Robert Gupta - Music as Medicine

This oughta be the start of a series...

Why the Poor Give More

The article that inspired this post is titled Why the Rich Don't Give to Charity.  But I figure, language has power, and why reinforce behavior that I would rather see changed?

Before you go off in a huff, let me tip my hand -- I acknowledge and will discuss both the exceptions and free will.

The short answer to any of these questions, why the poor give more, why the rich don't give, and why some rich do is -- mirror neurons.  Three weeks ago I reported on these in Mirror Neurons - They Change Everything, along with a youtube featuring V.S. Ramachandran.  Here is the promised expansion on the theme.

Statistics on Giving

Ken Stern reports in The Atlantic Magazine that the top 20% of Americans donate 1.3% of their income.  The bottom 20% donate 3.2%.  He asks, What's up with that?

Paul Piff - Higher Social Class Predicts Increased Unethical Behavior

We Are On Our Own

Last week I was part of a group that was confronted with a psychiatric crisis in a visitor.  This group had never been called upon in this way.  But among our ranks we had enough experience of psychiatric crisis that:


1) We were determined we would help a stranger; and
2) We knew how to do it.

Part of the story was that inevitable series of telephone calls to offices in 24 hour institutions that were closed.  When flesh and blood was finally located, the response was rude, ineffective and dismissive.

When I debriefed with my therapist, she expected my frustration at calls for help that did not yield help.  That is one of my therapy themes -- a cognitive schema, as a former cognitive therapist called it.  I surprised my new therapist and surprised myself with my response.  No, I didn't expect help.  We are on our own.

Mirror Neurons - They Change Everything

Blow your mind in the seven minutes and forty-four seconds:

You just watched V.S. Ramachandran, Director for the Center of Brain and Cognition at the University of California Sand Diego, cross the mind/brain barrier in his description of mirror neurons.  These neurons, a subset of the command neurons in the frontal cortex, are the neurobiological basis for imitation, culture and empathy.  What we see another do or feel causes mirror neurons in our own brains to fire, so that we understand or feel the same.

This week's blogpost is published late because I kept trying to explain what mirror neurons explain.  They explain everything.

They explain why rich people are not as generous as poor people.  (That may get its own post soon.)  They explain why religious people give more than nonreligious people, more time, more money, more blood.  (My source for that one is sociological, not neurobiological.  So I may not blog it, though mirror neurons would explain it.)  They explain why people who own guns are more afraid than people who do not, and why people who watch tv overestimate the crime rate.  They explain pornography.  They explain Congress.

Flight of Ideas

Pride of lions
Fleet of ships
Host of angels...

Flight of ideas.

It's a lovely phrase.  Isn't that what ideas do -- fly?

I think so.  But evidently, not everybody.


A Visit from the Goon Squad

I was looking to meet new people in my new home town, and went to the library's book club.  The selection for my second meeting was Jennifer Egan's A Visit from the Goon Squad.  Sex, drugs, rock and roll, and, oh yes, suicide -- these characters were my tribe!  No, I haven't lived their lives.  More to the point, I have asked their questions.

I wasn't sure how Egan's characters would be received in this group of middle-aged and older women.  I didn't know the book club members yet, but they seemed pretty respectable.  Then again, I can seem pretty respectable, too.  I expected a lively discussion.

Nope.  No lively discussion.  No discussion at all.  They were so dismayed, they were speechless.  The librarian resorted to reading reviews.

More Guns = More Suicides

Compare states to states.  Compare regions to regions.  Compare states within regions to other states within the same region.  Compare people of the same age group, in any age group, men to men and women to women.  Compare unemployed people to unemployed people, working folk to working folk.  Compare city dwellers to city dwellers, country folk to country folk.

Compare people with depression to other people with depression; people who are suicidal to other people who are suicidal; people who have a plan to other people who have a plan; people who have a past suicidal attempt to other people who have a past suicidal attempt, for God's sake!

More Guns = More Suicides.

Get it?

Homicide and Firearms - Some Facts

While I was researching this post, a Facebook friend posted this  picture.  I commented, giving information I discovered and found surprising.  The stats are below, under domestic violence.  A friend of my friend then commented, Dearest Willa......useless, worthless statistics.  Lies, damn lies and statistics.  Go back to class and learn forgiveness, and while you're at it....drop dead!

Well.  That was disturbing.  To my knowledge, I do not know the person who called me Dearest Willa, said I need to learn forgiveness, and then told me to drop dead.  It occurs to me that facts have power, if they evoked this response.

My facts come from the Centers for Disease Control, Bureau of Justice and Federal Bureau of Investigation, from reports and data bases that count people who died and how they died.  That is all these sources did -- they counted.  They made no policy recommendations.

I make no policy recommendations in this series, either.  I am reporting their numbers.  I do hope they are not useless numbers.  I offer them to you to help you weigh the costs and benefits of gun ownership.

How Many Killed Since Newtown?

Technical difficulties have delayed my research on homicide and firearms.  I can't figure out how to make the story not tedious.  So I will skip it.  Maybe next week...

Until then, here is a resource to keep you up to date.  Slate Magazine and the Twitter feed @GunDeaths are crowd sourcing data to answer the question:

How Many People Have Been Killed by Guns Since Newtown?

The answer is not easy to find.  Coroners do not publish this information in real time.  Perhaps you noticed that my statistics last week were from 2009 and 2010.  The tally is collected only at the end of the year, and it is not official for some months after.  Suicides, in particular, are underreported, even in official statistics.  They get caught up in investigations that take months beyond the reporting date.  Eventually the numbers for 2011 will be corrected, when these investigations are completed.  Meanwhile, the smaller number has been published in places that will not be corrected and will nonetheless be repeated (including Prozac Monologues, if I try to publish the most current sources.)

Trip the Light

I have noticed, people who are buying more guns seem to be more scared than the rest of us.  It is about pattern formation, the anterior cingulate cortex.  It can be your friend, or it can be your enemy.  Come on, people.  Have you forgotten Christmas so soon?  We can do better.  Like Matt here --

If all the days that come to pass
Are behind these walls
I'll be left at the end of things
In a world kept small

Travel far from what I know
I'll be swept away
I need to know
I can be lost and not afraid

Ring The Bells That Still Can Ring

Liturgical Christians, Catholics, Lutherans, Episcopalians keep a season called Advent, four weeks before Christmas.  It is a difficult practice, because it calls us to be thoughtful.  Thoughtful?!  You mean making a list and checking it twice?  No.  Advent is a time to acknowledge the truth that we hide from, behind our shopping lists and party schedules, the truth of emptiness and brokenness, in ourselves and in the world.  We are surrounded by Ho Ho Ho.  Advent says Hmm.

Advent says, Yes we will rejoice, because the baby, The Baby is born.  And yet.  And yet...

This has been a hard week.  Our defenses against the darkness have been found wanting.  And yet.  And yet...

Prozac Monologues Goes to the Movies

This is not a regular post.  It is a call for your help to create a future post.

Periodically, Prozac Monologues goes to the movies.  This time, I want to do a piece on spirituality at the movies.  It will feature half a dozen titles, each with a short descriptive blurb and a couple prompts for pondering and/or discussion.  Maybe your support group or book club or Bible study could use the suggestions to mix it up a bit?

Here is an example:

Groundhog Day: Self-centered weather caster, played by Bill Murray gets caught in a time warp, reliving one day over and over and over and over.  The only thing he can change is himself.  What is the life worth living?  How do we get stuck in a life that isn't?  Where do we find the power to change?

Power, grace, forgiveness, redemption, hope, dignity, the meaning of life, the universe and everything -- What are the stories that help you think about these things?

Put your suggestion in the comments.  Whether it is included will depend on the number of suggestions received, whether I understand it, and whether it fits what goes on at Prozac Monologues.  Looniness is appreciated, though not required.  Deadline for inclusion: December 31, 2012.

Thanks!

image of popcorn from FreeDigitalPhotos.net

dvd cover from Amazon.com

No Pink Ribbons - On Truth-Telling

I don't do the pink ribbon thing.

I was sitting at a sushi bar, watching a football game last month, and noticed the pink shoes and towels sported by both teams.  I mentioned that October was Breast Cancer Awareness Month.  Our server said he didn't know that, but pink is his signature color.

Okay, I think the Man Enough to Wear Pink phenomenon in football and Tough Enough in rodeo's version is way cool.  And a sweet young man in Idaho who owns that pink is his signature color would have to be More Man and More Tough than most.

But as a movement to define the struggle against breast cancer -- I couldn't put my finger on it, but something always seemed a little off.

Hope for a Cure? Or Not?

But we have to keep hoping for a cure, don't we?

I spent six months preparing a power point presentation on stages of recovery and fifty minutes delivering it.  My co-presenters and I described the misery of the Chemistry Experiment, and the hope offered by other interventions that harness the brain's capacity to heal itself.  Medicine is a piece of the answer, but just not inadequate to carry the whole load of healing.

But DNA operates even deeper in an organization than in an individual.  NAMI was born out of the medical model, when parents who had been wrongly accused of causing their children's illness pushed back and insisted on their innocence.  Mental illness is not caused by distant fathers and overprotective mothers.  Mental illness is a physical illness.

Yes it is.  Whether it arises from chemistry, wiring or structure, it is an illness in the brain, a physical organ, inside a body.

Well, it was a short jump from that insight to the search for a cure, a medical cure.  Because that is what medicine does, it cures physical illness, right?

So there was that question, the NAMI parent's quest for a cure, in response to all our elegant talk about Recovery, the NAMI peer's quest for a life worth living.  Forget Recovery. Don't we have to keep hoping for a cure?

The Positive Power of Being Strange

It's just too easy [in Iowa] to avoid the weirdos in our life.

First, the TED talk from one of those people who, whenever they have something to say, you want to pay attention to it. I am pleased to call Mike Wagner a friend, so I get regular doses. Here he doesn't use the language, but he's talking about the power of my favorite brain part, the anterior cingulate cortex.

Mike's shingle hangs at White Rabbit Group. The name itself tells you something. He calls it a brand altering experience.

Next, the Prozac Monologues take on the matter, a rerun from September 23, 2011

Differently Abled - More, Please

It's like he is in a world of his own. The first grade teacher, old school, same worksheets for the last thirty years, did not mean it as a complement.

Curiosity on Mars

And now for something completely different, the true origin of Curiosity's name?

Marvin the Martian looks at us, and observes, There is a growing tendency to think of Man as a rational, thinking being, which is absurd.  There is simply no evidence of any intelligence on the Earth.

Meanwhile, in case you missed it, NASA has landed a rover named Curiosity on Mars.  If you did miss it, then you might be curious about what called Marvin to my mind.  Curiosity has yet to meet Marvin.  It is, however, meeting a lot of rocks.  It doesn't seem to be enjoying the rocks.

Follow the twitter feed from the Martian Rover here.  (Keep scrolling to the bottom to find the beginning.)  I think Curiosity works better on Prozac Monologues than Bugs -- different chapters from the DSM, you know.  Three days, and it's already into isolation and suicidal ideation...

But if you must, here is NASA's version of events.  Obviously not yet hearing its pain.

Purple Heart for PTSD

I am pleased to have scooped NAMI and Fox News on this one by two years.

Some people say we have dumbed down PTSD, and that we dishonor the suffering of soldiers when we give the diagnosis of PTSD to people who have the same symptoms and same brain dysfunction of PTSD, but whose traumas were of a lesser severity.  In other medical departments, a broken leg is a broken leg, whether the person fell three feet or thirty.

Back in May, 2010 I proposed that the way to honor soldiers whose PTSD is the result of war injury is the way we honor any soldier wounded in war -- the Purple Heart.

Better yet, let's honor their sacrifice by preventing their trauma in the first place.  No more!

Meanwhile, check out Guitars for Vets.

Those Who Have Eyes, Let Them See

Yes, I said I was on sabbatical.  But I do have to write.  Like, I do have to breathe.  My facebook page this morning, somebody posted an Ernest Hemingway quote, There is nothing to writing.  All you do is sit down at a typewriter and bleed.  I have learned there is more than one way to bleed.  Teresa of Avila's stigmata, by the way, were interior.  Mine (writing) seems better than other alternatives.

So yes, I am on sabbatical.  That means I don't have to post.  I might anyway.  Oh well.

NAMI National Convention 2012

It started with Shepherd.  He stood straight tall.  Life has taken a lot out of him, including a lot of teeth.  But he stood straight tall.  I remember him as a black man, with piercing light blue eyes.  I know that's possible, a black man with blue eyes.  Maybe it isn't true in this case.  My brain really isn't that dependable anymore.  But the piercing part is the most important.  I am so glad I wasn't afraid to look in his eyes.

Entitled to an Apology?

Perhaps because a central feature of both hypomania and depression is irritability, and because a characteristic of the "bipolar temperament" is a certain tendency toward an attitude of entitlement, interpersonal disputes tend to be common in this patient population. -- Ellen Frank, Treating Bipolar Disorder

Frank goes on to explain how this attitude of entitlement plays out in the clinical setting.  Unlike the usually self-effacing patient with Major Depressive Disorder, grateful for any scrap of attention, people with bipolar get irritated at imagined slights, such as when the therapist cancels an appointment, or is late.  Sometimes, the only way the therapist can maintain the therapeutic relationship is to go ahead and apologize for these imagined slights.

Yup, stick that fork in the 220 volt socket again.

Apology?

So Robert Spitzer's Apology struck a nerve: apologies made or received, or not.  More like, Robert Spitzer's apology stuck a fork into a 220 volt socket, the nerve labeled Apology in the Clinical Setting, Or Not.

I have long been curious about this issue.  Fork in the 220 volt socket kind of curious.  I watched with wonderment as a therapist handled my complaint, which was, to me, about a life-threatening experience, steering the conversation away, time and again, from what I thought was the simplest, most natural direction, I'm sorry.

Now, I trusted this person.  Her avoidance of those words, her downright circumlocutions confused me.  My brain has long practice in making sense of the nonsensical behavior of people I trust.  So I decided there must be a rule, a therapy rule, that says a therapist shouldn't apologize, because it diverts attention from the real issue, which is about the client's mother, and not about the therapist at all.  Or something like that.

Project Implicit and the State of One's Soul

Remember, Dumbledore said to Harry, It is our choices that show what we truly are.

Project Implicit

So did you do the homework?  Did you try any of the Implicit Association Tests?  Do you still want to read my blog?

This is how they describe what they are doing:

Project Implicit represents a collaborative research effort between researchers at Harvard University, the University of Virginia, and University of Washington. While the particular purposes of each study vary considerably, most studies available at Project Implicit examine thoughts and feelings that exist either outside of conscious awareness or outside of conscious control. The primary goals of Project Implicit are to provide a safe, secure, and well-designed virtual environment to investigate psychological issues and, at the same time, provide visitors and participants with an experience that is both educational and engaging.

The variety of topics include attitudes toward age, race, disability, ethnicity, mental illness and others.  The tests are constructed to bypass thought, commitment, decision.  They dive deeper into what is known as the lizard brain, the part that evolved before reason, and that simply reacts, by setting one to tasks that have to be accomplished faster than the thinking part of the brain thinks.

Project Implicit is well aware that we may not like what we find in the lizard brain. I don't care for what I find in mine.  But it is important information, for two reasons.