink our New Year’s toasts, no matter where we are. Of course, sometimes the midnight cacophony is louder than just clinking glassware, to create a ‘devil-chasing din’.

In Georgia, eat black eyed peas and turnip greens on New Year’s Day for luck and prosperity in the year to come, supposedly because they symbolize coppers and currency. Hoppin’ John, a concoction of peas, onion, bacon and rice, is also a southern New Year’s tradition, as is wearing yellow to find true love (in Peru, yellow underwear, apparently!) or carrying silver for prosperity. In some instances, a dollar bill is thrown in with the other ingredients of the New Year’s meal to bring prosperity. In Greece, there is a traditional New Year’s Day sweetbread with a silver coin baked into it. All guests get a slice of the bread and whoever receives the slice with the coin is destined for good fortune for the year. At Italian tables, lentils, oranges and olives are served. The lentils, looking like coins, will bring prosperity; the oranges are for love; and the olives, symbolic of the wealth of the land, represent good fortune for the year to come.

A New Year’s meal in Norway also includes dried cod, “lutefisk.” The Pennsylvania Dutch make sure to include sauerkraut in their holiday meal, also for prosperity.

In Spain, you would cram twelve grapes in your mouth at midnight, one each time the clock chimed, for good luck for the twelve months to come. The U. S. version of this custom, for some reason, involves standing on a chair as you pop the grapes. In Denmark, jumping off a chair at the stroke of midnight signifies leaping into the New Year. In Rio, you would be plunging into the sea en masse at midnight, wearing white and bearing offerings.

In China, papercuttings of red paper are hung in the windows to scare away evil spirits who might enter the house and bring misfortune. In Thailand, one pours fragrant water over the hands of elders on New Year’s Day to show them respect.

Elsewhere: pancakes for the New Year’s breakfast in France; banging on friends’ doors in Denmark to “smash in” the New Year; going in the front door and out the back door at midnight in Ireland; making sure the first person through your door in the New Year in Scotland is a tall dark haired visitor. Water out the window at midnight in Puerto Rico rids the home of evil spirits. Cleanse your soul in Japan at the New Year by listening to a gong tolling 108 times, one for every sin. It is Swiss good luck to let a drop of cream fall on the floor on New Year’s Day.

Some history; documentation of observance of the new year dates back at least 4000 years to the Babylonians, who also made the first new year’s resolutions (reportedly voews to return borrowed farm equipment were very popular), although their holiday was observed at the vernal equinox. The Babylonian festivities lasted eleven days, each day with its own particular mode of celebration. The traditional Persian Norouz festival of spring continues to be considered the advent of the new year among Persians, Kurds and other peoples throughout Central Asia, and dates back at least 3000 years, deeply rooted in Zooastrian traditions.Modern Bahá’í’s celebrate Norouz (“Naw Ruz”) as the end of a Nineteen Day Fast. Rosh Hashanah (“head of the year”), the Jewish New Year, the first day of the lunar month of Tishri, falls between September and early October. Muslim New Year is the first day of Muharram, and Chinese New Year falls between Jan. 10th and Feb. 19th of the Gregorian calendar.

The classical Roman New Year’s celebration was also in the spring although the calendar went out of synchrony with the sun. January 1st became the first day of the year by proclamation of the Roman Senate in 153 BC, reinforced even more strongly when Julius Caesar established what came to be known as the Julian calendar in 46 BC. The early Christian Church condemned new year’s festivities as pagan but created parallel festivities concurrently. New Year’s Day is still observed as the Feast of Christ’s Circumcision in some denominations. Church opposition to a new year’s observance reasserted itself during the Middle Ages, and Western nations have only celebrated January 1 as a holidy for about the last 400 years. The custom of New Year’s gift exchange among Druidic pagans in 7th century Flanders was deplored by Saint Eligius, who warned them, “[Do not] make vetulas, [little figures of the Old Woman], little deer or iotticos or set tables [for the house-elf] at night or exchange New Year gifts or supply superfluous drinks [another Yule custom].” (Wikipedia)

The tradition of the New Year’s Baby signifying the new year began with the Greek tradition of parading a baby in a basket during the Dionysian rites celebrating the annual rebirth of that god as a symbol of fertility. The baby was also a symbol of rebirth among early Egyptians. Again, the Church was forced to modify its denunciation of the practice as pagan because of the popularity of the rebirth symbolism, finally allowing its members to cellebrate the new year with a baby although assimilating it to a celebration of the birth of the baby Jesus. The addition of Father Time (the “Old Year”) wearing a sash across his chest withthe previous year on it, and the banner carried or worn by the New Year’s Baby, immigrated from Germany. Interestingly, January 1st is not a legal holiday in Israel, officially because of its historic origins as a Christian feast day.

Auld Lang Syne (literally ‘old long ago’ in the Scottish dialect) is sung or played at the stroke of midnight throughout the English-speaking world (although I prefer George Harrison’s “Ring Out the Old”). Versions of the song have been part of the New Year’s festivities since the 17th century but Robert Burns was inspired to compose a modern rendition, which was published after his death in 1796.

Should auld acquaintance be forgot
and never brought to mind?
Should auld acquaintance be forgot
and days of auld lang syne?
For auld lang syne, my dear,
for auld lang syne,
we’ll take a cup of kindness yet,
for auld lang syne.

Should auld acquaintance be forgot
and never brought to mind?
Should auld acquaintance be forgot
and days of auld lang syne?
And here’s a hand, my trusty friend
And gie’s a hand o’ thine
We’ll tak’ a cup o’ kindness yet
For auld lang syne

However you’re going to celebrate, my warmest wishes for the year to come… and eat hearty! [thanks to Bruce Umbaugh for research assistance]

Around the World, Unease and Criticism of Penalty

//d.yimg.com/us.yimg.com/p/afp/20061230/capt.sge.eid30.301206161007.photo00.photo.default-512x427.jpg?x=380&y=316&sig=q9CYkAymuAqVdPrvBemhxQ--' cannot be displayed]Far too little outrage was inspired by Saddam Hussein’s hanging. (New York Times ) Despite the heinousness of his crimes, his execution should have inspired widespread repugnance from the civilized world (as the invasion of Iraq should have in the first place). Mockery that his trial was, he will never stand trial for his major crimes against humanity. Insult was added to injury by setting the killing on the eve of Id al-Adha. All in all, this is entirely in the spirit of unilateralism by the US and its Iraqi puppets, and its historical significance is likely to be an inflammatory one.

Knowing The Enemy

“Can social scientists redefine the “war on terror”?” George Packer writes in The New Yorker about a new breed of cultural anthropologists who bring their analysis to bear on the current climate of ‘Islamic insurgency’, arguing that it is not ideology but social networking factors which recruit. “All fifteen Saudi hijackers in the September 11th plot had trouble with their fathers…” The thesis is succinctly put this way: “There are elements in human psychological and social makeup that drive what’s happening. The Islamic bit is secondary. This is human behavior in an Islamic setting. This is not ‘Islamic behavior’.” The social scientists, who are pitching their potential contribution to the ‘global counterinsurgency’ effort, argue the intimate need to understand local social particulars to win the ‘battle for hearts and minds.’ The US is actually serving the insurgents’ purposes by trumpeting a global ‘war on terror’, offering an inherently appealing global cause to new recruits. This is no surprise to those who have long understood how it was the Bush administration’s efforts which gave the Iraqi resistance common cause with the jihadists, or turned ‘al Qaeda’ into a franchised brand name for disparate insurrectionists throughout the Islamic world. The article likens Iraq in the context of the global counterinsurgency effort to Vietnam in the context of the Cold War, of course. The US took a long time to understand that the Cold War was only to a small proportion a military conflict or conflicts and in vast preponderance a propaganda battle.

However, I am not sure that social science substantially informed our Cold War struggle either. I was a student of ethnography and cultural anthropology in the early ’70’s before I went to medical school and became a psychiatrist; the article helped me to understand in a new way the relationship between the growing irrelevance of cultural anthropology and our defeat in Vietnam. No administration has ever embraced one of the corollaries of the light that cultural relativism can bring to bear on our understanding of ideological battles — that, if not a Manichaean battle between Good and Evil, the superiority of either side is all relative, all in the eye of the beholder. There may actually be less to choose between the two sides than the ideologues would have us believe; it is inherent that we demonize the opponent in protracted conflicts, as we did in the Cold War and are doing again. The jaded secret agent literary genre so well represented by Le Carré and, currently The Good Shepherd (although the Matt Damon character never seems to get the message despite the ongoing tutorial he is receiving from his Soviet adversary), reflected this relativistic, amoral moral calculus best. So, although I suppose it represents semantic progress to call what is happening now a global counterinsurgency struggle rather than a global war on terror (WoT®), I am troubled that this new anthropological insight seems to be being pitched as an improvement to our propaganda battle rather than helping us disengage from — and transcend — the fray.

Although Packer tries hard to read between the lines, social scientists who want to consult to the administration are of course averse to criticizing their potential bosses. There are indeed several statements in the piece to the effect that there are no prospects for a new mindset until Bush is out of office — as if anyone had any doubts on that score. It is not surprising that Bush thinks like that — let’s start, for example, with the fact that his alcoholism reflects a cognitive style in large proportion based on the effort to reduce diverse and nuanced problems to one one-size-fits-all solution. IMHO, the more important contribution social scientists could make would be to understand how such a rigid worldview as Bush’s could ever have become dominant and been allowed, unchallenged, to make such a dismal global mess of things.

Saying Yes to Mess

“An anti-anticlutter movement is afoot, one that says yes to mess and urges you to embrace your disorder. Studies are piling up that show that messy desks are the vivid signatures of people with creative, limber minds (who reap higher salaries than those with neat “office landscapes”) and that messy closet owners are probably better parents and nicer and cooler than their tidier counterparts. It’s a movement that confirms what you have known, deep down, all along: really neat people are not avatars of the good life; they are humorless and inflexible prigs, and have way too much time on their hands.” (New York Times )

Sword swallowing and its side effects

Sword swallowers more likely to be injured when distracted or swallowing ‘unusual’ swords: “The authors set out to explore the techniques and side-effects of sword swallowing. Forty-six SSAI members took part in the study, 19 had experienced sore throats whilst learning, many had suffered lower chest pain following some performances, and six had suffered perforation of the pharynx and oesophagus, one other was told a sword had ‘brushed’ the heart.

The research found that these injuries occurred either when swallowers used multiple or unusual swords, or when they were distracted. For example one swallower lacerated his pharynx when trying to swallow a curved sabre whilst another suffered lacerations after being distracted by a ‘misbehaving’ macaw on his shoulder.” (British Medical Journal)

You’re not going to give me the umbrella, are you?

The “umbrella test” is a longstanding urban myth that still bothers men who present for testing at sexual health clinics. Access to genitourinary clinics is a hot topic, and we have been working to encourage more men to present for screening for sexually transmitted infections. There is a long standing urban myth that men attending such clinics have to have the “umbrella test.” This myth varies little in rendition. The usual description is that something akin to a cocktail umbrella in a closed position is inserted deep into the urethra. This umbrella is then opened out and withdrawn, to the considerable discomfort of the owner of said urethra.” (British Medical Journal)

Don’t Follow Me:

For personal reasons I can’t go into here, FmH will be on indefinite hiatus. I’m not yet prepared to say that I am hanging up my keyboard but I can’t say when, if, I will resume posting. Readers who would like to be updated on any changes in the status of FmH can write me at “FmH at gelwan dot com” with the subject line “FmH updates” and I will add your name to a list of those I keep informed. I’m sorry I just can’t elaborate further at this point, despite the esteem and appreciation in which I continue to hold my readers.

Don’t Follow Me:

For personal reasons I can’t go into here, FmH will be on indefinite hiatus. I’m not yet prepared to say that I am hanging up my keyboard but I can’t say when, if, I will resume posting. Readers who would like to be updated on any changes in the status of FmH can write me at “FmH at gelwan dot com” with the subject line “FmH updates” and I will add your name to a list of those I keep informed. I’m sorry I just can’t elaborate further at this point, despite the esteem and appreciation in which I continue to hold my readers.

Offline

I will be away from the computer, in parts unknown, and not posting until September. I hope FmHers enjoy the rest of your summer! Thanks for your continued readership.

Offline

I will be away from the computer, in parts unknown, and not posting until September. I hope FmHers enjoy the rest of your summer! Thanks for your continued readership.

Are you sure you want to remove that?

“An Indian businessman born with two penises wants one of them removed surgically as he wants to marry and lead a normal sexual life, a newspaper report said Saturday.

The 24-year-old man from the northern state of Uttar Pradesh admitted himself to a New Delhi hospital this week with an extremely rare medical condition called penile duplication or diphallus, the Times of India said. ‘Two fully functional penes is unheard of even in medical literature. In the more common form of diphallus, one organ is rudimentary,’ the newspaper quoted a surgeon as saying.” (Yahoo! News)

Childhood Obesity Caused By ‘Toxic Environment’ Of Western Diets, Study Says

“A UCSF researcher has determined that a key reason for the epidemic of pediatric obesity, now the most commonly diagnosed childhood ailment, is that high-calorie, low-fiber Western diets promote hormonal imbalances that encourage children to overeat.

In a comprehensive review of obesity research published in the August edition of the journal Nature Clinical Practice Endocrinology & Metabolism, Robert Lustig, MD, professor of clinical pediatrics at UCSF Children’s Hospital, says that food manufacturing practices have created a ‘toxic environment’ that dooms children to being overweight.” (ScienceDaily)

Has Bush v. Gore Become the Case That Must Not Be Named?

Adam Cohen: “The ruling that stopped the Florida recount and handed the presidency to George W. Bush is disappearing down the legal world’s version of the memory hole, the slot where, in George Orwell’s “1984,” government workers disposed of politically inconvenient records. The Supreme Court has not cited it once since it was decided, and when Justice Antonin Scalia, who loves to hold forth on court precedents, was asked about it at a forum earlier this year, he snapped, “Come on, get over it.”” (New York Times op-ed)