Revia (naltrexone) For Alcoholism

New study endorses medication’s efficacy. In a complex design in which it was compared with behavioral treatment/counseling and acamprosate, another medication marketed for relapse prevention in alcoholism, the opiate blocker Revia (naltrexone) gets the nod as helpful. I use this medication for this purpose but have always puzzled about various aspects of how it works if it does.

First of all, as an endogenous opiate blocker, it supposedly blocks some of the activity of the internal reward system and thus diminishes the satisfaction connected with alcohol abuse. But why does it not block most satisfaction in the person’s life if that is the case? There is nothing specific about the effects of alcohol on the endogenous reward system; it responds generically to rewards.

Secondly, addictive behaviors pretty quickly pass beyond the stage of being rewarding; most people persist in abusing addictive drugs because they would be sick or in distress if they stopped. How would a reward blocker matter in such a case? I know I am speaking pretty schematically here, but I need to have some conviction I understand how a medication is supposed to work on a neurochemical basis before I will recommend it to my patients. That is partly because I believe that any medication works less well, or not at all, if the user does not have a belief in its effectiveness. In psychiatric treatment, where most classes of medications were discovered serendipitously and explanations derived after the fact, that is a particular problem.

The effects of naltrexone are modest at best; several studies have found that, while as in this study it was better than acamprosate, the combination of the two is far better than either alone in reducing the frequency and severity of alcoholic relapses. And the benefits usually are more robust in more severe alcoholism.

Heckuva Job, Porter

Why Did Goss Resign? “A former CIA buddy tells me that Porter’s main problem, however, is a key staffer who is linked to both Brent Wilkes and the CIA’s Executive Director, Dusty Foggo. My friend also said that it is highly likely that the Goss staffer did participate in the hooker extravaganza. Goss, politician that he is, probably recognized that even though he did not participate in the sexual escapades and poker games, his staffer’s participation created a huge problem for him that would be difficult to escape.” — Larry Johnson (truthout)

And: Bush CIA Pick is Domestic Spying Advocate (New York Times )

Spam Filters Gone Wild

“Spate of Incidents at Verizon, AOL Point to Growing Problem Of Blocking Legitimate Email: Possibly millions of AOL members were temporarily unable to receive some mail from Google Inc.’s Gmail users last week after AOL held up messages from some new Gmail servers over concerns it might be spam. An AOL software update recently resulted in a stoppage of mail that mentioned at least 60 Internet addresses. An update of Verizon Communication Inc.’s spam filters recently sparked widespread complaints from consumers who were unable to receive and send messages.” `(WSJ)

Compliment Graciously Accepted

FmH was ‘today’s blog’ a couple of days ago at Interrupting Gelastic Jew:

“Of the blogs I read on a regular basis, this one is most likely to give me a moment of outraged craziness. I disagree with most of this guy’s politics, and I deplore his cynical, abusive attitude toward the current president. That said, if this isn’t the blog I learn the most from, it’s in the top 10. Mostly links to stories, followed by his commentary, he covers some politics (but only if it’s something bad about Bush) and a lot of medical and social issues around mental illness and its treatment.”

Actually, although I am no less dripping with contempt for Bush and Co., it seems to me I am venting it much less here these days. It is pretty well established that he is the worst president in recent history, if not in the history of the American presidency. I am far more concerned about, and contemptuous of, the sheeplike and cowardly electorate who elected him nearly elected him twice and demoralized by the futility of influencing the voters’ receptivity to be sold down the river by such an obvious scam artist.

Unwed Numbers

In my earlier post on sudoku below, I referred to Brian Hayes’ column on the mathematical concepts behind it. Here is Hayes’ American Scientist essay:

“Rather than discuss methods for solving specific puzzles, I want to ask some more-general questions about Sudoku, and look at it as a computational problem rather than a logic puzzle. How hard a problem is it? Pencil-and-paper experience suggests that some instances are much tougher than others, but are there any clear-cut criteria for ranking or classifying the puzzles?”

Josh Sugarmann: "Price of Freedom" Continued:

10 Murder-Suicides a Week in America: “By its very nature, murder-suicide defies the rote answer offered by the NRA and its supporters: ‘lock ’em up’ (after the killing is done). And, of course, drawing the clear link between the unique lethality of firearms and their role in such shootings only results in creative pro-gun rationalizations. But perhaps most beneficial to the NRA is that fact that until murder-suicide is recognized as a national–and preventable–phenomenon, each shooting can be dismissed as one single, discrete, event that shocks the neighbors but is soon forgotten.” (HuffPo)

George Bush Should Pull Out…Like His Father Should Have

Tom Hayden on the taboo against discussing withdrawal: “George Packer writes more eloquently about Iraq than anyone in the establishment, usually for the very influential audience who read the NY Times magazine, the New Yorker, etcetera. His special talent is writing persuasively and gracefully about how impossible it is to withdraw from Iraq. His function is to freeze liberals where they are, which his crowd thinks is better than supporting withdrawal.

In fact, withdrawal is virtually taboo, delegitimizing, for anyone seeking a mainstream forum. In fact, the spectrum of ‘serious’ debate nearly eliminates the option of withdrawal altogether. Like Packer, we apparently are to accept the tragic burden of justifying a war which is unjustifiable, but which will somehow become more tragic if we stop the justifications.” (HuffPo)

‘The Most Important Film of the Year’

An Inconvenient Truth: “Team Worldchanging got a chance to see a sneak preview of An Inconvenient Truth last night. We all left stunned.

An Inconvenient Truth is mostly footage of Al Gore giving his now-famous lecture on why we know climate change is real, here and serious. It’s not flashy, but AIT is the most important film of the year. We believe that this film will change the American debate on climate change, and that will change everything.

This movie will change the American debate on climate, if people get a chance to see it. But in order for them to see it, it needs to do well its first weekend. If you are an American and read this site, it is your duty to go see this film the weekend it opens.” (Worldchanging)

New Research: K.I.S.S.

The Secret Of Impressive Writing?: “Writers who use long words needlessly and choose complicated font styles are seen as less intelligent than those who stick with basic vocabulary and plain text, according to new research from the Princeton University in New Jersey, to be published in the next edition of Applied Cognitive Psychology.” (Science Daily)

Bush family ‘janitor’ back to mop up

“When James Baker last month became co-chairman of a congressional task force known as the Iraq Study Group, the news was buried beneath an avalanche of headlines about the invasion’s third anniversary and the deepening troubles of the Administration. But slowly Washington is waking up to just how significant the re-emergence of this 75-year-old statesman may be.

…Well-placed sources told The Times that Mr Bush had lately been consulting his father more often. This has coincided with a return to a multilateral approach to foreign policy. Mr Baker was Secretary of State at the time of the Gulf War, when he argued forcefully that it would be “ridiculous from a practical standpoint” for US troops to march on to Baghdad and oust Saddam Hussein.

Such a course would “play into the hands of the mullahs of Iran” and lead to civil war, the loss of international support for the US and the fragmentation of Iraq, he said. He has told friends that he now feels vindicated.” (Times of London)

New York Times coverage of Coachella

An Indie-Rock Festival With Room for Madonna: “This was an indie-rock festival, 94 acts on five stages, and the operation was delicate: a sleek round of commerce for the taste-making class. Yet Madonna and Kanye West played here this year, and they encountered even more love than the alternative-rock groups that are at the heart of this festival.” (But, rumor has it (HuffPo ), Madonna altered the lyrics of one of her songs to tell her audience to go to Texas and “suck George Bush’s dick…”, although discreet asterisks were used in the reportage…)

"Boycott Da Vinci Code film": top Vatican official

“The Vatican stepped up its offensive against The Da Vinci Code on Friday when a top official close to Pope Benedict blasted the book as full of anti-Christian lies and urged Catholics to boycott the film.” (Yahoo News) Okay, I’ll admit it now, I’ve finally read the book, and am looking forward to the film. From the trailers I have seen, it looks to be a pretty literal adaptation. My work as an anthropological researcher with the modern-day Maya of southern Mexico when I was a college undergrad showed me firsthand how grafting Christianity on top of indigenous spiritual beliefs as a way of getting its soul-saving foot in the door inherently co-opted those beliefs. So the broad thrust of Brown’s thesis about the Christian Church’s relationship with the ‘pagan’ beliefs it supplanted makes sense to me, as does the Church’s investment in maintaining the paradigm in the face of the current challenge. Should be fun to watch all the hubhub, as it was with the Last Temptation film some years ago.

And:

The Priory of Sion

“Ed Bradley decided to find out for himself whether or not the Priory of Sion, which is central to Dan Brown’s The Da Vinci Code was a real organization or not.” (CBS 60 Minutes thanks to walker)

Homicides and Crime in New York City

The New York Times uses Google Maps for a visual display of homicide locations in New York City over the past three years. Figure out the safest places to live in the City. Wow, nothing within a large radius of the block on which I grew up in Queens. Nothing within a mile radius or so of my best friend’s home on the Upper West Side. And nothing within a several-block radius of my brother and his wife’s home in the West Village (although he was attacked twice on his street in the last five years…)

A related article describes other findings of the Times’ analysis of the murder details.

A Question of Resilience

“Over the last several decades, a small group of researchers has tried to understand how a minority of maltreated children exceed expectations.” (New York Times Magazine) A good overview of a neglected topic championed by a few. “Mental health’ research is far better at looking at the pathology, but common sense says you can’t explain why someone falls victim to suffering until you compare them with those who escape that outcome.

Sudoku

“But what is their lure? A mathematician I spoke with dismissed the puzzles as mere ‘bookkeeping’ — keeping track of where things go. And there surely is some of that, since one technique for solving them involves tentatively writing miniature numbers in each little square to figure out the various possibilities. The grid for a difficult puzzle can begin to look like the first draft of a major corporation’s balance sheet. This is hardly higher mathematics. In fact, numbers are hardly necessary: the same puzzle can be posed using nine colors or nine national flags.

Yet mathematicians have been taking more of an interest in sudoku — not necessarily in solving the puzzles, but in understanding more about their character. In a recent essay in The American Scientist, Brian Hayes described the difficulty of determining the difficulty of these puzzles: it bears little connection with how many numbers are given at the start.” (New York Times )

Onset Of Psychosis May Be Delayed By Medication

“For young people who clearly seem to be developing early signs of schizophrenia, treatment with the antipsychotic drug olanzapine appears to lower or delay the rate of conversion to full-blown psychosis, according to an article by a Yale School of Medicine researcher in the May issue of The American Journal of Psychiatry.

The findings are preliminary since 60 patients began the study and 17 completed it. Despite the long recruitment period and multiple study sites, participation was limited by the low incidence of pre-psychotic, or ‘prodromal,’ symptoms in the general population.” (Science Daily)

The study was co-funded by the NIMH and Eli Lily, the manufacturer of the antipsychotic drug used in the study. This study seems to support the notion that early detection and treatment halts disease progression. However, the low completion rate among recruited subjects prompts the obvious question — is there some correlation between the potential for early stabilization and the wherewithal to hang in there with the study. Are the counterexamples simply washing out?

Annals of emerging disease

//chamorrobible.org/images/photos/gpw-20050430b-Ebola-virus-CDC-PHIL-ID-1832.jpg' cannot be displayed]A new study demonstrates the first sucessful vaccine treatment of the deadly hemorrhagic Marburg disease in monkeys. Marburg is a close relative of the gruesome and untreatable Ebola virus. (New Scientist) It should not be surprising that the research was conducted at the US Army Medical Research Institute of Infectious Diseases. Will we one day in a battlefield situation see the Pentagon immunize our own fighting forces against hemorrhagic fever and somehow arrange for their opponents to be infected?

Melatonin Most Effective For Sleep When Taken For Off-hour Sleeping

“Researchers from the Divisions of Sleep Medicine at Brigham and Women’s Hospital and Harvard Medical School have found in a double-blind placebo-controlled clinical study, that melatonin, taken orally during non-typical sleep times, significantly improves an individual’s ability to sleep.” (Science Daily)

Namedropper that I am, I need to mention that the lead researcher, Charles Czeisler, was a friend of mine in college whose career of preeminence in the biology of sleep regulation and circadian rhythms I have followed with interest. The value of melatonin as a sleep aid has long been equivocal, which I think has two explanations. First, since it is sold as a dietary supplement rather than a medication, there is no quality control about the dosage or bioavailability of the active ingredient in the melatonin you buy.

Secondly, the way it works essentially involves resetting your internal clock, telling your body it is time to go to sleep. Quite simply, melatonin will not be of much use helping a person whose sleep difficulty does not relate to a circadian rhythm problem. The current study, in which thirty-six healthy participants spent three weeks living in soundproof rooms with no time clues and were put on a 20-hour sleep-wake cycle in place of the usual 24-hour cycle, showed melatonin’s efficacy in re-entraining the body’s sleep schedule. This has most relevance to shift-workers who sleep during the daylight hours and to jetlagged travellers out of synch with their new timezones, situations in which I have recommended melatonin in the past.

Mormons and medical school

Walker sent me a pointer to this post from Steve Sailer’s weblog, in which he highlights a comment about the number of Mormon medical students one of his readers encountered, and how they are all so much cut from the same cloth. But there’s alot more in Steve’s post. First of all, the reader’s comment was in response to a parallel observation Steve had made about ‘Mormon Hollywood’ and in particular the ‘Mormon humor’ in the film Napoleon Dynamite (which I haven’t seen). Steve talked about the number of people in the screening laughing at jokes he didn’t get. Is the popularity of …Dynamite planting some sort of Mormon meme in teenage culture, as he implies. And I wish he had given us an example of a Mormon joke, since I would have been one of those in the audience who were clueless, I imagine.

The reader concerned about the Mormons in his medical school observes that he is encountering them everywhere in the medical world. He was beginning to surmise that the straight arrow Mormon lifestyle lent itself to a professional career path and that there are just too many professionals in Utah to hope to get a good job. That and the fact that Mormon families are having more children than the rest of the U.S. population is leading to pressure toward a diaspora of Mormons. The commenter concludes that,

“Everyone knows about the large number of Jews and Indians in medicine, but in a few years there will be a massive number of these guys too. And you probably won’t even notice it because they’ll be unassuming Northern European average white guys with nondescript last names like “Smith” and “Young.””

Now I know that Mormonism originated back east but I don’t see much evidence of it here in New England, which I assumed was because our provincialism and liberality were less hospitable ground for them. In particular, I haven’t encountered many Mormons in the academic or medical world (except for the anthropologist who was my undergraduate thesis advisor, but he was an anomaly in many ways). Could it be that they just fly below the radar, as the commenter suggests? What are your experiences with whether you notice them among you in the settings you haunt? Do I have any readers who would identify themselves as Mormons and could comment on this? I read Krakauer’s Under the Banner of Heaven several years ago and found it a terrifying revelation about Mormonism in America, but it was focused on the fundamentalist Mormons and radical polygamists much more than the proliferating mainstream of the faith. That new HBO series (which does not seem worth watching) sounds like sitcom-level voyeurism into the polygamous lifestyle rather than much insight into the sociological phenomenon. What say you? And don’t forget to comment on what “Mormon humor” might be…//www.valpo.edu/geomet/pics/geo200/religion/mormon.gif' cannot be displayed]

All Hail Stephen Colbert

Jesse Kornbluth (Yahoo News): You Have to See It to Believe It: “If there was any doubt about Stephen Colbert’s genius, it evaporated at the White House Correspondents dinner.

…His is a high-wire act that could go down in flames at any moment. For he doesn’t satirize our idiot government and gutless media, he becomes the biggest idiot of all. He’s the true believer, the guy totally on message, the loyalist who would give his all for the Commander-in-Chief.

And he never breaks the character. Which is amazing. We’re rolling on the floor, wetting our pants, weeping with laughter, and he’s still hammering home views that make Hannity and O’Reilly sound like moderates.

No wonder Bush left in a snit. He got shown up for what he is — by someone who pretends to love him.”

See for yourself: Stephen Colbert at the White House Correspondents’ Dinner.”

Excerpt: “The greatest thing about this man is he’s steady. You know where he stands. He believes the same thing Wednesday that he believed on Monday, no matter what happened Tuesday. Events can change; this man’s beliefs never will. As excited as I am to be here with the president, I am appalled to be surrounded by the liberal media that is destroying America, with the exception of Fox News. Fox News gives you both sides of every story: the president’s side, and the vice president’s side.”

Gas prices: Bush’s rebound fuel

Dick Morris: “Bush is never going to solve the massive negatives he is suffering as a result of the war in Iraq. His best shot is to distract Americans with a stellar performance in a new crisis, and the rise in gas prices comes along at just the right time.” (The Hill)

Two problems with Morris’ thesis. First, BushCo is incapable of responding effectively to a crisis, and in particular the windfall giveaway to their sponsors in the oil sector is not a trend they can buck.

Second, Bush’s rebound strategy is probably already being planned, and it will likely have more to do with engineering an ‘October surprise’ to shore up his anti-terrorist credibility. Whether that entails provoking a Tonkin-like act of Iranian aggression against US intersts which would call for massive retaliation and muster jingoistic sentiment; or — not too outlandish to rule out — facilitating a well-timed terrorist attack on U.S. soil, it will allow the Shrub an ludicrous and outrageous opportunity to try and look decisive (you know his ‘decisive monkey’ scowl?) and shore up Republican prospects.

FOXNews Exclusive, Believe it or not!

Neil Young’s ‘Impeach the President’ Lyrics: “When ‘Living with War’ starts streaming on www.neilyoung.com on Friday, my guess is the servers will overheat. The real test will come next week, when the album is available for downloading on several sites.

For now, though, here are the lyrics many parents are going to be hearing their kids singing in the next few days. Young has been clever enough to write the catchiest protest song since Country Joe and the Fish’s anti-Vietnam ditty, “I Feel Like I’m Fixin’ to Die.”

Here, for the first time, the lyrics to Neil Young’s “Let’s Impeach the President”:

Let’s impeach the president for lying
And leading our country into war
Abusing all the power that we gave him
And shipping all our money out the door

He’s the man who hired all the criminals
The White House shadows who hide behind closed doors
And bend the facts to fit with their new stories
Of why we have to send our men to war

Let’s impeach the president for spying
On citizens inside their own homes
Breaking every law in the country
By tapping our computers and telephones

What if Al Qaeda blew up the levees
Would New Orleans have been safer that way
Sheltered by our government’s protection
Or was someone just not home that day?

Let’s impeach the president
For hijacking our religion and using it to get elected
Dividing our country into colors
And still leaving black people neglected

Thank god he’s cracking down on steroids
Since he sold his old baseball team
There’s lot of people looking at big trouble
But of course the president is clean

Thank God”

Update: stream the song here.

Lies, Damned Lies and Karl Rove

The Gaping Hole In Rove’s Defense: “Yesterday, Karl Rove testified for almost four hours before a federal grand jury about his previous statements pertaining to the leak of an undercover CIA agent’s identity. Rove offered this stunning defense:

“…it would have been a suicide mission” to “deliberately lie” about his conversation with Cooper because he knew beforehand that it eventually would be revealed…

Rove wants the grand jury to believe that he wouldn’t have lied in 2003 about his role in the Plame affair because he knew journalists would ultimately tell the truth. But in fact, President Bush and the White House believed in 2003 that journalists would remain silent about the case and would refuse to name their sources…” (Think Progress)

Setting Grandmotherhood Aside, Judge Lets 18 Go in Peace

“Eighteen ‘grannies’ who were swept up by the New York City police, handcuffed, loaded into police vans and jailed for four and a half hours were acquitted yesterday of charges that they blocked the entrance to the military recruitment center in Times Square when they tried to enlist.

After six days of a nonjury trial, the grandmothers and dozens of their supporters filled a courtroom in Manhattan Criminal Court to hear whether they would be found guilty of two counts of disorderly conduct for refusing to move, which could have put them in jail for 15 days. The women call their group the Granny Peace Brigade and said they wanted to join the armed forces and thus offer their lives for those of younger soldiers in Iraq.” (New York Times )

Acts of civilly disobedient nonviolent resistance to the war effort and militarism should always, IMHO, be highlighted and publicized widely. Spread the news.

Evolutionary Psychology, Memes and the Origin of War

“There is relatively little respected academic work about a science of social prediction, but in the late 1940s to early 1950s science fiction authors Robert Heinlein and Isaac Asimov (who were often ahead of their time) wrote speculative stories about the concept, Heinlein referring to ‘social psychodynamics’ (Heinlein 1941, 1953) and Asimov calling it ‘Psychohistory’ (Asimov 1951, 1952, 1953). (‘Psychohistory’ has a more recent use that has nothing to do with social prediction.)

In ‘Memetics and the Modular Mind’ (Henson 1987) I wrote about memetics as a path to social prediction, but while memetics provided an epidemic model for the spread of memes (that is, elements of culture), it didn’t develop as a science of social prediction. In retrospect, the focus was too narrow. The scope had to be widened to include the evolved psychology of a meme’s host in order to predict–given particular environmental circumstances–which memes would flourish and which would die out.

The present article proposes an evolutionary psychology based model of social prediction, particularly for wars and related social disruption such as riots and suicide bombers.” (kuro5hin)

Follow the money to follow the virus

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Avian flu spread follows finances: “Thanks to the website www.wheresgeorge.com — which traces the travels of money around the country and around the world — University of California, Santa Barbara researcher Lars Hufnagel has developed a model of how infectious diseases spread locally, from person to person, as well as from city to city.” (Discover)

I have long been aware of ‘Where’s George?’, linked to it here a long time ago, considered it a fun novelty, and actually entered several bills into its database to track. Imagine my surprise to see it put to this innovative use.

The Bias Finders:

“Welcome to the disturbing world of implicit bias, where people’s preferences for racial, ethnic, and other groups lie outside their awareness and often clash with their professed beliefs about those groups. In the past 15 years, most social psychologists have come to agree that implicit biases, also known as unconscious attitudes, play an often-unnoticed role in our lives. Researchers study implicit biases using any of several techniques, such as tracking participants’ feelings and behaviors after subliminally showing them pictures of black or old people.

However, one measure—the Implicit Association Test, or IAT—has proved especially popular.” (Science News)

But a polarizing debate rages around the meaning and the validity of IAT findings.

Switch-a-Vision:

Electric spectacles could aid aging eyes: “A new type of eyeglasses with electrically adjustable focus might someday render bifocals and reading glasses obsolete, the device’s inventors say. So far, the researchers have made a battery-powered prototype with close-up focus that flicks on and off with a switch.

Future versions of the eyeglasses may incorporate a distance sensor to automatically adjust the focus as the viewer’s gaze changes between far and near viewing, says one of the inventors…” (Science News)

Me, I’m perfectly happy with my binocular vision contact lens system. No bifocals or reading glasses even though I am both presbyopic and myopic.

. . . but what if it’s a girl?

Modern technology is helping parents in Asia indulge in a hideous practice – killing off their girl children. It’s never been easier to identify a female foetus and abort it.:

“The Prenatal Diagnostic Techniques Act is powerful indeed, but rarely enforced. Passed after India realised that modern medical techniques such as ultrasound scans and amniocenteses were frequently being used to identify female foetuses – which are then aborted – the PNDT Act requires the registration of all ultrasound machines, and bans doctors from revealing the sex of the foetus to expectant parents. The 1994 law was an attempt to reverse India’s rampant use of sex-selective abortion, and the lopsided sex ratio this has produced. India’s 2001 census showed that there were 927 girls to every 1,000 boys, down from 945:1,000 in 1991 and 962:1,000 in 1981. Until recently, no doctors had been put in prison under the PNDT Act. But late last month a doctor was jailed for three years after telling an undercover investigator that her foetus was female, and hinting that she could abort it.

…In 1991, not a single district in India had a child sex ratio of less than 800:1,000. By 2001, there were 14. “What we’re dealing with,” says Sabu George, India’s leading activist, “is a genocide.”

…If such trends continue, the future could be nightmarish. In their 2004 book Bare Branches: the security implications of Asia’s surplus male population, the political scientists Andrea den Boer and Valerie Hudson argue that the existence of all these millions of frustrated Asian bachelors will boost crime and lawlessness. They speculate that, to find an outlet for the continent’s sex-starved males, Asian governments might even need to resort to fomenting wars. Indian activists also fear that the girl shortage will create a hyper-macho society.

Spiralling numbers of rapes and rates of violence will lead to the increasing sequestration of women. Men with money will be able to afford wives, who will quickly become a status symbol. “Powerful men would maintain zanankhanas [harems] to demonstrate their power and influence,” writes the activist R P Ravindra. Poorer men, “finding no companions, might resort to any means to force a woman into a sexual/ marital relationship”.

In pockets of India, this has already begun.” (New Statesman )

What Makes a Good Patient?

“Few patients realize how deeply they can affect their doctors. That is a big secret in medicine–one doctors hate to admit. We think about, talk about, dream about our patients. We went into clinical medicine because we like dealing on a personal, even intimate level with people who have chosen to put their bodies in our hands. Our patients make or break our days.

Take the compliment. Our career choice means we really do think that you–with your aches and pains–are more interesting than trading hot securities, more fun than a courtroom full of lawyers. Massaging the ego is the key to manipulating responsible types like doctors. When we feel your trust, you have us.

The most compelling reasons to be a good patient are selfish ones. You will get more than free drug samples if your doctor is comfortable and communicates easily with you. You’ll get more of the mind that you came for, a mind working better because it’s relaxed–recalling and associating freely, more receptive to small, even subliminal clues. That means better medical care. But you should try to be a good patient for unselfish reasons too…” (Time)

If Past Is Prologue, George Bush Is Becoming An Increasingly Dangerous President

John Dean: “President George W. Bush’s presidency is a disaster – one that’s still unfolding. In a mid-2004 column, I argued that, at that point, Bush had already demonstrated that he possessed the least attractive and most troubling traits among those that political scientist James Dave Barber has cataloged in his study of Presidents’ personality types.

Now, in early 2006, Bush has continued to sink lower in his public approval ratings, as the result of a series of events that have sapped the public of confidence in its President, and for which he is directly responsible. This Administration goes through scandals like a compulsive eater does candy bars; the wrapper is barely off one before we’ve moved on to another.
Click here to find out more!

Currently, President Bush is busy reshuffling his staff to reinvigorate his presidency. But if Dr. Barber’s work holds true for this president — as it has for others – the hiring and firing of subordinates will not touch the core problems that have plagued Bush’s tenure.

That is because the problems belong to the President – not his staff. And they are problems that go to character, not to strategy.” (FindLaw)

Fraternal Association of Failed Republicans of America – or the Democratic Party?

Which Do You Think Can Win?: “What the Democratic hiearchy wants is an election about nothing. A giant ‘You are about to give George Bush Absolute Power for Four More Years. Are you sure? (YES) (NO)’ Believing, quite rightly that most people will click ‘No’ at this point. But beyond that, the Democratic Party is primarily a mutual career protection institution, a kind of ‘Fraternal Association of Failed Republicans of America’. This FAFRA version of the party wants the same things the Republicans want: lower taxes, regime change in Iraq, a drug company benefit funded through medicare, a bigger military, a more militarized nastier America, progressive reduction in access to abortion – just read Her Royal Clintoness’ actual pronouncements and you have a pretty good idea of what FAFRA looks like: Bush lite. Tastes late, less shilling.

This isn’t what the party base wants, but the party base is so abused that it is lining up behind it, willing to get screwed over by their leadership, because they are realizing that the alternative to Bush lite, is getting Bush whacked. Finally an election where the slogan of the Democratic hierarchy of the last 10 years: ‘Vote for us, serfs – or it’s so much the worse for you’ can actually work.” (BoP)

The Jerk at the Podium

//images.usatoday.com/news/_photos/2003/09/29-leak-inside.jpg' cannot be displayed]Scott McClellan Steps Away: “‘McClellan, Bush, Cheney, and Rove proved there were other ways. Replace news management with press nullification. Drop the persuasion model, in favor of the politics of assent. Choose non-communication to demonstrate that you ought not to be questioned (it only helps our enemies.)'” — Jay Rosen (PressThink)

Rove May Soon Be Shedding More of his Duties…

//adbusters.org/blogs/images/stories/news/RoveWeasel_378x198.jpg' cannot be displayed]Grand Jury Hears Evidence Against Rove: “Just as the news broke Wednesday about Scott McClellan resigning as White House press secretary and Deputy Chief of Staff Karl Rove shedding some of his policy duties, Special Prosecutor Patrick Fitzgerald met with the grand jury hearing evidence in the CIA leak case and introduced additional evidence against Rove, attorneys and other US officials close to the investigation said.

The grand jury session in federal court in Washington, DC, sources close to the case said, was the first time this year that Fitzgerald told the jurors that he would soon present them with a list of criminal charges he intends to file against Rove in hopes of having the grand jury return a multi-count indictment against Rove.” (truthout)

Dr. Tom Ferguson, R.I.P.

//www.quitsmoking.com/images/books/nonag/fergusonpic.jpg' cannot be displayed] Tom Ferguson Dies at 62 (New York Times ). I met Tom Ferguson, who graduated from Yale Medical School two years before I entered, only once when I had the honor of inviting him back to Yale to give a talk to my medical student class. But I have followed his career closely and feel this as a personal loss. Ferguson, who never had a private practice and once said he had “saved hundreds of lives by not practicing clinical medicine”, was a fierce advocate of self-help and empowerment of medical consumers, an ethos I have tried to import into my psychiatric work. He was closely associated with the Whole Earth Catalog and -Review cabal and founded and edited the ‘spin-off’ journal Medical Self Care (1979-85). He was probably the closest thing the U.S. health care establishment ever saw to the Chinese barefoot doctor tradition. He was a mercurial and infectiously genial man and his premature death is a loss for the entire medical establishment, which needed him now more than when he burst into its ranks thirty years ago.

Lara Croft as ‘Final Girl’

The columnist starts out positing that Lara Croft brings horny adolescent male ogling to its quintessence, but ends up proposing a considerably stranger notion of How Lara Croft Steals Hearts:

“The Final Girl theory emerged in 1985, when Carol Clover — a medievalist and feminist film critic — was dared by a friend to see The Texas Chainsaw Massacre. Back then, most feminist theorists loathed slasher films, and regarded them as classic examples of male misogyny. It wasn’t hard to figure out why: Thousands of young men were trooping into theaters to cheer wildly as masked psychos hacked apart screaming young women. That really didn’t look good.

But as Clover sat in the theaters, she noticed something curious. Sure, the young men would laugh and cheer as the villain hunted down his female prey. But eventually the movie would whittle down the victims to one last terrified woman — the Final Girl, as Clover called her. Suddenly, the young men in the audience would switch their allegiance — and begin cheering just as madly for the Final Girl as she attacked and killed the psycho.

This, Clover argued, was not mere garden-variety sexism. On the contrary, it was a generation of young guys who apparently identified strongly with the situation of a woman who faced agonizing peril yet came out victorious. The slasher dynamic was unprecedented in film history: ‘The idea of a female who outsmarts, much less outfights — or outgazes — her assailant (was) unthinkable,’ Clover wrote. With this new crop of slasher movies, the young men in the audience essentially became the Final Girl: exhausted, freaked out and ultimately triumphant. They weren’t just ogling the sexual violence. They were submitting to it.

The sexuality of young men, Clover concluded, is profoundly weirder than you’d imagine.

I think she’s right, and what’s more, I think her idea maps perfectly onto the success of Tomb Raider. ” (Wired via walker)

‘Westerners are too self-absorbed’

The Dalai Lama interviewed: “‘It is fascinating,’ he says, speaking in slightly stilted English. ‘In the West, you have bigger homes, yet smaller families; you have endless conveniences – yet you never seem to have any time. You can travel anywhere in the world, yet you don’t bother to cross the road to meet your neighbours; you have more food than you could possibly eat, yet that makes women like Heidi miserable.’

The West’s big problem, he believes, is that people have become too self-absorbed. ‘I don’t think people have become more selfish, but their lives have become easier and that has spoilt them. They have less resilience, they expect more, they constantly compare themselves to others and they have too much choice – which brings no real freedom.'” (Telegraph.UK thanks to walker)

“There are going to have to be sweeping personnel changes if people are going to take a second look at the Bush presidency.”

Republicans to Bush: Dump Cheney for Condi: “Republicans are urging President George W Bush to dump Dick Cheney as vice-president and replace him with Condoleezza Rice if he is serious about presenting a new face to the jaded American public.

They believe that only the sacrifice of one or more of the big beasts of the jungle, such as Cheney or Donald Rumsfeld, the defence secretary, will convince voters that Bush understands the need for a fresh start.

The jittery Republicans claim Bush’s mini-White House reshuffle last week will do nothing to forestall the threat of losing control of Congress in the November mid-term elections.” (Times of London)

Related: Consider a Condi Rice wall poster to celebrate your support of dumping Cheney and Rummie?

And: Why stop at vice president?

Bush Meets With Think Tank On Iran

Bush Meets Privately With Think Tank Promoting Military Strike On Iran: “This tidbit about President Bush’s schedule was buried in today’s Washington Post:

Bush traveled Friday night to Stanford University, where he met privately with members of the libertarian Hoover Institution to discuss the war. He concluded the day with a private dinner held by George P. Shultz, a Hoover fellow and former secretary of state.

Why is this significant? The Hoover Institution is a think tank that has been aggressively promoting the viability of a preemptive military strike in Iran.” (Think Progress)

“There are going to have to be sweeping personnel changes if people are going to take a second look at the Bush presidency.”

Republicans to Bush: Dump Cheney for Condi: “Republicans are urging President George W Bush to dump Dick Cheney as vice-president and replace him with Condoleezza Rice if he is serious about presenting a new face to the jaded American public.

They believe that only the sacrifice of one or more of the big beasts of the jungle, such as Cheney or Donald Rumsfeld, the defence secretary, will convince voters that Bush understands the need for a fresh start.

The jittery Republicans claim Bush’s mini-White House reshuffle last week will do nothing to forestall the threat of losing control of Congress in the November mid-term elections.” (Times of London)

Related: Consider a Condi Rice wall poster to celebrate your support of dumping Cheney and Rummie?

And: Why stop at vice president?

Iran & the Bomb

Christopher de Bellaigue, writing in The New York Review of Books: “It is not unthinkable that an imaginative solution will be found to the immediate diplomatic impasse. (The ICG, for instance, proposes that the Iranians be permitted to have a small and heavily monitored enrichment facility, but to commission it only after several years of building confidence with the IAEA and the EU countries, among others.) That would be good news, but the underlying issue would still need to be addressed. That issue is what Iran’s conservative leaders need to do to save themselves from being overwhelmed by George Bush’s administration, whose plan to transform the Middle East has no room for undemocratic ayatollahs.”

Christopher de Bellaigue is the author of In the Rose Garden of the Martyrs: A Memoir of Iran.

The Anti-Semitic Hoax That Refuses to Die

“For more than a century The Protocols of the Elders of Zion has made its way into many languages, selling untold numbers of copies, portraying Jews as demonic schemers.

Said to be the minutes of a secret council of Jews discussing their plot for world domination, this slim volume, first published in Russia in 1905, has become a nearly sacred text for political and religious movements ranging from American nativism and German Nazism to Arab Islamicism.” (New York Times )

The Best a Man Can Get

In search of the perfect shave: “As the ‘tech editor’ for NBC’s Today Show, Corey Greenberg spends most of his on-air time shilling for the latest technological gadgets. (Literally, shilling—last April the Wall Street Journal revealed that several technology companies had paid him handsomely for his promotional efforts.) He can tell you why you need a video iPod, what you’re missing without satellite radio, and where to put the fifty-inch flat screen tv. But on January 29, 2005, he was enthusiastically undermining half a century’s worth of high technology.

In the Today Show studio, Greenberg lathered up his face with English shaving cream and a badger brush, whipped out a vintage double-edge razor, and made a passionate case that the multi-billion-dollar shaving industry has been deceiving its customers ever since 1971, when Gillette (no small advertiser on network television) introduced the twin-blade razor. Everything you need for a fantastically close and comfortable shave, Greenberg said, was perfected by the early 20th century.

With his Today Show segment, Greenberg became the highest-profile convert to ‘wet shaving.’ He is still one of its most fervent evangelists, with—what else?—a blog, www.shaveblog.com. At 120,000 words and counting, Greenberg’s blog could best be described as gonzo shave journalism. He explores every nook and, for that matter, nick of the wet shaving experience, whose defining elements are a single sharp blade (whether ensconced in a safety razor or exposed in the fearsome straight-edge), a brush, soap, and lots of hot water.

But Greenberg’s blog is just the most visible salient of a movement that has all the ingredients to reach its tipping point.” (Christianity Today)

As someone who has shaved only three times in the last thirty years (on Jan. 1, 1981; Jan. 1, 1991; and Jan. 1, 2001), I am envious that I will likely not be partaking in the phenomenon of the Epicurean shave…

Beckett remembering himself

A review of Beckett Remembering / Remembering Beckett, Uncollected interviews with Samuel Beckett and memories of those who knew him, edited by James Knowlson and Elizabeth Knowlson:

“Towards the end of his life, Samuel Beckett, confronting the prospect of a major creative impasse, wrote to the theatre director George Tabori about the abiding illusion that had sustained him throughout his long career: “While still ‘young’ I began to seek consolation in the thought that then if ever, i.e. now, the true words at last, from the mind in ruins. To this illusion I continue to cling”. With typical economy, Beckett’s statement brings home some of the major themes of his post-war writing, his dream of stripping away the accoutrements of language, culture and personality – the “accidentals” of our existence – to see what remains. Yet beyond the strikingly Beckettian image of “the mind in ruins”, the statement is also sounding out the farrago of times and tenses that make up our minds on matters of remembrance – here, the way in which the future “then” of a young man anticipating how it will be shifts to the “now” of an old man remembering how it was. Finding the right form for expressing the tangled relations between memory, self and language was something that preoccupied Beckett throughout his writing life… It has become something of a critical commonplace to suggest that memory is another name for invention in Beckett’s work, a way of creating self-consoling stories to accompany us in the dark…” (Times of London)

Not that I liken myself to Beckett, but the personal resonances for me are powerful…

How Much Do You Have to Know?

Trust your own reactions, don’t seek enlightenment: “We all have a part of ourselves that cries out for certainty and meaning. If we encounter a contemporary artwork one of the first things we ask is: “What does it mean?” We can be uncomfortable with not knowing, not being sure, not having the safe ground of the authorised, correct interpretation. When encountering an artwork we seek the explanatory panel.” — Grayson Perry (Times of London)

But this is not just about why we feel the need to ‘explain’ art:

“An article in The Guardian by Madeleine Bunting touched on a trait I’ve been noticing in myself and others. Her piece was about how in talk about the global war on terror the European Enlightenment is often wheeled out as an opposing force to fanatical religious fundamentalism. She questioned the way it was used to validate arguments against religion. She was surprised by the vehemence with which contributors to her blog discussion defended what they believed was a correct history of the Enlightenment.”

As Perry concludes, “I wonder if a similar dialogue went on in someone’s head that started: “I fancy invading Iraq in the name of enlightened democracy.””

Psychiatric experts found to have financial links to drugmakers

As a Whorfian, who believes that the language we use to describe it shapes our thought about any endeavor, I have often written about the profound impact of the diagnostic system used in psychiatry, codified in the ‘bible’ (or perhaps it would be more apt to say ‘Chinese restaurant menu’) called the DSM (Diagnostic and Statistical Manual). Among other things, it cements the hegemony of the biological psychiatrists over the mental health field. Now a new study (by a non-psychiatrist, a clinical psychologist) reveals that “every psychiatric expert involved in writing the standard diagnostic criteria for disorders such as depression and schizophrenia has had financial ties to drug companies that sell medications for those illnesses”. The study dovetails my concern with classificatory schemes to another of my rants about modern psychiatry — how it is in the hip pocket of the pharmaceutical industry’s profit machine.

But it is not as if Big Pharma planted its hired guns on the DSM authorship committee to do its bidding, and the study does not establish whether the experts’ financial ties to the industry predated and shaped their involvement in the DSM or resulted from their visibility and achievement. I think it is more likely the latter. The psychotropic drug manufacturers tend to offer their perks — paid speaking engagements, research and consulting contracts — to established authorities in the field. For example, Eli Lily would be interested in subsidizing psychiatrists whose research serves its interests, such as someone who supports the notion that certain premenstrual problems deserve codification as psychaitric disorders when it is interested in using its drug Prozac to treat those disorders. Given that corporate penetration into psychiatric nosology has grown explosively in the past two decades or so, the planned fifth revision of the DSM due out in around five years will be the first to be appreciably tainted by this issue. The American Psychiatric Association (publisher of the DSM)’s decision to require its authors to disclose their financial ties, if there is any honesty about those disclosures, should at least answer the chicken-and-egg question of whether industry subsidy is in place at the time of a psychiatrist’s contribution to the DSM.

The weaker dismissal of concern, such as influential psychiatrist John Kane’s comment that the work of his subpanel on schizophrenia was driven only by science —

“It shouldn’t be assumed there is a true conflict of interest. To me, a conflict of interest implies that someone’s judgment is going to be influenced by this relationship, and that is not necessarily the case.”

— is embarrassing. given that behavioral science research design goes to such lengths to eliminate subtle unconscious biases that shape outcomes. Perhaps it should be seen as the effort to drive the final nail into the coffin of the psychoanalytic roots of psychiatry, Freud’s notion of the mysterious and opaque power of unconscious processes?

Kane and others suggest that the mere revelation of financial ties should not undermine the public’s confidence in psychiatry. In a sense he is right; confidence has long ago been undermined. This, however, may be one of the last straws. Psychiatric care is about helping patietns to take appropriate responsibility for their actions. Physician, heal thyself.

MS06-015/kb908531 Breaks IE, Office, Explorer

“Some machines have the patch installed and are experiencing no problems, while others can barely function. It appears this problem is caused by installing this patch on systems with Hewlett Packard’s Share-to-Web software, nVidia shell extension GUID’s, Kerio Personal Firewall, Roxio DragToDisc / Adaptec DirectCD shell extension, or SolidWorkds 3D CAD products shell extension. In addition to this information, the engineer I spoke with was nice enough to email me the current registry workarounds for each problem. I asked him for a URL to this information and he said he didn’t have one because they were working on a hotfix and had not posted this on the web. So I am. Here’s the workaround information provided to me to help resolve this issue…” (claydawg via digg)

The Worst President in History?

One of America’s leading historians assesses George W. Bush. “In early 2004, an informal survey of 415 historians conducted by the nonpartisan History News Network found that eighty-one percent considered the Bush administration a ‘failure.’ Among those who called Bush a success, many gave the president high marks only for his ability to mobilize public support and get Congress to go along with what one historian called the administration’s ‘pursuit of disastrous policies.’ In fact, roughly one in ten of those who called Bush a success was being facetious, rating him only as the best president since Bill Clinton — a category in which Bush is the only contestant.

The lopsided decision of historians should give everyone pause. Contrary to popular stereotypes, historians are generally a cautious bunch. We assess the past from widely divergent points of view and are deeply concerned about being viewed as fair and accurate by our colleagues. When we make historical judgments, we are acting not as voters or even pundits, but as scholars who must evaluate all the evidence, good, bad or indifferent. ” — Sean Wilentz (Rolling Stone)

But why Rolling Stone??

Confronting the New Misanthropy

Frank Furedi’s essay takes us to task for our ‘loss of faith in humanity’ and our ‘neo-Malthusian doom and gloom’. Furedi opines that the new misanthropy threatens to make us scared of ourselves, and that we face a choice between resigning ourselves to a ‘culture of fatalism’ or rousing ourselves toward ‘taking control of our futures’. He takes heart in the idea that the human ability to recognize and label evil “shows that we are capable of rectifying acts of injustice.”

Furedi is one of the sp!ked [and isn’t the spelling ever-so-cutesy?] crew whose purpose in life seems to be waging a front-liine battle against any upwelling of the culture of fear and whose sole modus operandi the donning of rose-colored glasses. Ironically, he does not see that the misanthropic strain he decries is the very voice of that human ability to recognize wrongs, as the first step in rectification. Being scared not only of the potential to cock things up royally but — look around — the mess we have made in actuality is necessary, and I pity those who are so hellbent on avoiding that distress that they stick their heads in the sand as deeply as these folks do. Furedi pleads for faith in human potential and belief in the advantages of civilized modernity, and he sounds like nothing so much as an apologist for the status quo — a sheep in wolves’ clothing.

Alphabets are as simple as…

Writing systems may look very different, but they all use the same basic building blocks of familiar natural shapes…

If there is one quality that marks out the scientific mind, it is an unquenchable curiosity. Even when it comes to things that are everyday and so familiar they seem beyond question, scientists see puzzles and mysteries.

Look at the letters in the words of this sentence, for example. Why are they shaped the way that they are? Why did we come up with As, Ms and Zs and the other characters of the alphabet? And is there any underlying similarity between the many kinds of alphabet used on the planet?

To find out, scientists have pooled the common features of 100 different writing systems, including true alphabets such as Cyrillic, Korean Hangul and our own; so-called abjads that include Arabic and others that only use characters for consonants; Sanskrit, Tamil and other ‘abugidas’, which use characters for consonants and accents for vowels; and Japanese and other syllabaries, which use symbols that approximate syllables, which make up words…

The shapes of letters are not dictated by the ease of writing them, economy of pen strokes and so on, but their underlying familiarity and the ease of recognising them. We use certain letters because our brains are particularly good at seeing them, even if our hands find it hard to write them down. In turn, we are good at seeing certain shapes because they reflect common facets of the natural world.” (Telegraph.UK )

The evolution of clots

A consideration of the miraculous complexity of the clotting cascade is an opportunity to reflect on ‘intelligent design’ as the logic of ignorance: Steve Jones, paraphrasing Darwin, says that Intelligent Design proponents look at an organic being “as a savage looks at a ship, as at something wholly beyond their comprehension”. It reminds me of something a philosopher patient of mine said to me today — “There is no excuse for ignorance, but even less for knowledge without action.”

Standing Tall

“It’s sad the state we’ve gotten to where, apparently, even firing incompetent executive branch appointees amounts to a win for the terrorists. Back in ’04 we were still enough of a superpower that only turning out a president amounted to a win for the terrorists. That suggests that the terrorists truly have us over a barrel. We are so intimidated by them that we have to hold on to a failed defense secretary presumeably forever. Or until there are no more Muslims with a beef with us. Whichever comes first. It’s cool that we’re standing so tall.” — Josh Marshall (Talking Points Memo)

Watching the brain ‘switch off’ self-awareness

“Everybody has experienced a sense of “losing oneself” in an activity – being totally absorbed in a task, a movie or sex. Now researchers have caught the brain in the act. Self-awareness, regarded as a key element of being human, is switched off when the brain needs to concentrate hard on a tricky task, found the neurobiologists from the Weizmann Institute of Science in Rehovot, Israel.

…The brain’s ability to “switch off” the self may have evolved as a protective mechanism, [the chief researcher] suggests. “If there is a sudden danger, such as the appearance of a snake, it is not helpful to stand around wondering how one feels about the situation,” Goldberg points out.

It is possible that research into how the brain switches self-awareness on and off will help neurologists gain a deeper understanding of autism, schizophrenia and other mental disorders where this functionality may be impaired.” (New Scientist) Another fMRI study.

Gangs turn cocaine into clear plastic products

“Now cocaine smugglers have another trick up their sleeves. Evidence from a clandestine lab in eastern Europe suggests that gangs are trying to hide cocaine by incorporating it into a host of innocent-looking transparent plastic consumer products, such as fish tanks, DVD cases or light fittings for cars. These could be imported en masse with no customs officer giving them a second look.” (New Scientist premium [subscription required for access to full article])

Easter Chocolate, Milking Arguable Health Benefits

“The 90 million chocolate bunnies made for Easter, and the millions more chocolate eggs in the basket, have focused attention again on whether chocolate is a plus or minus for health.” This comes up each year around Valentine’s Day, Easter and Halloween, although for many of us chocolate consumption knows no season. The cardiovascular and antioxidant benefits of chocolate derive from the cocoa itself, and may be offset by the fat and sugar content. Some suggest drinking a cup of cocoa instead. (Medpage Today)

Annals of Emerging Disease

New pathogenic bacterium pinpointed: “Scientists have discovered a previously unknown bacterium lurking in human lymph nodes, a finding that suggests there are many more disease-causing bacteria still to be discovered. The bacterium is thought to cause chronic infections in patients with a rare immune disorder called chronic granulomatous disease (CGD), and the research team is now investigating whether it might be involved in conditions that are more common, such as irritable bowel syndrome.” (Nature)

Net clocks suffering data deluge

“Home network hardware supplier D-Link has been accused of harming the net’s ability to tell the time accurately. Detective work has found that many D-Link routers, switches and wireless access points are bombarding some net time servers with huge amounts of data.” (BBC)

D-Link spokespeople are “aware of the problem” but otherwise evasive as to why they are doing this on a scale no one else apparently has ever felt the need, or had the nerve, to do. Is the company run by an obsessional?

Bombs That Would Backfire

Richard Clarke and Steven Simon: “White House spokesmen have played down press reports that the Pentagon has accelerated planning to bomb Iran. We would like to believe that the administration is not intent on starting another war, because a conflict with Iran could be even more damaging to our interests than the current struggle in Iraq has been. A brief look at history shows why.” Richard Clarke and Steven Simon were, respectively, national coordinator for security and counterterrorism and senior director for counterterrorism at the National Security Council. (New York Times op-ed)

Family Values Dept.

//graphics8.nytimes.com/images/2006/04/17/us/17protest.xlarge1.jpg' cannot be displayed]Outrage at Funeral Protests Pushes Lawmakers to Act: “As dozens of mourners streamed solemnly into church to bury Cpl. David A. Bass, a fresh-faced 20-year-old marine who was killed in Iraq on April 2, a small clutch of protesters stood across the street on Tuesday, celebrating his violent death.

‘Thank God for Dead Soldiers,’ read one of their placards. ‘Thank God for I.E.D.’s,’ read another, a reference to the bombs used to kill service members in the war. To drive home their point — that God is killing soldiers to punish America for condoning homosexuality — members of the Westboro Baptist Church of Topeka, Kan., a tiny fundamentalist splinter group, kicked around an American flag and shouted, if someone approached, that the dead soldiers were rotting in hell.” (New York Times )

A Small-Time Crime With Hints of Big-Time Connections Lights Up the Net

“Bloggers are fascinated by what they see as eerie parallels between Watergate and a phone-jamming scandal in New Hampshire. It has low-level Republican operatives involved in dirty campaign tricks. It has checks from donors with murky backgrounds. It has telephone calls to the White House. What is unclear is whether it is the work of a few rogue actors, or something larger.” (New York Times )

Closing the Barn Door Dept.

Rove Loses a Post in White House Overhaul: “The overhaul of the White House staff continued today as Karl Rove gave up his portfolio as senior policy coordinator to concentrate more on politics and November’s midterm Congressional elections and Scott McClellan stepped down as the president’s chief spokesman.” (New York Times )

Who believes, first of all, that there is a distinction between policy and politics in the Bush dysadministration; and, second of all, that Rove will curtail any of his areas of advice to the Shrub just because his designation has changed? Oh, wait a minute, the American public believe that!

Derailing Bush’s last Latin ally?

Colombia’s leader denies using death squads to wipe out opponents: “Alvaro Uribe’s procession to a second term as Colombia’s President hit a stumbling block yesterday as he responded wildly to allegations that his government colluded with paramilitaries to kill civilians.

Mr Uribe, the last man standing among Washington’s right-wing allies in South America, is riding high in the polls ahead of the presidential election on 28 May. His success is crucial to the White House, which has seen a succession of sympathetic governments defeated in the so-called ‘pink wave’ of left-wing leaders who have swept to power in Latin America.

But allegations that have haunted the short-tempered politician since he won the presidency in 2002 have resurfaced. They involve an alleged conspiracy to assassinate leftists and union leaders, and leaking sensitive information to drug traffickers and right-wing paramilitary groups.” (Independent.UK)