A Broken Leg is not a Broken Leg / The Social Medical Industry

OMG! I have now entered the Hell of the social consequences of “getting help” for a broken leg; not actually for the broken bones: (big cast boot; strict orders from the doc to not put any weight on that foot. Simple, really). I had been resisting mightily the “HOME HEALTH” industry; nice people who come to the house and take “vitals”- give baths (a quick swipe with a wash cloth) “do” physical therapy (whatever that is – undefined so far). “FREE” thanks to Medicare. But, they’re closed on weekends, use “restricted phone numbers” (caller can’t use caller ID or make return calls). WELL! Our nurses aren’t going to give out they’re phone numbers!” was the indignant reply when asked… Just call the ambulance, if you can’t reach us, although the fundamental idea of HOME HEALTH is to keep people OUT OF the Emergency Room.

I won’t / can’t go into the organizational structure of these services, because THERE IS NONE. The nurse just left (and left behind an enormous box of “free” medical supplies). I must have used the phrase “please be specific” a dozen times as she rambled on and on (vaguely) about services, service delivery, length (duration of services, determination of services available; that (for some unknown reason) the physical therapist is “master of all this “care” and why I need a social worker to “organize the experience”.

Actually, I shouldn’t have said there is no organizational structure: There are GOALS. 1. These are private companies, paid 100% by Medicare, so they will do / follow whatever bizarre and cockamamie “payment plan” that Congress has devised to ensure maximum profit for their “buddies” in the “helping, caring, fixing” industry. 2. This means setting up a “schedule” for myriad “employees” of HOME HEALTH to show up at times of their choosing (not based on need) – that is, a billable number of visits that stop immediately when Medicare stops. 3. Those “FREE” medical supply goodies are likely the most “high profit” stream: HOME HEALTH buys them in great bulk at pennies of the retail cost (say a roll of gauze, for $0.25) and bills Medicare $25.00…

In the end, I always ask myself,

Would I hire these people to do repairs and service on my truck? If not, why would I hire them to “work on” me?

 

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OMG! Disaster / Broken Leg

About two weeks ago I posted that I’d sprained my ankle…

Two days ago, I found out that I actually broke both leg bones at the ankle…This is my new “leg” – will be immobilized for 8-12 weeks. I’m stir crazy already!!!!

 

 

Question / Is Common Sense even better than Empathy?

My posting has slowed to almost nothing since last Saturday:

Summer at last; warm winds, blue skies, puffy clouds. The dog and I are both delirious over the ability to “get out of” quasi imprisonment indoors.

Into the truck; a short drive to the south, up and over the canyon edge into the wide open space of the plateau. Out into “the world again” striding easily along a two-rut track that goes nowhere; the type that is established by the driver of a first vehicle, turning off the road, through the brush, and headed nowhere. Humans cannot resist such a “lure” – Who drove off the road and why? Maybe the track does go somewhere. And so, the tracks grow, simply by repetition of the “nowhere” pattern. Years pass; ruts widen, deepen, grow and are bypassed, smoothed out, and grow again, becoming as permanent and indestructible as the Appian Way.

This particular set of ruts is a habitual dog-walking path for me: the view, the wind, the light, the sky whipped into a frenzy of lovely clouds… and then, agony. Gravel underfoot has turned my foot, twisting my ankle and plunging me into a deep rut and onto the rough ground. Pain; not Whoops, I tripped pain, but OMG! I’m screwed pain. I make a habit of glancing a few feet ahead to check where my feet are going, but my head was in the clouds.

This isn’t the first time in 23 years that I’ve taken a fall out in the boonies: a banged up shin or knee, a quick trip to the gravel; scraped hands, even a bonk on the head, but now… can I walk back to the truck, or even stand up? One, two, three… up.

Wow! Real pain; there’s no choice. Get to the truck, which appears to be very, very far away, at this point. Hobble, hobble, hobble; stop. Don’t stop! Keep going. Glance up at the truck to check periodically to see if it’s “growing bigger” – reachable. I always tell myself the same (true) mantra in circumstances like this: shut out time, let it pass, and suddenly, there you will be, pulling open the truck door and pulling yourself inside.

There is always some dumb luck in these matters: it’s my left ankle. I don’t need my left foot to drive home. Then the impossible journey from the truck to the house, the steps, the keys, wrangling the dog and her leash, trying not to get tangled and fall again – falling through the doorway, grabbing something and landing on the couch. Now what?

That was five days ago. Five days of rolling around with my knee planted in the seat of a wheeled office chair, pushing with the right foot as far as I can go, then hopping like a  one-legged kangaroo the rest of the way. Dwindling food supplies; unable to stand to cook; zapping anything eligible in the microwave. No milk in my coffee. Restless nights. Any bump to my bandaged foot wakes me up. This is ridiculous! My life utterly disrupted by a (badly) sprained ankle. I think I’m descending into depression.

Bipedalism, of course, begins to takeover my thoughts. But first, I try to locate hope on the internet, googling “treatment for sprained ankle.” You’re screwed, the pages of entries say. One begins to doubt “evolution” as the master process that produces elegant and sturdy design. Ankles are a nightmare of tiny bones and connecting ligaments, with little blood supply to heal the damage, and once damaged, a human can expect a long recovery, intermittent swelling and inevitable reinjury, for as long as you live.

It seems that for our “wild ancestors” a simple sprain could trigger the expiration date for any individual unlucky enough to be injured: the hyenas, big cats, bears and other local predators circle in, and then the vultures. Just like any other animal grazing the savannah or born into the forest, vulnerability = death. It’s as true today as it ever was. Unless someone is there with you when you are injured, you can be royally screwed: people die in their own homes due to accidents. People die in solo car wrecks. People go for a day hike in a state park and within an hour or two, require rescue, hospitalization and difficult recovery, from one slip in awareness and focus. And, being in the company of one or more humans, hardly guarantees survival. Success may depend on their common sense.

So: the question arises around this whole business of Homo sapiens, The Social Species. There are many social species, and it is claimed that some “non-human” social species “survive and reproduce successfully” because they “travel together” in the dozens, thousands or millions and “empathize” with others of their kind. Really? How many of these individual organisms even notice that another is in peril, other than to sound the alarm and get the hell out of the danger zone or predator’s path? How one human mind gets from reproduction in massive numbers, that is, playing the “numbers game” (1/ 100, 1/100, 1, 100,000 new creatures survive in a generation), and the congregation of vast numbers in schools, flocks and the odds for “not being one of the few that gets caught and eaten” – how one gets from there to “pan-social wonderfulness” is one of the mysteries of the social human mind.

There are occasions when a herd may challenge a predator, or a predatory group; parents (usually the female), will defend offspring in varying manner and degree, but what one notices in encounters (fortuitously caught on camera, posted on the internet or included in documentaries) that solitary instances are declared to represent “universal behavior” and proof of the existence of (the current fad of) empathy in “lesser animals”. What is ignored (inattentional blindness) and not posted, is the usual behavior; some type of distraction or defensive behavior is invested in, but the attempt is abandoned, at some “common sense point” in the interaction; the parents give up, or the offspring or herd member is abandoned.

What one notices is that the eggs and the young of all species supply an immense amount of food for other species.

Skittles evolved solely as a food source for Homo sapiens children. It has no future as a species. LOL

I’ve been watching a lot of “nature documentaries” to pass the time. This is, in its way, an extraordinary “fact of nature”. Our orientation to extreme Darwinian evolution (reductionist survival of the fittest) is stunningly myopic. We create narratives from “wildlife video clips” edited and narrated to confirm our imaginary interpretation of natural processes; the baby “whatever” – bird, seal, monkey, or cute cub; scrambling, helpless, clueless, “magically” escapes death (dramatic soundtrack, breathless narration) due to Mom’s miraculous, just-in-the-nick-of-time return. The scoundrel predator is foiled once again; little penguin hero “Achilles” (they must have names) has triumphantly upheld our notion that “survival is no accident” – which in great measure is exactly what it is.

One thing about how evolution “works” (at least as presented) has always bothered me no end: that insistence that the individual creatures which survive to reproduce are “the fittest”. How can we know that? What if among the hundreds, thousands, millions of “young” produced, but almost immediately destroyed or consumed by chance, by random events, by the natural changes and disasters that occur again and again, the genetic potential “to be most fit” had been eliminated, depriving the species of potential even “better” adaptations than what those we see? We have to ask, which individuals are “fittest” for UNKNOWN challenges that have not yet occurred? Where is the variation that may be acted upon by the changing environment?

This is a problem of human perception; of anthropomorphic projection, of the unfailing insistence of belief in an intentional universe. Whatever “happens” is the fulfilment of a plan; evolution is distorted to “fit” the human conceit, that by one’s own superior DNA, survival and reproduction necessarily become fact. 

Human ankles (and many other details) of human physiology are not “great feats of evolutionary engineering.”

Like those two-rut roads that are ubiquitous where I live, chance predicts that most of evolution’s organisms “go nowhere” but do constitute quick and easy energy sources for a multitude of other organisms.

 

Visual Thinking / Maria Kozhevnikov Research Re-Post

http://nmr.mgh.harvard.edu/mkozhevnlab/?page_id=618 Mental Imagery and Human-Computer Interaction Lab

 

For those who can’t resist taking brain tests, go to the website. I would love to hear comments by Aspies who look into this research.

Maria Kozhevnikov’s labs at Harvard and NUS jointly investigate the neural mechanisms of visual/spatial imagery, as well as individual differences in basic information processing capacities (e.g. the ability to generate, inspect, or transform visual/spatial images). In addition, the lab research focuses on examining how these individual differences affect more complex activities, such as spatial navigation, learning and problem solving in mathematics and science, as well as in exploring ways to train visual/spatial imagery skills and design learning technologies that can accommodate individual differences and learning styles.

Our research into the object-spatial dissociation follow three directions:

Our central finding is that some individuals use imagery to construct vivid, concrete, and detailed images of individual objects (object visualizers), whereas others use imagery to represent the spatial relationships between objects and perform spatial transformations, such as mental rotation (spatial visualizers). Moreover, our behavioral results showed that there is a trade-off between object and spatial imagery ability while object visualizers score poorly on spatial imagery tasks but excel on object imagery tasks, spatial visualizers score high on spatial imagery tasks  but poorly on object imagery tasks.  

Visualization Ability

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“The land, and the land inside me.”

My awareness of the environment is overwhelmingly visual. I have stated before, that if asked “Who are you?” my answer would be, “I am everything that I have ever seen.” When immersed in the surrounding desert, which is mostly devoid of human activity, I experience the landscape intimately – its forms, surfaces and “light” – as if boundaries melt away. This “boundary-less” state probably also explains the Asperger dislike of humanscapes: the sensory “invasion” by human stress, emotions and aggression is highly negative and taxing. The exhaustion that comes with trying to “shut out” chaotic thoughts and constant social strife, simply is too much to endure for very long.
I haven’t explored the questionnaires constructed by Mental Imagery and Human-Computer Interaction Lab, but I would predict that I’m an object visualizer. I have taken spatial tests, but these require “word instructions” beforehand that explain the steps one must follow to solve the puzzle. In other words, (it seems to me) that spatial tests are not entirely visual – they require conscious word activity and “rules” to accomplish the actual geometric tasks.
 

What is Personality? / The American Psychological Assoc. (surprise!)

What the American Psychological Association has to say about “What is Personality?” Do I need to point out the “one track mind” of psychological dogma? This entry does not answer the above question, but instead jumps to it’s favorite obsession: Pathologizing an entire species. 

 

“Personality refers to individual differences in characteristic patterns of thinking, feeling and behaving. The study of personality focuses on two broad areas: One is understanding individual differences in particular personality characteristics, such as sociability or irritability. The other is understanding how the various parts of a person come together as a whole.”

Adapted from the Encyclopedia of Psychology

Understanding Personality Disorders

  • What causes personality disorders? Research suggests that genetics, abuse and other factors contribute to the development of obsessive-compulsive, narcissistic or other personality disorders.
  • Ten Turtles on Tuesday This is the story of an 11 year old girl with obsessive–compulsive disorder. She is confused, embarrassed, and frustrated by her counting rituals; eventually she talks to her mom and they seek help.
  • Mixing oil and water Psychologists often find that opposites attract in couples with personality disorders.
  • Research Debunks Commonly Held Belief About Narcissism Overuse of “I” and “me” not associated with pathology, study finds
  • Recognizing the signs of schizophrenia Schizophrenia can cause hallucinations, delusions and unusual behaviors, as well as cognitive challenges, such as problems with memory, attention and concentration.

Getting Help with Personality Disorders

  • Help for personality disorders Research suggests that dialectical behavior therapy and cognitive therapy can help people with one of the most common disorders.

Find a Psychologist

(the bottom line is always the “bottom line” $$$$$)

Big 5 Personality Traits / cont., The Evolution of Personality Variation in Humans

I would submit that these personality factors are not scientifically valid, but socially invented and constructed; not objective, but subjective. This “theory without proof” lies outside the scientific method of proof – but these “speculations” are the basis for Psychology; the socio-cultural Western religion.   

Note the highly “socially judgmental” descriptions of “low scorers” and “high scorers”. A polarized view of human personality, in which “socially approved” characteristics (outgoing, empathetic, warm, helpful) are given “high scores” The  trait categories are also skewed: extraversion, agreeableness, openness – conscientiousness, neuroticism! How do these highly subjective ideas drive the relentless push toward conformity to social prescriptions for “normal, typical, or idealized” behavior, which is determined by culture? What they “measure” is the opinion of the measurer – and his or her socio-cultural agenda. As the author points out, “However, it is important not to conflate social desirability with positive effects on fitness.” 

continued from: The Evolution of Personality Variation in Humans and animals by Daniel Nettle, Newcastle University in American Psychologist, 2006  Evolution and Behaviour Research Group, Division of Psychology, Henry Wellcome Building, University of Newcastle, Newcastle NE2 4HH, United Kingdom.

Human Personality Traits

The rest of this article follows the structure of the five factor model of personality (Costa & McCrae, 1985, 1992; Digman, 1990). Though the five broad factors, or domains, are decomposable into finer facets (Costa & McCrae, 1985) and certainly do not capture all the variation in human personality (Paunonen & Jackson, 2000), there is broad consensus that they are useful representations of the major axes of variation in human disposition (Digman, 1990). Following the considerations outlined in the previous section, I briefly examine the nature of each domain and consider the kinds of costs and benefits that increasing the level of the domain might have with respect to biological fitness. The reviews here are speculative, but they are offered in the hope of stimulating empirical work and of drawing psychologists’ attention to the idea that changing the level of a trait is associated with fitness costs as well as fitness benefits.

Extraversion

Note that many of the “negative risk factors” are actually admired and rewarded in American males: I would go so far as to say, that ‘extraversion’ is tailor-made permission for “boys to be boys” as defined culturally. In females, these same behaviors are viewed negatively. Also, my comments refer to the BIG 5 model, not to the author’s concepts. 

A dimension related to positive emotion, exploratory activity, and reward is a feature common to all personality frameworks and theories. Its most common label is extraversion, and its proximate basis is thought to involve variation in dopamine-mediated reward circuits in the brain (Depue & Collins, 1999). I have outlined a trade-offs-based evolutionary model for the maintenance of polymorphism in extraversion (Nettle, 2005). Extraversion is strongly and positively related to number of sexual partners (Heaven, Fitzpatrick, Craig, Kelly, & Sebar, 2000; Nettle, 2005), which, for men in particular, can increase fitness. High scorers are also more likely to engage in extrapair copulations or to terminate a relationship for another. This may lead to their securing mates of higher quality than those secured by individuals who are more constant in their choice of partners. The benefits of extraversion are not limited to mating, as extraverts, or those high on the closely correlated trait of sensation seeking, initiate more social behavior (Buchanan, Johnson, & Goldberg, 2005) and have more social support (Franken, Gibson, & Mohan, 1990) than others. Moreover, they are more physically active and undertake more exploration of their environment (Chen et al., 1999; Kircaldy, 1982). However, in pursuing high sexual diversity, and high levels of exploration and activity in general, extraverts also expose themselves to risk. Those who are hospitalized due to accident or illness are higher in extraversion than those who are not (Nettle, 2005), and those who suffer traumatic injury have been found to be high in sensation seeking (Field & O’Keefe, 2004). High extraversion or sensation seeking scorers also have elevated probabilities of migrating (Chen et al., 1999), becoming involved in criminal or antisocial behavior (Ellis, 1987), and being arrested (Samuels et al., 2004). All of these are sources of risk, risk that in the ancestral environment might have meant social ostracism or death. Moreover, because of their turnover of relationships, extraverts have an elevated probability of
exposing their offspring to step-parenting, which is a known risk factor for child well-being. One can thus conceive of extraversion as leading to benefits in terms of mating opportunities and exploration of novel aspects of the environment but carrying costs in terms of personal survival and possibly offspring welfare. It is unlikely that there will be a universal optimal position on this trade-off curve. Instead, local conditions, including the density and behavioral strategies of surrounding individuals, could lead to a constant fluctuation in the optimal value, and hence genetic polymorphism would be retained.

Neuroticism (Traditionally in psych / psych dogma, Neuroticism is by default the normal “female” condition.)

The neuroticism personality axis is associated with variation in the activity levels of negative emotion systems such as fear, sadness, anxiety, and guilt. The negative effects of neuroticism are well-known in the psychological literature. High neuroticism is a strong predictor of psychiatric disorder in general (Claridge & Davis, 2001), particularly depression and anxiety. Neuroticism is also associated with impaired physical health, presumably through chronic activation of stress mechanisms (Neeleman et al., 2002). Neuroticism is a predictor of relationship failure and social isolation (Kelly & Conley, 1987). A much more challenging issue, then, is finding any compensatory benefit to neuroticism. However, given the normal distribution observed in the human population, and the persistence of lineages demonstrably high in the trait, such a benefit seems likely. Studies in nonhuman animals, such as guppies (see the Evolution of Variation section), suggest that vigilance and wariness are both highly beneficial in avoiding predation and highly costly because they are quickly lost when predation pressure is absent. In ancestral environments, a level of neuroticism may have been necessary for avoidance of acute dangers. Anxiety, of which neuroticism can be considered a trait measure, enhances detection of threatening stimuli by speeding up the reaction to them, interpreting ambiguous stimuli as negative, and locking attention onto them (Mathews, Mackintosh, & Fulcher, 1997).

Because actual physical threats are generally attenuated in contemporary situations, (this is highly dependent on gender, race, socio-economic and class status and geographical location) the safety benefits of neuroticism may be hard to detect empirically. However, certain groups who take extreme risks, such as alpinists (mostly male?) (Goma-i-Freixanet, 1991) and Mount Everest climbers (Egan & Stelmack, 2003), have been found to be unusually low in neuroticism. Given the high mortality involved in such endeavors (around 300 people have died in attempting Everest), this finding suggests that neuroticism can be protective. There may also be other kinds of benefits to neuroticism. Neuroticism is positively correlated with competitiveness (Ross, Stewart, Mugge, & Fultz, 2001). McKenzie has shown that, among university students, academic success is strongly positively correlated with neuroticism among those who are resilient enough to cope with its effects (McKenzie, 1989; McKenzie, Taghavi-Knosary, & Tindell, 2000). Thus negative affect can be channeled into striving to better one’s position. However, here neuroticism certainly interacts with other factors. When intelligence or conscientiousness is high, for example, the outcomes of neuroticism may be significantly different than when such factors are low. Thus it is quite possible that very low neuroticism has fitness disadvantages in terms of lack of striving or hazard avoidance. Although very high neuroticism has evident drawbacks, it may also serve as a motivator to achievement in competitive fields among those equipped to succeed. Thus the optimal value of neuroticism would plausibly depend on precise local conditions and other attributes of the person, leading to the maintenance of polymorphism.

Openness

The trait of openness to experience again seems, at first blush, to be an unalloyed good. Openness is positively related to artistic creativity (McCrae, 1987). According to Miller’s (1999; 2000a) cultural courtship model, creative production in artistic domains serves to attract mates, and there is evidence that women find creativity attractive, (Again, we have the problem of just who is defining and judging what qualifies as “creative production”, a highly subjective culturally-dependent matter, often attributed in the U.S. to whatever/whomever makes a profit…) creative especially during the most fertile phase of the menstrual cycle (Haselton & Miller, 2006), and that poets and visual artists have higher numbers of sexual partners than controls (Nettle & Clegg, 2006). The core of openness seems to be a divergent cognitive style that seeks novelty and complexity and makes associations or mappings between apparently disparate domains (McCrae, 1987). Though such a cognitive style might appear purely beneficial, it is conceptually very similar to components of schizotypy, or proneness to psychosis (of course; creative types are “dangerous” in a rigid, impoverished culture of social conformity) (Green & Williams, 1999; Woody & Claridge, 1977). Indeed, five-factor Openness correlates positively with the Unusual Experiences scale of the Oxford–Liverpool Inventory for Feelings and Experiences schizotypy inventory (Mason, Claridge, & Jackson, 1995; Rawlings & Freeman, 1997). The Unusual Experiences scale is also correlated with measures of creativity (Nettle, in press-b; Schuldberg, 2000). Individuals scoring high in Unusual Experiences and on measures of creativity have increased levels of paranormal belief (McCreery & Claridge, 2002; Thalbourne, 2000; Thalbourne & Delin, 1994), and five-factor Openness itself is positively correlated with beliefs in the paranormal (Charlton, 2005). The Unusual Experiences trait is elevated in schizophrenia patients (Nettle, in press), and an extremely similar scale predicted the onset of schizophrenia in a longitudinal study (Chapman, Chapman, Kwapil, Eckblad,&Zinser,1994).Thus, openness and its covariates are associated with damaging psychotic and delusional phenomena as well as high function. Openness itself has been found to be associated with depression (Nowakowska, Strong, Santosa, Wang, & Ketter, 2005), as has a high score on the Unusual Experiences scale (Nettle, in press-b). Thus, the unusual thinking style characteristic of openness can lead to nonveridical ideas about the world, from supernatural or paranormal belief systems to the frank break with reality that is psychosis. What determines whether the outcome of openness is benign or pathological is not fully understood. It may be a simple matter of degree, or there may be interactions with developmental events. Poets, for example, differ from schizophrenia patients not in their Unusual Experiences scores, which are in the same range, but in the absence of negative symptoms such as anhedonia and social withdrawal (Nettle, in press-b).

And yet, we relentlessly promote creativity and “out of the box” thinking in American schools as social positives; are we actually promoting sexual promiscuity, schizophrenia, “Ancient Alien” “UFO” “Paranormal” delusion and psychotic behavior?

The Unusual Experiences trait is positively correlated with mating success in nonclinical populations, at least partly because it leads to creativity (Nettle & Clegg, 2006). However, when it leads to schizophrenia, reproductive success is much reduced (Avila et al., 2001; Bassett et al., 1996). Thus the fitness payoffs to openness appear to be very context or condition dependent, leading to the retention of variation.

Conscientiousness

The remaining two personality domains, conscientiousness and agreeableness, are often thought of as being unalloyed in their benefits, because they are generally negatively related to measures of delinquency and antisocial behavior (e.g. Heaven, 1996). However, it is important not to conflate social desirability with positive effects on fitness. Natural selection favors traits that increase reproductive success, including many cases in which this success comes at the expense of other individuals. It is likely that fitness can be enhanced by a capacity to demand a free ride, break rules, and cheat on others under certain circumstances. Conscientiousness involves orderliness and self-control in the pursuit of goals. A by-product of conscientiousness is that immediate gratification is often delayed in favor of a longer term plan. This leads, for example, to a positive association of conscientiousness with life expectancy (Friedman et al., 1995), which works through adoption of healthy behaviors and avoidance of unhygienic risks. Very high levels of traits related to conscientiousness —moral principle, perfectionism, and self-control—are found in patients with eating disorders and with obsessive-compulsive personality disorder (Austin & Deary, 2000; Claridge & Davis, 2003).

Though some obsessional individuals can be very high achievers in the modern context, it is not evident that their fitness would always have been maximal in a variable and unpredictable ancestral environment. Their extreme self control not only may be damaging, as their routines become pathological, but may lead to the missing of spontaneous opportunities to enhance reproductive success. Highly conscientious individuals have fewer short-term mating episodes (Schmidt, 2004) and will forgo opportunities to take an immediate return that may be to their advantage. Adaptations that orient the organism toward working for long-term payoffs will tend to have the effect of reducing the opportunistic taking of immediate ones. This can have fitness costs and benefits, which will vary with local conditions.

Agreeableness

Agreeableness, with its correlates of empathy and trust, is also generally seen as beneficial by personality psychologists, and its absence is associated with antisocial personality disorder (Austin & Deary, 2000). Agreeableness is strongly correlated with Baron-Cohen’s empathizing scale (Nettle, in press-a), which is in turn argued to measure theory of mind abilities and the awareness of others’ mental states (Baron-Cohen & Wheelwright, 2004). Several evolutionary psychologists have argued plausibly that as a highly social species, humans have been under strong selection to attend to and track the mental states of others (Byrne & Whiten, 1988; Dunbar, 1996; Humphrey, 1976). Others have noted that we seem to be unique among mammals in the extent of our cooperation with unrelated conspecifics. Inasmuch as agreeableness facilitates these interactions, it would be highly advantageous. Agreeable individuals have harmonious interpersonal interactions and avoid violence and interpersonal hostility (Caprara, Barbaranelli, & Zimbardo, 1996; Heaven, 1996; Suls, Martin, & David, 1998). They are much valued as friends and coalition partners. Although this may be true, a vast literature in theoretical biology has been devoted to demonstrating that unconditional trust of others is almost never an adaptive strategy. Across a wide variety of conditions, unconditional trusters are invariably outcompeted by defectors or by those whose trust is conditional or selective (see, e.g., Axelrod & Hamilton, 1981; Maynard-Smith, 1982; Trivers, 1971). Levels of aggression can often be selected for (Maynard-Smith, 1982). Very high agreeableness, if it led to an excessive attention to the needs and interests of others, or excessive trusting, would be detrimental to fitness. Among modern executives, agreeableness is negatively related to achieved remuneration and status (Boudreau, Boswell, & Judge, 2001), and creative accomplishment (as distinct from creative potential) is negatively related to agreeableness (King, Walker, & Broyles, 1996). Though it is an uncomfortable truth to recognize, it is unlikely that fitness is unconditionally maximized by investing energy in positive attention to others. Instead, though an empathic cognitive style may be useful in the whirl of social life, it may have costs in terms of exploitation or inattention to personal fitness gains.

Moreover, sociopaths, who are low in agreeableness, may at least sometimes do very well in terms of fitness, especially when they are rare in a population (Mealey, 1995). The balance of advantages between being agreeable and looking after personal interests will obviously vary enormously according to context. For example, in a small isolated group with a limited number of people to interact with and a need for common actions, high agreeableness may be selected for. Larger, looser social formations, or situations in which the environment allows solitary foraging, may select agreeableness downward.

Conclusions

This article has had several purposes. The first has been to stress that heritable variation is ubiquitous in wild populations and therefore should be expected as the normal outcome of evolutionary processes acting on human behavioral tendencies. Thus, personality variation can be understood in the context of a large literature, both theoretical and empirical, on variation in other species.

Second, I have suggested that a fruitful way of looking at variation is in terms of trade-offs of different fitness benefits and costs (summarized in Table 1 for the Big Five personality factors). Theories based on trade-offs have been very successful in providing an understanding of evolution in other species. Moreover, the idea of trade-offs can be usefully married to the notion of fluctuating selection to explain the persistence of diversity. Such accounts are not speculative. Studies such as those on great tits, guppies, finches, and sunfish (see the section on Evolution of Variation) have demonstrated how fluctuations in environmental context change the fitness outcomes associated with particular phenotypes, which in turn affects the future shape of the population through natural selection. Thus, researchers examining nonhuman variation have been able to go well beyond post hoc explanations and actually observe evolution in action. The current trade-off account builds on the ideas of MacDonald (1995), who argued that the observed range of variation represents the range of viable human behavioral strategies and who stressed that there are fitness disadvantages at the extremes. Thus, he stressed stabilizing selection. The present argument is that selection can fluctuate, such that it may sometimes be directional for increasing a trait and sometimes be directional for decreasing it. Among the great tits, for example, selection on exploration is clearly directional in any given year (Dingemanse et al., 2004). The retention of a normal distribution is a consequence of the inconsistency of the direction of selection, not its stabilizing form. That said, I agree with MacDonald that there could be quite general disadvantages at the extremes of some personality dimensions, such as chronic depression with high neuroticism, or obsessive–compulsive personality disorder with high conscientiousness. It is not a necessary feature of the current approach that there always be stabilizing effects. The other major difference between the current approach and that of MacDonald (1995) is that he did not fully develop the notion of trade-offs across the middle range of a continuum, and in particular, he did not develop empirical predictions for the nature of trade-offs for all the different five-factor dimensions. It is important to stress that trade-offs and fluctuating selection are not the only possible approaches to the maintenance of heritable variation. Biologists have also observed that there are a number of traits that are unidirectionally correlated with fitness and yet in which substantial heritable variation is maintained (Rowe & Houle, 1996). An example would be physical symmetry. In general, the more symmetrical an individual, the higher its fitness, and yet heritable variation in symmetry persists. The maintenance of variation in such cases appears paradoxical, because directional selection might be expected to home in on perfect symmetry and winnow out all variation. The solution to the paradox appears to be that such global traits as symmetry are affected by mutations to many, if not most, genes. Most mutations that arise are to some extent deleterious, so deviation from physical symmetry becomes an index of the load of mutations an individual is carrying.

Selection, particularly that operating via mate choice, favors symmetry, and thus individual deleterious mutations are winnowed from the population. However, so many genes are involved that there is a constant stream of new mutations maintaining population diversity. Thus, symmetry is a fitness indicator trait in that it is a reliable signal of genetic quality. Some heritable human traits may be better explained by fitness indicator theory than by trade-off theory. Miller (2000b), for example, has applied such reasoning to intelligence. Intelligence is correlated with physical symmetry, (reallsuggesting that it taps overall quality (Prokosch, Yeo, & Miller, 2005). Thus, a fitness indicator approach seems likely to be fruitful in such a case. For personality, however, I suggest that an evolutionary trade-off account is likely to be useful. This does not mean that all personality differences are to be explained by the same mechanism. There are likely to be developmental calibration effects, too, as indicated by behavior genetics data showing a role for the unique environment and also as suggested by recent studies on early life stress and adult behavior (Figueredo et al., 2005). However, for the heritable basis of personality, the combination of trade-off and genetic polymorphism seems a fruitful avenue to pursue. It might be objected that the particular costs and benefits put forward here are speculative and as such amount to just-so stories about how personality variation has arisen. The former is true; as for the latter, such a charge misunderstands the utility of adaptive explanation in psychology. The evolutionary framework used here is hypothesis generating. That is, an article such as this one, which draws on evolutionary biology, is not an end in itself but rather an engine for generating testable empirical ideas.

The particular costs and benefits listed here may not turn out to be the correct ones. However, the framework makes testable predictions that would not have been arrived at inductively. For extraversion, the hypothesis that high scorers will have greater numbers of sexual partners but more serious injuries has already been confirmed (Nettle, 2005). For neuroticism, the current framework makes the prediction that performance on certain types of perceptual monitoring tasks, such as detecting an artificial predator, will actually be improved by neuroticism. Because neuroticism impairs performance on many kinds of tasks, this is a novel prediction.

For openness, the model predicts that high scorers will either be socially successful through creative activity or be socially and culturally marginalized through bizarre beliefs, (who decides which beliefs are “bizarre beliefs? This is highly culturally and individually determined) and the determinants of which outcome prevails may depend on overall condition. This is a hypothesis that certainly merits further investigation (see Nettle & Clegg, 2006).

For conscientiousness, the model predicts that high scoring individuals might perform badly on tasks in which they have to respond spontaneously to changes in the affordances of the local environment, because they will be rigidly attached to previously defined goals. Finally, for agreeableness, the theory predicts that high scorers will avoid being victims of interpersonal conflict but may often emerge as suckers in games such as the public goods game and the iterated prisoner’s dilemma game, which are well studied by psychologists and in which the usual equilibrium is a mixture of cooperation and exploitation. Thus, the current framework should be seen not as a post hoc explanation of the past but as an engine of predictions about the consequences of dispositional variation in the present. Such consequences are a central explanatory concern of personality psychology, and as such, the evolutionary framework, with its emphasis on costs, benefits, and trade-offs, could be of great utility.

Death by Medical Error / Not Reported or Tracked

This is a story without end. Dozens of articles and studies argue over the number of deaths, which are “guessed at” “arrived at statistically” “reworked from archival material” “fudged” “denied” – in other words, the numbers have no reality – Why? Because data on medical deaths is not required on Death Certificates.  There is no tracking of such deaths because they are not reported.

I wonder why? Could the Medical Industry be protecting itself by “not coming clean”?

Here’s where the public gets “shafted” Who would have guessed that the insurance industry is now dictating the content of Death Certificates, which are legal  documents that affect each and every one of us, and which have widespread consequences for families tasked with the complex mysteries of navigating the post mortem experience, including cheap shots from insurance providers who refuse to live up to promised coverage. 

Families have the right to know how their loved one died. 

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Medical errors may be third leading cause of death in the U.S.

By Jen Christensen and Elizabeth Cohen, CNN, Tue May 3, 2016

You’ve heard those hospital horror stories where the surgeon removes the wrong body part or operates on the wrong patient or accidentally leaves medical equipment in the person they were operating on. Even scarier, perhaps, is a new study in the latest edition of BMJ suggesting most medical errors go unobserved, at least in the official record.

In fact, the study, from doctors at Johns Hopkins, suggests medical errors may kill more people than lower respiratory diseases like emphysema and bronchitis do. That would make these medical mistakes the third leading cause of death in the United States. That would place medical errors right behind heart disease and cancer.

Through their analysis of four other studies examining death rate information, the doctors estimate there are at least 251,454 deaths due to medical errors annually in the United States. The authors believe the number is actually much higher, as home and nursing home deaths are not counted in that total.

When a surgeon should just say ‘I’m sorry’

This is a much greater number than a highly cited 1999 study from the Institute of Medicine that put the number in the 44,000 to 98,000 range. Other studies have put estimates closer to 195,000 deaths a year. The U.S. Department of Health and Human Services Office of the inspector general in 2008 reported 180,000 deaths by medical error among Medicare patients alone.

Dr. Martin Makary and Dr. Michael Daniel, who did the study, hope their analysis will lead to real reform in a health care system they argue is letting patients down. 

“We have to make an improvement in patient safety a real priority,” said Makary, a professor of surgery and health policy and management at Johns Hopkins.

Bit by a squirrel? There’s now a code for that

One reason there’s such a wide range of numbers is because accurate data on these kinds of deaths is surprisingly sparse. That’s in part because death certificates don’t ask for enough data, Makary said.

Currently the cause of death listed on the certificate has to line up with an insurance billing code. Those codes do not adequately capture human error or system factors.

“Billing codes are designed to maximize billing rather than capture medical errors,” Makary said.

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Child Discipline / Old School Dads

Have been cruising websites that dole out advice on what to do to “cure defiant children” (code for ASD / Asperger kids) of their “crimes against authority” behavior.

  1. All these “advisors” babble on about how “different” ASD kids are, but then proceed to provide “disciplinary tactics” that apply to neurotypical children.
  2. Somehow no one seems to “get” that immediate obedience to every “command” is not realistic, whether the child is ASD, typical, or other.
  3. Instant obedience to a parent’s or teacher’s command, is however, the expectation in today’s culture.
  4. It’s as if the child is an object, not a living being with a life of its own.
  5. The “excuse” of parents “being at the mercy of modern fast-paced and demanding schedules” is used over and over again. Time management is offered as a solution, rather than making the kids a priority.
  6. What kind of relationship can a parent have with a child, when he or she is constantly told to “hurry up, do it now” and subjected to impatience, anger, screaming and little else from their mother or father?
  7. How does a child feel, when it is obvious that a golf tee time or appointment at a nail salon is more important to the parent than a few moments of consideration for the child’s age and needs?

All this was very simple back in the Dark Ages, when I was a child.

  1. My father was King.
  2. My mother was his official representative when he was not present in the castle.
  3. All my mother had to say (not scream or shout) was, “Your father will be home at 5:00 p.m.”
  4. Done.

At 5:00 p.m., the King arrived. Any “transgressions” during the day were calmly related by Mom and promptly addressed, but not with threats of punishment, exile to my room, physical attack, or deprivation of privileges. These were not needed.

My father would say, “Your mother is to be respected; if you don’t respect her, that hurts me.” He always backed her up. “Now go tell your mother that you’re sorry.”

By this time, I was practically in tears at having been hot-headed, stubborn, wild, or just plain stupid. Strange, how my parents used a united front and sincerity to teach us good behavior. It didn’t guarantee obedience, but my father, being Asperger, knew that often the problem was that I needed an explanation as to why he, or my mother, asked me to do something. Expecting me to jump like a scared rabbit was never expected.

Love, logic and patience, not aggression and domination, were his secret “dad” powers.

 

 

 

 

The irony of social living / reproductive isolation

Futurists are always talking about the human race voyaging to distant star systems. Really? All 7 billion of us? They are liars: a handful of elites will “escape” human-caused disasters and run away to screw up other planets.

We tend to think of isolation as a geographical phenomenon. The wilds of Alaska unpopulated except by old geezers that have a “problem” functioning in a city or town, or belonging to a family. Or edgy patched-together families with haphazard living arrangements for whom life on-the-fly means chronic failure. People who by actual movement, and society’s encouragement, drift farther and farther away from “golden cities” that are jam-packed with successful, educated, well-off people; official, professional” humans who shop, attend the arts and eat peculiar expensive food, the   cost of which, could support entire families for months. Isolated people who “belong to” certain geographic islands in the sky, which protect them from contamination by  the world’s lower classes.

The “winners” of society are by definition the owners and occupiers of the tiny top of the global pyramid; individuals who circulate the globe like the Albatross, doomed to soar the empty skies between red carpets and charity events. Wealth and power guarantee social isolation for the wealthy and powerful and that’s the way they want it. The reward for “making it” is isolation from those one has left behind.

I’ve written before about “the species definition problem” as it applies to hominids, and specifically Homo sapiens. One of the vehicles toward speciation is reproductive separation and isolation. A species migrates and encounters a geographic barrier and divides. One group seeks a path around the mountain range, body of water, or climate boundary and the other decides to stay put. The separation can result in reproductive isolation, or eventually, speciation, should the two groups remain disconnected from each other for an extended period of time.

Society erects similar barriers for modern humans, but based on wealth and class, not on geography. Picture a slice of New York City: one that includes both the isolated, heavily guarded towers of the rich and famous, and adjacent neighborhoods with streets and buildings straight out of post Apocalyptic novels; a social and cultural divide exists that effectively ensures that the two groups will (hardly) ever interact and therefore reproduce. Is this not reproductive isolation? 

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We have seen again and again in human history that isolation of the “elite” has  terrible consequences; too few options for non-incestuous reproduction exist. If reproductive contribution is not diversified, an inferior, inbred and shrinking supply of “talent” occurs. The standard scenario is that “fresh genetic stock” is supplied by a harem arrangement; by “trading” females between top families; and the occasional adoption of healthy outsiders, both male and female, to fill vacancies in the ruling elite.  This may have serious results: if the dynasty is made up of weak and isolated individuals, new members, chosen for intelligence and aggression, can easily dispose of the ruling family. Once this is done, the peasants may assume that overthrowing the elite class is possible and even easy.

It may seem unlikely that this violent type of change can happen in modern nations, but reproductive speciation is a likely outcome. The rich and powerful won’t need to reproduce: cyber existence, extreme medical intervention, and replacement of inferior body and brain parts by “perfect” long-lasting artificial components, will isolate those at the top of the pyramid from organic humans even further. And geographic isolation will increase due to expansion to new exotic locations: a residence in earth orbit, or on the moon, will simply confirm the incredible social distance between the elite and humans left behind in decaying cities.

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Great! Mars will look like suburban Salt Lake City!

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A handy set of clones will allow the rich and powerful to outlive themselves several times over.