Psychiatry still has big problems and so does our model of the human mind

This interview with Robert Whitaker— Psychiatry Now Admits It’s Been Wrong in Big Ways – But Can It Change?—is well worth reading. Whitaker has been an influential critic of psychiatry’s misuse of antipsychotic drugs as well as its models for diagnosis and treatment.

In addition to all of the problems Whitaker describes in the linked article—failed diagnostics, failed theories, failed “disease models,” failed treatments, making matters worse for the mentally ill, and drugging children and minors without their consent—I would further submit that our generally accepted model of the human mind itself is as deeply flawed.

Rather than starting with the idea that humans have or develop personalities that do or don’t adapt well to some ambiguous social standard, we would do better to start with the idea that humans are fundamentally interactive beings, beings that communicate.

If our interactions are good, we will be well enough. If our communications with even one other person are deeply satisfying and as truthful as we are able, we will be even better than well enough.

People go crazy because their relations to no one are satisfying. In a very real sense, poor communication and shallow interaction condemn most humans to a sort of solitary confinement, where the inner network of semiotic reality cannot interface satisfactorily with the network of any other person’s semiotic reality.

For individuals who are fortunate enough to have a suitable partner, FIML practice will likely fix this problem while also fixing most emotional dissatisfaction. It accomplishes this by providing a means for people to fully engage their inner semiotic networks with each other.

The dead end of the traditional mental health model of a “personality-being-well-adapted-to-a-group-or-culture” is, sadly, best illustrated by the profession of psychiatry itself. I believe Whitaker is right in saying that

… it is going to be so hard for psychiatry to reform. Diagnosis and the prescribing of drugs constitute the main function of psychiatrists today in our society. From a guild perspective, the profession needs to maintain the public’s belief in the value of that function. So I don’t believe it will be possible for psychiatry to change unless it identifies a new function that would be marketable, so to speak. Psychiatry needs to identify a change that would be consistent with its interests as a guild.

If even psychiatry as a group needs to “identify a change… consistent with its interests as a guild,” it is clear that groups cannot be taken as a standard for wellness.

If even a group of doctors of the mind cannot get it right, how can any other group be expected to?

And if groups cannot, neither can cultures. And if none of that is right, neither is the notion of a “personality” that “adapts” to those vague standards.

This is an important point: groups can be and are just as crazy as individuals. In fact, many groups are crazier than individuals. The idea that people have “personalities” that must “adapt” in a way that is “satisfying” to an extremely dubious group standard is bankrupt and cannot be fixed. Of course individuals can adapt to laws and clearly stated mores and taboos, but adaptations based on such emotionally unsatisfying generalities will never produce wellness.

The individual can only be well when the individual can communicate their authentic semiotic reality with another, and in turn, receive similar communication from that other.

Semiotics is the right word to use here because its definition includes communicative signs and the meanings of those signs as they are variously interpreted by the individuals using them. Furthermore, the term semiotics implies, or necessarily extends to, networks of communicative signs and their inevitably differing individual interpretations.

Is the Universe a Simulation?

 

Many mathematicians, when pressed, admit to being Platonists. The great logician Kurt Gödel argued that mathematical concepts and ideas “form an objective reality of their own, which we cannot create or change, but only perceive and describe.” But if this is true, how do humans manage to access this hidden reality?

Source

Can semiotics, language, and education trap us?

Education frees us from whatever ignorant state came before it. But it can also trap us in a different sort of ignorance.

For example, someone who feels lost and alone may join a street gang and learn many new things while forming new alliances. But that same person may well trap themselves in a criminal life-style. Once learned, the education a gang provides can prevent gang members from learning even better things.

I believe all education can be like that if we are not careful. To be clear, education in this context refers to learning anything.

Another way to say the above is once we learn or take on a new semiotic matrix or code, we may become trapped by it. Many people who fell for the semiotics of the Obama campaign retained their “belief” in him long after he had shown himself to be a disappointment. Because many of his supporters are good people, they were trapped in his attractive, but false, semiotic matrix of hope and change.

Similarly, another person may learn that his religion is wrong and take on the semiotics of “science” without realizing for many years that science has limits and that it can operate in ways that resemble fundamentalist religion.

I think we can say with few reservations that it is axiomatic that semiotics, language, and education can trap us even as they free us from whatever state came before them. They do not always trap us, but they almost always can trap us if we are not careful.

A microcosmic example of how language can trap us might be this: you say something sort of muddled, get called on it as if your statement were much more specific, and before you know it you find yourself trapped in defending a point of view you never held.

A teenager might want to learn about psychology and in doing so learn what the word personality means. Then they might decide that their personality is of some type. Then they may get trapped in molding themselves according to their understanding of that personality type. The same thing can happen with astrological signs—you read yours when you are young and retain for many years, if not a lifetime, some sense that you belong to the semiotic matrix indicated by that sign.

In good science, real skeptical science, bold science that demands explanations of facts, traps are usually discovered and overcome quickly. But science has a limited range and it cannot do very much for the emotions, subjectivity, or authentic uniqueness of each individual.

Individuals can overcome some individual or subjective traps through science and general learning, but they can never overcome them all in those ways. Our deepest and most significant subjective states can never be well understood through generalities.

And if those subjective states contain errors or traps (as they surely do), they can only be cleared up by observing those errors or traps as they function in real-world situations.

An especially alert and intelligent gang member might gain insight into what his gang membership is doing to him and how it is trapping him. But he will surely retain many of the gang’s subjective interpretations of the world around him even after he has left the gang. His comprehension of cultural semiotics—the semiotic matrix that he perceives around him—will remain deeply imbued with the gang’s interpretations long after he has left.

For example, the former gang member may retain a  sense of pride that makes him quick to anger. He may retain feelings of fear or non-belonging after leaving the gang. Psychotherapy may help in these areas, but a practice like FIML will do even more because FIML will allow the person to see how their former interpretations of the world are still actively functioning even though they may have repudiated the general semiotics of those interpretations.

Joining the gang liberated him from his former state, and then leaving the gang liberated him from the strictures of gang life. But in both cases, his new education has imposed a new semiotic code that can easily trap him in new mistakes and miseries.

The same can be said about all of us concerning almost anything we learn, which means practically anything we do. If we do not come to fully understand how our subjective states—our interpretations–actually function within the semiotic codes we have taken on, we will be trapped in the new state even as we have been liberated, partially, from the former state.

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Edit: Just found this: Negative effects of joining a gang last long after gang membership ends.

How to think about the mind?

It is not linear, though a spoken sentence has conspicuous linear features and can often be profitably analyzed linearly.

It is a network where many parts connect robustly with other parts and where some parts connect only weakly. Unconnected parts can arise but usually they are rapidly incorporated into the network, even if only weakly, even if only to be rejected from it.

The mind in many ways resembles the system of language. Add semiotic codes and the resemblance grows stronger. Add random and not-so-random associations between semiotic and linguistic elements and the resemblance seems even better.

Emotions, except in their most primal form, have to be defined by language, semiotics, or associations to have impact or “meaning.”

Charles Peirce doubted the value of linear logical notation, preferring notation employing two or three dimensions. His existential graphs became the basis of model theory. (Interestingly, his work in this area was ignored until 1964, long after his death.)

While the human mind may be more than just a network, much about it can be explained by thinking of it as an associative network. While many mental associations are not logical, or even rational, in a formal sense, virtually all of them make subjective sense to the mind experiencing them. My associations with snow will be different from yours, but if we cared to we could compare them and come to a better understanding of each other.

A key to grasping how our minds work is to approach the very rich subjective network of mental associations—both logical and not—through the linearity of language, especially short bursts of language spoken in real-world situations.

Grasping our minds in this way probably cannot be done in a laboratory and outcomes will rarely, if ever, repeat themselves even outside of the lab.

Most science is based on repeatability and controls, such as a laboratory setting. Yet, clearly, not all investigations—even very rational, logical ones—can be pursued in those ways.

FIML practice uses the linear “logic” of short bits of real-world conversation to access the large associative network of the mind as it is actually functioning in a real-world situation.

In this sense, FIML practice does something that cannot be done in any other way. No theory can embrace everything you say and no theory can capture the complex interplay of feeling, speech, meaning, biology, and circumstances that actually comprise the most significant moments of our lives.

FIML, thus, is a sort of science of the moment, a shared science that allows two people to analyze their minds as they actually are functioning in the real world.

How delusions are formed

Delusions must start somewhere.

A recent study (Emoticons in mind: An event-related potential study) convincingly demonstrates that our responses to emoticons as simple as a colon next to a parenthesis :) are similar to our responses to real human faces.

Clearly, this response has been learned. No infant is born with that response and no one anywhere had it just a few decades ago.

Our tendency to respond to :) as a face arose with its use in email and texting. This response is now a well-established “public” response to a “public” semiotic. In this context, public means “understood and shared by many people.”

A public semiotic is a sign with wide currency. It is a unit of culture and often of language itself. We can see in the case of the emoticon :) that a new sign can arise due to unique circumstances and that that sign can come to have a deep meaning for many people.

The sign :) seems quite beautiful to me because it is very simple, very easily produced, and very telling about how our minds work. If the elements of the sign are reversed (: people no longer respond to it as a face, though of course we could learn to do that if the reversed sign were used that way more frequently.

I remember the first time I saw a derivative sign ;) and wondered briefly what it meant. If you had a similar experience, you may be able to remember how such a simple sign can bloom in your mind and go from something that is unknown to something of considerable significance in just a few seconds.

That is an example of the birth of a sign, the birth of a semiotic in your mind.

When the semiotic is public, we strive to learn what other people mean by it. When it is private—that is, with a meaning known only to us—there will be other, often very significant, implications.

What would a “private sign” be like? A straightforward example might be a code we use in a diary. Such a code would have at least one visual sign whose meaning is known only to us.

Another kind of private visual sign might be a facial expression that we have come to interpret differently from other people. My guess is everyone has a good many of these. That is to say, the “idiolect” of facial expressions we each use to understand other people is at least as various as different idiolects within a spoken language.

Now add tone of voice, posture, accent, word choice, topic choice, and so on to this mix. Each of those areas of communication uses signs that can and always will be interpreted in a wide variety of ways, including private ones.

Now, consider how an individual may get lost in all this. If someone ever smiled at you as they hurt you, you may have learned to be suspicious in your interpretation of human smiles. Or you may employ your own smile in ambiguous ways.

Now consider all the signs of communication and how many possible interpretations there are. Then consider the study linked above which shows how deep our responses can be to something as trivial as the sign :).

One way we form delusions occurs when our interpretations of communicative signs become too private and/or do not correspond well with the interpretations employed by other people. The other way we form delusions occurs when our interpretations of signs does correspond well with the interpretations employed by other people, but those other people are wrong.

In “public” situations—professional, commercial, business, school, etc.—it is fairly easy to communicate well enough based on established norms. But in interpersonal communication, you can only take “established norms” so far. At some point, you will have to understand your partner and be understood by them in much greater detail than “established norms,” or public semiotics.

Here is a newspaper article on the study linked above:  Happy days: Human brain now registers smiley face emoticon as real facial expression.

Memory is not reliable but changes to fit present circumstances

“Our memory is not like a video camera,” Bridge said. “Your memory reframes and edits events to create a story to fit your current world. It’s built to be current.” (Source)

The unreliability of human memory is not a new topic, but this study fairly convincingly shows how our memories conform to what we are doing and/or how we have been using them.

One can plausibly extrapolate from this that humans change how they remember and understand themselves and others based on the data of now. A moment of frustration, for example, may cause us to see someone near us in a different light, through no fault of theirs.

If our frustration is with how we are being (mis)understood or with our difficulty in expressing our thoughts, the implications for how we understand the person we are speaking with may be even more serious.

Experienced FIML partners will surely have realized that even minor misunderstandings can lead to large acts of “reframing” events in an emotional way that can be seriously distorted.

Edit: Beyond innocent misunderstandings (which, unfortunately, can have tragic consequences), this area of shifting memories is where a good deal of interpersonal abuse occurs. In the worst cases, one (or both) partners abuse normal human malleability to lie. In less bad cases, one (or both) partners is easily excited by their own distortions and quickly comes to believe them, effectively lying to themselves as well as their partner.

In other cases, individuals or entire groups of people may decide to tell a significant lie (slanted history, for example) and then hurl their lie passionately at others. This frequently causes the person being lied to to react with shame or concern based on the liars’ emotional display and not on the facts of the matter. A person being subjected to such verbal abuse will often conclude that if the other person is so passionate, they must have a serious point that should be considered. Doing this with a deliberate liar allows emotions to unbalance or reframe facts in a way that serves their purpose.

The elephant in the room of human communication

words 580

 …if a manager at work is grimacing because they are sitting in an uncomfortable chair, a person with increased oxytocin levels may think the manager is negatively reacting to what they are saying instead, which may potentially cause issues in the workplace.

Recent research at Concordia University in Canada has concluded that giving oxytocin to “healthy young adults” may not work. See High oxytocin levels ‘trigger oversensitivity to emotions of others’ for more as well as for the source of the quote above.

I don’t particularly doubt these research findings, but do believe that a much deeper problem—the elephant in the room—is lying right next to them.

And that problem is everyone is frequently faced with puzzles like the one cited above and no one has sufficient “emotional intelligence” or “social reasoning skills” to figure many of them out. All people frequently make mistakes in situations like these.

True, some do better than others and we probably can abstract a bell curve for this via some sort of test.

How do we define “oversensitivity?” Why would emotional sensitivity be a bad thing?

In the example linked above, it is true that most employees will never have an opportunity to ask their bosses why they are looking one way or another. But if they don’t even notice the possibility that their boss is reacting negatively, they are limiting their understanding of the world around them.

Language, facial expressions, and tone of voice in real-world communications are crude tools. There is no way around this fact. There is no “right sensitivity” or “right understanding” of any of these communicative signs that is out there somewhere. There is no stable standard for communication except in highly defined settings and contexts.

I tend to be against taking drugs for emotional “problems,” so I am not advocating supplementing your diet with oxytocin. My concern is how do you deal with communicative ambiguity? I guarantee that ambiguity is common in virtually all communicative acts.

If the ambiguity, such as the one cited above, occurs in an employment situation, should you be judged “emotionally sensitive” and in-touch with your “innate social reasoning skills” if you don’t notice it? Are you supposed to comprehend on the fly that your manager is sitting in an uncomfortable chair? How would you know that?

How could you possibly know for sure what your manager is thinking or feeling? It’s less likely but not inconceivable that your manager  is a nut who intends to attack you after work or fire you next week. There is no standard by which you can judge and be certain of what they feel or are thinking.

In intimate personal relations you can achieve certainty, or close to it, by practicing FIML with your partner.

If you and your partner do not do FIML or something like it, you will be more or less forced to cleave to some sort of “normal standard” for communication. But a “normal standard” for all communicative acts is not just elusive, it doesn’t exist.

This is the even bigger elephant in the room of psychological studies; indeed of all cultures everywhere. No standard for intimate communication exists outside of the one(s) you make for yourselves. If you leave too much to vague notions like “emotional sensitivity” or “emotional intelligence” without having the tools to actually comprehend communicative acts, you will consign yourself to many pointless misunderstandings, any one of which has the potential to snowball and disrupt your relationship.

A New Physics Theory of Life

Source

The formula, based on established physics, indicates that when a group of atoms is driven by an external source of energy (like the sun or chemical fuel) and surrounded by a heat bath (like the ocean or atmosphere), it will often gradually restructure itself in order to dissipate increasingly more energy. This could mean that under certain conditions, matter inexorably acquires the key physical attribute associated with life.

Be sure to read the whole article, which describes this tremendous idea in more detail and is a must-read, imo. The original paper can be found here: Statistical physics of self-replication.

I suppose being conscious/aware is also a good way to dissipate energy.

False-Positive Psychology: Undisclosed Flexibility in Data Collection and Analysis Allows Presenting Anything as Significant

Abstract
In this article, we accomplish two things. First, we show that despite empirical psychologists’ nominal endorsement of a low rate of false-positive findings (≤.05), flexibility in data collection, analysis, and reporting dramatically increases actual false-positive rates. In many cases, a researcher is more likely to falsely find evidence that an effect exists than to correctly find evidence that it does not. We present computer simulations and a pair of actual experiments that demonstrate how unacceptably easy it is to accumulate (and report) statistically significant evidence for a false hypothesis. Second, we suggest a simple, low-cost, and straightforwardly effective disclosure-based solution to this problem. The solution involves six concrete requirements for authors and four guidelines for reviewers, all of which impose a minimal burden on the publication process.

Source

Biology and religious belief

An Auburn University researcher teamed up with the National Institutes of Health to study how brain networks shape an individual’s religious belief, finding that brain interactions were different between religious and non-religious subjects. (Source)

The study can be found here: Brain Networks Shaping Religious Belief.

This study is based on fMRI imagery and thus is essentially speculative since fMRIs provide little more than shadows of blood flow in the brain. That said, it is interesting.

Interesting paper on consciousness

From the intro:

This main aim of this paper is to introduce a new theory of conscious states that incorporates principles of physics, neurobiology and psychoanalysis. The theory is intended to assist our understanding of the makeup of the human mind, addressing such questions as: ‘how does the normal waking consciousness of healthy adult humans relate to other states of consciousness?’, ‘how does the human brain maintain its normal state of waking consciousness?’, and ‘what happens to the human brain’s functionality when non-ordinary states such as rapid eye movement (REM) sleep/dreaming, early psychosis and the psychedelic state occur?’.

The abstract can be found here: The entropic brain: A theory of conscious states informed by neuroimaging research with psychedelic drugs. The paper itself can be accessed through a link on the right side of that page.

Repost: Brain-to-brain coupling: a mechanism for creating and sharing a social world

Cognition materializes in an interpersonal space. The emergence of complex behaviors requires the coordination of actions among individuals according to a shared set of rules. Despite the central role of other individuals in shaping one’s mind, most cognitive studies focus on processes that occur within a single individual. We call for a shift from a single-brain to a multi-brain frame of reference. We argue that in many cases the neural processes in one brain are coupled to the neural processes in another brain via the transmission of a signal through the environment. Brain-to-brain coupling constrains and shapes the actions of each individual in a social network, leading to complex joint behaviors that could not have emerged in isolation. (Source)

Very much agree with this statement, which is the intro to a short scholarly opinion piece on interpersonal cognition.

The very basis of FIML practice is the interaction of two people. The FIML technique is designed to allow two people to become deeply aware of the (normally) elusive, idiosyncratic, and highly complex signalling mechanisms that are always functioning whenever they interact.

As partners become richly aware of this dynamic system, they will find they are able to change it for the better by removing mistakes and ambiguity. Mistakes and ambiguity are prominent—indeed, characterize—virtually all normal interpersonal communication. By largely removing these factors from their interpersonal communication, partners will experience significant improvements in communication, general awareness, and feelings of well-being.

The linked essay asks the following question: How to further develop principled methods to explore information transfer across two (or more) brains?

One answer is do FIML practice. Rather than study themselves from outside, FIML partners will study themselves as they are in all of their own unique complexity as uniquely “coupled brains.” In the terms of the linked paper, FIML practice is “brain-to-brain coupling” that leads to “complex joint behaviors” that cannot possibly “emerge in isolation.”

FIML practice provides a general “shared set of rules” that allows “complex behaviors” to “emerge” between two (or more) people. These “complex behaviors”, in turn, give partners the opportunity to control and transform how they “shape” their minds.

Neurosis as a semiotic phobia

Human beings are semiotic entities. We largely live in and react emotionally to semiotics. Virtually everything we think, feel, and believe is built on a foundation of signs and symbols—semiotics.

A recent German study elegantly shows that people with arachnophobia see spiders more quickly than people who do not fear spiders.

The study can be found here: You See What You Fear: Spiders Gain Preferential Access to Conscious Perception in Spider-Phobic Patients. An article about the study is here: Phobias alter perception, German researchers say.

The authors of the study say that there probably is “an evolutionary advantage to preferentially process threatening stimuli, but these effects seem to have become dysfunctional in phobic patients.”

I would argue that “these effects” have also migrated into human semiotics and are similarly dysfunctional. That is, humans perceive some signs and symbols as more threatening than they are. For some of us these signs and symbols can seem so threatening we become “phobic” or neurotic about them.

For example, insecure people may become hypersensitive to signs of rejection. People who have been abused or tortured may perceive signs that seem ordinary to others as serious threats. If the person who tortures you also smiles, you will probably see human smiles as being dangerous when to others they indicate kindness.

Once a semiotic becomes associated with strong emotions, and this can happen in many ways, we will tend to see that semiotic as an emotionally charged sign from then on.

FIML practice is designed to interrupt our emotionally-charged responses to semiotics the moment those responses occur. By doing this repeatedly with the same sign, FIML practice can extirpates the neurotic response to that sign.

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Edit: Extirpating semiotic “phobias” or neuroses should be easier to do in most cases than extirpating phobias based on visual perceptions of things, such as the spiders discussed in the linked study. This is likely due to the more direct connection between emotional or limbic responses and the visual cortex. Complex semiotics are signs and symbols built on top of other signs and symbols, and thus their “architecture” is more fragile than direct visual perception and probably simpler to change in most cases. Human facial expressions probably fall somewhere between complex signs and direct visual perception. A good deal of what we call “psychology” are networks of complex semiotics. When a network becomes “neurotic” it is probably true that it contains erroneous interpretations of some or all of its semiotics. That said, a complex neurosis than involves many semiotic networks may be more difficult to extirpate than a straightforward phobia like arachnophobia.

Repost: Why Smart People Are Stupid

This short article by Jonah Lehrer shows yet another reason that FIML works so well.

From the article: “The problem with this introspective approach is that the driving forces behind biases—the root causes of our irrationality—are largely unconscious, which means they remain invisible to self-analysis and impermeable to intelligence. In fact, introspection can actually compound the error, blinding us to those primal processes responsible for many of our everyday failings. We spin eloquent stories, but these stories miss the point. The more we attempt to know ourselves, the less we actually understand.” (Emphasis added.)

Be sure to read the whole article as that is just a piece of the argument. I chose it because it is relevant to the introspective aspects of Buddhist, and other, practices.

For the record, I am very fond of introspection. But introspection, as we have said many times on this site, without a way to check our work has a strong tendency to lead us astray.

FIML practice helps us correct our very numerous mistakes in assessing the thoughts and stories of other people. At the same time, FIML practice disabuses our own minds of the many errors we hold about ourselves based on our mistaken stories about others.

We have claimed many times that FIML practitioners will be amazed at how often they are wrong about the thoughts and intentions of their partners. The linked article well supports this assertion.

The psychologist, Daniel Kahneman, as quoted in the article says: “My intuitive thinking is just as prone to overconfidence, extreme predictions, and the planning fallacy as it was before I made a study of these issues.”

I believe him. This is how our minds (don’t) work.

FIML will probably not correct your general tendencies toward bias and misplaced confidence, but it will vastly reduce the number of mistakes you make about your partner (and thus yourself). This may not seem like all that much, but it is actually a huge benefit because when you have clarity with your partner, you gain a kind of emotional and psychological security that is deeply satisfying.

Humans are social beings, interactive social beings. When you gain verifiable clarity with your FIML partner you upgrade this fundamental aspect of your being far beyond what is possible by any other means I know of. FIML practice greatly reduces our need to rely on mistaken interpretations of our own making as well as the mistaken interpretations of the cultures to which we belong.

For Buddhists, this helps us to avoid the mistakes inherent in pure introspection as well as the mistakes inherent in accepting the generalities of the Buddhist tradition as it has come down to us today.