Sunday, February 14, 2010
In the Valentine Spirit....
All the same?
Dear Roy Grinker:
I propose that the article “Disorder out of Chaos”, be modified to include the reasons for keeping the separation between all forms of autisms and to name new versions of the illness to allow for an even further distinction between the symptoms.
One of the reasons as to why we go in depth into our classifications is so we can grow as a society in understanding the different types of disorders around us. If an aspect of the disorder is gone un-noticed for a person, then he or she may fail to be diagnosed and then feel alone since they don’t know what disease they have. This can also lead to people not getting full treatment for their disorder.
Sincerely,
Mason Simmons
University of Minnesota Undergraduate
Fear-mongering in the media
2. The media has the tendency to sensationalize stories to pick up viewers or sales. I think that it's especially seen with diseases, vaccines, basically anything that has to do with medicine and health. Things are blown out of proportion regularly, causing unnecessary fear and panic among the populace.
I'm not saying that the public doesn't need to or not deserve to know what's going on, because they do. But the format that they present the information only increase fear and worry. It usually leads in (on television) with scary music accompanied by a man's deep voice saying something along the lines of "Are your kids safe from the H1N1? More at 9." Journalists go in-depth into every single thing that could go wrong if you get the flu, if you get the vaccine, if you don't get the flu, and so on.
This is a problem because it creates a strain on resources that are already in limited supply, like vaccines. People flood doctors' offices and hospitals, and telling other people causing undue panic. This vicious cycle leads to extending the time it takes to deal with the problem by overwhelming people, allowing more people to get sick than would have if the situation was dealt with in a non-panic and orderly fashion.
The way to fix this would be just stating the facts of the sickness/situation, how to deal with it if or when a problem arises, and we would get into a nice lull like with fire drills where everyone calmly proceeds outside in a timely, orderly fashion.
What makes a diagnosis "elite"?
I've been thinking, reading, listening to the dialogue around Asperger's this week. I'm always interested in Asperger's story as one of my favorite people had Asperger's (as you will read). Because this favorite person died about a year ago, the stories are actually really hard for me to listen to. I kept hearing the "Aspies" talking about their conditions with pride and hearing the relief they feel in knowing others like them, which is really inspiring. Then I'd read comments like the one psychologist (?) (I can find it for you but am just loosley referencing here) whose snide remark about "Sorry if we hurt anyone's feelings" kept popping up in articles. It seemed so belittling and beside the point. The point of the DSM (I hope) is to get people the help they need. Right? So why, in a time when our governor who won't tax anyone, and in a time of limited acccess to health care, and a time when autism in general is on the rise (maybe?), is the debate about "whether Aspies are elitist." Ugh. So let me know if I get to that at all here. I use my personal story to frame the question because I feel that is often an effective strategy in letters to the editor~~but at the same time because I think personal experiences are what often compels someone to write one in the first place, and it certainly has framed my interest in Asperger's.....
I think its still too long....and I don't know that I am addressing faulty science per se, but more the questions that society is asking...and not from a particular publication, though I think I could come up with one....am thinking of sending to Star Tribune or?...I am still working that part out.
Any feedback is welcomed. Thanks!
2) Write a draft of your letter to the editor.
What makes a diagnosis "elite"?
About three weeks before my nephew, Matthew, died at pretty much exactly 9 and 1/2 years of age, it was Thanksgiving and my family gathered at my parent’s house in Northern Wisconsin. In the evening we watched The Golden Compass. Matthew curled up with my husband on the couch and during the battle scenes told us, “don’t be scared, it’s not real.”
Matthew came a long way in his short life. When he was in pre-school his teachers noticed signs of what eventually led to a diagnosis of Asperger’s Syndrome. Traits “typical” of Asperger’s include difficulty with social interaction, high intelligence, intense interest in particular subjects and a huge vocabulary--the latter qualities being what leads people this week to claim it is a disorder more advantageous than others. By the age of 9, Matthew was able to empathize with other’s emotions, reassure us about a scary movie, and relate to other kids, in his own way, but his ability to relate took a lot of work. After a rocky start at a school which had NO Special Education services, he switched to a school that had more kids like him and more adults to help him blossom into a confident and engaging kid. He spent time with other kids who have similar syndromes, and spent hours practicing “social stories” with his mom and dad.
This week the focus has been on whether Asperger’s is just an elite title for a segment of the Autistic population. What really makes a particular diagnosis “elite”? Between Pawlently’s non-taxation and un-allotment strategies, perpetual underfunding of mandated Special Education Services by the federal government, and ___% of our nations’ children living without healthcare, it strikes me that anyone who has access to diagnosis and treatment will soon be part of the elite---an elite of people with access to human services. Why isn’t this the center of our dialogue?
Friday, February 12, 2010
Blog Posting #3 (due Sunday 2/14, 11:59 P.M.)
1) Identify, in a few sentences, the publication you're looking at (something local, in the Twin Cities area -- can be online or in print), the problem you see in the way science is being deployed there, and why you think it's a problem you think it's potentially dangerous or harmful enough to merit your time in addressing it. The point of writing this little meta-commentary, before writing the text of the letter itself, is to inform your colleagues about what you're trying to do, so they can best evaluate how well you did it.
2) Write a draft of your letter to the editor.
(For easy reference, here's the text from the assignment sheet: "Write a letter to the editor of that publication, in which you describe that problem, explain and analyze it, and propose a corrective. (Note: letters to the editor are, of course, for a general reading public. This is part of the challenge—how to communicate ideas such as semantic contagion, legitimation, biopolitics, and Cartesianism effectively, without using any jargon? And they are short—150-200 words maximum!)")
Finally, in your comments this week, offer some suggestions to help your colleague improve their letters -- what can be clearer? how could the arguments be strengthened? how might something be worded better? Let's make these as good as they can be!
Questions That Need Answers!!!
Why is anarchy considered a system of government?
Why is atheism considered form of religion?
I would love to hear everyone's thoughts on this! You guys stay classy!
Thursday, February 11, 2010
A(sperger's)UTISM
DSM5
http://www.nytimes.com/2010/02/10/health/10psych.html?src=twt&twt=nytimesscience
Tuesday, February 9, 2010
americanization of mental illness
http://www.nytimes.com/2010/01/10/magazine/10psyche-t.html
"Widely regarded as positive, that is, in the United States. Many traditional cultures regard the self in different terms — as inseparable from your role in your kinship group, intertwined with the story of your ancestry and permeable to the spirit world. What McGruder found in Zanzibar was that families often drew strength from this more connected and less isolating idea of human nature. Their ability to maintain a low level of expressed emotion relied on these beliefs. And that level of expressed emotion in turn may be key to improving the fortunes of the schizophrenia sufferer."
i will now go on a little posting fast. i promise.
--julie
buddhism, neuroscience, happiness
http://seedmagazine.com/content/article/what_buddhism_offers_science/
http://www.wired.com/wired/archive/14.02/dalai.html
just poking around at these ideas. will try to write about it later.....
--julie
Redesigning culture
I think it has more relevance than just to the consumer economy... you tell me.
http://www.theatlantic.com/doc/199810/environment
Monday, February 8, 2010
science/spirituality/technology interview in Orion mag. w/ Wired cofounder
a couple excerpts below, and here is the interview, with Wired magazine cofounder Kevin Kelly. He describes his view of how technology is part of the the unfolding of God getting to know himself. . . (and more)
"They are increasing degrees of freedom. And this is the theological part—we have the infinite game. The game is to extend the game, so that the game will keep going. The game is to keep changing the nature of change. And that infinite game is my view of holiness. You play the game not to win, but to continue to play to make room for all expressions of truth, good, and the beautiful. You are opening up the world to possibility. Every child born on Earth today has some particular mixture of genes and environment, of capability and intelligence to unleash. The game is about trying to educate that individual into a position where they can maximize their potential and possibility. And technology is the instrument."
...
"We have created our humanity. And I think our humanity has been created by technology. Our humanity is defined by things we have invented. Like the alphabet. Our culture is one thing we’ve created. But I also think there has been an evolution of morality. Culture and cultural inventions are part of the Technium—they are technologies."
...
"Language is part of the Technium too. And language allowed us to structure laws and rules, our ideas of inherent fairness and sense of right and wrong. These are associated with society and culture and all that Wendell is concerned about. And they were developed over thousands of years. Our humanity is actually a result of the invention and the distribution and the enhancement and growth of the Technium."

Beating a Dead Horse? More rambling on apotemnophilia
Then on Friday, I was discussing how we humans living in the United States no longer need the rennin-angiotensin system. Of course there was a time when we did need it and in some parts of the world there are people who still do. So that’s when I realized that my initial reaction to the comment made during the debate may have been misguided. This took me back to Pinker’s article that we read. Specifically around page three where he disputes the Blank Slate and brings up the also no longer needed human desire/taste for sugar and fat. So if I’m viewing the need for limbs in a similar way, while we don’t HAVE to have all of our limbs, as far as evolutionary psychology is concerned it is abnormal to not want/have all of your limbs and therefore apotemnophilia is a disorder as defined during the debate.
So now I am looking apotemnophilia as a “disorder”, continuing to reread Pinker’s dispute of the Blank Slate, and wondering if there has ever been a pair of twins in which one of the individuals has apotemnophilia and one does not. My problem now is: where do you draw the line between normal and abnormal? Is there a clear cut way to divide the spectrum between really having this “disorder” to just having some sort of fetish? If we evolutionarily should be attracted to people who have all of their limbs is it also abnormal to be attracted to amputees? If we are treating apotemnophilia, should we be treating acrotomophilia too? Is there a genetic or neuroscientific way to show whether a person has this disorder?
When if comes to biopolitics, I like to think that people have a right to their own bodies and I am generally not one to “‘yuck’ someone else’s ‘yum’”. If some one wants to (and has the money to) have eye surgery just because they want to see better, go for it. If someone is attracted to amputees, that’s fine with me too. At the same time, if someone wants to have their leg removed, understands the consequences, and can afford to have surgery, I'm not going to be the one to stop them. I guess my main issue of this debate is where the disorder line is drawn and what that means as far as treatment goes and who gets/needs treatment.
it's so much bigger than apotemnophilia....
I'm sitting here working on another major project for another class this evening and thinking that the writer I am studying would have a lot to say about our debate, but he would, were he not dead, have a very unique way of approaching the problem to define it.
Michel Foucault is one of those philosophers that many of you who are in the sciences will never have to read; we of the humanities are probably divided into those who roll their eyes when they here Michel's name, and those who are rabid, avid fans of his entire oeuvre. I fit neatly into no category of which I can think, but I do admire the direction of Foucault's work - and since he is fresh on my mind, I would like to lean on him a bit for this post.
Foucault would offer up, in my opinion, some sort of history of the relationship between our bodies and the power that is exerted over our bodies; power exerted by the political, the medical, the psychological, the social - all of the forces which, in one way or another, exert an influence upon and create the body. Pinker, our Harvard professor with an endowed chair (endowed by whom? The Johnstone family. - who the hell are they?), instructs us that he has answers for us, and that most of what we thought we knew was wrong - as an author and, therefore, an authority, as a "legitimate scientist" (soft science, granted) speaking from the very heart of American legitimacy (do you doubt Harvard's authority or legitimacy in our iconography?), Pinker is power.
The web of legitimacy and authority, the center of which M. Pinker occupies, need not distract us for long at this point - but the dude has credibility. The relationship between Pinker, a symbol of power - scientific, political, others? - is what must concern us here; Pinker tells us that we are much less blank at birth than all previous science has argued. That Pinker mocks us all by involving himself in questions of constitutional law, democracies and human nature - speaking as he does in polemical diatribes - is for me the sign that I may now discount much of what he has to say, because he could not possibly be an expert in all of it. He is, for all intents and purposes, a well educated talking head who likes to make news.
Foucault would then take a nice hard look at our neuroscientists; he would probably do a Robin-style exegesis on the GSR (galvanic skin response) contraption and reprise for us all of the horrible and questionable uses to which it has been put. Foucault might then go on to discuss ways in which the very processes of our bodies are used as evidence to prove the ideas and ideologies of power - political and scientific (the two can never be separated - where does science get the majority of its money?) and other social sites of power. The relationships between Brang, et al, and Pinker, to we, the non-authorities, are relationships of power. We are, collectively, society; each of us separately, however, are a body (our OWN body, literally) - and we are being told by power how our bodies work. We are being told with authority and legitimacy, by the credible and the author, by the elect and the elite, "this is what you are - there is no need to look beyond this point, we've got it all under control. Just send us some more money for some awesome research - we'll tell you what is and we'll tell you what is not." Does this sound at ALL familiar, people? Pay no attention that man behind the curtain!
To accept Pinker, you must accept his words that a belief in an afterlife, "necessarily devalues life on Earth" (7), and that "every moment of consciousness is a precious gift" (7). These are moral matters and questions of personal choice, what have they to do with psychology and expert authority? Is this the message we (or the Johnstone family) are paying for? And Brang, et al, argue that their finding that three times as many apotemnophiliacs want their left limb cut off instead of their right, combined with a GSR-study of dubious fundamentals and some anecdotal comparisons drawn from patients suffering from brain trauma, is a perfectly wonderful justification for some (probably government sponsored) major funding money to be sent their way for a ten (fifteen? twenty?) year study to be conducted.
My point is that the power and the science are never far apart - in fact, Foucault, in "Discipline and Punish" says:
We should admit rather that power produces knowledge (and not simply by encouraging it because it serves power or by applying it because it is useful); that power and knowledge directly imply one another; that there is no power relation without the correlative constitution of a field of knowledge, nor any knowledge that does not presuppose and constitute at the same time power relations. (27) [emphasis added]
How does this all tie back to our class debate, you ask? For me, we live in a time when all of our relations to each other have become based upon material and financial relations of power. You can not cut off your own leg without requiring a lot of medical attention ($$). You can not have your leg cut off professionally without an ethical problem for the practitioner ($$ - and lawsuit). You can not have an amputation prescribed by your psychiatrist ($$, lawsuit, and loss of license). Nor can you convince a dedicated/obstinate/incurable/incorrigible (or disordered, via lobular deformity) apotemnophiliac that, seriously, keeping it is better than losing it. None of these things can be achieved without relations of power grinding against each other; additionally, the gringing is neither unidirectional nor is it of comprised of consistent frequency, on the contrary, the grinding is dialectical and multi-faceted.
Every scientific "advance" we make will open new questions of power and ownership and body (and ownership of the body). Thank God we have classes like ours to stop, breathe, ask. We can not decide, but if nobody asks, we will not have to wonder about "Brave New World", we will be living it.
Yay us.
Sunday, February 7, 2010
“BEST” to Whom? or The Affirmative Side: Legitimating stasis on the threshold between the Two Cultures?
During the recent class debate, the affirmative argument was favored by a slight majority, and it seemed that this was owed in part to the point that people attempting or desiring amputation would be denied health care if their desire was not recognized as a disorder. While I see the practicality that this conclusion seems to evoke given the financial constructs of our present reality, I have a hard time accepting that the issue ends there. Is there any doubt that the speakers for the opposing side – who were extremely well-spoken in their own politics of representation – wouldn’t desire the same financial equity for the group of people in question, even if ‘only’ from a moral standpoint?
My long-winded point), is that if the “victorious” side on the debate is such because it is rooted in language defined by science, which it has to be in order to support the scientifically-defined “disorder,” and that this language legitimizes the concern with financial well-being trumping a moral problem with the stigma of labeling, then the affirmative conclusion is inextricably tied to the financial constructs already in place. This means assuming that the way to “best” describe or explain anything corresponds with being able to classify it using pre-established methods. On the other hand, I saw the opposing argument speaking a language which attempts to deconstruct the terms on which “best” is defined, thereby seeking dissociation with the necessarily-tied relationship of classification and the flow of capital.
This suggests to me that the two sides cannot be treated as two distinct sides and directly address one another… I don’t think that we did.
Can it be that Lewontin’s prediction - that bio-determinism will continue to produce and reproduce itself, in order to combat the intellectual arguments against it; and that its proliferation will therefore perpetuate whatever forms of domination it tries to legitimize - is more accurate than we would like to admit, and showed up in our classroom?
* Why won't this let me post? Something about HTML not being accepted- that is a language I do not speak.... ughh.
I think this is in need of a re-articulation at some point.
The fairness of gastric bypass
In “Emily’s Scars,” Frank cites a quote in Vogue from a woman who lamented the humiliation of burying her ugly toes in the sand at the beach. He went on to compare her terrible life to those people with actual deformities of note—namely people born with facial and physical deformities.
There are so many angles to the “possibility of fixing” and whether it is fair self-improvement or vain self-enhancement, and a lot of them were covered by the Frank article. Who’s to say that woman with the ugly toes wasn’t truly suffering daily at the sight of them? (Well, me, but it can be argued the other way.) As for Emily who underwent leg-stretching, was she ending her disability, or was she just failing to shake her own self-consciousness? Is it better to improve yourself with plastic surgery in this world full of unrealistic expectations and unshakeable norms, or would society benefit if there were more people out there willing to accept themselves as they are?
The article got me thinking about obesity and obesity control surgeries like gastric bypass. Perhaps I’m biased, but I would say obesity is a little more humiliating in day-to-day life—and especially at the beach—than ugly toes. It’s something that cannot be hidden, and perhaps worst of all, most people get themselves in that situation without help from a hereditary disorder. The shame only builds when overweight people find themselves unable to lose pounds. If their condition is bad enough, however, they have a surgical option.
I have two once-morbidly-obese friends who have undergone obesity control surgeries. The first continued to eat more than the tiny (seriously, miniscule) portions recommended by her doctor. Her stomach stretched out, and she has gone back to her pre-surgery weight. The second lost 70 pounds in her first year after the surgery, but has since then plateaued. After spending a lot of time with her while we studied abroad, it was pretty easy to see why. She cheats her shrunken stomach by stretching her abdomen at the table in order to fit down three courses per meal, and not only does she hate exercise, but she also 1) refused to take the Tube because she didn’t want to walk the stairs out of the station and 2) consistently used the elevator to get up to her second floor apartment.
When do you get the right to be surgically aided in your quest to be skinnier? Should gastric bypass even be an option for people who can’t demonstrate that they have made genuine attempts at diet and exercise? I wanted to tell myself that surgery is a last resort, but seeing my friend who refused to even consider walking two flights of stairs made me rethink that. Is gastric bypass just another example of a leg up for people with money to spare? If they get the procedure for superficial rather than health reasons, should their insurance cover it? Surely no insurance company would cover a follow-up surgery to get rid of excess skin.
In a world rife with surgical options, I can at least rejoice that there is occasional karmic backlash. Gaining back the weight due to laziness, freezing your face after plastic surgeries, suffering from blisters on your new designer feet—some force out there has a sense of humor I approve of.
Foot reshaping in Emily’s scars
Emily’s Scars was a very interesting article to read (even though it was hard for me to understand at times). I found the passages about surgically reshaping feet to be the most eye opening. It certainly brought up some interesting points about society at large. Frank claimed that to a certain extent it has no longer become about making shoes to fit the foot, but making feet to fit the shoes. This is a very profound statement. When I began to read this passage I thought about how disturbing and unnecessary these procedures were, but as I continued to read, Frank began to convince me of the legitimacy of this type of technoluxe. Medicine is used to heal, and if a person feels so self conscious about their feet (just an example) then what should stop them from getting them reshaped if they have the resources and feel that that will improve their quality of life. Frank doesn’t seem to take a hard fast stand on weather its wrong or right, and neither can I, but at least now I can understand where these patients are coming from. He also brought up the topic that foot reshaping (or any form of technoluxe) gives people a higher chance of succeeding at work place, etc. Basically, beautiful people make more money. But something I was thinking when I read this is that the only people who can afford these types of (frivolous) surgeries already have a surplus of income. The rich just keep getting richer. This article really made me realize that we (as a society) put too much evidence on looks and normality and not enough on individualism.
the price we have to pay
But that’s the price we have to pay for stability. You’ve got to choose between happiness and what people used to call high art. We’ve sacrificed the high art.
(BNW 150)
___________________________________
THE JOURNAL OF SOCIAL-SCIENTIFIC JOURNALING
LABORPHOBIA: a disorder
Introduction
Disorders that straddle the border between physiology, psychiatry, and sociology are of special interest to scholars in each of these disciplines. One example is Laborphobia (from the latin root ‘labor’: toil, trouble) in which otherwise sane and rational individuals express a strong and specific desire for the amputation of their duties to work. Most date this desire to their childhood and, not uncommonly, the sufferer will attempt to avoid employment altogether.
Symptoms of this disorder include (but are not exclusive to) the following:
inability to wake with an alarm clock
unable to take directives from a boss
lack of interest in completing tasks for material incentives
lack of concern for punishment from boss, God, or other superior for spending time not-working
breaking out into hives or rashes upon receiving a work schedule
periods of dark depression when following a routine
intense physical pain experienced while engaged in tasks related to customer service, clerical, or any other sort of….work
As few government bodies are willing to accept this inability to labor as a reason to give medical or monetary assistance, these people often live in precarious situations, unable to meet their basic needs even while employed, as the distress they experience interferes with their ability to make decisions or experience joy. We propose that a governmental amputation of their requirement to work (to earn the resources to meet their basic needs) will result in a complete and lasting cure of their mental distress. It will also work to remedy the resultant societal stigma of not punching the clock/attempting to increase one’s economic status.
Methods
We tested our conjecture on two individuals with Laborphobia. Ethical approval from the local institutional review board and signed consent forms from the patients was obtained. A tiny mental examination was administered and they both were emotionally and intellectually normal or above, as judged by their ability to converse and interact appropriately. Each firmly believes, from his deepest conviction, that he needs to enjoy life NOW, with leisurely activities, in order to really feel that he can be himself. There is no need felt to participate in today’s consumer culture, nor to contribute to the tax base. He may exert effort towards a particular end, but not as an employee or in the form of a boring, repetitive task. This is something each remembers feeling from an early age; he does not remember feeling otherwise.
In the past there was speculation that these subjects had parents who chose not to be employed (thus setting a poor example). Other conjectures were that the subjects are simply lazy, or went to primary schools which did not properly reinforce the value of labor with rewards such as gold stars. However, we have 1 out of 2 subjects that did attend schools with not only gold stars, but cookies and extra trips to the playground. The other subject had parents who each worked 2 or more jobs. However the ability to labor is still non-existent. Clearly this is abnormal and indicates a deviant organ or chemical structure.
Several tests were performed, applying Ag-AgCl electrodes near their hearts and their minds and at the tips of their toes. No activity was registered when they read phrases such as, “Time to go to work” or “You’re getting a raise” or “You’re hired.” However, high activity was documented upon reading the phrase “You’re fired”, and the greatest Chart of Well-being was recorded upon viewing pictures of leisure activities such as frisbee golf and inner-tube floating, or pictures of people working randomly on interesting activities, on a varied schedule of their choosing. Blood pressure rates were dangerously high in the first three scenarios, and at a low-normal level in the latter scenarios, suggesting the the mere mention of labor causes the vessels to contract in a pathogenic manner. Muscle tension increased with an image of a paystub, but relaxed at the mention of reading poetry or strumming a guitar.
Discussion
We have no doubt that what we are recommending is the correct thing for these patients: they should be freed from the requirement to work or pay taxes. They should be allowed comfortable living conditions and leisurely lifestyles. Psychotherapy doesn’t make a scrap of difference in these people. You can talk till the cows come home; it doesn’t make any difference. Drugs simply mask their symptoms and prolong their despair, further keeping them from themselves. These subjects cannot go to work without harm. Forcing them to go to work is a potentially fatal endeavor. This is not simply a self-indulgent tendency, or merely wishful thinking. Our subjects have a genetic defect which predisposes them to ripping off the reigns of employment. Living in a society with strong Puritan roots is of further detriment to these patients. Recognition of their condition is all the more imperative to get them the help they need to manage their defect, and ward off the arrows slung at them by the working world. We also must distinguish their condition from that of the average person to avoid a spread of the idea of non-working as a non-disordered behavior.
(phrases borrowed and modified from: Better than Well, Carl Elliot; Apotemnophelia: a neurological disorder, Brang, McGeoch, Ramachandran; Brave New World, Alduous Huxley; The Politics of Biological Determinism, R.C. Lewontin)
Oh! Another Apotemnophilia Post!
Before reading Carl Elliot's article, I had never heard of the 'disorder' (I hate to use the word...but for lack of a better term at the moment I'm kind of stuck) before, and had never even imagined a world where someone would want to chop off one of their own limbs. You'd think that by this point in our class, I'd have a pretty solid and confident opinion of my stance on this 'disorder.' But of course, I don't. In fact, I'm even more confused now on what to think of it than when I had read first read the article. Thanks Ben and Robin for doing my head in every Tuesday and Thursday! (only joking....)
But anyways, going along with Nikolas Rose's term "Biopolitics", and the debate on whether people should have undisputed rights to their own bodies, I'm still at a standstill on which side I wholly agree with or not. I probably will never consider myself completely on one side of the argument or the other, because there are huge factors that play a big role when it comes to making decisions and formulating opinions within this term.
I do agree that as humans we should have rights to our own bodies. But when it comes to the act of wanting to sever perfectly healthy limbs, based on the idea that 'it never truly felt like it belonged to me,' I would like to say, "Society, step in. By all means make sure this individual wants to keep their limbs no matter what!" But because there have been cases in which people have gone to the extreme measures of almost killing themselves by physically trying to sever or kill their unwanted limbs before, it urges me to think differently.
We must take people with this 'disorder' seriously. Therapy isn't the miracle cure to this conundrum, but if they are monitored more closely and are able to talk to someone freely about their feelings of their body and why they detest one of their limbs, we might be able to discover more about how serious they are about losing a limb, to the extent they would go themselves to get rid of their limb, how they feel they fit into society now as compared to if they didn't have their unwanted limb, etc. We would also have a better chance at keeping them from taking matters into their own hands completely and attempting to chop off a limb if they felt as though they were being heard and understood and treated as though they aren't crazy for having this desire.
I'm not saying people haven't done a sufficient job of analyzing people who identify themselves as apotemnophiliacs so far. But if people are still finding themselves at the point of removing the limb themselves, I'm sure we could do better.
my questions about the Elliot article
Alcoholism and Aptemnophilia
Apotemnophilia and Cognitive Dissonance
On one hand, I'd like to go the politically correct route and say that everyone's different and society should fund everyone's attempts to normalize themselves. I can see how this works when it comes to free counseling, or reduced prices on treatments for genetic disorders. However, society need not fund personal choices like getting tattoos or plastic surgery. It's difficult to determine which category apotemnophilia falls under.
In light of the debate, I think that if it fell under the former category, as a disorder, that would be the best classification for the condition. That would open up new approaches for research and treatment options. If apotemnophilia were to be considered to be a mere social phenomenon, then apotemnophiliacs would only be studied by sociologists. However, as a disorder, apotemnophilia can be studied with not only sociology, but also genetics and medicine.
On the other hand, I feel that healthcare providers and taxpayers should not need to subsidize such an invasive treatment for a condition about which so little is known. This is another question of category. It seems cruel to refuse subsidized treatments to poor people with expensive diseases. They shouldn't have to go broke just to simply survive. But apotemnophilia is not life-threatening unless an apotemnophiliac severs his or her own limb and suffers from complications. Were they forced to perform that action by their genetic makeup? Or is that simply a question of personal responsibility?
This topic really brings up more questions than answers. I suppose it should if you've really thought about the material. Wink, wink.
Consequences?
I understand the biological basis for it, but I don't think that amputating a limb is the answer. That answer is so drastic and irreversible and permanent that there must be a better way to deal with not feeling "whole." I always believe talking to a therapist is the best way to deal with problems. I'm not a fan of drugs, herbs, medicine for pretty much anything unless all other options have been exhausted. I think that we live in a society where drastic changes are made without thought. I feel like we rely too much on "the quick fix," and in general, over-medicate.
I guess I'm not fully convinced that apotemnophilia is a purely biological condition. If there was a way to reverse the lower stimulation in the nerves of the effected body part without amputation, I think it would be more cost-effective in the long-run instead of amputation and after-care. It would be hard to root out the people who truly feel this way from the people who have a mental condition. If amputation is a possible answer, I think that the way we treat people who want to become transgendered (I hope I'm using the terms correctly) through therapy for a couple of years, living as the opposite sex (without the surgery), then finally the sex reassignment surgery.
Sometimes the hoops are necessary to prevent any careless decisions on the either end of the process.
Saturday, February 6, 2010
To be or not to be an amputee? That is the question.
After reading the articles and other case studies on apotemnophilia, I still have a hard time justifying someone to cut off a healthy limb. I am not sure how much a person has thought about re-adjusting to everyday life. Due to culture and society, many things were built for someone with all four limbs (like cars, but you can drive with one arm). Also, how would the person's family react? Would they want to help them re-adjust to life as an amputee, or let them fend for themselves?
Carl Elliot states that people who are unable to have a limb they want removed will do it to themselves, one way or another. In an article called "Amputee Fetishism," a man removes his own penis after enduring some stress in his life. He got it done on the SECOND try! Doctors did not think to even evalute the man psychologically after the first attempt. After reading this case, I believe that there has to be some sort of link between apotemnophilia and genital mutilation.
Lastly, what about the person's employer? For instance, let's say someone who works on a factory line decided to amputate their own arm because they felt like they did not need it. Due to amputating their own arm, their productivity goes down. Does the employer have the right to fire that person?
Maybe we should try to convice the person not to amputate their limb by giving them psychiatric help, and also putting them through a regimen where they are forced to use that limb. From my standpoint, I feel like they are underestimating the hurdles they face in the long run, and they are taking the limb for granted.
You stay classy!
deifying Emily's scars?
I have to really wonder if this statement is coming from a place of compassion, or if it is in fact a sort of intellectual bullying. Some facets of Socratic bioethics seem like a totally worthwhile arena; question your choices, have a long period of deliberation over life altering events, think about what is influencing your decision, what motives / cultural pressures - think about the questions that don't have clearly right or wrong answers.
The mother of this disabled person loved for 'who she was' even though she was disabled - and this is the language that is being attacked by Arther Frank as effectively inconsiderate of the larger context that Mueller exists within. He argues that one significant facet of "Socratic bioethics" is consideration of the effect your decisions have on others, and that this Mueller girl's awful ignorance was damaging to the community of "Little People". Except he has no reason to believe that Mueller wasn't accurately characterising her situation, in that she is expressing how her mother had to make repeated specific sacrifices in accomodating her particular disability, which I imagine all disabled adults who were once disabled children can relate to.
I would like to ask Mr. Frank - what better way to shut up a dialogue than to criticise people for expressing themselves and therefore expressing the reality of their cultural or emotional biases - and who is he to say that he has enough access to the culture of the disabled to determine that this girl has done them harm merely by saying how she feels (are "Little People", for example, as incapable of making a careful decision as another group he mentions, young children?) - and furthermore, what if she and others with her disability read this article which clearly juxtaposes her with a (paraphrased) 'morally aware girl that understands the complexity of surgical shaping' (28)
If we are obsessing over our social impact, what has he done in writing this article then, to the culture of people who are just plain HAPPY that they got the surgery done and don't feel the need to display "Emily's scars"? Who would rather not consider a physical emblem of disability as central to their "identity" as he repeatedly claims? Why does he insist on framing this issue as one of "normal" versus "disabled" - is that not a sort of contradiction, him imposing a restrictive, perhaps not well thought out enough social categorization on all the others? - and he also more than just implies that if you are physically disabled at any point in your life, you are forever one of the 'disabled' (and of course, this is super meaningful - you must represent your culture, Mueller.)
He wants us to think less individualistically, to accept a moral responsibility as communal actors - less "neo-liberal" . But he is instating that Mueller is socially bound in responsibility to a group of people that she superficially belongs to - ie, all people who share her disability - and that therefore the question of identity is answered for Meuller, by Frank. Those are your people. Mueller was expressing in her statement her social responsibility and relation to her mother - who is an important facet of her community, perhaps more so than a nebulous group of individuals whose only claim to similar identity is a similar medical diagnosis (?!)
But one could easily argue that the story of Mueller is no less useful than that of Emily's to the decision making process of other "Little People". And Frank offers no real reason for us to believe otherwise, other than his bias about how an individual should express herself. If a person chooses to change because they think this will make them more acceptable within society -- isn't that actually a very communal way of thinking? Basically, I will change instead of expecting everything else to change for me - instead of expecting a fragmentation, ie my disabled people versus all of the not disabled people or the differently disabled people - I will find a way to accomodate myself. And what is the alternative - how can society more carefully accomodate Little People - by building a Little City where the Litte People can live? By building separate entrances, ramps, etc - by actually forcing more fragmentation between groups...?
I posit that surgery actually is a way that "society" has developed in order to accomodate people with disabilities. And, it is clearly a choice whether or not to get this surgery, and seemingly pretty unfair and nonsensical to say that every person who gets this surgery most take partial responsibility for the decision making process of every other person who might get the surgery - we are not a hive mind, no matter how interconnected we are.
It is not up to Frank to decide what 'communities' everyone belongs to - and in fact, in order for communities to be extremely obvious and for thinking to be less individualistic, I actually think we would need to live in a more totalitarian system, perhaps a Frank-ocracy. Someone has to maintain the divisions between groups so that every person knows who they are particularly responsible to - as soon as you are responsible to everyone or even just responsible to whomever you choose, as soon as your interconnectedness becomes so overwhelming and bizarre and you're constantly considering the impact each thing you do will have on disparate factions - how would you ever act? Mueller would have had to have made a statement that was hundreds of thousands of pages long, to ensure that she was carefully articulating the controversy in such a way as to adress the needs of her entire community (Seeing as I, and everyone else, had access to this via the internet.). Someone is bound to have some inflection of a negative reaction to your actions - but one action can ellicit a myriad of unforseeable reactions. The reality of interconnectedness is also a reality of your own lack of control, the fact that while you will impact others, you by no means should be arrogant enough to presume that you can carefully orchestrate that effect, and in fact here is a place where hindsight is 20/20, but foresight is nearly blind.
"...But Mueller should be aware that her choices affect other Little Peoples' ability to choose.."
This just isn't true. Mueller may have been one conduit for conveying a medical possibility - but she is not responsible for conferring the ability to choose - The fact that we live in a permissive society, the fact that we have a succesful medical industry, the fact that we have open avenues of communication, etc - this is why the choice is available. If Mueller didn't show the world what was possible, Emily would have - and regardless of how she expressed it, the choice would be the same, and still infinitely complex, and still voiced through multiple available channels (innernet innernet innernet!)
I agree generally with the merits of Socratic bioethics - but I don't think we need to bully the Muellers out there, or deify the Emilys. I also don't think we need to enforce or swindle or manipulate the world into enacting Socratic bioethics- I think they are extant, and operational, and I think that this is made true merely by the fact that we have this huge, interconnected (though simultaneously fragmented) internet community - where everyone is allowed to express an important facet of the controversy, thus ensuring that, through individualism and freedom to express beliefs, each issue can be infinitely dimensional and articulated, and people can feel 'safe' saying something controversial in a public forum (Case in point: all of us.)
*edit : safe as in you don't get "kicked out" for saying it. Especially if you make use of another facet of teh innernet : Anonymity.
Arm or a Leg?
Disability for Apothemnophilia
Friday, February 5, 2010
Blog Posting #2 (due Sunday 2/5, 11:59 P.M.)
What the hell does this mean? 'BIOPOLITICS' is a useful term. It names the intersection of LIFE and SOCIETY that troubles decisions like whether to let people cut off limbs because they want / need to. Or lengthen their legs. Or live on Prozac. Or use Ritalin to get through Finals. Or take Dianabol to raise your batting average. Or demand new plastic lenses for 20 / 15 vision. Or any of the things we've talked about where the ethical dimension of the life / society link is important. When we say 'people have a right to their own bodies,' were taking a 'biopolitical' position. When we say 'society has no obligation to take care of someone who cut off their own leg,' we're taking a different one.
Start with an article you liked (or hated—that can work, too). Engage it, and go where you want. This is sort of like writing a really smart letter-to-the-editor responding to one of our readings as if it just showed up in The Atlantic (Carl Elliot did). Or the Hastings Center Review (which 'Emily's Scars' did).
You can bring in anything more that you want, but start with a solid engagement with one of the things we've read. Then take it where you want.
The core question we're all working on is HOW BEST TO MAKE SENSE of these impossibly hard, topics.
Speak your mind. Make some sense.
Why I'm posting so late
Hey everybody,
Sorry for my extreme lateness when it comes to posting this. I think that the reason I wasn’t able to post on time relates to our topic for the week pretty well.
My dad is a manic-depressive and an alcoholic and this weekend things went kind of south. Everything is going to be ok but it got me thinking about myself. My dad’s side of the family has a history of being very susceptible to mental illness. My grandma and my great grandma were both Bipolar. So obviously it’s in our genes, right? Well, that’s what the doctors tell me. They have already said that I should think about taking anti-anxiety pills as some sort of preemptive strike. But how can they be so sure that I’m going to go nuts? Well, obviously I can’t answer this question with a great deal of certainty and I don’t think that the doctors can either. But it seems to come down to nature versus nurture. Hopefully I was raised differently enough from my father that I can override what my genes are telling me to become.
On a side note, I would like to address a topic brought up during the debate. One of the reasons that I voted for the affirmative position is because the debaters stated that by labeling it as disorder, it allows members of that particular group to find each other and relate with one another. They no longer have to feel alone. Alcoholics anonymous has always been a great tool for my father (when he actually goes) and I feel that it is very similar this. If he weren’t able to find people with the same problems as him, he would probably feel even more alone and isolated.
Thursday, February 4, 2010
race-based medicine
The woman who was speaking at the U yesterday about race-based medicine (that Robin sent an email about) was also on MPR yesterday. Thought you might want to hear it if you didn't make it to Coffman.
Here is the link!
-julie
Tuesday, February 2, 2010
Would You Believe Me If I Blamed it on Insufficient Postage?
My dear group, a belated greeting! Much as I'd love to share the results of my latest study ("Probable Swine Flu and the Elasticity of Punctuality") during the research phase of which I gamely came down with an absolutely disgusting case of something or other that the good people at Boynton--despite swabbing every square nanometer of my poor, beleaguered tonsils--were unable to conclusively diagnose, there's apparently something called "peer review" that's preventing me from actually turning this into a functioning excuse for missing a deadline. You may say to me: "this was a blog post assignment, not a ballroom dancing lesson; you can type and cough at the same time, idiot," and you'd technically be right, but let's not get bogged down in semantics, eh? I've got to type this out quickly so I can re-test my "Tom Never Waits Long Enough to Bite Into the Pop-Tart" hypothesis before going to bed.
Science and me, we go way back. You might even say science had a lot to do with my being born in the first place--and I don't just mean in the whole boring, "sperms and eggs are made of science" way, either; I mean that, right from the get-go, I was benefiting from thousands of years of medical research and advancement.
You see, I was born premature, and with a congenital heart defect called "Tetralogy of Fallot." I won't bore you with the details, but suffice it to say that it's NOT that freaky thing Lance Armstrong's got where your heart basically makes oxygen out of dreams and kinetic energy. It's actually kind of like that, but in reverse; see, rather than a healthy, ruddy-cheeked bundle of giggles, I was kind of more of a half-sized, vein-blue pile of potential disaster.
Luckily, I was born in a state known for great medicine (MN), in the United States, at the tail end of a century that saw unprecedented advances in medical technology and research, which is basically like winning the Powerball jackpot for sick little babies. Within minutes of my birth, I was hooked up to countless wires and tubes and monitors and electrodes, and I spent my first few weeks in a special wing of a great big, clean Midwestern hospital the likes of which would be literally unexplainable to our great-great-grandparents before, at the tender age of two months, I was operated on by one of the world's leading pediatric cardiac surgeons. Because he lived nearby (and my parents were fortunate enough to have access to great insurance and sufficient resources to ensure the best possible care available. Do social sciences count for this?)! About two years later (once my ribcage had fully formed), the same surgeon went back in there (sawed me damn near in half!) and finished the job, and voila! Fully functional human!
I've often wondered how many millions of research dollars and decades of work by countless nameless geniuses it took just to develop the equipment of that little cart they whooshed me away on just after my "grand" (read: "feeble") entrance. And culturally speaking, what I got still qualifies as literally miraculous over most of our globe. Had I been born either a few thousand miles away or a few years earlier, I never would have lived to hack out that revolting little volley of coughs I just woke my neighbors with. Thanks, Science!
Now where the hell did I put those Pop-Tarts?
Monday, February 1, 2010
Question for you all: Blog Privacy
I was just asking Robin about this and he suggested it might be a blog post topic.
I am feeling a little uneasy about the fact that this is a public blog, and that (in the one assignment thus far) we are asked to discuss science in personal areas of our lives. I have pictures of future insurance companies, employers, etc. possibly googling one of our fine group members and reading a post and saying, "Hmm..this person appears to have a pre-exisitng condition/family/health issue that makes me not want to work with them." or any number of scenarios. I for example wrote about a past job in which I worked with students--what if one of them decides to see what I'm up to and reads my thoughts on their classroom. Does this breach professional boundaries? Does it create potentially "bad" situations. What would I have blogged when I was 21 and would I want my future employers to have access to it today? And, as a small business owner, would I want my clients, who I work with on a one-to-one basis, to read my opinion or analysis of mental disorders--without having any context of the large class--and then extend those opinions in their to what I might be thinking of their personal circumstance.
What is the value of having the blog public versus just within the discussion group? What will create the best/better discussion & exploration.
I'd love to hear your thoughts.
--julie
Genetically Programmed to Miss Deadlines?
This leads me to wonder about the genetics of political views and religion. I share neither of these with my parents, but for the longest time I was associated with their beliefs when I was younger. How can a child be classified under a certain political view or religion when he or she has only been exposed to one in his or her life? For some reason, most people seem to think that political views and religion are genetic and having larger families will result in more voters or adherents. At the same time there's a push recently for children to "be themselves" because each and every one of them is "special." The two ideas seem to be quite at odds with each other. My hypothesis is that these contradictory messages are what is confusing children today. It certainly confused me.
Anyway, the point of my rambling is that I think that surroundings affect children more than parents, who in turn affect children more than siblings do.
Sorry, i was genetically incapable of posting this blog in time
As sarahjessica pointed out in her post "sibling rivalry" I realized that human experiences and behavior are too complex to ever isolate without doubt the "root" of a certain behavior. So I wondered if we could perhaps get a better understanding of the "nature vs nurture" question looking at a simpler and more predictable animal, namely the dog. Now if you believe men were created as something more than just a genetic creature like the animals (which I do) you might say this wouldn't be an accurate parallel, but I would object that whether humans are a product of evolution or were formed from the dust by Gods own hand we have a lot in common with domestic dogs. But I digress... I wondered if the study of the behavior of dogs could support the case for either nature or nurture. Well apparently this thought is not quite as revolutionary i would have liked to think because I found many articles talking about that very thing. An aritcle i found especially interesting was at http://www.blessthebullys.com/id123.html. Ok, so its pitbull rescue site so its bound to be biased but it did bring up some interesting points. The one that really stuck out to me was its mention of epigenetic markers. Essentially these are uhh things (latin: thingimagiggers) that control to what extent specific genes are expressed. The article went on to say that these epigenetic markers are in turn influenced buy the environments and circumstances which we have encountered during our lives. It seems to be suggesting that perhaps nurture has the ability to alter our nature. In my mind that added an interesting twist to the debate. I would love to hear your thoughts.
[2] Nature v. Nurture: The mysteries of individually unraveled. http://www.livescience.com/health/060718_nature_nurture.html
Sunday, January 31, 2010
Sibling Rivalry
My brother and I look practically identical. When we were growing up, we played the same sports, watched the same tv shows (he always got to pick because it was physically impossible for me to get the remote from him), had many of the same friends, and even had the same scores on standardized tests. On the other hand, our GPAs, our current lifestyles, and our interests in things from music to possible career paths couldn’t be more different.
Why are siblings so different? Is it due to the half of their DNA that is different or is it because they had different kindergarten teachers? The problem with discussions on determinisms is that there are far too many variables. Maybe my brother and I differ because he had a kindergarten teacher who liked to dispel myths like the existence of Santa Claus and I had a kindergarten teacher who thought it was necessary for us to take Spanish lessons. Maybe we’re similar because we happened to have the same third grade teacher. Or maybe we’re similar/different because half of our 20,000 genes are similar/different. The problem is there is no way to tell what are the absolute causes for specific similarities and differences. The question of nature versus nurture is too broad to address all of the possible causes.
ADHD: disorder, disease, dilemma.
Just now I thought of something better to write. Typical.
There is a bit of truth to the cultural complaint that “These Days” parents who fail to discipline their unruly children can casually chalk it all up to ADHD and put them on medication that makes watching after them immensely easier. Personally, I don’t like nodding my head while my great aunt blathers about how a relative (who would endanger himself and others without his medication) could have turned out all right had his parents spanked him now and then, but I understand where she is coming from. I feel similarly toward people who think bad headaches are migraines or fleeting moments of fear are full-on panic attacks—this kind of misinformed self-diagnosis is cause for deep annoyance from those who have actually suffered from migraines or panic attacks.
In spite of myself, I tend to place diagnoses on the unsettling characters in my life. Early in my university years I befriended a socially awkward student who was a fantastic liar. From “embellishing” to glossing over the facts to inventing some of the tallest tales I’ve heard from someone over the age of 10, this guy showed no outward signs that he was overflowing with lies. It took me a while to see through him, but with the help of some observant and knowledgeable mutual friends, we eventually had him figured out. Despite his little problem, I remained his friend, telling myself that behind the lies he was by no means a bad person. He was just a mythomaniac.
It practically goes without saying that the friendship didn’t last forever. He developed the intriguing tendency to cut off contact with people without visible cause or explanation, and about the third time he did this to me, he didn’t come back. Over the course of six months he became increasingly odd, antisocial, and unlikeable. I imagined it was some confused combination of social anxiety, schizoid personality disorder, and his confusion about his sexuality (not a Freudian reading but a fact). I would have washed my hands of him had he not started dating his ex-girlfriend—who happened to be my best friend and roommate. At this point, annoyance exploded into drama, and a year later I’m telling myself that John is a mad alchemist who has made social brokenness into a fine powder and regularly administered it to my roommate, who has seen a sudden and severe decline in her personality. (I haven’t had time to Wikipedia-doctor recent developments, so my mind has jumped to the realm of conspiracy/fantasy.)
In the spirit of Lewontin, I wonder what would have changed or could change if John was diagnosed by someone with a lot more experience. If he sought counseling or took medication, would he act differently? Would his worldview or actions change if someone credible told him that he was abnormal? And would “labeling” him be for the better or worse?
I think most people would look at John, especially after he was unkind to them, and just think of him as a “Bad Person”—someone randomly unkind and completely unworthy of further attention. For reasons beyond me, I feel the need to diagnose him, to tell myself and others that it is a disorder that makes him this way—one more complicated than a heart two sizes too small. Perhaps it is lasting affection for our friendship past, perhaps it is an attempt to make sense of his bizarre behavior. Perhaps my predisposition to diagnose people is something that could be diagnosed.
I think Pinker would see me as someone who is unwittingly following his narrow view of personality. By trying to put my universe in order, I’ve turned to shaky science, hoping it will tell me that people I dislike or fear are the way they are because it’s in their genes. They can’t help being horrible, and I shouldn’t think they’re entirely at fault for their own ineptitude. Maybe with a degree in psychology I could back my claims, but for now I’m stuck in a place where the more I look into the human mind the less it makes sense.









