Category: psychology

The woke termites burrow their way into therapists’ offices

August 14, 2021 • 10:30 am

You’d think that the last places one would start treating individuals as embodying characteristics of their “tribe” are the offices of therapists.  After all, both psychologists and psychiatrists are expected to deal with their patientS as people with unique problems, and not impute to the patient “group” characteristics based on stereotypes or political ideology. Nor should they impose their own political views on their patients, which is a real no-no for therapists. (They do, of course have ideas on how to treat patients, and make suggestions, but not of the genre, “hey, maybe you’d feel better if you wore a MAGA hat.”)

Well, the idea that therapy is ideology-free is, of course, dead wrong, especially now when there is no tent in the Universe where the Woke Camel won’t stick its nose. And so the nose goes onto the couch, as recounted in this Persuasion article by Sally Satel. Click on the screenshot to read:

Now activist therapists aren’t new; for years we’ve had specimens who impose their own views on patients rather than sussing out a patient’s problems from their own words. These activists include “recovered memory therapists”, who, it seems, already know what memories are supposed to be recovered, and try to convince the patient about the truth of things that might never have happened.

You’ve heard of the McMartin preschool case, in which recovered memory therapists dug up instances of sexual and even Satanic abuse of children that never happened. The accused people spent several years in jail, but were eventually acquitted. Right now Jerry Sandusky is sitting in prison for sexual abuse of young boys, with a lot of the testimony that put him there “recovered” by therapists digging around in the minds of young people. (Some said they weren’t abused but, after some bouts with the therapists, suddenly remembered that Sandusky committed sexual acts on them).

These therapists are clearly activists, and one would, based on their activities and the political leanings of therapists, expect them to often be on the Left.

Sally Satel, a psychiatrist who wrote this piece, is against activism, though she is affiliated with the Right-Wing American Enterprise Institute. Wikipedia says she’s a “political conservative” and has also written several books about the incursion of Left-wing doctrine into medicine, like this one (click to go to Amazon site):

Satel’s also identified as working at a methadone clinic in Washington D.C. and as a visiting professor at Columbia University’s Vagelos College of Physicians and Surgeons. If you’re one of those, you can ignore her views simply because she’s a conservative, but you might be missing some truths. And her claimed truth in this piece, which can be at least partly checked by following the links she gives, is that therapy is increasingly turning into the instillation of woke attitudes into patients as the world because woker. I doubt that, in these times, you’ll find that thesis inherently unlikely! But here’s what she says:

Until roughly five years ago, people seeking mental health care could expect their therapists to keep politics out of the office. But as counselor education programs and professional organizations across the country embrace a radical social justice agenda, that bedrock principle of neutrality is crumbling. Mental health professionals—mainly counselors and therapists—are increasingly replacing evidence-driven therapeutics with ideologically motivated practice and activism.

The Graduate Counseling Program at the University of Vermont, for example, intends to “structurally align” itself with the Black Lives Matter movement and begin “the work of undoing systemic white supremacy.” After George Floyd’s death, the Johns Hopkins University Counseling Center advised would-be students to “consider us one of many resources in the difficult but necessary work of engaging with internalized bias, recognizing privilege, and aligning values of anti-racism and allyship with embodied and sustained practice.”

Such sentiments are not limited to mission statements—they are playing out in the real world of clinical training. Some counseling programs encourage students to engage in social justice activism. Most troubling of all, trainees are being taught to see patients not as individuals with unique needs, but as avatars of their gender, race, and ethnic groups. Accordingly, more and more counselors encourage their patients to understand their problems as a consequence of an oppressive society. White patients, for instance, are told that their distress stems from their subjugation of others, while black and minority patients are told that their problems stem from being oppressed.

The stakes for patients are high. When therapists use patients as receptacles for their worldview, patients are not led to introspection, nor are they emboldened to experiment with new attitudes, perspectives, and actions. Patients labeled by their therapists as oppressors can feel alienated and confused; those branded as oppressed learn to see themselves as feeble victims. It is difficult to imagine how a healthy therapeutic alliance between counselor and patient—a core bond nurtured through a clinician’s posture of caring neutrality and compassionate detachment—could thrive under these conditions.

Is it hard to imagine that therapists might engage in this form of indoctrination when secondary-school and college teacher do it all the time? Satel goes on:

The American Counseling Association, “the world’s largest association exclusively representing professional counselors,” has a Code of Ethics that explicitly cautions against such boundary violations: “Counselors are [to be] aware of—and avoid imposing—their own values, attitudes, beliefs, and behaviors.” Yet the association has said nothing about the overt ideological stance of some programs, or blatant instances of imposition.

It’s hard to argue with that paragraph’s advice. Nor is it hard to believe that any form of propagandizing patients will be aimed at moving them toward the left because, at least according to Five Thirty Eight, social and personality psychologists are about as liberal as college professors:

When New York University psychologist Jonathan Haidt asked about a thousand attendees at the annual meeting of the Society for Personality and Social Psychology in 2011 to identify their political views with a show of hands, only three hands went up for “conservative or on the right.” Separately, a survey of more than 500 social and personality psychologists published in 2012 found that only 6 percent identified as conservative overall, though there was more diversity on economic and foreign policy issues.1 The survey also found that 37.5 percent of respondents expressed a willingness to discriminate against conservative colleagues when making hiring decisions. Psychologists, it appears, tend to fall on the liberal end of the political spectrum.

I expect therapists will line up pretty much the same way.

Now it’s okay if a patient’s problems involve politics. Perhaps he was driven to fury by Trump, and it’s upsetting his life. Or he can’t live in a world in which race seems to be the main driver of everything. Then the therapist can draw out the patients and suggest ways to improve their lives. But I don’t think it’s ever valid to impose your own politics on a patient, nor to treat them as a member of a political or ethnic group rather than an individual, like trying to urge them to be “more black or Hispanic” or “less white”.  Satel has a couple of anecdotes about this, but remember, they are anecdotes.

Central to the ideology that’s creeping into the field of mental health care is a growing aversion to recognizing personal responsibility and agency. One colleague of mine who works in a prominent psychiatry department told me that during a group discussion of the growing problem of stress and suicide in black youth, her colleagues were unwilling to discuss explanations that pointed to factors coming from within beleaguered communities. Thus, participants who pointed to fear of police aggression and societal discrimination were greeted with nods, but when she suggested they also consider bullying by classmates, chaos in the home, or neighborhood violence, she was ignored.

I have had my own encounter with this growing illiberal strain. Following a lecture I gave earlier this year to a group of psychiatrists and trainees, I was castigated by several attendees for drawing attention to personal agency in overcoming drug addiction. My transgression, as they saw it, was to “blame the victim” and take focus away from factors such as racism, poor education, and poverty—which, as I had noted in my presentation, also predispose people to heavy drug use. But I was not “blaming the victim,” I explained in an icy Q-and-A; rather, I was drawing attention to the patients’ capacities to improve their lives and, therefore, to hope.

As a palliative, she touts an organization, The International Association of Psychology and Counseling, dedicated to promoting “critical thinking over indoctrination” and to an organization called FAIR in Medicine, a group designed to combat the incursion of ideology into medicine as a whole.  As Satel says at the end (her emphasis):

Though I am worried for my profession, for colleagues who feel pressure to conform, and for the patients who depend on them, I take heart from these flares of resistance. I am confident that there is a silenced majority of clinicians who see the need to resist the ideological encroachment into the field of mental health care and the health sector more broadly. These new organizations are in their early stages but have the potential to attract the critical mass needed to rebuff politicized narratives and re-assert the primacy of individual patients in all their complexity.

Dr. Sally Satel

Failures of replication in psychology

June 29, 2021 • 9:15 am

We hear a lot about the “replication crisis” in science, and it’s often cited to imply that science is largely untrustworthy, perhaps just as fallible a “way of knowing” as, say, religion. And indeed, a number of prominent results in psychology and other fields have not been replicated by others. What is not mentioned in such criticisms is the huge number of studies in “hard” science that have been replicated. As far as I know, DNA is still a double helix, Jupiter is larger than Earth, benzene has six carbon atoms, and the continents are moving about on tectonic plates. Nobody, of course, has totted up the proportion of all results in any field that have been replicated. Still, failures of replication are concerning, but also inevitable, since science is an ongoing process. And they also give us a way of adding or subtracting credibility from a hypothesis.

A list of “replication failures” does serve to remind us that science is fallible, an ongoing enterprise that is subject to revision. Nothing is “proven” in science; the concept of “proof” is for mathematics, where there’s no “replication crisis.” Science is a Bayesian enterprise, in which accumulating evidence combines to give us more or less confidence in a hypothesis. But remember, too, that many scientific “facts” are very unlikely to be overturned, and, using any reasonable layperson’s notion of “proof”, have been proved.  A molecule of normal water has two hydrogen atoms and one oxygen atom, the normal form of DNA is a double helix, the speed of light in a vacuum is 299792458 metres per second ( roughly 186,000 miles per second) and so on.

This list of “reversals” below is limited to psychology and is 18 months old. It comes from the site argmin gravitas, and was compiled by “Gavin, a PhD candidate in AI at Bristol.”

The caveats are given by Gavin below, and the most important one is that a “failure of replication” does not mean either that the original result was wrong or that somebody cheated. Psychological studies often use different samples from different places; the statistical power of tests to detect effects depends on sample size, which varies among studies; different statistical tests can give different results; and, of course, there could be confirmation bias in whether you accept a result. And if you use the 5% level of significance, roughly 1 in 20 tests will yield a “false positive.” As Gavin says, “failed replications (or proofs of fraud) usually just challenge the evidence for a hypothesis, rather than affirm the opposite hypothesis.” Here are his caveats:

A medical reversal is when an existing treatment is found to actually be useless or harmful. Psychology has in recent years been racking up reversals: in fact only 40-65% of its classic social results were replicated, in the weakest sense of finding ‘significant’ results in the same direction. (Even in those that replicated, the average effect found was half the originally reported effect.) Such errors are far less costly to society than medical errors, but it’s still pollution, so here’s the cleanup.

Psychology is not alone: medicine, cancer biology, and economics all have many irreplicable results. It’d be wrong to write off psychology: we know about most of the problems here because of psychologists, and its subfields differ a lot by replication rate and effect-size shrinkage.

One reason psychology reversals are so prominent is that it’s an unusually ‘open’ field in terms of code and data sharing. A less scientific field would never have caught its own bullshit.

The following are empirical findings about empirical findings; they’re all open to re-reversal. Also it’s not that “we know these claims are false”: failed replications (or proofs of fraud) usually just challenge the evidence for a hypothesis, rather than affirm the opposite hypothesis. I’ve tried to ban myself from saying “successful” or “failed” replication, and to report the best-guess effect size rather than play the bad old Yes/No science game.

Figures correct as of March 2020; I will put some effort into keeping this current, but not that much.
Code for converting means to Cohen’s d and Hedge’s g here.

Click on the screenshot to see the “reversals”.

I’ll mention only one example given from each of 13 branches of psychology discussed by Gavin; these are experiments that seem to be fairly well known or whose failure to replicate interested me. Go to the site to see the statistics from the original papers and then from attempts to replicate.  And a lot of other papers are cited as well.

Gavin’s words are indented.

Social psychology:

  • No good evidence of anything from the Stanford prison ‘experiment’. It was not an experiment; ‘demand characteristics’ and scripting of the abuse; constant experimenter intervention; faked reactions from participants; as Zimbardo concedes, they began with a complete “absence of specific hypotheses”.

Positive psychology:

  • No good evidence for facial-feedback (that smiling causes good mood and pouting bad mood).

Cognitive psychology:

  • Questionable evidence for (some readings of) the Dunning-Kruger effect.

Developmental psychology:

Personality psychology:

  • Anything by Hans Eysenck should be considered suspect, but in particular these 26 ‘unsafe’ papers (including the one which says that reading prevents cancer).

Behavioural science:

  • The effect of “nudges” (clever design of defaults) may be exaggerated in general. One big review found average effects were six times smaller than billed. (Not saying there are no big effects.)

Marketing:

  • Brian Wansink accidentally admitted gross malpractice; fatal errors were found in 50 of his lab’s papers. These include flashy results about increased portion size massively reducing satiety.

Neuroscience:

  • Readiness potentials seem to be actually causal, not diagnostic. So Libet’s studies also do not show what they purport to. We still don’t have free will (since random circuit noise can tip us when the evidence is weak), but in a different way.

I’ve read the references about “failure to replicate Libet”, and they don’t show that conscious will is involved in decisions; they show that neural inputs, either random or non-random (i.e., derived from sensory input) influence decisions, and brain activity can predict behaviors before the subject is conscious of having “decided”. But I have no quarrel about that. Free will, if it means anything, especially to dualists, has to involve the causation of a of an action by a conscious decision that could have been otherwise.  And the Libet experiment, and many others since, show a genuine decoupling between brain activity that can predict an action and consciousness of having “decided” to perform that action. That in itself is a sword in the heart of dualistic free will, though of course not of compatibilist free will, as nearly all of its adherents accept physical determinism and reject dualism.

Psychiatry:

  • At most extremely weak evidence that psychiatric hospitals (of the 1970s) could not detect sane patients in the absence of deception.

Parapsychology:

  • No good evidence for precognition, undergraduates improving memory test performance by studying after the test. This one is fun because Bem’s statistical methods were “impeccable” in the sense that they were what everyone else was using. He is Patient Zero in the replication crisis, and has done us all a great service. (Heavily reliant on a flat / frequentist prior; evidence of optional stopping; forking paths analysis.)

Evolutionary psychology:

  • Questionable evidence for the menstrual cycle version of the dual-mating-strategy hypothesis (that “heterosexual women show stronger preferences for uncommitted sexual relationships [with more masculine men]… during the high-fertility ovulatory phase of the menstrual cycle, while preferring long-term relationships at other points”). Studies are usually tiny (median n=34, mostly over one cycle). Funnel plot looks ok though.

Psychophysiology:

  • At most very weak evidence that sympathetic nervous system activity predicts political ideology in a simple fashion. In particular, subjects’ skin conductance reaction to threatening or disgusting visual prompts – a noisy and questionable measure.

Behavioural genetics:

  • Be very suspicious of any such “candidate gene” finding (post-hoc data mining showing large >1% contributions from a single allele). 0/18 replications in candidate genes for depression. 73% of candidates failed to replicate in psychiatry in general. One big journal won’t publish them anymore without several accompanying replications. A huge GWAS, n=1 million: “We find no evidence of enrichment for genes previously hypothesized to relate to risk tolerance.”

h/t: Luana

A new paper by a psychoanalyst looks like a hoax, but isn’t

June 11, 2021 • 10:30 am

When I first saw the paper below, which is still on the pages of the Journal of the American Psychoanalytic Association—a journal I expected to be peer-reviewed journal and have a modicum of rigor even if it is about psychoanalysis—I thought it was a joke: a hoax “grievance” paper à la Pluckrose, Lindsay, and Boghossian.  But I don’t think it is. Instead, it’s a horrid, racist gemisch of obscurantist chest-beating in the guise of antiracism. Click on the screenshot to read it, or download the pdf here. (The full reference is at the bottom of the page.)

Just three quotes, besides the abstract above, give the tenor of the paper:

Parasitic Whiteness infiltrates our drives early on. The infiltrated drive binds id-ego-superego into a singular entity, empowered to dismiss and override all forms of resistance. The drive apparatus of Whiteness divides the object world into two distinct zones. In one, the Whiteness-infiltrated drive works in familiar ways—inhibited, checked, distorted, transformed—susceptible, that is, to standard neurotic deformations. In the other, however, none of this holds true. There the liberated drive goes rogue, unchecked and unlimited, inhibited by neither the protests of its objects nor the counterforces of its internal structures.

. . .Parasitic Whiteness generates a state of constantly erotized excitement, a drift toward frenzy.1 Fix, control, and arouse; want, hate, and terrorize. Whiteness resides at this always volatile edge, in a state of permanent skirmish, always taking on the never obliterated resistances of its nonwhite objects. Opaque to itself and hyperconscious of those objects, Whiteness pursues the impossible, a stable synthesis, an end point. It can therefore never rest. Blindly, then, it continues forward, unendingly bent on conquering. There seems no backward path, no mode of retreat. It faces an interminable forward march. If only it could totally and permanently transform these objects, turn the once feared and unknown into the now reduced and measured; turn the once unique and overwhelming into the now fungible and owned.

Whiteness originates not in innocence but in entitlement.

. . . Psychoanalytic work, then, need not properly target Whiteness itself here. Instead, it can effectively target the psychic receptor sites that provide Whiteness the interior vertical mapping on which it depends. The vertical map disrupts the identificatory bond that might once have bound subject to object. The bond persists, though, reshaped and hardened now into a vertical format. Identification morphs into disidentification, similarity into difference, affectionate care into sadistic cruelty. Diminish the spread and influence of these interior vertical receptor sites and, indirectly, the parasite of Whiteness is dislodged, loosed, itself becoming susceptible to exposure, as a differentiated and alien presence. Psychoanalytic work, in its most radical, fundamental, and, finally neutral forms, targets any and all of the effects of vertical mapping. Where verticality was, there horizontality will be.

Ah, the termites are dining well!  Imagine if this paper used any ethnicity other than “whiteness”. It would not have been publishable, and the author would have been damned and demonized forever for racism. Indeed, I’m baffled why the editor of this journal even published the screed. It appears to say nothing beyond whiteness being a parasitic infection of the mind that needs to be cured by psychoanalysis (of course).

Is this a joke or a hoax? I don’t think so. The author has written quite a few articles for the journal and is identified at the article’s end this way:

Faculty, New York Psychoanalytic Institute [NYPI]; co-founder of the Green Gang, a four-person collective working with climate change denial and the relation between the human and the natural worlds; Chair, Program Committee, American Psychoanalytic Association.

Indeed, he’s listed as a faculty member on the New York Psychoanalytic Institute website. He’s a real person!

Here’s a photo of Moss from the NY Post:

Now there’s a different Donald Moss, another physician, who hastened to tweet that he wasn’t the guy who wrote this execrable paper. I don’t see the “correction and apology” on the website, though.

Lee Jussim, a psychologist at Rutgers, points out the similarities between Nazi racism and Moss racism:

I don’t want to delve further into this steaming pile of psychoanalytic scat, as you can read the paper for yourself, and perhaps delve further into the writings of Dr. Moss. But you can conclude two things. First, this Donald Moss is off the rails, perhaps in need of treatment himself (but not psychoanalysis!). Second, the Journal of the American Psychoanalytic Association has no credibility and, apparently, no standards.

I wonder what his colleagues at the NYPI are thinking. . .

______________

Moss, D. 2021. On Having Whiteness. Journal of the American Psychoanalytic Association 69:355-371.

The New Yorker’s hit job on Elizabeth Loftus

April 25, 2021 • 9:30 am

I doubt that psychologist and memory expert Elizabeth Loftus knew that, when Rachel Aviv of the New Yorker interviewed her for a recent profile, Aviv had a hit job in mind. I say this because Aviv makes statements in the piece (click on screenshot below; I think access is free) implying that she, Aviv, believes in the dubious and largely discredited concept of repressed and recovered memory; and Loftus has spent much of her life doing research that caused the discrediting.

When I first saw the piece’s title, I thought, “Wow! The New Yorker is doing some real science pieces now.”  Indeed, the title seems to be about Loftus’s work, which I knew a bit about. I had met Loftus (her friends call her “Beth”) at the 2016 American Humanist Association Meeting in Chicago, where I spoke and she received the Isaac Asimov Science Award for scientific work that advanced humanist values. After the award, Loftus gave a talk on the fallacies of memory, a talk I found quite impressive. (As you’ll see from the TED talk below, she’s a very good speaker.) At the conference dinner, I sat beside Loftus and we had a delightful conversation, which was also a bibulous one because, as I recall, we’d each had more than our share of wine.  But after I wrote the preceding sentence, I looked up my emails from Loftus after the dinner and found one that said “they should have given us wine”, implying that my memory of being tipsy with her was false! What I wrote was an example of the kind of false memory she works on!

Click below to read the New Yorker piece:

Here’s Loftus speaking about her work. You’ll learn a lot more from this 17½-minute talk than you will from Aviv’s piece.

So I looked forward to reading Aviv’s piece, hoping to learn more about Loftus’s work on memory.  As Aviv notes, Loftus is “the most influential female psychologist of the twentieth century, according to a list compiled by the Review of General Psychology.”  She’s written 24 books and more than 600 papers. I haven’t read any of those works, but know Loftus from her talks and from what I’ve read about her, and so anticipated learning a lot more about memory from the New Yorker.

Oy, was I mistaken! For despite the piece’s title, it has almost nothing about Loftus’s accomplishments, which are many. Instead, Aviv concentrates on Loftus testifying at the trial of Harvey Weinstein, at the appeal of Jerry Sandusky and in legal proceedings of other miscreants—while noting that Loftus has only ever refused a single invitation to testify in anyone’s defense, for she testifies about the known science, not the defendant’s actions. That action alone demonized her, as it did Ronald Sullivan, a Professor of Law at Harvard who was kicked out of his position as a Harvard “faculty dean” at Winthrop House because he also worked for Weinstein’s defense. Because of this, Loftus was also deplatformed at New York University and snubbed by her colleagues at UC Irvine, where she’s a professor.

As someone who worked on the DNA evidence at O. J. Simpson’s trial, and testified about DNA evidence for public defenders in trials for rape and murder, I object to this kind of demonization. (I didn’t take money for any case after the first one I worked on in Chicago.) The job of the defense is to make the prosecution prove its case beyond a reasonable doubt, and if the prosecution is making statements that are scientifically questionable, including, as we see above, using eyewitness evidence, which can be deeply fallible, the defense’s job is to call those statements into question. Everyone deserves a fair trial, including those accused of the most odious crimes, as well as those who are wealthy.

I digress, I suppose, but I see Aviv’s repeated mentions of Loftus’s testimony for Weinstein as an attempt to smear her. There are too many mentions to think otherwise.

But it’s worse, for while Loftus’s work is barely mentioned, you’ll see that Aviv concentrates on Loftus’s personal trials: in particular, her relationship with her late mother.

Virtually the entire article is devoted to Loftus’s childhood and adolescence, and a large part of that to a single Skype call Loftus had with her two brothers, largely about their mother, Rebecca.  A depressive, Rebecca died, most likely by suicide, when Loftus was a teenager. Loftus is still wounded by this loss. Worse, Elizabeth has very few concrete memories of her mother, and cannot decide whether her mother drowned accidentally or as a deliberate suicide attempt. Elizabeth had a heart-to-heart talk with her mother the night before she was found drowned, and that makes her feel even worse.  Aviv mentions several times that the Skype call, which Aviv was party to, made Loftus cry, and that also appears in the last sentence. I don’t think that’s accidental.

After I finished this peculiar article, I wondered why Aviv concentrated so much on Loftus’s thoughts about her mother and not on her work. When Loftus is asked whether her work on memory somehow grew out of her attempts to remember her mother, she denies it, for all three of her degrees were in mathematical psychology and had nothing to do with memory. Loftus hit upon the memory work only after she started a job at The University of Washington and came upon police records of car crashes, which piqued her interest in memory.

The rest is part of the history of psychology, but Aviv isn’t interested in that. She’s obsessed with Loftus’s scant remembrance of her mom, and Loftus’s doubts about whether she did kill herself. It goes on and on and on, and the article becomes not only boring, but pointless.

When I was puzzled about this, I asked my friend Fred Crews—former professor and chair of English at UC Berkeley, well known critic of Freud and his ideas, student and critic of recovered memory therapy, and a friend of Loftus— if he’d read the piece. He said he had, and had not only found it dreadful, but also had an explanation for its slant. I quote him with permission:

To be brief,  Aviv subscribes to Freud’s original bad idea: People repress traumatic memories, and psychotherapists can coax them into recalling them. With that conviction, Aviv regards Loftus less as a memory scientist than as someone who lets abusers off the hook. In that case, the only interesting question is biographical: how did Loftus acquire this undesirable peculiarity? The result, in Aviv’s prose, is what I would call a “friendly libel.” We are meant to empathize with Loftus’s personal trial, but insofar as we do so, we impugn her testimony as a neutral expert witness.

That assessment seems fair to me, and explains Aviv’s neglect of Loftus’s work in favor of her “personal trial”. In fact, Aviv even impugns some of Loftus’s work, noting that one of her famous studies, on car crash memories, had a sample size of only 24. I can’t comment on that, but sample size alone does not invalidate the study. Does Aviv know enough science to raise such a criticism?

Loftus has sacrificed a lot for her work, and although she is highly influential, and to my mind has largely laid to rest the idea that traumatic memories can be repressed and then recovered through therapy, she is still demonized by the kind of people who think that anybody who testifies in court for an odious person is to be shunned. Loftus moved to Irvine because her position at the University of Washington became untenable when she was criticized for asking questions about a woman who said she’d been abused by her mother.

Enough. I want to close by reproducing, again with permission, a letter Crews wrote to the New Yorker criticizing Aviv’s execrable hit job on Loftus.  The magazine didn’t publish it, for the New Yorker which has a reputation for allowing only very mild criticism of its pieces and deep-sixing any highly critical letters.

The letter notes that Aviv appears to buy into the idea of repressed but recoverable memories of sexual abuse broached (and later rejected) by Freud. Aviv seems to think that Freud made a mistake when he reversed course and decided that the “repressed” events never happened, but were confected by the patients and manifested as hysteria.

According to Rachel Aviv, Sigmund Freud “realized that his patients had suppressed memories of being sexually abused as children.” In subsequently disavowing that realization, Aviv adds, Freud “walked away from a revelation” of the prevalence of child sexual abuse. Later, Aviv writes that in the 1980s and 90s Ellen Bass—the coauthor of The Courage to Heal—and other theorists were “careful not to repeat Freud’s mistake.” And then Aviv refers again to “Freud’s female patients, whose memories of abuse were believed and then . . . discredited.”

This version of events became popular in 1984 with Jeffrey Masson’s book The Assault on Truth, which argued that classical psychoanalysis was founded on a cowardly retreat by Freud from the truth of his “seduction” patients’ molestations. But Freud scholars have known since the 1970s that this account is wrong.

In the brief period of his “seduction theory,” Freud maintained that hysteria is invariably caused by the repression of traumatic abuse memories from early childhood. Although he later claimed that his hysterics had spontaneously told him (in error) about having been molested, the reverse was true. He told them so, because his theory demanded it. Nearly all of his patients at the time disputed Freud’s claim, even scoffing at its absurdity. Freud finally abandoned the “seduction” etiiology because his colleagues, too, regarded it as “a scientific fairy tale” (Krafft-Ebing). They were entirely right. But in the hands of Bass and other modern proponents of “recovered memory,” a theory that collapsed in its own time was rehabilitated for very risky ends.

If you want to see what a charlatan Freud was, I’d highly recommend Fred’s book Freud: The Making of an Illusion.

Full disclosure: here’s a picture I asked someone to take of Loftus and me after the AHA dinner (see my post here). I may not be a completely unbiased observer, but read the NYer piece for yourself and see if you don’t find it weird.

The New Yorker continues to largely ignore or denigrate science, mired as it is in a woke perspective and a view that the humanities are valid “ways of knowing”. Aviv’s piece is a particularly good example of how the magazine misses the boat when it comes to science, obliquely trying to denigrate an influential scientist by concentrating on her life and her own traumas rather than on her peer-reviewed work.

Should mental-health professionals diagnose Trump as mentally ill?

October 3, 2020 • 12:30 pm

It’s one thing for us to call Trump a narcissist or a sociopath, but it’s another thing entirely when a group of mental-health professionals argue that Trump should not be allowed to debate—or should be impeached—because he’s sick in the head.

Psychiatrists generally refrain from diagnosing people whom they haven’t examined, adhering to what’s called the “Goldwater Rule”. That rule, put into place by the American Psychiatric Association, came into being in 1973 when a group of over 1000 psychiatrists questioned Barry Goldwater’s fitness for office based on their long-distance diagnosis. Other Presidents, including Clinton, have also been diagnosed as mentally ill by the pros.

After the diagnosing of Trump started in 2016, the APA issued a statement in January, 2018 that reaffirmed the Goldwater Rule:

Today, the American Psychiatric Association (APA) reiterates its continued and unwavering commitment to the ethical principle known as “The Goldwater Rule.” We at the APA call for an end to psychiatrists providing professional opinions in the media about public figures whom they have not examined, whether it be on cable news appearances, books, or in social media. Armchair psychiatry or the use of psychiatry as a political tool is the misuse of psychiatry and is unacceptable and unethical.

The ethical principle, in place since 1973, guides physician members of the APA to refrain from publicly issuing professional medical opinions about individuals that they have not personally evaluated in a professional setting or context. Doing otherwise undermines the credibility and integrity of the profession and the physician-patient relationship. Although APA’s ethical guidelines can only be enforced against APA members, we urge all psychiatrists, regardless of membership, to abide by this guidance in respect of our patients and our profession.

A proper psychiatric evaluation requires more than a review of television appearances, tweets, and public comments. Psychiatrists are medical doctors; evaluating mental illness is no less thorough than diagnosing diabetes or heart disease. The standards in our profession require review of medical and psychiatric history and records and a complete examination of mental status. Often collateral information from family members or individuals who know the person well is included, with permission from the patient.

“The Goldwater Rule embodies these concepts and makes it unethical for a psychiatrist to render a professional opinion to the media about a public figure unless the psychiatrist has examined the person and has proper authorization to provide the statement,” said APA CEO and Medical Director Saul Levin, M.D., M.P.A. “APA stands behind this rule.”

I generally agree, for professionals should behave professionally. Doctors don’t diagnose patients without an exam, and psychiatrists are doctors. As an article in the Canadian Medical Association Journal (CMAJ) noted,  

. . . One reason for The Goldwater Rule is the likelihood of error in a diagnosis made at a distance. A proper diagnosis requires much more than “a review of television appearances, tweets, and public comments,” the American Psychiatric Association noted in its statement. “The standards in our profession require review of medical and psychiatric history and records and a complete examination of mental status. Often collateral information from family members or individuals who know the person well is included, with permission from the patient.”

You can say we already know enough to agree that Trump is mentally ill, but remember, if you want to assert that in court, the perp has to be examined by mental-heath professionals. Courts won’t accept diagnoses without direct examinations.

Now some mental-health professionals say that there’s a “duty to warn” that overrides the Goldwater Rule, a “duty to warn” about the effect of Trump not just on the well being of America, but on the well being of Americans themselves, making them unstable, liable to suicide, and so on. And so a group of 27 mental-health professionals, including psychiatrists, issued a statement last October warning about Trump. An excerpt from that:

Efforts to bring Duty To Warn into the spotlight have been ongoing since Trump first stepped into the political ring. We are joined by mental health professionals from various field including, but not limited to, psychiatry, psychology, medicine, public health, public policy, and social work; in every field, professionals have been voicing their concern about the president’s instability.

We Are Mandated Reporters
Mental-health professionals are mandated reporters with a duty to warn our patients and the community around us if we feel there is a potential danger.  In this case, we collectively feel there is a duty to warn the public of the threat Donald Trump poses both to our nation and the planet.

It is our duty to notice when an individual is a danger to themselves and/or others.

What about the Goldwater Rule?

“The Goldwater Rule is not absolute. We have a ‘Duty to Warn,’ about a leader who is dangerous to the health and security of our patients.” Mental-health professionals are “sufficiently alarmed that they feel the need to speak up about the mental-health status of the president.”

CMAJ counters:

Last October, when a group of 27 mental health professionals, including psychiatrists, published a book arguing that the current US president’s mental state was a danger to the nation, they said they were honouring another medical principle: the duty to warn. The idea behind “duty to warn” is that if you are in a position to know about a danger and have time to alert others, you should do so. Psychiatrists, for instance, are allowed to break doctor–patient confidentiality if they suspect a patient is about to harm a third party.

But part of that duty rests on having done a proper evaluation, according to Dr. David Goldbloom, a psychiatry professor and senior medical adviser for the Centre for Addiction and Mental Health. “You are intervening to abrogate fundamental civil freedoms,” he said. “You can’t do that from having read an article or watched television.”

Of course, we know that Trump is a danger to the country simply because of his statements and actions, and that seems to me independent of whether he has an official DMC diagnosis by professionals.

But Yale psychiatrist Bandy Xenobia Lee, in an interview with Salon (of course), says that it’s her duty to warn people about Trump’s instability.

Lee has a history of trying to publicize her views that Trump is mentally ill; see the section on this in Wikipedia, which also describes her lobbying Congress. That section says this:

in 2017 [Lee] was editor of The Dangerous Case of Donald Trump, a book of essays alleging that Trump suffers from psychological problems that make him dangerous.

. . . In an interview she also said, “whenever the Goldwater rule is mentioned, we should also refer to the Declaration of Geneva, established by the World Medical Association 25 years earlier, which mandates physicians to speak up if there are humanitarian reasons to do so. This Declaration was created in response to the experience of Nazism.”

And it’s possible that some of this has to do with, yes, inequalities in American society:

Lee then stated in an interview with Salon in May 2017 that Trump suffers from mental health issues that amount to a “state of emergency” and that “our survival as a species may be at stake.” She also discussed her political views, linking what she sees as increasing inequality in the United States to a deterioration in collective mental health.

She continues her efforts in the Salon interview (click to read):

First, she argues that Trump shouldn’t be allowed to debate:

Trump spent most of the debate heckling and interrupting, mixed with some blatant lying. How would you assess his debate performance?

The huge error was in allowing the debate to happen in the first place. “How was his debate performance?” is the wrong question to start. A debate presupposes mental health. We cannot pretend to have one when management of psychological impairment is what is warranted. The majority of the country may be horrified at what he is doing, but we continue to help the disorder in every way possible by treating his behavior as normal. It applies first to the politicians, then to the media and then to pundits who do not come out and honestly say: “This is beyond anything I have seen and beyond what I can understand — can we consult with experts?” And experts, for a psychological matter, would be mental health experts. Perhaps even specialists of personality disorders or sociopathy would be necessary, given the severity.

I’m not sure people treated his behavior as normal; the media was full of people saying that he seemed unhinged. Having someone like Lee weigh in that he’s mentally ill and shouldn’t have been allowed to debate adds little to that; in fact, I thought the debate was salutary in one sense: Americans got to see how unhinged Trump is. If they want to elect him after that, well, they’ll get what they deserve.

One gets the feeling, throughout this interview and in Lee’s other writings, that part of the reason for her crusade goes beyond her view that an unleashed Trump will harm America; it may well also involve her blatant dislike of his politics. In that respect she goes over the top in emphasizing the psychological toll of Trump on America, a toll that presumably should have mandated his impeachment:

The reinterpretation of the “Goldwater rule,” as happened at the onset of this presidency, has been exceedingly harmful, in my view, for silence in the face of grave dangers facilitates conditions for atrocities. Last month, we created a blow-by-blow account of how we exactly foretold the president’s mismanagement of the coronavirus pandemic, based on his psychological makeup. We could not effectively convey this in advance, because the public was led to believe that the “Goldwater rule,” which is a guild rule applying only to 6% of practicing mental health professionals, was universal, or worse yet, some kind of law. But in truth, to change a guideline whose purpose is to protect public health to protect a public figure at the expense of public health violates all core tenets of medical ethics.

Yet Lee has been broaching the Goldwater Rule for a long time (I don’t know how she gets away with this if she’s a member of the APA), and yet nothing has happened to Trump despite her books and her many interviews, all making the same point.

And she may well be right that Trump meets the ever-shifting psychiatric criteria for mental illness. I’m no professional, but Trump’s behavior seems way, way out of line—the tails of the human behavioral distribution. Still, I’m not comfortable with professionals giving a professional opinion by observing Trump the same way we do: scrutinizing his tweets, his press conferences, his debate performance. The man is out of control. But don’t psychiatrists need to talk to a patient before they tell the world he’s nuts? The effect of Trump on people is obvious, and you don’t need to be a mental health professional to see that his Presidency is risky to America. Having Dr. Lee tell us that, in our professional opinion, he’s nuts, adds nothing to our fear of the man.

In fact, if people tried to remove Trump from office, or prevent him from debating, based on Lee’s opinion that Trump is mentally ill, it wouldn’t work. People would just laugh at the attempt, and impeachment on the grounds of mental incapacitation wouldn’t do, either, at least not with a Republican Senate.

I can see where Lee is coming from: she’s a forensic psychiatrist and presumably sees nuances in Trump’s behavior that we don’t see. But we don’t need nuances—we know all we need to know, and if a liberal psychiatrist says Trump is certifiably a bull-goose loony, that will have no effect in swaying his supporters. We already have the means to stop Trump, and we can exercise it in the next four weeks by casting our ballots against him.

Bandy Lee and her book.

h/t: Randy

What is it like to be Trump?

September 9, 2020 • 9:00 am

Most of you probably know about Thomas Nagel’s famous article, “What is it like to be a bat?” (article here), which denies a materialistic understanding of consciousness based on our inability to understand what a bat’s consciousness is really like. While philosophers have argued over Nagel’s thesis, there’s little doubt that, at least for the present, we have no way of getting inside a bat’s head to answer his title question.  (I often wonder, while tending the ducks at Botany Pond, what it’s like to be a duck.)

While a bat’s mind is inaccessible for the nonce, that’s also true of any other creature, including other humans. We don’t know what it’s like to be Christopher Walken, for instance. But we can be pretty sure, based on the fact that the neuronal wiring and acculturation of humans in our society is fairly similar, and because we also can get self-reports from people, that the consciousness of our fellow hominins is pretty similar to ours. There are of course exceptions: people in vegetative or comatose states, people with severe mental illnesses, and so on.

Speaking of the latter, when I woke up in the middle of the night last night (I don’t sleep well during the pandemic), it suddenly struck me that I have no idea what it’s like to be Donald Trump—in a way that’s similar to Nagel’s question. More than most other humans, Trump’s inner life is largely inaccessible to me.  That is, his behavior and mentation seems so alien compared to those of other people, that I have no idea what’s going on in that depilated noggin. Surely, though, he thinks that although he appears narcissistic, erratic, and foolish to most of us, he thinks he’s just fine—tremendous, as he says. He’s a “stable genius.” He surely thinks that it’s other people who are the problem.

The disparity between how Trump describes himself and how he comes across is greater than that of most people, though all of us have a self-image somewhat at odds with how we seem to others. It’s just that in Trump this disparity seems huge. And I wonder if others have entertained this same question.

As a determinist, I can’t fault Trump for making the wrong choices about what he does and what he says, or about who he’s become. That’s all a product of his genes and his environment and he never really had a choice in the ” libertarian free will” sense. But of course we can—and should—call him out for his behavior, because, though influencing the man himself is a lost cause, we might influence others to vote against him.

What is it like to be a Trump? I doubt that it’s pleasant given his obsessive monitoring of how people regard him and his frequent bursts of anger and invective. But I’m sure that if you asked him, he’d respond that he’s “perfect”, that “there’s nobody on Earth happier than I.”

So go the 2 a.m. thoughts during a pandemic.

 

Source

Freud: Charlatan of the mind

March 24, 2020 • 10:00 am

About fifteen years ago, I decided to read Freud. After all, he was touted as one of the three greatest thinkers of our time, along with Einstein and Marx (all Jewish men), and while I found Marx boring, I could at least try to read Freud. And I did: I read a lot of Freud, including his major books on dream analysis, the psychopathology of everyday life, The Future of an Illusion, his book on jokes, his General Introduction to Psychoanalysis, and many of his famous case studies, like “Little Hans” and the “Wolf Man.”

I was appalled. As a scientist, I recognized that his works were tendentious in the extreme. He wasn’t following the data, but massaging the data to conform to his preconceptions. In other words, he was ridden with confirmation bias. In fact, I couldn’t find a single idea in his works that was new (the “unconscious” had been suggested by others), and a lot of ideas that were complete crap (e.g., the Oedipus complex). In the end, I couldn’t figure out why he was regarded as such a great thinker. While psychoanalysis was touted by Freud as a “science,” there was no science in it: it was in fact the opposite of science—pseudoscience based on faith (a religion, really) and, ultimately, on Freud’s ambition to be famous.

Then I discovered that a professor named Fred Crews, once chairman of English at UC Berkeley, had devoted a lot of his writing to criticizing Freud in an objective but hard-hitting way. He had several articles on Freud in The New York Review of Books (e.g., here and here), as well as two excellent books on Freud, which I show below (click on screenshot to go to the Amazon site):

And this more recent book (2017):

The second book, involving years of diligent scholarship, is delightful though distressing, for you’ll discover the true mendacity of this ambitious, preening, and narcissistic man. Crews, once a literary critic adhering to the school of New Criticism, writes extremely well (this is a biography of the early Freud), and simply takes Freud to pieces.

Although some critics dissed the book, I couldn’t find a single critique that took issue with Crews’s painstakingly-accrued facts about Freud’s life. These critics seemed to be of the pro-Freud school—that group of people who, even if they decry psychoanalysis, can’t bear to hear that the Emperor had no clothes. At any rate, I would urge you to consider the second book for your quarantine reading. It’s a page-turner.

Now LiveScience has an article about Freud with a provocative title (click on screenshot):

The spoiler is given in the title, but there are a few pungent quotes from Crews:

“Statistically, it’s conceivable that a man can be as dishonest and slippery as Freud and still come up with something true,” Crews said. “I’ve tried my best to examine his theories and to ask the question: What was the empirical evidence behind them? But when you ask these questions, then you eventually just lose hope.”

As damning an assessment as that is, it wasn’t always like this for the founding father of psychoanalysis, who wrote that mental health problems could be cured by bringing unconscious thoughts back into the conscious realm. In his own time, Freud enjoyed celebrity status as a leading intellectual of the 20th century.

Chief among Freud’s overflow of opinions was the “Oedipus complex,” the hypothesis that every young boy wants to have sex with his mother and so wants to murder his father, whom he sees as a rival. But there’s a catch. The boy also has the foresight to realize that his father is simultaneously his protector. Presented with this challenging scenario, the child is forced to repress his homicidal cravings.

“It’s just about the craziest idea that anyone ever had,” Crews said. When people asked about young girls, Freud hastily came up with another idea, the Electra complex. “It’s just a cut-and-paste job. Suddenly, the little girl wants to have sex with her father,” Crews said. “It’s completely ludicrous.”

I wrote a post about the second book when it came out, and referred to a podcast with Crews. That’s still available, and you can listen to it or download it by clicking on the screenshot, where you’ll get 51 minutes of food for thought:

 

h/t: Bill

Tom Chivers has a theory about the latest Dawkins kerfuffle

February 19, 2020 • 1:00 pm

Tom Chivers is a journalist and science writer who, like me,  was taken aback by the negative reactions to Richard Dawkins’s recent tweet about eugenics. (Remember? Richard said eugenics would “work” in the sense of changing population means in humans, but immediately added that he was against it.) Now, at UnHerd, Chivers has proposed a “theory” to explain the dichotomous reaction. (It did seem pretty dichotomous, with lots of people understanding what Richard was trying to say but a big number demonizing Dawkins for “favoring eugenics.” There were a few, like me, who understood what Richard was saying but thought he should have said it in a longer piece rather than vomiting it out on Twitter. Or not said it at all.)

First, an earlier tweet from Chivers in which he expressed the rudiments of his idea:

 

Click on the screenshot below to read Chiver’s theory, which is his:

So Chivers’s idea, which is his, is that there are two types of people: the “high-decouplers”, which, in a statement like Dawkins’s, can easily separate the “is”s from the “ought”s. They can see that he’s making a statement about the malleability of human traits to artificial selection and, at the same time, realize that this doesn’t mean Dawkins favors such intervention.

Then there are the “low-decouplers”, which couple Dawkins’s “is” statement with his “ought” statement. (I’d prefer to call the groups “couplers” and “uncouplers”.) These people embed Richard’s “eugenics would work” statement in a political and cultural milieu, and are unable to separate them. Ergo Richard, by saying “eugenics works”, is somehow justifying Nazism. That isn’t an exaggeration, as you can see if you’ve followed the pushback.

As an example of a low-decoupler, I posted a tweet from a scientist who called Richard a “clown” who was “supporting eugenics” and deserved to be denounced. When I asked in my post if that scientist actually read what Richard wrote, I was denounced by the person (a woman) as a “sexist asshat”. (The exact wording was “So in addition to ‘Fuck eugenics’ and “Fuck dawks,’ I’d like to add, Fuck Jerry Coyne you sexist asshat”.) That, I realized after reading Chiver’s piece, was double “low-decoupling”: not only was the person unable to decouple Dawkins’s “is” from his “oughts”, but was unable to decouple my mild criticism of her from the presumption that I was a “sexist” (and an asshat, too). What would imply I was a “sexist” beyond her own sex?

So here’s Chivers’s take (a quote, not the full piece):

I have a rule that I try to stick to, but which I break occasionally. That rule is “never say anything remotely contentious on Twitter”. No good ever comes of it. Arguments that need plenty of space and thought get compressed into 280 characters and defended in front of a baying audience; it is the worst possible medium for serious conversations.

. . . The analyst John Nerst, who writes a fascinating blog called “Everything Studies”, is very interested in how and why we disagree. And one thing he says is that for a certain kind of nerdy, “rational” thinker, there is a magic ritual you can perform. You say “By X, I don’t mean Y.”

Having performed that ritual, you ward off the evil spirits. You isolate the thing you’re talking about from all the concepts attached to it. So you can say things like “if we accept that IQ is heritable, then”, and so on, following the implications of the hypothetical without endorsing them. Nerst uses the term “decoupling”, and says that some people are “high-decouplers”, who are comfortable separating and isolating ideas like that.

Other people are low-decouplers, who see ideas as inextricable from their contexts. For them, the ritual lacks magic power. You say “By X, I don’t mean Y,” but when you say X, they will still hear Y. The context in which Nerst was discussing it was a big row that broke out a year or two ago between Ezra Klein and Sam Harris after Harris interviewed Charles Murray about race and IQ.

. . .That’s what I think was going on with the Dawkins tweet. Dawkins thought he’d performed the magic ritual – “It’s one thing to deplore eugenics on ideological, political, moral grounds. It’s quite another to conclude that it wouldn’t work in practice” =  “By X, I don’t mean Y.” He is a nerdy, high-decoupling person, a scientist, used to taking concepts apart.

But many people reading it are not high-decouplers; they hear “eugenics” and “work” and immediately all of the history, from Francis Galton to Josef Mengele, is brought into the discussion: you can’t separate the one from the other.

. . . But I think the decoupling thing makes me understand a bit more why Dawkins’s tweet got people so angry. Sometimes the ritual fails, and the spirits break through the warding circle.

Chivers also explains that Dawkins’s tweet, which seemed to appear out of nowhere, was actually aimed at Andrew Sabisky, a nasty piece of work and a former advisor to Boris Johnson (he appears to have just resigned over racist remarks).

At any rate, Chivers gives some other examples of quotes from people who were demonized because the proper decoupling wasn’t done. Some of those quotes are harder to parse, and Chivers seems to have some sympathy with the victims.  As he says “I think the decoupling thing makes me understand a bit more why Dawkins’s tweet got people so angry.”

Well, the “coupling/decoupling” dichotomy is useful, I think, but hasn’t helped me understand more deeply why Dawkins’s tweet got people so angry. They were angry because they deliberately misinterpreted what he said—either that or they couldn’t read or were just thick. What puzzles me is why so many people were and are so eager to demonize Dawkins. Jealousy is one reason, I suppose, but I don’t think that quite covers it. After all, there are psychological reasons for a seeming inability to decouple that the theory doesn’t cover.

Chivers argues that it’s easier for scientists to decouple because they’re “used to taking things apart,” but I don’t buy that, either. It is those who are enraged by Dawkins—and they include many scientists, who have demonized him for his tweet)—or are determined to bring him down, who can’t decouple in this case. How bright do you have to be to understand that Richard was talking about the efficacy of artificial selection and not that it should be used in humans? Is that so hard—especially when Richard immediately explained what he meant in other tweets?

I will probably use the designations of “couplers” and “decouplers” in the future, as it’s good shorthand for people who link (or don’t link) things that shouldn’t be linked. But I don’t think that giving these groups names helps us understand them or their motivations any better.

Thoughts and prayers: what are they worth?

September 18, 2019 • 9:15 am

Everyone knows about the “thoughts and prayers” sent out after tragedies as a quotidian feature of the daily news. And all of us nonbelivers disparage not only the use of prayers (shown in a Templeton-funded study to not have any effect on healing after surgery), but also the uselessness of thoughts—unless conveyed directly to the afflicted person instead of dissipated in the ether.

But an anthropologist and an economist wanted to know more: what is the value of thoughts and prayers (t&p)? That is, how much would somebody in trouble actually pay to receive a thought, a prayer, or both? And would it matter if that afflicted person was religious or just a nonbeliever? Or whether the person offering t&p was religious? So the study below was published in the Proceedings of the National Academy of Sciences (click on screenshot below; pdf here; reference at bottom).

I suppose that, to an economist, the psychic value of getting thoughts or prayers (t&p) from strangers can be measured in dollars, and I’ll leave that for others to discuss. At any rate, the results are more or less what you think: Christians value t&p, nonbelievers don’t.

What Thunström and Noy did was to recruit 436 residents of North Carolina, the state hit hardest last year by Hurricane Florence. Those who were not affected by the hurricane (about 70% of the sample) had experienced another “hardship”. They were then given a standard sum of money (not specified) for participating in a Qualtrics survey, and an additional $5 to be used in the t&p experiment. Among the 436 participants, some were self-identified as Christian, while another group, either denying or unsure of God’s existence, were deemed “atheist/agnostic”. (The numbers in each group weren’t specified.)

The experiment also included people offering thoughts and prayers: people who were recruited to actually give them to those who were afflicted. These people included Christians, the nonreligious, and one priest who was “recruited from the first author’s local community.” Each offerer received a note detailing the travails of an afflicted person, and instructing them to offer either a thought or a prayer (it’s not clear whether the names of the afflicted were included in the note, but of course God would know).

To value the thoughts and prayers, the afflicted were offered two alternatives, among which a computer decided: an intercessory gesture that they’d pay for, or the absence of a gesture that they’d pay for. Payments could be positive (you’d have to actually give money), or negative (you’d pay to not have the gesture). The amount you’d pay varied, says the paper, between $0 and $5—the amount given for participating in the study, and subjects stated this “willingness to pay (WTP) before the computer made the choice.

The experiment isn’t described very well, and there’s no supplementary information, but I’ve taken some other details from second-hand reports of the studies, with the reporters apparently having talked to the authors. At any rate, here are the results, indicated in how much money people would give up for t&p, including both Christians (dark bars) and atheists/agnostics (light bars). Since atheists/agnostics wouldn’t be praying, the only alternative people were offered to receive that group were “thoughts”.

(from paper) The value of thoughts and prayers from different senders (95% confidence intervals displayed; n = 436).

Christians would always give up an amount of money significantly greater than zero for both thoughts and prayers, except when the thinker was a nonreligious stranger, to whom they’d pay $1.52 not to receive thoughts (dark bar below zero). Since the authors are social scientists, they use a significance level of 0.1 (“hard scientists” use at most 0.05, and the latter is significantly different from zero using the more lax criterion but not the one that scientist would use).

Christians would of course offer the most money ($7.17) for prayers from a priest, less money ($4.36) for prayers from a Christian stranger, and still less ($3.27) for thoughts from a Christian stranger, though this doesn’t appear to be significantly different from the price for prayers from the Christian stranger (the statistical comparison isn’t given).

In contrast, atheists/agnostics don’t give a rat’s patootie about t&p. In fact, they’d pay money to have priests or Christians not offer them thoughts and prayers, as you can see from the three light bars to the left, which are all below zero. What surprised me is that the nonbelievers would pay more to avoid prayers from a Christian stranger than from a priest ($3.54 versus $1.66 respectively), while they’d pay an intermediate amount ($2.02) to avoid getting thoughts from a religious stranger (these are all significantly different from zero). Finally, as you’d expect, nonbelievers don’t give a fig for thoughts from other nonbelievers, as we’re not superstitious. These nonbelievers would pay 33¢ to get thoughts from nonbelieving strangers.

There’s another part of the experiment in which participants were asked to give their level of agreement or disagreement to the statement, “I may sometimes be more helped by others’ prayer for me than their material help.” This “expected benefits index” (EBI) explains a great deal of the variation in the amount of money people were willing to pay for prayers and thoughts (or not pay for prayers and thoughts).

What does this all mean? To me, nothing more than the obvious: religious people value thoughts and prayers more than do nonreligious people. Moreover, religious people do not value thoughts from nonbelievers, and nonbelievers give negative value to thoughts or prayers from Christians, and no value to thoughts from fellow nonbelievers. That’s not surprising.

What is a bit surprising is that Christians would sacrifice money to get thoughts and prayers, and would pay just about as much for thoughts from other Christians than for prayers from other Christians. (Prayers from priests, however, were most valuable, showing that the Christians really do believe that priests have a power to help them more than do everyday Christians). I was also surprised that nonbelievers would pay money to avoid thoughts and prayers from Christians. Since we think these are ineffectual, why pay to avoid them?

In general, I saw the study as weak, and afflicted by a failure to fully describe the methods as well as the use of an inflated level of statistical significance (0.1).  All that it really confirms is that Christians think that thoughts and prayers really work; i.e., that they believe in the supernatural. But we knew that already. I am in fact surprised that this study was published in PNAS, which is regarded as a pretty good scientific journal.

_______________________

Thunström, L. and S. Noy 2019. The value of thoughts and prayers. Proc. Nat. Acad. Sci. USA; doi: 10.1073/pnas.1908268116

Trigger warnings: new study says they don’t work for traumatized people

July 16, 2019 • 11:15 am

Reader Gregory called my attention to a tweet from a Ph.D. student at Harvard calling attention to a new paper that was just put on the internet. It shows that, for those who survived trauma, there’s no evidence that trigger warnings reduce anxiety, and may even be harmful.

While there’s no indication that the paper has yet been accepted for publication, preprints are increasingly appearing before they show up in professional journals, and this is one of them. You can download it by clicking on the link below:

 

While trigger warning have been promoted for creating “inclusivity” and reducing trauma, critics decry them for impeding education and instilling victimization in people, especially survivors of trauma. But the pro-trigger-warning arguments have been based on what people feel is right, not on data. In fact, as the authors conclude from a useful summary of previous work, there is no evidence that putting trigger warnings before exposure to potentially damaging material reduces anxiety at all, and some evidence that the warnings may exacerbate anxiety. (The authors’ table of relevant literature is very useful.)

These earlier studies, however, were limited to people who hadn’t experienced trauma—neglecting the very people at whom trigger warnings are aimed. After all, the goal of such warnings is to avoid re-traumatizing people by exposing them without warning to subjects that damaged them psychologically, from incidents that even gave them PTSD.

I won’t go into detail about the rather complicated methodology of the paper, which uses numerous analyses, controls, and measurements. Suffice it to say that the subjects (451 of them) were surveyed for things like degree of trauma (all had been traumatized), psychological diagnoses, nature of their trauma, various demographic variables, and so on. They were then exposed to three types of readings, with or without (control) trigger warnings: “neutral” readings (like a character description from Moby-Dick), “mildly distressing” (like a description of a battle but without gore), or “markedly distressing” (characterized as things like “graphic scenes of violence, injury or death; e.g., the murder scene from Dostoevsky’s Crime and Punishment”). The trigger warnings that were issued half the time were these:

TRIGGER WARNING: The passage you are about to read contains disturbing content and may trigger an anxiety response, especially in those who have a history of trauma. 

The authors’ null hypothesis was that the effect of trigger warnings—effects on things like anxiety or perceived centrality of trauma in your personality—was zero.

In general, the results either supported the null hypotheses or were “ambiguous”, but almost always in the direction of trigger warnings increasing rather than reducing anxiety. This study did not replicate those from an earlier paper showing that trigger warnings actually undermined individuals’ sense of vulnerability and their sense that others were vulnerable. In other words, they didn’t support an earlier study showing that trigger warnings were harmful.

In general, then, the authors showed that there’s not much of an effect of trigger warnings one way or the other, and the “way” they work is usually counterproductive but insignificantly so. Nor did the type of trauma an individual experienced have any effect on this conclusion.

There were, however, two effects—and counterproductive ones. The first is this:

We found substantial evidence that giving trigger warnings to trauma survivors caused  them to view trauma as more central to their life narrative. This effect is a reason for worry. Some trigger warnings explicitly suggest that trauma survivors are uniquely vulnerable (e.g., ” …especially in those with a history of trauma”). Even when trigger warnings only mention content, the implicit message that trauma survivors are vulnerable remains (why else provide a warning?). These messages may reinforce the notion that trauma is invariably a watershed event that causes permanent psychological change.

And there’s also a bit of evidence that trigger warnings increase anxiety for trauma suffers who also have PTSD.

These results are clearly counterproductive to the aims of having trigger warnings. Because of these results, and mainly because there was no evidence that trigger warnings had any of the intended effects, the authors conclude that “If there is no good reason to deploy [trigger warnings] in the first place, we need not require strong evidence of harm before abandoning them.”  If they’re not helpful, and can even do some harm, as well as imbue people with a stronger victimhood narrative, then why use them? According to this paper, we shouldn’t.

Will this paper have any effect? Will colleges abandon trigger warnings? I wouldn’t count on it. Since when has evidence ever changed the mind of the woke? That said, even if the traumatized aren’t helped by such warnings, I would probably still let students know if I were showing something gory in class, like someone being beheaded. Fortunately, because I taught evolutionary biology I never had to show stuff like that, nor issue any trigger warnings.