Summer means...

I get to spend a Saturday going to the Arclight in Hollywood and seeing both


500 Days of Summer




Away we go




And eating world famous Pink's hotdogs.

Who doesn't love summer?

Our world, made unreal, and then real again

I just finished reading Dangerous Laughter by Steven Millhauser, and I must say I'm impressed. Millhauser received the Pulitzer for Martin Dressler but I hadn't heard much else about him. When I ran into this collection of short stories joined by a common theme of obsession, I'd figure I'd give it a shot. Millhauser opens with a cartoon of a cat and mouse chase, a story we are all familiar with. He is able, however, to take the familiar and turn it on his head, using something we know to illuminate something we hadn't thought of before. The book is divided into three parts: Vanishing Acts (tales of our obsession with lost things and people), Impossible Architectures (which is about our obsession with the fantastic and unreachable), and Heretical histories (which presents our obsession with forms of the past). His stories seamlessly weave together elements of magical realism, in which worlds can exist where people literally die from laughter and build towers to heaven, with the truth that lies in our world, which can only be presented through the use of impossible images. While Millhauser sometimes suffers from telling too much and not showing enough, he makes up for it through his control of language, in which he is able to pull us back and drive us in again. In the end I was left wondering which world was more true, the one Millhauser created for us, or the one we blindly walk through everyday. It's a great read, and I recommend it.

The Poetry in My head

For some reason I woke up today with Allen Ginsberg's A Supermarket in California in my head. For some reason, for me, this poem reminds me of summer nights. Poetryarchive. org is a great site if you haven't heard of it. It has some pretty famous poets reading their own works.

Give it a listen.

Zimbardo on Time

I had the honor of meeting Philip Zimbardo this past April at the Western Psychological Association Conference and I must say, between his jokes in the mirrored elevator of how "this would make a good set for a porn", and his pictures of a nude Zimbardo running around Stanford, I came to the conclusion that he is a very peculiar man. Zimbardo, most famous (or infamous)for the stanford prison study, shares in this clip fascinating research he has done that looks at how we perceive time and how our perceptions of time are correlated with our happiness.

The Battle over the DSM V

As some of you may know, the diagnostic and statistical manual of mental disorders (DSM) is up for some big revisions, and the DSM-V is set to come out in 2012. This seems like a ways away but committees are already well underway deciding what should be included in the new version, what should be taken out, and what should be transformed. A little background: DSM changes are decided by the creation of what the APA calls "committees", which are basically groups of researchers and leading experts in their fields (such as experts in depression, schizophrenia, PTSD, etc). These committees meet regurlary to decide upon changes to diagnostic criteria after careful review of the literature and much debate with each other. That being said, there is more battle and public denouncement of the new methods being used in the consideration of changes to the DSM than ever before. One of the problems seems to be the APA's complete secrecy as to what is being considered for the DSM-V. The DSM is created by the American Psychiatric Association and not the American Psychological Association, so keep this in mind. Recently Allen Frances, head of the DSM-IV task force has published what he titles : A Warning Sign on the Road to the DSM, a very poignant look at what the APA is doing wrong. His main argument is that the DSM V is being rushed to completion without adequate scientific basis and the APA's need to completely revolutionize the DSM by adding dimmensions of mental illness rather than categories is premature at best (since we don't yet have enough research or evidence to go about this in an organized fashion). Of the changes, Frances says:

The result would be a wholesale imperial medicalization of normality that will trivialize mental disorder and lead to a deluge of unneeded medication treatments‐‐a bonanza for the pharmaceutical industry but at a huge cost to the new false positive "patients" caught in the excessively wide DSM‐V net. They will pay a high price in side effects, dollars, and stigma, not to

mentions the unpredictable impact on insurability, disability, and forensics.

Another proposed change to the DSM is the formation of what I call pre-mental illness diagnoses, that is to say. a DSM that could catch someone who is likely to develop, say schizophrenia, and treat them early. Of this, Frances states:

This again has the obvious appeal of promoting early case finding and preventive treatment, but it also has all the same devastating problems we have just discussed. For example, adding a new "pre‐psychotic" category for individuals supposedly at high risk for later developing a psychotic disorder would inevitably also capture an overwhelmingly large group of false positives who would never go on to have a psychotic illness. They would nonetheless be exposed to the stigma of having a pre‐psychotic diagnosis and would be overmedicated. Similarly, wouldn't it be nice to diagnose and treat early cognitive failure before it becomes dementia? But then almost everyone over sixty might qualify to receive a

probably useless, but highly promoted treatment.

The problem, I think, is that in theory these changes sound good. Dimmensional categories of mental illness, rather than straight checkboxes take into account that mental illness is by its nature multidimmensional and that way may work for one person as a method of treatment might not work for another. However, we are not there yet in terms of research to reconfigure the DSM in this way. I do think we would end up with a lot more people meeting the diagnosis of say depression. And here is where the corruption comes in. The DSM, funded by the American Psychiatric Association, has always used the medical model, which treats mental illness as a disease that can be treated, for the most part, with drugs. It is no unkown secret that many members of the APA, as well as members of the DSM task force (who need money to conduct their research), receive their funding from large pharmaceutical industries. It doesn't take a genius to see why the APA is so readily accepting this new multidimmensional model and these "pre-mental illness's" into the DSM, as they would include a much larger demographic of people, all of whom would need drugs.

Recently Dr. Jane Costello, an expert in the development of mental illness, has also quit her post on the DSM V task force, citing again a rush to completion and a dismissal of scientific evidence. The Carlat Psychiatry Blog covers this story well.

It makes me very outraged, and also very sad, that a system that is so widely used in the United States, and is also the base of deciding mental illness in many other countries, is open to such corruption.

I will keep you updated as the battle, I'm sure, continues.

Music and the Mind

I've recently been thinking a lot about the effects of music on the brain. Last week noted neurologist Oliver Sacks gave a fascinating interview on the daily show in which he discussed his new book, Musicophilia, as well as what his own brain looks like on music. Oliver Sacks, as some of you may know, is the author of numerous other books, including his most famous, The Man who Mistook his Wife for a Hat, a novel that explores a variety of neurological disorders. I've just started his new book, so I'll let you know how that goes. There's been more brain-music news this week; in All in the Mind, a highly recommended podcast that I listen to religiously, host Natasha Mitchell discusses the mind of nineteenth century composer Robert Schummann. Natasha explores his life, his relationship to music, and his abrupt death at 46 in a mental asylum. Is there a connection, she asks, between mental illness and musical genius? This is a question that is not unknown to me, as I have been involved in formal debates and have written papers, in fact about Schumann himself, on this very topic. I as of yet have no answers, and neither, as I expected, does Natasha. It certainly is fascinating to think about and I highly recommend giving it a listen. Have a good day folks, and don't forget to listen to some music :)

Update: the folks at scientific american mind also seem to have their brains on music

Who doesn't love some good brain pictures on a Thursday afternoon?

I found these stunning neurological images that are just amazing. It's regularly updated, so keep checking it out.