Skeptophilia (skep-to-fil-i-a) (n.) - the love of logical thought, skepticism, and thinking critically. Being an exploration of the applications of skeptical thinking to the world at large, with periodic excursions into linguistics, music, politics, cryptozoology, and why people keep seeing the face of Jesus on grilled cheese sandwiches.
Showing posts with label addiction. Show all posts
Showing posts with label addiction. Show all posts

Saturday, May 28, 2022

Social media dissociation

I suspect that many of my readers will resonate with my desire to fritter away less time on social media.

I don't mean the actual "social" part of social media.  I have friends whom I seldom if ever get to see, and especially since the pandemic started, visiting online is about my only opportunity.  I greatly value those conversations.  What I'm referring to is the aimless scrolling, looking for new content, any new content.  Trying to find a distraction even though I know that a dozen other things, from listening to some music, to playing with my dogs, to going for a run -- even weeding the garden -- will leave me feeling better.

But -- once again, as I'm sure many of you can attest -- it can be exceedingly hard to say "enough" and close the app.  It was one thing when your connectivity had to be via a desktop or laptop computer; but now that just about all of us (even me, Luddite though I am) are carrying around our social media addiction in our pockets, it's way too easy to say "just a few more minutes" and drop back into the world of scrolling.

One effect I've noticed it's had on me is a shortening of my attention span.  Something has to be absolutely immersive to keep my attention for over five minutes.  Two of my favorite YouTube science channels, the wonderful Veratasium and physicist Sabine Hossenfelder's awesome Science Without the Gobbledygook, have videos that average at about ten to twelve minutes long, and man... sometimes that is a struggle, however fascinating the topic.

I don't like this trend.  I won't say I've ever had the best of focus -- distractions and my wandering mind have been issues since I was in grade school -- but social media have made it considerably worse.  Frequently I think about how addicted I am to scrolling, and it's a real cause of worry.

But then I start scrolling again and forget all about it.

That last bit was the subject of a study from the University of Washington that was presented last month at the CHI Conference on Human Factors in Computing Systems.  In, "'I Don’t Even Remember What I Read': How Design Influences Dissociation on Social Media," a team led by Amanda Baughan looked at how social media apps are actually designed to have this exact effect -- and that although we frequently call it an addiction, it is more accurately described as dissociation.

"Dissociation is defined by being completely absorbed in whatever it is you're doing," Baughan said, in an interview with Science Daily.  "But people only realize that they've dissociated in hindsight.  So once you exit dissociation there's sometimes this feeling of: 'How did I get here?'  It's like when people on social media realize: 'Oh my gosh, how did thirty minutes go by?  I just meant to check one notification.'"

Which is spot-on.  Even the title is a bullseye; after a half-hour on Twitter, I'd virtually always be hard-pressed to tell you the content of more than one or two of the tweets I looked at.  The time slips by, and it feels very much like I glance up at the clock, and three hours are gone without my having anything at all to show for it.

It always reminds me of a quote from C. S. Lewis's The Screwtape Letters.  While I (obviously) don't buy into the theology, his analysis of time-wasting by the arch-demon Screwtape is scarily accurate:
As this condition becomes more fully established, you will be gradually freed from the tiresome business of providing Pleasures as temptations.  As the uneasiness and his reluctance to face it cut him off more and more from all real happiness, and as habit renders the pleasures of vanity and excitement and flippancy at once less pleasant and harder to forgo (for that is what habit fortunately does to a pleasure) you will find that anything or nothing is sufficient to attract his wandering attention.  You no longer need a good book, which he really likes, to keep him from his prayers or his work or his sleep; a column of advertisements in yesterday’s paper will do.  You can make him waste his time not only in conversation he enjoys with people whom he likes, but in conversations with those he cares nothing about on subjects that bore him.  You can make him do nothing at all for long periods.  You can keep him up late at night, not roistering, but staring at a dead fire in a cold room.  All the healthy and outgoing activities which we want him to avoid can be inhibited and nothing given in return, so that at last he may say, as one of my own patients said on his arrival down here [in hell], "I now see that I spent most of my life in doing neither what I ought nor what I liked."

That last line, especially, is a fair knockout, and it kind of makes me suspicious that social media may have been developed down in hell after all.

Baughan, however, says maybe we shouldn't be so hard on ourselves.  "I think people experience a lot of shame around social media use," she said.  "One of the things I like about this framing of 'dissociation' rather than 'addiction' is that it changes the narrative.  Instead of: 'I should be able to have more self-control,' it's more like: 'We all naturally dissociate in many ways throughout our day -- whether it's daydreaming or scrolling through Instagram, we stop paying attention to what's happening around us.'"

Even so, for a lot of us, it gets kind of obsessive at times.  It's worse when I'm anxious or depressed, when I crave a distraction not only from unpleasant external circumstances but from the workings of my own brain.  And it's problematic that when that occurs, the combination of depression and social media create a feedback loop that keeps me from seeking out activities -- which sometimes just means turning off the computer and doing something, anything, different -- that will actually shake me out of my low mood.

But she's right that shaming ourselves isn't productive, either.  Maybe a lot of us could benefit by some moderation in our screen time, but self-flagellation doesn't accomplish anything.  I'm not going to give up on social media entirely -- like I said, without it I would lose touch with too many contacts I value -- but setting myself some stricter time limits is probably a good idea.

And now that you've read this, maybe it's time for you to shut off the device, too.  What are you going to do instead?  I think I'll go for a run.

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Saturday, November 10, 2012

Source credibility and the legalization of marijuana

A particularly subtle problem in establishing whether a claim is pseudoscience, or at least flawed, has to do with source credibility.  Note that I didn't say credentials; there are plenty of smart, well-read, logical people with no degree in the field in question, and whose arguments I would consider carefully, and I've met more than one Ph.D. who gave every evidence of being a raving wackmobile.

Credibility is a different thing than a piece of paper with some Latin hanging on your wall.  It has to do with establishing that you understand the basics of rational argumentation, that you are familiar with the fundamental principles of science, and that you don't have a particular vested interest or agenda.

A particularly good example of this came my way yesterday, in the form of a New York Times editorial piece written by Dr. Ed Gogek, entitled "A Bad Trip for Democrats."  The gist of the article is that the legalization of marijuana in Colorado and Washington last week is a terrible idea.  His arguments:
  • 90-some-odd percent of patients who have been prescribed medical marijuana received it to alleviate pain.  Pain, Gogek says, is "easy to fake and almost impossible to disprove."  Further, chronic pain patients are mostly female, while 74% of marijuana users are male.
  • Medical use of marijuana for glaucoma is no longer recommended.
  • Marijuana is addictive, despite claims that it's not.
  • Use of marijuana lowers cognitive function.
He then ends with an interesting statement:
In effect, America now has two tea parties: on the left they smoke their tea; on the right they throw it in Boston Harbor. Both distrust government, disregard science and make selfish demands that would undermine the public good. 
Now, let me be up front about the fact that I am not a pharmacologist, and am not qualified to evaluate the soundness of clinical studies of the efficacy of THC for treating glaucoma.  I do know enough neuroscience, however, to doubt his claims that marijuana is addictive; most addictive substances create addiction one of two ways, either by activating the brain's dopamine-loop pathway (such as cocaine) or by creating a rebound effect if you stop (such as heroin).  Marijuana does neither, so I have a hard time seeing how it could be addictive in the strict sense of the word.

I'm also skeptical of his suggestion that claims of chronic pain are being used as excuses to obtain marijuana.  While in one sense he is right -- it's impossible to prove, or disprove, that someone is in pain -- the idea that a significant number of patients who claim to be in chronic pain are lying remains very much to be seen.

However, even with all of those questions about Gogek's statements, I would not have been prompted to write about him on Skeptophilia if it hadn't been for one additional thing I discovered about him:

Dr. Gogek is a homeopath.

He doesn't state that anywhere in his piece; at the end, his bio statement says, "Dr. Ed Gogek is an addiction psychiatrist and a board member of Keep AZ Drug Free."  But whenever I have questions about a study -- or even a brief editorial, like this one -- I always want to find out what the writer's background is, to see how credible a source (s)he is.  And lo and behold, a quick search brought me to Dr. Gogek's homepage, wherein he makes the following statement:
Many people think homeopathy refers to all forms of alternative medicine, but it’s actually one specific type of alternative practice, very different from nutrition and herbs. Classical homeopathy works well for most medical and psychiatric problems. For people in psychotherapy or suffering from addictions, it removes roadblocks, and speeds the recovery process. And the right homeopathic remedy will also transform marriages and other significant relationships. Nothing heals and transforms a person’s life like the right homeopathic remedy.

In my experience, homeopathy can help all psychiatric problems except ADHD and schizophrenia. However, it works exceptionally well for anxiety disorders (panic attacks, social anxiety, specific phobias, PTSD and OCD), bulimia, sex and love addiction, and anger. It’s also very helpful for personality disorders and unusual problems that defy easy diagnosis.
My immediate reaction was, "And you're lecturing other people about disregarding science?"

Now, please note that the immediate loss of scientific credibility that this engenders doesn't mean that Dr. Gogek's original argument was entirely wrong (any more than a Ph.D. means a person is always right).  But it does tell me one thing; he has a serious difficulty with looking at a body of evidence, and concluding correctly whether that body of evidence supports a particular conclusion.  There have been hundreds, perhaps thousands, of controlled, double-blind experiments testing homeopathy, and not one has produced any clinically relevant results.  Not one.  The fact that he is unaware of this, or perhaps ignoring it or rationalizing it away, makes me look at other conclusions he draws with a wry eye.

Now, as far as the legalization of marijuana, please understand; I don't have a dog in this race.  I'm not a user, and have no intent to become one.  I do find it curious that tobacco, which is clearly a more dangerous drug, is not only legal, but federally subsidized, while marijuana possession can land you in jail in most states; but that isn't the only weird internal contradiction in our legal code.  What I do want to make abundantly clear, however, is that when something appears in print -- even in The New York Times -- it is always worthwhile to check source credibility.  Things, as Buttercup points out in H.M.S. Pinafore, are seldom what they seem.