In In Defense of Food, Michael Pollan recommends eating a variety of species. It’s not one of his banner recommendations, which are 1. Eat food (would your great-grandparents recognize it as food?), 2. Not too much, 3. Mostly vegetables. (And I think he later added 4. Nothing that gets advertised.) His sub-banner recommendations are things like eat from an old cuisine and eat a variety of species.

I thought it would be fun to count the species I eat for a period of time, and do-able because since I rarely buy prepared food, I know what’s in everything I eat. I just carried a 3×5 card with me for five days and wrote things down as I ate them. It was fun. It got me a good compliment and gave me an outlandish truth for “two truths and a lie,” which was the check-in for my Crisis Center meeting this week.

It was interesting, too. When I think about food variety, I usually think about a variety of meals, or maybe stealing a meal from a different cuisine than usual, not number of species. The species  really added up fast. I had 58 at the end of day two. I did not go out of my way to make my list longer, either. Note that I have not thoroughly researched this list–I just wrote things down as I ate them. I am not well-schooled in which plants are different species and which are just different cultivars. I discovered, for example, in On Food and Cooking (a wonderful book, if you haven’t seen it), that two plants I wrote down, garnet yam and jewel yam, are not different species, and are not even really yams. They are kinds of sweet potato. They will appear below as “sweet potato” but other, similar instances have probably eluded me. It’s the end of my term and I’m too busy to look them all up. Please correct me if you catch anything!

alfalfa

apple

arugula

asparagus

avocado

banana

barley

basil

bay

bean, black

beets (root & greens)

bell pepper

blueberry

broccoli

buckwheat

cabbage, red

cacao

carrot

celery

chard

chicken (egg)

chive

cinnamon

corn

cow (meat, milk)

dill

eggplant

endive, Frisee

fennel

garbanzo bean

garlic

ginger

goat (milk)

grape, Sultana

grape, wine

herring

honey bee (honey)

kelp

kiwi

kumquat

lavender

lemon

lentil (Red Chief)

lettuce (Boston, red leaf, sentry)

mango

marjoram

mint

mushroom, common

nutritional yeast

oat

olive (fruit, oil)

onion, yellow

orange

oregano

oyster

parsley

peanut

pepper

pig

pineapple

pistachio

plum

potato, red

quinoa

raspberry

rice

rosemary

sage

salmon

sesame

sheep (meat)

soy

spinach

squash (summer, zuchini)

strawberry

sugar

summer savory

sweet potato (jewel, garnet)

tea

thyme

tomato

turmeric

walnut

wheat

I just had my last Medical Family Therapy lecture. It was on eating disorders. My professor, Deanna Linville, is a specialist. One of the questions she recommended asking clients dealing with eating disorders was “What’s a good food day for you?” Also, “What’s a bad food day?”

I think those are good questions for anyone. Here are my answers:

A good food day is when I eat plenty and take the time to really enjoy the food. It usually means I’ve eaten real meals, not just snacked through the day. It means I wait long enough to feel hungry and then eat enough to feel full. It means I haven’t fixated on any food to the point where I ate it until I didn’t feel good.

A bad food day usually means I didn’t eat enough, or enough variety, usually because I let myself get too busy. It’s easy to eat nuts and raisins instead of a meal, or sometimes just forget to eat a meal, and I always regret it. I get weak, irritable, and stupid. If I eat too much on a bad food day, it’s most often because I fixated on a food (usually sugar, sometimes bread and/or cheese, occasionally meat at a BBQ or something) and ate it until I was uncomfortable. Sometimes it’s because I didn’t space my meals out enough and piled new food on top of old. Sometimes it’s a bad food combination, at a potluck or something, that gets me feeling uncomfortable. A random, moldy raisin made yesterday a bad food day.

How about you?

My friend Jeannie posted about the band OK Go a while ago, but I my internet was down at the time (thanks, Qwest) so didn’t watch the video she embedded. It took me until hearing about them on NPR (here’s the story) to look them up again. They have ditched their label (EMI/Capitol) in favor of independent internet distribution–a very cool business model for bands who are well known enough to get away with it. And others, too, who have the ambition, stamina, and talent to get to a high level of recognition on their own. OK Go is clearly set. They write good, catchy tunes, and their videos range from very good to amazing and get viewed many millions of times each, on Youtube. They tend to use a single, long shot to catch an elaborate, surprising sequence. I’ll put in three below. Two are for the same song. The first is the EMI version, and the second, with the Rube Goldberg machine, is their independent version, financed by State Farm. It took 60 takes to get, and they only counted a take if they got past the dominoes and ball-bearings-on-the-tabletop sequences, which they called “very flakey.” It sounds like they recorded different versions of the song (“This Too Shall Pass”) for the videos, too.

Oh, right. The NPR story was partly about how EMI is not letting anyone embed their version of the video… Well, you can still use this attempt to embed as a link to the video on Youtube:

Rube Goldberg version:

The Treadmill video, also financed by EMI, so you’ll have to use the link:

I’m keeping track of what species I’m eating this week, for a blog post. Michael Pollan says in In Defense of Food that it’s probably a good idea to eat a large variety of species. So I thought I’d keep track and see.

Tonight I ate dinner as I often do with my friend Seth Rydmark. He lives in a Christian dormitory that offers free dinners to guests of dormees. It’s a nice bunch of kids. (And beautiful singers–ever notice that Christians can mostly sing? They know the harmonies for “Happy Birthday”–stuff like that.) Seth and I get geeky about psychology (and sometimes theology) and are usually by far the last to leave the table, deep in some obscure conversation. Tonight, the salad was made of one of those baby-green mixes and I was trying to identify the species. I asked Seth if he knew the name of that pale, frizzy stuff. He said no and asked the girl next to him, and explained my project. She said, “Why would anyone want to do that?”

Seth said, “Well, you know, whatever there is in life, there’s a nerd for that. And Nathen is a nerd’s nerd.”

I’ve been working my whole life to deserve a compliment like that!

And by the way, does anyone out there know the name of that pale, frizzy salad green?

I listened to the new seminar from The Long Now Foundation today, by Beth Noveck. (You should listen to the Long Now Seminars, too, by the way. They are a series of great lectures by really smart people applying long-term thinking to their area of expertise. Find them here.) She is Obama’s Deputy Chief Technology Officer for Open Government. Her lecture is called “Transparent Government.” It’s not nearly the best of the series, but I was interested in what she was saying about what some private companies are doing with the data that is now available about the operations of the government. She talked about Sunlight Foundation‘s coverage of the health care summit, how as each politician spoke, you could see who donated how much to their campaigns. I imagined video of the speakers, with subtitles laying out the relevant campaign contributions floating in front of their faces. I checked it out and it wasn’t like that. It was more like a chat that happened at the same time as the summit. Pretty cool, but probably too much work to catch on with the public.

But why can’t we have what I imagined? It seems like it could be automated. The data is available. We have face-recognition programs and voice-recognition programs. I wonder how it would change things if there was a cheap app that effortlessly outed any politician in real time like that, if a senator speaking about health care reform could be seen as a mouthpiece for insurance companies, based on the actual amount of money they’ve received. It would make politics more entertaining to watch, at the least. And probably creepier, too, but I am willing to make that trade-off.

Here’s part 5 of the stuff I learned in my undergrad in psychology that I thought should have been headlines. If you missed them, here are part 1, part 2, part 3, & part 4. As always, if you are interested or skeptical, leave me a comment and I’ll give you my sources.

If You Punish Your Kids, Use the Mildest Effective Punishment: Do the mildest thing you can that stops the behavior you don’t want. The reason is that a punishment that is harsher than necessary takes the child’s initiative for stopping the behavior out of the picture. If you say “Hey, don’t do that,” and the child responds, they come to think that they didn’t really want to do that thing anyway, since such a mild rebuke got them to stop. Psychologists call these principles “insufficient punishment” and “self-persuasion.” These are research findings, not just speculation. If you sit on and beat your child to get them to stop doing something (as suggested by Mike & Debi Pearl), they will believe something more like “That activity was so great that I’ve only stopped because of that horrible punishment.” In other words, the form of the punishment affects the identity of the child–do they behave well because they think of themselves as well-behaved, or do they behave well only because they fear punishment?

You May Want Your Kids To Be Less Blindly Obedient Than Most People: One of the most famous psychological experiments of all time found that most people risked killing someone they barely knew, given an institutional setting and an authority telling them to do it. The Nazis were mostly not evil, just obedient, like most of us.

Humans Can Be Conformist to the Point of Doubting Their Own Senses:

Each Ethical Decision You Make Affects Your Future Ethical Decisions and Your Identity: If you, say, decide to cheat on a test, you will be more likely to cheat on tests in the future, think of yourself as someone who cheats on tests, and form permissive attitudes about cheating. The opposite is true if you decide not to cheat on a test.

Complement Your Kids For the How Hard They Work, Not How Smart They Are: Getting attention for being smart tends to make kids want to appear smart, which makes them choose easier challenges and lighter competition; it’s the success that matters. Getting attention for hard work does the opposite. This means that these kids will end up smarter than the kids who got attention for being smart.

Teach Your Kids to Think About Intelligence as a Fluid Property: That is, teach them that they can become more intelligent by trying. The more they believe it, the more it will be true for them.

If Your Kids Read, Don’t Reward Them For Reading: They will be more likely to stop, if you do, because they will start to think of reading as something they do to be rewarded, not because they like it. If they don’t read, reward them for reading. This goes for other activities, too.

Two of my good friends, Mo’ and Chad, have never met, even though I’ve known Chad for 33 years and Mo’ for 9. It’s geographical–Mo’ is part of my Oregon community and Chad is in southern California. It’s too bad because they’re both really funny and it would be great to get to watch them riff. Mo’, for example, early on, decided that Chad was my imaginary friend and made a lot of good fun of me: “Oh, riiight, Nathen– “Chad” climbed Mt. Whitney with you…” etc.

When Chad married another good friend of mine, Jeannie, a few years ago, Mo’ and his partner Vangie made this video for them. I’m not sure how funny it will be if you don’t know Mo’ or Chad, but if you’re reading this blog, you probably know one or both of them, and I think it’s just plain funny:

“I think the best function of funerals is served if it brings relatives and friends into the best possible functional contact with the harsh fact of death and with each other in this time of high emotionality. I believe that funerals were probably more effective when people died at home with the family present, and when the family and friends made the coffin and did the burial themselves. Society no longer permits this, but there are ways to bring about a reasonable level of contact with the dead body and the survivors.”

Murray Bowen, in Walsh & McGoldrick’s Living Beyond Loss: Death in the Family

The Diagnostic and Statistical Manual of Mental Disorders is revised every decade or so, and a revision is under way right now. Up until recently, there has been criticism that the proceedings were taking place in secret. This is not unusual, as I understand it, but it is significant for many people. Mental-health clinicians, for example, have to use the diagnostic categories in the DSM to label their clients, and if the categories and descriptions listed don’t coincide with their experiences or beliefs, this can be quite difficult. It is significant for mental-health clients, too, for complementary and even more personal reasons. What will happen to your diagnosis? In? Out? Changed? These decisions have a big impact on social issues, like stigma, and economic issues, like what insurance companies will pay for.

The DSM committee is proposing, for example, to subsume the diagnosis of Asperger’s Disorder into Autism Disorder. This seems to make a lot of sense, unless you or your child is benefiting from the existence of Asperger’s because of insurance company rules, state regulations, or other regulatory factors.

The content of the DSM is important to people for political reasons, too. For example, the third revision of the DSM eliminated homosexuality as a mental disorder. That was in 1973, for the DSM-III. (We’ve since had the DSM-III-R, DSM-IV, and DSM-IV-TR. They are currently working on the DSM-V.) It may be hard to believe that being gay was an official Mental Disorder, but it was. People were even lobotomized for it: Here, let me “help” you with that unnatural sexual attraction by forcing an icepick in over one of your eyes, through your skull, to twist it in your brain. The removal of homosexuality from the DSM was very controversial in its day, but no one credible is fighting for it to go back in.

That is to say, the DSM can reflect the changing mores of society, which in turn influences the way society sees mental health and illness. This process can effect the quality of a lot of our lives. And now the DSM committee has revealed the changes they are contemplating and is asking for feedback. This is from their website:

“Your input, whether you are a clinician, a researcher, an administrator, or a person/family member affected by a mental disorder, is important to us.  We thank you for taking part in this historic process and look forward to receiving your feedback.”

You almost certainly fall into one of those categories. Take part in this opportunity! Of course, our input being “important” to them does not mean they will pay attention to it, but it can’t hurt to try. The worst that can happen is that you will be better informed about your mental-health system. Here are the categories that they are considering changes in. Click on them to read the proposed changes. To submit feedback, you have to register with them, but it only takes a minute:

Structural, Cross-Cutting, and General Classification Issues for DSM-5
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
Delirium, Dementia, Amnestic, and Other Cognitive Disorders
Mental Disorders Due to a General Medical Condition Not Elsewhere Classified
Substance-Related Disorders
Schizophrenia and Other Psychotic Disorders
Mood Disorders
Anxiety Disorders
Somatoform Disorders
Factitious Disorders
Dissociative Disorders
Sexual and Gender Identity Disorders
Eating Disorders
Sleep Disorders
Impulse-Control Disorders Not Elsewhere Classified
Adjustment Disorders
Personality Disorders
Other Conditions that May Be the Focus of Clinical Attention

Psychology hit the actual headlines last week, with Sharon Begley’s “The Depressing News About Antidepressants” in Newsweek. The story is that, if you look at all the evidence, not just the “successful” trials, SSRIs like Prozac and Paxil do not work better than a placebo for mild and moderate depression. Begley also tells the story as if she’s sorry to break the news and spoil the placebo effect. Here’s my version of the headlines from this story:

Pharmaceutical Companies Have Known For At Least Ten Years That SSRIs Work No Better Than Placebos: At least, anyone there who understood statistics and paid any attention to their research.

The Idea That SSRIs Are Better Than Placebos Was Propagated By Publishing Only the “Successful” Trials: This, obviously, was quite unethical.

The FDA Almost Certainly Knew That SSRIs Were No Better Than Placebos, Too: They had all of the research. Perhaps they did not read it.

People Who Read Psych Journals Knew SSRIs Were No Better Than Placebos Two Years Ago: The news caused a stir in my undergrad psych lab in 2008.

We Do Not Know What Causes Depression: The idea that depression has to do with the neurotransmitter serotonin was based largely on the (incomplete) evidence that SSRIs (selective serotonin re-uptake inhibitors) cured depression. In fact, we have pretty limited knowledge of what goes on inside a living brain. In fact, we have no ethical way to measure how much serotonin or any other neurotransmitter is where inside anyone’s living brain, so when a doctor tells you something like, “You are depressed because you have overactive serotonin re-uptake mechanisms,” they are passing on speculation, not science.

If You Recovered From Mild to Moderate Depression While On An SSRI, It Was Probably Your Own Hope That Lifted You Out: The thing about placebos is that they work pretty well. If you benefited from the placebo effect, it was your own strength, your own hope, that made the difference. You overcame that challenge. I think that’s pretty cool.

While SSRIs Do Not Treat Depression Better Than Placebos, They Do Have Side Effects: Here’s a list from wikipedia: Decreased or absent libido, Impotence or reduced vaginal lubrication, Difficulty initiating or maintaining an erection or becoming aroused, Persistent genital arousal disorder despite absence of desire, Muted, delayed or absent orgasm (anorgasmia), Reduced or no experience of pleasure during orgasm (ejaculatory anhedonia), Premature ejaculation, Weakened penile, vaginal or clitoral sensitivity, Genital anesthesia, Loss or decreased response to sexual stimuli, Reduced semen volume, Priapism (persistent erectile state of the penis or clitoris)anhedonia, apathy, nausea/vomiting, drowsiness or somnolence, headache, bruxism (involuntarily clenching or grinding the teeth), extremely vivid and strange dreams, dizziness, fatigue, mydriasis (pupil dilation), urinary retention, changes in appetite, changes in sleep, weight loss/gain (measured by a change in bodyweight of 7 pounds), may result in a double risk of bone fractures and injuries, changes in sexual behaviour,increased feelings of depression and anxiety (which may sometimes provoke panic attacks), tremors (and other symptoms of Parkinsonism in vulnerable elderly patients), autonomic dysfunction including orthostatic hypotension, increased or reduced sweating, akathisia, liver or renal impairment, suicidal ideation (thoughts of suicide), photosensitivity (increased risk of sunburn), Paresthesia, Mania, hypomania, sexual dysfunction such as anorgasmia, erectile dysfunction, and diminished libido, a severe and even debilitating withdrawal syndrome, a slight increase in the risk of self-harm, suicidal ideation, and suicidality in children, neonatal complications such as neonatal abstinence syndrome (NAS) and persistent pulmonary hypertension, and platelet dysfunction.

Until Your Medicated Kids Are Old, We Will Not Know What All of the Side Effects of Treatment by SSRIs Are: This is true for any new drug, and it’s worth considering. If your child is on Prozac or other new drug, they are essentially part of a massive experimental trial.

Pharmaceutical Companies Pay for Psychiatric Educations: Why would it surprise anyone that treatment equals drugs in this case?

Most Antidepressant Prescriptions Written by Health Care Providers With No Significant Psychiatric Training: GPs, OBGYNs, pediatricians, etc account for 80% of SSRI prescriptions.