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a venture capitalist sent me this article...

January 12, 2010 – 02:46

provocative material that speaks for itself:

This unnerving possibility springs from recent research by a loose group of anthropologists and cross-cultural psychiatrists. Swimming against the biomedical currents of the time, they have argued that mental illnesses are not discrete entities like the polio virus with their own natural histories. These researchers have amassed an impressive body of evidence suggesting that mental illnesses have never been the same the world over (either in prevalence or in form) but are inevitably sparked and shaped by the ethos of particular times and places. In some Southeast Asian cultures, men have been known to experience what is called amok, an episode of murderous rage followed by amnesia; men in the region also suffer from koro, which is characterized by the debilitating certainty that their genitals are retracting into their bodies. Across the fertile crescent of the Middle East there is zar, a condition related to spirit-possession beliefs that brings forth dissociative episodes of laughing, shouting and singing.

The diversity that can be found across cultures can be seen across time as well. In his book “Mad Travelers,” the philosopher Ian Hacking documents the fleeting appearance in the 1890s of a fugue state in which European men would walk in a trance for hundreds of miles with no knowledge of their identities. The hysterical-leg paralysis that afflicted thousands of middle-class women in the late 19th century not only gives us a visceral understanding of the restrictions set on women’s social roles at the time but can also be seen from this distance as a social role itself — the troubled unconscious minds of a certain class of women speaking the idiom of distress of their time.

“We might think of the culture as possessing a ‘symptom repertoire’ — a range of physical symptoms available to the unconscious mind for the physical expression of psychological conflict,” Edward Shorter, a medical historian at the University of Toronto, wrote in his book “Paralysis: The Rise and Fall of a ‘Hysterical’ Symptom.” “In some epochs, convulsions, the sudden inability to speak or terrible leg pain may loom prominently in the repertoire. In other epochs patients may draw chiefly upon such symptoms as abdominal pain, false estimates of body weight and enervating weakness as metaphors for conveying psychic stress.”

 

Posted by Mindsite in madness | 0 comments

More on antidepressant efficacy

January 5, 2010 – 22:30

wondering if it is about to turn into an anything goes environment in mental health...

(PhysOrg.com)  A study of 30 years of antidepressant-drug treatment data published today in the Journal of the American Medical Association shows that the benefit of antidepressant medication compared with placebo may be minimal or nonexistent in patients with mild or moderate symptoms. University of Pennsylvania researchers say, however, the benefit of medications is substantial for patients with very severe depression.

a perpetual existential crisis

October 29, 2009 – 13:58

Tough to pass up on posting this article about mental health and Kierkegaard.

These days, confide to someone that you are in despair and he or she will likely suggest that you seek out professional help for your depression. While despair used to be classified as one of the seven deadly sins, it has now been medicalized and folded into the concept of clinical depression. If Kierkegaard were on Facebook or could post a You Tube video, he would certainly complain that we, who have listened to Prozac, have become deaf to the ancient distinction between psychological and spiritual disorders, between depression and despair.

There is abundant chatter today about “being spiritual” but scarcely anyone believes that a person can be of troubled mind and healthy spirit. Nor can we fathom the idea that the happy wanderer, who is all smiles and has accomplished everything on his or her self-fulfillment list, is, in fact, a case of despair. But while Kierkegaard would have agreed that happiness and melancholy are mutually exclusive, he warns, “Happiness is the greatest hiding place for despair.”

 

Chaos and Creativity

October 6, 2009 – 21:45

Great article from Benedict Carey at the NY Times on 'creative inputs.'

In addition to assorted bad breaks and pleasant surprises, opportunities and insults, life serves up the occasional pink unicorn. The three-dollar bill; the nun with a beard; the sentence, to borrow from the Lewis Carroll poem, that gyres and gimbles in the wabe.

An experience, in short, that violates all logic and expectation. The philosopher Soren Kierkegaard wrote that such anomalies produced a profound “sensation of the absurd,” and he wasn’t the only one who took them seriously. Freud, in an essay called “The Uncanny,” traced the sensation to a fear of death, of castration or of “something that ought to have remained hidden but has come to light.”

At best, the feeling is disorienting. At worst, it’s creepy.

Now a study suggests that, paradoxically, this same sensation may prime the brain to sense patterns it would otherwise miss — in mathematical equations, in language, in the world at large.

 

when a DSM-IV 'disorder' is a competitive advantage

September 22, 2009 – 18:45

There is an interesting article in the Harvard Business Review this month about a Danish company run by Thorikil Sonne that preferentially hires IT workers who are on the autistic spectrum.  Thorikil notes in a related Wired article that "this is not cheap labor, and it's not occupational therapy," he says. "We simply do a better job."  

Mindsite has always been a big fan of the 'neurotypical' movement, a summary of which is below:

Neurotypical syndrome is a neurobiological disorder characterized by preoccupation with social concerns, delusions of superiority, and obsession with conformity.

Neurotypical individuals often assume that their experience of the world is either the only one, or the only correct one. NTs find it difficult to be alone. NTs are often intolerant of seemingly minor differences in others. When in groups NTs are socially and behaviorally rigid, and frequently insist upon the performance of dysfunctional, destructive, and even impossible rituals as a way of maintaining group identity. NTs find it difficult to communicate directly, and have a much higher incidence of lying as compared to persons on the autistic spectrum.

NT is believed to be genetic in origin. Autopsies have shown the brain of the neurotypical is typically smaller than that of an autistic individual and may have overdeveloped areas related to social behavior.

Tragically, as many as 9625 out of every 10,000 individuals may be neurotypical.

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