Psychoanalysis and therapy

In Abnormal Psychology this week, we will be discussing psychotherapy. The NY Times has an opinion piece on the process of psychotherapy from the point of view of a patient. He suddenly and without warning has suicidal ideations and obsessive thoughts about hurting his children. His story is about the power of psychoanalysis. Also note that he is a very active participant in his therapy, which is important for successfully navigating the morass of emotions and memories that come to play in abnormal behavior.

I talked with increasing freedom and trust about anything and everything — dreams, memories, doubts, fears — and about matters that had been hiding in closed rooms of my mind.

Link to the article: Psychotherapy as a Kind of Art – NYTimes.com.

The importance of the biopsychosocial approach to understanding mental illness

In Abnormal Psychology yesterday, we discussed the film Back From Madness, which we watched as a class. One topic raised by a student was how important social support was for the recovery of people in the film.

There is a general misconception (perhaps promoted by pharmaceutical companies) that treating mental illness involves merely “fixing” the neurochemistry or brain circuitry that is responsible for the mental illness. As we will see in class, the diagnosis and treatment of mental illness is much more complex.

An Op-Ed in the Sunday Times Magazine questions the categorization of people with mental illness as simply having an underlying neurochemical imbalance. It calls for a more nuanced notion of mental illness:

The implications are that social experience plays a significant role in who becomes mentally ill, when they fall ill and how their illness unfolds. We should view illness as caused not only by brain deficits but also by abuse, deprivation and inequality, which alter the way brains behave. Illness thus requires social interventions, not just pharmacological ones.

I agree, and always point out that diagnosis and treatment should always proceed from the biopsychosocial (emphasis intentional) perspective—that although the individual’s biology plays a part in predisposing a person to illness, individual construal processes and social systems are very (perhaps more) important in diagnosing and treating psychological disorders.

Link to the article: Redefining Mental Illness – NYTimes.com.

The benefits of heuristics and impulse decisions

The NY Times has a very good article illustrating the benefits of heuristic decision making processes over algorithmic ones. In this case, the author is talking about how long he spends making purchasing decisions. This is very familiar to me.

the time I spend overanalyzing prices will cost me way more money, in the form of opportunity costs and cognitive drain, than I could ever hope to save.

We generally believe that the best decisions come from examining all options and making a decision based on all available evidence. But, this evidence gathering comes at a cost: in this case, the personal resources (financial and otherwise) that are spent making the decision.

We need to accept that we can’t always make the best decisions, but we can make good ones. Generally, good decisions will make the most of our resources and free us to move on to other important things.

In cognitive complexity theory, one of the things we drive home is the idea that the situation might determine the maximum amount of complex thinking we can apply to a problem. For example, consider how the US might respond to another massive terrorist attack (or attack from another nation). When deciding whether to go to war or not, we can use more complexity if making a decision in the weeks or months before we are under attack, but in the case of a surprise attack, that kind of complex thinking could take lots of time and resources, two things we are desperately short of in the midst of an attack. In that case, taking the time and resources necessary to consider all the options (high complexity) might result in a slow response and the likelihood of more attacks, versus using heuristics and considering fewer options (lower complexity) which might allow a rapid response to avert another attack.

Link to the article: Getting Over Cold Feet: The Case for Impulse Buying – NYTimes.com.

Jennifer Eberhardt on her research and its implications for police violence against blacks

The NY Times has a good interview with social psychologist Jennifer Eberhardt on her research and how it illustrates some underlying principles that might have been at work in the recent cases of excessive police violence directed at African Americans. The take-home message is that only through awareness of our unconscious biases can we hope to overcome the tendency to treat groups differently.

One thing I do is work with police departments. We do workshops where we present these studies and show what implicit bias is, and how it’s different from old-fashioned racism. I don’t think this alone can change behavior. But it can help people become aware of the unconscious ways race operates. If you combine that with other things, there is hope.

Link to the NY Times article: A MacArthur Grant Winner Tries to Unearth Biases to Aid Criminal Justice – NYTimes.com.