Tag Archives: mental health

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.

 

 

U.S. life expectancy down again

The U.S. Centers for Disease Control has released statistics on life expectancy and causes of death for 2016. Some interesting findings:

  • Overall average life expectancy fell by 0.1 year, from 78.7 to 78.6 years.
  • The average masks the finding that for women, life expectancy held steady at 81.1 years while for men, it decreased by 0.2 years from 76.3 to 76.1 years.
  • Deaths from disease were down in almost every category. The increases come from “unintentional injury” and suicide. Unintentional injury sounds like car accidents and falling off a ladder, and it does include those things. But dig a little bit and it includes “poisoning”, and poisoning in turn includes drug overdose.

The Guardian explains that life expectancy has fallen two years in a row and how unusual that is:

Drug overdoses killed 63,600 Americans in 2016, an increase of 21% over the previous year, researchers at the National Center for Health Statistics found.

Americans can now expect to live 78.6 years, a decrease of 0.1 years. The US last experienced two years’ decline in a row in 1963, during the height of the tobacco epidemic and amid a wave of flu.

“We do occasionally see a one-year dip, even that doesn’t happen that often, but two years in a row is quite striking,” said Robert Anderson, chief of the mortality statistics branch with the National Center for Health Statistics. “And the key driver of that is the increase in drug overdose mortality.”

The article goes on to explain that the last time we saw three years of decline was during the Spanish flu epidemic 100 years ago.

Comparing any two years could easily be a statistical blip, as any climate science denier could tell you. But it seems clear that over time the U.S. is losing ground to its peers in the developed world. The solution our elected politicians have identified, of course, is to take away health care and mental health coverage from the working class.

FDA has approved trials of Ecstasy to treat post-traumatic stress disorder

This is according to Science:

In people with PTSD, a small sensory trigger such as a sound or a smell can bring a traumatic memory rushing back. “The disabling element of PTSD is the fact that when the memory starts, the emotions completely override you and overwhelm the brain,” Nutt says. Studies suggest that MDMA can dampen the emotional response to the memory, allowing people to relive their trauma and work through it, he says. The MDMA-treatment consists of several sessions of psychotherapy, some conducted while the patient is under the influence of the drug…

A small U.S. study that first suggested MDMA could help treat PTSD was published in 2011. Since then, researchers in Canada, Israel, and the United States have jointly carried out larger phase II trials funded by MAPS; their results, which remain unpublished but have been reviewed by the FDA, were very good, says Doblin. Overall, 107 participants who had suffered from PTSD for an average of 17.8 years were treated in the phase II trials, Doblin says. Of the 90 patients who were available to be studied 12 months later, 61 no longer had PTSD.

In late July, says Doblin, MAPS and FDA agreed on how the coming phase III trials—usually the last hurdle before seeking a drug’s approval from regulators—should be conducted.

910 drug overdose deaths in Philadelphia last year

910 deaths from drug overdoses last year. That’s the depressing stat in the video below. This is a way bigger problem than homicides (278 in 2016).

To put this number in a little more context, I looked up some statistics on all causes of death in Philadelphia – the most recent year I could find was 2015. Here are a few highlights:

  • “diseases of heart”: 3,418
  • “nontransport accidents”: 823 (I imagine this includes everything from drowning to falling off a ladder to kids playing with guns – it’s a surprisingly large number of people, but possibly also the hardest category to do something about)
  • “diabetes mellitus”: 365
  • homicide: 291
  • “intentional self harm (suicide)”: 160 (the teen rate is relatively low, then suicides reach a pretty steady rate for people in their 20s through 50s)
  • “motor vehicle accidents”: 98 (I’m surprised this isn’t higher, but still, most of these should be preventable. It doesn’t tell us how many of these are pedestrians and bicyclists.)
  • HIV: 67 (the majority are deaths are people in their 50s and 60s)
  • “all other causes”: 2,542

It’s not that I enjoy thinking about death. But if you were looking for public policies to help people and politics and institutional baggage were not issues, you would look at the causes that kill the most people the youngest, and the ones where policy is likely to have the greatest impact. Getting people on maintenance medications to control blood pressure, diabetes, and cholesterol is obviously important – perhaps some sort of universal health care program could be considered. Dealing with drug overdoses and the underlying economic and mental health issues would be crucial. Dealing with mental health in a serious way would also help with the suicide problem.