Tag: psychology

Posted in Psychology & Medicine

The Centipede’s Dilemma

Posted on by Jinavie

In 1889, British zoologist E. Ray Lankester published an article on the work of the motion of animals in the prestigious journal, Nature. He concluded his article with a poem (which he admitted in not knowing the author of, but commonly attributed to Katherine Craster). The poem goes as follows:

A centipede was happy – quite!
Until a toad in fun
Said, “Pray, which leg moves after which?”
This raised her doubts to such a pitch,
She fell exhausted in the ditch
Not knowing how to run.

The allegory of the centipede illustrates a strange yet hilarious psychological phenomenon, which has been called the centipede effect to honour the poem. Most of the time, we do not put much thought into day-to-day activities such as breathing and walking. We do not have to give much thought because they have become habits – a handy mechanism nature devised to let us do more while using our brain to think about more important things. Habit automatises tasks to reduce attention, but it comes at the cost of the centipede effect, where conscious thought and attention impairs the ability to do that task, much like the centipede tripping on her own leg.

For example, even a professional golf player or violinist will make mistakes the more they thinking about their individual swings or notes they play. A simple experiment you can do is thinking about your breathing. Just by reading that sentence, you consciously divert your attention to your breathing and you will find it difficult to breathe “normally”. Similarly, you can cause considerable distress and time-wasting if you point out a tiny error in someone’s habits, making them overanalyse what they are doing wrong and hyper-reflecting.

What we can learn from The Centipede’s Dilemma is that overthinking never helps. The more we think about something, the more we look at the trees rather than the forest and we get lost in the details. This means we cannot see the overall big picture, which may turn out to be very simple. So the next time you are stuck on a problem in life, stop and take a breath. Clear your mind and let your gut feeling do its thing. Your mind can build so many roadblocks by overthinking – clouding your judgement and crippling your ability to do things. But just remember, all you have to do is drive through those roadblocks and let your heart do what it wants.

Thinking Ahead

(Image source: http://xkcd.com/439/)

Posted in Psychology & Medicine

Choice

Posted on by Jinavie

Every day, we are faced with many choices. The food we eat, the clothes we wear, the work we do, the people we love… Whether you are at work, school or home, choice is an unavoidable part of life. In fact, we put a great deal of importance in choice, stating that it is a fundamental right of a free individual to make their own choice.

So what happens when this right is taken away from us? A common reaction to this is anger and revolt. People whose freedom are taken away by a dictator will throw a revolution to choose who they want as a leader. Children throw tantrums to show that they do not want their parents to decide things in their stead. There are cases of death row inmates attempting to take their own lives because “ending my life is the one choice I have the right to”.

We like to think we are free individuals, making our own decisions in life. We mock others for being sheeple – choosing to not choose by following the mainstream decision or preference. But choice is often an illusion.
Consider how many of “your decisions” are truly from your own heart. Are you drinking Coke over Pepsi because you really appreciate the taste difference, or because of effective marketing? Are you listening to that song because you enjoy the melody, or because it is at the top of the charts and everyone is listening to it? Are you eating that menu because you were attracted to what the ingredients are, or because the waiter recommended it as “the special of the day”? You would be surprised how little choice you have sometimes, no matter how free you think you may be.

But choice has an ugly, darker side. Making a choice is often difficult, mentally taxing us as we make an internal pros and cons list to try sort things in order and determine “the best choice”. There are countless research showing that the more choice that is available to you, the harder it becomes for you to choose and the more distressed you become. It could be severe to the point that you get analysis paralysis, where you spend so long making a decision that you miss out or never take an action. Not only that, but making a choice puts the responsibility on you. For example, although medicine is moving towards a patient-oriented system where the patient makes an informed choice, the patient may feel burdened with guilt if their choice results in a poor outcome. This applies to every choice we make from day to day in the form of regret. Regret is the sinister monster that makes us think “What if?”. What if we chose differently? Regret leads to blame and blame leads to sorrow and anger at yourself.

This is the paradox of choice. It feels good to be able to express your uniqueness through choice, but at the same time, the freedom of choice can cause pain and distress just as easily. If your choice goes against the group decision, it can make you stand out and cause you to be shunned. This is why so many of us “choose to not choose” and give up our right of choice. Being social animals, we have a tendency of following groupthink while ironically shouting for the importance of free will. To fight this natural tendency and making a choice reflecting your own thoughts, beliefs and identity is a brave thing to do.

However, that is not to say that surrendering your choice is always a bad thing. A couple who met through arranged marriage may have a happier relationship than those who met through romance. People who’ve grown up in communist countries say that “it was easier when we didn’t have to choose everything”. Most importantly, reflect on your childhood where so many of your parents’ decisions – no matter how oppressive they seemed then – turned out to be the right call.

So in the end, the most important choice you can make is this: do you choose to surrender your choice or do you choose free will? Choose whatever makes you happy, because there is no point choosing something and regretting it because you are unhappy.

Posted in Psychology & Medicine

Psychopath

Posted on by Jinavie

A common character found in psychological thrillers are those who seem to have no regard for the well-being of others, disobey social rules and act violently for seemingly no reason. They show no remorse or empathy and can be very intelligent, charming and high-functioning (although not typically). We describe these people as psychopaths, or sometimes sociopaths. To over-simplify it, a psychopath essentially has no moral conscience and do not believe in the social contract.

The terms psychopath and sociopath are often used interchangeably, but in modern psychiatry, they both fall under the diagnosis of antisocial personality disorder (ASPD). ASPD patients tend to have a long history of criminal charges, often relating to violence, chronic lying and fraud, drug use and other law-breaking actions. These characteristics may show from early childhood, with the typical psychopathic child being described as one murdering animals and being violent towards other kids. These children are often diagnosed with another disorder called conduct disorder.

Psychopaths are very popular in movies and TV shows due to their unpredictable nature, wanton violence and maniacal behaviour inflicting terror into the audience’s hearts. After all, who wouldn’t be afraid of a remorseless killer who finds enjoyment from others’ suffering? Unfortunately, many movies distort the image of the psychopath and blend in various other mental health disorders such as psychosis into the character. Sometimes psychopaths are even sensationalised, being described as an antihero.

It is true that many serial killers turn out to be psychopaths, but physical violence is not necessarily a feature of all psychopaths. A subset of “successful” psychopaths differentiate themselves by being less physically violent, appear to follow the social norm and succeed in challenging fields such as business, finances, law or even medicine. However, they will also have a pervasive disregard for others and will only care about having their way. Their lack of empathy allows them to act immorally, stabbing people in the back and lying, cheating and manipulating their way to the top. It is not some sick sexual perversion or power trips that motivate psychopaths, but impulsivity, egocentricity and gratification. To psychopaths, the aim of the game is to win, no matter the cost.

This makes you wonder. How many people around you are secretly a psychopath – one who would take advantage of you without a shred of guilt? How many people around you hide behind the mask of sanity?

(NB: Just putting it out there, Sherlock Holmes is neither a psychopath nor a sociopath. If anything he probably has an autism spectrum disorder like Asperger’s syndrome.)

Posted in Life & Happiness

The Joy Of Connection

Posted on by Jinavie

What is the commonality of the following? New parents holding their newborn baby, a young couple in love staring into each other’s eyes, catching up with an old friend and a hug. The obvious answer is that they are moments of happiness. But the real answer that lies beyond that is that they are all about connection. Human beings are social creatures and we are hardwired to like connecting with others. In the primitive days, not being connected to your tribemates meant a lower chance of survival. Over the years, we have evolved to the point where human connection is one of the greatest joys we can experience. Many things people may associate with “joy” such as money, sex and winning result in a flood of dopamine in the brain. Dopamine is great, it gives us a rush and acts as a reward system, motivating us to do more of the behaviour as it will likely result in more food or mates. However, dopamine quickly wears off and you need another “hit” to replicate the effects. The happiness produced by connection is based on a different neurotransmitter called oxytocin, which is produced en masse in events like physical contact (e.g. hug) and during childbirth. Oxytocin acts different to dopamine in that it sets up a “circuit” that is associated with a memory. If you recall a memory – either consciously or when you meet a stimulus such as a certain smell that reminds you of it – the oxytocin circuit fires up and gives you a dose of happiness. Thus, oxytocin is sustainable, true happiness.

Of course, the corollary to this is that the greatest suffering we can experience is the feeling of disconnection. Breaking up with your other half, being rejected, a dear friend moving far away, the death of a loved one… These events make us feel as if a piece of heartstring snapped, leaving a scar that aches for a long while. In prison, one of the harshest punishments is solitary confinement, where the inmate has no contact with any other human being for a set time. A characteristic of borderline personality disorder is emotional instability and impulsive decisions. A major trigger for this is the feeling of abandonment or the fear of rejection. Borderline patients tend to misinterpret a person through black-and-white thinking, conclude they must hate them, feel rejected and may go on to harm themselves or even attempt suicide. There is also some anecdotal evidence saying that babies who are brought up in institutions without a parent figure to truly connect to are more likely to develop personality and mental disorders, with an increased risk of death in infancy. To not be connected to anyone is true suffering.

So if you are still on the pursuit of happiness, go out there and connect. Whether it be the excitement of getting to know a new person or the rekindling of an old friendship, connection is the ultimate happiness.

(Image source: Puuung http://www.grafolio.com/puuung1)

Posted in Psychology & Medicine

Memories

Posted on by Jinavie

When you remember a scene from the past, you are not remembering the past. You are remembering a memory of the past. Your brain works in a very funny way where it does not record memories like film. Instead, it seems to remember things as a collage. Everytime you recall a memory – whether it be a happy memory of your first love, or a sad memory of lost love – your brain recalls your last recollection of the event. Simply put, every time you “remember” something, you are merely remembering the latest memory of the event. Each time you replay an event in your mind, it is rewriting a version of the memory over itself.

This means that the more you dwell on a memory, the more it is distorted. You romanticise the good parts and dramaticise the bad parts. The memory is ultimately warped beyond the point of telling the true story. Instead, it becomes something akin to a movie script or a fairy tale. But if it truly is a memory you deem special and hold dear, then maybe it isn’t too bad keeping a romanticised, “perfect” version of it somewhere in your heart to look back on every now and then.

Posted in Psychology & Medicine

Autotelic

Posted on by Jinavie

From a very young age, goals are set for us by others. As babies we are encouraged to walk and talk, as children we are encouraged to do well in school, as teenagers we are encouraged to get a good degree and as adults, we are encouraged to be a model member of society. Advertisements put forward money, fame and power as models of success. Motivational speakers give speeches telling us paths we should follow to succeed. Parents tell children that they should listen to their advice if they wish to lead a comfortable life in the future. Amongst all of this external pressure, sometimes it seems difficult to have a say in what direction your life should go in.

The word autotelic is derived from the Greek words auto, meaning “self”, and telos, meaning “goal”. An autotelic is one who does not need external reminders to tell them who they are. They have a purpose in and not apart from themselves. They are driven by their own goals, curiosities and motivation. An autotelic does not live life like a connect-the-dots puzzle drawn by society, but chooses to paint their own life on a blank canvas.

The defining feature of autotelic personalities is that they are not driven by the want to be successful, but by the desire to seek challenges and be in flow state. Mihaly Csikszentmihalyi, the psychologist who coined the term flow, defined the mark of the autotelic personality as “the ability to manage a rewarding balance between the “play” of challenge finding and the “work” of skill building“. They are far less interested in external rewards, such as a gold star from a teacher or a raise from a employer. Their reward is the flow state they enter while they work on their goal and the satisfaction that comes with knowing that they completed a challenge.

Some of the greatest achievers in history were autotelics. They did not achieve amazing feats because of the promise of money and fame, but because they were internally driven by the thirst for flow. When questioned why he wanted to climb Mount Everest, famous mountaineer George Mallory replied: ”Because it’s there“. An autotelic personality is not necessarily something you have to be born with. All you need is to constantly challenge yourself, discover whatever brings you to flow state and not let outside forces sway you from your own goals. For the only judge of your life that matters is you.

(If you don’t get the reference, go watch some How I Met Your Mother, coz it’s awesome 😛 Barney Stinson always sets new challenges for himself, always pushing himself to the limits of awesomeness. Examples: http://www.youtube.com/watch?v=4iOi_iPNC50)

Posted in Psychology & Medicine

Stockholm Syndrome

Posted on by Jinavie

August 23, 1973 – Stockholm, Sweden. Two men entered a bank and took four bank workers hostage by gunpoint. The police quickly responded by surrounding the bank but could not act due to concern for the safety of the hostages. The stand-off lasted six days until the police finally negotiated the release of the hostages. During this ordeal, a very strange phenomenon was observed. The hostages had grown emotionally attached to their captors, rejecting rescue attempts and even defending their captors after their freedom. It was clear in subsequent interviews that the hostages had bonded with the criminals, supporting their cause and not minding the fact that they were threatened, abused and were made to fear for their lives. In fact, one woman later became engaged to one of the criminals, while another funded the legal fee for their trials.

Psychiatrist and criminologist Nils Bejerot studied this case and coined the phrase Stockholm syndrome to describe the phenomenon of hostages expressing empathy and sympathy to their captors, leading to bonding with and having positive feelings for them. This seems irrational as bonding is perceived as the product of a positive relationship where two people are loving and caring for each other, not threatening their life. This phenomenon has been well-documented throughout history in hostages, domestic abuse victims, prisoners of war and cult members. One study showed that up to 27% of hostage victims showed evidence of Stockholm syndrome in the U.S.

There are a few explanations for the Stockholm syndrome. The Freudian explanation is that the bonding is an individual’s response to the trauma of being threatened. By rationalising that they are in fact on the same side as the captors, the effect of the trauma is reduced as the victim feels less victimised. Evolutionarily speaking, human beings have always been under the threat of being invaded by a neighbouring tribe or country. This often involved the raping and abduction of women by the aggressors. Victims who would resist and fight back would have more likely been killed (along with their children), while those who responded as per the Stockholm syndrome would have been more likely to survive. It has been observed that the Stockholm syndrome is found more commonly in women.

Stockholm syndrome is a very common feature of human society, found in households in the form of battered-wife syndrome, in groups in the form of hazing and basic military training and in the bedroom in the form of bondage and masochism.

Posted in Simple Pleasures of Life

Simple Pleasures of Life #23

Posted on by Jinavie

Happy coincidences.

Life is full of chance and coincidences. Coincidences can range from something simple like bumping into someone you haven’t seen in a while at a supermarket, to what some people call “fate” or “miracle” or “destiny”.

Mathematics will tell you that coincidences are simply the product of the law of large numbers – that it is merely a statistical event. Psychology will tell you that we are just victims of the regression fallacy. Religious people will tell you that it is an act of god.

For me, happy coincidences are just little events in life that spice things up a bit. I don’t believe in fate or destiny or some omnipotent deity, but that doesn’t mean that I treat coincidences as unimportant random events. I find that rather than dismissing it, identifying it as something good makes my life a little bit happier. Who cares if the reason that all the traffic lights were green might be a sign? Who cares if the reason that the song that JUST happens to fit my mood comes on a shuffled playlist was statistical chance? Who cares if you call meeting your soul partner destiny?

What matters to me in the end is that it happened and it made me happy. I also find identifying the coincidences and the steps that led to it happening quite interesting (because I’m a huge nerd, which I say with pride). For example, if I had decided to stick with my plan of going to Asan Hospital instead of Severance Hospital for my selective this year, I wouldn’t have met the girl that invited me to WKMSO and I wouldn’t have met the awesome people I did, nor would I have had my unforgettable NYC/Vegas adventure.

Maybe the reason it makes me happy is that knowing that if even a tiny detail was changed, say if I was put on a different shift to that person, things would have turned out quite differently. For better or for worse. But the fact is that things happened to happen in the way it did and it led to me having an amazing time.

And that my friends, is a long-winding rant-y explanation to why I love the butterfly effect.

Butterfly

Posted in Simple Pleasures of Life

Simple Pleasures of Life #30

Posted on by Jinavie

Meeting people, hearing their stories, sharing a moment and leaving a positive mark on their lives.

There’s a branch of philosophy that believes that the world only exists within our minds. That the people around us are merely figments of our imagination. As crazy as this thought is, to some degrees, we human beings all live at least a little selfishly, absorbed in our own worlds. For example, thanks to a psychological phenomenon known as special pleading, we are prone to judging others by how their actions affect us while we only judge our own intentions.

Because of this human nature, we often forget one simple fact: each and every person that you see around you has a life of their own. That person that you accidentally bumped into has a name, a job, a family (maybe). He or she will have hobbies and interests, goals and dreams, experiences and memories.

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Of course, it’s understandable that your brain tends to ignore this simple fact on a routine basis. The poor bugger has to process an overload of sensory and cognitive information every nanosecond, and if it was to consider every little details of everything, your head might just explode. But that’s no excuse to not think about it every now and then. You know, just ponder the implications.

If there’s one thing I’ve learnt about the world, it’s that each person has a very unique story to tell. They are walking books that are in the process of being written into a grander, more epic tale by the day. You’d be surprised what kind of stories you hear from complete strangers. One of the reasons I wanted to go into medicine was to hear all the stories every patient had to tell. I am reminded of this fact every day in the hospital. I’ve met old men who survived wars, kids who’ve suffered more diseases than you would in three lifetimes and even an old lady who gave the best tips on how to cook fish (which I’ve sadly forgotten…). Point is, if you take the time to stop and have a chat, you might hear some amazing stories that put movies and books to shame.

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I think one of the greatest joys we can experience as human beings is really opening up to someone, getting to know who they are and showing them who you are to them. Memories, stories, values, dreams, opinions, humour, all that jazz. It might be crazy to think that the world only exists in our heads, but it’s not at all crazy to think that everyone’s perspective of the world is very different. When you share a bond with another person, it’s like connecting those two different worlds. Yup, getting to know a person is like opening a wormhole between dimensions. What that’s pretty cool right. The best part is that this could happen between two lovers who’ve known each other for ten years, or even between two people that happened to meet by chance an hour ago. That’s human interaction I guess. It’s not about the amount of time you’ve spent with them. It’s about the quality of the time you shared with them. Opening wormholes and stuff.

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My last point is to do with leaving a mark. It’s one thing to be aware that the person that’s in front of you is a unique life of their own, it’s another to be conscious of the role you play in their story. For example, a compliment you paid in passing might completely change the person’s day. A simple act of kindness you thought nothing of could be recorded in someone’s life book as a life-changing event.
I said at the start that we judge others by their actions and ourselves by our intentions. Well then, by that logic, once you pass away the only thing that will be left to affirm your existence will be recordings of you in other people’s life books. So consider the mark you leave. Even a smile can make a difference.

I’ll end my 30 day challenge with a quote I particularly like regarding human interactions, by a certain Mr. Rogers:

“If you could only sense how important you are to the lives of those you meet; how important you can be to the people you may never even dream of. There is something of yourself that you leave at every meeting with another person.” ~ Mr. Rogers

May your life be full of little, simple pleasures 🙂

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Posted in Psychology & Medicine

Pain

Posted on by Jinavie

Perspective is everything. By changing your perspective, you may discover an innovative solution to a problem, or understand the actions of someone else. But more importantly, your perspectives have direct implications in your life and health.

For example, let us consider pain. Pain is a sensation – an electrical signal in response to a noxious stimuli that is causing damage to your body. It is a warning system that screams to the brain that something is wrong. To boil down the complex physiology of neurotransmission, essentially imagine the system as an electrical circuit. If something damages tissue, like a knife slicing through flesh or a clot blocking off oxygen supply to the heart, the pain “switch” is activated, a signal is sent to the brain, and it is interpreted and “felt” by the brain as pain. Because your brain needs to interpret the signal, pain is essentially subjective. If you are distracted or in a good mood, you will feel less pain compared to when you are distressed and focussing on it. The same stimuli can be handled completely different by every person, making pain extremely complicated and difficult to assess in a medical setting. Pain scales may be used to try objectify the level of pain, but this is still very crude.

UCEM Pain Scale

One way or another, pain is technically all in your head. That is not to say that pain is not real – that would be an insult to sufferers of chronic pain. But your perspective, way of thinking and frame of mind can make a significant difference to the amount of suffering the pain causes. This is not just an overly-optimistic view of the world that everything can be fixed with optimism. There are real physiological systems in place to alleviate pain when you are happy. These chemicals are called endorphins – so named because they are so potent that they match the effect of morphine (endo(inside) + morphine). This natural painkiller is released in response to pain, but can also be stimulated by having fun and being happy. Laughter is literally medicine.

Not only that, but by being in a good mood, you become more resilient and “distracted from the pain”, allowing you to bear the pain more easily. A woman going through childbirth suffers quite possibly the most extreme level of pain a human being can experience, but the prospect of seeing their newborn child (and probably finally ending their pregnancy) and the loving support of their spouse, family and friends keep them pushing onwards. Even though the noxious stimuli of stretching is real, the brain can choose to downplay how much pain it thinks it should feel with these positive factors.

Although it may not be able to make your pain magically disappear, never underestimate the power of positivity, laughter and happiness. Perhaps that is why the emotion of happiness was evolved – to alleviate the misery and pains of living in this world. To survive.

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