A Pretty Good Way to Foil the NSA

“How easy is it for the average internet user to make a phone call secure enough to frustrate the NSA’s extrajudicial surveillance program?

Wired News took Phil Zimmermann’s newest encryption software, Zfone, for a test drive and found it’s actually quite easy, even if the program is still in beta.

Zimmermann, the man who released the PGP e-mail encryption program to the world in 1991 — only to face an abortive criminal prosecution from the government — has been trying for 10 years to give the world easy-to-use software to cloak internet phone calls.” (Wired News)

The tethered goat strategy

Sidney Blumenthal: ‘Condoleezza Rice washes her hands…’ “Since the Iraqi elections in January, US foreign service officers at the Baghdad embassy have been writing a steady stream of disturbing cables describing drastically worsening conditions. Violence from incipient communal civil war is rapidly rising. Last month there were eight times as many assassinations committed by Shia militias as terrorist murders by Sunni insurgents. The insurgency, according to the reports, also continues to mutate. Meanwhile, President Bush’s strategy of training Iraqi police and army to take over from coalition forces – ‘when they stand up, we’ll stand down’ – is perversely and portentously accelerating the strife. State department officials in the field are reporting that Shia militias use training as cover to infiltrate key positions. Thus the strategy to create institutions of order and security is fuelling civil war.

Rather than being received as invaluable intelligence, the messages are discarded or, worse, considered signs of disloyalty. Rejecting the facts on the ground apparently requires blaming the messengers. So far, two top attaches at the embassy have been reassigned elsewhere for producing factual reports that are too upsetting.” (Guardian.UK)

It’s all Roger Moore’s Fault

“Being Scottish, I am easily insulted. Scotland was recently selected by a group of so-called European experts as ‘the worst small country to live in.’ It’s top of the charts for manic depression, alcoholism, lung cancer, stomach cancer, colon cancer, heart disease and yellow, plaque-infected teeth. The end of the Scottish race seems guaranteed. We are the national equivalent of the dodo. And who is to blame for this?” (Salon)

The man who took 40,000 ecstasy pills in nine years

Mind Hacks comments on a strange Guardian story of a man who is still ‘a wreck’ seven years after he stopped his nine-year binge on MDMA (XTC; Ecstasy).

It reveals some of the methodological problems in establishing how harmful MDMA is, since (a) we may not be entitled to extrapolate from extreme use to more moderate recreational use; (b) one has to rule out that observed effects are from the MDMA rather than any concurrent use of other substances. But the most telling point is their last one — “what kind of man would take 40,000 ecstasy pills?”

And so, again, we face the age-old psychiatric equivalent of the chicken and the egg question. Does drug use per se cause the psychopathology (on any of a number of measures) found in substance abusers; or does the psychopathology come first? Durng my residency, I remember one year during which I was supervised by two senior luminaries of psychiatry whose offices were at opposite ends of the corridor I inhabited. The late Norm Zinberg claimed that the psychological alterations were results of the ‘drug, set and setting’ of the drug user; and Ed Khantzian claimed that much of drug abuse was ‘self-medication’, knowingly or unknowingly, of an underlying mental disorder, and thus that the drug abuse could be stabilized or prevented by treatment of the underlying condition. A corollary of this was the ‘drug of choice’ hypothesis, which said that one gravitated to a particular preferred drug in accordance with the nature of one’s underlying diagnosis. Being literally (and memorably) caught in the middle, I sometimes think that my real psychiatric training that year consisted in learning how to be diplomatic, synthetic and integrative in the face of these insistent, and mutually incompatible, didactic stances…. [Here, by the way, Khantzian writes a brief remembrance of Zinberg…]

Related: The Trip of a Lifetime: a new generation researches the medical benefits of the deprecated hallucinogenic drug LSD. (BBC)

Downloading to Dodge Pledge Drives

Podcasting Roils NPR Fund Raising: “While most NPR programming has been streamed online for several years, the portable, time-shifted, on-demand nature of podcasting affords a new level of convenience and access. Yet, at the same time, it can turn ears away from local stations — possibly for good — which could be a problem for affiliates that rely heavily upon member donations to pay the dues to air some of the same programming listeners can now get free as MP3s.” (Wired News)

Antisocial Networking Gets Hip

“Software engineer Bryant Choung intended to satirize social discovery services when he launched his beta site, Snubster, last month. The site lets members create public lists of people and things that rankle them.

‘The whole concept of online social networking was really starting to irk me,’ said Choung, who initially envisioned Snubster as a way to stem the often irritating flow of invitations to join networking sites like Friendster and LinkedIn. While such sites seemed like a good idea at first, their usage too often devolves into ‘an attempt to get as many fake friends as possible.’

Snubster members, by contrast, focus on what irritates them.” (Wired News)

Massachusetts Set to Offer Universal Health Insurance

“Massachusetts is poised to become the first state to provide nearly universal health care coverage after the state legislature overwhelmingly passed a bill today that Gov. Mitt Romney says he will sign.

The bill does what health experts say no other state has yet been able to do: provide a mechanism for all of its citizens to obtain health insurance. It accomplishes that in a way that experts say combines several different methods and proposals from across the political spectrum, apportioning the cost among businesses, individuals and the government.” (New York Times )

Within three years, 95% of the state’s uninsured will have health coverage under the provisions of the bill! Of course, the biggest political compromise required to get the bill through was the obvious one — it bypasses a single-payor system and perpetuates the historical accident by which health coverage in the US has been largely an employee benefit. The bill establishes a per-employee penalty for any employer that does not provide health insurance for its employees, which as I understand it will subsidize the state free-care pool. Political maneuvering has whittled the size of the penalty down from a proposed $800 to only $295 a year, and Romney (who has line-item veto power on budget measures) says he will excise that provision all together, although that is a line item veto that the legislature will override.

Armageddon

The Ultimate Consequences of Bush’s Coming War Crimes: “I recoil from my own logic. No sane person can look at the possibility of such horrors and not shiver with revulsion. But recent history shows that there are no sane people making these decisions. When sanity again prevails in the White House, I will gladly dismiss the unthinkable as impossible. For now, I fear Armageddon.” — Jon Steinberg (Raw Story) The short version: Iranian military capabilities would make an American fleet sitting ducks. We need to question our assumption that even Bush is not crazy enough not to find that a deterrent, though. Given his administration’s inherent immorality, its need for a war to resurrect jingoistic support, belief in preemption and Manichaean convictions about the Axis of Evil,

“Hundreds, perhaps thousands of Americans would die in a day as the Fifth Fleet was sacrificed. Bush would see no disincentive there — the thousands of American soldiers killed so far have not altered his calculus. Iranian casualties from the U.S response could reach into the millions, but there are Americans who would welcome such a result if they believed Iran attacked us first. 125 billion barrels of proven oil reserves — ten percent of the world total — would be wiped out, which would perhaps double gasoline prices overnight. General Motors and Ford would sink absent massive bailouts our resurgent spendthrift emperor will be happy to disburse. Exxon and its ilk will cry all the way to the bank. Many thousands of square miles of Iran would become uninhabitable for thousands of years, dwarfing Chernobyl in scope, but what right-thinking Christian would want to live there anyway?”

The only preemptive power the American people have would be an explosive antiwar outburst dwarfing the Vietnam-era movement, encompassing all outraged right-thinking Americans and bringing the war machine to a halt with acts of resistance, disobedience and rage. Before it is too late. Do we have it in us?

Housekeeping

My webhost changed a security setting that broke Blogger’s publishing efforts for the past two days. Finally tracked down the problem, and regular updates should now resume…

Here’s Why

A sociologist offers an anatomy of explanation: “In Why? (Princeton; $24.95), the Columbia University scholar Charles Tilly sets out to make sense of our reasons for giving reasons. In the tradition of the legendary sociologist Erving Goffman, Tilly seeks to decode the structure of everyday social interaction, and the result is a book that forces readers to reexamine everything from the way they talk to their children to the way they argue about politics.”

A book review by Malcolm Gladwell (The New Yorker).

“Consider the orgy of reason-giving that followed Vice-President Dick Cheney’s quail-hunting accident involving his friend Harry Whittington. Allies of the Vice-President insisted that the media were making way too much of it. “Accidents happen,” they said, relying on a convention. Cheney, in a subsequent interview, looked penitently into the camera and said, “The image of him falling is something I’ll never be able to get out of my mind. I fired, and there’s Harry falling. And it was, I’d have to say, one of the worst days of my life.” Cheney told a story. Some of Cheney’s critics, meanwhile, focussed on whether he conformed to legal and ethical standards. Did he have a valid license? Was he too slow to notify the White House? They were interested in codes. Then came the response of hunting experts. They retold the narrative of Cheney’s accident, using their specialized knowledge of hunting procedure. The Cheney party had three guns, and on a quail shoot, some of them said, you should never have more than two. Why did Whittington retrieve the downed bird? A dog should have done that. Had Cheney’s shotgun been aimed more than thirty degrees from the ground, as it should have been? And what were they doing in the bush at five-thirty in the afternoon, when the light isn’t nearly good enough for safe hunting? The experts gave a technical account.

Here are four kinds of reasons, all relational in nature. If you like Cheney and are eager to relieve him of responsibility, you want the disengagement offered by a convention. For a beleaguered P.R. agent, the first line of defense in any burgeoning scandal is, inevitably, There is no story here. When, in Cheney’s case, this failed, the Vice-President had to convey his concern and regret while not admitting that he had done anything procedurally wrong. Only a story can accomplish that. Anything else—to shrug and say that accidents happen, for instance—would have been perceived as unpardonably callous. Cheney’s critics, for their part, wanted the finality and precision of a code: he acted improperly. And hunting experts wanted to display their authority and educate the public about how to hunt safely, so they retold the story of Cheney’s accident with the benefit of their specialized knowledge.”

Of Israel, Harvard and David Duke

“International relations scholars John J. Mearsheimer of the University of Chicago and Stephen M. Walt of Harvard University ignited a furious debate last week with their lengthy essay ‘The Israel Lobby,’ appearing in the London Review of Books. Their argument — that the influence of a powerful pro-Israel lobby in the United States threatens U.S. national security — has reverberated through academic and policy circles, the media and the blogosphere. A sampling of their article and the ongoing controversy…” (Washington Post)

Walt and Mearsheimer singled out Harvard Law professor Alan Dershowitz as an apologist for the ‘Israel Lobby.’ Dershowitz’s response, in part, was to smear them for using quotes he says were drawn from Neo-Nazi hate sites (New York Sun). Dershowitz is not saying they originate with neo-Nazis, just that they are ‘commonly found’ there. I don’t know how he knows it, but he insists that “…[the authors] cite them to the original sources, in order to disguise the fact that they’ve gotten them from hate sites.” The fact that David Duke lauds the paper, as the Sun delights in publicizing, tars with the same brush. Of course, the London Review of Books, which published Walt and Mearsheimer’s article, has to defend itself against accusations of anti-Semitism (Guardian.UK )as well.

America’s Blinders

“Now that most Americans no longer believe in the war, now that they no longer trust Bush and his Administration, now that the evidence of deception has become overwhelming (so overwhelming that even the major media, always late, have begun to register indignation), we might ask: How come so many people were so easily fooled?” — Howard Zinn (The Progressive)

As FmH readers will discern, I have become unbearably bored by coverage of what is wrong with American foreign policy. Enough already; it does no good, even if the damnable public opinion polls establish to their heart’s content that the public have finally turned against the Iraqi debacle (and, BTW, there is far less evidence that the public are seriously questioning the broader premise of the War onTerror® as a whole…), there seems to be no way that translates into stopping the killing.

I normally derive a great deal of satisfaction from saying ‘I told you so’ [hint: FmH’s archives go back to November, 1999] but am suffused with impotent rage that no one was listening even to far more cogent voices than mine who were horrified from the moment it was clear what a central role imperious bullshitting bullying adventurism would play in the Bush administration’s gameplan.

What’s wrong with the psyche of the American people for swallowing all the pig swill for so long is an immensely more relevant question, especially because they are about to do it again.

Fool Me Twice

Sound familiar? “…For months, I have told interviewers that no senior political or military official was seriously considering a military attack on Iran. In the last few weeks, I have changed my view. In part, this shift was triggered by colleagues with close ties to the Pentagon and the executive branch who have convinced me that some senior officials have already made up their minds: They want to hit Iran.” — Joseph Cirincione, director for non-proliferation at the Carnegie Endowment for International Peace (Foreign Policy)

Be careful What You Wish For…

Prayer does not heal the sick, study finds: “Praying for the health of strangers who have undergone heart surgery has no effect, according to the largest scientific study ever commissioned to calculate the healing power of prayer.

In fact, patients who know they are being prayed for suffer a noticeably higher rate of complications, according to the study, which monitored the recovery of 1,800 patients after heart bypass surgery in the US.” (Times of London)

500-year old moon myth resolved

//antwrp.gsfc.nasa.gov/apod/image/0604/gcmoon_ranger9_apr1.jpg' cannot be displayed] Astronomy Picture of the Day: “Using the new camera on the Hubble Space Telescope, astronomers have been able to confirm that the Moon is made of green cheese. The telling clue was the resolution of a marked date after which the Moon may go bad. Controversy still exists, however, over whether the date resolved is truly an expiration date or just a ‘sell by’ date. ‘To be cautious, we should completely devour the Moon by tomorrow,’ a spokesperson advised.”

Prescribing of hyperactivity drugs is out of control

A New Scientist review raises the same hue and cry I have been voicing in posts here and in my worklife:

“Now, amid reports of rare but serious side effects, leading researchers and doctors are calling for a review of the way ADHD is dealt with. Many prescriptions are being written by family doctors with little expertise in diagnosing ADHD, raising doubts about how many people on these stimulants really need them. Just as worrying, large numbers of children who do have ADHD are going undiagnosed.

Both trends could lead to problems with drug dependency, argue specialists in addiction.”

Device warns you if you’re boring or irritating

“A device that can pick up on people’s emotions is being developed to help people with autism relate to those around them. It will alert its autistic user if the person they are talking to starts showing signs of getting bored or annoyed.

One of the problems facing people with autism is an inability to pick up on social cues. Failure to notice that they are boring or confusing their listeners can be particularly damaging, says Rana El Kaliouby of the Media Lab at the Massachusetts Institute of Technology. ‘It’s sad because people then avoid having conversations with them.'” (New Scientist)

British ‘replication’ of the Stanford Prison Experiment

“Back in December 2001 British social psychologists Alex Haslam and Steve Reicher conducted a replication of Philip Zimbardo’s classic Stanford Prison Experiment. Fifteen male participants were divided into ‘prisoners’ and ‘guards’ and kept in a specially constructed ‘prison’ for eight days, in order to explore “theoretical ideas about the psychology of power and resistance, tyranny and order”. The whole experiment was filmed by the BBC and broadcast in the BBC2 programme “The Experiment”. The study was controversial, not only from an ethical standpoint, but also because it challenged many of the original Stanford findings, and Reicher and Haslam had to devote a fair amount of energy to defending themselves.” (Psychology and Crime News)

Is language changing your personality?

Do bilinguals have two personalities? A special case of cultural frame switching: “Four studies examined and empirically documented Cultural Frame Switching (CFS; Hong, Chiu, & Kung, 1997) in the domain of personality. Specifically, we asked whether Spanish–English bilinguals show different personalities when using different languages?”

The answer appears to be yes, at least with respect to dimensions of extraversion, agreeableness and conscientiousness. (Science and Consciousness Review)

Patients with Tourette’s have more self-control, not less

“People with Tourette’s syndrome can’t stop themselves from making sudden repeated movements or noises, so you might infer that they have an impairment in their mental control processes. On the contrary, according to a new study they actually have greater cognitive control than healthy people, suggesting the cause of their symptoms lies deeper, in their subcortical inhibitory mechanisms.”

They should have conferred with novelist Jonathan Lethem, whose most extraordinary achievement, IMHO, was his portrayal of a petty gangster with Tourette’s syndrome, the main character of Motherless Brooklyn. (Lethem, as far as I know, does not himself have Tourette’s.) He nailed this issue of the dialectic between disinhibition and increased control, and what it does to one’s experience of self in relationship to the world.

Tourette’s and obsessive-compulsive disorder have some epidemiological intersection and some phenomenological similarity, nevertheless they are not exactly the same thing psychiatrically. My only quibble with Lethem’s character is that his Tourette’s has alot of OCD to it.

Mass. high court says nonresident gays cannot marry in the state

“The court that made Massachusetts the first state to legalize gay marriage ruled Thursday that same-sex couples from other states where gay marriage is prohibited cannot marry here.

The Supreme Judicial Court ruled in a challenge to a 1913 state law that forbids nonresidents from marrying in Massachusetts if their marriage would not be recognized in their home state.” (Boston Globe) And Gov. Mitt Romney breathes a sigh of relief vis á vis his 2008 Republican Presidential aspirations…

Study Backs Equal Coverage for Mental Ills

“Providing insurance coverage for mental illness equal to that for physical illness does not drive up the cost of mental health care as many insurers feared, a new study of health benefits for federal employees says.

President Bill Clinton ordered such equal coverage for federal workers in 1999, and the changes took effect in 2001. Under the policy, known as parity, insurers were forbidden to charge higher co-payments or impose stricter limits on psychiatric care or treatment for alcohol and drug abuse.” (New York Times )

Parity is one of the rallying cries of the battle for fair treatment and against societal stigmatization of mental health problems.

Just another wingnut?

McCain Drain: “E.J. Dionne hits the nail on the head today when he says that the positions that John McCain will need to take in order to win the Republican primary may very well lose him the support of the more moderate voters who’ve hailed him as a maverick, to his perhaps permanent electoral or reputational detriment…” (Tapped)

Freaks, Geeks and Asperger Syndrome

A User Guide to Adolescence by Luke Jackson, a 13-year old with Asperger’s Syndrome. Social morés in adolescence are difficult enough, but the lack of interpersonal perceptual skills in autistic-spectrum disorders can make it an unmitigated disaster from which recovery is difficult. Some of this was gotten at in Mark Haddon’s poignant novel Curious Incident of the Dog in the Night-Time, but this gets at it more explicitly.

Visions of the dying

“‘Iknew something had happened to him – I just knew it’; ‘There was this light which seemed to come from him’; ‘She smiled, as if she was greeting someone – and then she died’. Intimations of a loved one’s death; warm, enveloping lights; visions of dead relatives – deathbed phenomena such as these have become a passion for Dr Peter Fenwick, a consultant in neuropsychiatry at the universities of London and Southampton.”

Fenwick, doing ongoing research on deathbed phenomena, feels they are common, they are not attributable to medication effects, and they are more diverse than the stereotypical “going toward the light” phenomenon.

Celebrity Death Watch

Could The Country’s Insane Fame Fixation Come to an End?: “For years, I’ve thought that the intense fascination with famous people must be about to end—and I’ve been repeatedly, egregiously mistaken. But now—truly, finally—I believe that we are at the apogee, the zenith, the plateau, the top of the market. After 30 years, this cycle of American celebrity mania has peaked. I think. I hope.” — Kurt Andersen (New York Magazine)

A Poverty of the Mind

Orlando Patterson: “Several recent studies have garnered wide attention for reconfirming the tragic disconnection of millions of black youths from the American mainstream. But they also highlighted another crisis: the failure of social scientists to adequately explain the problem, and their inability to come up with any effective strategy to deal with it.” (New York Times op-ed)

The End of Deinstitutionalization in my State?

Massachusetts proposes new mental hospital: “Massachusetts has closed 13 of its 16 state hospitals since 1973 as mental illness increasingly has been treated on an outpatient basis. But state officials say the push to deinstitutionalize patients has overlooked the needs of hundreds who are too sick or too dangerous to themselves or others to live on their own.” (Boston Globe with thanks to Pam)

It is a complicated story, but the movement to close the asylums was originally supposed to have gone fist-in-glove with the community mental health movement. This supremely humane reform effort was co-opted by the budget mavens, however, who did the former without supporting the latter. Among other things, the story of homelessness in America is in large measure the story of the bereft and abandoned deinstitutionalized mentally ill turned out to the streets with no provision for fending for themselves. In fact, this current proposal for a new hospital grew out of Governor Romney’s budget-slashing effort to close one of the remaining three hospitals in further deinstitutionalization. Indeed, the new hospital will replace two crumbling existing ones and will result in an overall reduction in the number of state hospital beds in Massachusetts. Nevertheless, it is the first new expenditure for the sickest of the chronically mentally ill in a long time in this state. I am no fan of mental health bureaucrats, but the Department of Mental Health under its current commissioner Elizabeth Childs MD seems truly dedicated to its constituency. It is at the forefront of the nationwide effort to eliminate involuntary medication, seclusion, and restraints from the practice of hospital psychiatry as well.

Al-Qaida Plotters Dismiss Moussaoui’s Role

After Moussaoui’s gift to the prosecution, his defense attorneys scrambled to put on testimony from high-ranking al Qaeda detainees that he was a poseur and a nuisance who did not have the role of which he boasted in the 9-11 attacks. Moussaoui now says that his previous denials that he had been involved in the 9-11 plot were lies designed to facilitate the fruition of the attack despite his arrest. It is not much of a stretch to join in speculation that, in making the prosecution’s case and undercutting his attorneys’ efforts to defend him, he may be seeking a martyr’s death.

Scalia has hand gesture for critics

“U.S. Supreme Court Justice Antonin Scalia startled reporters in Boston just minutes after attending a mass, by making a hand gesture some consider obscene.

A Boston Herald reporter asked the 70-year-old conservative Roman Catholic if he faces much questioning over impartiality when it comes to issues separating church and state.

‘You know what I say to those people?’ Scalia replied, making the gesture and explaining ‘That’s Sicilian.’

The 20-year veteran of the high court was caught making the gesture by a photographer with The Pilot, the Archdiocese of Boston’s newspaper.

‘Don’t publish that,’ Scalia told the photographer, the Herald said.

He was attending a special mass for lawyers and politicians at Cathedral of the Holy Cross, and afterward was the keynote speaker at the Catholic Lawyers’ Guild luncheon.” (UPI)

Who Do Voodoo?

Sean Penn has Coulter Torture Doll: “Hollywood activist Sean Penn has a plastic doll of conservative US columnist Ann Coulter that he likes to abuse when angry. The Oscar-winner actor has hated Coulter ever since she blacklisted his director father Leo Penn in her book Treason. And he takes out his frustrations with Coulter, who is a best-selling author, lawyer and television pundit, on the Barble-like doll. In an interview with The New Yorker magazine, Penn reveals, ‘We violate her. There are cigarette burns in some funny places. She’s a pure snake-oil salesman. She doesn’t believe a word she says.'”

Oglala Sioux Tribe on the South Dakota Abortion Ban

Cecilia Fire Thunder, former nurse and Oglala Sioux President: “To me, it is now a question of sovereignty. I will personally establish a Planned Parenthood clinic on my own land which is within the boundaries of the Pine Ridge Reservation where the State of South Dakota has absolutely no jurisdiction.” (Nativetimes.com via SF Bay Area Indymedia)

As some have suggested, it seems a worthy cause to contribute to, if the Oglala people are soliciting donations. If anyone knows, please send me a link, thanks.

Top 10 Vehicles Owned by Billionaires

A list compiled by Forbes Magazine, garnered from motor vehicle dept. records, on the 10 richest people on their 2005 list, to whet the appetites of the superrich-watchers while waiting for the 2006 list. Forbes observes,

“It seems that for the super-rich, a vehicle is seen not as a status symbol, but as a means to an end in which to get from point A to point B. Status is something that these billionaires need not prove to others. In many cases, the people on our list prefer to live inconspicuously, avoiding the limelight at all costs.”

It feels like a stretch to me. True, there are no Ferraris, Lamborghinis, or even BMWs. However, you will find a number of Porsches, some Bentleys and of course the Lincoln town cars. How about concluding that some billionaires are more ostentatious than others? Here’s an exercise for you to do. Before you check out the cars themselves, look at the list of ten illuminati and rank them based on your intuitive sense of where they fall on a continuum between ostentation and humility.

A Recording Engineer’s Guide to the Secrets of iTunes and iPod

“Most critical listeners from outside the recording industry don’t realize that most audible artifacts are part of the recordings they buy, not the gear used to reproduce them. These folks, often called audiophiles, spend their lives trying to work around the nasty things we do to the audio before it gets to you. Do your own tests if you prefer. Beware that many of the defects many people blame on data compression are in the CDs they bought in the first place. I listened for differences between the original CD and the iTunes rendition. Hearing no difference is perfection, and I got that at 128kbs VBR. Better compression schemes can’t get rid of defects.” [via Blivet]

He is pleasantly surprised with the audio quality he gets from his iPod, having been given one as a present after turning up his nose at the whole idea. He goes on to tell you how to tweak your settings for maximal listening enjoyment.

Top 10 Vehicles Owned by Billionaires

A list compiled by Forbes Magazine, garnered from motor vehicle dept. records, on the 10 richest people on their 2005 list, to whet the appetites of the superrich-watchers while waiting for the 2006 list. Forbes observes,

“It seems that for the super-rich, a vehicle is seen not as a status symbol, but as a means to an end in which to get from point A to point B. Status is something that these billionaires need not prove to others. In many cases, the people on our list prefer to live inconspicuously, avoiding the limelight at all costs.”

It feels like a stretch to me. True, there are no Ferraris, Lamborghinis, or even BMWs. However, you will find a number of Porsches, some Bentleys and of course the Lincoln town cars. How about concluding that some billionaires are more ostentatious than others? Here’s an exercise for you to do. Before you check out the cars themselves, look at the list of ten illuminati and rank them based on your intuitive sense of where they fall on a continuum between ostentation and humility.

‘L’Etat C’est Moi’ Dept. (cont’d.)

Bush shuns Patriot Act requirement. In signing the renewal of the USA PATRIOT Act, Bush stipulated that he did not feel bound by the requirement in the law that he inform Congress of the FBI’s use of its expanded powers. (Boston Globe) Chilling enough, but it is part of an enraging and ominous — and seemingly unstoppable — trend, when placed in the context of other recent events. Consider his continued assertion that he can ignore the requirement that the government obtain warrants for wiretaps when he deems it necessary; and the ‘signing statement’ he included when reluctantly forced to accept the bill forbidding torture of any US detainee declaring he could bypass the law when in his judgment it was necessary for national security. We are talking about imperial power, about contempt for or ignorance of basic principles of the structure and function of the American government learned in elementary school civics classes. We are in for a new civics lesson — how easy it appears to be to bully oneself into a brazen Presidential power grab beyond the pale of what is allowed; how utterly unopposable it seems to be if someone in the Presidency is willing to be completely criminal; how the only recourse is not to elect someone so transparently an inept and unscrupulous fool, a faith-based airhead, in the first place.

Listen to any emphatic public statement he makes to the American people. In every case, his rationale for a nomination, a policy pronouncement, a war, is nothing but an insistence we should support it because of his conviction and his conviction alone, because he knows that such and such a nominee is a good man, because he knows that such and such represents a threat to national security, because he know that such and such is the right thing to do. Such omnipotent self-referential assertions without any reasoned argument to back them up are the province of those operating on an infantile level in which there is no distinction between wish, fantasy and reality, between belief and knowledge — yes, the province of the faith-based fundamentalist. Bush is, as Sidney Blumenthal points out in echoing Kevin Phillips, the founder of the first American religious party, institutionalizing his cognitive deficits. It is both our interactions with our significant others and our education that occasion a developmental leap away from that infantile omniscience. One can only speculate on the twisted influence growing up with his parents imposed; insofar as educational influences go, it has long been clear that he slept through most of his schooling. Let us hope the American people do not sleep through this civics lesson, or that they awaken by the first Tuesday in November…

Sleep Deprivation: The Great American Myth

A six-year study of more than a million subjects headed by psychiatrist Daniel Kripke establishes that those who sleep an average of 6-7 hours a night function no worse and have no added health consequences than those getting the mythical 8 hours a night. Indeed, the mild sleep deprivation may extend their life, as well as making them more productive. The myth that we are a nation of zombies walking around bleary-eyed, making more mistakes, having more accidents and showing more emotional instability may be mostly a sales pitch for the lucrative pharmaceutical trade in hypnotics (sleeping pills). (Yahoo! News)

I routinely sleep more like 6 hours a night than 8 during the week, and (although you might argue that I would be the last to know) I don’t feel I suffer for it. If I get down to 4-5 hours, I do see the difference, especially in terms of irritability and especially if I do so for several nights in the same week. (There’s also no such thing as making up a cumulative sleep deficit by sleeping in on the weekend, I am convinced…)

And, in my psychiatric practice, both because of physiological addictiveness and the risk of rebound insomnia, I strictly adhere to the practice of only prescribing sleeping pills for my patients for acute use (less than about two weeks at a stretch, better if used intermittently than consistently). Because of the development of physiological tolerance, most of the medications lose their effectiveness if used for longer anyway, although patients become psychologically dependent on them and physicians often renew their prescriptions indefinitely. If the patient ever tries to go off the medication, indeed they have trouble sleeping and they never sustain their abstention for long, concluding that the drug-free trial confirmed their ongoing need for sleeping medication. However, all it really shows is the phenomenon of rebound insomnia, which would probably abate if they remained drug-free for long enough. And “a poor night’s sleep never killed anyone…”

Newer sleeping pills are marketed as less addictive and effective for lengthier use, but don’t believe it. There are few free lunches in brain chemistry. Zolpidem (Ambien®) and the others are really not very different from the benzodiazepine sleep aids (Halcion®, Dalmane® etc.) they are supplanting, in my opinion. Medications that interact with the benzodiazepine receptor — which all of these medications do — interfere with the acquisition of new learnng while under their influence and, at high doses, can cause the somnambulist activities so much in the news these days, such as “sleep driving” and “sleep eating”. There is nothing special about Ambien in this regard except that it is now so broadly prescribed. Other hypnotic medications do the same thing. At high doses, especially in combination with alcohol, they are respiratory suppressants (read: lethal in overdose), and they accumulate to high levels in the systems of those with impaired ability to metabolize them, such as the medically ill and the elderly. Not benign at all…

But, of course, we can try to compensate for all these hypnotic effects with the daytime-alertness drug that is all the rage these days, modafinil (Provigil®), right?

No Head for Numbers

New Insight into How We Count: A recent functional MRI study gives us a new appreciation for the fact that specific brain circuitry underlies processing ‘how many’ (and that it is different from how we process ‘how much’). The intraparietal sulcus lights up with the former taks but not the latter when they are cleverly distinguished by the study design. The region may be involved with the learning disorder called dyscalculia, which affects perhaps 6% of the public and involves difficulty envisioning numerical sequences and even distinguishing which of two numbers is bigger. Dyscalculia is not the only way in which someone might have difficulty with calculation and other mathematics, but it is the most severe. (Yahoo! News)

When Law and Ethics Collide

Why Physicians Participate in Executions. An opinion piece by Atul Gawande, one of my favorite physician-writers. Hopefully of interest to non-MDs as well.

“States have affirmed that physicians and nurses — including those who are prison employees — have a right to refuse to participate in any way in executions. Yet they have found physicians and nurses who are willing to participate. Who are these people? And why do they do it?”

Gawande interviews several physician-executioners, all but one cloaked by anonymity, pointedly examining the slippery slope that led each one to their induction into the role, and their ethical qualms, such as they are. Gawande himself takes pains to note that he is not an opponent of the death penalty, although one of the physicians he interviews, who has so far participated in six executions, is. Interestingly, ironically, troublingly, this MD sees his role as akin to not abandoning any other patient with a terminal illness in their final moments. Gawande isn’t buying that argument, and comes down on the side of advocating a legal ban on the participation of physicians and nurses in performing executions. (New England Journal of Medicine)

Supreme Court Limits Police Searches of Homes

“A bitterly split Supreme Court, ruling in a case that arose from a marriage gone bad, today narrowed the circumstances under which the police can enter and search a home without a warrant….

The issue before the justices was one that has long caused confusion in state courts: whether the police can search a home without a warrant if one occupant gives consent but another occupant, who is physically present, says ‘no.’ The majority held today that at least under some circumstances, such a search is invalid….

Justice Souter, [writing for the majority,] said a finding for Mr. Randolph — in the specific circumstances that marked this case, Georgia v. Randolph, No. 04-1067 — was compelled by Fourth Amendment principles against unreasonable searches and seizures. But Chief Justice John G. Roberts Jr., the main dissenter, bitterly disagreed, as he and Justice Souter exchanged darts in writing.” (New York Times )

Even though the case went (IMHO) the right way, the heated disputation does not bode well for some of the other contentious issues facing the Roberts Court, especially as Alito (who was not on the Court when this arguments in this case were heard) begins to join the deliberations.

Revisiting Schizophrenia Diagnosis

Are Drugs Always Needed? “The only responsible way to manage schizophrenia, most psychiatrists have long insisted, is to treat its symptoms when they first surface with antipsychotic drugs, which help dissolve hallucinations and quiet imaginary voices. Delaying treatment, some researchers say, may damage the brain.

But a report appearing next month in one of the field’s premier journals suggests that when some people first develop psychosis they can function without medication — or with far less than is typically prescribed — as well as they can with the drugs. And the long-term advantage of treating first psychotic episodes with antipsychotics, the report found, was not clear. The analysis, based on a review of six studies carried out from 1959 to 2003, exposes deep divisions in the field that are rarely discussed in public.” (New York Times )

In typically melodramatic fashion, the journalist feels he has exposed “deep divisions” because he has gotten quotes on both sides of the issue. The unfortunate reality is that there is too little division over the issue of the necessity of medication in a psychiatric profession in the hip pocket of the pharmaceutical industry. The divisions tend to fall between the medical practitioners (psychiatrists) and the non-medical mental health caregivers; the author of the current study is a pforessor of social work. In making the cse for a portion of the schizophrenic population who do not need antipsychotic medication, he speculates that perhaps they have a milder form of the disease. I think it is even more likely that they do not have schizophrenia at all. Psychiatry has labored mightily to establish a credible diagnostic schema but few realize that it is a work in progress and deeply flawed.

Part of the problem is that the research edifice requires slavish adherence to the diagnostic system to conduct studies. This leads to a misplaced sense of concreteness. “If I say the patient is a schizophrenic (carries the diagnosis of schizophrenia), then they have the disease of schizophrenia…” In other words, making the diagnosis implies, and I would say falsely, that all subjects who share a diagnosis have something meaningful in common, so that research findings on that class of individuals are meaningful. But if you are really lumping together unlikes, the research findings will either be trivial, coincidental, or inconclusive. As an example, if a researcher set out to measure, say, the citric acid content in the fruits he called “oranges”, and included the oranges with the thick pockmarked orange skins as well as those with the smooth thin red skins (more commonly known as “apples”), his findings would be meaningless. If we were uncertain about the distinctions between apples and oranges, in other words, we would be comparing apples and oranges.

It may not be immediately obvious to the public, even the erudite readers of the New York Times, that diagnoses are not etched in stone. There are problems with diagnostic clarity elsewhere in medicine, of course, but none as severe as in psychiatry, where we peer into the ‘black box’ that is the workings of the brain and mind. The situation is particularly acute with schizophrenia, which I find to be a wastebasket diagnosis among the members of which class I discern patients with several distinct clinical entities varying along a number of dimensions including medication-responsiveness. In a less tortured diagnostic system, many of them should not be called schizophrenic at all. Compounding the imprecision of the diagnostic system is the fact that clinicians and researchers vary in the acumen with which they make diagnoses. While particularly egregious with the schizophrenic diagnosis, this is a problem throughout the field of psychiatric diagnosis. Patients who are not responding to treatment x are often referred to me with diagnosis y, for which treatment x would be totally appropriate, only I do not find them to have diagnosis y. There is another factor as well, which becomes most clear when one studies the history of psychiatric classification over the last century or century and a half. The world of psychopathology is parsed up into different diagnoses in an everchanging way. Styles of classification change; we are more inclusivist or exclusivist, more ‘lumpers’ or ‘splitters’ in different eras. Vastly different numbers of patients, different proportions of those with mental illness, were diagnosed with schizophrenia, for example, at some times than at others. Given diagnostic categories expand or contract over time, bumping up against both ‘normals’ and other diagnostic categories. There is a sort of Darwinian competition for niches in the mental health ecology; diagnoses are always trying to maximize their ‘fitness’.

Equally true is that there are cross-cultural differences. The rates of classification with given diagnoses vary significantly between European and American practitioners, even when they are seeing the same patients, as in one famous study where diagnosticians were brought across the Atlantic to compare their skills and styles.

One of the reasons diagnostic categories expand and contract is the development of new medications. If the only tool you have is a hammer, it pays to see everything as if it is a nail, I am fond of saying. The most dramatic example of this was the expansion in those who were seen to be bipolar (manic depressive) after the introduction of lithium, the first effective modern mood stabilizer, in the ’50’s. Most of the newly-recognized manic depressives would have been called schizophrenics previously, when in essence the distinction had not mattered as much. But one has to be wary of arguing that the new diagnostic distinction is driven entirely by newfound utility. The refinements in diagnostic classification are by no means inevitably improvements. It is equally likely, and more worrisome, that change is driven by marketing pressures to sell the new drug. We have seen something similar with depressive diagnoses since the development of the SSRI antidepressants, and their descendants, in the last two decades. No only do the antidepressants reach more depressed people, but more people are defined as having a depressive condition in order to be eligible for medications. No one is doing this consciously, but it happens inexorably nonetheless. Furthermore, as psychiatrists scramble for market share in the face of competition from competing nonmedical mental health professionals, it pays to expand the definitions of medication-responsive diagnoses so they have more people to treat.

This leads me to subscribe to a “one-third” rule, almost regardless of diagnosis. One third of patients diagnosed with a given disorder will respond to the appropriate treatment; one third will be poor responders; and one-third would get better regardless of, or without, treatment. Part, but not all, of this is based on the diagnostic issues I have discussed above (for example, do the one third who would respond anyway, as the ‘schizophrenics’ in the study under current consideration, really have the condition in question? In essence, is the treatment wrong for the diagnosis or is the diagnosis wrong for the treatment? We ignore either wing of this quandary at our peril.).

As I grow older, I become much more of a diagnostic nihilist, finding the misplaced concreteness of the system and of my colleagues increasingly painful to bear. At least as far as my professional work as a psychiatrist goes, the older I get, the less I know. The important question: does that make me of more or less help to my patients?

World’s Funniest Joke?

Okay, the joke is funny, but the more intriguing discussion in this old CNN article is about cultural differences in what is found to be funny, especially between American and European humor:

“One intriguing result was that Germans — not renowned for their sense of humour — found just about everything funny and did not express a strong preference for any type of joke.

People from the Republic of Ireland, the UK, Australia and New Zealand most enjoyed jokes involving word plays.

Many European countries, such as France, Denmark and Belgium, displayed a penchant for off-beat surreal humour, while Americans and Canadians preferred jokes where there was a strong sense of superiority — either because a character looks stupid or is made to look stupid by someone else.

Europeans also enjoyed jokes that involved making light of topics that make people feel anxious, such as death, illness and marriage.”

I had previously blinked to the world’s funniest joke article but revisited it after reading this recent Ask MetaFilter thread asking people to post their funniest joke that is not offensive to any class of people. Some of them are to laugh out loud over.

Sterling laments state of world

“At a South by Southwest interactive conference that many said was too big and too crazy, one thing everyone was seemingly happy to see hadn’t changed was that science fiction writer Bruce Sterling gave the closing speech.

During the roughly 45 minutes Sterling talked, he touched on any number of issues, from the wonders of Web 2.0 technologies, to the way America and Americans are viewed abroad, to politics and daily life in Belgrade, Serbia-Montenegro, where he currently lives.

“Our people in Washington are drinking their own bath water. They have forgotten how to build anything…it looks like the Soviet Union.” ”

(CNET News.com)

Jamie Raskin on the Difference Between the Bible and the Constitution

Urban Legends Reference Pages: “On Wednesday, March 1, 2006, at a hearing on the proposed Constitutional Amendment to prohibit gay marriage, Jamie Raskin, professor of law at AU, was requested to testify.

At the end of his testimony, Republican Senator Nancy Jacobs said: ‘Mr. Raskin, my Bible says marriage is only between a man and a woman. What do you have to say about that?’

Raskin replied: ‘Senator, when you took your oath of office, you placed your hand on the Bible and swore to uphold the Constitution. You did not place your hand on the Constitution and swear to uphold the Bible.’

The room erupted into applause.”

Evidence for Universe Expansion Found

“Physicists announced Thursday that they now have the smoking gun that shows the universe went through extremely rapid expansion in the moments after the big bang, growing from the size of a marble to a volume larger than all of observable space in less than a trillion-trillionth of a second.

The discovery — which involves an analysis of variations in the brightness of microwave radiation — is the first direct evidence to support the two-decade-old theory that the universe went through what is called inflation.” (Yahoo! News)

ITunes Tricks to Keep Your Music Listening Interesting

Andy Budd’s ingenious implementation of iTunes’ smart playlists:

“One of the problems … is keeping your music collection interesting. You’ll want to hear newer songs more often than older ones, yet at the same time you’ll want to make sure that the old music doesn’t get lost. You want to hear your favourite songs slightly more often than everything else, but you don’t want to keep listening to the same old tracks over and over again. As such you need to make sure your playlists have a good degree of variety as well as and a high churn rate. The way to achieve this is by utilising smart playlists, however it can be quite difficult getting the right balance.”

Accidental Stereo

“It is now 20 years or so since Californian record collectors Brad Kay and Steven Lasker came up with the intriguing theory that some old mono recordings were accidentally made in stereo, long before LP stereo was launched in 1958.

In the 1920s and 1930s there was no tape, so studios cut recordings directly onto wax discs. Because a lot could go wrong, they played safe by simultaneously cutting two discs. Sometimes they played extra safe by using two microphones, one for each disc. The result was a matched pair of recordings, each with a different sound perspective.

Brad Kay hunted down matched pairs of old discs and tried playing one as the left channel and the other as the right. Some engineers who heard his ‘accidental stereo’ recreations thought it was just an illusion created by slight playback differences between two identical recordings. Others thought the stereo sounded too real to be written off.” (New Scientist)

A new CD release of Edward Elgar’s music conducted by the composer includes a 1933 overture in “accidental stereo”.

Republicans Happier than Democrats

“Overall happiness among U.S. residents has not changed much over the years, according to the latest survey by the Pew Research Center that finds 34 percent of adults are very happy. Among 3,014 telephone respondents, half reported being pretty happy, and 15 percent said they are not too happy. The survey, released this week, points out several disparities based on lifestyle, beliefs and political persuasion:

  • Republicans are happier than Democrats.
  • People who worship frequently are happier than those who don’t.
  • The rich are happier than the poor.
  • Whites and Hispanics are happier than blacks.
  • Married people are happier than the unmarried.
  • Dog owners and cat owners rate the same.
  • Sunbelt residents are happier than everyone else.” (Yahoo! News)

(Some of these findings, of course, support the old assertion that ignorance is bliss. Given that the study deems around one third of the American public truly happy, what does that say about the American ignorance quotient??)

High Caffeine Pop from ‘Energy Drinks’ Revealed

“Most so-called energy drinks are loaded with caffeine far above the FDA limit set for carbonated colas such as Pepsi or Coke, researchers here reported… Energy drinks — with brand names such as Red Bull and SoBe No Fear — are not included in the FDA regulation that limits caffeine in colas or sodas… Because caffeine content is not disclosed on the label, these products may pose a health threat to unsuspecting consumers who should limit their caffeine intake, such as those with hypertension, pregnant women, or those who suffer from anxiety attacks…” (Medpage Today)

Single Protein Compound May Start Memory Decline

Does rodent brain study point to a candidate model for ’cause’ of Alzheimer’s disease? The derivative of amyloid-beta precursor protein (APP), which is linked to the “plaques” and “neurofibrillary tangles” that are characteristic of the Alzheimer’s brain, is well on the way to meeting Koch’s postulates, the formal requirements that allow us to say that a substance has a causal role in a disease. First, it is found regularly in the brains of animals affected with a form of memory loss that is considered an animal model of Alzheimer’s. It is not found in the brains of unaffected animals. When extracted from affected brains and given to healthy animals, they develop signs of memory loss. And the same protein appears in human brains. The mild cognitive deficits which precede the development of fullblown Alzheimer’s dementia could be caused by this protein demonstrated to cause transient memory deficits in rodents. It might be the first step in the cascade of changes to brain proteins that underlie the degenerative process in Alzheimer’s. If this finding is borne out, it holds out the promise of early detection of the Alzheimer’s disease process before dramatic cognitive deficits develop. Identification of the protein could also lead to the development of medications which block its actions or vaccines to immunize patients against the development of Alzheimer’s. (MedPage Today)

Silent Struggle

A controversial new theory depicts pregnancy not as a harmonious relationship between the pregnant mother and the fetus she is carryng but as a struggle over the nutrients she will provide.

“Dr. Haig’s theory has been gaining support in recent years, as scientists examine the various ways pregnancy can go wrong.

His theory also explains a baffling feature of developing fetuses: the copies of some genes are shut down, depending on which parent they come from. Dr. Haig has also argued that the same evolutionary conflicts can linger on after birth and even influence the adult brain. New research has offered support to this idea as well. By understanding these hidden struggles, scientists may be able to better understand psychological disorders like depression and autism.” (New York Times )

Haig argues that evolutionary selection should favor fetuses the invasiveness of whose sprouting placental blood vessels is more effective in wresting nutrients from their hosts, while mothers who restrain the incursion to have several successful pregnancies to spread their genes would similarly have an advantage. This theory appealingly explains the baffling condition of late-pregnancy high blood pressure called pre-eclampsia, which affects around 6% of pregnancies, as an extreme version of this struggle in which the fetus causes maternal hypertension to pump more blood in through the relatively low-pressure placenta. But be sure to read to the end of the article for the even more intriguing discussion of how this maternal-fetal conflict, played out in the arena of control of fetal gene expression, may shape the offspring’s behavior and social functioning postnatally.

The Freakonomics Freaks Respond to Gladwell

“…[T]he theory put forth in Freakonomics examined why crime had fallen all over the country, not just in New York, and one of the many arguments against “broken windows” as a major cause was the fact that such innovative policing wasn’t being practiced elsewhere—and yet crime was falling in those places as well. A smaller point to also consider: Gladwell left out one other major reason that, according to Levitt’s research, crime did begin to fall in the 1990’s: the waning of the violent crack trade.”