CRPS, or Complex Regional Pain Syndrome (Type 1), is a change in the nervous system that's usually triggered by a very painful episode. The bad kinds affect the brain, nerves, muscles, skin, metabolism, circulation, and fight-or-flight response. Lucky me; that's what I've got. ... But life is still inherently good (or I don't know when to quit; either way) and, good or not, life still goes on.
Showing posts with label opinion. Show all posts
Showing posts with label opinion. Show all posts

Tuesday, November 13, 2012

I don't think we're in Kansas anymore

We made spanking time:  crossed all of Kansas, made it to Limon, Colorado (and the best ribeye in I can remember), and got our first glimpse of vertical: Pike's Peak at long range.

View CRPS - Art & Spirit: renew, refine, research, revise in a larger map
Kansas was unbelievably flat. Not quite as flat as a billiard table, because those are too small to really convey the right impression.  Every now and then, there was a bit of texture -- a teeny dell, a couple yards deep; a bit of watering hole; something. I'd stare at it in relief.

Then the landscape went back to flat. Really damn flat. I mean, flat, flat, flat, flat, flat.

Flatter.

The conservatism that's such a feature of the Midwest makes some sense when you see it. The whole place is so flat (especially Kansas!) that there's no privacy. You have to plant dozens of trees around your house before you can have any hope of discretion.

With such a constant sense of exposure, doesn't it make sense that people would edit their own behavior before it can be edited for them? We all behave more carefully when we feel we're being watched. Around here, it's hard not to watch anything that isn't .... flat.

Tomorrow, my sweetie assures me, there will be terrain. Lots of it.

Thursday, August 23, 2012

Jace The Wind

Shame on me. I didn't get proper permission, so I've hidden this until I do.

Even changing details doesn't provide enough protection for people, so let me sort out the proprieties and protections and we'll be back to our regularly scheduled programming...

Monday, November 14, 2011

Freedom, friends, and owning responsibility

I found this in the archives, and thought it worth resurrecting. It's from my more active days, about 5 years ago. It addresses the meme of personal responsibility, and I'm still a huge fan of that.

...

I was an ER nurse and, regarding seatbelts -- not to mention motorcycle helmets -- I can say that those of us on the front lines know that sometimes the seatbelts cause a death. It's in roughly these proportions, if you like to gamble with money, too:

You place a bet that can go only two ways, so it's a pretty straightforward bet. You can bet between 50% and 100% of your lifespan's worth, including house, car, future houses and cars, your, your spouse's, and your children's potential lifetime earnings, everything. Lots of money on the line. When these magic 2-sided dice roll, here's the breakout:

Betting against seatbelt/helmet, odds of winning are maybe 1 in 3,000. Losing, which 2,999 times out of 3,000 is what'll happen, means you lose 50-100% of your and your family's lifetime worth. Gone.

Now, personally, I'm a huge fan of personal responsibility -- a HUGE fan. Pre-injury, I used to ride a motorcycle, and I longed to take my helmet off.

My pretty ride overlooking the Monterey Bay. This picture doesn't show the full-faced helmet and full leather I rode in.

The only reason I didn't do so on public roads is because I really couldn't provide for all that protection. I was a stellar rider, but I had no reason to suppose I'd be immune to the bad driving of others! And I honestly thought I had no right to expose my family, neighbors, and colleagues at the hospital to the huge potential for supporting the direct and indirect costs of my possible accident.

I never did well with the assumption that what I did occurred in a vacuum. I'm very connected to others and they to me, and as far as I can tell, most humans are.

So I had this great idea about 20 years ago, which has never come to pass: Special license plates!

If you have

  • full catastrophic coverage,
  • comprehensive long-term-care coverage,
  • adequate liability insurance,
  • complete prescription coverage,
  • a completed will, and
  • a life insurance policy that would make sure your children, pets, crippled aunt, and other dependents would not become wards of the state ...

... THEN you get the special plate, and everyone knows you can leave off any protective devices the law would otherwise require.

It's only fair: it alleviates the cost to the state, which would pay for the program right there; it affords that liberty to those who are mature enough to fulfill their responsibilities to the rest of their world; and it lets the other drivers on the road know that you're more vulnerable than they are (mostly) so they might cut you a break. Or not. But that's their call -- their responsibility.

Similar thing for smokers. The bans started after the passive-smoking reports were published, not before. I have no problem with grownups buying and using their own drugs, but it's important to take responsibility for the whole shmear, not just the part you like.

In short, smoke all you want, but keep the poison to yourself. Ride or drive as naked as you want, but don't make the rest of us pay.

I'm not a scientist or a policy wonk, I'm a frontliner with the scars to show for it. I passionately believe in rights -- but not without responsibilities.

Just a thought.

Sunday, September 25, 2011

Pain Manifesto

This came out of cold chronic CRPS type 1, a debilitating condition of intractable chronic pain, nervous system disruption, and multi-system dysregulation -- destroying the body's ability to manage heat/cold, blood sugar, immune defense, circulation, sensation, bone density, movement, vision, digestion, heart function, and ultimately survival.

"Standard" treatments don't work well for me; moreover, they involve invasive procedures too brutal to tolerate and medications I'm either outright allergic to, or that impair me so profoundly I can no longer function. At all.

So I took myself off my meds, thought things over, and came to the following conclusions.

MY CHRONIC PAIN MANIFESTO

Yes, it hurts.
It's going to anyway.

So should I hoard my days
And fast from life?
Comfort myself with poisons,
Blister-packed and FDA approved?

Some think it would be best all 'round.
I'd cure them if I could (heh!)
But I'm too tired for
Yet another pointless struggle.

The sunlight pours through trees like prosecco
And reminds me what it means to live:

Voices warm with love, the
Mouth-smack of good food,
The hug of hills and the
Rough snuggles of the sea.

Hoard my days? I'll spend each one
Like it's stuffed with jewels
Pouring through my hands like a miser's dream.

Feast on this:
The cost of life is much the same.
The difference lies in how you spend it.

Thursday, August 11, 2011

Fair Share Challenge: what taxes do for me

This budget horror-show has given us a lot to think about. The role of taxes in our country is probably the biggest, sorest issue of them all right now.

"Why should we pay taxes? That money is ours – we earned it!"I heard this from a member of the armed services who's quite intelligent.   

Out of respect and consideration for my impassioned, but perhaps distracted, old friend, I wanted to find a non-partisan, preferably non-political way to discuss the point of taxation. So let's simply see how that money gets used in real life.

Everything in bold-face type is heavily subsidized or completely funded by government money – local or federal, for better or worse. Do any of these tax-funded things affect you?

I take pain medicine which was funded by government grants to develop. My treatment was developed by government grantees. It keeps me alive and functional, so I can write things like this. Is that a good use of taxpayer dollars (printed at the Mint and monitored at the Federal Reserve)?

Read on and let's all decide.

My nephews go to school by bus, when their mother can't take them. She has just received her teaching credentials, so she will soon be working as a teacher. Their father, my brother, is a Marine. He runs a base where he supervises the training of National Reservists of the Army, Marines, and Air Force.  He recently visited a friend in the VA hospital.  All of his children were born in military hospitals.

Since they all run on a tight schedule, they use their car a lot. It uses gasoline; they used to have one that ran on diesel; the next one may be an electric hybrid. To cover short distances, they use local roads. To cover long distances, they use highways. They're careful of road crews, and drive sensibly over bridges and through tunnels (I hope.) Me, I mostly use the bus and train.

My brother and his wife pull over to make room for fire trucks, police cars and ambulances. (Many ambulance systems have been privatized; however, they still work on the basis of city or county contracts that are funded by taxes.)

They eat on the healthy side of a normal American diet. With three growing boys in the house, they eat plenty of wheat and corn-based products, such as bread for sandwiches, cereal, pasta, and so on. They're allowed occasional treats, including candy and soda sweetened with corn or cane sugar.  I bet they get their beef from the grocery store, so you know it was raised on soy and corn, and was probably fed antibiotics.  Those boys are pure dynamite anyway.

My dear old friend David used to work at the library. He still volunteers there. His pension keeps him in a simple but comfortable style of life. He likes to attend church, though most of his real friends are out and about on the city sidewalks.  He keeps in touch with a friend who has been in the mental hospital, and their conversations help her stay on track.

When my Dad died suddenly, I attended support groups at the local Hospice.  I used to be a nurse, working in hospitals and home care.  In the ER we took care of prison inmates when they got hurt. 

I ran out of work at one point and wound up on food stamps and welfare.  I will never forget that they kept me alive until I could find work again.  Since then, I haven't really minded paying my fair share of taxes.  

During the last election cycle, I saw an angry woman on TV waving a sign that read, "Get your government hands off my Medicare!"  I hope she understands things better now. 

This has given me a lot to think about.  

And, fellow bloggers, here's an invitation/challenge: how much better can you write on this theme?  How much do you really know about government support for the things you use every single day that make your life do-able?  How does this pertain to your work, paycheck, interests, family – whatever really matters?

I'd love it if you'd share links here and let me know.

Sunday, March 6, 2011

Mind, brain, spirit, and the im/pertinence of death

I referred to this material in an earlier post, where I described the online conversation that started it. My first thought was to turn it into a coherent essay. On reflection, I realized that digesting what my co-conversationalists said was not necessarily going to improve the content, as they're very eloquent and have distinctive voices. So I chose to let them speak for themselves.

Note to non-academics and other civilized beings: I find that, with academics as with working engineers, it's more important to be clear than to be sweet. Caveat emptor.

This thread is from James Croft's blog on "State of Formation," an excellent venue for lively conversations. It started with Jim F., as I secretly suspect a lot of the most interesting arguments do:

Jim F. says:
[...] Injuries to the brain from accidents or from disease like tumors or strokes can lead to radical changes in personality and/or character. In Lamont’s opinion, there are no real good reasons for believing that consciousness is something that can exist without the body. Therefore, when the body dies, so does the mind.

Isabel says:
February 28, 2011 at 2:30 am
Jim, I’ve mulled that relationship a lot. (Lifelong interest in neurology, now with neurologic disorder.) My studies and experience leave me certain that it’s a seductive mutuality, but not an absolute connection. It’s certainly not a simple one.

While mental states are associated with neuroendocrine activity, the subjective experience is inevitable _only_ to the extent that it’s unaware — or, of course, volitional.

This seriously disturbs the structure of the idea that "mental state doesn’t exist without physical state." And that doesn’t even go near the eternal chicken/egg question — whether the chemical shift or the feeling it’s supposed to transmit comes first.

Go on to look at more organized ways of managing one’s mentation & neuroendocrine flow, like meditation or yoga or "inward" martial arts, and the question of connection and control becomes not just loose, but flaccid.

The more I think about awareness, and the more I learn about neurophysiology and endocrine behavior, and the further I go on the personal inquiry into how to navigate this neurologic disruption, the less I’m persuadable that the mind depends on the brain. That concept totally fails in the face of this experience — the clinching argument for me, obviously — but it also fails to describe those experiences that are _not_ as unaware, uncontrolled, and are experienced as irreflectively as those of animals. We are richer beings.

When my neurochemistry is whacked, I’ve gotten pretty good at finding other ways to hold my mind in a bearable state. That would be impossible if the brain were the only determinant of mental state. And I know I’m not so special that this capacity MUST be rare if I have it.

I’ve never found a good explanation for that part of the mind that can participate with and respond to neurochemistry, without being pwned by it (in hacker parlance.) It sure is an interesting inquiry, though I don’t need an answer. I just need to continually improve my command of it, since so far this condition is incurable. (We shall see.)

I’m glad you raised the mind/brain issue. More philosophers should study neuroendocrinology — and meditation.

Jim F. says:
March 1, 2011 at 7:21 am
Responding to Isabel. I have always found Hume to be pretty persuasive on this subject, even though he was without the benefit of modern neuroscience. In his essay, “The Immortality of the Soul”, he wrote:

"[...]— Sleep, a very small effect on the body, is attended with a temporary extinction, at least a great confusion in the soul. — The weakness of the body and that of the mind in infancy are exactly proportioned, their vigour in manhood, their sympathetic disorder in sickness; their common gradual decay in old age. The step further seems unavoidable; their common dissolution in death."

//Isabel comments: Hume must have had curious nightmares. My own dreams tend to be rich and narrative; not as rich as waking life but often more encouraging.
// Hume's understanding of mental development is clearly in step with his own time, which is to say, very uninformed: the brain of an infant is in the most quickly-developing, rationally evolving period of the person's entire lifetime. Never again are we as aware, as able to learn, and as able to prune away useless thoughts as we are in infancy. The tiny fledgling bodies we have are needy indeed, but again, the capacity to recover from proportional insults to the body and brain is better than it ever will be again. Still, the brain function far exceeds the body's function in infancy. Not proportional at all.
// The mutual disorder of the body and mind in sickness is rarely proportional, and as I have worked with sick and injured people for most of my life, I am the authority there. Sorry, Hume. Normally-healthy men are vile patients, making their tenders miserable while refusing to mend themselves; old women typically manage their way through pain and physical disruption that would have most of us on our knees in howling agony -- unless it kills them. And of course, the rest of us fall in between these extremes, depending more on our personalities and cultures than on a proportional response to the illness or injury.
// Senility in old age is not a given, either: some people's bodies rot long before their minds do, and with others, their minds go fast while their bodies soldier mercilessly on for decades. Any true proportionality between a fading body and fading mind is so rare that, in my clinical experience, it's the exception and not the rule. (It would be fun to find a study on that, if only to discover the name of a doctor who has the nerve to tell us what degree of disintegration is "proportional.")
// Thus, while Hume's prose is wonderfully telling, his conclusions are not.


"[...] Every thing is in common betwixt soul and body. The organs of the one are all of them the organs of the other. The existence therefore of the one must be dependant on that of the other. — The souls of animals are allowed to be mortal; and these bear so near a resemblance to the souls of men, that the analogy from one to the other forms a very strong argument. Their bodies are not more resembling; yet no one rejects the argument drawn from comparative anatomy. The Metempsychosis is therefore the only system of this kind that philosophy can harken to.

// Hume is always delicious to read, but he is ignorant of the better-developed spiritual traditions which characterize the spiritual body as overlapping and interacting with the physical, but not being either a clone or tied into lockstep with it. These (both Asian and European) traditions therefore fundamentally differ from his base assumption about the twin-image nature of the body-mind relationship.

Concerning meditation, Rick Heller has been writing on the neurological basis of meditation in The New Humanism. He is himelf a practioner and teacher of meditation and also a convinced naturalist and physicalist.

// I'll have to look him up. Could be interesting.

There seem to me a lot of problems with the sort of psychophysical dualism that Isabel seems to be defending. If it is true then this would seem to violate some of the most basic laws oh physics. Maybe such basic laws like the laws of the conservation of energy and of momentum are not completely valid, but most natural scientists are going to requires lots of very strong evidence to be so persuaded. Dualists have yet to come up with a convincing account of how a nonphysical mind can interact with the physical body. Dualistic interactionism therefore seems to violate a general heuristic principle of science: the causal closure of the physical world. And at this point we can invoke Ockam’s Razor to argue that we really have no need to posit any sort of a mental substance that exists apart from the physical organism.

// The assumption that mind is necessarily physical because the brain is, is a false conclusion. This nonbrain attribute is generally considered to be energetic in nature. Energy interacts with matter all the time, or none of us could (for instance) access this web site, let alone think the thoughts we bring to it. Hence the law of conservation is easily observed.
// Given how the body parts transmute so nothing is wasted, it remains reasonable to suppose that the energetic component transmutes as well, without being lost. Unrecognizable, perhaps, as Paul indicates below — but not annihilated. That would indeed contravene a number of laws of physics.


Returning to Corliss Lamont, one of the other arguments that he made was that even in the Abrahamic religious traditions, there is the tacit assumption that a body is required for conscious existence. Hence, the doctrines concerning the resurrection of the dead that exist in all three of the major Abrahamic religions. Eastern religions likewise have their doctrines concerning reincarnation

// I've been content to agree with the theologists/spiritual philosophers who explain that this is a metaphor for the benefit of the many-headed, i.e., a handy lie; the inward self continues in a way that does have its own integrity, but re-inserting the energetic "self" into the physical body is not something that happens literally. It makes a useful concept for the bulk of the laity to work with, to reinforce the idea that they are going to be held responsible for what they do to themselves.
// (While I object to using religion as a form of terrorism, it _is_ an ancient form of crowd-control. In the times of short lifespans, societies were run by adolescents and post-adolescents; therefore, these kinds of down-to-earth metaphors could be very useful indeed.)
// Physical experience has no exact correlation in the nonphysical realm; therefore, certain kinds of understanding can only be reached by means of in-carn-ation -- allowing the spiritual/energetic/durable self to become embodied. This is one of the most basic theses in many traditions which consider both life and afterlife to be valid memes.
// It would be more accurate to speak, not of "conscious existence", but of incarnate life that's perceptible to itself. This leaves an obvious logical gap: What about perceiving non-incarnate "life", or un-embodied types of consciousness? That's a much more sophisticated question than, "is there continued existence after bodily death", and requires a degree of intellectual care on everyone's side.
// Why so much intellectual care? Partly because, to assume that spiritual life must be consistently observable only through a narrow spectrum of physical means, is to overlook one or two (or a million) basic realities of matter, energy, logic, and so on. And partly because, if spiritual theses can't be described in plain language, they probably need rethinking. Thus, both sides need to approach that question with consideration, care, and (ironically) good faith.



Paul J. G. says:
March 2, 2011 at 3:49 pm
So thought-provoking as always. You just can’t help yourself can you?

// obviously, I didn't even try to :)

Something cannot become nothing. What is it precisely that we want from an ‘afterlife’? What did the Star that went Supernova ‘want’? It probably wanted to keep being a Star. It could never have imagined its afterlife to be human cogitation, and Happy Meals, because it lacked the vision and imagination to see its new emergence as an afterlife. So maybe the Star thought it had no afterlife. I would disagree. Brian Swimme leads us down this road.

[...] What’s more, we don’t need to wait till some ‘final’ death (in the way we usually talk about death of a person as a person) to identify our many continuation bodies– the infinite ways that our life, energy, heat, thoughts, words, bodies, breath continue. Just because we are not sensitive enough to identify all of these continuation bodies, teaches Thich Nhat Hanh, does not mean they are not there. It just means that we fail to see. Hanh teaches this because the Buddha teaches that there is no annihilation.

I think there is no such thing as a final death– and that’s what is meant by afterlife: endless going on, eternal life. But, I agree with Charles Hartshorne who says, eternal life is not some eternal human career after death. To think that is an offense against the lavish exuberance of cosmic creativity. Human beings are not the end. Maybe we are merely embryos, or blastocysts, or zygotes of what is yet to come!

Isabel says:
March 2, 2011 at 9:52 pm
Well put, Paul. Yeah.

Further thoughts on stroke and brain injury ...

These are good examples of unprepared-for, unawarely-encountered changes in the brain state, and these are the kinds of conditions that most disrupt the mind. Without a chance to become aware of the interface between your mind and your brain, and without a chance to learn and practice the techniques that give you some conscious leverage over it, the damage that these injuries do to the mind – that energetic aspect of the self, the one that may or may not outlive your body – can be devastating indeed, because the injuries to the brain specifically disrupt your ability to understand and deal intelligently with that interface. The injuries that disrupt the personality are perhaps the most difficult to overcome, because access to your accustomed "self" is specifically disrupted.

Practical note: It's much easier to manage a well-hydrated brain. Drink more water.

Tuesday, March 1, 2011

Expanding these horizons

As a gift of my old friend Jen, I've scraped the online acquaintanceship of a very lively group of secularists... And it says a lot that many will shoot down that collective noun; these are the intellectual equivalents of the clan of Asterix the Gaul, who will cheerfully scrap with each other when there's no one else around to scrap with, and woe betide anyone silly enough to try and conquer them.

I love it. Oink heaven. My memory still has Swiss-cheese holes in it, but my reasoning is not completely shot.

I was mulling a blog entry on "trying to remember there's a forest among the trees", given the way that we tend to get fixated on a tiny handful of things which, if we had 'em, would surely fix everything. Surely.

These thoughts have been rather derailed by an online conversation I got into about the mind/brain issue. It touches on neurology, history, philosophy and theology, with logic and info architecture as palette-cleansing interjections (or so my thoughts are trending.) Naturally, I'm knawing it like a rawhide bone, tail thumping.

In fairness, not everyone wants the erudite stuff; nor does everyone want the why-what-works pragmatism. Both are so closely linked for me (the blogger, here) that I've decided not to break out a different blog. I'll get better about tagging, and I'll use indicative titles.

Please come along and play. I hope this works out well.

Tuesday, December 28, 2010

No choice but integrity

I'm a walking, talking, babbling, ceaseless argument for the fact that sexuality is not a choice. Integrity is -- though that's not my point here.

As a sometime lesbian and appalled heterosexual, I'm well aware that the combination of qualities I adore are hopelessly rare in either sex:

Men are disgusting... Women are unbearable... And sadly, as friend Lori remarked, "There is no third sex... And goats are too chatty."

But that's not the point either, though there's plenty of material there -- and some of it's even original. This is about nonconsensual sexuality: the understanding that most of us don't choose our orientation.

To what do I attribute my own unforeseen, profound internal shift?

Brain damage. Obviously.

The answers that sound less flippant are somewhat less convincing to me. However, CRPS's extensive disruption of the endocrine system (that is, system of hormone-secreting organs) is already amply demonstrated. I think that's it.

When I was more lesbian, and other people were being silly about that, I used to ask, "Why would I 'choose' to be something that has led several companies not to hire me, my own government to refuse to let me marry despite my being such a good citizen, and at least one individual to try to kill me in cold blood?"

Now, nobody gets silly about my orientation, but I ask myself the complementary questions. They are a lot more trivial, but also much more intransigent: "Why would I 'choose' to be relentlessly attracted to a sex as ill-mannered as chimps, as emotionally corrupt as usurers, and as stable as malaria?"

But hey, nobody's tried to kill me for being straight; same-sex marriage is heading towards legality; and I'm unhireable for reasons that have nothing to do with my orientation. If I were less lonely and more selfless, I would take these changes as major victories. (As it is, it's more like a no-score win.)

But, at New Year's, I'll toast those victories nonetheless, in the names of all my spiritual kindred who can be a bit safer, a bit freer, a bit better recognized for being good people, good spouses, and good citizens.

Hope to hear your voices, and see your glasses, raised with mine! Who knows, I might even run into my own better half in 2011. Whatever that person turns out to be.

Wednesday, October 13, 2010

Housing crisis? Really?

More and more in the news about the feculent mess our mortgage system
is in. Housing is too costly & too scarce. Empty houses are hanging
very heavy on bankers' hands. Office buildings stand vacant for years.
Oh dear.

Hmm.. How about making those vacant spaces available to the homeless?
In return for a little maintenance & hygeine, plus paying for whatever
water & electricity they use, you could have a huge impact on the most
vulnerable poor. Think of all the women, kids, even men who could get
enough peace, safety and stability to get back on their feet & back
into the economic life.

You could also keep empty homes from turning into eyesores. I know
quite a few squatters in organized squats, some of them there with the
owners' knowledge, and they have had a significant effect on one or
two rotting neighborhoods because they simply won't let their squat
rot, and they won't let the real trash take over. It definitely keeps
the tone from getting worse & it keeps the drugs & violence down. I
guess squatters can be kinda scary -- they are sure protective of
their squats.

When the place becomes rented or sold, they have to move, but should
get 30 days' notice. Seems fair in return for how much money & trouble
they've saved!

A landowning friend of mine said squatters moved in, crapped on the
new carpet, tore up the repainted walls, and so forth. In my ideal
world, those squatters would be blacklisted & left to homeless
shelters. Squatters who decide to use your space should have basic
standards, and if they have some living-security in exchange,
should be ready & willing to take basic care of the place. Not that
you won't want to bring in cleaners afterwards, but that costs
much less than re-refitting the whole interior!

In Egypt, they had boabs (two syllables: bo-ab) who lived in building
sites or abandoned residences to keep things from falling apart & keep
thieves and scavengers away. They weren't paid much but they got free
rent. (Had some living across the street in a half-demolished house
that was tied up in litigation; nice neighbors, helped me with my
Arabic.) Since they were one step away from being on the streets, they
knew the underground and would let the neighbors know if there were
thieves in the neighborhood, if rabies had shown up in the area, or if
the Army was going to come around shooting loose dogs (their idea of
rabies control.)

Makes a lot of sense to me. So the rich neighborhood had a blue-collar
family in their midst -- they made us all a little more comfortable,
overall. I'd love to have a "boab community" here!

Friday, August 27, 2010

Scientific method & infant studies

Further thoughts on this article which revealed, to every parent's astonishment I'm sure, that babies remember what upsets them and learn to hope for less in the future:
http://www.physorg.com/news201964561.html
My first, suppressed response was a huge internal "WTHF??? Who'd do
that deliberately??"
But I was a nurse for years -- I know what people will do deliberately and I won't go into it here, especially since I just had a tasty breakfast.
My second thought was the one reflecting my training, which tells me that if it isn't repeated in a number of controlled scientific experiments, it's not accepted medical knowledge (document, document, document!), and if it's not accepted scientifically, it won't be accepted as good parenting practice.
grrrrrrrrrrrrrrrrrrrr... But I digress.
On the one hand, I'm glad that a few OBs might suggest that parents hang onto their infants instead of handling them like awkward, smelly little responsibilities to be managed with as little face-time as possible.
On the other, I find it profoundly, horribly wrong to tell young parents to walk away from their screaming baby and stay there while we stab or slash the kid to get a few blood samples, and then come back again later to do it all again.
Because heaven knows you can't just watch the painful reality of life unfold naturally. That would require the assumption, antithetical to scientific method's assumptions, that observation and empathy in a real-world setting (where sometimes kids get put down for real reasons) is a valid basis for drawing conclusions.
I could go on about psychogenic shock, neurological development, early bonding, the isolationist shift in child-rearing advice over 30 years, the current puzzlement among psychologists about the staggering proportion of young adults who are incapable of empathy, the weirdness of the fact that most of the world is toilet-trained by ~2 but here we're rarely trained by 4... And so on.
But that could take awhile and my iPhone is starting to make my fingertips sting.

Scientific method: a fragile prop

There's an unalterable gap between scientific method and basic decency. This is one of several profound deficiencies in the former, like its rigidly Newtonian frame of reference, the circular logic of many fundamental assumptions, and the _unacknowledged_ reflexive trope, "If we don't understand it, it isn't real; if we haven't tested for it, it doesn't exist."
How can scientific rigor possibly be equated with intellectual rigor,
when it cherishes this absence of basic intellectual integrity?
The combination of profound & pervasive logical fallacies, combined with a very weak attachment to the human context in which it'll ultimately be used, make scientific method far too limited to base most of biomedical research on. It would be excellent as one of several methods, since what it does accomplish, it does very well.
For better and worse, though, it's the "gold standard" of biomedical research. Astonishing. And very scary. It explains an awful lot.
... In related news, the US currency went off the gold standard under Nixon.

Thursday, August 26, 2010

Standards

Driving requires licensure, even though you can only knock off a few people at a time & do maybe half a million dollars worth of damage.
Carrying a gun requires licensure, even though you can shoot only a handful of your work or school's population before getting taken down.
But what about things that allow you to screw things up for generations? I wonder about how recklessly we leap into things like abusive relationships and electing con artists. (Almost a tautology.)
Without changing existing syllabi (or syllabuses), and with only minor logistical adjustments, it seems promising to institute the following requirements:
* Before voting, passing a 9th-grade civics exam and a course in basic logic & critical thinking. Refreshers required every 4 years, increasing to 6 years after age 35.
* On entering your first sexual relationship, passing an 8th-grade course in effective communication... regardless of how old -- or young -- both partners are at the time. (Because of the strange nature of some pederasts, this should bring some child-abuse cases to light; a desirable side-effect.)
* Before moving in together, passing high-school level home economics (including hygeine) AND a basic financial management course. Everyone does both. Divide the tasks afterwards if you like.
* Before getting married, passing a course in negotiation & mediation. Also adult versions of safety, hygeine, and personal financial management.
* Before breeding, a 6-month intensive course in parenting (including models from Dr. Spock to Attachment Parenting) and developmental psychology. Also, screening for psychoses and serious personality disorders -- not to exclude them (there's no eliminating these from the gene pool) but to provide pertinent training and prepare appropriate backup and support for nutcase, partner, and child.
Wackos raise some very gifted & capable kids, so excluding them from the parenting pool doesn't make sense as a social strategy.
But don't worry, I'm not going to have kids.