Psychology

0

I find a lot of things I like in the New York Times. This article resonated with me as few others. First, there is the purpose of the human profiled.  Changing medicine into data science?  God save us all.

Sometimes I feel the best thing I do for a patient is to be human.  Just to have the pretension (a pretension which I do not take lightly) of being one human being in a room with another human being, trying to make them feel better.  This does more, I think, to make most of my patients “better” than all of the pills I have spent years studying about. All those years studying normative use of medications on large populations of humans.  And they work enough to please the powers that be.

Read more on Human Beings Are Not Computers…

Filed under medicine, News, Psychology, Research by on . Comment#

0

They call it pareidolia. It is all right if you never heard of it — you have probably experienced it. We don’t just love stories.  Our brain seems to need them.  We take what is inanimate and give it an identity, a spirit, a character, a story. In 1944 a couple of psychological researchers at Smith college showed an unimaginatively dull and insipid movie of black triangles and lines and such moving about to 34 “subjects,” probably unpaid Smith students (who may also have been emotionally or even sexually frustrated) when all but one of them described this 2 1/2 minute movie with amazing “humanity.”  They saw scenarios like two male triangles keeping a female circle prisoner. Read more on Seeing Virgin Mary or Christ In Stains…

Filed under News, Psychology, Religion, Uncategorized by on . Comment#

0

Research marches on.

I have more than one patient now, and many patients in the past, who are women whose men have cheated on them.  It has run from the one night stand to the entire family kept elsewhere in the state or nation, unknown to these long-suffering women, who invariably come to me more than a little bit depressed.

I have been sometimes asked ahead of time if and how a woman can avoid this.  For many years I have been recommending pre-marital evaluations to friends as well as patients.  Many years ago women were shocked and shrugged their shoulders.  I was “ruining” romance.  I always told them that it was their call how they chose to live life.

Read more on You Can Change Your Jeans But Not Your Genes…

Filed under Family, News, Psychology, Research by on . Comment#

0

In my previous blog post, I talked about “Keeping Up With The Kardashians” — and asked some fans for advice for aspiring reality TV stars. If you got drawn in by that, I continued the topic in my private opt-in newsletter.  If you haven’t followed that, you can register for free by filling in that little form up in the top right-hand corner.  It’s a no-spam non-commercial commentary blog and you can opt-out at any time. But there is more to say — and this time, I’m reaching deep into the psychology of those who are in the spotlight and want to be in the spotlight.

The tie between the popularity of reality TV shows and celebrity worship was not immediately evident. But it is obvious that our American society is clearly increasing in — Narcissism. In Greek mythology, Narcissus was a handsome young man who was sitting on a stone precipice, admiring his own reflection in the water, when he fell in and drowned.  The spot where this happened was allegedly marked by the first Narcissus flower. In modern times — like at dinner last night — the narcissus is a wonderful edible flower that is often served as garnish with sushi. Go figure. The queen of the current American psychology of narcissism in unquestionably Jean Twenge, PhD., a professor at the University of California San Diego, who has written a couple of books and lots of articles on the phenomenon of modern narcissism, and has been much interviewed in the public media. In a recent article, she is defending her own research and findings. Frankly, my non-systematic review of clinical data suggest she is right on. She has been criticized — a badge of boldness and popularity, think I — for attributing narcissism somehow to children having been brought up to believe they are special. Once again, I personalize.  My parents filled my head with feelings of being special.  Comparing me to Wonder Woman” and, when I was very young, telling me that I was “smarter than the average bear” like Yogi.

But they also told me this gave me a terribly heavy responsibility,  They impressed this on me mainly through religion — most especially, making sure that I read parts of the (Jewish) prayer book before the service at all holidays and Sabbath.  And we got to temple early, long before services started, because my father of blessed memory had to “warm up” the organ. (He also directed the choir) They never failed to remind me that I was named after Queen Esther, the woman who saved the Hebrew people. In the Book of Esther, she did this by winning a (Royal) beauty contest.  I can’t have been older than 6 or so when I explained to her that if we were waiting for me to save the people by winning a beauty contest, then the people are in trouble. She told me I could maybe do this by working hard in school. I guess the rest is history.  Many have told me I must have been “raised right.”

Narcissism is a concept that originated with Freudian psychiatry.  It was believed to originate in a man when his relationship with his mother was overly close.  Other theorists have suggested in may be related to excessive closeness or neglect from either parent. Here is a good summary of the evolution of the concept, as well as the currently accepted diagnostic criteria. There seem to be biological and/or genetic factors, as well as psychological reasons that people can end up diagnosed as the full blown “Narcissistic Personality Disorder.” A personality disorder is a way of dealing with the world that a human “develops” during adolescence that is dysfunctional, causing pain to the individual and/or to the people in the world who deal with this person. Estimates of prevalence (frequency) of this disorder in the general population is estimated at about 6%.  If you know more than 20 people (you do), chances are you know at least one. They come across as egotistical, to put it mildly.  They are not particularly empathic, blame other people for their problems.  Their self-esteem is inflated. Their attitude toward themselves fluctuates between feeling “omnipotent” and feeling “devalued.” Curiously enough, I seem to be more likely to meet people with this disorder as colleagues or associates than I am to see them as patients.  I believe that to be because when they have troubles in life, they invariably believe the difficulties that caused them are other people’s problems, and not theirs. So it is no surprise that folks with these problems don’t usually show up in a psychiatrist’s office seeking treatment. I can think immediately of a couple of technically excellent surgeons who would meet criteria, as well as a couple of psychologists and psychotherapists.  Especially one who believes herself so gifted in application of a certain psychotherapeutic method that nobody else should perform psychotherapy in any other way.  Of course, it just ain’t so. I shall avoid discussing narcissism in presidential candidates for now, although it is not hard to imagine another posting about that one. When people note there is an increase in narcissism, they do not usually mean the same full-blown personality disorder we are discussing above.  Very often we diagnose narcissistic “traits” for people who have some aspects of narcissism in their personality. There is a fair amount out there. In case you are curious, there is an online test (with a bunch of disclaimers that it should not be used for a clinical diagnosis) to see if you are in any way a little narcissistic. Narcissism seemed historically to be just a little more frequent in men than in women.  However, most of the followers of the Kardashians known to me are women. Some statistics suggest that the growth in narcissism that has taken place in our generation comes mainly from women. Remember, they want to be admired, but may also feel “devalued.” While all these changes in the world have been going on, I have been aging.  I do look at objective research findings to confirm observations whenever I can. Still, I think the page indexed below is correct when it infers more people will look at a woman’s physical appearance than at her character development. Put this into the context of the age of the internet and most particularly, Facebook.  It is possible for a woman who craves more admiration and self-esteem than she has got, to vicariously live the life of someone with the ascribed status that comes with wealth, fame, and physical attraction. This page adopts Twenge’s work and associated studies into a set of directions to help men avoid “hooking up” with narcissistic women. By this time, I have pretty much made up my mind that I am not terribly likely to get a Kardashian-type status in any social context known to me. But I am still wondering — what do I really know about the people, the women who make up a non-negligible amount of people I know either casually or as folks on a professional staff? What do I know about them if they like and follow the Kardashians? Yes, the obligatory formal academic type psychological studies do exist, and have been reviewed. Note that this article focuses on “celebrity worshipers,” who have taken a scale relevant to that entity, which seems to be far from having 100% consistency with the designation of “narcissist,” although I suspect there may be more than a little overlap. This paper specifically cites a fairly large study (343 folks) where 4 of 5 scales on the inventory for narcissism correlate with the Celebrity Attitudes scale for “celebrity worship.” Aspects of psychopathology (that is, mental illness) that are found in the population of celebrity worshipers more frequently than in the population at large include a “proneness” to fantasy and a “tendency” toward addiction, and criminality, depression and anxiety. This particular combination sounds like more than a few of my “dual-diagnosis” patients — that is, folks being treated simultaneously for addictions and mental illness. As for me, I have at least decided that I am not suited for Kardashian-type celebrity worship.  Given the above psychopathology, I am very glad I do not encourage such psychopathology, for I was imprinted with the notion that with great power comes great responsibility (many years before the popular Spiderman movies picked up this slogan). Somehow, I still want to believe that every human has the capability of elevating the entire human race by elevating individuals to higher moral situations. I will cling to these beliefs of my childhood, as anachronistic as they may seem. I feel somehow noble that I have put this effort into explaining what is going on.

The End

 

0

It happened several years ago, when one of the immigrants of Mexican origin I frequently saw as a patient in the poorer counties of California came to see me and pulled a pen and a steno pad out of her purse.  My Spanish was a bit more rudimentary than it is now. She was matronly, with mostly grayed hair in the classic bun.  She asked me if I could spend a few extra minutes with her.  I told her I would take all the time I could, and try to serve her needs. It wasn’t her, she said.  It was her youngest daughter, aged 13.  Read more on Delayed Gratification And Life…

0

People often want to know something about their psychiatrist.

There is this thing called “transference” where their past relationship history can certainly color what they think and feel. I have no big secrets to hide from my patients, so I can usually be direct and take only an insignificant amount of time on these issues. Usually it just takes one of my stabs at humor.

For those to whom religion is an important facet of life, I am often asked about my beliefs. I often end up saying things like, “I am very sorry I am Jewish and not the Christian you would have preferred, but do you think Christ could work through a crazy old Jewish lady like me who would work really hard to help you feel better?” A “yes” and a laugh and we get straight into the meat of things with that one. Read more on Liberal or Conservative — Different Brains or Different Opinions?…

0

For most of my life I have been more or less overweight.  I figured my body was just something I used to carry my brain around.

Tentatives at presentation (clothes, makeup) were just not as serious as with my women-friends.  I mean, it was just not as important to my identity as “smart” was.

Back then — only a few years ago — I actually had a mental health worker (therapist) who allegedly had a particular interest in eating disorders ask me how I got through life without being ashamed to go places because I was fat.

I shrugged my shoulders and told her I lived in a world where it simply did not matter.  The only place it kept me from going was mixers — and as I had determined men were a waste of time and I actually believed I would never marry, what did it matter anyway? Read more on Act Like Wonder Woman And Become Wonder Woman…

Filed under Brain, Psychology, weight by on . Comment#

0

Narcissistic men have raised cortisol – or physiological stress — from being these bully-others sorts. But women do not? Hmmm.

A narcissist is somebody who puts their needs above yours in any relationship.  I can count on one hand the times I have seen them in treatment.  They are “bullies” and we usually see their victims.

Cortisol – commonly known as the “stress” hormone — can be accurately measured with a mouth swab.  Because of this, people can do research — many of whom appear to be a great deal more open minded than doctors. Read more on Physiological Validation of Narcissism…

0

I have gone with my beloved husband in the last couple of weeks to a few venues so clearly classified as “dive bars” that I have searched in vain for a depth gauge on the wall. The treasure we seek – karaoke. These establishments are not the province of the landed gentry, and we are generally as out-of-place as a fish in a cloud.  The treasures we find unperformed songs in the depth of confused directories whose organization defies even an amateur cryptologist (me). Read more on Karaoke As A Mental Health Program…

Filed under Psychology by on . Comment#

0

Most people tend to eat what they have around. The marketing of food is a science — marketing anything is a science. You can bet that a lot of thought has gone into how and where you spend your dollars anytime and anyplace.

Lady holding a grocery listFrom dresses to movies, they know what we want and why we want it, probably more than we do. So the thing to do is to be aware of the wiles of the people who are — make no mistake about it — motivated by pulling the money out of our purses and NOT by getting anything nutritious into our bodies.

“Knowledge is the antidote to fear.” — Ralph Waldo Emerson

But it could also be the antidote to buying food neither you nor your body needs, and endorsing a system that can be getting you to buy some expensive but nutritionally not-what-you-have-in-mind stuff.

Read more on BEWARE: Supermarket Psychology…

Filed under Psychology by on . Comment#