By Jennifer Ouellette
Quanta Magazine
November 2, 2016
The mere mention of “quantum consciousness” makes most physicists cringe, as the phrase seems to evoke the vague, insipid musings of a New Age guru. But if a new hypothesis proves to be correct, quantum effects might indeed play some role in human cognition. Matthew Fisher, a physicist at the University of California, Santa Barbara, raised eyebrows late last year when he published a paper in Annals of Physics proposing that the nuclear spins of phosphorus atoms could serve as rudimentary “qubits” in the brain — which would essentially enable the brain to function like a quantum computer.
As recently as 10 years ago, Fisher’s hypothesis would have been dismissed by many as nonsense. Physicists have been burned by this sort of thing before, most notably in 1989, when Roger Penrose proposed that mysterious protein structures called “microtubules” played a role in human consciousness by exploiting quantum effects. Few researchers believe such a hypothesis plausible. Patricia Churchland, a neurophilosopher at the University of California, San Diego, memorably opined that one might as well invoke “pixie dust in the synapses” to explain human cognition.
The article is here.
Friday, November 25, 2016
Thursday, November 24, 2016
Middle School Suicides Reach An All-Time High
Elissa Nadworny
npr.com
Originally posted November 4, 2016
There's a perception that children don't kill themselves, but that's just not true. A new report shows that, for the first time, suicide rates for U.S. middle school students have surpassed the rate of death by car crashes.
The suicide rate among youngsters ages 10 to 14 has been steadily rising, and doubled in the U.S. from 2007 to 2014, according to the Centers for Disease Control and Prevention. In 2014, 425 young people 10 to 14 years of age died by suicide.
The article and the video are here.
National Suicide Hotline: 1-800-273-8255
npr.com
Originally posted November 4, 2016
There's a perception that children don't kill themselves, but that's just not true. A new report shows that, for the first time, suicide rates for U.S. middle school students have surpassed the rate of death by car crashes.
The suicide rate among youngsters ages 10 to 14 has been steadily rising, and doubled in the U.S. from 2007 to 2014, according to the Centers for Disease Control and Prevention. In 2014, 425 young people 10 to 14 years of age died by suicide.
The article and the video are here.
National Suicide Hotline: 1-800-273-8255
Wednesday, November 23, 2016
Increase in US Suicide Rates and the Critical Decline in Psychiatric Beds
Tarun Bastiampillai, Steven S. Sharfstein, & Stephen Allison
JAMA. Published online November 3, 2016
The closure of most US public mental hospital beds and the reduction in acute general psychiatric beds over recent decades have led to a crisis, as overall inpatient capacity has not kept pace with the needs of patients with psychiatric disorders. Currently, state-funded psychiatric beds are almost entirely forensic (ie, allocated to people within the criminal justice system who have been charged or convicted). Very limited access to nonforensic psychiatric inpatient care is contributing to the risks of violence, incarceration, homelessness, premature mortality, and suicide among patients with psychiatric disorders. In particular, a safe minimum number of psychiatric beds is required to respond to suicide risk given the well-established and unchanging prevalence of mental illness, relapse rates, treatment resistance, nonadherence with treatment, and presentations after acute social crisis. Very limited access to inpatient care is likely a contributing factor for the increasing US suicide rate. In 2014, suicide was the second-leading cause of death for people aged between 10 and 34 years and the tenth-leading cause of death for all age groups, with firearm trauma being the leading method.
Currently, the United States has a relatively low 22 psychiatric beds per 100 000 population compared with the Organisation for Economic Cooperation and Development (OECD) average of 71 beds per 100 000 population. Only 4 of the 35 OECD countries (Italy, Chile, Turkey, and Mexico) have fewer psychiatric beds per 100 000 population than the United States. Although European health systems are very different from the US health system, they provide a useful comparison. For instance, Germany, Switzerland, and France have 127, 91, and 87 psychiatric beds per 100 000 population, respectively.
The article is here.
JAMA. Published online November 3, 2016
The closure of most US public mental hospital beds and the reduction in acute general psychiatric beds over recent decades have led to a crisis, as overall inpatient capacity has not kept pace with the needs of patients with psychiatric disorders. Currently, state-funded psychiatric beds are almost entirely forensic (ie, allocated to people within the criminal justice system who have been charged or convicted). Very limited access to nonforensic psychiatric inpatient care is contributing to the risks of violence, incarceration, homelessness, premature mortality, and suicide among patients with psychiatric disorders. In particular, a safe minimum number of psychiatric beds is required to respond to suicide risk given the well-established and unchanging prevalence of mental illness, relapse rates, treatment resistance, nonadherence with treatment, and presentations after acute social crisis. Very limited access to inpatient care is likely a contributing factor for the increasing US suicide rate. In 2014, suicide was the second-leading cause of death for people aged between 10 and 34 years and the tenth-leading cause of death for all age groups, with firearm trauma being the leading method.
Currently, the United States has a relatively low 22 psychiatric beds per 100 000 population compared with the Organisation for Economic Cooperation and Development (OECD) average of 71 beds per 100 000 population. Only 4 of the 35 OECD countries (Italy, Chile, Turkey, and Mexico) have fewer psychiatric beds per 100 000 population than the United States. Although European health systems are very different from the US health system, they provide a useful comparison. For instance, Germany, Switzerland, and France have 127, 91, and 87 psychiatric beds per 100 000 population, respectively.
The article is here.
Moral Distress in Physicians and Nurses: Impact on Professional Quality of Life and Turnover.
C. L. Austin, R. Saylor, and P. J. Finley
Psychological Trauma: Theory, Research, Practice, and Policy, 2016
Abstract
Objective: The purpose of this study was to investigate moral distress (MD) and turnover intent as related to professional quality of life in physicians and nurses at a tertiary care hospital.
Method: Health care providers from a variety of hospital departments anonymously completed 2 validated questionnaires (Moral Distress Scale–Revised and Professional Quality of Life Scale). Compassion fatigue (as measured by secondary traumatic stress [STS] and burnout [BRN]) and compassion satisfaction are subscales which make up one’s professional quality of life. Relationships between these constructs and clinicians’ years in health care, critical care patient load, and professional discipline were explored.
Results: The findings (n = 329) demonstrated significant correlations between STS, BRN, and MD. Scores associated with intentions to leave or stay in a position were indicative of high verses low MD. We report highest scoring situations of MD as well as when physicians and nurses demonstrate to be most at risk for STS, BRN and MD. Both physicians and nurses identified the events contributing to the highest level of MD as being compelled to provide care that seems ineffective and working with a critical care patient load >50%.
Conclusion: The results from this study of physicians and nurses suggest that the presence of MD significantly impacts turnover intent and professional quality of life. Therefore implementation of emotional wellness activities (e.g., empowerment, opportunity for open dialog regarding ethical dilemmas, policy making involvement) coupled with ongoing monitoring and routine assessment of these maladaptive characteristics is warranted.
The article is here.
Psychological Trauma: Theory, Research, Practice, and Policy, 2016
Abstract
Objective: The purpose of this study was to investigate moral distress (MD) and turnover intent as related to professional quality of life in physicians and nurses at a tertiary care hospital.
Method: Health care providers from a variety of hospital departments anonymously completed 2 validated questionnaires (Moral Distress Scale–Revised and Professional Quality of Life Scale). Compassion fatigue (as measured by secondary traumatic stress [STS] and burnout [BRN]) and compassion satisfaction are subscales which make up one’s professional quality of life. Relationships between these constructs and clinicians’ years in health care, critical care patient load, and professional discipline were explored.
Results: The findings (n = 329) demonstrated significant correlations between STS, BRN, and MD. Scores associated with intentions to leave or stay in a position were indicative of high verses low MD. We report highest scoring situations of MD as well as when physicians and nurses demonstrate to be most at risk for STS, BRN and MD. Both physicians and nurses identified the events contributing to the highest level of MD as being compelled to provide care that seems ineffective and working with a critical care patient load >50%.
Conclusion: The results from this study of physicians and nurses suggest that the presence of MD significantly impacts turnover intent and professional quality of life. Therefore implementation of emotional wellness activities (e.g., empowerment, opportunity for open dialog regarding ethical dilemmas, policy making involvement) coupled with ongoing monitoring and routine assessment of these maladaptive characteristics is warranted.
The article is here.
Tuesday, November 22, 2016
The real problem (of consciousness)
Anil K Seth
Here is an excerpt:
So what underlies being conscious specifically, as opposed to just being awake? We know it’s not just the number of neurons involved. The cerebellum (the so-called ‘little brain’ hanging off the back of the cortex) has about four times as many neurons as the rest of the brain, but seems barely involved in maintaining conscious level. It’s not even the overall level of neural activity – your brain is almost as active during dreamless sleep as it is during conscious wakefulness. Rather, consciousness seems to depend on how different parts of the brain speak to each other, in specific ways.
A series of studies by the neuroscientist Marcello Massimini at the University of Milan provides powerful evidence for this view. In these studies, the brain is stimulated by brief pulses of energy – using a technique called transcranial magnetic stimulation (TMS) – and its electrical ‘echoes’ are recorded using EEG. In dreamless sleep and general anaesthesia, these echoes are very simple, like the waves generated by throwing a stone into still water. But during conscious states, a typical echo ranges widely over the cortical surface, disappearing and reappearing in complex patterns. Excitingly, we can now quantify the complexity of these echoes by working out how compressible they are, similar to how simple algorithms compress digital photos into JPEG files. The ability to do this represents a first step towards a ‘consciousness-meter’ that is both practically useful and theoretically motivated.
The article is here.
Aeon.com
Originally posted November 2, 2016
Here is an excerpt:
So what underlies being conscious specifically, as opposed to just being awake? We know it’s not just the number of neurons involved. The cerebellum (the so-called ‘little brain’ hanging off the back of the cortex) has about four times as many neurons as the rest of the brain, but seems barely involved in maintaining conscious level. It’s not even the overall level of neural activity – your brain is almost as active during dreamless sleep as it is during conscious wakefulness. Rather, consciousness seems to depend on how different parts of the brain speak to each other, in specific ways.
A series of studies by the neuroscientist Marcello Massimini at the University of Milan provides powerful evidence for this view. In these studies, the brain is stimulated by brief pulses of energy – using a technique called transcranial magnetic stimulation (TMS) – and its electrical ‘echoes’ are recorded using EEG. In dreamless sleep and general anaesthesia, these echoes are very simple, like the waves generated by throwing a stone into still water. But during conscious states, a typical echo ranges widely over the cortical surface, disappearing and reappearing in complex patterns. Excitingly, we can now quantify the complexity of these echoes by working out how compressible they are, similar to how simple algorithms compress digital photos into JPEG files. The ability to do this represents a first step towards a ‘consciousness-meter’ that is both practically useful and theoretically motivated.
The article is here.
When Disagreement Gets Ugly: Perceptions of Bias and the Escalation of Conflict
Kathleen A. Kennedy and Emily Pronin
Pers Soc Psychol Bull 2008 34: 833
Abstract
It is almost a truism that disagreement produces conflict. This article suggests that perceptions of bias can drive this relationship. First, these studies show that people perceive those who disagree with them as biased. Second, they show that the conflict-escalating approaches that people take toward those who disagree with them are mediated by people's tendency to perceive those who disagree with them as biased. Third, these studies manipulate the mediator and show that experimental manipulations that prompt people to perceive adversaries as biased lead them to respond more conflictually—and that such responding causes those who engage in it to be viewed as more biased and less worthy of cooperative gestures. In summary, this article provides evidence for a “bias-perception conflict spiral,” whereby people who disagree perceive each other as biased, and those perceptions in turn lead them to take conflict-escalating actions against each other (which in turn engender further perceptions of bias, continuing the spiral).
The article is here.
For those who do marital counseling or work in any adversarial system.
Pers Soc Psychol Bull 2008 34: 833
Abstract
It is almost a truism that disagreement produces conflict. This article suggests that perceptions of bias can drive this relationship. First, these studies show that people perceive those who disagree with them as biased. Second, they show that the conflict-escalating approaches that people take toward those who disagree with them are mediated by people's tendency to perceive those who disagree with them as biased. Third, these studies manipulate the mediator and show that experimental manipulations that prompt people to perceive adversaries as biased lead them to respond more conflictually—and that such responding causes those who engage in it to be viewed as more biased and less worthy of cooperative gestures. In summary, this article provides evidence for a “bias-perception conflict spiral,” whereby people who disagree perceive each other as biased, and those perceptions in turn lead them to take conflict-escalating actions against each other (which in turn engender further perceptions of bias, continuing the spiral).
The article is here.
For those who do marital counseling or work in any adversarial system.
Monday, November 21, 2016
From porkies to whoppers: over time lies may desensitise brain to dishonesty
Hannah Devlin
The Guardian
Originally posted October 24, 2016
Here is an excerpt:
Now scientists have uncovered an explanation for why telling a few porkies has the tendency to spiral out of control. The study suggests that telling small, insignificant lies desensitises the brain to dishonesty, meaning that lying gradually feels more comfortable over time.
Tali Sharot, a neuroscientist at University College London and senior author, said: “Whether it’s evading tax, infidelity, doping in sports, making up data in science or financial fraud, deceivers often recall how small acts of dishonesty snowballed over time and they suddenly found themselves committing quite large crimes.”
Sharot and colleagues suspected that this phenomenon was due to changes in the brain’s response to lying, rather than simply being a case of one lie necessitating another to maintain a story.
The article is here.
The Guardian
Originally posted October 24, 2016
Here is an excerpt:
Now scientists have uncovered an explanation for why telling a few porkies has the tendency to spiral out of control. The study suggests that telling small, insignificant lies desensitises the brain to dishonesty, meaning that lying gradually feels more comfortable over time.
Tali Sharot, a neuroscientist at University College London and senior author, said: “Whether it’s evading tax, infidelity, doping in sports, making up data in science or financial fraud, deceivers often recall how small acts of dishonesty snowballed over time and they suddenly found themselves committing quite large crimes.”
Sharot and colleagues suspected that this phenomenon was due to changes in the brain’s response to lying, rather than simply being a case of one lie necessitating another to maintain a story.
The article is here.
A Theory of Hypocrisy
Eric Schwitzgebel
The Splintered Mind blog
Originally posted on October
Here is an excerpt:
Furthermore, if they are especially interested in the issue, violations of those norms might be more salient and visible to them than for the average person. The person who works in the IRS office sees how frequent and easy it is to cheat on one's taxes. The anti-homosexual preacher sees himself in a world full of gays. The environmentalist grumpily notices all the giant SUVs rolling down the road. Due to an increased salience of violations of the norms they most care about, people might tend to overestimate the frequency of the violations of those norms -- and then when they calibrate toward mediocrity, their scale might be skewed toward estimating high rates of violation. This combination of increased salience of unpunished violations plus calibration toward mediocrity might partly explain why hypocritical norm violations are more common than a purely strategic account might suggest.
But I don't think that's enough by itself to explain the phenomenon, since one might still expect people to tend to avoid conspicuous moral advocacy on issues where they know they are average-to-weak; and even if their calibration scale is skewed a bit high, they might hope to pitch their own behavior especially toward the good side on that particular issue -- maybe compensating by allowing themselves more laxity on other issues.
The blog post is here.
The Splintered Mind blog
Originally posted on October
Here is an excerpt:
Furthermore, if they are especially interested in the issue, violations of those norms might be more salient and visible to them than for the average person. The person who works in the IRS office sees how frequent and easy it is to cheat on one's taxes. The anti-homosexual preacher sees himself in a world full of gays. The environmentalist grumpily notices all the giant SUVs rolling down the road. Due to an increased salience of violations of the norms they most care about, people might tend to overestimate the frequency of the violations of those norms -- and then when they calibrate toward mediocrity, their scale might be skewed toward estimating high rates of violation. This combination of increased salience of unpunished violations plus calibration toward mediocrity might partly explain why hypocritical norm violations are more common than a purely strategic account might suggest.
But I don't think that's enough by itself to explain the phenomenon, since one might still expect people to tend to avoid conspicuous moral advocacy on issues where they know they are average-to-weak; and even if their calibration scale is skewed a bit high, they might hope to pitch their own behavior especially toward the good side on that particular issue -- maybe compensating by allowing themselves more laxity on other issues.
The blog post is here.
Sunday, November 20, 2016
Vignette 35: Initial Telepsychology Session for Free?
Dr. Larry Ellison, a psychologist colleague, contacts you about a marketing plan for his telepsychology services. He has over 1,000 followers on Twitter and a strong social media presence on Facebook. His plan is this: He wants to offer one free psychotherapy session to potential patients. He explains he is trying to promote his telepsychology practice and show that psychologists are open, friendly, and willing to help, potentially for free to get treatment started. The overarching goal is to develop a robust telepsychology practice.
Knowing the rules of his state, Dr. Ellison will make it clear that services are only available in the states that he is licensed. Dr. Ellison will use a HIPAA-compliant videoconferencing service. He is looking for general feedback, such as thoughts on a good marketing plan or any ethical concerns.
Upon hearing his plan, do you have any ethical concerns about this marketing plan?
What are some of the practical or potential pitfalls of this plan?
What are some of the overarching ethical principles involved in this decision?
What state laws would you consider to help make this decision?
Knowing the rules of his state, Dr. Ellison will make it clear that services are only available in the states that he is licensed. Dr. Ellison will use a HIPAA-compliant videoconferencing service. He is looking for general feedback, such as thoughts on a good marketing plan or any ethical concerns.
Upon hearing his plan, do you have any ethical concerns about this marketing plan?
What are some of the practical or potential pitfalls of this plan?
What are some of the overarching ethical principles involved in this decision?
What state laws would you consider to help make this decision?
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