Category: Psychology & Medicine

Posted in Psychology & Medicine, Special Long Essays

Lie Detection

Posted on by Jinavie

In developmental psychology, a child’s ability to successfully lie is considered a milestone achievement. This goes to show how lying is one of the characteristic behaviours of human beings. Even a three-year old knows that by lying, they can avoid punishment and gain much more.

There are many signs of deception. Becoming an expert in observing these signs and knowing what they mean can grant the ability to see through lies. The following is a description of some of the changes – both non-verbal and verbal – that people exhibit when lying. Note that these signs are not always definitive and should be used as a reference only. One must carefully deduce whether the signs are there because the person is lying, or whether it is a simple physiological process with no meaning. Here is a simplified list of the signs that will be discussed:

  • faster blinking, avoiding/too much eye contact, dilated pupils, looking up and right
  • sweaty face and palms, fast pulse and blood pressure, flushed face
  • dry mouth/lips, constant licking or pursing lips, swallowing loudly and often
  • looking away or down, tics and twitches in face (eyes, cheeks, mouth)
  • placing hand near mouth (rubbing nose/chin, scratching face etc.)
  • touching neck, pulling at collar, rubbing forearms or hands
  • shoulder shrug, crossed arms/legs, fidgeting, hiding of hands
  • holding hands or clenched fists, unusual movements
  • tucking feet below seat, tapping of feet
  • short, general descriptions (or overly detailed), inconsistencies in detail
  • talking faster and at a higher pitch, emphasising the “truth”

Non-verbal signs are essentially body language – a mean of subconscious communication through which the person signals to another person about their emotions and thoughts. These can be behavioural (avoiding eye contact), physiological (faster heart rate) or cognitive (exaggerating that they are “truthful”). As non-verbal communication makes up 90% of a conversation, it is extremely useful to know what signs to look for and know what they mean. Let us start with the face.

The eyes are considered the window to the soul. This is because the eyes give off so many clues about what the person is thinking, usually subconsciously. A key sign to look for is the frequency of blinking. If the person is blinking much more than usual, it suggests that they are nervous (causing their eyes to dry out faster). Another famous example is eye contact – people avoid eye contact when lying as they are subconsciously “ashamed” of being immoral. However, they may consciously compensate this and make too much eye contact, another sign they are hiding something. Looking up and to the right has been associated with the brain imagining something, as opposed to down and left which is related to recalling true memories. Lastly, the pupils may dilate from the excitement and nervousness.

When a person lies, they tend to be nervous, stressed and excited. This activates the sympathetic nervous system, colloquially known as the fight or flight mode (rapid blinking is related to this). This causes other signs such as sweating, dry mouth, fast heartbeat and blood pressure. Therefore, a liar may be seen licking or pursing their lips to moisten them. Frequent, loud swallowing is also a clear sign of dry mouth. The face may be slightly flushed as well.

As stated above, the person is also subconsciously ashamed of their lying. This causes the person to face away from the person or look down (think of a child who is lying – their innocence makes signs of deception flare up like Christmas lights). Many people place their hand near their mouth (e.g. rubbing their nose or chin, touching their lips), as if the brain is telling the hands to stop the lie from coming out. They also tend to rub their neck or adjust their collar as touching the neck comforts people. Note that scratching the nose is another sign of lying but not the same as rubbing the nose. Scratching is to relieve the itchiness caused by the raised blood pressure irritating the soft tissue of the nose (Pinocchio effect).

Obviously the facial expression would change also, expressing nervousness and mild stress. This may be concealed with a fake smile (when the “eyes don’t smile”) or anger. It is well-known that people exhibit microexpressions – a flicker of emotion expressed in the face – that only shows for a fraction of a second. Although it is hard to spot, it is a direct display of their true emotion. Fascinatingly, the right face tends to react more as it is controlled by the left brain – responsible for the logical and complex thinking required in telling a lie. This may show as a tic or twitch in the eyes, cheek or mouth.

Moving down the body, a classic sign of deception is the shoulder shrug. Shrugging the shoulders is a message they are “unsure” if what they said is true and is seen (subtly) in many cases of lies. The arms may be crossed (a closed position), which shows they are being defensive (a sign of guilt or discomfort). Similarly, the person may be leaning away from the other person.

The hands are just as important as the face when it comes to lie detection. As mentioned before liars tend to touch various parts of their face and neck while telling a lie. Women tend to rub their hands together or their forearm instead of the neck to comfort themselves. Fidgeting is also very important to notice as this is a comforting act too and exaggerating movements are seen also (reinforcing the “validity” of their lie). Usually, people are aware of this fact and attempt to hide their hands in their pockets, behind their back or behind a bag. They may hold the hands together to prevent fidgeting, or tightly clench their fists. Basically, look for unnecessary (or lack thereof) movements as this almost certainly indicates that something is abnormal.
Similarly, the person may cross their legs (defensive), tuck their feet below the seat (distancing from the other person) or tap their feet (nervousness and excitement).

To finish off, here are some verbal cues for deception. People have a tendency to give short replies when lying. They also talk at a faster pace and higher pitch. These are all due to the subconscious want for the conversation to be over as soon as possible (often accompanied by an awkward or angry attempt at changing the topic). On a similar note, they are more hesitant and less fluent in talking, adding many “umm”s and “uhh”s as they try conjure a lie. Words such as “somebody” “somewhere” “everywhere” that encompass a non-specific or broad target are used to try dilute the details of the lie.

Conversely, the more experienced liar tries to make their lie believable by adding excessive detail to their story. For example, asking a specific detail (that they normally wouldn’t notice) would prompt an answer as opposed to an “I don’t remember”. It is also useful to ask the same question again and check for any inconsistencies.
Lastly, if the more the person affirms that they are telling the truth (e.g. “honestly”, “believe me”, “swear to god”), the more likely they are lying.

This list is not exhaustive and there are many tiny details that can be used to help you decide whether someone is trying to deceive you or not. Again, as the signs are not definitive (e.g. they may be thirsty or just nervous talking to you) it should be considered within the context along with other information. However, it is still an extremely useful tool for finding the truth as everybody lies.

Posted in Psychology & Medicine

Superbug

Posted on by Jinavie

Frequently on the media, the word “superbug” is used as if it were the new Black Death or the coming apocalypse. What is a superbug and why is it so feared?
Superbug is the colloquial nickname for drug-resistant bacteria. For example, one of the most famous superbugs is MRSA (methicillin-resistant Staphylococcus aureus). This strain S. aureus, a common bacteria found on skin and inside the nose, is resistant to a powerful antibiotic called methicillin and thus very hard to treat. Unfortunately, MRSA is most commonly contracted in hospital settings as patients are vulnerable to infections (e.g. after surgery) and hospitals are perfect breeding grounds for superbugs.

The cause of a “normal” bacteria turning into a superbug is due to the incorrect use of antibiotics. When antibiotics are used, they wipe out a significant portion of the bacterial population but fail to kill all of them in the first attack. The surviving bacteria are the more adapted ones that are able to withstand the harsh environment for a little longer. If the patient stops taking the antibiotics and the bacteria remains, these “drug-resistant” bacteria multiply to create a second infection that is resistant to the drug that was used previously. In fact, this is a classic example of natural selection in motion, except that the environmental change is man-made.
This is the reason why doctors are reluctant to prescribe antibiotics for diseases such as the common cold or viral diseases, as the risk of developing superbugs is greater than the benefit (which is zero in viral diseases as they do nothing) of the treatment. It is also why a course of antibiotics must be finished even if the patient is feeling well, so that even the surviving bacteria are eventually killed.

To show the potential risk of superbugs, the case of VRSA can be taken into consideration. When MRSA was first discovered, doctors found it very difficult to treat but luckily they had a secret weapon – vancomycin, one of the most powerful antibiotics known to mankind. However, they soon found that S. aureus and natural selection easily overcame this through a new strain called VRSA – vancomycin-resistant S. aureus. Here was a bacteria that could overcome the greatest weapon man had against bacteria, all because people were taking more antibiotics than needed and not taking the full course prescribed.

Thus, one of the growing problems of modern medicine is the development of new drugs so that we can make a comeback in the arms race against bacteria.

Posted in Psychology & Medicine

How To Calm A Baby

Posted on by Jinavie

One of the hardest things about being a new parent is how to quell the cries of a newborn. Since crying is their only way of communicating needs, babies cry constantly and this can be extremely distressing for the parents. 
Of course the best way is to deal with what the baby needs, such as food or changing their diaper, but the cause is not always clear. Most parents use the traditional method of picking the baby up and slowly patting or rubbing the baby’s back. By patting at a similar beat to the mother’s heartbeat, the baby feels at ease as it reminds it of the relaxing state within the womb.

There are some other less conventional methods that have been shown to work. For example, turning the vacuum cleaner on or any other white noise (such as the washing machine, rustling a plastic bag or even gargling water in your mouth) has an instant effect of stopping the baby’s cries (NB: usually only works on infants below 3 months of age). The reason being, these noises are at a similar frequency to the noises the baby hears in the womb, such as the mother’s guts moving, blood flowing through the vessels and sounds from the outsides being transmitted through the mother. As the brain remembers such relaxing states for the fist few months, these stimuli induce a relaxing response and calm the baby.
Similarly, turning on rock & roll music (not too loudly) calms the baby in the first few months as they are unable to recognise the words but can still feel the vibration from the rhythm, which again reminds the baby of the womb.

The same principle can be used to simulate other features of womb life. Rocking the baby slowly simulates the sensation when the mother is walking, wrapping the baby in a blanket simulates the warmth and cosy nature of the womb and giving the baby something to suck on like a pacifier induces the powerful sucking reflex which calms the baby.
As a last resort, touching the inside of the ear canal with your little finger causes the baby to become confused about the strange sensation, distracting the baby. Although this method is effective up to 24 months, it is not recommended as it can lead to an ear infection.

On a similar note, when a baby or young child is stubbornly holding on to something, the best method to get it back is for the mother to pretend that they are crying. The child, empathising with the mother and not wanting her to be sad, yields the object in their hand to make her happy. But this method may not work after a while when the child realises you are tricking them.

Posted in Psychology & Medicine

Bystander Effect

Posted on by Jinavie

March 13, 1964 – Queens, New York. A young woman called Kitty Genovese was running from a man chasing her across the parking lot. She screamed for help as she ran from the attacker but not a single person came to her rescue. The attacker stabbed her repeatedly but the police were never alerted to the incident. The astonishing fact is that not only was there someone watching the whole attack – completely able to call the police or intervene – but there were no less than 38 bystanders.

This case sparked a question in social psychology: what prevented those 38 people from stopping a murder happening in front of them? Was it fear of attracting the assaulter’s attention? The bystanders were all watching from their apartment and calling the police would have been simple and discreet, so this was not the reason. Psychologists designed an experiment to study the natural human response as a bystander in an emergency situation.

The experiment was simple: have participants fill a survey in a room and have the helper leave the room. The helper would then stage a collapse with a yell. The participants’ response would then be observed (particularly their response time).
What they found was fascinating. When only one person was in the room, it was very likely he or she would check to see what happened. But with a group (even three would suffice), the response time would dramatically increase, if they responded at all. Simply put: the more bystanders there are, the less likely someone will step in to do something.

The reason is actually simpler than people think. It is not that people are naturally evil and wish to see others suffer; the bystander effect is a consequence of the basic human psyche.
Firstly, people constantly observe others’ responses in a social situation. This creates a paradox where everyone assumes that since no one is doing anything, they themselves do not act either.
Secondly, there is a shared sense of delusion where people think “others will do it”. This is known as “responsibility splitting” and explains why more people lead to less response.
These two factors combined with cognitive dissonance reduce the guilt and burden of the bystander as they consider it alright to not respond as long as no one else does (or if they do, good for them).

Unfortunately, this effect is so powerful that they occur in about 70% of assault cases and also other emergencies such as a person collapsing from a heart attack (i.e. no one rushes to perform CPR). The same effect is seen in cases of suicides (where the person publicly announces their intentions with no one responding) and classrooms (when the teacher asks the class a question).

This is why one of the greatest tips for emergency response is to pick a single person out and instruct them to do something. For example, “You there, in the red jacket, call the ambulance” is much more effective than “Somebody do something”.

Posted in Psychology & Medicine

Hysteria

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Hysteria is a disease that was believed until the late 19th century to be a disease unique to women due to a pathology of the uterus (hystera is Greek for uterus). The most common symptom was mental disturbance (such as extreme moods) accompanied by shortness of breath, vaginal dryness, nervousness, insomnia, oedema, faintness and many more. The treatment back then was for a physician to massage or stimulate the patient’s vagina to induce an orgasm. By the 19th century, the treatment evolved and involved vibrators and water massage machines.

This disease was first noted by Hippocrates, the father of modern medicine. Galen, another famous physician in the 2nd century, believed it to be caused by sexual deprivation. Thus, sexual intercourse was prescribed as treatment in the Middle Ages.

Modern medicine no longer recognises hysteria as a medical condition and is now referred to as sexual dysfunction (the sexual treatments described above are no longer used either). However, there is a condition called mass hysteria that indeed exists.
This is a psychological phenomenon rather than a disease, commonly occurring in closed spaces such as planes or in crowds in a state of panic. When a high tension situation arises, people easily become delusional and believe that they are suffering from a disease. The body reacts to this with actual symptoms such as a psychosomatic rash. These symptoms can be as severe as fevers, vomiting and even paralysis.

If many people are all complaining of similar symptoms and infectious disease seems unlikely, there is an easy way of diagnosing mass hysteria. Tell the patients that they have a rare disease and begin listing the symptoms they complain of. At the end, make up a false symptom (e.g. “shaking of the left hand”). If the patients all suddenly start to shake their left hands (which causes them to panic more), it is likely that their panicking brain is causing the symptoms rather than some pathogen. Symptoms subside after the patients relax.

Interestingly, mass hysteria affects women much more than men.

Posted in Psychology & Medicine

ICU Syndrome

Posted on by Jinavie

ICU stands for intensive care unit and is the place where patients are sent after an operation to stabilise and recover under supervision. ICU patients commonly have a very unique and strange post-operative experience.

ICU syndrome is a type of delirium where the patient experiences severe anxiety, fear, hallucinations or delusions. Although the cause has not been determined, it is likely related to post-op stress, the segregation and loneliness in the ICU room and confusion from coming out of anaesthesia. This is especially the case if an emergency situation led to the surgery being longer than expected or resulted in additional surgery, causing extreme confusion in the patient.

A patient suffering from ICU syndrome tends to be extremely excited and unstable. They may develop intense paranoia or distrust (especially against medical professionals), which can lead to fits or dangerous acts such as pulling out cannulas and lines. A friend or loved one talking calmly to the patient has a great effect in helping the patient overcome the delirium. Therefore, allowing the family to visit to keep the patient company and calm is an effective way to prevent ICU syndrome. However, if the situation spirals out of control, a sedative or anti-psychotic may need to be administered.

A study states that about 25% of patients admitted to the ICU suffer from ICU syndrome. It is one of the most common causes of delirium and any patient can get it (elderly patients are more likely to). Interestingly, there is a theory that medical professionals are more likely to suffer ICU syndrome after an operation.
Nowadays, the term ICU syndrome or ICU psychosis is discouraged and is instead grouped under delirium (which is an actual psychiatric disorder, not just a general term).

Posted in Psychology & Medicine

Dream

Posted on by Jinavie

Deep within the rainforests of Malaysia, there lived a tribe called the Senoi. Because they centred their lives on dreams, they were also called the Tribe of Dreams.
Every morning as they ate breakfast around a fire, they discussed their own dreams from the previous night. All social activities within the tribe had a close connection with those dreams. If one dreamed of harming someone, they had to give the harmed person a present straight away. If one hit someone in a dream they had to ask for forgiveness from that person along with another present.

The Senoi tribe placed more importance in education regarding dreams over that of how to live in the real world. If a child dreamed of running away from a tiger, the tribe would tell the child to dream of the tiger again and then fight it until it was killed. The elders taught the children how to achieve this. If the child could not defeat the tiger, the tribe would scold him.
Placing such importance on dreams, the Senoi tribe thought reaching an orgasm in a dream involving sex was a must, followed by thanking the other person with a gift in reality. If they faced an enemy in a nightmare, they had to defeat him and later befriend him by exchanging gifts. The dream they wished for most was a dream about flying. If someone dreamed of flying, the tribe would congratulate him, and a child’s first dream about flying was almost like baptism in the Catholic church. People would bring many gifts to the child and then teach him how to fly to distant lands to bring back wonderful objects.

Western anthropologists were fascinated by the Senoi tribe. There was no violence, mental disease, stress or greed. Only enough work to survive was required.
The Senoi tribe disappeared in the 1970s when the forest they lived in was cleared. However, we can still utilise their knowledge.

In a dream, we can test our infinite potential. In a dream, everyone is omnipotent. The first hurdle in dream aviation is flight. Spread your arms, glide around, dive, turn again then rise. Anything is possible. You can do anything you want. As a dream is your own world, no one can bother you. If a monster appears, shoot it with a bazooka. If you face an opportunity to date, do not let it go and make full use of it. Since there are no sexually transmitted diseases or indecency in a dream, there is nothing stopping you.
Dream aviation requires an increasing degree of training. As your “flight” time lengthens, your confidence will grow and you will get the hang of it. Normally, children can control their dreams in any way they wish within 5 months of training, but adults can take much longer than this.

(from The Encyclopaedia of Relative and Absolute Knowledge by Bernard Werber)

Posted in Psychology & Medicine

Couvade Syndrome

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A patient comes to a doctor complaining of the following symptoms: “I can’t sleep because my teeth have been aching for the past few weeks. My head is killing me and whenever I wake up in the morning my stomach hurts and I feel nauseous and want to vomit. Sometimes I have no appetite and sometimes I crave a certain food. My breasts have gotten bigger and my stomach is bulging quite a bit.”
The patient has been married for three years and in a few months will have a beautiful daughter.
What is the diagnosis?

Most people would immediately say “Pregnancy!”. But there is one small detail that was left out: the patient is a man.
It is common sense that men cannot be pregnant. So what is this man suffering from?

Couvade syndrome is also known as sympathetic pregnancy. In other words, the husband subconsciously copies his wife’s pregnancy and suffer the same symptoms. This syndrome can be severe enough to cause labour pains, nosebleeds and even post-partum depression.
The cause has not been established, but it is likely to be psychosomatic, where psychological symptoms are expressed through physical symptoms, or due to changes in hormone levels.

Posted in Psychology & Medicine

Insulin

Posted on by Jinavie

Diabetes is a common and serious disease that is caused by the body being unable to control the blood sugar (glucose) level, leading to severe organ damage. For example, blood vessel damage can lead to blindness, renal failure, heart attacks or strokes. Diabetes is divided into Type 1, caused by the destruction of pancreatic β-cells (that produces insulin) leading to insulin deficiency, and Type 2 diabetes, where insulin resistance renders the hormone useless. Thus, diabetes is a disease related to insulin. So what is insulin?

Insulin is a hormone that lowers blood glucose. It has the important function of controlling blood glucose levels after a meal. Therefore, a diabetes patient has high blood glucose, which has a toxic effect.
As type 1 diabetics cannot produce insulin, they require daily insulin injections. Some type 2 patients also need insulin. But this hormone that saves the lives of diabetics also has a deadly dark side.

Too much insulin leads to hypoglycaemia due to its blood glucose lowering properties. This is the opposite of what happens in diabetes, but is even more dangerous. Although there are in-built autonomic defence mechanisms to prevent this from happening, a high level of insulin can overcome this to cause blood glucose to plummet. 
A hypoglycaemic patient initially suffers cognitive dysfunction, then sweating and tremors. As blood glucose falls further, the patient begins to convulse, until they fall into a coma and eventually die. This is because the brain heavily relies on glucose for its functions, and a disruption of glucose supply causes it to shut down.
Because blood glucose fluctuates much like blood pressure, it is hard to control. This leads to many diabetics accidentally falling into hypoglycaemia, or even losing their lives. Furthermore, insulin is sometimes used by people to cause hypoglycaemia as a means of suicide.

If you see a person convulsing, check around for any hypodermic needles or bottles of insulin. A diabetic patient would have a medic alert bracelet, and if it is a suicide attempt they would have recently injected themselves with insulin. If you think it is hypoglycaemia, you must immediately treat the patient as severe complications can occur in a very short time. The emergency treatment is quite simple – raise the blood glucose. For example, dissolving a spoon of white sugar in the patient’s mouth or making them drink a sugary drink such as apple juice can cause a spike in blood glucose, causing the symptoms to disappear. If their consciousness does not return, you may need to repeat the process until their blood glucose is high enough.

Knowing even a little about insulin and hypoglycaemia may lead to you saving a person’s life someday.

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Posted in Psychology & Medicine

Toxoplasmosis

Posted on by Jinavie

There is a protozoan parasite called Toxoplasma gondii. This parasite infects many animals through an interesting route. 
The first victim is a mouse. An infected mouse loses its fear of cats, leading it to play fearlessly in front of one until it gets caught and eaten (was Jerry a mouse with toxoplasmosis?). It is unclear how it controls a more advanced animal’s brain, but thanks to this effect, Toxoplasma gondii can infect its intermediate host – a cat.
An infected cat starts excreting parasite eggs with its faeces. If a person forgets to wash their hands or eats food contaminated with cat faeces, they can be infected and become the final host for the parasite.

Usually, Toxoplasma gondii cannot overcome the healthy immune system, but it can infect those with a weaker immune system such as the elderly or pregnant women. Furthermore, it is part of the TORCH complex (toxoplasmosis, rubella, cytomegalovirus, herpes) – a group of infections that commonly cross over from the mother to the fetus in utero. Symptoms are normally flu-like, but if more severe it can cause dysfunction of the eyes, brain and other vital organs. Sometimes it lies dormant until the person’s immune system is weakened, whence it becomes active. Toxoplasmosis is also a possible cause of a miscarriage or infertility.

One fascinating symptom of toxoplasmosis is psychiatric disorders. Because Toxoplasma gondii can infiltrate the brain, it is known to cause depression or even schizophrenia. As cats are the most common intermediate host, cat owners are more susceptible to toxoplasmosis. Because of this, there is a theory that “crazy old cat ladies” are in fact toxoplasmosis patients.