psychology


I’ve just begun reading Antonio Damasio’s The Feeling of What Happens: Body and Emotion in the Making of Consciousness. I bought the book while I was in grad school, knowing it would be years before I could get to it, but so excited by the title! Consciousness and how it relates to the body and emotions is one of my favorite topics of inquiry. Plus, Damasio is a scientist with a (rare) good reputation as a writer.

In the introduction he describes six facts that a good theory of consciousness will have to take into account. Here are my paraphrases:

1) There will be an “anatomy of consciousness”: Elements of consciousness appear to be associated with activity in certain parts of the brain.

This may be scary to those who believe that consciousness is magical, or that its magic would be somehow diminished if it relied on the brain’s circuitry. I too used to be uneasy about that idea. After diving into brain studies a bit, though, I feel both excited and humbled by it. It’s just neat that our brains apparently produce all the subtleties of our experience. Also, it’s a good reminder that our experiences of feeling, thinking, knowing, and of awareness itself is created by our brains, and is not a direct line on reality.

2) Consciousness is more than wakefulness or attentiveness. Humans can be awake and attentive without being conscious.

Damasio describes patients who are clearly awake and attentive, but not conscious, and promises to devote two chapters to the significance of this phenomenon.

3) You cannot have consciousness without emotion.

I am excited about this point because I’ve thought it both crucial and little recognized since reading The Mind’s I many years ago. It had an essay which convinced me that real artificial intelligence would not be possible without emotion. Without emotion all you have is processing power. And in human intelligence at least, emotion brings in the body. Emotions are not just mental phenomenon. I can’t wait to see how Damasio deals with this.

4) There is a distinction between “core consciousness,” producing a sense of moment-to-moment “core self,” and “extended consciousness,” producing a story-making “autobiographical self.”

This distinction could bring clarity to the debates about consciousness in infants and non-human animals. Core consciousness may be the kind that everyone has, and extended consciousness the kind that we develop as our experience becomes more and more intertwined with language and concepts.

Core consciousness sounds to me like the experience that meditators work to remain in. We live most of our lives in the useful but problematic realm of extended consciousness, judging experiences as good or bad, right or wrong, safe or unsafe, and other ways they relate to the story we have of ourselves. Once we are living this way it is difficult to escape. Meditators find that maintaining awareness of core consciousness can be a welcome rest from all that. This practice may help the autobiographical self have an easier time as well.

5) Consciousness cannot be wholly described by other mental activities. Things like language and memory are necessary but not sufficient for full consciousness.

You can’t leave consciousness out of the discussion. It is more than its parts. I like this because I think a lot of scientists are squeamish of even using the word “consciousness.” It makes you sound like a hippy. Prepare to hear a lot of scientists trying to talk about consciousness without sounding like a hippy.

6) Consciousness also cannot be described wholly by describing how the brain creates our experiences out of sensory and mental data.

I read some famous scientist saying that if he were to be at the beginning of his career, he would be looking into creation of qualia, the “particles” of experience, that this was the next holy grail of psychology. That’s a good one, for sure, but I think an explanation of consciousness is a better holy grail than an explanation of qualia.

Another psychometrically-produced typology of love is John Lee’s “colors of love.” Like Sternberg, Lee found three primary styles of love, or “primary colors,” which Lee called eros, ludus, and storge. He found that these styles combined to form three secondary styles or colors, for six love styles total:

Erotic love: Immediate, powerful, exclusive, preoccupying, sexual

Ludic love: Love as entertainment, for pleasure rather than for bonding, commitment-phobic

Storgic love: Stable, not intense, based on bond and shared interests

Pragmatic love: A combination of storgic and ludic love, which Lee called “shopping for a suitable mate.”

Manic love: A combination of erotic and ludic love, obsessive, jealous, self-defeating

Agapic love: A combination of erotic and storgic love, unconditional devotion, difficult to maintain

Here’s a visual of the typology I stole from dating-relationships.co.uk:

Before the mid-20th century, typologies of love were works of philosophy, ethics, introspection, and intuition. In the 1980s, Robert Sternberg produced a typology of love psychometrically, meaning he asked people about their experiences and used factor analysis to determine which experiences tended to co-occur. He came up with a three-factor model of love: intimacy, passion, and commitment. Intimacy is stuff like warmth, closeness, and bondedness. Passion is stuff like romance, physical attraction, and sex. Commitment is the decisions involved in maintaining love over time. By combining those factors, he came up with the following typology:

Relationship Type Intimacy Passion Commitment
Nonlove Low Low Low
Liking High Low Low
Infatuation Low High Low
Empty Love Low Low High
Romantic Love High High Low
Companionate Love High Low High
Fatuous Love Low High High
Consummate Love High High High

Here’s a typical triangular image of the system:

My friend Tilke sent me a link to this short film depicting synesthesia, writing “This is what it’s really like.”

Folks with synesthesia experience what those without it might call a mixup of the senses–seeing sounds, feeling colors, that kind of thing. The most famous way synesthesia shows up is with the alphabet: A synesthete might see letters in different colors. It’s not that they associate colors with letters, they will actually see an “N” as inherently brown, for example, or an “E” as red. Numbers can have colors, too. Imagine how different your experience of reading or math would be if words and equations had color schemes!

At first I was fascinated by synesthesia in terms of what might cause it–maybe it’s the result of incomplete synaptic pruning, for example. In a lecture by Dr. Ed Awh in his Cognitive Psychology class a few years ago, though, I realized that synesthesia is more like a super power than a problem. Here’s a slide from the lecture:

 

Difficult, slow search for most of us, because we have to look at each digit to determine whether it’s a 2 or a 5. A synesthete with colored numbers does not have to do this, because color is what cognitive psychologists call a primary-search quality. Differences in color jump out at you. Imagine the same field of 2s and 5s, except the 2s were blue and the 5s were red. You could pick out the 2s immediately, like I saw Tilke do. A superpower!

Please remember that I post diagnostic criteria here because it is interesting to know what kinds of behaviors can get you what kinds of diagnoses, not so you can diagnose yourself, anyone in your family, or any of your friends. You just cannot be objective enough and it often leads to people walking around thinking they have Mental Disorders that they do not have. This is especially not good if that person is a child.

This may be especially true for Autism-Spectrum Disorders, which require a team of experts collaborating with the family to make a good diagnosis, including ideally a developmental pediatrician, a psychologist, a social worker, a speech language specialist, an occupational therapist, and a physical therapist. Also maybe a family advocate and an early interventionist.  And that’s just for a medical diagnosis. It varies by state, but often educational eligibility requires, additionally, a school psychologist, a behavior specialist, and an autism specialist.

Notice in the criteria below that diagnosis is made based on social problems, language problems, and repetitive/stereotyped behaviors. Other qualities that we may associate with Autism, such as pickiness about food or other things, sensitivity to noise or textures, visual processing problems, being easily upset, self-harming behaviors, and “splinter skills” are not part of a diagnosis for Autistic Disorder. Even with extreme versions of those qualities, you do not an AD diagnosis without fitting the criteria below.

And here are the criteria, word for word from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (p. 75):

Diagnostic criteria for 299.00 Autistic Disorder

A. A total of six (or more) items from (1), (2), and (3), with at least two from (1), and one each from (2) and (3):

(1) qualitative impairment in social interaction, as manifested by at least two of the following:

(a) marked impairment in the use of multiple nonverbal behaviors such as eye-to-eye gaze, facial expression, body postures, and gestures to regulate social interaction.

(b) failure to develop peer relationships appropriate to developmental level

(c) a lack of spontaneous seeking to share enjoyment, interests, or achievements with other people (e.g., by a lack of showing, bringing, or pointing out objects of interest)

(d) lack of social or emotional reciprocity

(2) qualitative impairments in communication as manifested by at least one of the following:

(a) delay in, or total lack of, the development of spoken language (not accompanied by an attempt to compensate through alternative modes of communication such as gesture or mime)

(b) in individuals with adequate speech, marked impairment in the ability to initiate or sustain a conversation with others

(c) stereotyped and repetitive use of language or idiosyncratic language

(d) lack of varied, spontaneous make-believe play or social imitative play appropriate to developmental level

(3) restricted repetitive and stereotyped patterns of behavior, interests, and activities, as manifested by at least one of the following:

(a) encompassing preoccupation with one or more stereotyped and restricted patterns of interest that is abnormal either in intensity or focus

(b) apparently inflexible adherence to specific, nonfunctional routines or rituals

(c) stereotyped and repetitive motor mannerisms (e.g., hand or finger flapping or twisting, or complex whole-body movements)

(d) persistent preoccupation with parts of objects

B. Delays or abnormal functioning in at least one of the following areas, with onset prior to age 3 years: (1) social interaction, (2) language as used in social communication, or (3) symbolic or imaginative play.

C. The disturbance is not better accounted for by Rett’s Disorder or Childhood Disintegrative Disorder.

I think this is brilliant:

In some ways it is nice that psychology research is fed to us in the discrete package that is the journal article: Each package can be edited into some version of readability and peer-reviewed for credibility.

That the process stops there, however, is an anachronism. It used to be that publishing the actual data interpreted in the article would have taken up too much space in paper journals, but on the internet it would be easy to do, and far more useful than just the analysis.

Imagine being able to go back in and re-run the statistics for an experiment, or try out other analyses–especially while analyses that throw away information like that old standby, the median-split ANOVA, are still accepted by journals. Imagine how much more powerful meta-analyses could be if it was standard practice to publish the data. Every research project would be a potential collaboration.

In fact, like scanning the Library of Congress, we could retrospectively publish all the data from every published article in the archives! What a resource that would be.

It might not work so well for qualitative research, the data of which are interviews with individuals whose confidentiality has to be protected. For quantitative research, though, it would be easy to protect anonymity. I see no downside except, I suppose, for researchers who are fudging their numbers.

Most parenting psychology literature talks about four parenting styles, derived from the combinations of two parenting qualities, warmth (also called “responsiveness”) and demandingness, like this:

Parenting Style Warmth Demandingness
Authoritative High High
Authoritarian Low High
Permissive High Low
Neglectful Low Low

Parents who are both warm and demanding (having high standards) are called “authoritative” and considered in psychology to be the best parents. Parents who are both not warm and have low standards are called “neglectful” and considered to be the worst parents. Authoritarian parents and permissive parents (also called “indulgent”) come out in the middle somewhere, the first lacking warmth, the second lacking standards.

The table of parenting styles below is from Rodriguez, Donovick, and Crowley’s 2009 article, “Parenting Styles in a Cultural Context: Observations of ‘Protective Parenting’ in First-Generation Latinos.” In their work with Latino parents, they decided to add a third category, autonomy granting, giving us four new parenting styles: protective, cold, affiliative, and a new kind of neglectful. I’m still thinking about this, but it seems like it could be a breakthrough in parenting theory.

It will be interesting to see if this idea is meaningful in terms of outcomes for the kids of these different kinds of parents. There is evidence, for example, that the kids of authoritarian parents have a lot more trouble with alcohol abuse than those of authoritative, and kids of permissive parents have even more trouble than that. Will there be a significant difference on this outcome between authoritarian and “cold” parents, who differ only in their giving their kids the chance to mess up or not? How about between permissive and “affiliative”?

Parenting Style Warmth Demandingness Autonomy Granting
Authoritative High High High
Authoritarian Low High Low
Permissive High Low High
Neglectful Low Low Low
Protective High High Low
Cold Low High High
Affiliative High Low Low
Neglectful II Low Low High

Family therapy got started when the grandparents of the field, interested in cybernetics–the science of self-regulating systems–started studying communication in families. Some of the more interesting ideas they came up with were the three progressively more problematic kinds of contradiction. This is a summary of Virginia Satir’s version of those contradictions, from Conjoint Family Therapy:

Simple contradiction: This is when a person says two things that contradict each other straightforwardly, as when someone might say, “I love you but I don’t love you.” This kind of contradiction consists of assertions that are incompatible, but at least out in the open, in an easily decodable way. That means that the receiver of the message can easily comment on the contradiction, saying “I don’t understand what you mean. You didn’t make sense to me just then.”

Paradoxical (or incongruent) communication: A paradox is a special kind of contradiction, where the incompatible statements exist on different “logical levels.” That is, one of the statements is part of the context of the other statement. These are significantly more difficult to decode and comment on. The two logical levels in human communication are usually verbal and non-verbal behavior, where the non-verbal behavior is the context for the verbal. For example (from p.83) “A says, ‘I hate you,’ and smiles.” If A had said “I hate you” with an angry look on their face, that would be congruent, but what does “I hate you” mean in the context of a smile? This is more confusing than the simple contradiction, both because it is more difficult to track the two levels of communication simultaneously, and because we have unspoken social norms against commenting about how someone is speaking. Consequently, it takes more awareness and bravery to question the speaker’s intent when they present you with this kind of contradictory communication. (Satir calls paradoxical communication “incongruent communication.”) Being able to metacommunicate, or comment on the communication going on, is the major tool of the psychotherapist. We don’t usually know it, but this skill is the main thing we go to therapists for.

The double bind: The double bind is a special kind of paradoxical communication that was first laid out in Watzlawick and colleagues’ Pragmatics of Human Communication. A double bind is a paradox with two additional rules, giving four total requirements:

1) A verbal statement

2) A contradictory non-verbal context

3) A rule that you are not allowed to metacommunicate

4) A rule that you are not allowed to leave the field

This happens to people all the time. Children, especially, mercilessly, unconsciously, are put in this position a lot because they are not in a position to leave their parents “field.” They are completely subject to their parents on every level.

Here’s an example: A parent, obviously stressed out, tense, and in pain for whatever reason, says to their child, “I love you.” This puts the child into a double bind, because the statement is contradicted by the “I don’t love you” expressed by the parents’ body language and facial expression. That’s 1) and 2). Third is that the child can’t comment on the contradiction because they don’t have the tools, and even if they did, and said something like, “Mom, I hear you saying that you love me but it doesn’t really seem like you love me right now. It seems like you’re having other feelings,” the child would almost certainly be punished in some way for being insubordinate, for questioning the parent’s love, for questioning the parent’s word, for making the parent feel uncomfortable. Fourth is that the child is not allowed to leave the field. That is, even if they had the communication tools, the awareness, and the bravery, they have no where else to go if they are rejected by the parent. Their lives are dependent on the love and support of the parent. They are stuck in the field. To cope, they “learn” one or both of the following:

I am not lovable. My parent knows this, and I have figured it out, but at least they are pretending that they love me, which keeps me alive, so I’ll go along with the pretense that they love me.

I may be lovable, but love feels awful. Still, it’s the best thing available.

Then the child grows up and, having their own children, perpetuate the process, being a pretending-to-be-lovable parent with awful-feeling love to give to the next generation. Not only that, but they develop adaptations to this way of living that look like DSM-diagnosable Mental Disorder conditions.

Metacommunication and congruent communication: Notice that metacommunication is the key out of all of these situations. In the case of a true double bind, you might need the help of someone else’s (a therapist’s or friend’s) metacommunication, but metacommunication is still the key. Someone needs to stand up and say, “I’m confused! Can we slow down here and talk about what we’re talking about? What can you say to me right now that your body language and facial expression will agree with?”

Schizophrenia is a fascinating set of phenomena, the study of which has launched a thousand ships including, arguably, my field, family therapy; many of the original family therapists left psychiatry to study schizophrenia (or, as the DSM would have me write it, Schizophrenia–capitalizing words gives them more authority, don’t you think?) as an interactive process. That is, if all behaviors make sense in their context, what context might make schizophrenic behavior necessary?

There was an almost violent backlash against this line of thinking, as it seemed to (and did, in many cases) blame mothers for their schizophrenic children–as in the unfortunate phrase “schizophrenogenic mother.” The conventional wisdom about schizophrenia these days reads like a pharmaceutical company press release, something like, “Schizophrenia is a biological disease of the brain which is at present incurable, but there are drugs which can help manage the symptoms, and if taken regularly can provide a decent quality of life.”

So schizophrenia is assumed to be a biological disease of the brain though it, like every other Mental Disorder, has no laboratory test that can detect its presence. The best we can do is a set of behavioral diagnostic criteria which, frankly, are a bit of a mess. You may notice as you read that different flavors of schizophrenia may have nothing or little in common with each other. Are they really the same “disease”? We don’t know.

We do have good evidence that you can inherit, in some fashion, a tendency for one of these constellations of behaviors. There is good evidence that environmental factors are also important, though they are not a big part of the mainstream discussion. We also have evidence that therapy helps in a lot of cases. There is some (hotly contested, I’m sure) evidence from the World Health Organization that unmedicated schizophrenics can eventually recover while those on medication do not. Here is a trailer for a moving documentary about two recovered women and the public perception of schizophrenia, called Take These Broken Wings. Also, consider checking out the documentary A Brilliant Madness, about John Nash, in which puts the lie to A Brilliant Mind, which showed Nash recovering with the help of psychopharmaceuticals.

The DSM says that schizophrenia may be overdiagnosed (or at least is diagnosed more often) in African- and Asian-American men, that it affects men differently than women (men tend towards the negative symptoms were women tend towards delusions and hallucinations), and that incidence rates are something like .5-1.5% of adults.

Here are a few terms that you’ll need to know to get through the criteria:

affective flattening: does not show emotion. Also, “affect” means “emotion” to scientists and people who like to talk like scientists.

alogia: lack of speech.

avolition: lack of motivation.

prodromal: symptoms coming early on in the course of a disease.

echolalia: repetition of others’ speech sounds.

echopraxia: repetition of others’ movements

And here are the diagnostic criteria, word-for-word, from the DSM-IV-TR, pp. 312-319:

Diagnostic criteria for Schizophrenia

A. Characteristic symptoms: Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated):

(1) delusions

(2) hallucinations

(3) disorganized speech (e.g. frequent derailment or incoherence)

(4) grossly disorganized or catatonic behavior

(5) negative symptoms, i.e., affective flattening, alogia, or avolition

Note: Only one Criterion A symptom is required if delusions are bizarre or hallucinations consist of a voice keeping up a running commentary on the person’s behavior or thoughts, or two or more voices conversing with each other.

B. Social/occupational dysfunction: For a significatn portion of the time since th onset of the distrubance, one or more major areas of functioning such as work, interpersonal relations, or self-care are mardekly below the level achieved prior to the onset (or when the onset is in childhood or adolewscence, faliure to achieve expected level of interpersonal, academic, or occupational achievement).

C. Duration: Continuou signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active-phase symptoms) and may include periods of prodromal or residual symptoms. Doring these prodromal or residual periods, the signs of the ditrubance may be manifested by only negative symptoms or two or more symptoms listen in Criterion A pressent in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).

D. Schizoaffective and Mood Disorder exclusion: Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive, Manic, or Mixed Episodes have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods.

E. Substance/general medical condition exclusion: The disturbance is not due to the direct physiological effects of a substance (e.g. a drug of abuse, a medication) or a general medical condition.

F. Relationship to a Pervasive Developmental Disorder: If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated).

Classification of longitudinal course (can be applied only after at least 1 year has elapsed since the initial onset of active-phase symptoms):

Episodic With Interepisode Residual Symptoms (episodes are difined by the reemergence of prominent psychotic symptoms); also specify if: With Prominent Negative Symptoms

Episodic With No Interepisode Residual Symptoms

Continuous (prominent psychotic symptoms are present throughout the period of observation); also specify if: With Prominent Negative Symptoms

Single Episode In Partial Remission; also specify if: With Prominent Negative Symptoms

Single Episode In Full Remission

Other or Unspecified Pattern

Diagnostic criteria for 295.30 Paranoid Type

A type of Schizophrenia in which the following criteria are met:

A. Preoccupation with one or more delusions or frequent auditory hallucinations.

B. None of the following is prominent: disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect.

Diagnostic criteria for 295.10 Disorganized Type

A type of Schizophrenia in which the following criteria are met:

A. All of the following are prominent:

(1) disorganized speech

(2) disorganized behavior

(3) flat or inappropriate affect

B. The criteria are not met for Catatonic Type.

Diagnostic criteria for 295.20 Catatonic Type

A type of Schizophrenia in which the clinical picture is dominated by at least two of the following:

(1) motoric immobility as evidenced by catalepsy (including waxy flexibility) or stupor

(2) excessive motor activity (that is apparently purposeless and not influenced by external stimuli

(3) extreme negativism (an apparently motiveless resistance to all instructions or maintenance of a rigid posture against attempts to be moved) or mutism

(4) peculiarities of voluntary movement as evidenced by posturing (voluntary assumptions of inappropriate or bizarre postures), stereotyped movements, prominent mannerisms, or prominent grimacing

(5) echolalia or echopraxia

Diagnostic criteria for 295.90 Undifferentiated Type

A type of Schizophrenia in which symptoms that meet Criterion A are present, but the criteria are not met for the Paranoid, Disorganized, or Catatonic Type.

Diagnostic criteria for 295.60 Residual Type

A type of Schizophrenia in which the following criteria are met:

A. Absence of prominent delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.

B. There is continuing evidence of the disturbance, as indicated by the presence of negative symptoms or two or more symptoms listed in Criterion A for Schizophrenia, present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences).

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