Rafe is left speechless:

“You want to know why they call it the “imperial Presidency”? Here’s why: Every morning, Josh Bolten, the chief of staff, greets Bush with the same words: “Thank you for the privilege of serving today.” Doesn’t that just tell you everything you’d need to know about President Bush? What kind of person willingly accepts that kind of obsequiousness on a daily basis? Maybe we should just call him Xerxes from here on out? Ironic that the man obsessed with war with Iran behaves most similarly to a Persian despot.” — Rafe Coburn (rc3)

Why Bush won’t attack Iran

… and why Cheney might: “The left — and much of the old-school, realist right — fears that Bush means to bomb Iran sometime between now and next spring. Both would like to rally public opinion against the strike before it happens. The neoconservative right, meanwhile, is asserting that we will bomb Iran but that we need to get to it posthaste.

But both sides are advancing scenarios that are politically useful to them, and both sides are wrong. Despite holding out a military option, ratcheting up tensions with Iran about meddling in Iraq and Afghanistan, and deploying carrier strike-force groups in the Persian Gulf, the president is not planning to bomb Iran. But there are several not-unrelated scenarios under which it might happen, if the neocon wing of the party, led by Vice President Cheney, succeeds in reasserting itself, or if there is some kind of “accidental,” perhaps contrived, confrontation.” (Salon)

Another Tactical and Strategic Blunder

Ed Fitzgerald captures my frustration perfectly with observations about yesterday’s antiwar protest in Washington.

“The Bush Administration is on the ropes, it’s reeling from the pain of a thousand cuts, the last thing we would want to do is to give them some encouragement to believe that perhaps their position is somewhat more tenable than it appears. At this juncture, they don’t have the people on their side, all the polls show that, but looking at Saturday’s feeble, badly-conceived march, all they could possibly feel is encouraged, because all they saw there were the nutjobs and wackos they expected to see.

…I think perhaps a large part of the problem is that people don’t think hard enough about what they want to achieve with their actions, and instead focus on what they feel they need to do. The resulting action, therefore, becomes primarily about people feeling good about themselves.”

(unfutz)

Does art have a place in hospitals?

Artist Grayson Perry:

“Our conversation got me thinking about the healing potential of art. I believe that art is good really for one thing only and that is giving aesthetic pleasure. Any other positive function is a lucky side-benefit, but don’t depend on it giving measurable results. Most of my works would serve as admirable doorstops but I tend not to promote them as such.” (Times Online via boing boing)

Another Tactical and Strategic Blunder

Ed Fitzgerald captures my frustration perfectly with observations about yesterday’s antiwar protest in Washington.

“The Bush Administration is on the ropes, it’s reeling from the pain of a thousand cuts, the last thing we would want to do is to give them some encouragement to believe that perhaps their position is somewhat more tenable than it appears. At this juncture, they don’t have the people on their side, all the polls show that, but looking at Saturday’s feeble, badly-conceived march, all they could possibly feel is encouraged, because all they saw there were the nutjobs and wackos they expected to see.

…I think perhaps a large part of the problem is that people don’t think hard enough about what they want to achieve with their actions, and instead focus on what they feel they need to do. The resulting action, therefore, becomes primarily about people feeling good about themselves.”

(unfutz)

When a ‘Duplicate’ Family Moves In

New York Times article on the Capgras syndrome, a terrifying psychiatric symptom in which patients believe that people — usually those dearest to them — have been replaced by inexact duplicates. Sometimes this extends to their entire community or even the physical objects around them, such as their house or car. Capgras occurs in both psychotic illnesses, such as the case of which Dr. Berman writes in this article, and in some types of brain damage, such as carbon monoxide poisoning. I have thought of it as a malfunction in the brain’s fairly specific familiarity circuitry. Early in my career, I was fascinated by Capgras and other unusual psychiatric syndromes (such as Cotard’s, Fregoli’s, etc.) and lectured about them to my colleagues and students. (The Fregoli delusion, by the way, is in some ways the flip side of Capgras’.) Psychiatry has gone through ‘lumping’ and ‘splitting’ phases; in the latter, these would be considered unusual, standalone disorders, and in the former considered to be symptoms or facets of other, more familiar conditions. Alas, the era of exotic, esoteric syndromes seems to have passed. Not so with our patients — I diagnosed a patient I saw last week with Capgras’ delusion.

Dr. Berman was right, I think, to end her essay with a reference to Invasion of the Body Snatchers. Apart from the banal analyses seeing the original film (1956) as either an allegory about the Communist threat or a veiled critique of McCarthyism, I have always felt that the terror evoked by this film relied on its profound challenge to our dependence on the sense of the familiar. I have seen all four versions of the film, including the recent Nicole Kidman vehicle (2007) which, despite the fact that the central character remains a psychiatrist, lacks the subplot all the others featured involving a mental health professional dismissing as crazy those alarmed by the perception that their loved ones “were not themselves”. In the Kidman version, in fact, the pod people have lost so much of their terrifying quality that it is difficult to believe they fool anyone. Whereas, in the original, those taken over by the aliens retained their ability to convey emotion but were always a little ‘off’, as if they were imitating genuine emotion (a clear evocation of Capgras’), in the latest version, they are merely emotionless and robotic. This misses the point.

There are other films, from the ’50’s as well, which evoked the same terror. Most memorable were The Thing (1951) and Invaders from Mars (1953). (If you’re interested, for my money you can forget the more recent remakes. Go right back to the originals.)

//www.dvdbeaver.com/film/DVDReviews25/a%20invasion%20of%20the%20body%20snatchers/de%20ws%20invasion%20of%20the%20body%20snatchers%202043.jpg' cannot be displayed]

Giant Communal Texas Spider Web

Spiders worked together to weave massive web. “Tuesday afternoon, thousands of spiders were back at it again, working to rebuild the massive web that at one time stretched about 200 yards, covering bushes and trees to create a creepy canopy.

Researchers say they think thousands of spiders from different species worked together to make one large, all-encompassing web, unusual from the traditional individual webs that normally would be woven. Together, the spiders have built and rebuilt a web that has caught potentially tens of thousands of flies and bugs and the attention of people nationwide.” (Seattle Times [via boing boing])

Getting ready for Halloween, perhaps?

R.I.P. James Longcope, 70

A close friend and psychiatric colleague died suddenly on Labor Day, just when he was readying himself to enjoy his retirement. Jim exemplified all that is best, and is rapidly being lost, about psychiatric healing. Jim once said to us, “I’m just conspiring to commit good medical care.” Just that. More important, he was simply a good person, unassailably and irreducibly. All who knew him are devastated. (Boston Globe Obituary) //cache.boston.com/resize/bonzai-fba/Globe_Photo/2007/09/13/1189737627_3549/300h.jpg' cannot be displayed]

last.fm users: How eclectic is your musical style?

This script takes your top 20 artists on Last.FM. For each of these artists, collect the top 5 similar artists. The resulting number of unique artists is your eclectic score. If the score is small (extreme = 5) your musical preferences are very limited, and if it is large (larger than 80, extreme = 100), then you have an eclectic musical preference. You can compute your own score at:

My eclectic score is currently:

77/100

The 77 related artists for my profile are Aimee Mann (2), Andrew Bird, Ani DiFranco, Beulah, Bleeding Hearts, Bloc Party, Bob Dylan (2), Bob Mould, Bright Eyes, Broken Social Scene, Bruce Springsteen (3), Cat Power (2), Cat Stevens, Cream (2), Crosby, Stills, Nash & Young, David Bowie, Death Cab for Cutie, Elvis Costello, Elvis Costello & The Attractions, Emmylou Harris, Fiona Apple, Guided by Voices, Interpol, Iris DeMent, Iron & Wine, James Taylor, Jimi Hendrix, John Lennon, John Vanderslice, Led Zeppelin, Lou Reed, Lucinda Williams, Lyle Lovett, Martha Wainwright, Mary Chapin Carpenter, Modest Mouse (2), My Morning Jacket, Neil Young (3), Neutral Milk Hotel, Nick Drake, Okkervil River (2), Paul Simon, Pavement, Pete Yorn, Phish, Pink Floyd, Queen, Rachael Yamagata, Regina Spektor, Rev Hammer, Ryan Adams, Show of Hands, Simon & Garfunkel (2), Spoon, Steeleye Span, Sufjan Stevens (2), Talking Heads, Tegan and Sara, The Albion Band, The Allman Brothers Band, The Arcade Fire, The Band, The Beatles, The Byrds, The Decemberists (5), The Dismemberment Plan, The Doors (2), The Mountain Goats, The New Pornographers, The Replacements, The Rolling Stones (2), The Shins (4), The Who, Tori Amos, Van Morrison (3), Warren Zevon, Yo La Tengo.

Can Lobbyists End the War?

“The playbook for opposing a war has changed markedly since the street-protest ethos of the anti-Vietnam movement. Tie-dyed shirts and flowers have been replaced by oxfords and BlackBerries. Politicians are as likely to be lobbied politely as berated. And instead of a freewheeling circus managed from college campuses and coffee houses, the new antiwar movement is a multimillion-dollar operation run by media-savvy professionals. “They are to the left what the N.R.A. is to the right,” says a Democratic strategist with close ties to the party’s congressional leadership.” (New York Times Magazine)

Resize This

David Pogue, in his New York Times technology weblog, points to an amazing new image cropping and resizing algorithm. Watch the embedded video if you have any interest in picture manipulation. The commenters to Pogue’s post mention disturbing implications for truth in journalism but it seems to me we are way beyond worrying about the technologies for image manipulation in that regard. We have to worry, and have for a long time, far more about the personal integrity of the manipulators than the techniques they have at their disposal.

Apparently, the day after this was posted on YouTube, Adobe snatched up the developer. [thanks to walker]

Resize This

David Pogue, in his New York Times technology weblog, points to an amazing new image cropping and resizing algorithm. Watch the embedded video if you have any interest in picture manipulation. The commenters to Pogue’s post mention disturbing implications for truth in journalism but it seems to me we are way beyond worrying about the technologies for image manipulation in that regard. We have to worry, and have for a long time, far more about the personal integrity of the manipulators than the techniques they have at their disposal.

Apparently, the day after this was posted on YouTube, Adobe snatched up the developer. [thanks to walker]

U.S. Must Support Peacekeeping Mission

Take Action: “The UN has authorized a joint United Nations-African Union peacekeeping mission for Darfur. Our task now is to ensure that President Bush upholds the U.S. commitment to support this mission when the UN General Assembly meets on September 18th. Our goal is to send 100,000 messages in the next three weeks urging the president to uphold his commitment to the peacekeeping mission. Help us reach our goal! Fill out the form below to add your name to a petition urging President Bush to live up to our commitments…” //img.getactivehub.com/08/custom_images/savedarfur/rotator.jpg' cannot be displayed]

Interview: Professor Elyn Saks

Professor of Law and Psychiatry Discusses Her Battle with Schizophrenia, depicted in her recent memoir, The Center Cannot Hold, with a weblogger. As FmH readers know, one of my ongoing concerns in my work as a psychiatrist is the stigma attached to mental illness and how my patients suffer for it. Saks has much to say about that. My curiosity, simply put, is whether she rises above the stigmatization because she is exceptional, or whether she is exceptional because she has somehow managed to rise above the stigmatization. Her story reinforces my impression, from years of working with schizophrenics, that one’s IQ score helps. While intellect is by no means protective against the devastation of a psychotic illness (in some cases, quite the contrary, because of greater insight into what is being lost!), those with the most rehabilitative potential are usually those with the greatest intellectual capacity either premorbidly or at least retained . In Saks’ case, as well, some questions about whether she truly had the devastating disease of schizophrenia arise.

Two by Hayden Carruth

On Being Asked To Write A Poem Against The War In Vietnam

Well I have and in fact
more than one and I’ll
tell you this too

I wrote one against
Algeria that nightmare
and another against

Korea and another
against the one
I was in

and I don’t remember
how many against
the three

when I was a boy
Abyssinia Spain and
Harlan County

and not one
breath was restored
to one

shattered throat
mans womans or childs
not one not

one
but death went on and on
never looking aside

except now and then
with a furtive half-smile
to make sure I was noticing.

When I Wrote A Little

poem in the ancient mode for you
that was musical and had old words

in it such as would never do in
the academies you loved it and you

said you did not know how to thank
me and in truth this is a problem

for who can ever be grateful enough
for poetry but i said you thank me

every day and every night wordlessly
which you really do although again

in truth it is a problem for how can
life ever be consonant with spirit

yet we are human and are naturally
hungry for gratitude yes we need it

and never have enough oh my dear i
think these problems are always with

us and in reality have no solutions
except when we wash them away on

salty tides of loving as we rock in
the dark sure sea of our existence

Blow Back

ADHD Drug Tested as Treatment for Crack Addiction. Atomoxitine, a nonaddictive medication used for ADHD, may be enough of a mild mimic of the pharmacological effects of cocaine in the CNS that it might substitute for it, the reasoning goes. When used in cocaine rehab, however, patients often relapse. So the efffects and dangers of mixing atomoxetine and cocaine were investigated in a study to be published in Drug and Alcohol Dependence but available online in pre-print. The verdict was that there was mild additive cardiovascular danger and no consistent blockade of the pleasurable effects of the cocaine. In other words, the combination was “safe but of questionable effectiveness”, investigators concluded.

This illustrates a longstanding fallacy in the treatment of drug addiction, IMHO. All too often, no matter what the drug is, addicts are given a medication that produces a mild version of the pharmacological effects of their drug of choice in hopes it will satisfy their cravings or block the stronger effects of the drug and make it less rewarding. Examples include another medication, the antidepressant bupropion, for cocaine; and buprenorphine for opiate addiction. Similar (but even more thoughtless) is the medically contraindicated but widespread practice of maintaining ex-alcohol abusers on tranquilizers for sleep or anxiety. I have rarely seen these work and usually see users begin using their drug of abuse again while still on the supposed treatment, with additive effects. The fallacy lies in the reductionistic pharmacological materialism that equates the reward of the drug entirely with its (poorly-characterized) physiological effects in the CNS. This ignores the psychological needs the drug and its use provide. The habitual and compulsive nature of drug abuse comes from its being a powerful reinforcer in far more ways than just its stimulation of the “pleasure center” of the CNS, as it has become fashionable to describe it. From this point of view, it is not puzzling that patients will revert to their drug of abuse instead of, or on top of, the supposed relapse-preventing medication therapy.

A related phenomenon occurs when other drugs which themselves have abuse potential are used to substitute for the supposedly more damaging street drug, as in the case of methadone for opiate addicts. I’m not arguing about the merits of legalizing addiction here, but if that is what we are doing, let us be honest about it. Not only is there a street trade in diverted methadone itself (as well as suboxone) — more to get high than to self-detox — but the methadone clinics are often vehicles to maintain or even enhance clients’ addictions, in effect diverting addicts’ payments from the drug dealers into the clinic coffers. Call me cynical, but few of the methadone clinics I have seen do what would be medically prudent: (a) carefully assess the patient’s level of tolerance and maintenance need; (b) place the patient on a dose of methadone at or slightly below that level; (c) and embark on a medically prudent and tolerable but inexorably progressive taper of the methadone.

‘Radical Honesty’

No lie: one of the more idiotic psychotherapeutic ideas I have ever seen.

“My boss says you sound like a dick,” I say.

“Tell your boss he’s a dick,” he says.

“I’m glad you picked your nose just now,” I say. “Because it was funny and disgusting, and it’ll make a good detail for the article.”

“That’s fine. I’ll pick my ass in a minute.” Then he unleashes his deep Texan laugh: heh, heh, heh. (He also burps and farts throughout our conversation; he believes the one-cheek sneak is “a little deceitful.”) (Esquire )

What’s Behind the Epidemic of Municipal Wi-Fi Failures?

“The dream of wireless networks bathing U.S. cities in free and pervasive internet access has come to an end, at least for now. As the number of failed or stalled municipal wireless projects continues to rise, the focus has shifted from closing the so-called digital divide to why plans for such networks, in only a year’s time, seem to be dissolving almost daily. Last week, San Francisco, Chicago and St. Louis all announced significant and perhaps fatal roadblocks in their municipal Wi-Fi projects.” (Wired News)

Bush Refuses to Set Timetable for Withdrawal from Crawford

I’m back from a brief vacation but apparently Bush isn’t, and Andy Borowitz explains: “President George W. Bush said today that he understands and respects the views of those who are calling for him to cut short his summer vacation, but warned that an immediate withdrawal from Crawford, Texas would ‘send a terrible signal to the enemy.’

‘The enemy would like nothing better than to see me cut short my vacation and get back to the White House,’ Mr. Bush told reporters. ‘They hate my freedom.'” (The Huffington Post)

Bush Refuses to Set Timetable for Withdrawal from Crawford

I’m back from a brief vacation but apparently Bush isn’t, and Andy Borowitz explains: “President George W. Bush said today that he understands and respects the views of those who are calling for him to cut short his summer vacation, but warned that an immediate withdrawal from Crawford, Texas would ‘send a terrible signal to the enemy.’

‘The enemy would like nothing better than to see me cut short my vacation and get back to the White House,’ Mr. Bush told reporters. ‘They hate my freedom.'” (The Huffington Post)

Top 10 physically modified people

“it quickly became clear that there are some extraordinary human beings intent on changing their appearance permanently for reasons that will forever baffle most people. whether you agree with it or not, you can’t deny the fact that it’s a fascinating way of life.” (Deputy Dog) [Not only more extreme than I had imagined, but perhaps than I could have imagined. I do admit that my daughter and I got a thrill from getting those temporary tattoos that last a week or so airbrushed onto our calves earlier this summer.] //farm2.static.flickr.com/1262/1221590498_a7c523083b_m.jpg' cannot be displayed]

No Thank You

You may not see my receipt: An emphatic no-thank-you to the increasingly ubiquitous practice of receipt-checking as you leave retail stores. You may think it is just a trivial indignity you put up with without much thought. You may not even be old enough to recall when it was not that way. You may certainly think it is not worth the energy to oppose. But doing so is not only a nostalgic hearkening-back to the good old days when people were trusting and trusted; it is also an arguably spiritual practice when one stands up against these trends. Similar to the reason I still tweak the noses of the baristas by ordering my coffee “small”, “medium”, or “large” when I go into Starbuck’s.

The War as We Saw It

New York Times op-ed: “To believe that Americans, with an occupying force that long ago outlived its reluctant welcome, can win over a recalcitrant local population and win this counterinsurgency is far-fetched. As responsible infantrymen and noncommissioned officers with the 82nd Airborne Division soon heading back home, we are skeptical of recent press coverage portraying the conflict as increasingly manageable and feel it has neglected the mounting civil, political and social unrest we see every day.

…In the end, we need to recognize that our presence may have released Iraqis from the grip of a tyrant, but that it has also robbed them of their self-respect. They will soon realize that the best way to regain dignity is to call us what we are — an army of occupation — and force our withdrawal.”

The War as We Saw It

New York Times op-ed: “To believe that Americans, with an occupying force that long ago outlived its reluctant welcome, can win over a recalcitrant local population and win this counterinsurgency is far-fetched. As responsible infantrymen and noncommissioned officers with the 82nd Airborne Division soon heading back home, we are skeptical of recent press coverage portraying the conflict as increasingly manageable and feel it has neglected the mounting civil, political and social unrest we see every day.

…In the end, we need to recognize that our presence may have released Iraqis from the grip of a tyrant, but that it has also robbed them of their self-respect. They will soon realize that the best way to regain dignity is to call us what we are — an army of occupation — and force our withdrawal.”

Why FireFox is Blocked

Because Firefox allows ad blocking, a new campaign has blocked Firefox users’ access to certain websites, on the grounds that they “provide quality content in exchange for displaying ads” and that accessing the content without viewing the ads is theft. Of course, I can use a user-agent switching extension with Firefox and disguise the identity of my browser. [via the null device]

Jargon Watch:

My nine-year old has adopted this phrase in recent months. “Oh, snap!” The Urban Dictionary, to which this link points, does not point out the obvious; that it is used like a euphemism for “Oh, shit!” //media.urbandictionary.com/image/page/ohsnap-17397.jpg' cannot be displayed]

The Moral-Hazard Myth

Malcolm Gladwell: “The issue about what to do with the health-care system is sometimes presented as a technical argument about the merits of one kind of coverage over another or as an ideological argument about socialized versus private medicine. It is, instead, about a few very simple questions. Do you think that this kind of redistribution of risk is a good idea? Do you think that people whose genes predispose them to depression or cancer, or whose poverty complicates asthma or diabetes, or who get hit by a drunk driver, or who have to keep their mouths closed because their teeth are rotting ought to bear a greater share of the costs of their health care than those of us who are lucky enough to escape such misfortunes? In the rest of the industrialized world, it is assumed that the more equally and widely the burdens of illness are shared, the better off the population as a whole is likely to be. The reason the United States has forty-five million people without coverage is that its health-care policy is in the hands of people who disagree, and who regard health insurance not as the solution but as the problem.” (The New Yorker)

Perspectives about the news from people in the news

Google News Blog: “Starting this week, we’ll be displaying reader comments on stories in Google News, but with a bit of a twist…

We’ll be trying out a mechanism for publishing comments from a special subset of readers: those people or organizations who were actual participants in the story in question. Our long-term vision is that any participant will be able to send in their comments, and we’ll show them next to the articles about the story.”

Our Lives, Controlled From Some Guy’s Couch

Life Imitate The Matrix: “Until I talked to Nick Bostrom, a philosopher at Oxford University, it never occurred to me that our universe might be somebody else’s hobby. I hadn’t imagined that the omniscient, omnipotent creator of the heavens and earth could be an advanced version of a guy who spends his weekends building model railroads or overseeing video-game worlds like the Sims.

But now it seems quite possible. In fact, if you accept a pretty reasonable assumption of Dr. Bostrom’s, it is almost a mathematical certainty that we are living in someone else’s computer simulation.” — John Tierney (New York Times )

The Beam of Light That Flips a Switch…

…That Turns on the Brain: “…[A] new generation of genetic and optical technology can give researchers unprecedented power to turn on and off targeted sets of cells in the brain, and to do so by remote control. These novel techniques will bring an “exponential change” in the way scientists learn about neural systems, said Dr. Helen Mayberg, a clinical neuroscientist at Emory University, who is not involved in the research but has seen videos of the worm experiments… Some day, the remote-control technology might even serve as a treatment for neurological and psychiatric disorders.” (New York Times )

(I just hope they don’t try it on my many psychiatric patients who are delusional already about their brains/minds being controlled by external forces.)

Our Lives, Controlled From Some Guy’s Couch

Life Imitate The Matrix: “Until I talked to Nick Bostrom, a philosopher at Oxford University, it never occurred to me that our universe might be somebody else’s hobby. I hadn’t imagined that the omniscient, omnipotent creator of the heavens and earth could be an advanced version of a guy who spends his weekends building model railroads or overseeing video-game worlds like the Sims.

But now it seems quite possible. In fact, if you accept a pretty reasonable assumption of Dr. Bostrom’s, it is almost a mathematical certainty that we are living in someone else’s computer simulation.” — John Tierney (New York Times )

What Really Happened at the Yearly Kos Military Panel

“On Friday morning Jon Soltz of VoteVets.org moderated a YearlyKos panel called The Military and Progressives: Are They That Different? I was on the panel with Jon, along with General Wesley Clark, Iraq veterans Jonathan Powers and Josh Lansdale, and author Ilona Meagher. The panel went fine. However, at the end, there was some drama. Tempers flared between Soltz and a questioner in a military uniform, and the right-wing Pajamas Media reporter in the room began falling all over himself to film it—thinking that he had just scored a ‘macaca’ moment for the Right.

Right-wing media outlets like MichelleMalkin.com, The Drudge Report, and the National Review Online have been quick to seize on the footage, hoping to use it as proof that Kossacks don’t practice the free speech they preach. Too bad for them that this was really a dust-up over nothing—brought on by an irresponsible soldier who made it very plain to all of us that the Republican-induced lowering of Army enlistment standards has left us with certain soldiers who respect discredited Republican talking points, but not the law or the uniform of the United States Army.

For the record, here’s what happened from the beginning…” (Daily Kos)

Taking Bach the City Streets

Wash. City Using Classical Music To Chase Gangs From Bus Stop : “The attack by Bach, Brahms and Beethoven follows the theory that prompted the city to stage pinochle games on dangerous street corners: Jolting the routine in such spots throws criminals off balance.

“It’s based on routine activity theory and situational crime prevention. You mix different types of activities in locations that are crime-ridden to change the composition of the environment,” said psychologist Jacqueline Helfgott, who chairs the Criminal Justice Department at Seattle University.” (WKMG Seattle)

A Catastrophic Failure

‘Bridges in America should not fall down.’ “They shouldn’t, but it’s quite possible that more of them will. We should also expect that more steam pipes will blow, that water mains will burst, that dams will develop worrisome cracks and that sooner or later, probably during a heat wave, much of the country will suffer a crippling blackout.” — Eugene Robinson (Washington Post op-ed)

Answering to No One

“The Post‘s recent series on Dick Cheney’s vice presidency certainly got my attention. Having held that office myself over a quarter-century ago, I have more than a passing interest in its evolution from the backwater of American politics to the second most powerful position in our government. Almost all of that evolution, under presidents and vice presidents of both parties, has been positive — until now. Under George W. Bush and Dick Cheney, it has gone seriously off track.” — Walter Mondale (Washington Post)

Charles Simic named Poet Laureate

Surrealist juxtaposes dark imagery with ironic humor:

Country Fair

for Hayden Carruth

If you didn’t see the six-legged dog,
It doesn’t matter.
We did, and he mostly lay in the corner.
As for the extra legs,

One got used to them quickly
And thought of other things.
Like, what a cold, dark night
To be out at the fair.

Then the keeper threw a stick
And the dog went after it
On four legs, the other two flapping behind,
Which made one girl shriek with laughter.

She was drunk and so was the man
Who kept kissing her neck.
The dog got the stick and looked back at us.
And that was the whole show.

Eyes Fastened With Pins

How much death works,
No one knows what a long
Day he puts in. The little
Wife always alone
Ironing death’s laundry.
The beautiful daughters
Setting death’s supper table.
The neighbors playing
Pinochle in the backyard
Or just sitting on the steps
Drinking beer. Death,
Meanwhile, in a strange
Part of town looking for
Someone with a bad cough,
But the address somehow wrong,
Even death can’t figure it out
Among all the locked doors…
And the rain beginning to fall.
Long windy night ahead.
Death with not even a newspaper
To cover his head, not even
A dime to call the one pining away,
Undressing slowly, sleepily,
And stretching naked
On death’s side of the bed.

First Espresso Book Machine Installed and Demonstrated at New York Public Library

“An ATM for books that prints and binds any title on the spot within minutes from a digital file…

Library users will have the opportunity to print free copies of such public domain classics as “The Adventures of Tom Sawyer” by Mark Twain, “Moby Dick” by Herman Melville, “A Christmas Carol” by Charles Dickens and “Songs of Innocence” by William Blake, as well as appropriately themed in-copyright titles as Chris Anderson’s “The Long Tail” and Jason Epstein’s own “Book Business.” The public domain titles were provided by the Open Content Alliance (“OCA”), a non-profit organization with a database of over 200,000 titles. The OCA and ODB are working closely to offer this digital content free of charge to libraries across the country. Both organizations have received partial funding from the Alfred P. Sloan Foundation.” [via boing boing]

Missing a Diagnosis That Hit Too Close to Home

“… V.I.P. or celebrity patients sometimes short-circuit the physician’s normal diagnostic thinking. For example, these patients may be spared the doctor’s usual tests and procedures. As our “top gun,” Mike was just such a patient to me. Even as I entertained grandiose fantasies about curing him, my unconscious may have steered me away from doing everything I could to help him get better.” — Ron Pies (New York Times )

How Swearing Works

From HowStuffWorks:

“In this article, we’ll explore what makes words into swearwords, why most Americans use them and how society responds to swearing. We’ll also look at one of its most fascinating aspects — the way it affects your brain.”

Also:

Severity Rating of Swear Words:

“When I went to meet the editorial policy/legal people at the BBC, the first thing I wanted to know, as you can well imagine, was this: which swear words am I allowed to use?

I was shown a ranked list of rudeness. It was every bit as entertaining as I had hoped, but to my disappointment, there was no possibility of removing this fabulous document from the room. I don’t like to paint too much of a melodramatic picture, but the offending piece of paper was physically removed from my hand (I think they had the idea that I would scan it, post it on my blog, and write an article about it).

Anyway, I mentioned this to someone else from the BBC at a party recently: she sent me a copy this morning, and as you can see, I have indeed scanned it and posted it on my blog.” — Ben Goldacre (Bad Science)

How to Be a Living Statue – wikiHow

“Human statues have a long history in the European street theater tradition. In Paris, you can see human statues in many a park and garden, busking for money in monochrome hues with physical patience and control that rivals most yogis or athletes. The costume is ninety percent of the battle, the physical control is the icing on the cake. Here’s how to pull it off.” (wikiHow)
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Thomas the Tank Engine and Austism Spectrum Disorder

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“Millions of children around the world love Thomas the Tank Engine. Parents everywhere have watched their children learn, grow and have fun with this cheeky little blue engine.

For many children with autistic spectrum disorders, Thomas plays an even more important role. A 2002 study by the National Autistic Society in the UK shows that Thomas the Tank Engine helps break through the barriers of many children with autism and Asperger syndrome.

Parents of children with ASD have known for years that Thomas and his friends have special value to their children. The report confirms this anecdotal evidence, stating that children with ASD associate far more strongly with Thomas the Tank Engine than with other children’s characters. Some parents of children with ASD have reported leaps of emotion, imagination and symbolic play that were unimaginable before the child’s relationship with Thomas.” (thanks to walker)

A Day in the Life of Oscar the Cat

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Geriatrician David Dosa’s New England Journal of Medicine essay: “Since he was adopted by staff members as a kitten, Oscar the Cat has had an uncanny ability to predict when residents are about to die. Thus far, he has presided over the deaths of more than 25 residents on the third floor of Steere House Nursing and Rehabilitation Center in Providence, Rhode Island. His mere presence at the bedside is viewed by physicians and nursing home staff as an almost absolute indicator of impending death, allowing staff members to adequately notify families. Oscar has also provided companionship to those who would otherwise have died alone. For his work, he is highly regarded by the physicians and staff at Steere House and by the families of the residents whom he serves.”

The question for me is whether the cat’s ‘sixth sense’ merely perceives the impending death or whether, somehow, his curling up with the patient facilitates the process. At one extreme, his comforting presence may help the person let go. At the other extreme, I recall the mythology around cats’ being soul- or breath-stealers, leading mothers to keep them away from their infants’ cribs and cradles through the ages. The patients at Oscar’s nursing home, by and large, have dementia so advanced that they probably do not appreciate the meaning of his presence but I wonder what the outcome would be if they or their family members were alarmed by his arrival and shooed him away before he could settle down.

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Sports Spectacles

I have never been much of at all a fan of professional sports and this week is certainly a reminder of why not, with the basketball referee betting scandal and Michael Vicks’ showing his true stripes, as well as the ongoing collapse of the integrity of the bicycle racing world. At least the spotlight has temporarily been lifted from Barry Bonds’ ignominy.

Thinking further about these issues, I had a brilliant idea. Why not simply allow performance-enhancing drugs … for the referees? And, instead of enormous salaries and bonuses, why not allow team athletes to bet on their games, as long as they bet on their team winning?

Real Life Sea Monsters

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24 Bizarre Creatures of the Deep: “The sea contains untold numbers of strange and bizarre creatures. It is said that we know more about our own solar system than we know about our oceans. Indeed, some creatures of the sea can seem more alien than anything you can imagine. But even worse, some of them can seem more frightening than your worst nightmare. Below we have collected pictures…”

Can the Future Leak Into the Present?

Newsweek‘s good nontechnical discussion of some implications of quantum theory, including one particularly astounding and troubling quantum paradox: We have long accepted that an observation affects the observed event, but it now appears that the effect occurs even if the observation is not until after the event has taken place. In effect, the future “leaks into the present”. This is not a relativistic problem (Einstein taught us that simultaneity is not absolute and varies from one frame of reference to another) but something far stranger.

The Race is on for the ‘God Particle’

“Earlier this summer, the physics world was jolted by a rumor that a team of scientists from the Fermi National Accelerator Laboratory, or Fermilab, in Batavia, Ill., had found a bump in their data that might be a legendary particle that has haunted physicists for a generation. It is known colloquially as the Higgs boson and sometimes grandly as the “God particle.” According to the Standard Model that has ruled physics for 30 years, the Higgs endows elementary particles in the universe with mass.” (New York Times )

R.I.P. Albert Ellis

The ‘Lenny Bruce of Psychology’ is dead at 93. Ellis was a rallying point for the backlash against Freud and a founder of cognitive-behavioral approaches to talk therapy, and short-term focused work, which have become ascendant in the last few decades.

New York Times obituary:

“Where the Freudians maintained that a painstaking exploration of childhood experience was critical to understanding neurosis and curing it, Dr. Ellis believed in short-term therapy that called on patients to focus on what was happening in their lives at the moment and to take immediate action to change their behavior. Neurosis, he said, was “just a high-class word for whining.”

“The trouble with most therapy is that it helps you feel better,” he told The New York Times in an interview in 2004. “But you don’t get better. You have to back it up with action, action, action.””

One compelling way of approaching people’s difficulties in mental health practice, which I credit largely to Ellis’ influence, is to think of distress as emanating from our tendency toward self-deception and therapy as an attempt to cultivate honesty and authenticity in one’s relationship with oneself. Ellis’ iconoclasm, irreverence and bent for popularizing sophisticated psychological concepts have been very appealing to me.

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Budding Pedophiles or Not?

“There is no proof that …using adult sex-offender treatments on juveniles is effective. Adult models… don’t account for adolescent development and how family and environment affect children’s behavior. Also, research over the past decade has shown that juveniles who commit sex offenses are in several ways very different from adult sex offenders. As one expert put it, “Kids are not short adults.”” (New York Times )

And:

Unruly School Kids or Sex Offenders? “The two boys tore down the hall of Patton Middle School after lunch, swatting the bottoms of girls as they ran — what some kids later said was a common form of greeting.

But bottom-slapping is against policy in McMinnville Public Schools. So a teacher’s aide sent the gawky seventh-graders to the office, where the vice principal and a police officer stationed at the school soon interrogated them.

After hours of interviews with students the day of the February incident, the officer read the boys their Miranda rights and hauled them off in handcuffs to juvenile jail, where they spent the next five days.” (Oregonian)

Real Life Sea Monsters

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24 Bizarre Creatures of the Deep: “The sea contains untold numbers of strange and bizarre creatures. It is said that we know more about our own solar system than we know about our oceans. Indeed, some creatures of the sea can seem more alien than anything you can imagine. But even worse, some of them can seem more frightening than your worst nightmare. Below we have collected pictures…”

Cheney’s Long-Lost Twin

Nicholas Kristof writes in the New York Times, behind its ‘Select’ firewall:

“Could Dick Cheney and Mahmoud Ahmadinejad be twins separated at birth?

The U.S. vice president and Iranian president, each the No. 2 in his country, certainly seem to be working together to create conflict between the two nations. Theirs may be the oddest and perhaps most dangerous partnership in the world today.

Both men are hawks who defy the international community, scorn the U.N. and are unpopular at home because of incompetence and recklessness — and each finds justification in the extremism of the other.

“Iranians refer to their new political radicals as ‘neoconservatives,’ with multiple layers of deliberate irony,” notes Gary Sick, an Iran specialist at Columbia University, adding: “The hotheads around President Ahmadinejad’s office and the U.S. foreign policy radicals who cluster around Vice President Cheney’s office, listen to each other, cite each others’ statements and goad each other to new excesses on either side.”

So one of the perils in the final 18 months of the Bush administration is that Mr. Cheney and Mr. Ahmadinejad will escalate provocations, ending up with airstrikes by the U.S. against Iranian nuclear sites.

Already we’re seeing a series of leaks about Iran that echo leaks in the run-up to the invasion of Iraq. The reports say that Iran is turning a blind eye to Al Qaeda, is using Hezbollah to wage a proxy war against U.S. forces in Iraq, is transferring bomb-making skills to Iraq insurgents and is handing out armor-piercing bullets to fighters in Iran and Afghanistan so as to kill more Americans.

Yet the jingoists aren’t all in our government: These leaks may well all be accurate, for Mr. Ahmadinejad is a perfect match for Mr. Cheney in his hawkishness and contempt for the international community.

It’s worrying that Iran has just recalled its most able diplomat — Javad Zarif, ambassador to the U.N. — and sent him out to pasture as an academic. Hard-liners always hated Mr. Zarif; goons from a mysterious Iranian security agency detained me on my last trip to Tehran and accused me of being a C.I.A. or Mossad spy, apparently because they were trying to get dirt to use against Mr. Zarif (who had given me my visa).

Mr. Zarif’s departure last week suggests that Mr. Ahmadinejad doesn’t plan to solve his nuclear confrontation with the West through diplomacy.

So the danger is that the pragmatists on both sides will be sidelined, while the extremists will embolden and empower each other. The ultimate decision-makers may be President Bush and the Iranian supreme leader, Ayatollah Ali Khamenei, but Mr. Cheney may find a sympathetic ear when he makes an argument to Mr. Bush that goes like this:

How can we leave a nuclear Iran as our legacy? Tehran’s arms program will encourage Saudi Arabia, Egypt and Turkey to seek nuclear weapons as well — and then there’s the worst-case scenario that Iran actually wants to destroy Tel Aviv. We just can’t bet on Iranian restraint.

These are real arguments, but a strike is no solution. For starters, it would delay the Iranian nuclear program by only about three years — and when it came back, the regime might be more likely than ever to use the weapons. And for Mr. Bush to launch a third war against a Muslim country would undermine Islamic moderates and strengthen radicals around the world.

Iran is also more complex and sophisticated than it pretends to be — and the fact is that standard deterrence has constrained it. Iran has a huge stockpile of chemical weapons, and the U.S. intelligence community suspects that it has sleeper agents in the U.S. who could be activated for terrorism. But we have deterred Iran from unleashing terror attacks against our homeland, and the best bet for eliminating the threat altogether is the collapse of Iran’s own neocons under the weight of their incompetence.

A recent opinion poll in Iran found that 70 percent of Iranians want to normalize relations with the U.S., and 61 percent oppose the current Iranian system of government. Any visitor to Iran knows that it is — at a people-to-people level — the most pro-American Muslim country in the region, and the regime is as out of touch and moribund as the shah’s was in the late 1970s.

The ayatollahs’ only hope is that we will rescue them with a military strike, which would cement them in place for many years to come. But look out, because that’s what may happen if bilateral relations are driven by those jingoistic twins, Mr. Cheney and Mr. Ahmadinejad.” (New York Times op-ed)

All The President’s Enablers

Paul Krugman writes in the New York Times, behind its ‘Select’ firewall:

“In a coordinated public relations offensive, the White House is using reliably friendly pundits — amazingly, they still exist — to put out the word that President Bush is as upbeat and confident as ever. It might even be true.

What I don’t understand is why we’re supposed to consider Mr. Bush’s continuing confidence a good thing.

Remember, Mr. Bush was confident six years ago when he promised to bring in Osama, dead or alive. He was confident four years ago, when he told the insurgents to bring it on. He was confident two years ago, when he told Brownie that he was doing a heckuva job.

Now Iraq is a bloody quagmire, Afghanistan is deteriorating and the Bush administration’s own National Intelligence Estimate admits, in effect, that thanks to Mr. Bush’s poor leadership America is losing the struggle with Al Qaeda. Yet Mr. Bush remains confident.

Sorry, but that’s not reassuring; it’s terrifying. It doesn’t demonstrate Mr. Bush’s strength of character; it shows that he has lost touch with reality.

Actually, it’s not clear that he ever was in touch with reality. I wrote about the Bush administration’s “infallibility complex,” its inability to admit mistakes or face up to real problems it didn’t want to deal with, in June 2002. Around the same time Ron Suskind, the investigative journalist, had a conversation with a senior Bush adviser who mocked the “reality-based community,” asserting that “when we act, we create our own reality.”

People who worried that the administration was living in a fantasy world used to be dismissed as victims of “Bush derangement syndrome,” liberals driven mad by Mr. Bush’s success. Now, however, it’s a syndrome that has spread even to former loyal Bushies.

Yet while Mr. Bush no longer has many true believers, he still has plenty of enablers — people who understand the folly of his actions, but refuse to do anything to stop him.

This week’s prime example is Senator Richard Lugar of Indiana, who made headlines a few weeks ago with a speech declaring that “our course in Iraq has lost contact with our vital national security interests.” Mr. Lugar is a smart, sensible man. He once acted courageously to head off another foreign policy disaster, persuading a reluctant Ronald Reagan to stop supporting Ferdinand Marcos, the corrupt leader of the Philippines, after a stolen election.

Yet that political courage was nowhere in evidence when Senate Democrats tried to get a vote on a measure that would have forced a course change in Iraq, and Republicans responded by threatening a filibuster. Mr. Lugar, along with several other Republicans who have expressed doubts about the war, voted against cutting off debate, thereby helping ensure that the folly he described so accurately in his Iraq speech will go on.

Thanks to that vote, nothing will happen until Gen. David Petraeus, the top commander in Iraq, delivers his report in September. But don’t expect too much even then. I hope he proves me wrong, but the general’s history suggests that he’s another smart, sensible enabler.

I don’t know why the op-ed article that General Petraeus published in The Washington Post on Sept. 26, 2004, hasn’t gotten more attention. After all, it puts to rest any notion that the general stands above politics: I don’t think it’s standard practice for serving military officers to publish opinion pieces that are strikingly helpful to an incumbent, six weeks before a national election.

In the article, General Petraeus told us that “Iraqi leaders are stepping forward, leading their country and their security forces courageously.” And those security forces were doing just fine: their leaders “are displaying courage and resilience” and “momentum has gathered in recent months.”

In other words, General Petraeus, without saying anything falsifiable, conveyed the totally misleading impression, highly convenient for his political masters, that victory was just around the corner. And the best guess has to be that he’ll do the same thing three years later.

You know, at this point I think we need to stop blaming Mr. Bush for the mess we’re in. He is what he always was, and everyone except a hard core of equally delusional loyalists knows it.

Yet Mr. Bush keeps doing damage because many people who understand how his folly is endangering the nation’s security still refuse, out of political caution and careerism, to do anything about it.” (New York Times op-ed)

Scientists Find Genetic Link for a Disorder (Next, Respect?)

“Imagine you keep waking up with a fierce urge to move your legs, each time further eroding your sleep quota and your partner’s patience. You have restless legs syndrome, a quaintly named disorder whose sufferers may get more respect now that its genetic basis has been identified.

Two independent teams, one in Germany and one in Iceland, have identified three variant sites on the human genome which predispose people to the condition. The advance should help scientists understand the biological basis of the disorder, which could lead to new ideas for treatment.

The new findings may also make restless legs syndrome easier to define, resolving disputes about how prevalent it really is. The disorder is a “case study of how the media helps make people sick,” two researchers at Dartmouth Medical School, Steven Woloshin and Lisa Schwartz, wrote recently in the journal PLoS Medicine. They argued that its prevalence had been exaggerated by pharmaceutical companies and uncritical newspaper articles, and that giving people diagnoses and powerful drugs were serious downsides of defining the elusive syndrome too broadly.” (New York Times )

Throughout my psychiatric career, I have had a strong interest in the faddish diagnoses interest in which is spread by grapevine, media attention and advertising. These are the diagnoses with which patients are invested in being diagnosed. Some, of course, are legitimately advocating for the ‘missing link’ in explaining troubling symptoms they have been experiencing. But for others, the incentive is secondary gain of one sort or another.

Usually, the diagnoses around which this phenomenon clusters are medically unvalidated and ill-defined. A vicious circle ensues, in which, the more vague a diagnosis is, the more heterogeneous the group of self-identified sufferers becomes and the more difficult it is to find homogeneous empirical attributes of the diagnosis. In short, such diagnoses spread like viral memes.

Consequences include having a pretext for dysfunction for which one ought to be taking responsibility; and needless drug therapy, sometimes with risks or side effects making the “cure worse than the disease.” The epidemic of stimulant prescribing for the faddish and vastly overused diagnosis of ADHD, as FmH readers know, is one of the more egregious examples of this trend. As a psychopharmacologist, I would never have guessed, but indeed welcome the fact, that my work would turn out to be in such large part “just saying no.”

Bringing Home the Bacon

Today Is…: “July 19 is Flitch Day, a surviving relic from Medieval England in which married couples appear before a “mock court.” Those who can prove that they had “lived in harmony and fidelity” for the past twelve months were awarded a flitch, defined as a “salted and cured side of bacon.” According to Thinkquest.org, “very few [couples] ‘took home the bacon.’”” (Freakonomics Blog)

When Doctors Become Terrorists

“The chair of the British International Doctors’ Association called the involvement of doctors ‘beyond belief.’

But is it? Walter Laqueur, perhaps the foremost scholar of the darkest crimes of the 20th century and the rise of terrorism, first observed that doctors were disproportionately represented among the ranks of terrorists. George Habash, the founder of the Popular Front for the Liberation of Palestine and the man behind the aircraft hijackings of Black September, was a doctor. Mohammed al-Hindi received his medical degree in Cairo in 1980, returning to his native Gaza the following year to form Islamic Jihad. Ayman al-Zawahiri, Al Qaeda’s number-two leader and ‘spokesman,’ is a surgeon…

But Muslim doctors are certainly not the only ones who have become involved in terrorism…” (New England Journal of Medicine)

R. Milhous Giuliani

A Front-Runner’s Political Baggage: “With the same rootless confidence that causes people to ignore hurricane warnings, many social conservatives remain in denial about Rudy Giuliani’s chances of winning the Republican nomination.

But with three debates and eight months as the Republican front-runner under his belt, Giuliani’s political strength cannot be dismissed as a fad or a fluke. His skills as a campaigner are considerable. His political strategy is plausible: Play down Iowa and New Hampshire, win Florida on Jan. 29, and sweep the big states (New York, California, Illinois) on Feb. 5, securing the nomination before a social-conservative reaction can set in. The Fred Thompson and Mitt Romney camps have their own victory scenarios, but they are not more likely.

So it is not too early for Republicans to consider some consequences of a Giuliani nomination.” — Michael Gerson (Washington Post)

Greatest Living American Ignored

Gregg Easterbrook: “Today in Washington I was in the room as the greatest living American received a medal. George W. Bush, Nancy Pelosi and others were present. But will you ever hear this event occurred? To judge from tonight’s major network evening newscasts, perhaps not. Cameras were allowed at the ceremony but I saw none from the major networks, though the international press was significantly represented. And will you recognize this great man’s name when I say it?” (HuffPo)

The Exciting World of South Korean Protests

“For a country of about 50 million people, there are a lot of protests in South Korea. With a national average of 11,000 public protests a year, the average South Korean riot policeman is mobilized to contain 85 demonstrations a year.

While the majority of such protests are probably pretty standard affairs involving marching, shouting, and possibly some violent clashes between protesters and police, there are also some far more interesting protests going on. Here are a few particularly uniquely interesting/crazy South Korean protest photos we’ve stumbled upon…” (Who-Sucks)

Military Hides Cause of Women Soldiers’ Deaths

“In a startling revelation, the former commander of Abu Ghraib prison testified that Lt. Gen. Ricardo Sanchez, former senior US military commander in Iraq, gave orders to cover up the cause of death for some female American soldiers serving in Iraq.

Last week, Col. Janis Karpinski told a panel of judges at the Commission of Inquiry for Crimes against Humanity Committed by the Bush Administration in New York that several women had died of dehydration because they refused to drink liquids late in the day. They were afraid of being assaulted or even raped by male soldiers if they had to use the women’s latrine after dark.” — Marjorie Cohn (truthout)

‘Yes’ on Senate Amendment 2022

Restore habeas corpus: “Please call your senators right now and urge them to vote “YES” on Senate Amendment 2022, an amendment to restore habeas corpus as part of this year’s defense authorization bill. S.A. 2022 is an amendment to the defense authorization bill to restore the constitutional due process right of habeas corpus, which protects against unlawful and indefinite imprisonment. This fundamental right was stripped away for some people by the Military Commissions Act of 2006.

We know the vote will be close. The Bush administration is working overtime to defeat this amendment, and every vote will count.” (ACLU)

You can enter your zip code on the linked page to obtain contact information for your elected officials.

Gesundheit!

A nasal spray to shed your shyness: “University of Zurich researchers have created a spray that can relieve people of shyness, and help them socialise with others. The spray is very easy to use, and an individual can boost self-confidence just by squirting it up the nose. The researchers say that the spray harnesses the powers of a feel-good hormone called oxytocin, a neurotransmitter in the brain that is involved in social recognition and bonding.” (ebiology)

Neuroeconomics Dept.

The Pain of Paying: “According to researchers at Carnegie Mellon, Stanford and MIT, people spend money ’til it hurts.

The study appears in the journal Neuron and is the most recent from the emerging field of neuroeconomics, which looks at the mental processes that drive economic decision-making. The researchers suspect their study may help to explain why people spend more with credit cards than with cash.

“Credit cards effectively anesthetize the pain of paying,” said George Loewenstein, Carnegie Mellon professor of social and decision sciences (SDS) and co-author of the paper. “You swipe the card and it doesn’t feel like you’re giving anything up to make the purchase, unlike paying cash where you have to hand over bills.””

The researchers had subjects make decisions regarding the expense of making certain purchases while undergoing fMRI scanning of their brains, and discovered that “the insula, a section of the brain associated with pain processing, activated when subjects saw prices that were too high…”, as described by one of the team. An interesting conclusion, but I think it does not prove that paying causes “pain” in a neurologic sense as much as a metaphoric one, which we already knew. In other words, it’s semantics — if you note that the insula lights up both with a physical pain experience and when confronted with a high price, couldn’t you just as readily conclude that the insula is activated with several different types of distress, one of them being pain and the other fiscal distress? [thanks, Joel]

The insula, by the way, is also implicated in another experience we, metaphorically, also call ‘pain’, which is the distress of withdrawal in addiction. I wrote several months ago about a cigarette-smoking patient who suffered an insular stroke and found he no longer craved nicotine.

Great Perseids

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“Got a calendar? Circle this date: Sunday, August 12th. Next to the circle write ‘all night’ and ‘Meteors!’ Attach the above to your refrigerator in plain view so you won’t miss the 2007 Perseid meteor shower.

‘It’s going to be a great show,’ says Bill Cooke of NASA’s Meteoroid Environment Office at the Marshall Space Flight Center. ‘The Moon is new on August 12th–which means no moonlight, dark skies and plenty of meteors.’ How many? Cooke estimates one or two Perseids per minute at the shower’s peak.” (NASA)