On attentiveness and names.

On attentiveness and names.

When a scientist first discovers a function for a gene, that scientist gets to name it.  Sometimes these names seem reasonable enough: I worked with a hematologist who did a study to identify proteins involved in apoptosis, which means roughly “programmed cell death” or “cellular suicide,” and so each gene wound up named “Requiem 3”, “Requiem 4,” etc.

Fruit fly geneticists tend to give their discoveries more creative names than other scientists.  There’s the gene “cheap date” – if a fruit fly is missing that gene, it will – ha ha – be unable to process ethanol and  so quickly passes out.  Another genetic mutation produced male flies that would court either males or females, and so this was known for over a decade as “fruity,” until another scientist decided that universal courtship could be less offensively described by the term “fruitless,” because clearly any mating-like activity that does not lead to progeny is a waste of time.

Yup, some gene names were bad.  One person’s idea of a joke might seem to somebody else like a mean-spirited reference to the wider world’s power dynamics.

Other gene names were bad not out of malice, but because humor at the expense of a fruit fly doesn’t make as many people laugh when a human child is dying. 

A gene that produces a somewhat spiky-shaped protein was named after Sonic Hedgehog.  It seemed funny at the time!  See?  The protein is spiky, the video game character has spiky hair, and … get it?  You get it, right?

 Okay, so this Sonic Hedgehog protein doesn’t look all that much like Sonic the Hedgehog.  But spend enough time staring at something like protein crystal structures and you’ll experience pareidolia, like seeing animal shapes in irregularly dappled plaster ceilings, or anthropomorphic gods amongst the twinklings of the stars.

Well, the Sonic Hedgehog protein establishes a concentration gradient that allows cells to recognize their spatial position in a developing body.  If a human fetus comes to term despite having a mutation in the Sonic Hedgehog gene (genetic abnormalities will often result in a miscarriage, but not always), the resulting child will have severe brain defects.

And then a doctor has to explain, “Your baby is suffering because of a Sonic Hedgehog mutation.”

And so, in 2006, geneticists capitulated to medical doctors. No more fanciful names for genes that might lie at the root of human health problems … which, because humans and fruit flies are actually pretty similar, means most genes.  Patients would now be told about a mutation in the SHH gene instead of Sonic Hedgehog, or a mutation in the LFNG gene instead of Lunatic Fringe.

Words have power, after all.


Some people are more attentive to their environments than others.  During evolutionary time, this trait was obviously good for humanity.  If your tribe is traveling through a hostile environment, it helps to have somebody around who is paying attention to the world.  A friend who’s primed to notice encroaching threats like a hungry lion about to leap out and attack.  Maybe we should take a different path.  Which, yeah, that sounds like a good idea.

Other people are particularly inattentive to their surroundings, so it’s easy for them to ignore the world and focus instead on one single problem.  During evolutionary time, this trait was surely good for humanity, too.  It’s helpful to have somebody on the lookout for threats that might eat you, obviously.  But it’s also helpful to have somebody who might discover a way of using dried grass to weave baskets.  A way of cooking mud into pottery that could carry or store water.

Image by Herb Roe on Wikimedia Commons.

Neurodiversity is a virtue in and of itself.  Over the millennia, the world has offered our species many challenges.  Populations that were sufficiently diverse that some members were good at each of a variety of tasks were most likely to flourish.  A cooperative species like termites or Homo sapiens benefits from specialization among its members.

Left to our their own devices, people would naturally fall asleep and wake up at different times.  Some brains are primed to work best in the early morning; others work best late at night.  And that’s good.  It reduces the amount of time that a tribe would be susceptible to attack, everyone asleep.

But in the modern world, we occasionally forget to feel grateful for the diversity that allowed our species to thrive.  The high school students whose brains are primed for late-night thinking drag themselves through morning classes like zombies.  They’ll be midway through first period before the sun rises.  Their teachers glance derisively at their slumped and scruffy forms and call them lazy.


Eventually, humans invented language.  Much later, we invented writing.  Much, much later, we invented the printing press, and then written words became so widely accessible that most humans could benefit from learning how to read.

Of course, reading is easier for people who are inattentive to their environment.

If I had been born earlier in human evolution, I totally would have been lion bait.  When I’m reading a book, or am deep in thought, the rest of the world melts away.  When I’m typing at home, K or the kids sometimes shout my name several times before I even realize that I’m being spoken to. 

People like me, or this kid at a library, totally would’ve been lion bait.

Luckily for me, I wasn’t born way back then.  Instead I was born into a world where inattentive people – the people best able to block out the world and instead focus on their own thoughts – are the most likely to find academic success.  People like me become medical doctors.  Then we get to name the world’s various conditions and maladies.

And so, when it came time to categorize the sort of person who is especially attentive to the world, people like me (who obviously thought that our way of being is the best way to be) referred to those others as having an attention deficit disorder.

Identifying those people’s awareness of their environs might sound like a virtue; instead, we castigated those people’s difficulty at ignoring the world.

I’ve never read the Percy Jackson books, but I’m glad that they exist, if only for passages like this (from The Lightning Thief):

“And the ADHD – you’re impulsive, can’t sit still in the classroom.  That’s your battlefield reflexes.  In a real fight, they’d keep you alive.  As for the attention problems, that’s because you see too much, Percy, not too little.”


Childhood trauma can cause symptoms that medical doctors term “attention deficit disorder.”  Which makes sense – if you’ve gone through an experience where your environs were threatening, you should learn to be more aware of your environment.  It should become more difficult to ignore a world that has proven itself to be dangerous.

Even for somebody with my type of brain, it’s going to be easier to sit outside and read a book when there’s a squirrel nearby than if there’s a prowling grizzly fifteen meters away.

Some children have to learn early on that daddy’s sometimes a grizzly.  And if it can happen to him, why not other grown-ups, too?  Best to stay on high alert around the teacher.  She’s trying to get you absorbed in these number tables … but what if that’s a trap?


Certain drugs can narrow a person’s perception of the world.  They act like blinders, chemicals like nicotine, ritalin, and amphetamines, both un-methylated (sold under the trade name Adderall) and methylated (a CH3 group attached to the amine moiety of Adderall will slow its degradation by CYP2D6 enzymes in the liver, increasing the duration of its effects).

Note to non-chemists: the methylated analogue of Adderall goes by several names, including “ice,” “shard,” and “crystal meth.”  Perhaps you’ve heard of it — this compound played a key role in the television show Breaking Bad.  And it’s very similar to the stuff prescribed to eight year olds.  Feel free to glance at the chemical structures, below.

In poetry class last week, a man who has cycled in and out of jail several times during the few years I’ve taught there – who I’d said “hello” to on the outside just a few weeks earlier when he rode his bicycle past the high school runners and me – plonked himself down in the squeaky plastic hair next to mine.

I groaned.

“I know, I know,” he said.  “But I might be out on Monday.”

“What happened?”

“Failed a urine screen.  But I was doing good.  Out for six months, and they were screening me like all the time, I only failed three of them.”

“With … ?”

“Meth,” he said, nodding.  “But I wasn’t hitting it bad, this time.  I know I look like I lost some weight, dropped from 230 down to 205, but that’s just cause it was hard getting enough to eat.  Wasn’t like last time.  I don’t know if you remember, like, just how gaunt my whole face looked when they brought me in.  But, man, it’s just … as soon as I step outside this place, my anxiety shoots through the roof … “

This is apparently a common phenomenon.  When we incarcerate people, we carve away so much of their experience of the world.  Inside the jail, there is a set routine.  Somebody is often barking orders, telling people exactly what to do.  There aren’t even many colors to be distracted by, just the white-painted concrete walls, the faded orange of inmate scrubs, the dull tan CO shirts and dark brown pants.

The world in there is bleak, which means there are very few choices to make.  Will you sit and try to listen to the TV?  (The screen is visible from three or four of the twelve cells, but not from the others.)  Try, against all odds, to read a book?  Or add your shouting voice to the din, trying to have a conversation (there’s no weather, so instead the fall-back topic is speculating what’s going to be served for dinner)?

After spending time locked up, a person’s ability to navigate the wider world atrophies, the same as your leg would if you spent months with it bundled up in a cast.

And these are people whom we should be helping to learn how to navigate the world better.

“ … so I vape a lot, outside.  I step out of this place, that’s the first thing I do, suck down a cigarette.  And, every now and then … “

He feels physically pained, being so attentive to his surroundings.  And so he doses himself with chemicals that let him ignore the world as well as I can.

And, yes.  He grew up with an abusive stepfather.  This led to his acting squirrelly in school.  And so, at ten years old, medical doctors began dosing him with powerful stimulants.

Meanwhile, our man dutifully internalized the thought that he had a personal failing.  The doctors referred to his hyper-vigilance as an attention deficit disorder.


Words have power.

We can’t know now, after all the hurt we’ve piled on him, but think: where might our man be if he’d learned to think of his attentiveness as a virtue?

On overdose.

A few years ago, Max helped me write a poem:

DOPE TO THE CUT

Dealers too have mouths

& hungry, hungry arms;

must we begrudge these impacted men

their modicum of profit?

And there is honor among thieves –

my buddy Moses could move meth

only by loathing meth-heads –

nobody’s hurt by laxative-

laced white lady,

and why not a trace

of fentanyl in the H?

Both wash pain.

A dealer’s gotta eat.

But now the cartels start with the cut,

disguise it with dope

& wonder why

their customers

die.


I wanted to share this along with a recommendation that you read this heartbreaking story from The Washington Post.  Right now, our nation has begun reckoning with the fact that people who are addicted to drugs are sick and need help.  Incarceration isn’t curing them.  Sympathetic articles profile working class white people who are trapped in a spiral of despair.

But deaths have skyrocketed among another population, a group of people that most major news outlets have blithely ignored.  Older black users – who were anonymously demonized from the beginning – are being killed when dangerous synthetic chemicals are disguised as the same heroin that they’ve safely used for decades.

People who aren’t in severe pain shouldn’t use opiates.  These drugs sap away life.  Over time, they make pain worse, because opiates make long-term users much more susceptible to discomfort and stress.

But our laws against these drugs are making opiates lethal.  If we want people not to use certain chemicals, our best bet is to provide accurate information.  Banning drugs hasn’t helped: patients seeking legitimate verified doses have a harder time getting their medicines, but opiates are easy to come by on the streets.  We’ve only succeeded in making them edgy, transgressive, and deadly.

On mind control versus body control

On mind control versus body control

In jail last week, we found ourselves discussing mind control.  Ants that haul infected comrades away from the colony – otherwise, the zombie will climb above the colony before a Cordyceps fruiting body bursts from its spine, raining spores down onto everyone below, causing them all to die.

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Photo by Bernard Dupont on Flickr.

Several parasites, including Toxoplasma gondii, are known to change behaviors by infecting the brain.  I’ve written about Toxo and the possibility of using cat shit as a nutritional supplement previously – this parasite seems to make its victims happier (it secretes a rate-limiting enzyme for dopamine synthesis), braver, and more attractive.

I told the guys that I used to think mind control was super-terrifying – suddenly your choices are not quite your own! – but I’ve since realized that body control is even more terrifying.

We’d thought that each fungus that makes ants act funny was taking over their brains.  But we were wrong.  The Ophiocordyceps fungus is not controlling the brains of its victims – instead, the fungus spreads through the body and connects directly to muscle fibers.  The fungus leaves an ant’s brain intact but takes away its choices, contracting muscles to make the ant do its bidding while the poor creature can only gaze in horror at what it’s being forced to do.

If a zombie master corrupts your brain and forces you to obey, at least you won’t be there to watch.  Far worse to be trapped behind the window of your eyes, unable to control the actions that your shell is taking in the world.

A sense of free will is so important to our well-being that human brains seem to include modules that graft a perception of volition onto our reflex actions.  Because it takes so long for messages to be relayed to the central processing unit of our brains and back outward to our limbs, our bodies often act before we’ve had a chance to consciously think about what we’re doing.  Our actions typically begin a few hundred milliseconds before we subjectively experience a decision.

Then, the brain’s storytelling function kicks into gear – we explain to ourselves why we chose to do the thing that we’ve already begun doing.

If something goes wrong at that stage, we feel awful.  People report that their bodies have “gone rogue.”  If you use a targeted magnetic pulse to sway a right-handed person to do a simple task left-handed, that person probably won’t notice anything amiss.  The storytelling part of our brain hardly cares what we do – it can come up with a compelling rationalization for almost any action.

“Well, I chose to use my left hand because … “

But if you use a targeted magnetic pulse to incapacitate the brain’s internal storyteller?  The sensation apparently feels like demonic possession.  Our own choices are nightmarish when severed from a story.

On the dangers of reading.

On the dangers of reading.

During most of human evolution, children died regularly.  In some cultures, the risk was so high that children weren’t named until they’d survived their second birthday.

But the advent of modern medicine – vaccines, antibiotics, sterile technique – has dramatically reduced childhood mortality.  Wealthy parents in the U.S. expect their children to survive.  And yet, this expectation can increase anxiety.  Families are smaller; children are less replaceable.  Parents pour so much of themselves into children’s early years that we’d be devastated if something went wrong.

And so modern parents hover.  Rather than letting children roam free, comforted by the thought that out of six kids, surely one will be fine, wealthy parents in the U.S. strive to control the development of their one or two offspring.

In the book On Immunity, Eula Biss describes how difficult it can be to relinquish that control.

CaptureI already practiced some intuitive toxicology before my pregnancy, but I became thoroughly immersed in it after my son was born.  As long as a child takes only breast milk, I discovered, one can enjoy the illusion of a closed system, a body that is not yet in dialogue with the impurities of farm and factory.  Caught up in the romance of the untainted body, I remember feeling agony when my son drank water for the first time.  “Unclean!  Unclean!” my mind screamed.

Because I didn’t breastfeed my child, I glossed over this passage when I first read it.  Even early on, I sometimes used water to dilute the milk that my partner pumped at work – when my kid was thirsty, I needed to offer something.

But I found myself thinking about this passage recently, when our eldest learned to read.  Our family loves books – we’ve probably read to our children for an hour or more each day, and they spend more time flipping through the pages on their own.

When I read to my kids, I reflexively alter texts.  In our version of James Marshall’s Fox on the Job, Fox had a bicycle accident while showing off for “his friends,” not “the girls.”  In Fox is Famous, a character bemoans the challenges of baton twirling by saying “I’m just not good at this yet,” that (unprinted) final word used to convey a growth mindset.

Go_dog_go_hat.jpgAnd our kids would probably be puzzled by Raquel D’Apice’s essay about Go Dog Go because the voices I’ve used while reading led them to assume that the pink poodle was a fashionable male asking a female friend for advice (“Well, maybe he doesn’t have a mirror at home,” I explained when N was curious, “Why does he keep asking that?”).

I could control the stereotypes that my children were fed.

But books are dangerous!  At the beginning of summer, our eldest learned how to read.  A week later, I hid all the Calvin and Hobbes.  She loves these!  So do I.  But four is too young to really understand concepts like “irony” or “anti-hero” – her behavior promptly tanked in mimicry of Calvin.

About a week after that, I hid the Peanuts.  And Garfield (“He shouldn’t kick Odie off the table, right?  Just like you shouldn’t have hit your sibling”).

She loves comics, but the only books we kept out were good, wholesome Mutts by vegan artist Patrick McDonnell.

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And I hid others, like James Howe’s Howliday Inn (too scary – she could hardly sleep that night).  We look over the front-page headlines of our local newspaper before deciding whether it can be left on the table.

Like Viet Thanh Nguyen, I’ve felt a little sad to see my child venture off into the intellectual world of books without me.  I still worry what she’s ready for.

For much of human history, the paternal impulse to restrict access to books was blatantly evil.  The medieval Christian church was reticent to use local languages because then poor people could interpret religious precepts for themselves.  And the written word was considered exceptionally dangerous in the U.S.  It was illegal to teach literacy to the people who were being tortured on sweltering plantations.

I’d like to think that my motivation for wanting to sculpt my child’s library is more benign.  More akin, perhaps, to the scientists dismayed when the untrained general public dabble with misleadingly curated excerpts from research journals.

On Immunity documents the efforts that Eula Biss made to learn about vaccination.  She writes that:

vaccinationUnvaccinated children, a 2004 analysis of CDC data reveals, are more likely to be white, to have an older married mother with a college education, and to live in a household with an income of $75,000 or more – like my child.

The mothers I knew began debating whether or not to vaccinate our children against the novel influenza virus long before any vaccine became available to us.

Another mother said that her child had screamed frighteningly all night following her first vaccination and she would not risk another vaccination of any kind.

Although many of these women have received extensive schooling in the humanities, and clearly care deeply for their offspring, they are putting lives at risk, including those of their own children.

It’s possible to remain ignorant even after extensive schooling.

Cattle_herdWhen my son was six months old, at the peak of the H1N1 flu pandemic, another mother told me that she did not believe in herd immunity.  It was only a theory, she said, and one that applied mainly to cows.  That herd immunity was subject to belief had not yet occurred to me, though there is clearly something of the occult in the idea of an invisible cloak of protection cast over the entire population.

In Biss’s social circle, people doubted demonstrable principles.  Herd immunity, like the theory of evolution, is not only correct, it is the mathematical implication of uncontroversial assumptions.  In the case of herd immunity, that viral diseases are communicable and that severe symptoms tend to make a virus more contagious.  In the case of evolution, that the DNA replication process producing gametes has a non-zero error rate, that heritable DNA gives rise to traits, and that individuals with different traits might have different numbers of offspring (perhaps because one critter was eaten as a child, whereas the other survived).

But the people making ignorant decisions in Biss’s social circle certainly don’t think of themselves as ignorant.  After all, they’re trying their best to stay informed.  They aren’t scientists, but they read.  They look up information, ingest it as best they can, and try to make good decisions.

When people read (and spin) articles in scientific journals without putting forth the effort to understand what the data really mean, they create an incentive for scientists to hide their findings.  Sometimes there are caveats to the truth.  For instance, each year’s flu vaccine is often much less effective than other vaccinations.  Some years, the flu vaccine is dramatically ineffective.

I read that report – then went and got my vaccination.

If people are using papers like this as propaganda, though – trying, for whatever reason, to convince people not to get vaccinated (you want an evil conspiracy theory?  Vaccines are cheap, and they prevent deadly, expensive illnesses.  Are wealthy imbeciles recommending you forgo vaccination simply so that you’ll need to pay for more medical care?) – it stifles scientific discourse.

Every scientist knows that vaccines are helpful.  They write papers about the rare failures in order to make vaccines even more helpful.  But nobody wants to provide fodder for the ignoramuses to distort.

Roald Dahl wrote an open letter urging parents to have their children vaccinated.  He describes his own family’s tragedy – before a vaccine was developed, his seven-year-old daughter died of measles.  He thought she was getting better; he was wrong.

Are you feeling all right?” I asked her.

I feel all sleepy,” she said.

In an hour, she was unconscious.  In twelve hours, she was dead.

Incidentally, I dedicated two of my books to Olivia, the first was James and the Giant Peach.  That was when she was still alive.  The second was The BFG, dedicated to her memory after she had died from measles.  You will see her name at the beginning of each of these books.  And I know how happy she would be if only she could know that her death had helped to save a good deal of illness and death among other children.

image-20160802-17177-6ogm1s

 

On radical religious terrorists targeting the United States.

On radical religious terrorists targeting the United States.

I was named after the doctor who delivered me, a friend of my father’s from medical school.

51EoHkd8RcL._SX434_BO1,204,203,200_Dr. Curtis is a gynecologist who has written several popular books about pregnancy.  When a woman asked for a tubal ligation after her tenth delivery (two of her children had died in infancy, but by then she was raising eight, ranging in age from a high school sophomore to her newborn), he performed the surgery.

This woman’s husband had given his grudging permission before she came in, but he later decided that irreversible sterilization must be against the will of God.  He began to harass Dr. Curtis.  He convinced his wife that she had done an evil thing.  The couple became so distraught that the hospital forgave their medical bills, hoping to stave off litigation.

This angry man never did bring a lawsuit against Dr. Curtis or the hospital.  Instead, he convinced his wife to give him back his guns – she’d hidden them as his rants became increasingly vitriolic.  But she caved.

Fully armed, he drove to the hospital, planted enough dynamite to level half a block, and stormed inside to find the doctor.  Dr. Curtis noticed him, called the police, and left.  The angry man took hostages – nurses, mothers with infants, pregnant women – whom he threatened at gunpoint as he searched the hospital.

One of these hostages – a recently-hired nurse – saw an opportunity to wrest his gun away.  She pulled the shotgun from his hands and ran.  He pulled out another gun and shot her in the back, killing her.

Three hours into the crisis, one woman delivered her baby – the newborn began life as a hostage.  Fifteen hours into the crisis, the police had found the dynamite and began to negotiate.  The angry man wanted the police to escort his wife and Dr. Curtis into the hospital, so that he could murder Dr. Curtis in front of her.

The police declined this offer.

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Movie poster from a film made about the incident.

Eighteen hours into the crisis, the angry man surrendered.  He was taken to jail and charged with murder – the nurse he’d shot in the back – amidst other crimes.  He took a plea for thirty-five years because the prosecutors said they’d seek the death penalty.

In jail, he extolled the other inmates with his virtues.  He was better than them, he said.  His plan was righteous.

The other inmates beat the shit out of him.  Repeatedly.  It seems they had a difference of opinion as to who was better than whom.

The angry man tried repeatedly to escape.  He was transferred from state to state – he’d be transferred after altercations with fellow inmates, botched escapes, and suicide attempts.  During one of the botched escapes, he fell from a fence and broke both his legs.

His lawyers recommended an appeal – he was not in his right mind when he pled guilty, they said.  That much I agree with, I suppose.  I’m not sure he was ever in his right mind.  But I think it’s likely he would have attempted murder again if he was released.

Shortly before his appeal hearing, he succeeded in breaking his own neck with a sheet tied to the wall with shoelaces.  (Inmates at Bloomington’s jail wear lace-less orange crocks.  Less risk of suicide that way … although there have still been several in the past few years.  Jail is a miserable place to be.)

It’s not clear to me how a tubal ligation could be against God’s will but suicide was fine.  Maybe the angry man knew that his logic was faulty.  His defense attorney said that “One of his biggest regrets is that they didn’t kill him at Alta View Hospital.”  Just like the members of ISIS, Christian terrorists would rather lose their lives in action.

This country has a long history of Christian terrorism.  Numerous seemingly respectable people support the murder of doctors who enable women’s right to choose when to have children.  In Danny Davis’s The Phinehas Priesthood: violent vanguard of the Christian Identity movement, he writes that:

61NK-8V3GdLMany Christians will be surprised to discover that similar beliefs and moral values are present in the Identity worldview.  In some denominations, the only initial difference will appear when the idea of a biological Israelite heritage to present day European Anglo-Saxons is seen.

These terrorists believe that human life begins when a sperm cell fuses with an egg to form a zygote with a full compliment of chromosomes.  Given this belief, they think that abortion is murder – especially later in a pregnancy, when the developing fetus begins to look like a miniature human.  Because a gynecologist might perform several abortions each day, they believe that God would want them to murder the doctor.

(Human life does not begin at conception.  A large number of zygotes – probably between fifteen and twenty percent, but possibly higher since women do not always realize that they ever were pregnant – will self-abort due to chromosomal abnormalities.  Also, although most miscarriages are caused by blameless genetic problems, the rate of miscarriage is higher in women who are overweight.  Why do Christian terrorists not target McDonald’s?  Their food probably terminates more pregnancies than any gynecologist.)

mcds
Obesity & ill health terminate pregnancies, but I’ve never seen pro-lifers protesting at McDonald’s.

Davis also writes that:

In his book, Mix My Blood with the Blood of the Unborn, Paul Hill details his public defense of anti-abortion shooters Michael Griffin and Shelley Shannon.  Shortly after Griffin’s attack Hill penned a very articulate letter “describing such murders as ‘justifiable homicide.’ ”  In the same letter he gave his Biblical reasons against abortion and explained the need for “Phineas actions” to protect the unborn.

Christian theology has a long tradition of defending awful behavior that supposedly fulfills the will of God.  In Fear and Trembling, nineteenth century philosopher Soren Kierkegaard writes (translated by Walter Lowrie):

KierkegaardIt is now my intention to draw out from the story of Abraham the dialectical consequences inherent in it, expressing them in the form of problemata, in order to see what a tremendous paradox faith is, a paradox which is capable of transforming a murder into a holy act well-pleasing to God, a paradox which gives Isaac back to Abraham, which no thought can master, because faith begins precisely there where thinking leaves off.

Fear and Trembling has the beginnings of a lovely work of philosophy.  I have always enjoyed Kierkegaard’s description of the sort of person he considers second best in the world, the knight of infinite resignation.  This sort of person, according to Kierkegaard, accepts that our efforts are guaranteed to be fruitless – Camus would later argue that this is true of all of us, since we are all guaranteed to die, and eventually humans will go extinct, the universe will become a frozen void, and all trace of our existence will have dissolved into an entropic nothing – but doesn’t stop striving even when though failure is inevitable.

[The knight of infinite resignation] does not give up his [doomed] love, not for all the glory of the world.  He is no fool.  First he makes sure that this really is the content of his life, and his soul is too healthy and too proud to squander the least thing upon an inebriation.  He is not cowardly, he is not afraid of letting love creep into his most secret, his most hidden thoughts, to let it twine in innumerable coils about every ligament of his consciousness – if the love becomes an unhappy love, he will never be able to tear himself loose from it.

That’s great, Kierkegaard!  But then why would you also write that “The paradox of faith is this, that the individual is higher than the universal”?  Abraham does not need your defense.  Whatever he believed God to have said, stabbing your son is wrong.

According to the King James translation of the Bible,

Abraham built an altar there, and laid the wood in order, and bound Isaac his son, and laid him on the altar upon the wood.

And Abraham stretched forth his hand, and took the knife to slay his son.

Because Abraham believed it was God’s will, he was ready to murder.  And so set Kierkegaard off on his convoluted reasonings, arguing that when the faithful believe themselves to be fulfilling the will of God, their vile actions should be seen as righteous.

Oops.

At least the story of Abraham ends with the man refraining from murder.  Not so the story of Phinehas, patron saint of violent white supremacists.  In this story, God was angry because the Israelites were marrying foreigners, which might lead them to eventually abandon their religious traditions.  Rather than let them drift away, God figured he should smite his chosen people.  But Phinehas patched things up with God by murdering.

Again from the King James translation:

holy-670718_1280And, behold, one of the children of Israel came and brought unto his brethren a Midianitish woman in the sight of Moses, and in the sight of all the congregation of the children of Israel, who were weeping before the door of the tabernacle of the congregation.

And when Phinehas, the son of Eleazar, the son of Aaron the priest, saw it, he rose up from among the congregation, and took a javelin in his hand;

And he went after the man of Israel into the tent, and thrust both of them through, the man of Israel, and the woman through her belly.  So the plague was stayed from the children of Israel.

And those that died in the plague were twenty and four thousand.

And the LORD spake unto Moses, saying,

Phinehas, the son of Eleazar, the son of Aaron the priest, hath turned my wrath away from the children of Israel, while he was zealous for my sake among them, that I consumed not the children of Israel in my jealousy.

Wherefore say, Behold, I give unto him my covenant of peace:

And he shall have it, and his seed after him, even the covenant of an everlasting priesthood; because he was zealous for his God, and made an atonement for the children of Israel.

In the United States, Christian terrorists have referenced the story of Phinehas to justify murder.  In Matthias Gardell’s Gods of the Blood: The Pagan Revival and White Separatism, he writes that:

31m-sWuKYQL._BO1,204,203,200_.jpgIn 1990, hardcore Identity ideologue Richard Kelly Hoskins suggested that individual zealots could atone for Israel’s transgressions by assassinating homosexuals, interracial couples, and prostitutes.  Hoskins believed such zealots belonged to an underground tradition of racial purists, the Phineas Priesthood, and traced its history into antiquity.

After all, most of the Bible does depict Yahweh as a bloodthirsty god.  Yahweh himself murders a lot of people.  He was initially worshiped with animal sacrifice.  And he has a chilling disregard for the lives of women and children – in the story of Job, for instance, his wife and children are killed, but all is made right again when Job receives a new, better wife and new, better children.  These people are simply possessions, and only Job’s suffering has moral weight.

And this book is supposed to be the wellspring of American values?

On Sci-Hub, the Napster of science.

On Sci-Hub, the Napster of science.

Here’s a story you’ve probably heard: the music industry was great until Napster came along and complete strangers could “share” their collections online and profits tanked.  Metallica went berserk suing their fans.  It was too late.  The industry has never been the same.napster

Sci-Hub has been called a Napster equivalent for scientific research papers, and the major publishing companies are suing to shut it down.  The neuroscience grad student who created it faces financial ruin.  The original website was quickly shuttered by a legal injunction, but the internet is a slippery place.  Now the same service is hosted outside U.S. jurisdiction.

[Note: between writing and posting this essay, Sci-Hub has lost another lawsuit requesting all such sites to be blocked by internet service providers.]

The outcomes of these lawsuits are a big deal.  Not just for the idealistic Kazakhstani grad student charged with millions in damages.  Academic publishers will do all they can to accentuate the parallels between Sci-Hub and Napster – and, look, nearly a quarter of my living relatives are professional musicians, so I realize how much damage was wrought by Napster’s culture of theft – but comparing research papers to pop songs is a rotten analogy.  Even if you’ve never wanted to read original research yet … even if you think – reasonably – that content producers should be paid, you should care about the open access movement.  Of which Sci-Hub is the most dramatic foray.

My own perspective changed after I did some ghostwriting for a pop medicine book.  Maybe you know the type: “Do you have SCARY DISEASE X?  It’ll get better if you take these nutritional supplements and do this type of yoga and buy these experimental home-use medical devices!”  Total hokum.  And yet, people buy these books.  So there I was, unhelpfully – quite possibly unethically – collaborating with a friend who’d been hired to ghostwrite a new one.

Central_core_disease_NADH_stainI read huge numbers of research papers and wrote chapters about treating this particular SCARY DISEASE with different foods, nutritional supplements, and off-label pharmaceuticals.  My sentences were riddled with un-truths.  The foods and drugs I described are exceedingly unlikely to benefit patients in any way.

Still, I found research papers purporting to have found benefits.  I dutifully described the results.  I focused on the sort of semi-farcical study that concludes, for instance, that cancer patients who drink sufficient quantities of green tea have reduced tumor growth, at which point newspapers announce that green tea is a “superfood” that cures cancer, at which point spurious claims get slathered all over the packaging.

Maybe nobody has written a paper (yet!) claiming that green tea ameliorates your particular SCARY DISEASE.  But there’s also turmeric, kale, fish oil, bittermelon, cranberries… I’m not sure any ingredient is so mundane that it won’t eventually be declared a superfood.  Toxoplasma gondii has been linked to schizophrenia, but low-level schizophrenia has been linked to creativity: will it be long before cat excrement is marketed as a superfood for budding artists?

cat-shit-2-flat-1.jpgAs it happens, enough people suffer from our book’s SCARY DISEASE that many low-quality studies exist.  I was able to write those chapters.  And then felt grim.  The things I’d written about food weren’t so bad, because although turmeric, coconut oil, and carpaccio won’t cure anybody, they won’t cause much harm either.  But the drugs?  They won’t help, and most have nasty side effects.

My words might mislead people into wasting money on unnecessary dietary supplements or, worse, causing serious damage with self-prescribed pharmaceuticals.  Patients might follow the book’s rotten advice instead of consulting with a trained medical professional.  I’d like to think that nobody would be foolish enough to trust that book – the ostensible author is probably even less qualified to have written that book than I am, because at least I have a Ph.D. in biochemistry from Stanford – but, based on the money being thrown around, somebody thinks it’ll sell.

And I helped.

Whoops.  Mea culpa, and all of that.

But I didn’t perpetrate my sins alone.  And I’m not just blaming the book’s publishers here.  After all, the spurious results I described came from real research papers, often written by professors at major universities, often published in legitimate scientific journals.

It’s crummy to concentrate all that slop in a slim pop medicine book, I agree, but isn’t it also crummy for all those spurious research papers to exist at all?

Maybe you’ve heard that various scientific fields suffer from a “replication crisis.”  There’s been coverage on John Oliver’s Last Week Tonight and in the New York Times about major failures in psychology and medicine.  Scientists write a paper claiming something happens, but that thing doesn’t happen in anyone else’s hands.  That’s if anyone even bothers to check.  Most of the time, nobody does.  Verifying someone else’s results won’t help researchers win grants, so it’s generally seen as a waste of time and money.

Still, the news coverage I’ve seen hasn’t stated the problem sufficiently bluntly.  Modern academic science is designed to be false.

This is tragic.  It’s part of why I chose not to stop working in the field.  I became a writer.  Of course, this led to my stint of ghostwriting, which… well, whoops.

Here’s how modern science works: most research is publishable only if it is “statistically significant.”  This means comparing any result to a “null hypothesis” – if you’re investigating the effect of green tea on cancer, the null hypothesis is simply “green tea does nothing” – then throwing out your results if you had more than a one in twenty chance to see what you did if the null hypothesis were true.

If you have a hundred patients, some of their tumors will shrink no matter what you do.  If you give everybody buckets of green tea and see the usual number of people improve, you shouldn’t claim that green tea saved them.

Here’s a graphic from Wikipedia to help:

pvalue1pvalue2

Logical enough.  But bad.  Why?  Because cancer is a SCARY DISEASE.  Far more than twenty people are studying it.  If twenty scientists each decide to test whether green tea reduces tumors, the “one in twenty” statistical test means that somebody from that set of scientists will probably see an above-average number of patients improve.  When you’re dealing with random chance, there are always flukes.  If twenty researchers all decided to flip four coins in a row, somebody would probably see all four come up heads – doesn’t mean that researcher did anything special.

Or, did you hear the news that high folate might be correlated with autism?  This study probably sounds legitimate – the lead scientist is a professor at Johns Hopkins, after all – but the result is quite unlikely to be real.  That scientist hasn’t written about folate previously, so my best guess (this new study is currently unpublished) is that pregnant women were tested for many different biomarkers, things like folate, iron, testosterone, and more, and then tracked to see whose children would develop autism.  If the researchers tested the concentrations of twenty different nutrients and hormones, of course they’d see one that appeared to correlate with autism.

[Edit: these findings were recently published.  Indeed, the data appear rather unconvincing, and the measurements for folate were made after the fact, using blood samples – it’s quite possible that other data was gathered but excluded from the published version of the study.]

This is not science.  But if you neglect to mention how many biomarkers you studied, and you retroactively concoct a conspiracy theory-esque narrative explaining why you were concerned about folate, it can do a fine job of masquerading as science.  At least long enough to win the next grant.

Which means that, even though the results of many of these studies are false, they get published.  When somebody checks twenty nutrients, one might appear to cause autism.  When twenty scientists study green tea and cancer, somebody might get results suggesting green tea does work.  Even if it doesn’t do a thing.

In our current system, though, only the mistaken researcher’s results get published.  Nobody knows that there were twenty tests.  The nineteen other biomarkers that were measured get left out of the final paper.  The nineteen researchers who found that green tea does nothing don’t publish anything.  Showing that a food doesn’t cure cancer?  How mundane.  Nobody wants to read that; publishers don’t want it in their journals.  But the single spurious result showing that green tea is a tumor-busting superfood?  That is exciting.  That study lands in a fancy journal and gets described in even briefer, more flattering language in the popular press.  Soon big-name computer CEOs are guzzling green tea instead of risking surgery or chemo.

I generally assume that the conclusions of research studies using this type of statistical testing are false.  And there’s more.  Data are often presented misleadingly.  Plenty of scientists are willing to test a pet theory many ways and report only the approach that “works,” not necessarily because they want to lie to people, but because it’s so easy to rationalize why the test you tried first (and second, and third…) was not quite right.  I worked in many laboratories over a decade and there were often results that everybody in the lab knew weren’t true.  Both professors I worked under at Stanford published studies that I know weren’t done correctly.  Sadly, they know it too.

This subterfuge can be hard for outsiders to notice.  But sometimes the flaws are things that anybody could be taught to identify.  With just a little bit of guidance, anybody foolish enough to purchase the pop medicine book I worked on would be able to look up the original research papers and read them and realize that they’re garbage.

There’s a catch: most of those papers cost between twenty and thirty dollars a pop.  The chapters I wrote cite nearly a hundred articles.  I’d describe a few studies about the off-label use of this drug, a few about that one, on and on, “so that our readers feel empowered to make their own decisions instead of being held at the paternalistic mercy of their healthcare professionals.”  A noble goal.  But I’m not sure that recommending patients dabble with ineffectual, oft-risky alternative medicines is the best way to pursue it.  Especially when the book publisher was discussing revenue sharing agreements with sellers of some of the weird stuff we shilled.

So, those hundred citations?  You could spend three thousand dollars figuring out that the chapters I wrote are crap.  The situation is slowly getting better – the National Institute of Health has mandated that taxpayer-funded studies be made available after a year, but this doesn’t apply to anything published before 2008, and I’m not sure how keen sick patients will be to twiddle their thumbs for a year before learning the latest information about their diseases.  Plus, there are many granting organizations out there.  Researchers who get their money elsewhere aren’t bound by this requirement.  If somebody asks you, “Would you like to donate money to fight childhood cancer?” and you chip in a buck, you’re actually contributing to the problem.

1403798100_f4ba200fe0_z
Photo by diylibrarian on Flickr.

I was only able to write my chapters of that book because I live next to a big university.  I could stroll to the library and use their permissions to access the papers I’d need.  Sometimes, though, that wasn’t enough.  Each obscure journal, of which there are legion, can cost a university several thousand dollars a year for a subscription.  A few studies I cited were published in specialty journals too narrowly focused for Indiana University to subscribe, so I’d send an email to a buddy still working at Stanford and ask him to send me a copy.

If you get sick and worry yourself into looking for the truth, you’ll probably be out of luck.  Even doing your research at a big state university library might not be enough.

That’s if you keep your research legal.

Or you could search for the papers you need on Sci-Hub.  Then you’d just type the title, complete a CAPTCHA on a page with instructions in Cyrillic (on what was until recently http://www.sci-hub.cc, at least), and, bam!  You have it!  You can spend your thirty dollars on something else.  Food, maybe, or rent.

Of course, this means you are a thief.  The publisher didn’t get the thirty dollars they charge for access to a paper.  And those academic publishers would like for you to feel the same ethical qualms that we’re retraining people to feel when they pirate music or movies.  If you steal, content producers won’t be paid, they’ll starve, and we’ll staunch the flow of beautiful art to which we’ve become accustomed.

The comparison between Napster and Sci-Hub is a false analogy.  Slate correspondent Justin Peters described the perverse economics of academic publishing, in particular the inelastic demand – nobody reads research journals for fun.

With music and movies, purchasing legitimate access funds creators.  Not so in academia.  My laboratory had to pay a journal to publish my thesis work; this is standard practice.  It costs the authors a lot of money to publish a research article, and “content producers” only do it, as opposed to slapping their work up on a personal website for everyone to read free, because they need publication credits on their CVs to keep winning grants.

With music and movies, stealing electronic copies makes content producers sad.  With research articles, it makes them happy.

In fact, almost everyone believes research articles should be free.  At the European Union’s recent Competitiveness Council, the member states agreed that all scientific papers should be freely available by 2020 – these  are the governments whose enforcement is necessary to maintain the current copyright system!  The only people making statements in favor of the status quo are employed by the academic publishers themselves.  Their ideological positions may be swayed somewhat by the $2 billion plus profit margins major publishers are able to extract from their current racket.

Academic publishers would argue that they serve an important role as curators of the myriad discoveries made daily.  This doesn’t persuade me.  The “referees” they rely on to assess whether each study is sound are all unpaid volunteers.  Plus, if the journals were curating well, wouldn’t it have been harder for me to fill that pop medicine book with so much legitimate-looking crap?

Most importantly, by availing yourself of Sci-Hub’s pirated material, you the thief no longer live in ignorance.  With our current healthcare model, ignorance is deadly.  The United States is moving toward an a la carte method of delivering treatment, where sick people are expected to be knowledgeable, price-sensitive consumers rather than patients who place their trust in a physician.  Most sick people no longer have a primary care physician who knows much about their personal lives – instead, doctors are forced for financial reasons to join large corporate conglomerates.  Doctors try their best moment by moment, but they might never see someone a second time.  It’s more important than ever for patients to stay well-informed.

Unless Sci-Hub wins its lawsuit, you probably can’t afford to.

On psychotropic drugs and optimism.

On psychotropic drugs and optimism.

Orange_juice_1_edit1One of the most renowned – and certainly most prolific – discoverers of psychotropic molecules, Dr. Alexander Shulgin, was compelled into the field by the irresistible effect that sugar he’d presumed to be a soporific had upon his mind. A mere placebo! No one suggested that his drink (a glass of orange juice with stray crystals of undissolved sugar lingering at the bottom, served to him before a procedure at the military hospital) would put him under. From context, he assumed it would. And then could not stay awake.

Shulgin_alexander_2009_hanna_jon

After experiencing a profound mental change by consuming something inert, Shulgin devoted his life to the creation of compounds with undeniable psychotropic effects. He consulted with the U.S. military on the synthesis of THC analogs. He first synthesized (and, alongside a team of revelers, first ingested) hundreds of derivatives of mescaline and psilocybin. It is largely due to Dr. Shulgin that MDMA enjoys its current popularity.

Hoodwinked by sugar, he resolved to study drugs.

Perhaps this is to be expected from an artist. From an optimist. After experiencing an illusion, he attempted to make it real. Like a painter who through distance or blurred vision perceives something as beautiful that in actuality is not. Then attempts to paint, instead of the world, the beautiful mistake.

Degas.etoileIn “Poetry Is a Kind of Lying,” Jack Gilbert writes,

Degas said he didn’t paint
what he saw, but what
would enable them to see

the thing he had.

I too am an optimist. Everything looks beautiful from far away. As an optimist, I feel sad a lot – optimists are good at seeing the world as it could (and should!) be.

With enough hard work, the initial misperceptions will cease to be mistakes.

 

Featured image by Marina del Castell on Flickr.