Are We So Attached To Rituals That We’re Not Prepared To Rethink Holiday Plans During COVID?

Posted Posted in Jayne's blog

Why do so many people refuse to change their holiday plans, even when such changes to the traditional holiday celebrations could save lives? Research from Harvard and Berkeley shows that major holidays like these are highly ritualised, and that disrupting rituals evokes moral outrage. Psychologically, it makes sense: rituals, more than any other behaviour, represent a group’s cherished values. When they are disrupted, it feels like those values are under attack, a threat that is met with defiance and even anger. Hence the surge in travel and willingness to attend in-person gatherings: rituals are just too important to be disrupted, even if it’s to reduce the numbers of COVID cases.

Rituals are different from other types of behaviour because they require two components: a prescribed set of rigid, repetitive behaviours that have to occur whenever there is a celebration (such as always eating turkey at Christmas, participating in a Seder on Passover, and decorating eggs with family on Easter), and a sense of meaning associated with those behaviours. In one of the studies, a sample of U.S. citizens was asked to rate the degree 15 different holidays (including Thanksgiving, Christmas and New Year’s Eve) meet these two properties of ritual: how rigid they are, and how much meaning the holiday carries.

The results showed that the more the holiday contained both of these features, the more participants were outraged when the holiday’s celebrations were altered. Moreover, the degree to which holidays included the rigid behaviours of ritual predicted outrage, above and beyond the meaning the holiday carries, indicating that it’s the altering of the physical rituals (and not just the degree of meaning) that triggers outrage.

Out of all holidays in the study, Thanksgiving, Christmas and New Year’s Eve, were rated the most ritualistic (in the case of New Year’s, this describes how uniform and rigid they are). This suggests that alterations to these holidays would be met with the greatest amount of resistance and a general refusal to follow restriction guidelines.

Take Thanksgiving, for example. It isn’t just about turkey and the fixings. It stands in people’s minds for all that is American—family values and national pride stemming all the way back to the anchoring of the Mayflower. As a result, mandated changes feel like a challenge to the very American values that the holiday has come to represent. The idea of not gathering for Thanksgiving, or altering the traditional rituals to which we’re accustomed, is shockingly irreverent to many millions of people.

In another study, Jewish participants were asked to imagine a series of changes to the traditional Passover Seder plate. Some of the alterations were major (changing many items on the plate) while other alterations were minor (changing only a few items on the plate). The researchers found that the major alterations produced comparable outrage as the minor alterations, indicating that even minor changes to rituals are not open to negotiation.

Simply put, our need for rituals is a matter of morals. While people feel comfortable applying cost-benefit analyses to things like changing the speed limit, moral values cannot be traded off for some other proposed benefit. For instance, in one of the studies, more than 90 percent of Jewish and Muslim participants reported that there was no amount of money that members of their religion would accept if it meant they could never practice the male circumcision ritual again, indicating individuals are insensitive to material gain when it comes to ritual practice.

Therefore, altering a ritual is simply not up for discussion. The more something is ritualistic—like Passover or Easter—the more it stands for the group’s most valued moral principles, the harder it is to alter the holiday celebrations without provoking deep outrage.

Even though lives are at stake—the lives of the very people we can’t imagine celebrating rituals without—many people continue to go forward with holiday traditions as they would in any other year. Since holiday rituals are deeply cherished, no amount of logical rationalisation can change people’s minds.Urging people to stay home and change their traditions for the reason that it will “save lives” or will “limit the spread of COVID” doesn’t seem to be effective enough. Perhaps we need to appeal to emotions, not facts. Recognising the moral value that people place on these rituals is a start. Then it’s about framing new holiday celebrations in a way that makes it seem that the meaning of the ritual isn’t being altered. With effective persuasive messaging, hopefully in the next few months we can return to our time-honoured traditions and we can be thankful that we are able to share them with our still-living families and loved ones.

Wherever you are in the world – stay safe, stay well and all the best for 2022!

REFERENCES:

* Stein DH, Schroeder J, Hobson NM, Gino F, Norton MI.

When alterations are violations: Moral outrage and punishment in response to (even minor) alterations to rituals.

J Pers Soc Psychol. 2021 Jan 25. doi: 10.1037/pspi0000352. PMID: 33492153.

 

* Ovul Sezer, Michael I. Norton, Francesca Gino, and Kathleen D. Vohs

Family Rituals Improve the Holidays

Journal of the Association for Consumer Research, Volume 1, Number 4, 2016.

What Was Your Name, Again?

Posted Posted in Jayne's blog

Studies show that people remember names better than faces, yet we’ve all experienced times when that’s simply not the case. Hopefully the tips here will help you better recall names, strengthen relationships, and avoid embarrassing moments.

It all starts with channelling your attention when you’re first introduced.

I’ve a friend (let’s call her Ellen) who moved house with her husband almost three years ago. One of the first people she met was a teacher who lived six doors away. Each time she saw my friend walking her two dogs, she’d wave and say, “Hello Ellen.” Ellen would smile, wave back, and say, “How are you?” or “How’s life?” After engaging in this almost daily ritual for so long, Ellen is too embarrassed to tell her friendly neighbour that she actually doesn’t know what she’s called…she can’t remember her name. Major embarrassement – going on for almost three years now.

I seem to have been blessed with being able to remember names and faces. I wouldn’t go as far as to say that I’m a ‘super-recogniser’ – someone with exceptional face recognition abilities – but I do okay. As long as it’s ‘live’, as I’ve recently discovered. So I set out to discover how I do what I do naturally – and now apply it to those pesky online workshops.

You Know the Face, Why Not the Name?

There are studies that suggest we’re better at remembering names than faces. For some people that’s not true though – they’ll recognise a face, but not their name. It turns out that one of the reasons this happens is that you don’t give your brain a chance to process the information.

The hippocampus is key to our ability to take two things that are not associated in our minds and put them together. When you meet someone whose name and face aren’t previously associated in your mind, your hippocampus plays an important role in putting these things together into a single memory. That gives you the ability to know how to address the person.

The good news: Familiar names no longer depend on your hippocampus.

Identify Why It’s So Difficult to Retrieve Names

When you meet someone, you may be focused on impressing the person with your skill and expertise rather than learning more about them. You introduce yourselves and shake hands (or fist bump in the current Corona climate). But when you pass the person again at the event, why do you draw a blank?

According to Kevin Horsley, a grand master of memory and author of Unlimited Memory, one of the biggest problems is that people don’t actually hear the name. They’re not really concentrating because they’re trying to be interesting instead of trying to be interested.

The bottom line: Conjuring up a name is difficult when you haven’t taken the time to listen to it.

Go From Listening to Learning

When you study a new subject in school or prepare for a presentation at work, it takes time to learn the material. It’s unreasonable to assume you can learn the information once and be able to recall facts within minutes. Instead, you study and review the subject matter before a test or a meeting with a client. The same applies to meeting someone once and expecting their name to flash in your mind. This is often described as the “tip-of-the-tongue” phenomenon. You can’t remember the name because you never learned it properly. But….there are a few ways to improve your recall ability.

Focus on Retrieval

It’s easier to retrieve something you’ve pulled from your mind a short time before. One tip that the nueroscience research suggests is to go back to someone shortly after your first encounter. For example, while at a party, you could say, “Hello Jill,” and then two minutes later say, “I’m sorry, what did you say, Jill?” Sneaking in a bit of quick practice through repetition. This process is a predictor of whether or not you’ll know the name later. So even recalling the name once, whenever you can, goes a long way to helping you solidify it in your mind.

Search for Something Unique/Focus of Facial Features

Let’s say you meet a co-worker with a common name you’re confident you won’t forget. But when you pass the person in the corridor a few hours later, you’ve forgotten what they said. The problem may lie in not having made a ‘cognitive effort’. Then because you haven’t created the name in your mind, that’s going to be the one you forget.

So after you hear someone’s name, repeat it back. You could say, “Nice to meet you, Bill,” then give their name (first or last name) some meaning to help you attach their name and face to each other. Maybe Bill has a nose or mouth that looks like a duck’s bill… (Just don’t call him duck-face to his face….!) Grand Master Kevin Horsley recommends finding significance in a person’s name within a 20-second time frame after hearing it. Doing something creative and connecting that unusual image to the face can serve as a reminder for the next time you get together.

File Names and Notes Electronically in One Place

You could take it a step further – depending on how important it is to you – to make a few notes on someone you just met. It could be using Apple Notes on your iPhone, but Evernote, Google Keep, and Trello all work well. After you meet someone, enter their name, a few facts about the person (their profession, number of children), and where you met. If you do make a list though – remember to look at it often.

Use Social Media as a Reminder

Without moving into the realm of stalking, after you meet someone, you could ask to connect with them on social media.

LinkedIn is frequently used for business contacts, while Facebook and Instagram can provide more personal information. At least then you see the person’s name and profile picture together to help reinforce your memory.

 Change the Way You Think

While many conferences and business meetings remain online instead of in person, it’s a good opportunity improve your memory skills. With profile names clearly visible, it should be (should be…) easier to make a connection to a face during an online chat. And you could always make some funny connections to associate distinguishing features to names – and nobody will see. It’ll also help to pass the time if the workshop gets tedious ;=)

More importantly, consider changing your mindset. As with any skill, if you think you’re unable to master it, you may not make an effort to improve. Remember (haha) that there’s no such thing as a good or bad memory for names: there’s only a good or bad memory strategy.

And with that I’m off to look at what other online workshop I can register for that’ll not only be useful for my therapy credits but also to practice my name-to-face memory skills. That’s what I call a win-win, especially when I can make it fun for myself too.

REFERENCES:

Super-recognizers: People with extraordinary face recognition ability

Richard Russell, Brad Duchaine and Ken Nakayama.

Psychon Bull Rev. 2009 Apr; 16(2), pages 252–257.

doi: 10.3758/PBR.16.2.252

I recognise your name but I can’t remember your face: An advantage for names in recognition memory

A Mike Burton, Rob Jenkins, David J Robertson 

Q J Exp Psychol (Hove). 2019 Jul; 72(7), pages 1847-1854.

doi: 10.1177/1747021818813081.

Unlimited Memory: How to Use Advanced Learning Strategies to Learn Faster, Remember More and be More Productive

Kevin Horsley. 2016. TCK Publishing.

 

7 Types of Rest You Might Have Been Missing (and didn’t know it)

Posted Posted in Jayne's blog

Are you tired?

You may be looking around and thinking, “I get 8 hours of sleep every night, what’s wrong with me?”

Well, first—I am so happy that you’re getting adequate sleep! 7-9 hours of sleep is recommended for adults; if you’ve struggled with sleep, then you know that you can sleep 8 hours and not feel rested. While rest is supposed to be the product of sleep, that isn’t always how it works when we are impaired by stress or mental illness. Also, sleep is most closely linked to physical rest and we often need more than that.

Feeling tired may have nothing to do with not getting enough sleep. There are 7 different kinds of rest that you need: physical, mental, emotional, spiritual, social, sensory, and creative. Each one requires unique activities to help reduce the rest deficit.

Physical Rest

There are both passive and active forms of physical rest.

Sleeping and napping are the two most common forms of passive rest. To maximise the likelihood of getting restful sleep, make sure that you follow a sound sleep protocol (e.g. consistent bedtime, control your bedroom temperature, not drinking caffeine late in the day, wind-down routine so that you’re not working on the computer then diving straight into bed).

Active physical rest includes activities like stretching or yoga, breathing exercises, progressive muscle relaxation, hot baths, and massages.

The type of physical rest you require will depend on where and how much strain you carry in your body. For instance, if you spend a lot of your day sitting, you can have a build-up of tension in your back, shoulders, neck, and hips. It can be helpful to do, for example, Yin Yoga in the evenings to stretch everything out and provide relief.

Watch out for signs that you need physical rest, such as lacking the energy to make it through the day, feeling tired but having difficulty falling asleep, weakened immune system, frequent muscle pain and soreness, reliance on substances to give you energy (e.g. energy drinks, coffee, sugar), and depending on substances to give you more rest (e.g. alcohol or drugs).

Mental Rest

Next up is mental rest—who doesn’t need some of that with all of the stress we have in our lives and with the covid pandemic! Mental fatigue can result from a variety of things including negative self-talk, over-thinking, anxious what-if thinking, being stuck in the past, and judgements.

Signs that you may need mental rest include irritability or decreased frustration tolerance, avoiding activities, feeling like you’re in a mental fog throughout the day, and feeling overwhelmed by daily tasks.

One way to ease the mental load is through use of good time management skills. Remember to take into account not only the amount of time the task takes, but the emotional load of the task as well. There are things that we do that may not take that much time, but we will need time before or after the event due to the strain on our minds or emotions. For example, spending 1 hour folding the washing is different from spending 1 hour caring for an ill family member. The effective time for the family member activity might be
3 hours because you may feel sad afterwards or you might feel anxious beforehand wondering if it will be a good day or a bad day for them.

Another thing you can do to help get mental rest is meditate. Giving yourself little meditation breaks throughout the day is a great way to improve your mental stamina.

Emotional Rest

Where are you spending your emotional energy? Were you anxious while watching the news? Did you have a conflict with a co-worker? Is your teenager being a pain in the bum? Was the recent death of your pet on your mind? Are you finding yourself feeling increasingly inadequate?

Some signs that you may be experiencing an emotional rest deficit include beating ourselves up for small mistakes, excessive worry or anxiety, feelings of self doubt, and over-apologising.

The first step in getting more emotional rest is being mindful of your environment. Emotions are contagious! Are you around people who complain all the time or are judgmental? As best you can, modify these environments by removing unnecessary negativity and coping ahead for when you have to be in stressful situations.

Emotional awareness is key for identifying emotional drains and emotional restorers. You may feel drained by a friend who constantly moans about her problems without even asking how you are. But you might feel restored by a walk in the woods. Just start to become aware of what restores you – and what drains you – so that you can take action to spend as little time as possible with the drainers.

Another thing that is helpful in reducing the amount of (social) comparisons that you do. You probably wouldn’t be surprised that many of us engage in emotionally draining comparisons several times a day. Are you scrolling through social media, comparing your looks, your skills, and your furniture choices to those you see on Facebook and Instagram? Stop it, it’s creating more of a deficit for you.

Spiritual Rest

Spirituality is broad. It can include organised religious practices, but spiritual rest can simply be about connecting with something greater than yourself. It could include prayer or a spiritual practice. But basically anything that gives you a sense of belonging, a sense of purpose and feeling connected to that ‘something bigger’ means you’re on the right track.

Social Rest

A social rest deficit occurs when we fail to differentiate between relationships that restore us and relationships that drain us. It can also occur when we are engaging in too much or too little social interaction.

Signs that you have a social rest deficit include feeling alone, feeling detached, finding it hard to maintain close relationships, isolating from others, or finding that you are attracted to those that mistreat/take advantage of you.

If you’re by nature an introvert and yet you’re involved with people all day then you’ll probably benefit from alone time at the end of your day. Without it you might start to feel shut down or disconnected from others because you’ve not had had enough time to recharge. This may all sound counterintuitive, but that’s why you have to listen to your social needs and not compare yourself to others. Someone who is by nature an extrovert might feel rejuvenated adfter a day’s work by having a busy, social evening. This would leave an introvert downright exhausted ;=)

But do remember that your social circles – be it a club, a group of friends or a team sport – help to deepen relationships and make you feel more connected. People are dynamic and it’s important to embrace all of your social needs. Whatever you’re into, there is a group of people who like the same thing—and that can feed your social rest need too.

Sensory Rest

Sensory rest is about giving your senses a break. People need sensory rest when they overwhelm their senses with constant stimuli.

You want to think in terms of each of your 5 senses. If you live in a big city, it can be brutally loud, assault you with a myriad of smells from delicious to disgusting, cram you in like sardines during a bus ride, and always have something to look at between the people, cars, buildings, and randomness on every corner. Needless to say, sensory overload can occur!

How to cope with this? Unplug. Spend some time away from your ‘devices’ (laptop, computer, iPad, tablet, mobile phone). Read a physical book instead. Turn off the lights with nothing but silence in the background. If you notice you’ve eaten nothing but bread all day, throw in a vegetable. Listen to your senses—give the one(s) that appear agitated a break.

Creative Rest

If you’ve ever felt like you’re just out of good ideas, you’ve experienced being creatively drained. Most people experience it as being uninspired or feeling blocked from your creative juices. And if you’ve been there, you know that pushing through doesn’t always work.

For many, when we hear creative rest we may think, “I’m not creative,” or “I’m not an artist, musician, or actor.” Think about creativity more broadly that that. Creativity doesn’t have to be about drawing or painting! It could be also about cooking, putting together a party, thinking up a gift for the colleague that’s leaving, revamping your bathroom…. Creativity is our ability to be innovative, think outside the box, or be inventive. People require creative rest when they feel stuck, uninspired, and unable to generate new ideas or solutions to problems. The key here is to remove the requirement to produce and get involved with activities that inspire you.

So dear readers: go forth and rest!

Is Mindlessness Sometimes Better Than Mindfulness?

Posted Posted in Jayne's blog

Be present.”

I’m sure that you’re more than familiar with the expression.

This is the mantra of mindfulness meditation and a key to self-awareness and acceptance. In mindfulness exercises, the goal is to perform routine activities with a heightened sense of attention. Take the time to experience your environment with all of your senses—touch, sound, sight, smell and taste.

That’s all well and good – until I have to get 10 kilos of tomatoes chopped for a soup that will be served to a party of waiting (and paying) guests within the next hour. It’s in those moments that mindfulness starts to trip me up. I want the knife in my hand to just darn well chop without having to think about it so much. I want to be present, be mindful (even though my mind is starting to think about all the other tasks I’ll need to do to make sure that the diners are going to get fed on time), I don’t want to chop off my fingers because I’m so hyped-up, adrenaline-filled and distracted that I’m not concentrating….. To hell with the lovely smell of those tomatoes that still have the scent of the vines on them, to hell with the slight burning tingle of the acidic juice as it seeps into a cut on my fingers from a couple of days ago, and I don’t care about the fire engine red colour of these gorgeous plump fruits. I want to be quick. I just need to get the job done.

Sound familiar?

Mindfulness may indeed have psychological benefits. Earlier this year, a synthesis of randomised controlled trials revealed that mindfulness-based interventions had small to moderate benefits for a number of health outcomes, including stress, anxiety and depression. That said, the effects of mindfulness were smaller and less consistent when compared with those of other therapies, and some effects appeared to fade months after the intervention. Taken together, the results suggest that mindfulness-based interventions may be better than nothing for some outcomes but that more research is needed to compare mindfulness with other therapies.

One thing the mindfulness-based interventions had in common is that they all attempted to cultivate focus on the present moment via multiple sessions of meditation practice.

Although mindfulness has its merits, psychological research has also revealed that in some circumstances it’s important to be mindless. That is, as we develop skill in complex tasks, we can perform them with increasing facility until attention seems to be unnecessary. Everyday examples range from riding a bike to chopping tomatoes to brushing your teeth.

Underlying this state of “automaticity” (as cognitive psychologists call it) are mental processes that can be executed without paying attention to them. These processes run off without conscious awareness—a chain reaction of mental events. We don’t perform all tasks automatically, but many can be performed this way once they are well practiced.

To be clear, paying attention is important when learning a new skill. In a 2019 study, measures of cognitive ability that tapped the capacity to focus attention predicted novice pianists’ ability to learn and play “Happy Birthday to You.”

But expertise research has also revealed that paying too much attention to what you’re doing can have damaging effects, particularly when you perform well-practiced skills. In fact, this is one reason why some experts appear to “choke under pressure”: they think too much about the mechanics of the task at hand.

In a classic 2002 study, cognitive scientist Sian Beilock and her colleagues had skilled golfers attempt to sink putts under different experimental conditions. In one scenario, the golfers were simply instructed to pay attention to the swing of their club and say “stop” when they finished their swing. In another condition, they were instructed to listen for a target sound while ignoring other noises and say the word “tone” when they heard the target sound.

Counterintuitively, the skilled golfers performed substantially worse when they focused on their swing than when they paid attention to irrelevant sounds. The effect of paying attention to their swing was so damaging that the golfers actually did better when they were warming up before the experiment began.

More recently (2013), psychologist Yannick Balk and his colleagues had golfers try different interventions designed to lessen the effects of performance pressure. The researchers induced performance pressure by videotaping the participants, telling them that their score sheets would be posted publicly at the clubhouse and incentivising strong performance with coupons to the golf shop.

Without an intervention, the golfers performed significantly worse under pressure. Yet participants who were encouraged to think about something else—specifically, a song they knew by heart—improved when the stakes were high. (It is worth cautioning that these results probably need to be replicated in larger samples and across different contexts).

Nevertheless, the important message from this research is that focusing too carefully on the execution of well-practiced motor sequences can cause mistakes. Of course, we should not resign to go through life on autopilot, missing opportunities to make deeper
connections with ourselves, one another and our environment. But there are situations where we should let ‘mindlessness’ (=automaticity) take over. The next time you ride a bike – or have to chop far too many tomatoes – don’t overthink it…..

REFERENCES:

Simon B. Goldberg et al.

The Empirical Status of Mindfulness-Based Interventions: A Systematic Review of 44 Meta-Analyses of Randomized Controlled Trials.

Perspectives on Psychological Science. February 2021.

doi: 10.1177/1745691620968771

 

Alexander P. Burgoyne, Lauren Julius Harris and David Z. Hambrick,

Predicting piano skill acquisition in beginners: The role of general intelligence, music aptitude, and mindset,

Intelligence. 2019, volume 76, 101383,

https://doi.org/10.1016/j.intell.2019.101383

 

Sian L. Beilock et al.

When paying attention becomes counterproductive: Impact of divided versus skill-focused attention on novice and experienced performance of sensorimotor skills.

Journal of Experimental Psychology: Applied. 2002, 8(1), 6–16.

https://doi.org/10.1037/1076-898X.8.1.6

 

Yannick A. Balk et al.

Coping Under Pressure: Employing Emotion Regulation Strategies to Enhance Performance Under Pressure

in Journal of Sport and Exercise Psychology. 2013, volume 35(4), 408-418.

https://doi.org/10.1123/jsep.35.4.408

 

Can We Reverse Grey Hair?

Posted Posted in Jayne's blog

Few hallmarks of old age are clearer than the sight of grey hair. As we grow older, black, brown, blonde or red strands lose their youthful hue. Although this may seem like a permanent change, new research reveals that the greying process can be undone—at least temporarily.

Hints that grey hairs could spontaneously regain colour have existed as isolated case studies within the scientific literature for decades. In one 1972 paper, the dermatologist Stanley Comaish reported an encounter with a 38-year-old man who had what he described as a “most unusual feature.” Although the vast majority of the individual’s hairs were either all black or all white, three strands were light near the ends but dark near the roots. This signaled a reversal in the normal greying process, which begins at the root.

In a study published in June in eLife, a group of researchers provide the most robust evidence of this phenomenon to date in hair from around a dozen people of various ages, ethnicities and sexes. It also aligns patterns of greying and reversal to periods of stress, which implies that this aging-related process is closely associated with our psychological well-being. These findings suggest that there is a window of opportunity during which greying is probably much more reversible than had been thought for a long time.

Around four years ago Martin Picard, a mitochondrial psychobiologist at Columbia University, was pondering the way our cells grow old in a multistep manner in which some of them begin to show signs of aging at much earlier time points than others. This patchwork process, he realised, was clearly visible on our head, where our hairs do not all turn grey at the same time. It seemed to him that our hair makes visible what we know happens at the cellular level. He wondered if there was something that could be learned from that…that maybe the hairs that turn white first were the more vulnerable or the least resilient.

While discussing these ideas with his partner, Picard mentioned something in passing: if one could find a hair that was only partially grey—and then calculate how fast that hair was growing—it might be possible to pinpoint the period in which the hair began aging and thus ask the question of what happened in the individual’s life to trigger this change. He was thinking out loud…but unexpectedly, his wife turned to him and said she had seen such two-coloured hairs on her head. She went to the bathroom, plucked a couple of her own greying hairs—that’s when and how the project started!

Picard and his team began searching for others with two-coloured hairs through local ads, on social media and by word of mouth. Eventually, they were able to find 14 people—men and women ranging from nine to 65 years old with various ethnic backgrounds (although the majority were white). Those individuals provided both single- and two-coloured hair strands from different parts of the body, including the scalp, face and pubic area.

The researchers then developed a technique to digitise and quantify the subtle changes in colour, which they dubbed hair pigmentation patterns, along each strand. These patterns revealed something surprising: In 10 of these participants, who were between age nine and 39, some greying hairs regained colour. The team also found that this occurred not just on the head but in other bodily regions as well. This happens thus not just in one person or on the head but across the whole body. The reversibility only appeared in some hair follicles, so it’s likely that it’s limited to specific periods when changes are still able to occur.

Most people start noticing their first grey hairs in their 30s—although some may find them in their late 20s. This period, when greying has just begun, is probably when the process is most reversible. In those with a full head of grey hair, most of the strands have presumably reached a “point of no return,” but the possibility remains that some hair follicles may still be malleable to change.

What was most remarkable was the fact that they were able to show convincingly that, at the individual hair level, greying is actually reversible. What scientists are learning is that, not just in hair but in a variety of tissues, the biological changes that happen with age are, in many cases, reversible—this is a nice example of that.

The team also investigated the association between hair greying and psychological stress because prior research hinted that such factors may accelerate the hair’s aging process. Anecdotes of such a connection are also visible throughout history: according to legend, the hair of Marie Antoinette, the 18th-century queen of France, turned white overnight just before her execution at the guillotine.

In a small subset of participants, the researchers pinpointed segments in single hairs where colour changes occurred in the pigmentation patterns. Then they calculated the times when the change happened using the known average growth rate of human hair: approximately one centimeter per month. These participants also provided a history of the most stressful events they had experienced over the course of a year.

This analysis revealed that the times when greying or reversal occurred corresponded to periods of significant stress or relaxation. In one individual, a 35-year-old man with auburn hair, five strands of hair underwent greying reversal during the same time span, which coincided with a two-week vacation. Another subject, a 30-year-old woman with black hair, had one strand that contained a white segment that corresponded to two months during which she underwent marital separation and relocation—her highest-stress period in the year.

For now, the next step is to look more carefully at the link between stress and greying. Picard and colleagues are currently putting together a grant to conduct another study that would examine changes in hair and stress levels prospectively—which means tracking participants over a specified period of time rather than asking them to recall life events from the past.

Eventually, Picard says, one could envision hair as a powerful tool to assess the effects of earlier life events on aging—because, much like the rings of a tree, hair provides a kind of physical record of elapsed events. Hair would seem to encode part of our biological history: it grows out of the body, and then it crystallises into a‘hard’, stable structure that holds the memory of our past.

Interesting, right?

REFERENCES:

Stanley Comaish. White Scalp Hairs Turning Black – An Unusual Reversal of the Ageing Process. British Journal of Dermatology, May 1972, Volume 86, Issue 5, Pages 513-514.

Ayelet M. Rosenberg et al. Quantitative mapping of human hair greying and reversal in relation to life stress. eLife2021, 10:e67437

Zhang et al. Hyperactivation of sympathetic nerves drives depletion of melanocyte stem cells. Nature 2020, volume 577, pages 676–681.

Eva M. J. Peters et al. Hair and stress: A pilot study of hair and cytokine balance alteration in healthy young women under major exam stress. PLoS ONE 12(4): e0175904.

Alexander A. Navarini and Stephan Nobbe. Marie Antoinette Syndrome. Archives Dermatology 2009, Volume 145(6), page 656.

Bringing God-Spirit Into Psychiatry 

Posted Posted in Jayne's blog

In the early days of the pandemic, economist Jeanet Bentzen of the University of Copenhagen examined Google searches for the word “prayer” in 95 countries. She identified that they hit an all-time global high in March 2020, and increases occurred in lockstep with the number of COVID-19 cases identified in each country. In the USA, according to the Pew Research Center, 55 percent of Americans prayed to end the spread of the novel coronavirus in March 2020, and nearly one quarter reported that their faith increased the following month, despite limited access to houses of worship.

These are not just interesting sociological trends—they are clinically significant. Spirituality has historically been dismissed by psychiatrists, but results from a pilot program at McLean Hospital in Massachusetts indicate that attention to it is a critical aspect of mental health care.

In 2017 David Rosmarin and his multidisciplinary team of mental health clinicians, researchers and chaplains created Spiritual Psychotherapy for Inpatient, Residential and Intensive Treatment (SPIRIT), a flexible and spiritually integrated form of cognitive-behavioural therapy. They subsequently trained a cadre of more than 20 doctors, stationed on 10 different clinical units throughout McLean Hospital, to deliver SPIRIT and evaluated the approach. Since 2017, SPIRIT has been delivered to more than 5,000 people. Their results suggest that spiritual psychotherapy is not only feasible but highly desired by patients.

In the past year, American mental health sank to the lowest point in history: Incidence of mental disorders increased by 50 percent, compared with before the pandemic, alcohol and other substance abuse surged, and young adults were more than twice as likely to seriously consider suicide than they were in 2018. Yet the only group to see improvements in mental health during the past year were those who attended religious services at least weekly (virtually or in-person): 46 percent report “excellent” mental health today versus 42 percent one year ago. As former congressional representative Patrick J. Kennedy and journalist Stephen Fried wrote in their book A Common Struggle, the two most underappreciated treatments for mental disorders are “love and faith.”

It’s no wonder that nearly 60 percent of psychiatric patients want to discuss spirituality in the context of their treatment. Yet psychiatrists and doctors rarely provide such an opportunity. Since Sigmund Freud’s characterisation of religion as a “mass-delusion” nearly 100 years ago, mental health professionals and scientists have eschewed the spiritual realm. Current efforts to flatten the COVID-19 mental health curve have been almost entirely secular. The American Psychological Association’s extensive set of consumer resources makes no mention of spirituality. And the Centers for Disease Control and Prevention’s only spiritual recommendation is to “connect with your community- or faith-based organisations.” Of more than 90,000 active projects presently funded by all 27 institutes and centers within the National Institutes of Health, fewer than 20 mention spirituality anywhere in the abstract, and only one project contains this term in its title. Needless to say, a lack of funding for research on spirituality hamstrings clinical innovation and dissemination.

This situation goes beyond separation of church and state. Health care professionals falsely disconnect common spiritual behaviours and experiences from science and clinical practice. As a result, potential spiritual solutions to our mental health crisis are ingnored, even when our well-being is worse than ever before.

Rosmarin’s research has demonstrated that a belief in God-Spirit is associated with significantly better treatment outcomes for acute psychiatric patients. And other laboratories have shown a connection between religious belief and the thickness of the brain’s cortex, which may help protect against depression. Of course, belief in God is not a prescription. But these compelling findings warrant further scientific exploration, and patients in distress should certainly have the option to include spirituality in their treatment.

Countless anecdotes of the value of a belief in God-Spirit were found during the recent year-long clinical trial of SPIRIT that Rosmarin’s research team. More than 90 percent of patients reported experiencing some kind of benefit, regardless of religious affiliation.

The study also revealed key opportunities in patient care, particularly for younger and seemingly secular patients. Psychiatric folklore has long suggested that psychotic, manic and obsessive patients gravitate more toward spirituality, as do older adults. Rosmarin’s findings, however, suggest that patients benefited from SPIRIT irrespective of their diagnosis or age. Apparently, depressed millennials are just as likely to want and benefit from spiritual psychotherapy as geriatric patients.

Their results also suggest that spiritual care is not only for religious individuals. The largest group of patients to voluntarily attend SPIRIT (39 percent of the sample) were individuals with no religious affiliation at all. Apparently many nonreligious people still seek spirituality, especially in times of distress. In fact, such individuals may be most likely to attend spiritual psychotherapy because their spiritual needs are otherwise ignored. In this vein, recent declines in church membership may actually increase the need for spiritual care.

Perhaps most interesting, patients responded better to SPIRIT when it was delivered by religiously unaffiliated clinicians. This surprising finding suggests that secular doctors may be particularly effective in providing spiritual treatment. This is good news because psychiatrists are the least likely of all doctors to be religious!

It remains to be seen whether God-Spirit can solve our mental health crisis. But the potential clinical benefits of spirituality, and patients’ desire for spiritual treatments, provide a reason to believe (and hope) that it can!

REFERENCES:

Jeanet Bentzen. Rising religiosity as a global response to COVID-19 fear.

https://voxeu.org/article/rising-religiosity-global-response-covid-19-fear

PEW Research Center

(1) https://www.pewresearch.org/social-trends/2020/03/30/most-americans-say-coronavirus-outbreak-has-impacted-their-lives/

(2) https://www.pewresearch.org/fact-tank/2020/04/30/few-americans-say-their-house-of-worship-is-open-but-a-quarter-say-their-religious-faith-has-grown-amid-pandemic/

David H. Rosmarin et al. Spiritual Psychotherapy for Inpatient, Residential, and Intensive Treatment. American Journal of Psychotherapy (2019), volume 72, issue 3, pages 75-83. 

David H. Rosmarin et al. Predictors of Patients’ Responses to Spiritual Psychotherapy for Inpatient, Residential, and Intensive Treatment (SPIRIT). Psychiatr. Serv. (2021) volume 72, issue 5, pages 507-513.

Megan Brenan. Americans’ Mental Health Ratings Sink to New Low.

https://news.gallup.com/poll/327311/americans-mental-health-ratings-sink-new-low.aspx

William Wan

https://www.washingtonpost.com/health/2020/11/23/covid-pandemic-rise-suicides/

Patrick J. Kennedy and Stephen Fried. A Common Struggle: A Personal Journey Through the Past and Future of Mental Illness and Addiction. 2016. Blue Rider Press.

David H. Rosmarin et al. Interest in spiritually integrated psychotherapy among acute psychiatric patients. J Consult Clin Psychol (2015) volume 83, number 6, pages 1149-53.

American Psychological Association, Help Center.https://www.apa.org/helpcenter

Centers for Disease Control and Prevention. ‘Coping With Stress.’ https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html

Lindsay Abrams. People Who Believe in God Are More Responsive to Treatment of Depression.

https://www.theatlantic.com/health/archive/2013/04/study-people-who-believe-in-god-are-more-responsive-to-treatment-of-depression/275314/

Lisa Miller et al. Spirituality, religion may protect against major depression by thickening brain cortex (2014).

https://www.sciencedaily.com/releases/2014/01/140116084846.htm

Farr A. Curlin et al. The Relationship Between Psychiatry and Religion Among U.S. Physicians. Psychiatr Serv.(2007). Volume 58, number 9, pages 1193–1198.

Are Your Compassion Muscles Worn Out?

Posted Posted in Jayne's blog

As a therapist, I’m especially concerned about one specific type of burnout that I see increasingly happening to those in the caring and healing professions — compassion fatigue.

This can happen when you have experienced so much empathy for and absorbed so much of others’ suffering that you yourself begin to have trauma reactions. This seems (to me) to be getting more prevalent as a result of all the Corona problems. Those reactions can include things like emotional numbing, physical illness, and feelings of hopelessness.Ironically, one of the very traits that make a person good at being a nurse or therapist or just a good friend can become a liability.

Compassion fatigue was first described in emergency department nurses and oncology nurses. Nurses may constantly witness pain, decline, and death, often without being able to save patients no matter how much of themselves they put into their work. Compassion fatigue has also been documented in child protection workers and mental healthcare providers.

Compassion fatigue can even happen to people who don’t work in the helping professions. People who are highly empathic almost can’t help but feel others’ pain.

How can we protect ourselves from compassion fatigue while continuing to care for others? The answer is not to become emotionally numb to others’ suffering, but rather, to build good boundaries, take care of ourselves, and better understand our role.

Let’s have a look at how to protect yourself from compassion fatigue.

 

  1. Know the signs of compassion fatigue

Fatigue—just being tired all the time—is one of the most common things people experiencing compassion fatigue report. That makes sense because pumping stress-related hormones, and often having the fight-or-flight system on high alert, uses up a lot of energy.

Some other signs of compassion fatigue include:

  • Trouble sleeping (can’t shut off thoughts, feeling too wound up, easily woken)
  • Irritability, impatience, anger, blaming others
  • Dreading going to work (or finding yourself often late for work or calling in sick)
  • Having a hard time empathising or finding meaning in your life or work
  • Having unexplained physical symptoms (such as exacerbated pain, acne flare-ups, gastro-intestinal problems)
  • Feeling isolated or wanting to isolate from others
  • Feeling helpless, hopeless, or both
  • Having trouble making decisions

Having just one or two of these symptoms could be a fluke. But if you’re experiencing a few of these, chances are good that you’re experiencing compassion fatigue.

The first thing to do is to recognise that compassion fatigue is not a weakness. It also doesn’t mean you’re not compassionate anymore. It’s very natural for your body and mind to react this way. But now that you’re aware of what’s happening, it’s not too late to start doing something to help improve – or avoid – it.

 

  1. Hit the reset button and take care of your basic needs

Sometimes we underestimate the importance of the basics—water, food, sunlight, oxygen. And sometimes, we get so overwhelmed with our thoughts and emotions that we neglect these basics. It can almost feel silly to say it, but a powerful reset button for your body and mind can simply be one weekend of:

  • Carrying a water bottle everywhere and constantly sipping
  • Eating balanced meals and snacks at consistent times (rhythms are important!)
  • Spending at least 30 minutes per day outside in the sun. (Bonus points if you’re physically active or spending time with friends!)

 

  1. Beware of destructive coping methods

When we feel emotionally depleted, it can be tempting to reach for quick fixes and shortcuts. This might mean reaching for that third or fourth glass of wine because it feels relaxing in the moment, or compulsively online shopping beyond our budget because we find comfort in “retail therapy,” or saying hurtful things to people we love because it feels like that’s the only way to express our anger. We’ll try anything that gives us a chance to release some tension. The problem is that this release is only a distraction. It won’t tap into what’s really weighing you down.

There’s no need to judge yourself for these impulses; they’re just your brain trying to help you cope with difficult feelings as quickly as possible. But once you’ve noticed what’s going on, be honest with yourself. Take a deep breath and say out loud, “This is not the coping method that will really help me.” Pour the rest of the wine down the drain and move on to the next step.

 

  1. Practice self-compassion

You’ve been giving compassion to your patients or your family or total strangers. But have you been giving any to yourself? Do you forgive yourself for mistakes or cut yourself some slack when you need a break? Do you say to yourself the comforting things that you would say to your best friend? Self-compassion is an important ingredient in loosening up compassion fatigue.

If you haven’t taken care of yourself as well as you have others, it’s not too late. Start by simply sitting quietly with your eyes closed and asking yourself, “What do you feel? How do you feel?” There’s no rush to arrive at an answer—don’t automatically tell yourself that you’re “fine.” Sincerely take the time to walk your attention through your body and ask each body part what it feels. At some point, you’ll arrive at emotions that might have been hiding in your stomach or scrunching up your jaw. When you get there, allow yourself to feel whatever emotions you find, whether pleasant or painful.

Say to yourself, out loud:

  • It’s okay to feel like this.
  • I’ve been carrying a lot, so it’s natural to feel heavy.
  • I’ve been so strong, and I need some relief.

 

  1. Practice radical acceptance

As a caregiver, or even just an emotionally sensitive person, you might be holding onto ideas like:

  • “I need to take care of people.”
  • “If I don’t care of them, nobody else will.”
  • “If only I worked harder, maybe I could have saved them.”

This sense of responsibility we feel for righting wrongs and healing hurts is a double-edged sword. On one hand, it’s the fuel that drives us to be compassionate—to be a therapist, doctor, nurse, or just a very caring person in general. On the other hand, it can give us a disproportionate sense of responsibility, to the point where we think we can, and therefore should, make everything right. The reality is that there are many, many things we can’t control no matter how much we care. Even the best treatment cannot always save a patient, the wisest advice cannot always change someone’s mind.

In moments when we catch ourselves thinking, “If only…” (“If only he would take better care of himself,” “If only the system weren’t so stacked against her,” “If only this child had grown up in a safe home”), we need to practice radical acceptance.

Radical acceptance means recognising that you cannot ultimately control anyone or anything; you can only control your own actions. It challenges you to allow that there will always be pain, injustice, uncertainty, and imperfection in the world. When you put down the weight of perfection and responsibility, you can breathe and be a force for good in a sustainable way.

 

  1. Compartmentalise

There’s a reason we have different rooms in a house for different activities. We humans need contextual cues to help us switch gears between working, playing, relaxing, and all of our important modes of being. We can harness this to redirect from compassion fatigue to balanced living.

In practice, this means that if your job is causing you compassion fatigue, you keep work at work. When you come home, consciously tell yourself, “I’m leaving my patients/clients at work” before walking into your home. Change out of your work clothes right away and immediately do something that takes up your attention (not a mindless chore), ideally something fun.

You may have to get creative to design your own compartmentalisation. If your compassion fatigue is coming from work, some good elements you might include are:

  • Maintaining a social life (in as far as that is possible nder the current COVID restrictions) with people other than your coworkers
  • Consistently doing hobbies and activities that have nothing to do with work
  • Having a ritual to mentally set aside work when you leave, such as having a box on your desk that you symbolically put all work-related thoughts and emotions into
  • If you work from home, making sure that you have a separate room for work and leisure

 

  1. Get support from friends (or a therapist)

Social support is as close to a psychological panacea as it gets. This may be especially true for compassion fatigue, a condition that can make us feel lonely and isolated even when we’re surrounded by people.

If you work in a helping profession, you may have access to support groups (inclusing intervision/supervision groups) at work specifically designed to give you a safe space to vent. You’ll be surrounded by others who experience similar emotional rollercoasters, emotional numbing, confusing changes in the way they think about people, or dips in their ability to find meaning in their work. Sometimes, just having these feelings validated can go a long way toward rejuvenating you. Better yet, join a mindfulness class. These have successfully decrease compassion fatigue and increased compassion satisfaction for helping professionals.

If you don’t have support groups, share your feelings with a trusted friend or coworker, someone who will not be judgmental. A therapist, too, can help you to process what you’re going through.

We all deserve to have an empathic ear when we’ve been lending ours, and to be carried when we’ve been carrying others.

 

REFERENCES:

Stacie Hunsaker et al. Factors That Influence the Development of Compassion Fatigue, Burnout, and Compassion Satisfaction in Emergency Department Nurses. Journal of Nursing Scholarship. 2015. Volume 47, Issue 2, pages 186-194.

David Conrad and Yvonne Kellar-Guenther. Compassion fatigue, burnout, and compassion satisfaction among Colorado child protection workers. Child Abuse & Neglect. Volume 30, Issue 10, October 2006, Pages 1071-1080.

Charles R. Figley. Compassion fatigue: Psychotherapists’ chronic lack of self-care. Journal of Clinical Psychology. Volume 58, Issue 11, November 2002,Pages 1433-1441.

Patricia Potter et al. Compassion Fatigue and Burnout: Prevalence Among Oncology Nurses. Clinical Journal of Oncology Nursing. October 2010, 14(5), E56-62.

Martin C. Delaney. Caring for the caregivers: Evaluation of the effect of an eight-week pilot mindful self-compassion (MSC) training program on nurses’ compassion fatigue and resilience. PLOS One. November 21, 2018.https://doi.org/10.1371/journal.pone.0207261

Joana Duarte and José Pinto-Gouveia. Effectiveness of a mindfulness-based intervention on oncology nurses’ burnout and compassion fatigue symptoms: A non-randomized study. International Journal of Nursing Studies. Volume 64, December 2016, Pages 98-107.

Disorder of the Mind, or the Brain?

Posted Posted in Jayne's blog

It all began with a cough.

Three years ago Tracey, a Scottish woman in her mid-30s, caught a bad chest infection that left her with a persistent cough that refused to subside, even after medication. A few months later strange symptoms started to appear. She noticed numbness spreading through her legs and began to feel that their movement was out of her control. When she walked, she felt like a marionette, with someone else pulling the strings. Over the course of two weeks the odd loss of sensation progressively worsened. Then, one evening at home, Tracey’s legs collapsed beneath her. She lay there, feeling like she couldn’t breathe. Unable to feel anything below her waist, her mother rushed her to the hospital where she then remained for more than half a year.

During her first few weeks in the hospital, Tracey endured a barrage of tests as doctors tried to uncover the cause of her symptoms. It could be a progressive neurodegenerative condition such as motor neuron disease, they thought. Or maybe it was multiple sclerosis, a disease in which the body’s own immune cells attack the nervous system. Bafflingly, however, the brain scans, blood tests, spinal taps and everything else came back normal.

Tracey’s predicament is not uncommon. According to one of the most comprehensive assessments of neurology clinics to date, roughly a third of patients have neurological symptoms that are deemed to be either partially or entirely unexplained. These may include tremour, seizures, blindness, deafness, pain, paralysis and coma and can parallel those of almost any neurological disease. In some patients, such complications can persist for years or even decades; some people require wheelchairs or cannot get out of bed. Although women are more often diagnosed than men, such seemingly inexplicable illness can be found in anyone and across any life span.

Generations of scientists have tried to understand these bizarre conditions, which have historically been given diverse names, such as hysteria, conversion disorder or psychosomatic illness. These labels have, however, long imposed particular explanations for what many researchers now regard as a complex illness at the interface of psychiatry and neurology. Some are still in use today, but the newest name for these conditions, functional neurological disorder(FND), is deliberately neutral, simply denoting a problem in the functioning of the nervous system.

Patients with FND have long struggled to obtain adequate care. They have been accused of feigning or imagining symptoms, painfully but often fruitlessly probed for childhood trauma and dismissed by doctors who did not know how to treat someone who, based on all the usual tests, appeared to be healthy. For many, many years physicians have underestimated the prevalence of these disorders and the human toll it takes. These people have really fallen in the gap between the fields of neurology and psychiatry.

Over the past decade or so, however, using techniques such as functional magnetic resonance imaging (fMRI), researchers have begun to understand what happens in the brains of patients with this enigmatic illness. And by applying new models of how the brain works, they are gaining a better understanding of how the condition arises and how it may be treated.

ENIGMATIC ILLNESSES

More than 3,000 years ago Mursili II, king of the Hittites, was caught in a terrifying thunderstorm. The experience left him with a temporary speech impediment that went away—only to return several years later, after the monarch woke from a nightmare about the incident. His subjects attributed their king’s curious ailment to the wrath of the Storm God, one of the most important deities of the ancient civilization. When modern-day scholars revisited the documents detailing the event, they interpreted it as functional aphonia (the inability to speak).

Like the Hittites, people throughout history have turned to the supernatural—gods, witchcraft and demonic possession—to explain illnesses that today would likely be diagnosed as FND. According to some historical interpretations, the first scientific attempt to account for them emerged around 400 B.C.E., when Greek physicians, including Hippocrates, coined the term “hysteria” to describe a wide collection of ailments, among them paralysis, headaches, dizziness and pain, in the belief that they were caused by the uterus (hystera, in Greek) wandering about the body.

Hysteria had its heyday in the 19th century, when it moved from the womb to the brain. Among several physicians who studied it was Jean-Martin Charcot, regarded by many as the “father of neurology.” At the Salpêtrière Hospital in Paris, he painstakingly detailed the symptoms of patients with hysteria and, after they died, conducted autopsies on their brains. Although Charcot was unable to identify any structural aberrations in those subjects, he was convinced that the impairments he saw were associated with unobservable, fluctuating changes in the brain, which he called “dynamic or functional lesions.”

Charcot also discovered that, contrary to common belief, male hysteria was not rare; instead it often went undetected. He highlighted, for example, cases of hysteria among workers at a national railway company that had seemingly emerged after minor physical injuries. His work popularised the study of hysteria, inspiring several researchers, including Joseph Babinski, Pierre Janet and Sigmund Freud, to investigate it as well.

Unlike Charcot, however, these men viewed the condition as a disorder of the mind rather than the brain. Freud proposed that it arose when repressed trauma from childhood abuse or other disturbing events was transformed into physical symptoms; accordingly, he called it conversion disorder. That view and label cemented the displacement of the disorder from the realm of neurology to that of psychiatry and became the dogma for much of the 20th century. Perhaps coincidentally, as Freud’s influence in psychiatry faded over the decades, so did cases of conversion disorder—to the point where some viewed it as a bygone ailment of the Victorian era.

A century later a new generation of investigators has turned its attention to this condition. Careful observation of patients indicates that despite the drop in diagnoses in the latter half of the 1900s, these disorders have not disappeared. And new research reveals that the condition encompasses both neurology and psychiatry. In 2013 some physicians, concerned that the term “conversion disorder” was not widely accepted by patients and perhaps incorrectly pointed to psychology as an exclusive driver for the condition, lobbied for a change—causing FND to be included as an alternative name for the ailment in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

TELLTALE SIGNS

Jon Stone of the University of Edinburgh specialises in diagnosing and treating FND. Stone listens carefully as people describe when, where and how their symptoms started. He collects detailed information about their medical and personal histories and conducts a neurological examination. He listens. Then, like a detective, he pieces these details together to make a diagnosis.

In recent years FND has gone from a diagnosis of exclusion—a label doctors reserved for patients whose conditions defied all other explanations—to one made after identifying distinct signs and symptoms. These resemble those of other neurological disorders but possess identifiable differences. One example is Hoover’s sign, in which weakness in a limb is temporarily corrected when the patient’s attention is directed elsewhere. Another is tremour entrainment: when patients with a functional tremour in one arm are asked to start shaking the other at a regular rhythm, the affected hand will start to shake with the same rhythm as the other. This effect does not occur in people with neurodegenerative conditions such as Parkinson’s disease. Clear signs of functional seizures include tightly shut eyes, rapid breathing and shaking that lasts for several minutes—features rarely seen during epileptic attacks.

Such indicators have been known to doctors for decades—Hoover’s sign, for one, was observed by physician Charles Franklin Hoover in the 19th century. In the past, doctors (according to Stone) would hide such signs from patients. But he shows them to patients to help them understand the nature of their condition and notes that doctors are increasingly taking up this practice. Seeing such clues can help to grasp a condition that Stone likes to describe as a “software problem, not a hardware problem” in the brain.

Stone first came across these disorders as a junior doctor in the early 1990s. He found himself fascinated by them; having grown up with a stutter meant that he had experienced being unable to control his own body. And he was disturbed by how those with FND, as he prefers to call the condition, were being treated. The common attitude among medical professionals was that the symptoms were not real—at least not in the same way as those seen in multiple sclerosis or stroke, for example. Many physicians were concerned that they would either fail to identify the true cause of a patient’s illness or be fooled by someone faking their symptoms. As a result, patients with FND did not receive the same level of sympathy, attention or care as those with so-called organic neurological illnesses.

Stone decided to dig deeper. During his doctoral studies at the University of Edinburgh, he met Alan Carson, who was training to become a psychiatrist and shared his interest. In 2002 the pair began to assess the scale of the problem by following the referrals to four neurology centres in Scotland over a period of 15 months. Their examination, which included more than 3,700 patients, revealed that 1,144—close to a third—had neurological symptoms deemed as partially or completely medically unexplained. Of those, only four ended up being diagnosed with another neurological issue 18 months after their initial consultation. This work demonstrated how widespread these disorders were.

Eventually Stone and Carson joined forces with Mark Hallett, a neurologist at the National Institute of Neurological Disorders and Stroke in the U.S., who had also been taking strides to advance the field. In addition to conducting his own research, Hallett had begun mobilising a group of scientists and doctors who could contribute to the study of FND. The community gradually ballooned from several dozens of attendees at a small workshop to a full-blown society for FND, which was founded by Hallett, Carson and Stone and was inaugurated in 2019.

PREDICTIONS GONE AWRY

A year after landing in the hospital because of her FND, Tracey was referred to a psychologist. At first, she did not think she needed to be there—her symptoms had been improving with physiotherapy. After several sessions of psychotherapy, however, she made a shocking discovery: she had blocked the memory of certain key events in her childhood. Among those forgotten experiences were years of physical abuse at the hands of a family friend.

Although she had initially been reluctant to consider the role of psychological factors in her illness, Tracey now says that she thinks they do contribute. Many of those who study FND today would agree—with caveats. Unlike Freud, who focused on the role of repressed trauma, researchers now recognise that myriad factors are associated with this condition. These include predisposing factors, such as adverse experiences during childhood, a previous physical injury or mood and anxiety disorders; triggers such as physical injury or a stressful life event; and maintaining factors, such as a lack of access to proper treatment or a patient’s responses to and beliefs about the condition. The leading framework for thinking about FND, the so-called biopsychosocial model, takes all these factors into account.

As yet, there is no single, widely accepted explanation for how these influences come together to create FND, but some scientists have suggested that the malady involves arguably one of the most fundamental functions of the brain: predictive processing. Championed by neuroscientist Karl Friston of University College London, predictive processing posits that the brain is constantly making and evaluating predictions by comparing the data generated from our sensory organs to internal models built from previous experience. When mismatches occur between inferences and reality, the brain either updates its existing models or sends commands back down to the body to act in ways that align with our expectations. For instance, if you want to walk, but your leg is not moving, the brain will generate a prediction error that can be resolved if you move that leg. In this way, Friston and others propose, predictions underlie everything the brain does, from perception to movement to decision-making.

Neurologist Mark Edwards of St. George’s University Hospital in London and his colleagues have suggested that with FND, this predictive machinery goes awry, so that patients develop abnormal inferences of how their body should feel or function. One of the biggest drivers of this anomaly, according to Edwards, is excessive focus on one’s own body. This heightened attention can be attributed to a variety of factors, including an existing physical illness, mood and anxiety disorders, or childhood abuse. When a person experiences a triggering event—say, an injury to a limb or a panic attack—this heightened attentiveness may drive one’s brain to develop altered predictions about the body. In some cases, a past experience, such as exposure to sickness in the family, might also help shape these expectations.

Consider someone who falls and badly sprains a leg, resulting in a temporary loss of mobility in that limb. In most people, the brain’s predictions about the injured leg’s ability to move would get updated once mobility returns. This person, however, has a tendency toward mild anxiety that amplifies the levels of subconscious attention they pay to their body and has been sensitive to health events since the sudden death of a parent. These predisposing factors magnify the sensations associated with injury; in consequence, the internal model of the immobile leg persists even after the limb regains its function, leading to functional paralysis. (In some ways, this is the opposite of what happens in people who experience phantom limb syndrome. Those people are unable to update the prediction error that occurs when an expected sensation in a missing limb is not met with actual sensory feedback.)

The hypothesis that predictive processing is altered in FND patients has now been tested in a handful of experiments. In a 2014 study, for example, Edwards and his team used a task called force matching, in which a robotic device presses down on a finger and people are asked to match the force with their own hand. Healthy people tend to overestimate the force required by their own hand because the brain’s expectations “cancel out” some of its force (a similar explanation applies to why you cannot tickle yourself). People with FND, on the other hand, were abnormally accurate, indicating that the internal prediction system was functioning differently. Even so, much more evidence is needed to prove that this mechanism provides a correct and sufficient explanation for the condition.

PROBING THE BRAIN

Like Charcot, contemporary investigators of FND have been examining the brains of patients to find changes associated with the condition. Modern scientists, however, no longer have to wait to conduct an autopsy to peer into their subjects’ skulls. Using techniques such as fMRI, researchers have begun to reveal there are indeed differences in the brains of individuals with FND. They are beginning to identify the dynamic lesion that Charcot was looking for all those years ago.

With fMRI, researchers have identified distinct patterns of activity in brain areas such as the temporoparietal junction—associated with a sense of agency—in those with FND, compared with those asked to mimic the same symptoms. These findings help to confirm that unlike conditions such as factitious disorder (a severe form of which is known as Munchausen syndrome), in which patients deliberately act out other illnesses, symptoms in individuals with FND are out of their control.

Another significant discovery from neuroimaging is that people with FND have enhanced connectivity between the motor-control regions and two brain networks involved in emotional processing: the salience network, responsible for detecting and focusing on attention-worthy information, and the limbic network, one of the primary systems controlling emotion. In a 2010 study, for example, Hallett’s group reported heightened linkages between the amygdala, a key region in the limbic system, and the supplementary motor area, which is responsible for preparing to initiate movements. Others, such as David Perez, a neurologist-psychiatrist at Massachusetts General Hospital, have shown hyperconnectivity between motor regions and salience network areas such as the insula and the anterior cingulate. These observations suggest that, at least in a subset of people with FND, the emotional circuitry might be hijacking the motor system.

Perez’s team has also found that some risk factors may map onto these circuits. In a study published this year, his group reported that the magnitude of the coupling of the motor regions with the limbic and salience areas of the brain positively correlated with the degree to which patients experienced physical abuse during childhood. Perez emphasises, however, that this will probably be relevant only to the subset of patients in whom trauma is present: in his study, a significant proportion of patients did not report any childhood physical abuse. Still, he notes that these findings point to how a risk factor such as trauma could alter brain circuits in people who develop FND.

Scientists are also investigating how factors such as stress alter brain circuits in FND. Neurologist Selma Aybek of the University of Bern says that although not all patients have a history of trauma or stress, they may possess differences in their biological stress response. Her group has found that, compared with healthy individuals, FND patients have higher levels of the stress markers cortisol and amylase and report being more stressed after taking part in a stressful task. Building on these findings, her team is using neuroimaging to examine whether there is an association between stress-related regions and agency-related regions in FND patients’ brains.

Thus, a picture of the pathophysiology of FND patients is slowly emerging. But most of this work has been conducted in patients with motor symptoms, which means that sensory symptoms such as altered vision have yet to be explored. Many of these studies also have had small sample sizes, so findings will need to be validated in larger trials. How these neuroimaging findings fit with the predictive-processing model also remains an open question. It is plausible, Perez notes, that many of the areas identified so far may be the circuitry through which the altered predictions arise.

A BRIGHTER FUTURE

In the summer after her second year of teacher’s college in Scotland, a 19-year-old woman named Rachael Troup was rushed to the hospital with what appeared to be a stroke. Brain scans showed that she did not have a stroke, however, and tests for other neurological diseases came back normal. Eventually Troup was diagnosed with FND. But when she started treatment, it was excruciating. Neither her doctors nor her physiotherapists seemed to know much about how to treat her condition, and the exercises they made her do hurt more than they helped.

After a few months Troup decided to stop going to physiotherapy. At the time the entire right side of her body was barely functioning, and she was using a wheelchair for mobility. After being admitted to the hospital several more times for strokelike attacks, however, Troup met Stone’s team and was provided with FND-tailored care. It involved a form of physiotherapy that employs techniques such as distraction to shift the spotlight of attention away from the affected limbs while engaging in exercises to help restore normal control.

For FND patients, shifting focus away from affected limbs is often a crucial part of physiotherapy because, as Edwards’s predictive-processing model suggests, attention is critical to the generation of symptoms. With attention deployed elsewhere, the brain’s abnormal expectations about movement are unable to take hold. Stone and his colleagues are part of an ongoing U.K.-wide, randomised controlled clinical trial testing this type of specialised physiotherapy for functional motor disorders (a subset of FND affecting movement). In addition to retraining movement, the treatment includes educating patients about how such symptoms could arise and the physical and psychological factors that may underlie it.

To expand the tool kit of interventions for FND, researchers are also testing other alternatives. Another large clinical trial with more than 300 patients assessed the efficacy of cognitive-behavioral therapy (CBT)—a type of goal-oriented intervention focused on changing disruptive patterns of thinking or behavior—for functional seizures. The findings, published in June in Lancet Psychiatry, suggest that CBT may not reduce seizure frequency in all patients.

At King’s College London, neuropsychiatrist Tim Nicholson and his team are examining a noninvasive method of exciting the brain known as transcranial magnetic stimulation (TMS) as a potential intervention for FND. His group recently completed a feasibility study, and the results were promising enough to initiate a larger pilot clinical trial. There are competing explanations for why TMS might work. It induces a brief muscle twitch that could kickstart the relearning of movement; stimulating brain areas altered in FND might help restore function, or it may have a placebo effect. LaFaver’s group at Northwestern is examining the use of meditation and mindfulness practice, which, according to LaFaver, patients have anecdotally reported as helpful for maintaining the benefits of treatment.

Psychological treatments such as CBT currently remain among the first-line interventions for people with FND, according to Perez. There is a pressing need for a range of effective treatments, however: the prognosis remains poor. It is still relatively uncommon for FND patients to completely regain function, and relapses occur often. According to a 2014 meta-analysis of 24 studies, on average 40 percent of patients reported similar or worsened symptoms seven years after their initial diagnosis. On top of that, patients still experience high levels of stigma and have trouble accessing treatment.

Fortunately, the situation is changing. As researchers’ interest in FND surged over the past decade, so did the number of FND clinics around the world. Patients are speaking up as well. In 2012, for example, the international charity FND Hope was established with the aim of raising awareness and empowering patients.

Still, debates linger—and are reflected in an ongoing tussle over the name of the illness. In what fraction of patients are psychological factors present, for example? Do symptoms primarily arise through conversion of stressors, or are other explanations also necessary? One meta-analysis found that reports of stressors in FND patients vary between 23 and 86 percent in different studies. W. Curt LaFrance, Jr., a neurologist-psychiatrist at Brown University, says that it takes more time to identify such stressors than some doctors can devote to an individual patient—which may account for this enormous spread. In his clinic and in the scientific literature, he has consistently seen evidence of psychological stressors having converted into physical symptoms, and, accordingly, he supports use of the term “conversion disorder.” Partially reflecting such views, the older name remained when FND was added to the DSM-5, but the need to identify psychological factors for a diagnosis was dropped. That removal also remains contentious.

One thing is clear, however: because the condition lies at the crossroads of neurology and psychiatry, insights from both fields will be necessary to solve the puzzle. This blurring of the line between mental and physical illness is a growing trend. Scientists now understand, for example, that stress—a psychological factor—can predispose people to Alzheimer’s disease and that inflammation—a physical factor—may give rise to depression. In addition, traditional neurological diseases such as epilepsy and stroke are often associated with mood and behavioural disturbances.

Over the past few years Tracey, who started off the article this month, has frequently used a wheelchair because of her FND. But with the help of both physiotherapy and psychotherapy, she has started to recover. Her symptoms are not gone—she still experiences a lack of sensation in her legs, altered vision and pain—and some days are worse than others. She constantly feels like she’s fighting against her body, but she hopes to make a full recovery.

Maybe it’s obvious but the brain doesn’t separate into neurology and psychiatry. Perhaps what we actually need is a new science of brain and mind that really encapsulates that brain health equals mental health and physical health.

REFERENCES:

Jon Stone et al. Symptoms ‘unexplained by organic disease’ in 1144 new neurology out-patients: how often does the diagnosis change at follow-up? Brain, Volume 132, Issue 10, October 2009, pages 2878–2888.

Mark J. Edwards et al. A Bayesian account of ‘hysteria’. Brain. 2012 Nov; 135 (Pt 11) pages 3495-3512.

Isabel Parées et al. Loss of sensory attenuation in patients with functional (psychogenic) movement disorders. Brain, Volume 137, Issue 11, November 2014, Pages 2916–2921.

Valerie Voon et al. The involuntary nature of conversion disorder. Neurology. January 19, 2010, 74 (3).

Susannah Pick et al. Emotional Processing in Functional Neurological Disorder: A Review, Biopsychosocial Model and Research Agenda. Journal of Neurology, Neurosurgery and Psychiatry, Vol. 90; 2019.

Valerie Voon et al. Emotional stimuli and motor conversion disorder. Brain.  2010 May;133(Pt 5), 1526-1536.

Diana Kwon. Decoding a Disorder at the Interface of Mind and Brain. Scientific American. November 1, 2020.

Ibai Diez et al. Early-life trauma endophenotypes and brain circuit–gene expression relationships in functional neurological (conversion) disorder. Molecular Psychiatry. 2020. https://doi.org/10.1038/s41380-020-0665-0

Kalliopi Apazoglou et al. Biological and perceived stress in motor functional neurological disorders. Psychoneuroendocrinology. 2017 Nov, 85, pages 142-150.

Laura H. Goldstein et al. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial. Lancet Psychiatry. Vol. 7, issue 6, pages 491-505.

Jeannette Gelauff et al. The prognosis of functional (psychogenic) motor symptoms: a systematic review. J. Neurol Neurosurg Psychiatry. 2014 Feb, 85(2), pages 220-226.

Lea Ludwig et al. Stressful life events and maltreatment in conversion (functional neurological) disorder: systematic review and meta-analysis of case-control studies. Lancet Psychiatry. Vol. 5, issue 4, pages 307-320.

Do You Really Know When To Shut Up?

Posted Posted in Jayne's blog

I have a recurring nightmare in which I end up stuck in some endless conversation at a party or a networking event. I want to make my escape but can’t get out of the head-grip I feel I’m in with the other person.

It seems I’m not alone. Scientists have recently investigated both sides of this coin: the trapper and the trappee. What if both people are thinking exactly the same thing, but are both stuck because they can’t move on when they’re really done?

A study published on 9th March in the Proceedings of the National Academy of Sciences USA reports on what researchers discovered when they climbed into the heads of talkers to gauge their feelings about how long a particular conversation should last. The team found that conversations almost never end when both parties want them to—and that people are a very poor judge of when their partner wishes to call it quits. In some cases, however, people were dissatisfied not because the talk went on for too long but because it was too short.

The research suggests that whatever you think the other person wants, you may well be wrong. The answer seems to be to leave at the first time it seems appropriate, because it’s better to be left wanting more than less.

Most past research about conversations has been conducted by linguists or sociologists. Psychologists who have studied conversations, on the other hand, have mostly used the research as a means of addressing other things, such as how people use words to persuade. A few studies have explored what phrases individuals say at the ends of conversations, but the focus has not been on when people choose to say them. Psychology seems to be waking up to the fact that this is an interesting and fundamental social behaviour.

Researcher Adam Mastroanni and his colleagues undertook two experiments to examine the dynamics of talk. In the first, they quizzed 806 online participants about the duration of their most recent conversation. Most of them had taken place with a significant other, family member or friend. The individuals involved detailed whether there was a point in the conversation at which they wanted it to end and estimated when that was in relation to when the conversation actually ended.

In the second experiment, held in the lab, the researchers split 252 participants into pairs of strangers and instructed them to talk about whatever they liked for anywhere from one to 45 minutes. Afterward the team asked the subjects when they would have liked the conversation to have ended and to guess about their partner’s answer to the same question.

Mastroianni and his colleagues found that only 2 percent of conversations ended at the time both parties desired, and only 30 percent of them finished when one of the pair wanted them to. In about half of the conversations, both people wanted to talk less, but their cutoff point was usually different. Participants in both studies reported, on average, that the desired length of their conversation was about half of its actual length. To the researchers’ surprise, they also found that it is not always the case that people are held hostage by talks: In 10 percent of conversations, both study participants wished their exchange had lasted longer. And in about 31 percent of the interactions between strangers, at least one of the two wanted to continue.

Most people also failed at intuiting their partner’s desires. When participants guessed at when their partner had wanted to stop talking, they were off by about 64 percent of the total conversation length!

That people fail so completely in judging when a conversation partner wishes to wrap things up is quite astounding. Conversations are normally an elegant expression of mutual coordination. And yet it all falls apart at the end because we just can’t figure out when to stop. This puzzle is probably one reason why people like to have talks over coffee, drinks or a meal, because the empty coffee cup or asking for the bill gives us an excuse which is a critical conversation-ending crutch.

Nicholas Epley, a behavioural scientist at the University of Chicago, who was not on the research team, wonders what would happen if most conversations ended exactly when we wanted them to. How many new insights, novel perspectives or interesting facts of life have we missed because we avoided a longer or deeper conversation that we might have had with another person?

While this cannot be determined in the countless exchanges of everyday life, scientists could feasibly design an experiment in which talks either end at precisely the point when a participant first wants to stop or continue for some point beyond. Do those whose conversations end just when they want them to actually end up with better conversations than those that last longer?

The findings also open up many other questions. Are the rules of conversation clearer in other cultures? Which cues, if any, do expert conversationalists pick up on? What about the dynamics of group chats?

The burgeoning science of conversation obviously needs more rigorous research, but it also needs causal experiments to test strategies that might help us navigate the important and pervasive challenges of conversation. It tickles me that we can put rovers on Mars, have amazing scientific breakthroughs and yet we’re just beginning to rigorously understand how we, as people, talk to each other!!

REFERENCES:

Do conversations end when people want them to? Adam M. Mastroianni, Daniel T. Gilbert, Gus Cooney, and Timothy D. Wilson. Proceedings of the National Academy of Sciences USA, March 9, 2021 118 (10) e2011809118; https://doi.org/10.1073/pnas.2011809118

 

Are Dolphins Right- Or Left-Handed?

Posted Posted in Jayne's blog

That’s obviously a trick question, since dolphins obviously don’t have hands—but studying whether they have “handedness” has led to identifying a quirk of human perception.

Humans do not act symmetrically. Most of us prefer, and are better at, using one hand rather than the other; balancing on one leg rather than the other; and for those of you who spin (gymnasts, dancers or divers, for example), spinning in one direction rather than the other.

Brains also do not function symmetrically. A version of this idea has long lived in pop psychology, where people are sometimes characterised as being either left-brained (analytical) or right-brained (creative). And although the pop psychology version of this may rest on questionable data, the underlying idea of asymmetrical brain function (what scientists call lateralisation) is well-established. For example, in humans, language is typically processed in the left hemisphere, while spatial information is processed in the right.

Because each side of the brain controls a different side of the body, studying asymmetrical behaviours can provide us with information about asymmetrical brain function. And if we study this in animals, it may give us insights into brain evolution.

Handedness without hands

The type of lateralisation most familiar to people is undoubtedly handedness. This has been studied in animals by looking at things like which hand monkeys use to grab something, which paw dogs use to knock food out of a container, and so on. But what do you do when the animal you’re studying doesn’t have hands (or paws)? How do you study lateralisation in an animal like a dolphin?

It turns out that behavioural asymmetries come in various types, not just limb biases like handedness and footedness, but also sensory asymmetries, in which we do better on different types of tasks depending on which eye (or visual field) we use; and turning biases, where we prefer turning in one direction rather than the other.

Because different types of biases may come from different underlying causes, studying many different behaviour types, across many different animals, can provide us with a fuller understanding of brain lateralisation and its evolution.

A new spin on spinning

This is where it gets tricky. When comparing across animals, we have to take account of the fact that body plans and typical ways of moving may be different. For example, if the animal walks upright (like humans and birds) the long axis of its body is vertical, but if it walks on all fours, the long axis of its body is horizontal. This means that “turning” can involve very different types of movements. For an animal on all fours, turning involves crunching the long axis of its body to one side or the other. For an animal on two legs, turning involves spinning around the long axis of its body, which is kept straight. And for an animal like a dolphin who moves in three-dimensional space, either type of turning is possible.

When scientists set out to study lateralisation in dolphins, they were careful to separate these two different types of turning. But they ran into another problem when researchers kept disagreeing about what counts as a spin “to the right” (or left). After a lot of discussion (and sometimes argument), they realised that they had stumbled upon a weird quirk of human perception. Apparently, humans interpret the direction of spinning in opposite ways depending on the orientation of the animal.

To get a feel for this, try the following: First, stand up and spin “right.” Then lie down face-down on the floor and roll “right.” If you are like most people, in the upright case your right shoulder moved toward your back, while in the horizontal case your right shoulder moved toward your belly. That is, you made the exact opposite rotation. (And in case you’re wondering, no, you can’t get around this by describing spins as clockwise/counterclockwise instead of right/left. You get the same results if you substitute “clockwise” for “right” in the examples above.)

Before this, almost all scientific studies of lateralisation of turning or spinning motions had studied a single species in a single orientation, like a human turning (upright) or a whale breaching (horizontal)—so the issue had never come up. However, this meant that published research studies had in fact been using opposite coding systems for different animals, depending on their orientation. A spinning turn in which the animal’s right side moved towards its front was typically coded as left/ counterclockwise in studies of humans and walking birds, but as right/clockwise in studies of dolphins and whales. But of course, if you want to investigate turning lateralisation across different species, we all need to agree on the direction of a turn. This meant that scientists needed a new coding system.

Remember your school physics lessons?

The system they came up with was actually inspired by the “right-hand rule” of electromagnetism that many of us learned in school physics lessons. According to that rule, if you point your right thumb in the direction in which an electrical current flows through a wire, the curve of your fingers shows you the direction of the magnetic field flowing around that wire. The dolpihn researchers adopted the general outline of this schematic model to create the Right-Fingered Spin (RiFS) versus Left-Fingered Spin (LeFS) coding system. In this system, when a coder’s outstretched thumb is oriented along the animal’s long axis, pointed toward its head, the curled fingers of the relevant hand describe the direction of rotation. This allowed us to quickly and unambiguously code spinning/turning behaviours no matter the animal’s orientation or direction of movement.

So, what did the dolphin researchers find?

Some previous scientific papers had claimed that dolphins show strong rightward behavioural asymmetries, similar to human right-handedness, and therefore had a left-brain-hemisphere specialisation for action. But since “right” didn’t always mean the same thing in the earlier coding systems, it wasn’t clear if this claim was really true. To test it, different types of behavioural asymmetries were examned in a group of 26 dolphins, such as “Which direction do they swim around a lagoon?,” “Which side of their body do they touch things with?” and “Which direction do they spin if they dive up and to the side?” By making sure to separate out the different types of motion, and using the unambiguous RiFS/LeFS coding system, the researchers found that—contrary to previous claims—dolphins do not have a general rightward asymmetry after all.

People often think that scientific progress happens when we learn something new that we didn’t know before. But another kind of scientific progress happens when we realise that there is a problem with the way we’ve been looking at things all along. In those cases, figuring out a different way of looking can lead to seeing things more clearly. And as science fiction writer Isaac Asimov once pointed out, “The most exciting phrase to hear in science, the one that heralds new discoveries, is not “Eureka!’ but ‘That’s funny…’”

REFERENCES:

Jaakkola et al. ‘Do dolphins really have a rightward lateralization for action? The importance of behavior-specific and orientation-neutral coding.’ Behavioral Brain Research, Vol. 401, 5 March 2021, 113083. https://doi.org/10.1016/j.bbr.2020.113083

3 Simple Self-Care Practices From Other Cultures For You To Try

Posted Posted in Jayne's blog

From forest bathing to belly laughing, cultures from around the world have cultivated well-being and self-care practices in many fascinating ways—and science agrees that they’re effective!

 

  1. Danish “hygge”

I love the cold. I love coming in after a walk feeling like an ice cube and then being welcomed (and defrosted) by my warm kitchen. And I love being able to curl up with a book on long winter nights.

But I know that there are many who definitely don’t share my love of freezing weather.

In 2016, Denmark ranked as the happiest nation in the world in the World Happiness Report. Then, Finland became number one for the next three years, with Norway and Sweden never far behind. Did you ever wonder at the fact that the five happiest countries in the world are almost always cold, Nordic countries. How do they do it?

Of course, there are likely many factors involved. These countries often have less income inequality, greater oil wealth, and breathtaking natural landscapes. But I wondered if there were any specific Nordic secrets to happiness and wellness—even during winter.

The Danish believe in hygge (pronounced “hoo-gah”), which loosely translates to “coziness” and sounds to me a lot like ‘hug’! The word originated from an Old Norwegian word meaning “well-being,” and it captures all that is cozy, warm, and enjoyable. Curling up under a soft blanket while holding a warm mug of cocoa is hygge. Chatting with friends and family around a fire (ohhh I wish that that were possible at the moment….) is hygge. And simply enjoying the glow of a candle is hygge.

This concept of hygge not only gives practical inspiration for how to enjoy life—oversized scarves and hot drinks —but it also offers a philosophy for how to be with one’s environment instead of fighting against it. No wonder the Danes are happy in winter!

 

  1. Japanese forest bathing

On the subject of being with the environment, we’ll ‘travel’ now eastwards to Japan, to take a dip in the woods. Not an actual swim, but rather, an immersion in nature called “shinrin-yoku,” loosely translated to “forest bathing.”

Forest bathing is exactly what it sounds like—being immersed in nature. Importantly, it’s not about going camping, hiking, or doing any hardcore exercise in a forest. In fact, it’s not a goal-oriented activity at all. It’s simply being with nature, with your senses open and your body as your guide.

Health researcher Dr. Qing Li and his colleagues have found that forest bathing enhances the immune system and encourages the expression of anti-cancer proteins. They also found that it decreases depression, fatigue, anxiety, and unsurprisingly, heart rate.

To take a forest bath yourself, you don’t need to seek out special destinations. You can simply find a spot of nature, even if it’s just a group of trees or a garden, and walk through the area slowly and aimlessly. Turn off your mobile phone and simply let the forest in through your five senses.

 

  1. Indian laughter yoga

Who doesn’t enjoy a good belly laugh? But have you ever done it on purpose? The idea of (Indian) laughter yoga is that we don’t have to wait for something funny to happen in order to laugh. Instead, laughter can and should be practiced for its own sake.

Laughter yoga is often practiced in groups, where real playfulness and interaction between people can turn practiced laughs into real guffaws. And there seem to be real health benefits, even if the laughter is “fake.”

A recent meta-analysis found that simulated laughter may be even more effective than spontaneous, humorous laughter for improving mood. So why not give it a try—do a belly laugh like no one is watching. Or better yet, get together (online, probably nowadays) with others and laugh with them!

Whether it’s through the quietness of forest bathing, or the exuberance of laughter yoga, so many wellness practices and philosophies from around the world get back to the basics—feeling connected to our bodies, our minds, and one another. None of the ideas require you to buy a single thing. All of them invite us to be mindful and connected.

 

REFERENCES:

*World Happiness Report. https://worldhappiness.report

* Li, Q et al. Forest bathing enhances human natural killer activity and expression of anti-cancer proteins. Int J Immunopathol Pharmacol, Apr-Jun 2007; 20(2 Suppl 2): pages 3-8.

* Li, Q et al. Effects of Forest Bathing on Cardiovascular and Metabolic Parameters in Middle-Aged Males. Evid Based Complement Alternat Med. 2016; 2016: 2587381

* Li, Q. Forest Bathing Is Great for Your Health. Here’s How To Do It. https://time.com/5259602/japanese-forest-bathing/

See also Dr Li’s book ‘Forest Bathing: How Trees Can Help You Find Health and Happiness’. Viking (Penguin Publishing Group), 2018.

* van der Wal, N.C and Kok, R.N. Laughter-inducing therapies: Systematic review and meta-analysis. Social Science & Medicine Volume 232, July 2019, Pages 473-488.

Science of Nerdiness

Posted Posted in Jayne's blog

Do you get excited and energised by the possibility of learning something new and complex? Do you get turned on by new ideas and imaginative scenarios?

If so, you may have an influx of dopamine in your synapses, but not where we traditionally think of this neurotransmitter flowing.

In general, the potential for growth from disorder has been encoded deeply into our DNA. We didn’t only evolve the capacity to regulate our defensive and destructive impulses, but we also evolved the capacity to make sense of the unknown. Engaging in exploration allows us to integrate novel or unexpected events with existing knowledge and experiences, a process necessary for growth.

Dopamine production is essential for growth. But there are so many misconceptions about the role of dopamine in cognition and behaviour. Dopamine is often labelled the “feel-good molecule,” but this is a gross mischaracterisation of this neurotransmitter. As personality neuroscientist Colin DeYoung notes, dopamine is actually the “neuromodulator of exploration.” Dopamine’s primary role is to make us want things, but not necessarily like things. We get the biggest rush of dopamine coursing through our brains at the possibility of reward, but this rush is no guarantee that we’ll actually like or even enjoy the thing once we get it. Dopamine is a huge energising force in our lives, driving our motivation to explore and facilitating the cognitive and behavioural processes that allow us to extract the most delights from the unknown.

If dopamine is not all about feeling good, then why does the feel-good myth persist in the public imagination? I think it’s because so much research on dopamine has been conducted with regard to its role in motivating exploration toward our more primal “appetitive” rewards, such as chocolate, social attention, social status, sexual partners, gambling or drugs like cocaine.

However, in recent years, other dopamine pathways in the brain have been proposed that are strongly linked to the reward value of information. People who score high in the general tendency toward exploration are not only driven to engage in behavioural forms of exploration, but also tend to get energised through the possibility of discovering new information and extracting meaning and growth from their experiences. These “cognitive needs,” as the humanistic psychologist Abraham Maslow referred to them, are just as important as other human needs for becoming a whole person.

How active is your nerdy dopamine pathway?

If some or all of these statements describe you, dopamine might well be flowing strongly to your prefrontal cortex! Welcome to the club :=)

  • I love spending time reflecting on things.
  • I am full of ideas.
  • I have a vivid imagination.
  • I am interested in abstract ideas.
  • I am curious about many different things.

So if you don’t understand why everyone else around you is so interested in sex, drugs and money, but yet you get so turned on by stimulating ideas and learning new and interesting things, then now you have a potential answer: You may be highly sensitive to the reward value of information!

REFERENCES:

Colin G. DeYoung. The neuromodulator of exploration: A unifying theory of the role of dopamine in personality. Front. Hum. Neurosci., 14 November 2013 https://doi.org/10.3389/fnhum.2013.00762

Scott B. Kauffman. Transcend: The New Science of Self-Actualization. Tarcher Perigree, April 2020.