Peter H Brown Clinical Psychologist

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Contentment: Is Spare Time > Spare Stuff?

What is more desirable: too little or too much spare time on your hands? To be happy, somewhere in the middle, according to Chris Manolis and James Roberts from Xavier University in Cincinnati, OH and Baylor University in Waco, TX. Their work shows that materialistic young people with compulsive buying issues need just the right amount of spare time to feel happier. The study is published online in Springer’s journal Applied Research in Quality of Life.

We now live in a society where time is of the essence. The perception of a shortage of time, or time pressure, is linked to lower levels of happiness. At the same time, our consumer culture, characterized by materialism and compulsive buying, also has an effect on people’s happiness: the desire for materialistic possessions leads to lower life satisfaction.

Given the importance of time in contemporary life, Manolis and Roberts investigate, for the first time, the effect of perceived time affluence (the amount of spare time one perceives he or she has) on the consequences of materialistic values and compulsive buying for adolescent well-being.

A total of 1,329 adolescents from a public high school in a large metropolitan area of the Midwestern United States took part in the study. The researchers measured how much spare time the young people thought they had; the extent to which they held materialistic values and had compulsive buying tendencies; and their subjective well-being, or self-rated happiness.

Manolis and Roberts’ findings confirm that both materialism and compulsive buying have a negative impact on teenagers’ happiness. The more materialistic they are and the more they engage in compulsive buying, the lower their happiness levels.

In addition, time affluence moderates the negative consequences of both materialism and compulsive buying in this group. Specifically, moderate time affluence i.e. being neither too busy, nor having too much spare time, is linked to higher levels of happiness in materialistic teenagers and those who are compulsive buyers.

Those who suffer from time pressures and think materialistically and/or purchase compulsively feel less happy compared with their adolescent counterparts. Equally, having too much free time on their hands exacerbates the negative effects of material values and compulsive buying on adolescent happiness. The authors conclude: “Living with a sensible, balanced amount of free time promotes well-being not only directly, but also by helping to alleviate some of the negative side effects associated with living in our consumer-orientated society.”

Manolis C & Roberts JA (2011). Subjective well-being among adolescent consumers: the effects of materialism, compulsive buying, and time affluence. Applied Research in Quality of Life. DOI 10.1007/s11482-011-9155-5

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October 23, 2011 Posted by | Acceptance and Commitment Therapy, Age & Ageing, depression, Exercise, Health Psychology, Identity, mood, Positive Psychology, research, Resilience, stress | , , , , , , , , , , | Leave a comment

I Am Old But I Am Happy: Why Happiness And Emotional Stability Might Improve With Age

ScienceDaily (Oct. 28, 2010) — It’s a prediction often met with worry: In 20 years, there will be more Americans over 60 than under 15. Some fear that will mean an aging society with an increasing number of decrepit, impaired people and fewer youngsters to care for them while also keeping the country’s productivity going.

The concerns are valid, but a new Stanford study shows there’s a silver lining to the graying of our nation. As we grow older, we tend to become more emotionally stable. And that translates into longer, more productive lives that offer more benefits than problems, said Laura Carstensen, the study’s lead author.

“As people age, they’re more emotionally balanced and better able to solve highly emotional problems,” said Carstensen, a psychology professor and director of the Stanford Center on Longevity. “We may be seeing a larger group of people who can get along with a greater number of people. They care more and are more compassionate about problems, and that may lead to a more stable world.”

Between 1993 and 2005, Carstensen and her colleagues tracked about 180 Americans between the ages of 18 and 94. Over the years, some participants died and others aged out of the younger groups, so additional participants were included.

For one week every five years, the study participants carried pagers and were required to immediately respond to a series of questions whenever the devices buzzed. The periodic quizzes were intended to chart how happy, satisfied and comfortable they were at any given time.

Carstensen’s study — which was published online in the journal Psychology and Aging — was coauthored by postdoctoral fellows Bulent Turan and Susanne Scheibe as well as Stanford doctoral students and researchers at Pennsylvania State, Northwestern, the University of Virginia and the University of California’s campuses in San Francisco and Los Angeles.

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While previous research has established a correlation between aging and happiness, Carstensen’s study is the first to track the same people over a long period of time to examine how they changed.

The undertaking was an effort to answer questions asked over and over again by social scientists: Are seniors today who say they’re happy simply part of a socioeconomic era that predisposed them to good cheer? Or do most people — whether born and reared in boom times or busts — have it within themselves to reach their golden years with a smile? The answer has important implications for future aging societies.

“Our findings suggest that it doesn’t matter when you were born,” Carstensen said. “In general, people get happier as they get older.”

Over the years, the older subjects reported having fewer negative emotions and more positive ones compared with their younger days. But even with the good outweighing the bad, older people were inclined to report a mix of positive and negative emotions more often than younger test subjects.

“As people get older, they’re more aware of mortality,” Carstensen said. “So when they see or experience moments of wonderful things, that often comes with the realization that life is fragile and will come to an end. But that’s a good thing. It’s a signal of strong emotional health and balance.”

Carstensen (who is 56 and says she’s happier now than she was a few decades ago) attributes the change in older people to her theory of “socio-emotional selectivity” — a scientific way of saying that people invest in what’s most important to them when time is limited.

While teenagers and young adults experience more frustration, anxiety and disappointment over things like test scores, career goals and finding a soul mate, older people typically have made their peace with life’s accomplishments and failures. In other words, they have less ambiguity to stress about.

“This all suggests that as our society is aging, we will have a greater resource,” Carstensen said. “If people become more even-keeled as they age, older societies could be wiser and kinder societies.”

So what, then, do we make of the “grumpy old man” stereotype?

“Most of the grumpy old men out there are grumpy young men who grew old,” Carstensen said. “Aging isn’t going to turn someone grumpy into someone who’s happy-go-lucky. But most people will gradually feel better as they grow older.”

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November 4, 2010 Posted by | Age & Ageing, Identity, mood, Resilience | , , , , , , , , , , , | 2 Comments

Bucket List Or Boredom?: Building Your “Experience Resume”

If sleeping on a bed of ice or eating bacon-flavored ice cream doesn’t sound too appealing, consider the tale you’ll have to tell about it later. According to a new study in the Journal of Consumer Research, some people can’t resist a chance to collect experiences.

“Recent marketing trends suggest that many consumers are attracted to unusual and novel consumption experiences and choose vacations, leisure activities, and celebrations that are predicted to be less pleasurable and enjoyable,” write authors Anat Keinan (Harvard Business School) and Ran Kivetz (Columbia Business School).

“A fascinating example is the increasing popularity of Ice Hotels, where visitors sleep on beds made of ice in frigid temperatures of 25° F. A similar trend is observed in consumers’ dining preferences: many restaurants are trying to attract consumers by offering unusual entrees and desserts. Such gastronomic innovations include tequila-mustard sorbet, bacon-flavored ice cream, and chocolate truffles with vinegar and anchovies.”

Consumers are attracted to these activities and products because they view them as opportunities to collect new experiences and build their “experiential CV,” the authors write. And this desire is connected to people’s continual striving to use time efficiently and productively.

“This desire to accomplish more in less time is so powerful that it not only affects consumers’ performance in vocational (or “production”) settings, but can also influence their leisure preferences and consumption choices,” the authors write.

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In a series of experiments, the researchers found that a “productivity orientation” made participants more inclined to desire collectible experiences. They examined revelers celebrating New Year’s Eve in New York City’s Times Square, AARP members attending conferences on retirement and aging, park visitors, train and airport travelers, and people who are trying to visit all 50 states.

“Our findings suggest that marketers of unusual consumption experiences and innovative products should target consumers who are concerned with being productive (and collecting experiences),” the authors write.
Anat Keinan and Ran Kivetz. “Productivity Orientation and the Consumption of
Collectable Experiences.” Journal of Consumer Research. Contact
JCR@bus.wisc.edu to receive a preprint of this study. See http://ejcr.org for
further information.
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October 21, 2010 Posted by | Age & Ageing, Cognition, Health Psychology, Identity, mood | , , , , , , , , , , , , | 2 Comments

Do Big People Need “Blankies” Too ?

Who is willing to admit that they still have what some psychological theories call a “transitional object“. Think it over after reading this and you will probably  be surprised…

Source: Stephanie Pappas, LiveScience Senior Writer

When Kaitlin Lipe was 6 months old, someone gave her a Puffalump. The stuffed pink cow is more than two decades old now, but Lipe, 24, a social media manager in New York, can’t part with Puff. She gets comfort wrapping her arms around the childhood toy without all the meowing that comes from her real cat or the sassy comments she might get from her boyfriend.

“She is a reminder of my childhood, has always been a comfort to me, and is in every way a symbol for the happier times in life,” Lipe told LiveScience.

Lipe isn’t alone in her affection for what psychologists call a “security” or “transitional” object. These are objects that people feel a bond with, despite the fact that the relationship is, by definition, one-sided.

And while it may not be the social norm for grown-ups to lug around teddy bears, adults regularly become attached to inanimate objects in a manner similar to a child’s grip on a security blanket, researchers say.

Plush security

There are no precise numbers on how many people carry a love for their childhood blankie into adulthood, but a survey of 6,000 British adults by the hotel chain Travelodge in August found that 35 percent admitted to sleeping with stuffed animals.

The survey is perhaps not the most scientific, but the phenomenon of adults with security objects is “a lot more common than people realize,” University of Bristol psychologist Bruce Hood told LiveScience. Hood has studied people’s sentimental attachments to objects, and he said the studies never lack for participants.

“We’ve had no problem finding adults, especially females, who have their child sentimental objects with them,” Hood said.

A 1979 study by psychologist and security object expert Richard Passman, now retired from the University of Wisconsin at Milwaukee, found that around 60 percent of kids are attached to a toy, blanket, or pacifier during the first three years of life. Until kids reach school age, there is no gender difference in attachment, but girls tend to pull ahead around age 5 or 6, probably because of social pressure on boys to put away soft toys, Hood said.

Until the 1970s, psychologists believed that these attachments were bad, reflecting a failing by the child’s mother.

But research by Passman and others began to contradict that notion. One study published in the Journal of Consulting and Clinical Psychology in 2000, for example, found that kids who had their beloved blankets with them at the doctor’s office experienced less distress, as measured by blood pressure and heart rate. Apparently, security blankets really do live up to their name.

Even as the need for a security object fades, the attachment may linger. One small study of 230 middle-school students, published in the Journal of the American Academy of Child Psychiatry in 1986, found that while 21 percent of girls and 12 percent of boys still used their security object at age 13 or 14, 73 percent of the girls and 45 percent of the boys still knew where the object was.

The essence of an object

 

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So why might grown-ups harbor affection for a ratty old blanket or well-worn stuffed dog? Part of the reason is probably nostalgia, Hood said, but there seems to be a deep emotional attachment to the objects as well.

It’s called “essentialism,” or the idea that objects are more than just their physical properties.

Consider: If someone offered to replace a cherished item, like your wedding ring, with an exact, indistinguishable replica, would you accept? Most people refuse, Hood said, because they believe there is something special about their particular ring. It’s the same reason we might feel revulsion at wearing a shirt owned by a murderer. Objects are emotional.

Belief in essentialism starts early. In a 2007 study published in the journal Cognition, Hood and his colleagues told 3– to 6-year-old children that they could put their toys in a “copy box” that would exchange them for duplicates. The kids didn’t care whether they played with originals or duplicates of most toys, but when offered the chance to duplicate their most cherished item, 25 percent refused. Most of those who did agree to duplicate their beloved toy wanted the original back right away, Hood reported. The kids had an emotional connection to that blanket, or that teddy bear, not one that looked just like it.

Even in adulthood, those emotions don’t fade. In a study published in August 2010 in the Journal of Cognition and Culture, Hood and his fellow researchers asked people to cut up photographs of a cherished item. While the participants cut, the researchers recorded their galvanic skin response, a measure of tiny changes in sweat production on the skin. The more sweat, the more agitated the person.

The results showed that participants had a significant stress response to cutting up pictures of their beloved item compared with cutting up a picture of a valuable or neutral item. People even became distressed when researchers had them cut up a picture of their cherished item that was blurred past recognition.

Mine, mine, mine

Researchers know little about what’s going on in the brain to bond us to certain objects. Hood is now using brain imaging to investigate what goes on when people watch videos of what looks like their cherished objects being destroyed.

However, studies on marketing and purchasing decisions suggest that our tendency to love objects goes beyond the soft and cuddly. [World’s Cutest Baby Animals]

A 2008 study in the Journal of Judgment and Decision Making revealed that people who held onto a mug for 30 seconds before bidding for it in an auction offered an average of 83 cents more for it than people who held the mug for 10 seconds.

The effect is even greater when the item is fun to touch, said Suzanne Shu, a professor of behavioral sciences in the school of management at the University of California, Los Angeles. She’s done studies finding that people get more attached to a pen with a “nice, smooshy grip” than an identical, gripless pen.

The findings seem to be an extension of what’s called the “endowment effect,” or people’s tendency to value things more when they feel ownership over it, Shu said.

“Part of the story of what happens with touch is it almost becomes an extension of yourself,” she said. “You feel like it’s more a part of you, and you just have this deeper attachment to it.”

Whether this touch-based attachment might relate to the love people feel for snuggly childhood teddy bears, no one yet knows. But human relationships to objects can certainly be long-running and deep.

“She’s been there for me when I’ve been sick, when I’ve been lonely and when I really needed a hug and no one was around,” Lipe said of her stuffed cow, citing the characters from Pixar’s Toy Story movies: “She’s the Woody and Buzz to my adulthood, really, a reminder of my past and definitely a connection to my family.”
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October 17, 2010 Posted by | Age & Ageing, anxiety, brain, Identity, Resilience, stress | , , , , , , , , , , , | 3 Comments

Be Active, Sleep Better! Aerobic Exercise Helps Beat Insomnia

Source: ScienceDaily (Sep. 15, 2010) — The millions of middle-aged and older adults who suffer from insomnia have a new drug-free prescription for a more restful night’s sleep. Regular aerobic exercise improves the quality of sleep, mood and vitality, according to a small but significant new study from Northwestern Medicine.

The study is the first to examine the effect of aerobic exercise on middle-aged and older adults with a diagnosis of insomnia. About 50 percent of people in these age groups complain of chronic insomnia symptoms.

The aerobic exercise trial resulted in the most dramatic improvement in patients’ reported quality of sleep, including sleep duration, compared to any other non-pharmacological intervention.

“This is relevant to a huge portion of the population,” said Phyllis Zee, M.D., director of the Sleep Disorders Center at Northwestern Medicine and senior author of a paper to be published in the October issue of Sleep Medicine. The lead author is Kathryn Reid, research assistant professor at Feinberg.

“Insomnia increases with age,” Zee said. “Around middle age, sleep begins to change dramatically. It is essential that we identify behavioral ways to improve sleep. Now we have promising results showing aerobic exercise is a simple strategy to help people sleep better and feel more vigorous.”

The drug-free strategy also is desirable, because it eliminates the potential of a sleeping medication interacting with other drugs a person may be taking, Reid said.

Sleep is an essential part of a healthy lifestyle, like nutrition and exercise, noted Zee, a professor of neurology, neurobiology, and physiology at Northwestern University Feinberg School of Medicine and a physician at Northwestern Memorial Hospital.

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“By improving a person’s sleep, you can improve their physical and mental health,” Zee said. “Sleep is a barometer of health, like someone’s temperature. It should be the fifth vital sign. If a person says he or she isn’t sleeping well, we know they are more likely to be in poor health with problems managing their hypertension or diabetes.” The study included 23 sedentary adults, primarily women, 55 and older who had difficulty falling sleep and/or staying asleep and impaired daytime functioning. Women have the highest prevalence of insomnia. After a conditioning period, the aerobic physical activity group exercised for two 20-minute sessions four times per week or one 30-to-40-minute session four times per week, both for 16 weeks. Participants worked at 75 percent of their maximum heart rate on at least two activities including walking or using a stationary bicycle or treadmill. Participants in the non-physical activity group participated in recreational or educational activities, such as a cooking class or a museum lecture, which met for about 45 minutes three to five times per week for 16 weeks. Both groups received education about good sleep hygiene, which includes sleeping in a cool, dark and quiet room, going to bed the same time every night and not staying in bed too long, if you can’t fall asleep. Exercise improved the participants’ self-reported sleep quality, elevating them from a diagnosis of poor sleeper to good sleeper. They also reported fewer depressive symptoms, more vitality and less daytime sleepiness. “Better sleep gave them pep, that magical ingredient that makes you want to get up and get out into the world to do things,” Reid said. The participants’ scores on the Pittsburgh Sleep Quality Index dropped an average of 4.8 points. (A higher score indicates worse sleep.) In a prior study using t’ai chi as a sleep intervention, for example, participants’ average scores dropped 1.8 points. “Exercise is good for metabolism, weight management and cardiovascular health and now it’s good for sleep,” Zee said. The research was funded by the National Institute on Aging

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September 16, 2010 Posted by | Age & Ageing, Health Psychology, Resources | , , , , , , , | 4 Comments

Sleep Well: Why You Need To Fight For Good Sleep

A collection of studies published last Wednesday in the journal Sleep tackled some important questions: What are the health effects of not getting enough sleep? How does sleep deprivation affect teens? Does insomnia have long-term consequences?

Credit: Time Magazine

Given that past research has shown that short sleepers (and unusually long sleepers) die younger than people who get 6.5 to 7.5 hours per night, a new Penn State study looked at the impact of insomnia on mortality. The consequences could be dire: the study of 1,741 men and women in Pennsylvania found that insomniac men who slept less than 6 hours per day were four times more likely to die than those who got a full night’s rest. The study even adjusted for other medical conditions that affect sleep (and death rates), such as obesity, alcohol and depression. Of note, sleep deprivation did not affect women’s mortality.

In another study in Sleep, University of Sydney researchers focused on adolescents and young adults who weren’t getting enough sleep — an increasingly common problem among the digital generation, who stays up late plugged into their computers and smart phones. Turns out, burning the midnight oil can have long-term consequences. Researchers found that for each hour of lost sleep, levels of psychological distress rose by 5% in nearly 3,000 17-to-24-year-olds who were followed for 12 to 18 months. Overall, short sleepers were 14% more likely to report symptoms of psychological distress on a standard test, compared with people who got adequate sleep. The effect was especially pronounced among young people who already suffered from anxiety; in this group, lack of sleep triggered more serious mental health problems like full-blown depression and even bipolar disorder, according to the study’s lead author, Professor Nick Glozier. But even among those who began the study in good health, less than five hours of sleep meant tripling their odds of psychological distress.

A third Sleep study this week found that teens who didn’t get enough z’s consumed more calories than their well-rested peers. The study of 240 adolescents, average age 18, revealed that teenagers who slept less than 8 hours a night on weeknights ate 2% more calories from fat per day and 3% more calories from carbs than teens who slept longer. They also tended to get their calories from snacks instead of healthful meals. Cumulatively, this behavior increases the risk of obesity and, in turn, the chances of developing cardiovascular disease later in life.

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The American Academy of Sleep Medicine suggests that adults get an average of seven to eight hours of sleep per night, while the National Sleep Foundation recommends that adolescents need at least 8.5 hours, though only 15% of them get enough.

“Sleep disorders are common in the general population and even more so in clinical practice, yet are relatively poorly understood by doctors and other health care practitioners,” wrote Sue Wilson, the lead author of new guidelines published today by the British Association of Psychopharmacology to help doctors treat insomnia and other sleep disorders. Her advice: get a diagnosis from a sleep specialist for patients, then try behavioral therapy to improve their sleep before jumping to prescription medication. Most of all, pay attention to who you are treating: postmenopausal women might need hormone therapy, small children with ADHD might require melatonin treatment.

And if you suffer from disordered sleep patterns, consider these tips from the National Sleep Foundation:

Avoid caffeine. Tea, coffee, soda and energy drinks can keep you awake for up to 12 hours. Instead, when your mid-afternoon slump hits, try an energizing snack like nuts or yogurt.

Nest. Make your bed as comfortable as possible. Keep your sleep environment dark, cool and work-free.

Establish a routine. About an hour before bedtime, start a nightly relaxation routine that can include reading, taking a bath or anything else that soothes you. Complete all exercise at least three hours before bedtime. Don’t look at screens before you go to sleep, which can stimulate your brain.

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September 7, 2010 Posted by | Adolescence, Age & Ageing, anxiety, Cognition, Exercise, Health Psychology, research | , , | 3 Comments

Mothers’ Day: Coping With Grief & Loss

Credit: Kelly Brewington, The Baltimore Sun

It had been nearly 40 years since Linn Holt lost her mother, but some days, the pain was as unbearable as the day she died. Family gatherings were heartbreaking, Mother’s Days were miserable. And on every anniversary of her mother’s death, Holt would stay home in bed, hibernating from the world, swelling with grief.

It wasn’t normal, she thought. She needed help.

Three years ago, Holt attended a seminar on Mother’s Day weekend for people struggling with the loss of their mothers. She realized she wasn’t alone.

For more than a decade, the workshop at the Stella Maris Center for Grief and Loss in Timonium has been helping people confront and cope with the loss of their mothers during a trying time of year. From faith services honoring mothers to the endless loop of TV ads pushing “that special gift for Mom,” it’s a day most people can’t avoid if they tried.

Instead of trying to escape it, workshops like the one at Stella Maris encourage people to embrace the day as a way to honor and celebrate their mothers’ memories.

“We hope they can begin to face Mother’s Day head on and find that it can be joyful; it can be a day to honor with love,” said Doreen Horan, manager of bereavement services at Stella Maris, who has led the workshop for six years.

It doesn’t matter whether it’s the first Mother’s Day since a mother died or the 40th; there is no expiration date on grief, say grief counselors.

“People tend to think you get through all the first anniversaries and you’re healed,” said Robin Stocksdale, bereavement services manager at Gilchrist Hospice Care. “But anything can kick up those memories and those feelings. It does tend to get a little easier with time, but you don’t get over it. You learn to get through it.”

Holt, 58, of Baltimore, was 15 when her mother died of Hodgkin’s disease. As the only daughter left at home, Holt inherited the cooking, cleaning and responsibilities of caring for the household. Her father shut down emotionally, and her brother was just 7 years old. Holt had to stay strong and keep everyone together, she said.

“My whole world came to a crushing end,” she said. “And I couldn’t talk about it. It was done, it was over, and I was expected to move on.”

At her first workshop three years ago, Holt was asked to do things that were foreign to her: write in a journal about her feelings; listen to classical music; and use colored pencils to draw recollections of her mother.

“I thought, ‘What, are you crazy? I don’t just sit down and write. What do you want me to say?’ ” she said. “But I tried it. I realized I had a lot of anger and frustration. And I left feeling that it’s OK to feel this way. It’s OK to be 56 years old and ticked off that your mother isn’t here.”

During Horan’s workshop, participants spend half the time writing in journals and drawing, and the rest listening to classical music designed to evoke warm memories. Attendees can share their reflections, but they don’t have to.

“The point is for us to realize that life will not go on in the same way without our mothers — if it did, it would conclude their lives meant nothing and had no contribution,” she said. “It’s for us to talk about that, process that and move forward.”

Channeling hurt feelings into something positive is key to coping with grief, said Penny Graf, a social worker at the cancer institute at St. Joseph Medical Center. People should try to honor their mothers on Mother’s Day, either with an activity that their mother would have enjoyed or by spending time with family.

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Even so, there’s no quick way to “get over it” said Stocksdale. Sharing feelings with someone who will listen is a start, she said.

Holt thinks that has helped her enormously. After therapy and two years of Mother’s Day workshops, she’s looking forward to helping others during this year’s event.

“I have learned to look at the things my mother taught me in the short years I was blessed to have her in my life and not the loss of not having her,” she said. When she’s down, Holt listens to music, writes in her journal or pulls out a photo of her mother.

“These are things I learned to do that have helped,” she said. “Maybe I can pass this on to somebody who is going through this for the first time.”

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May 7, 2010 Posted by | Age & Ageing, depression, mood, Seniors | , , , , , , , , | 1 Comment

All By Myself…The Tyranny of The Loneliness Epidemic

Credit Dr Ronald Pies, M.D. via psychcentral.com

The recent controversy over the still-developing DSM-5 — that compendium of mental disorders the media love to call, inappropriately, “The Bible of Psychiatry” –has gotten me thinking about loneliness. Now, thankfully, nobody has seriously proposed including loneliness in the DSM-5. Indeed, loneliness is usually thought of as simply an unpleasant part of life — one of the “slings and arrows” that pierce almost all of us from time to time. Loneliness, in some ways, remains enmeshed in a web of literary and cultural clichés, born of such works as Nathaniel West’s darkly comic novel, Miss Lonelyhearts, and the Beatles’ whimsical anthem, “Sgt. Pepper’s Lonely Hearts Club Band.”

But loneliness turns out to be a serious matter. And as psychiatry debates the diagnostic minutiae of DSM-5, all of us may need to remind ourselves that millions in this country struggle against the downward tug of loneliness. Yet even among health care professionals, few seem aware that loneliness is closely linked with numerous emotional and physical ills, particular among the elderly and infirm.

It’s easy to assume that loneliness is simply a matter of mind and mood. Yet recent evidence suggests that loneliness may injure the body in surprising ways. Researchers at the University of Pittsburgh School of Medicine studied the risk of coronary heart disease over a 19-year period, in a community sample of men and women. The study found that among women, high degrees of loneliness were associated with increased risk of heart disease, even after controlling for age, race, marital status, depression and several other confounding variables. (In an email message to me, the lead author, Dr. Rebecca C. Thurston, PhD, speculated that the male subjects might have been more reluctant to acknowledge their feelings of loneliness).

Similarly, Dr. Dara Sorkin and her colleagues at the University of California, Irvine, found that for every increase in the level of loneliness in a sample of 180 older adults, there was a threefold increase in the odds of having heart disease. Conversely, among individuals who felt they had companionship or social support, the likelihood of having heart disease decreased.

The young, of course, are far from immune to loneliness. Researchers at Aarhus University in Denmark studied loneliness in a population of adolescent boys with autism spectrum disorders (an area of great controversy in the proposed DSM-5 criteria). More than a fifth of the sample described themselves as “often or always” feeling lonely—a finding that seems to run counter to the notion that those with autism are emotionally disconnected from other people. Furthermore, the study found that the more social support these boys received, the lower their degree of loneliness. We have no cure for autism in adolescents–but the remedy for loneliness in these kids may be as close as the nearest friend.

And lest there be any doubt that loneliness has far ranging effects on the health of the body, consider the intriguing findings from Dr. S.W. Cole and colleagues, at the UCLA School of Medicine. These researchers looked at levels of gene activity in the white blood cells of individuals with either high or low levels of loneliness. Subjects with high levels of subjective social isolation—basically, loneliness — showed evidence of an over-active inflammatory response. These same lonely subjects showed reduced activity in genes that normally suppress inflammation. Such gene effects could explain reports of higher rates of inflammatory disease in those experiencing loneliness.

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Could inflammatory changes, in turn, explain the correlation between loneliness and heart disease? Inflammation is known to play an important role in coronary artery disease. But loneliness by itself may be just one domino in the chain of causation. According to Dr. Heather S. Lett and colleagues at Duke University Medical Center, the perception of poor social support — in effect, loneliness — is a risk factor for development, or worsening, of clinical depression. Depression may in turn bring about inflammatory changes in the heart that lead to frank heart disease. This complicated pathway is still speculative, but plausible.

Loneliness, of course, is not synonymous with “being alone.” Many individuals who live alone do not feel “lonely.” Indeed, some seem to revel in their aloneness. Perhaps this is what theologian Paul Tillich had in mind when he observed that language “… has created the word “loneliness” to express the pain of being alone. And it has created the word “solitude” to express the glory of being alone.” Conversely, some people feel “alone” or disconnected from others, even when surrounded with people.

Let’s admit that not everybody is capable of experiencing the “glory of being alone” or of transforming loneliness into “solitude.” So what can a socially-isolated person do to avoid loneliness and its associated health problems? Joining a local support group can help decrease isolation; allow friendships to form; and give the lonely person an opportunity both to receive and to provide help. This reciprocity can bolster the lonely person’s ego and improve overall well-being. Support groups geared to particular medical conditions can also help reduce disease-related complications. Although there are always risks in going “on line” to find support, Daily Strength appears to be a legitimate and helpful website for locating support groups of all types, including those for loneliness. Psych Central also provides opportunities to exchange ideas and “connect” with many individuals who feel isolated or alone. For those who feel lonely even in the midst of friends, individual psychotherapy may be helpful, since this paradoxical feeling often stems from a fear of “getting close” to others.

No, loneliness is not a disease or disorder. It certainly shouldn’t appear in the DSM-5 — but it should be on our minds, as a serious public health problem. Fortunately, the “treatment” may be as simple as reaching out to another human being, with compassion and understanding.

Ronald Pies MD is a psychiatrist affiliated with Tufts University School of Medicine and SUNY Upstate Medical University. He is also Editor-in-Chief of Psychiatric Times and author of Everything Has Two Handles: The Stoic’s Guide to the Art of Living. . Disclosure information for Dr. Pies may be found at www.psychiatrictimes.com

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April 29, 2010 Posted by | Age & Ageing, anxiety, Aspergers Syndrome, Books, brain, depression, diagnosis, Health Psychology, Identity, mood, Pain, self harm, stress | , , , , , , , , , , , , , , , , , | 1 Comment

Brain Training Or Just Brain Straining?: The Benefits Of Brain Exercise Software Are Unclear

You’ve probably heard it before: the brain is a muscle that can be strengthened. It’s an assumption that has spawned a multimillion-dollar computer game industry of electronic brain-teasers and memory games. But in the largest study of such brain games to date, a team of British researchers has found that healthy adults who undertake computer-based “brain-training” do not improve their mental fitness in any significant way.

Read The Original Research Paper (Draft POF)

The study, published online Tuesday by the journal Nature, tracked 11,430 participants through a six-week online study. The participants were divided into three groups: the first group undertook basic reasoning, planning and problem-solving activities (such as choosing the “odd one out” of a group of four objects); the second completed more complex exercises of memory, attention, math and visual-spatial processing, which were designed to mimic popular “brain-training” computer games and programs; and the control group was asked to use the Internet to research answers to trivia questions.

All participants were given a battery of unrelated “benchmark” cognitive-assessment tests before and after the six-week program. These tests, designed to measure overall mental fitness, were adapted from reasoning and memory tests that are commonly used to gauge brain function in patients with brain injury or dementia. All three study groups showed marginal — and identical — improvement on these benchmark exams.

But the improvement had nothing to do with the interim brain-training, says study co-author Jessica Grahn of the Cognition and Brain Sciences Unit in Cambridge. Grahn says the results confirm what she and other neuroscientists have long suspected: people who practice a certain mental task — for instance, remembering a series of numbers in sequence, a popular brain-teaser used by many video games — improve dramatically on that task, but the improvement does not carry over to cognitive function in general. (Indeed, all the study participants improved in the tasks they were given; even the control group got better at looking up answers to obscure questions.) The “practice makes perfect” phenomenon probably explains why the study participants improved on the benchmark exams, says Grahn — they had all had taken it once before. “People who practiced a certain test improved at that test, but improvement does not translate beyond anything other than that specific test,” she says.

The authors believe the study, which was run in conjuction with a BBC television program called “Bang Goes the Theory,” undermines the sometimes outlandish claims of many brain-boosting websites and digital games. According to a past TIME.com article by Anita Hamilton, HAPPYneuron, an example not cited by Grahn, is a $100 Web-based brain-training site that invites visitors to “give the gift of brain fitness” and claims its users saw “16%+ improvement” through exercises such as learning to associate a bird’s song with its species and shooting basketballs through virtual hoops. Hamilton also notes Nintendo’s best-selling Brain Age game, which promises to “give your brain the workout it needs” through exercises like solving math problems and playing rock, paper, scissors on the handheld DS. “The widely held belief that commercially available computerized brain-training programs improve general cognitive function in the wider population lacks empirical support,” the paper concludes.

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Not all neuroscientists agree with that conclusion, however. In 2005, Torkel Klingberg, a professor of cognitive neuroscience at the Karolinska Institute in Sweden, used brain imaging to show that brain-training can alter the number of dopamine receptors in the brain — dopamine is a neurotransmitter involved in learning and other important cognitive functions. Other studies have suggested that brain-training can help improve cognitive function in elderly patients and those in the early stages of Alzheimer’s disease, but the literature is contradictory.

Klingberg has developed a brain-training program called Cogmed Working Memory Training, and owns shares in the company that distributes it. He tells TIME that the Nature study “draws a large conclusion from a single negative finding” and that it is “incorrect to generalize from one specific training study to cognitive training in general.” He also criticizes the design of the study and points to two factors that may have skewed the results.

On average the study volunteers completed 24 training sessions, each about 10 minutes long — for a total of three hours spent on different tasks over six weeks. “The amount of training was low,” says Klingberg. “Ours and others’ research suggests that 8 to 12 hours of training on one specific test is needed to get a [general improvement in cognition].”

Second, he notes that the participants were asked to complete their training by logging onto the BBC Lab UK website from home. “There was no quality control. Asking subjects to sit at home and do tests online, perhaps with the TV on or other distractions around, is likely to result in bad quality of the training and unreliable outcome measures. Noisy data often gives negative findings,” Klingberg says.

Brain-training research has received generous funding in recent years — and not just from computer game companies — as a result of the proven effect of neuroplasticity, the brain’s ability to remodel its nerve connections after experience. The stakes are high. If humans could control that process and bolster cognition, it could have a transformative effect on society, says Nick Bostrom of Oxford University‘s Future of Humanity Institute. “Even a small enhancement in human cognition could have a profound effect,” he says. “There are approximately 10 million scientists in the world. If you could improve their cognition by 1%, the gain would hardly be noticeable in a single individual. But it could be equivalent to instantly creating 100,000 new scientists.”

For now, there is no nifty computer game that will turn you into Einstein, Grahn says. But there are other proven ways to improve cognition, albeit only by small margins. Consistently getting a good night’s sleep, exercising vigorously, eating right and maintaining healthy social activity have all been shown to help maximize a brain’s potential over the long term.

What’s more, says Grahn, neuroscientists and psychologists have yet to even agree on what constitutes high mental aptitude. Some experts argue that physical skill, which stems from neural pathways, should be considered a form of intelligence — so, masterful ballet dancers and basketball players would be considered geniuses.

Jason Allaire, co-director of the Games through Gaming lab at North Carolina State University says the Nature study makes sense; rather than finding a silver bullet for brain enhancement, he says, “it’s really time for researchers to think about a broad or holistic approach that exercises or trains the mind in general in order to start to improve cognition more broadly.”

Or, as Grahn puts it, when it comes to mental fitness, “there are no shortcuts.”

Credit: Time.com

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April 23, 2010 Posted by | Age & Ageing, Books, brain, Cognition, Education, Health Psychology, Internet, research | , , , , , , , , , , , , , , | 6 Comments

Sticks & Stones AND Words Can Hurt You: How Words Can Cause Physical Pain

“Watch out, it’ll hurt for a second.” Not only children but also many adults get uneasy when they hear those words from their doctor. And, as soon as the needle touches their skin the piercing pain can be felt very clearly. “After such an experience it is enough to simply imagine a needle at the next vaccination appointment to activate our pain memory,” knows Prof. Dr. Thomas Weiss from the Friedrich-Schiller-University Jena.

Read the original research paper (PDF)

As the scientist and his team from the Dept. of Biological and Clinical Psychology could show in a study for the first time it is not only the painful memories and associations that set our pain memory on the alert. “Even verbal stimuli lead to reactions in certain areas of the brain,” claims Prof. Weiss. As soon as we hear words like “tormenting,” “gruelling” or “plaguing,” exactly those areas in the brain are being activated which process the corresponding pain. The psychologists from Jena University were able to examine this phenomenon using functional magnetic resonance tomography (fMRT). In their study they investigated how healthy subjects process words associated with experiencing pain. In order to prevent reactions based on a plain negative affect the subjects were also confronted with negatively connotated words like “terrifying,” “horrible” or “disgusting” besides the proper pain words.

“Subjects performed two tasks,” explains Maria Richter, doctoral candidate in Weiss’s team. “In a first task, subjects were supposed to imagine situations which correspond to the words,” the Jena psychologist says. In a second task, subjects were also reading the words but they were distracted by a brain-teaser. “In both cases we could observe a clear activation of the pain matrix in the brain by pain-associated words,” Maria Richter states. Other negatively connotated words, however, do not activate those regions. Neither for neutrally nor for positively connotated words comparable activity patterns could be examined.

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Can words intensify chronic pain?

“These findings show that words alone are capable of activating our pain matrix,” underlines Prof. Weiss. To save painful experiences is of biological advantage since it allows us to avoid painful situations in the future which might be dangerous for our lives. “However, our results suggest as well that verbal stimuli have a more important meaning than we have thought so far.” For the Jena psychologist the question remains open which role the verbal confrontation with pain plays for chronic pain patients. “They tend to speak a lot about their experiencing of pain to their physician or physiotherapist,” Maria Richter says. It is possible that those conversations intensify the activity of the pain matrix in the brain and therefore intensify the pain experience. This is what the Jena psychologists want to clarify in another study.

And so far it won’t do any harm not to talk too much about pain. Maybe then the next injection will be only half as painful.

Read the original research paper (PDF)

Adapted from ScienceDaily March 31 2010

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April 14, 2010 Posted by | Age & Ageing, anxiety, Cognition, Pain, research, Technology | , , , , , , , , , , , , , , , , | 5 Comments