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 schizophrenia. Show all posts
Showing posts with label schizophrenia. Show all posts

Thursday, January 9, 2020

Lying down with dogs

We love our dogs, but there are times when we look straight into their big brown eyes and say, "You are the reason we can't have nice things."

Of course, given that neither of our dogs are known for their excessive brain power, they usually respond by wagging cheerfully.


Sometimes I think our dogs are not so much pets as a pair of home demolition experts.  Both of them track mud everywhere, a problem made worse by Guinness's love of swimming in our pond.


There's also the issue that when he chases his tennis ball -- his all-time favorite occupation, one that he is capable of doing for hours on end -- he performs his catches with all the grace and subtlety of a baseball player sliding into home.  The result is that he has torn our back lawn into a wasteland of rutted dirt, which in early spring when the snow melts turns into a giant mud puddle.  We've been renovating our walk-out basement, and while considering what flooring to put in, I suggested that we simply spread an enormous plastic tarp on the floor and call it good.

Carol felt that this didn't set the right aesthetic for our home, and I suppose she's right,  but it would certainly be easier to keep clean.

And it'd be nice if tracking dirt everywhere was all they did.  Guinness (code name: El Destructo) has a great love of chewing stuff, and despite having approximately 1,485 chew toys, he is constantly finding stuff to tear up that isn't technically his.  So far, we've lost shoes, slippers, books, paintbrushes, pieces of unopened mail, a set of iPod headphones, and so many cardboard boxes that I've lost count.  He's also an accomplished counter surfer, and just a couple of weeks ago he snagged a half-pound of expensive French brie, something we still haven't quite forgiven him for.

I guess I didn't realize that when we picked him out at the shelter, we were on the Bad Doggie Aisle.  That'll teach me not to read the signs more carefully.

Anyhow, when we ask our dogs, "So, what good are you two, anyway?", they don't generally have any answer unless you count cheerful wagging.  But maybe they will now -- because two papers, one in the Journal of Pediatric Allergy and Immunology and the other in PLOS-One, have shown that dogs actually do have a positive contribution to make (above and beyond companionship), especially to the health of children.

In the first, "Early Exposure to Cats, Dogs and Farm Animals and the Risk of Childhood Asthma and Allergy," by a team led by Vincent Ojwang of Tampere University (Finland), we find that children living with dogs and/or cats when they're very young have a statistically significant lower chance of allergies, asthma, and eczema than children who don't.  The mechanism is poorly understood -- it may have something to do with early exposure to dirt and pet dander desensitizing children to harmless antigens -- but the effect was clear.  The sample size was nearly four thousand, so it's not an inconsequential result.  (Interestingly, the correlation with farm animals was uncertain, perhaps because farm animals aren't in the home and exposure to them is not only more limited, it's more likely to occur in the open air where concentrations of dust and dander are lower.)

The second, "Exposure to Household Pet Cats and Dogs in Childhood and Risk of Subsequent Diagnosis of Schizophrenia or Bipolar Disorder," by a team led by Robert Yolken of Johns Hopkins, found that (even when you control for other factors), a child who lived with a pet dog for a significant amount of time before age thirteen was 24% less likely to be diagnosed later with schizophrenia.  (There was no similar correlation with cat ownership; the reason is unclear.)

As with the allergy/asthma study, the mechanism behind this correlation is uncertain.  "Serious psychiatric disorders have been associated with alterations in the immune system linked to environmental exposures in early life, and since household pets are often among the first things with which children have close contact, it was logical for us to explore the possibilities of a connection between the two," Yolken said in an interview with Science Daily.  "Previous studies have identified early life exposures to pet cats and dogs as environmental factors that may alter the immune system through various means, including allergic responses, contact with zoonotic bacteria and viruses, changes in a home's microbiome, and pet-induced stress reduction effects on human brain chemistry...  [Some researchers] suspect that this immune modulation may alter the risk of developing psychiatric disorders to which a person is genetically or otherwise predisposed."

So I suppose I must grudgingly admit that our dogs actually might serve some purpose other than getting hair all over the sofa, barking at the UPS guy, and chasing away terrifying intruders like chipmunks.  Maybe we should credit their dirt-spreading capacity with the fact that our sons are both completely healthy and allergy-free.  At this point, though, since Carol and I are both clearly adults, they can lay off changing our home's microbiome.  I'll accept the risk of developing an allergy if I don't have to put up with Lena lying down next to me after having rolled in a rancid squirrel carcass.

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This week's Skeptophilia book of the week is simultaneously one of the most dismal books I've ever read, and one of the funniest; Tom Phillips's wonderful Humans: A Brief History of How We Fucked It All Up.

I picked up a copy of it at the wonderful book store The Strand when I was in Manhattan last week, and finished it in three days flat (and I'm not a fast reader).  To illustrate why, here's a quick passage that'll give you a flavor of it:
Humans see patterns in the world, we can communicate this to other humans and we have the capacity to imagine futures that don't yet exist: how if we just changed this thing, then that thing would happen, and the world would be a slightly better place. 
The only trouble is... well, we're not terribly good at any of those things.  Any honest assessment of humanity's previous performance on those fronts reads like a particularly brutal annual review from a boss who hates you.  We imagine patterns where they don't exist.  Our communication skills are, uh, sometimes lacking.  And we have an extraordinarily poor track record of failing to realize that changing this thing will also lead to the other thing, and that even worse thing, and oh God no now this thing is happening how do we stop it.
Phillips's clear-eyed look at our own unfortunate history is kept from sinking under its own weight by a sparkling wit, calling our foibles into humorous focus but simultaneously sounding the call that "Okay, guys, it's time to pay attention."  Stupidity, they say, consists of doing the same thing over and over and expecting different results; Phillips's wonderful book points out how crucial that realization is -- and how we need to get up off our asses and, for god's sake, do something.

And you -- and everyone else -- should start by reading this book.

[Note: if you purchase this book using the image/link below, part of the proceeds goes to support Skeptophilia!]





Thursday, November 23, 2017

Empathy training

A couple of days ago, I had a migraine.

I was fortunate in a couple of respects.  First, I hardly get migraines at all any more -- by comparison with my early twenties, a period in my life during which I was getting them two or three times a week.  Second, this one was pretty mild.  Not much in the way of pain, and no nausea.  When I used to get migraines, it came with pain so bad it felt like someone had my head trapped in a vise, not to mention gut-twisting nausea, sometimes for 24 hours straight.

Mostly what I experienced this time was visual disturbances and generalized brain fog.  When I get a migraine, lights are uncomfortably bright -- I feel like I need to wear sunglasses indoors -- and anything shiny or reflective has a halo or starburst surrounding it.  My hearing also gets terribly sensitive, and there's something about the quality of the sound that changes.  Everything has a weird, echoic sound, even my internal chatter -- the closest I can come to describing it is that it feels like my head is hollow, and there's someone in that empty space shouting at the top of his lungs.

The brain fog is a little hard to describe, too.  I honestly don't remember large chunks of the day.  I didn't feel bad enough to justify staying home from school, although I should have; heaven only knows what I told my classes.  I suspect that if I'd said anything too dopey, someone would have asked me what the hell was wrong with me (my students are just up-front and honest like that), and no one did.  But I do recall feeling a little disembodied, like I was watching someone else go through the motions of the day, but not really fully understanding what I was seeing and hearing.

Luckily for me, after a good night's sleep I felt a great deal better, although still a little foggier than usual.  But what it makes me realize is how impossible it is for someone who hasn't experienced something like a migraine to understand fully what it's like.  The painkiller company Excedrin has created virtual reality goggles that recreate some of the visual effects, and it's well worth watching; one of the non-migraine-sufferers who wore the goggles for a few minutes said, "Oh, my God, I don't even know how you function."

Of course, the same could be said about any debilitating disease.  Depression.  Fibromyalgia.  Chronic fatigue syndrome.  Chronic back pain.  Trigeminal neuralgia.  Obsessive-compulsive disorder.  Bipolar disorder.  Multiple sclerosis.  Schizophrenia.  About this last one, Anderson Cooper spent some time wearing earphones that simulated what it was like for a person to hear voices, and what has struck me every time I've seen it is how it destroyed his ability to focus and left him completely wrung out emotionally -- even though he knew the whole time that it was a simulation.

It's why I get a little defensive when I see stuff like this:


You know what?  If you haven't experienced depression, I can almost guarantee that you don't get it.  Some of us are only alive because of antidepressants.  You can rail against "Big Pharma" all you want, but if -- as is the case with a friend of mine -- someone is only able to lead a normal life because of some medication that causes the firestorm in their brain to calm to manageable proportions, then you have no damn right to give them another thing to feel inadequate about.

And the same is true of all the other chronic illnesses, especially the ones that produce few obvious outward symptoms.  You can remedy this to some extent by talking to people who actually live with disorders like these, or better still, try a migraine simulator or schizophrenia simulator.  I can almost guarantee that afterwards you will be far less hasty to conclude that the people with these conditions need to just "suck it up and deal," or (worse) "get over it," or (worst of all) that they're faking it.

Believe me, when I was in the throes of a full-blown migraine, I would have given damn near anything to be rid of it permanently.  Sucking it up and dealing wasn't really high on my priorities list.  I was more concerned with wondering if I would ever be able to leave my darkened room for any other reason than running to the bathroom to puke.

It's all about empathy, really.  Just because you are lucky enough not to suffer from a particular illness (or, if you're extraordinarily lucky, any chronic illnesses at all), don't roll your eyes at others for doing what they need to in order to cope.  Spend some time thinking what it would be like to inhabit another person's body and brain -- perhaps a body and brain that don't cooperate as readily as yours do.

It brings back to mind something a wise family friend told me when I was about ten, after I was complaining about how hard it was to be nice to a particular classmate of mine.  "Always be more compassionate than you think you need to be," she said.  "Because everyone you meet is fighting a terrible battle that you know nothing about."

Monday, August 14, 2017

Giving weight to illusion

The idea that our sensory processing apparatus and our brains are unreliable has been something I've come back to again and again here at Skeptophilia.  "I saw it with my own eyes" is simply not enough evidence by which to make any kind of sound scientific judgment.

Not only are we likely to get things wrong just because the equipment is faulty, our prior ideas can predispose us to get things wrong in a particular way.  Think of it as a sort of built-in confirmation bias; our brains are set up in such a fashion that when we've already decided what's going to happen, it's much more likely that's what we'll perceive.

This latter problem was demonstrated in an elegant, if disturbing, fashion in a paper released last week in Science called "Pavlovian Conditioning–Induced Hallucinations Result From Overweighting of Perceptual Priors," by Albert R. Powers, Christoph Mathys, and Philip R. Corlett, of the Yale School of Medicine, the International School for Advanced Studies (Trieste, Italy), and the University of Zurich, respectively.  Their research springboarded from previous studies wherein individuals who had been trained to associate a tone with an image were more likely to continue "hearing" the tone when shown the image with no accompanying tone than were members of a control group.

[image courtesy of the Wikimedia Commons]

What Corlett's team did was to divide participants into four groups: normal, healthy individuals; self-described psychics; individuals with psychosis who did not report hearing voices; and individuals with schizophrenia who reported hearing voices.  The researchers trained all test subjects to associate a checkerboard image with a one second long, one kilohertz tone.  They not only recorded data on which participants continued to "hear" an illusory tone when shown the checkerboard in silence, they also used a protocol (how hard they pushed the button when they heard the tone, whether real or imagined) to gauge their confidence in what they were experiencing, and they looked at neuronal activity in the brain using an fMRI machine.

The results were intriguing, to say the least.  Both the schizophrenics and the self-described psychics were five times as likely to report hearing a tone when none existed than either the control group of healthy individuals or the psychotic individuals who did not hear voices.  Not only that, the schizophrenics and the psychics were 28% more confident in their perceptions when they did hear a tone that wasn't there than were the other two groups when they made a similar mistake.

Further, the schizophrenics and psychics showed abnormal neuronal activity in two regions of the brain; the parts of the cerebrum involved in creating our internal representation of reality showed strikingly different firing patterns, and the cerebellum -- the part of the brain involved in planning and coordinating our motor responses to stimuli -- showed much lower than normal neuronal activity.

"The findings confirm that, when it comes to how we perceive the world, our ideas and beliefs can easily overpower our senses," said Albert Powers, one of the paper's authors.  Which is about as succinct a cautionary statement about trusting our judgments as I can imagine.

While the researchers specifically tested the likelihood of experiencing auditory hallucinations, I find myself wondering if this study might not have wider applications.  How do our prior perceptions bias us in general?  I know I have frequently been baffled, especially in these fractious times, how two people can see the same event and come to strikingly opposite conclusions about it.  At times, I have found myself asking, "Are we even talking about the same thing, here?"  But if our preconceived notions about the world can bias us strongly enough to hear sounds that aren't there, why should any other perception be immune to the same effect?

This possibility drives me to a disturbing conclusion.  How do you convince people that what they're perceiving is not real, if that conclusion is contrary to what their senses and their brains are telling them?

I think the key, here, is always to keep focused on the statement, "... but I might be wrong."  A lot of our faulty judgments are caused not only by our coming to the wrong conclusion, but our stubborn certainty that we are, in fact, right.  A willingness to revise our beliefs -- failing that, at least to consider the possibility that our beliefs are incorrect -- is absolutely critical.

Otherwise, we're at the mercy of sensory apparatus that are easily fooled, and a brain that bases what it perceives as much on what it already thought to be true as on the actual data it's presented with.

Which seems to me to be awfully shaky ground.