Tag Archives: mental health

Covid and testes

According to this article, there is some evidence of a decline in male fertility since the pandemic, and this is on top of the known long-term decline in male fertility. For one thing, the virus actually infects the testes themselves. But another thing I didn’t know (or never thought a lot about) is that hormones originating the brain have an important effect on sperm production, so a drop in sperm production might not indicate a physical problem with your testicles themselves.

This article also says that when couples have trouble conceiving for biological reasons, about half the time the problem originates in the male and about half the time in the female. This kind of makes sense. I suspect chemicals in our air, water, and/or food, combined with the stress and time-constraints of modern urban, industrialized life.

Other things that certainly affect fertility rates in a social sense are educated and employed women coupled with (lack of) policies to support families and childcare. I believe pressure on men to work long hard hours to support a family financially somewhat obviously has an effect here too, but maybe this is controversial to some.

If I didn’t have to work quite as long and hard at my testicle-shrinking job, I could spend more time with my children or help more with housework. You can work, help with children, have a great marriage, help care for aging relatives, and maximize your own mental and physical health, but there are some tradeoffs between these desirable objectives for both men and women. The decline of multi-generational households and extended family living close by certainly doesn’t help. There may be no return to the past, but as we lose these aspects of our culture we may need public policy to step in and help fill the gap. In the U.S. at least, that isn’t happening, and we are all standing around scratching our heads as to why we have to give up aspects of our lives (like our health, and strong marriages!) just to keep the whole house of cards from collapsing.

transactional analysis

My high school actually had a mandatory class on transactional analysis, a model of human interactions developed by Eric Berne in the 1950s. I didn’t find it particularly helpful at the time, and haven’t heard much about it since then. But it is interesting:

At the heart of Berne’s model are three ego states that live in each of us: the Child (the most natural, vulnerable, and spontaneous part of our personality, keeper of our creative vitality and our most unalloyed capacity for pleasure); the Parent (the part of us that unconsciously mimics the psychological responses of our parents as we observed them in childhood); and the Adult (the competent and self-possessed part of us capable of making sound decisions in our best interest). All three coexist within us, and all three play into our social interactions…

But beyond the simplest and most complementary exchange — one Adult issuing the stimulus, another Adult giving the response — most of social transactions are a chaos of mismatched and ever-switching ego states. The confusion — the wounding — happens when the lines of communication cross and the interaction becomes not between two people in parallel and consistent ego states, but between one part of one person and a different part of the other: Child-Adult, Adult-Parent, Parent-Child, and all the other possible non-equivalences. This basic pattern, a diagram of which became the book’s cover, is what defines a game — “an ongoing series of complementary ulterior transactions progressing to a well-defined, predictable outcome” — a patterned, self-defeating psychological interchange, in which one ego state issues a stimulus concealing the emotional need of another ego-state, then receives a response to the hidden message and reacts negatively to it, frustrating both parties and garbling communication in a way that injures intimacy.

The Marginalian

If I were going to give my younger self advice, I would say don’t assume you know what other people are thinking. Even when you are interacting with others, your thoughts and emotions usually have to do a lot more with what is going on in your own mind and body than theirs. So don’t assume you know what they are thinking or what their intentions are, or what type of reaction they are trying to elicit from you. That’s sounds like funny advice – don’t ascribe intentions to people. People certainly have intentions, but when you try to guess what they are you will often be wrong. See listen and observe, think, and then make up your own mind. Even if they do have malign intentions, which happens more rarely than my younger self would have thought, you still have some control over your emotional reaction and near total control over your own behavior. If you are a person who can be quick to anger, like my younger self, it is better to walk away from the offending person and take some time to reflect than to react in the moment. Some people will take this as a sign of weakness or “nonassertiveness”, but I have learned that reacting in anger is usually unpleasant for everyone, including me, and I tend to regret it later. I will confront that person later in a more rational frame of mind, if I feel the confrontation is worth it, but often I decide it is not. So pick your battles carefully, younger self, and there are not too many battles worth picking.

June 2022 in Review

Most frightening and/or depressing story: Mass shootings are often motivated by suicidally depressed people who decide to take others with them to the grave.

Most hopeful story: For us 80s children, Top Gun has not lost that loving feeling.

Most interesting story, that was not particularly frightening or hopeful, or perhaps was a mixture of both: Taser drones? Seriously, this might have been my most interestingly random post last month. I’ll try to do better.

U.S. life expectancy down

From a not-yet-peer-reviewed study:

An April 2022 study conducted by researchers from the Virginia Commonwealth University, University of Colorado Boulder, and the Urban Institute, analyzed provisional government statistics that showed that overall U.S. life expectancy is now 76.6 years — the lowest figure in 25 years.

This drop comes after life expectancy plummeted from 78.86 years in 2019 to 76.99 years in 2020, according to the researchers. The net loss of 2.26 years was the biggest one year fall since at least World War II, NPR reported

It noted that even though the Black and Latino populations had bigger drops in life expectancy in 2020, this did not continue into 2021. Life expectancy among Latinos did not change significantly in 2021, and marginally went up in the Black population. In contrast, the life expectancy of white people, mostly men, declined slightly.

Snopes

We have heard about “deaths of despair” – suicide, drugs and alcohol – increasing among white men, so maybe this was the indirect effects of the pandemic coming home to roost.

Trends in life expectancy are a useful metric because they are a pretty objective measure of overall human wellbeing in society – encompassing some mix of physical and mental health, work life balance, child welfare, nutrition, environmental conditions like air quality, car accidents and other accidental deaths, etc. But individual life span is a very personal thing, as I try to convince my parents in their 70s. The fact that you are close to or over the average means you have already survived many things that are causing some people to die young and pull down the average.

heat makes us crazy

Friday, February 25, 2022: resisting…urge…to…comment…on…current…events…I know…nothing…about… (just to pick a random example, the ongoing war in Ukraine)

Extreme heat not only affects our bodies, which we knew, but it exacerbates mental illness too, according to this study in JAMA.

Everybody knows shooting deaths go up when it is hot. I always assumed that people tended to be outside interacting more, especially if they don’t have air conditioning, and that young men in particular just have less to do in the summer months. But maybe there is more to it than that.

what’s new with legalizing drugs

I am in favor of legalizing drugs, taxing them, and creating a universal health system able to deal with substance abuse and mental health issues. I believe this would result in a big reduction in violence and the prison population almost immediately. It turns out there is a ballot measure in Oregon to decriminalize possession of small amounts of all types of drugs (which hasn’t been voted on as I write this, but probably will have been when this posts.)

2018 in Review

Most frightening and/or depressing stories:

  • JANUARY: Cape Town, South Africa looked to be in imminent danger of running out of water. They got lucky, but the question is whether this was a case of serious mismanagement or an early warning sign of water supply risk due to climate change. Probably a case of serious mismanagement of the water supply while ignoring the added risk due to climate change. Longer term, there are serious concerns about snowpack-dependent water supplies serving large urban populations in Asia and western North America.
  • FEBRUARY: Cape Town will probably not be the last major city to run out of water. The other cities at risk mentioned in this article include Sao Paulo, Bangalore, Beijing, Cairo, Jakarta, Moscow, Istanbul, Mexico City, London, Tokyo, and Miami.
  • MARCH: One reason propaganda works is that even knowledgeable people are more likely to believe a statement the more often it is repeated.
  • APRIL: That big California earthquake is still coming.
  • MAY: The idea of a soft landing where absolute dematerialization of the economy reduces our ecological footprint and sidesteps the consequences of climate change through innovation without serious pain may be wishful thinking.
  • JUNE: The Trump administration is proposing to subsidize coal-burning power plants. Meanwhile the long-term economic damage expected from climate change appears to be substantial. For one thing, Hurricanes are slowing down, which  means they can do more damage in any one place. The rate of melting in Antarctic ice sheets is accelerating.
  • JULY: The UN is warning as many as 10 million people in Yemen could face starvation by the end of 2018 due to the military action by Saudi Arabia and the U.S. The U.S. military is involved in combat in at least 8 African countries. And Trump apparently wants to invade Venezuela.
  • AUGUST: Noam Chomsky doesn’t love Trump, but points out that climate change and/or nuclear weapons are still existential threats and that more mainstream leaders and media outlets have failed just as miserably to address them as Trump has. In related news, the climate may be headed for a catastrophic tipping point and while attention is mostly elsewhere, a fundamentalist takeover of Pakistan’s nuclear arsenal is still one of the more serious risks out there.
  • SEPTEMBER: A huge earthquake in the Pacific Northwest could be by far the worst natural disaster ever seen.
  • OCTOBER: The Trump administration has slashed funding to help the U.S. prepare for the next pandemic.
  • NOVEMBER: About half a million people have been killed in Iraq, Afghanistan, and Pakistan since the U.S. invasions starting in 2001. This includes only people killed directly by violence, not disease, hunger, thirst, etc.
  • DECEMBER: Climate change is just bad, and the experts seem to keep revising their estimates from bad to worse. The Fourth National Climate Assessment produced by the U.S. government is not an uplifting publication. In addition to the impacts of droughts, storms, and fires, it casts some doubt on the long-term security of the food supply. An article in Nature was also not uplifting, arguing that climate change is happening faster than expected due to a combination of manmade and natural trends.

Climate change, nuclear weapons, and pandemics. If I go back and look at last year’s post, this list of existential threats is going to be pretty much the same. Add to this the depressing grind of permanent war which magnifies these risks and diverts resources that could be used to deal with them. True, we could say that we got through 2018 without a nuclear detonation, pandemic, or ecological collapse, and under the circumstances we should sit back, count our blessings, and wait for better leadership. And while our leadership is particularly inept at the moment, I think Noam Chomsky has a point that political administration after political administration has failed to solve these problems and this seems unlikely to improve. The earthquake risk is particularly troublesome. Think about the shock we felt over the inept response to Katrina, and now think about how essentially the same thing happened in Puerto Rico, we are not really dealing with it in an acceptable way, and the public and news media have essentially just shrugged it off and moved on. If the hurricanes, floods, fires and droughts just keep hitting harder and more often, and we don’t fully respond to one before the next hits, it could mean a slow downward spiral. And if that means we gradually lose our ability to bounce back fully from small and medium size disasters, a truly huge disaster like an epic earthquake on the west coast might be the one that pushes our society to a breaking point.

Most hopeful stories:

I believe our children are our future…ya ya blahda blahda. It’s a huge cliche, and yet to be hopeful about our world I have to have some hope that future generations can be better system thinkers and problem solvers and ethical actors than recent generations have been. Because despite identifying problems and even potential solutions we are consistently failing to make choices as a society that could divert us from the current failure path. And so I highlighted a few stories above about ideas for better preparing future generations, ranging from traditional school subjects like reading and music, to more innovative ones like meditation and general system theory, and just maybe we should be open to the idea that the right amount of the right drugs can help.

Fossil fuels just might be on their way out, as alternatives start to become economical and public outrage slowly, almost imperceptibly continues to build.

There is real progress in the fight against disease, which alleviates enormous quantities of human suffering. I mention AIDS, diabetes, and Alzheimer’s disease above. We can be happy about that, of course. There are ideas about how to grow more food, which is going to be necessary to avoid enormous quantities of human suffering. Lest anyone think otherwise, my position is that we desperately need to reduce our ecological footprint, but human life is precious and nobody deserves to suffer illness or hunger.

Good street design that lets people get around using mostly their own muscle power. It might not be sexy, but it is one of the keys to physical and mental health, clean air and water, biodiversity, social and economic vibrancy in our cities. Come to think of it, I take that back, it can be sexy if done well.

Good street design and general systems theory – proof that solutions exist and we just don’t recognize or make use of them. Here’s where I want to insert a positive sentence about how 2019 is the year this all changes for the better. Well, sorry, you’ll have to find someone less cynical than me, and/or with much better powers of communication and persuasion than me to get the ball rolling. On the off chance I have persuaded you, and you have communication and/or persuasion super powers, let me know.

Most interesting stories, that were not particularly frightening or hopeful, or perhaps were a mixture of both:

Whatever else happens, technology and accumulation of human knowledge in general march on, of course. Computer, robotics, and surveillence technology march on. The human move into space is much slower and painful than many would have predicted half a century ago, and yet it is proceeding.

I’ll never drop the waterless sanitation thing, no matter how much others make fun of me. It’s going to happen, eventually. I don’t know whether we will colonize Mars or stop defecating in our water supply first, but both will happen.

The gene drive thing is really wild the more I think about it. This means we now have the ability to identify a species or group of species we don’t want to exist, then cause it not to exist in relatively short order. This seems like it could be terrifying in the wrong hands, doesn’t it? I’m not even sure I buy into the idea that rats and mosquitoes have no positive ecological functions at all. Aren’t there bats and birds that rely on mosquitoes as a food source? Okay, I’m really not sure what redeeming features rats have, although I did read a few years ago that in a serious food crunch farming rats would be a much more efficient way of turning very marginal materials into edible protein than chicken.

The universe in a bottle thing is mind blowing if you spend too much time thinking about it. It could just be bottles all the way down. It’s best not to spend too much time thinking about it.

That’s it, Happy 2019!

alzheimer’s disease and insulin resistance

This article in Psychology Today makes a case that there is a very strong link between insulin resistance and Alzheimer’s disease. The bad news, it says, is that the majority of the population is insulin resistant. The good news is that it is something an individual can really do something about. Basically, replace sugar and most processed foods with whole, unprocessed ones. It sounds mostly okay to me except I am really not ready to give up bread any time soon.

disturbing numbers on U.S. suicides

The U.S. suicide rate is climbing alarmingly at a time when rates are falling in other modern democracies. What is going wrong with our society? Other than these three paragraphs, this long article is about some examples of practical steps psychologists can take to prevent suicide.

Over the last two decades, suicide has slowly and then very suddenly announced itself as a full-blown national emergency. Its victims accompany factory closings and the cutting of government assistance. They haunt post-9/11 military bases and hollow the promise of Silicon Valley high schools. Just about everywhere, psychiatric units and crisis hotlines are maxed out. According to the most recent figures from the Centers for Disease Control and Prevention, there are now more than twice as many suicides in the U.S. (45,000) as homicides; they are the 10th leading cause of death. You have to go all the way back to the dawn of the Great Depression to find a similar increase in the suicide rate. Meanwhile, in many other industrialized Western countries, suicides have been flat or steadily decreasing.

What makes these numbers so scary is that they can’t be explained away by any sort of demographic logic. Black women, white men, teenagers, 60-somethings, Hispanics, Native Americans, the rich, the poor—they are all struggling. Suicide rates have spiked in every state but one (Nevada) since 1999. Kate Spade’s and Anthony Bourdain’s deaths were shocking to everybody but the epidemiologists who track the data.

And these are just the reported cases. None of the numbers above account for the thousands of drug overdose deaths that are just suicides by another name. If you widen the lens a bit to include those contemplating suicide, the problem starts to take on the contours of an epidemic. In 2014, the federal government estimated that 9.4 million American adults had seriously considered the idea.

scientific bathing

Apparently, you can influence your circadian rhythm by heating up or cooling down your body at certain times of day, and a well-timed and designed bath is one way to do that. You’ll need a clock, a water thermometer, an air thermometer, and an understanding of the metric system.

In the study, researchers at the University of Freiburg in Germany assigned 45 people with depression to either soak in 40C water for up to 30 minutes and then wrap themselves in blankets and hot water bottles for a further 20 minutes, or take 40 to 45 minutes of aerobic exercise twice a week. Eight weeks later, those taking regular warm baths in the afternoon scored six points lower on a commonly used depression scale, while the exercise group scored three points lower on average…

Your bathwater should be just a little hotter than body temperature, which is about 37C. Somewhere between 40C and 45C is ideal…

Consider the temperature of the room as well. A Japanese study showed that bathing in 41C water in a 25C room increased body temperature more than taking a bath in a 14C room. However, if taking a bath to promote sleep before bed, the room temperature should be cooler: 18C is ideal.