Natural Pathogens & Social Affliction-By Kenan Malik

“What iftropical diseases had as much attention as Covid?”, asked Francine Ntoumi, director of the Congolese Foundation for Medical Research, recently. Ntoumi was really asking two questions. What is happening to all the other diseases that ravage the global south as the world’s attention has focused on Covid-19? And why can’t we put as much energy and resources into tackling diseases such as malaria and TB as we have into stopping the coronavirus?

So far, around 1.5 million people have died from Covid-19 worldwide. That’s the same number that tuberculosis kills every year, year after year. Some studies predict that between now and 2025, up to 1.4 million more people will die from TB than normal as cases go undiagnosed and untreatedbecause of Covid lockdowns. Other studies suggest that deaths from malaria could increase by more than a third over the next five years. In India, registration of new TB cases between January and June this year dropped by more than 25% compared with the same period last year, while more than a third of people with TB found health facilities closed because of Covid-19 restrictions. In Uganda, the number of maternal deaths almost doubled in the first three months of this year, largely because there were far fewer births in hospitals and clinics.

Full article

posted by f.sheikh

3 reasons for information exhaustion – and what to do about it-By Mark Satta

An endless flow of information is coming at us constantly: It might be an article a friend shared on Facebook with a sensational headline or wrong information about the spread of the coronavirus.

It could even be a call from a relative wanting to talk about a political issue.

All this information may leave many of us feeling as though we have no energy to engage.

As a philosopher who studies knowledge-sharing practices, I call this experience “epistemic exhaustion.” The term “epistemic” comes from the Greek word episteme, often translated as “knowledge.” So epistemic exhaustion is more of a knowledge-related exhaustion.

It is not knowledge itself that tires out many of us. Rather, it is the process of trying to gain or share knowledge under challenging circumstances.

Currently, there are at least three common sources that, from my perspective, are leading to such exhaustion. But there are also ways to deal with them.

1. Uncertainty

For many, this year has been full of uncertainty. In particular, the coronavirus pandemic has generated uncertainty about health, about best practices and about the future.

At the same time, Americans have faced uncertainty about the U.S. presidential election: first due to delayed results and now over questions about a peaceful transition of power.

Experiencing uncertainty can stress most of us out. People tend to prefer the planned and the predictable. Figures from 17th-century French philosopher René Descartes to 20th-century Austrian philosopher Ludwig Wittgenstein have recognized the significance of having certainty in our lives.

With information so readily available, people may be checking news sites or social media in hopes of finding answers. But often, people are instead greeted with more reminders of uncertainty.

Full article

posted by f. sheikh

The genes we’re dealt-By Erik Parens

The new field of social genomics can be used by progressives to combat racial inequality or by conservatives to excuse it.

Over the past decade, economists, sociologists and psychologists have begun collaborating with geneticists to investigate how genomic differences among human beings are linked to differences in their behaviours and social outcomes. The insights sought are wide-ranging: why do some of us have a greater sense of subjective wellbeing than others? Why do some go further in school than others? When it comes to income, why do some people earn more and others less?

As surprising as it might be to readers familiar with the history of often-ugly efforts to investigate complex behaviours and outcomes through genetics, some prominent members of this new cohort of researchers are optimistic that their work will advance progressive political agendas. According to the progressive authors of a recent European Commission report, insights from what I call ‘social genomics’ are ‘fully compatible with agendas that aim to combat inequalities and that embrace diversity.’

Indeed, findings from social genomics are compatible with what we in the United States consider Left-leaning agendas to combat inequalities. They are, however, equally compatible with what we think of as Right-leaning agendas that accept – or make peace with – inequalities. Moreover, such findings are as compatible with a Right-leaning version of ‘embracing diversity’ as they are with a Left-leaning one. This should move Left-leaning social genomicists to curb their optimism about the potential of their research to advance their political agendas.

Full article

posted by f.sheikh

How to get over ‘never good enough’

Learn to spot unhealthy perfectionism, understand its emotional sources and find a way to silence that self-critical voice. by Margaret Rutherford.

‘If it’s worth doing, it’s worth doing well.’ How many times did I hear that growing up? My parents were attempting to teach me (just in case I hadn’t absorbed it from their actions) the importance of striving for excellence. They were encouraging what some psychologists call ‘constructive perfectionism’ or ‘healthy perfectionism’ – a personality trait that’s associated with finding enjoyment and even fulfilment in life from doing things as well as you possibly can. With constructive or ‘positive perfectionism’, the focus is process-oriented; you learn from mistakes or even failure. It’s generally considered a beneficial trait that’s linked with being more conscientious and self-disciplined.

Yet perfectionism can have a darker side. The American academic and author Brené Brown defined this kind of perfectionism in her first bookThe Gifts of Imperfection (2010), as ‘a self-destructive and addictive belief system that fuels this primary thought: if I look perfect, live perfectly, and do everything perfectly, I can avoid or minimise the painful feelings of shame, judgment and blame.’ This form of perfectionism, which is fuelled by inner shame that must be quelled, involves trying to constantly meet perceived expectations of what ‘perfect’ is. This perfectionism isn’t fulfilling and it’s far from enjoyable. Yet many people feel it’s mandatory to look as if all is perfect. They believe that not to do so would imply imperfection.

This is what’s known in the wider psychological literature as ‘unhealthy perfectionism’ or ‘destructive perfectionism’. In this case, the purpose has nothing to do with process. It’s goal-oriented. It’s driven. It’s pressured. And I believe it’s increasingly contributing to mental health problems.

Constructive perfectionists, let’s say if they’re swimmers, want to beat their personal best. That brings with it all kinds of positive vibes. Winning the race is great, if indeed they do.

But destructive perfectionists want to be the perfect swimmer. And winning every race is the goal; if not, shame says to them that they have little to no value or worth.

Many perfectionistic people will fall somewhere on a spectrum between the two poles. But in my clinical practice I’ve noticed another issue. Ironically, destructive perfectionists might not even recognise themselves as perfectionists, because they never believe their best is good enough. There’s always the next achievement. And then the next. And the next.

So, what are the roots of destructive perfectionism? I believe people often develop this way of thinking and being when they grow up without a sense of support, safety and nurturing. It can also be a reaction to childhood trauma or extreme cultural expectations, where appearing perfect becomes a mandatory strategy to emotionally survive, and where vulnerability is disdained.

Over the past decade, I’ve treated more and more people who didn’t quite know why they’d come to therapy. They’d erected huge barriers against revealing any kind of emotional pain; I wondered if they even had the capability of expressing such feelings. Outwardly, they didn’t seem depressed at all; the descriptions of their issues sounded more like the result of overwork, fatigue or mild anxiety.

My interpretation is that they were destructive perfectionists who were running out of steam, but not sure what, if anything, was wrong. Their emotional pain was expertly, and often unconsciously, hidden.

If I asked them if they were depressed, I’d hear a firm denial. ‘I have too many blessings in my life.’ If I questioned whether or not their childhood provided safety and security, they’d laugh and deny or discount any kind of problem. Or sometimes they’d become very quiet and look out the window, as if they wished they were anywhere but my office.

Yet as they returned for more sessions, they’d slowly risk sharing one shame-filled secret after another. Their seemingly impenetrable cloak of silence would slowly slip off, only to reveal tremendous loneliness and despair.

And in many cases, as they let down their guard, I found they could also understand that what was ‘wrong’ or unhealthy might not fit the rubric of classic depression. But it was just as real. And just as damaging.

I began researching the popular literature about perfectionism, shame and fear of vulnerability. I found a wealth of research and writings about the importance of vulnerability and the cost of shame by the aforementioned Brown, the much earlier thoughts on ‘covert depression’ by the author and family therapist Terrence Real, and the book Self-Compassion (2015) by the psychologist Kristin Neff. But crucially I couldn’t find anything for the general public about the relationship between perfectionism and a form of potentially serious depression.

So, drawing on the experiences and stories of the many clients I’ve seen in my practice over 25 years, I formulated my own ideas about this distinct problem and how it can be addressed most effectively and compassionately. My work – laid out in my book Perfectly Hidden Depression (2019) – is based on how a dangerous kind of perfectionism-fuelled depression can affect someone’s life; how even if someone scores low on a standard depression inventory, they can be living with deep-seated emotional difficulties and unresolved traumatic experiences that might ultimately threaten their will to live. This is the syndrome I call ‘perfectly hidden depression’.

I’ve identified 10 traits that manifest in the daily decision-making and behaviour of people who exhibit signs of this syndrome:

  • You are highly perfectionistic, fuelled by a constant, critical inner voice of intense shame or fear.
  • You demonstrate a heightened or excessive sense of responsibility and look for solutions.
  • You have difficulty accepting and expressing painful emotions, remaining more analytical or ‘in your head’.
  • You discount, dismiss or deny abuse or trauma from the past, or the present.
  • You worry a great deal (but hide that habit) and avoid situations where you’re not in control.
  • You are highly focused on tasks and others’ expectations, using accomplishment as a way to feel validated. Yet as the last accomplishment fades, new pressure assumes itself, and any success is discounted.
  • You have an active and sincere concern for the wellbeing of others, while allowing few (if any) into your inner world.
  • You hold a strong belief in ‘counting your blessings’ and feel that any other stance reflects a lack of gratitude.
  • You have emotional difficulty with personal intimacy but demonstrate significant professional success.
  • You might have accompanying mental health issues that involve anxiety and control issues, such as obsessive-compulsive disorder (OCD), generalised anxiety disorder (GAD), panic and/or eating disorders.

If you read these 10 traits and find that many or all of them match you, then hopefully this is in some sense reassuring – it might give you an inkling of why you feel the way you do, how you haven’t known what was wrong and have been ashamed to even consider it. If suddenly a light has come on – you recognise that you can’t bring yourself to share any vulnerability; or perhaps you recognise these traits in someone else, then first – breathe. And know this: I’ve found there is an antidote to perfectly hidden depression – self-acceptance.

Full article

posted by f.sheikh