Posted in Psychology & Medicine

Voodoo Death

We inherently fear death. Much of what we do biologically is struggling against death. We eat and drink to sustain ourselves. We feel pain to avoid things that may eventually kill us. Even moments before our death, our brain will flash our life before our eyes to grasp at any past experiences that may help us survive.

Because of this, we are also inherently neurotic. Some fear flying in a plane because they can imagine the plane crashing and burning, even knowing that flying is safer than a car ride. Childhood traumas where we thought we might die cause long-lasting damage to how we behave and think as an adult.

The most interesting example of how the fear of death can affect us is the phenomenon of voodoo death.

American physiologist Walter Cannon published a paper in 1942 studying cases of “voodoo death” – where healthy people (usually from tribal societies) suddenly passed away after being cursed. Voodoo death starts when a person is cursed or condemned to die by a medical person, such as a witch doctor or shaman. The victim and those around them must believe that the curse will actuall kill them (due to the culture or tradition). The victim’s family may even prepare a funeral. The victim loses all hope that they can survive the curse. They then die, even though their body shows no signs of physical ailment.

For example, the Australian Aborigines are known to have practised “boning”, where a witch doctor would point a vexed bone at an enemy, causing the victim to immediately convulse and die. A Nairobi woman passed away within 24 hours of finding out that the fruit she ate was sacred and she committed a great sin. A Maori man, who was told he should never eat wild game meat, died a day after finding out that he had accidentally eaten wild game meat – even though he had eaten it 2 years ago.

Voodoo death is not only limited to pre-modern societies. In the 1990’s, there was a documented case where a patient was diagnosed with terminal metastatic oesophageal cancer. After saying his goodbyes to his family as were his last wishes, he swiftly passed away. On autopsy, they discovered that the cancer had not actually spread that much and was not the cause of death.

There are many theories as to what may cause voodoo death. The traditional thought was that intense fear and stress stimulates the release of catecholamines such as adrenaline, inducing a massive fight-or-flight response, as seen in broken heart syndrome. The surge of adrenaline causes the heart to beat too fast and too strongly, until it gives out and causes cardiac arrest.

However, more recent studies showed that animals that die from stress exhibit signs of the opposite happening – that is, the parasympathetic nervous system (responsible for the common type of fainting spells called vasovagal syncope) is overactive. Because the parasympathetic nervous system has the opposite effect to the sympathetic (fight-or-flight), it can cause the heart to slow to the point of stopping.

This parasympathetic overactivity may be triggered by a sense of absolute hopelessness, essentially causing the body to “give up” on life. On a related note, the hopeless victim will likely not be eating or drinking much while under extreme emotional duress, so dehydration and catatonia may play a role as well.

Voodoo death is an excellent example of how much power the mind has over the body. Ironically, the fear of death itself can cause death.

Posted in Psychology & Medicine

Stendhal Syndrome

There have been recorded cases of people gazing upon a beautiful panorama of Florence or an exquisite painting and suddenly collapsing. The condition is known as Stendhal syndrome, alternatively called Florence syndrome or hyperkulturaemia (excess culture in blood). It has been described as causing tachycardia (rapid heartbeat), dizziness, confusion and fainting after being exposed to a particularly beautiful piece of art or scenery. It is named after French author Stendhal (penname of Henri-Marie Beyle), who upon visiting Florence in 1817 experienced the very condition.

Stendhal syndrome is most likely related to a very common phenomenon known as vasovagal syncope, where extreme emotions overwhelm the brain, induce a massive parasympathetic nervous response, causing the person to faint. There are two major nervous systems: the sympathetic and parasympathetic. The sympathetic nervous system is responsible for the fight-or-flight response and essentially prepares the body for physical activity. The parasympathetic nervous system does the complete opposite and is activated when you are resting or digesting food. Thus, a burst of parasympathetic nervous activity causes a sudden fall in heart rate and blood pressure, causing the brain to lose the oxygen supply needed to maintain consciousness. When the person faints, they collapse and blood flow is restored to the brain. Vasovagal syncope can be caused by anything from standing up very quickly, extreme emotions (e.g. stress, seeing blood or needles) and fatigue. It is the most common cause of collapse and is (usually) completely harmless.

When a person looks at a breathtaking view or a stunning work of art, their brain is overwhelmed by intense emotions of excitement and joy. In the case of Stendhal syndrome, this effect is so great the person is literally blown away by the sight.

The people of Florence have noted that this phenomenon is rather common in tourists visiting the beautiful city.

Posted in Psychology & Medicine, Special Long Essays

Lie Detection

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

Couvade Syndrome

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.