Blog posts tagged mental health

Wolfram Schultz from Cambridge on the biochemistry of ego and wealth

June 29, 2009 – 14:12

Primative reward, computer brain models, evolutionary psychology, neurochemistry, mental health, and money.  In a "Hot Topics" paper from Sciencewatch, Wolfram Schultz talks (mp3 link) [great 10 minute audio file] about reward and behavior - some very interesting insights into a number of subjects not limited to happiness, economics, and utility theory.

There are no particular sensory receptors through which the brain is specifically informed about the occurrence of a reward event or object. Thus the brain cannot identify a reward from the activation of a neural "labeled reward line." The brain needs to extract the reward information through its own neural mechanisms.

To investigate this we need to define what a reward is, and this should be based on behavior. Ideally, the same definition would hold for vegetative rewards, like food, liquid, and sex, as well as for more elaborate rewards, like money that we use for daily decisions.

The paper describes some of the basic behavioral theories relating to reward, namely animal learning theory from experimental psychology, and utility theory from microeconomics. Through neuroscience it connects entirely different scientific disciplines.

If you are interested in a more digestable version of what Schultz's work touches on, Money magazine has a great article from 2002.

...Schultz studies the workings of dopamine, the brain chemical that gives you a "natural high." Dopamine is what makes you feel good when a stock you buy goes up, and neurons transmit that chemical to many parts of the brain, including the nucleus accumbens. The latest scientific discoveries about dopamine have huge implications for investing.

First, your brain loves long shots. The less likely or predictable a reward is, the more active your dopamine neurons become and the longer they fire--flooding your brain with a soft euphoria. "That positive reinforcement," says Schultz, "creates a special kind of attention dedicated to rewards. Rewards are what keep you coming back for more." That release of dopamine after an unexpected reward makes humans willing to take risks. Without it, explains Baylor's Read Montague, our early ancestors might have starved to death cowering in caves, and we modern investors would keep all our money under our mattresses.

The dopamine rush we get from long shots is why we play lotto, invest in IPOs, keep too much money in too few stocks and invest with active portfolio managers instead of index funds. It's why phrases like "the next Microsoft" or "the next Peter Lynch" make us whip out our wallets. Even if you've never experienced such a big score, you're wired to want them. Dopamine makes winning big feel vastly better than just winning--and the prospect of its euphoric effect prevents us from focusing on how small the odds of winning big actually are.

Professionals' mental health?

June 23, 2009 – 14:47

Another great article from the NY Times on the mind, this time from Elissa Ely. 

Psychiatry is a relatively safe profession, but it has a hazard that is not apparent at first glance: if you are in it long enough, there may be no one to talk to about your own problems.

Sometimes the situation is clear. During my training there was a formidable psychiatrist who disappeared periodically. Everyone knew she was being hospitalized for a recurrent manic psychosis, and that she would be back to intimidate the trainees as soon as medications had stabilized her.

Why focus on mental health?

December 6, 2007 – 21:25

Why start a company focused on mental health? It’s a good question and a great subject for our first blog post. At a 10,000 foot level, we think that online consumers' needs are not very well met and that many people are looking for answers to real offline problems.

Widespread Problem – The incidence of mental illness is much more widespread than most people might think. The World Health Organization estimates that 1 of 4 US adults experience a mental health illness during the course of a year. Despite the large amount of mental health illnesses, three quarters of the individuals with an illness do not seek professional treatment.

Social Stigma – Mental health is one of those topics that is not widely discussed. While there are many reasons for this – access to healthcare, costs, motivation, beliefs – one of the primary drivers is the negative stigma sometimes associated with mental health treatment.

Professional Confusion – Mental health treatment remains one of the most contentious fields in medicine. There is widespread disagreement between different professional groups about what actually works for various mental health problems. Even if you normalize your professional sampling to one group, you’ll find significant disagreement in terms of what type of treatments are recommended depending on who you see. As a consumer, the situation can be highly confusing.

We think that David Brendel sums it up best in his recent book “Healing Psychotherapy: Bridging the Science/Humanism Divide” when he writes:

“The human sciences at the beginning of the twenty-first century remain mired in a quite serious and abiding conceptual crisis. Nowhere is this crisis more urgent than the area in which I practice, psychiatry, which faces an ongoing ethical challenge to define what it means to be a human subject in an increasingly scientific era of genetics, neurobiology, and psychopharmacology-and in a fast paced world that craves self-help books and that seeks the kind of quick fix that popular television psychologists dispense to millions of their viewers each day. Thoughtful, deliberative, tentative accounts of human experience and suffering are hard to come by these days.”

The Internet is ubiquitous, private, and able to bring coherence to large amounts of data. Although our website is not live yet, we think that our approach may have a reasonably good chance of fundamentally improving the field of mental health for the world by better informing common questions about what works for different types of problems.

Add to Technorati Favorites