Posted in Psychology & Medicine, Special Long Essays

Monkeysphere

How many friends can a person have? Believe it or not, science has solved this question. An anthropologist called Robin Dunbar studied various societies, tribes and primate groups to determine how many members a group can have to maintain stability. He discovered that the ideal size for a group of humans was about 150.

What happens if there are more than 150 people in a group? This is easily explained by the following thought experiment. Imagine that you have a friend called Mr. White. Add a personality to him – flesh him out as a person. Next, you make another friend called Mr. Red. Then Mr. Blue, Mr. Green, Mr. Maroon… At a certain point, you will no longer remember the name or personality of your “friend” and not even care about that person. This is the limit set by our brains – known as Dunbar’s number, or more colloquially the Monkeysphere.

Any person outside of this Monkeysphere is not of your concern. Once you saturate your brain with 150 relationships, the brain ceases to care about other people. Interestingly, the Monkeysphere is directly related to the size of the neocortex (the part of the brain responsible for higher order thinking). For example, most monkeys can only operate in troupes of 50 or so.

The Monkeysphere can be defined as the group of people that you conceptualise as “people”. Because of this limitation, we are physiologically incapable of caring about everyone in the world. For example, we are highly unlikely to be concerned about the welfare of the janitor at work compared to a loved one. As politically incorrect it may be, the brain sees the janitor as “the object that cleans the building” rather than a human being. You may “care” about the janitor in the sense that you greet him in the corridor, but there is a limit to this. This effect actually explains quite well why society is dysfunctional in general.

Because we do not see people outside the Monkeysphere as “people”, they mean less to us. Stalin once said that “one death is a tragedy; a million deaths is a statistic”. Similarly, the death of a family member is devastating but 10,000 people dying in a foreign country from war does not have the same emotional effect. Furthermore, if a stranger was to die in front of your eyes, you would still not be nearly as devastated as the death of someone you are close to.

Also, as we do not feel connected to these “outsiders”, we are much more prone to act rude or aggressively. For example, one may insult other drivers with the most colourful words on the road, but would (hopefully) never say those words to a friend.

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This expands to a greater scale in the context of survival. We are wired to put the need of the members of our Monkeysphere ahead of those outside of it. Thus, we would not steal from our friends but openly evade taxes as we see the government and others as a cold, faceless body. It does not occur to us that through our actions, we are harming other human beings. The same applies to our view of corporations; despite being made up of real people, we only see them as heartless machines actively conspiring against us.

What if the scale was then expanded to countries? If we do not see a person on the other side of the road as a human being, it is extremely unlikely we would register a foreigner as one. This explains why racism and stereotyping is so common in human societies. Although liberal-minded people would like to believe that we should treat every human being like we treat our mothers, our brain is incapable of it. In fact, it is much more likely we would see those people as acting against our interests by “stealing jobs” and so forth. Thus, racism is a hard-wired behaviour to protect the best interest of our Monkeysphere.

We have established that it is impossible to worry about the seven billion strangers in this world. This brings us to an important point: it is just as impossible to make “them” interested in “you”. It is a cold, hard fact that if you are outside of their Monkeysphere, people will not care about you. Ergo, they treat you badly, put you down, steal from you and downright ignore you. In fact, cognitive dissonance means you are even less likely to care for people outside the Monkeysphere as your brain actively rejects people from getting closer to your Monkeysphere, exceeding the preset limit of 150 people. This is why propaganda always focusses on dehumanising the enemy and why people seeking votes and attention pull at sympathy strings – to try get as close to your Monkeysphere as possible.

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Many people will lament how we are not monkeys and the Monkeysphere does not apply to us. We have laws, ethics and “humanity”. However, we cannot escape our primitive psychological behaviours and this is reflected in societies filled with crime, unhappiness and a general disinterest in people not related to yourself. This is why city-dwellers tend to be less friendly than villagers, as there are too many people to fit in one, happy Monkeysphere. In fact, monkeys may have more functional societies than us because they hardly ever exceed their own Monkeyspheres (which may also explain why they rarely have wars). The same can be said of tribes and villages of the past.

Ironically, the development of society has been based around working around the limitations of the Monkeysphere – a theoretically ideal society. By living in larger groups, humans can achieve greater feats such as industries and large-scale economies. Although we suffer the consequences of racism and crime, we have become very effective in survival.

Economics is based on the Monkeysphere too. As we only care about our Monkeysphere, there is no reason for us to be concerned about the needs of others. So when a system such as communism forces us to share our bananas, we become infuriated that we have to give up our bananas to people we do not know. But in capitalism, every individual can pick bananas for just ourselves and those we care about. The system thrives as each Monkeysphere acts dynamically and everyone is happy. This is the concept of the invisible hand that is the foundation of modern economics.

But still, the concept of countries means that we have to share the burden of millions of people we do not care about in the form of taxes and civil duties. This makes us unhappy. So what can we do?

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Firstly, realise that you are to others what others are to you. If you find a certain person on television as annoying and irrational, chances are that someone else sees you in that light. You are limited to your Monkeysphere of 150 people and people outside of it are in their own Monkeyspheres.

Secondly, understand that no one is special. There are no heroes or perfect beings. Everyone is a human being and prone to making mistakes and acting “human”. Therefore, we cannot idolise people and be disappointed by their actions. This also means that you cannot judge another person and consider their words and actions as insignificant, as they are just as human as you.

Lastly, never simplify things. The world is not simple. It cannot be generalised as one happy village with everyone living happily in harmony. It is a composite of a massive number of different Monkeyspheres, all concerned with their own well-being and not caring about anything else.

Remember the words that Charles Darwin spoke to his assistant, Jeje Santiago: “Jeje, we are the monkeys”. As much as we would like to think that we are higher-order beings, we are simple creatures of habit and behaviour limited by our Monkeysphere.

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Posted in Psychology & Medicine

Aggression

Love your enemies. If you are hit on one cheek, show them your other cheek, There is no other act that will provoke them more.

Posted in Psychology & Medicine

Rules

In 1967, a group of scientists designed an experiment where five monkeys were put in one cage with a ladder in the middle and a banana suspended over it. When a monkey tried to climb the ladder to reach the banana, it was hosed down with ice cold water to discourage it. However, at the same time the four other monkeys were sprayed as well. This was repeated until the monkeys were conditioned not to climb the ladder as it meant being blasted by cold water. Interestingly, even when the reward was tempting enough for a monkey to brace the cold water and climb the ladder, the monkey was swiftly taken down by the other monkeys – fearing the cold water – and was punished by a beating. This further discouraged the monkeys from climbing the ladder even when the researchers stopped spraying the monkeys with water.

The researchers then substituted one of the original monkeys with a new monkey who had not been in the cage before. This new monkey immediately noticed the banana and started to climb the ladder. The other monkeys saw this and responded with rage, enforcing their unspoken “rule” of never climbing the ladder. The new monkey quickly learned that climbing the ladder was a bad thing.
The researchers substituted another original monkey for a new monkey and the same thing happened. They repeated this until all monkeys were replaced.

When they substituted the last monkey in (number 10), the cage was already filled with “new” monkeys who had never been hosed before, but nonetheless knew not to climb the ladder. When the monkey was punished for climbing the ladder, it gave an expression that seemed to question why he was being punished. The other monkeys did not know why; none of them had been punished with cold water and only knew that the other monkeys would beat him up. Even though none of them knew why the punishment was required, they dished it out regardless. The rule had been engrained into the mob, with each monkey following it without any logical reason.

Posted in Psychology & Medicine

Pulse

Blood, which supplies all the cells in the human body with nutrients and oxygen, flows through the vessels due to the pumping of the heart. Thus, blood flow directly transmits the force generated by every heartbeat. As the blood ejected by the heart causes the arteries to “pulse” by stretching and relaxing. As some pulses can be felt over the skin, they are very useful in patient examinations, especially a clinical exam of the cardiovascular system. Although people commonly know how to take a pulse from the wrist or neck, there are many more places a pulse can be taken from.

  • Radial pulse: Taken from the inside of the wrist on the side of the thumb.
  • Brachial pulse: Taken from the inside of the elbow.
  • Carotid pulse: Taken from where the neck meets the jawline, or 2~3cm either side of the Adam’s apple to be precise.
  • Apex beat: This measures the heartbeats directly, taken on the left chest between the 4th and 6th ribs (around the left nipple).
  • Abdominal pulse: Taken from above the belly button of a lying patient, may be able to see the pulse.
  • Femoral pulse: Taken from the middle of the groin. 
  • Popliteal pulse: Taken from the inside of the knee.
  • Posterior tibial pulse: Taken from the inside of the ankle behind the bone.
  • Dorsalis pedis pulse: Taken from the back (upper side) of the foot along the middle.

When taking a pulse, you use your second and third fingers (and the fourth if you want) and press lightly on the pulse point. If you press too hard, you may stop the blood flow and obliterate the pulse. As a pulse is measured per-minute, it is often taken for 10 or 15 seconds and multiplied by 6 or 4 respectively. Also, it should be noted whether the pulse has a regular rhythm, and if it is irregular, whether it is regularly irregular or irregularly irregular. If the pulse is over 100 beats per minute, it is called tachycardia, while less than 60 beats per minute is referred to as bradycardia. If it is irregular, it is called an arrhythmia.

An experienced doctor can diagnose different conditions such as an aortic stenosis or atrial fibrillation just from taking the pulse of the patient. Taking a pulse is also a crucial diagnostic tool in traditional Korean and Chinese medicine.

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Posted in Psychology & Medicine

Conformity

We often see people who criticise others for being “sheeple” – people who blindly conform to the majority and follow someone like sheep do. They protest that as human beings, we have a right and duty to exercise free will, sticking up for one’s own opinions. However, according to an infamous experiment from the 1950’s, we know that human beings are bound by our natural instincts to be social creatures, obeying the collective will of the group we are in.

In 1953, Solomon Asch designed an experiment to study the power of conformity. He told participants that they will be taking part in a vision test with a group of people. They were shown a picture depicting lines of various lengths, asking which line on the right matched the line on the left:

It was a simple task of matching the line to another line of the same length with the answer being blatantly obvious. But as with so many psychological experiments, there was a trick. The group of “participants” were actually in on the experiment other than the one subject. During the experiment, the group would all put their hands up on the blatantly wrong answer instead of the actual correct one. How did this action affect the subject’s answer?

Although it seems clear that the answer is A in the given example, when in a situation where the majority of people put their hands up for “B” or “C”, up to 32% of the subjects gave the incorrect answer. No matter how large the differences were between the sizes of the lines, the results did not change. Although 32% is only a third of the study group, one must bear in mind that this experiment only looked at black-and-white scenarios of lines of different length. If the issue at hand was much more “grey” – such as an ethical dilemma – it can be extrapolated that the person would easily sway and conform to the majority opinion.

The reason for the level of conformity exhibited in the experiment is quite simple: it’s the one who is different that gets left out in the cold.

Posted in Psychology & Medicine

Birthday Cake

The ritual of blowing out candles on one’s birthday is interesting as it shows the characteristics of human beings very well. This ritual shows that the person can make fire while reminding themselves they can extinguish it with one breath. It is a ritual that helps a baby develop into a responsible, social being that is capable of controlling fire. On the other hand, an old person being so breathless that they cannot even blow out a candle signifies that it is time for them to be socially excluded by the active population.

Posted in Psychology & Medicine

Six Degrees Of Separation

It is said that through a chain of five people, we can be acquainted to anyone in the world. In other words, an Eskimo man can be no less than six steps away from a Parisian lady. This is the concept of the six degrees of separation.

The concept can be explained mathematically. We all know hundreds of different people each. If we assume that we each have 100 friends, then in the first stage we only know the 100 friends. However, at the second stage we know the 100 friends of each of our friends, meaning we know 10000 people. At the third stage we know 1 million people, fourth stage 100 million and fifth stage 10 billion people. As the world population is 7 billion, by the fifth stage we should theoretically know every person on the world. This means that crossing four metaphorical bridges lets us shake the hands of anyone we want. The concept of the degrees of separation came from the idea of the small world phenomenon.

The first person to properly study the small world phenomenon was Harvard social psychologist Stanley Milgram. In 1967, Milgram asked 296 people in the Midwest (USA) to help him send a package to someone in Boston. To complete the experiment, the participants had to send the package to one of their friends they thought would know this stranger in Boston. Milgram found that in half of the cases, the package was delivered to the target in Boston through five people (5.5 exactly), thus giving birth to the concept that we are at six degrees of separation from another human being. 

Of course since 1967 our societies have undergone many changes. One of the most noticeable changes has been the development of technology – specifically the development of the internet and social networking. Nowadays, the younger generations use the internet to communicate with friends and make connections. Knowing this, what degrees of separation exists in modern societies? According to a recently finished study (2011) using data from the social networking site, Facebook, the average number of “bridges” for the world is 4.7. In countries such as the US where there is a bigger proportion of Facebook users, this number fell to 4.4. Ergo, in the past 40 years we have developed more connections to other people, making our world even smaller.

The theory of six degrees of separation reminds us how small a world we live in and how interconnected we are to each other.

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Posted in Psychology & Medicine

Emotion

Unless you are a psychopath, as a human being you are bound to feel emotions. Love, happiness, anger, sadness… there are many emotions that range from simple to complex. Emotions are an interesting system as they allow us to respond rapidly to a situation without thinking, while alerting other members of our society to what is happening to us. Essentially, emotions help us in survival and social interactions. 

According to Professor Paul Ekman, emotions are universal from culture to culture, with facial expressions being almost identical from tribal cultures to modern ones. He found that there are six major emotions: anger, fear, disgust, sadness, surprise and happiness. He also pioneered the field of micro-expressions, which studies the flickering change in our facial expressions whenever we feel a certain emotion. As emotions usually occur before the conscious mind thinks, we are often unaware of the expressions we make.

Another psychologist, Dr. Paul Gilbert, divided emotions into three affect systems. They are as follows:

  • Threat/protection system: associated with the fight-or-flight response, activates in response to danger. It causes anger and fear and is related to catecholamines (e.g. adrenaline) and cortisol (stress hormone).
  • Want/desire system: associated with hunting and rewarding behaviour, helps us perform actions that aids survival such as obtaining food and mates. It is related to the emotion of excitement, which is caused by the neurotransmitter dopamine (part of the reward system).
  • Contentment system: associated with met needs and social connection, especially when we feel safe and relaxed. It produces feelings of happiness and peace, linked to the hormone oxytocin (released with human touch, especially during kissing).

Dr. Gilbert also posited that as societies have evolved over time, our affect systems have been altered. For example, despite the lack of natural predators around, urban dwellers are often in a state of high anxiety. This causes a sustained stress response, leading to negative health outcomes. Furthermore, the agitation and the paranoia caused by constant fear leads to crimes such as murder and war. Our want/desire system has also been heightened as we find pleasure in gaining material wealth. This has led to aggressive capitalism, exploiting other people and the environment for selfish gain.

On the other hand, the contentment system has shrunk. People feel less content despite being in a generally healthier and richer world than 100 years ago. The reason being, our brain has evolved to help us survive, not to keep us happy. 

One must learn how to adapt to these changes by finding a way to relieve tension and stress, while finding inner peace and happiness. Whether it be through sports, music, humour or simply talking to another person, finding your own way to deal with anxiety is the best road to being happy and content.

Posted in Psychology & Medicine

Symptom Reporting

Some people always complain of symptoms, claiming that they are sick, while some people never seem to complain even if they have a whole list of symptoms. Why is there a difference in symptom reporting between people? For example, women are more likely to recognise symptoms and report them compared to men. This is because men are generally under the social pressure of needing to appear strong and healthy, so they become stoic and less sensitive to pain and disease. Women are usually more sensitive to internal bodily changes and worry more about their health.

According to a psychological theory called the competition for cues hypothesis, there are two signals that compete for attention when we recognise symptoms. The first is bodily changes, i.e. internal cues, while the other is external stimuli from what happens around us. Awareness of symptoms follows a ratio between these two signals: if there is a strong internal cue such as severe pain, we notice symptoms more quickly, while if there are many distractions, we may not notice the symptom. For example, according to a study people can run faster when listening to music and running through a forest with plenty to see. This is because music and the scenery distract the runner from internal cues. As we can only process a certain amount of information at a given moment, the more distractions there are the less sensitive we become to signals from inside our body.

Another factor that affects symptom reporting is illness labelling. The more information we have about a disease, the more we search for those symptoms. For example, if you yawn or scratch yourself, people around you will do the same. This is because they see you yawning and subconsciously believe that they should yawn too. This can be a powerful effect, as seen in mass hysteria. This strange phenomenon occurs when a person observes a sick person and their brain believes they are sick too, beginning to show symptoms despite being healthy. A similar example is seen in medical student disease, where medical students, with their extensive knowledge of diseases, match their own symptoms to symptom lists of rare diseases. For example, they might think that their high blood pressure is due to a phaeochromocytoma or renal artery stenosis, rather than just hypertension.

However, the opposite can occur where people fail to notice important symptoms and suffer serious consequences as a result. For instance, not all cases of heart attacks (myocardial infarction) cause unconsciousness and a patient may believe they are fine when only chest pain occurs. Failure to get treated as soon as possible at a hospital may result in ventricular fibrillation, leading to sudden death.

Posted in Psychology & Medicine

Sudden Death

Unlike diseases such as tuberculosis or cancer, some disease processes are known to kill a human being within an hour of onset. Other than the obvious causes such as decapitation, massive bleeding or any other trauma-related injuries, these diseases tend to be cardiac or respiratory in origin.

A common example is coronary artery disease, where the blood vessel providing blood to an area of the heart becomes completely blocked by stenosis (narrowing, often by atherosclerosis) or a clot. This results in immediate ischaemia (lack of oxygen) to heart muscles, which causes cell death. This produces scar tissue which disrupts the electrical activity of the heart, which may lead to a condition called ventricular fibrillation where the heart beats in an uncontrolled, erratic manner. When in VF, the heart effectively becomes useless as it cannot coordinate proper pumping function. Blood circulation stops and the patient goes in to multiple organ failure (the brain goes first) within a very short time. Although it can kill within a short time, early identification and treatment may be able to prevent VF from occurring and save the patient’s life. If VF does occur, it is crucial to begin CPR or use a defibrillator if available.

VF can also occur in other situations. For example, there is a genetic condition called long QT syndrome which predisposes the patient to spontaneous arrhythmias (electrical abnormalities in the heart). Even becoming too excited can sometimes set off a VF in some LQTS patients, thus they require an implantable cardioverter-defibrillator (ICD) to shock their heart back in to normal rhythm every time they develop an arrhythmia.

Some other causes of sudden death include: aortic dissection (tearing of the aorta that may cause massive internal bleeding), pulmonary embolism (a clot obstructs blood flow in the lung, stopping circulation), commotio cordis (a blow to the heart at a certain moment in the heart rhythm triggers VF), ruptured brain aneurysm (ballooning of an artery in the brain), anaphylaxis (severe allergic reaction that cuts off airflow to the lungs) and poisoning (various mechanisms, mainly related to disrupting cellular function).

Death can strike swiftly, even from within your body.