Showing posts with label Psychiatry. Show all posts
Showing posts with label Psychiatry. Show all posts

Thursday, September 03, 2020

"Former Psychopath Dr. David Wood Shares His Astounding Transformation Into Christian Apologist"

Just my own summary:

1. David Wood goes into some depth about his testimony or conversion with Eric Metaxas. It starts at approximately 32:30 with Wood meeting another inmate named Randy who was a Christian. Wood saw Randy always sitting in his bunk reading his Bible. Randy wouldn't do anything the other inmates were doing.

2. One day Wood told Randy he was only reading the Bible because Randy was born in the US. If Randy had been born in China, then he'd be Buddhist. If India, Hindu. If Saudi Arabia, Muslim. Wood also told Randy "people like you believe whatever you're told to believe". Wood had the same idea of Christianity that he had of objective morality - that it's just a false belief that people are told by others, which they accept, because they don't know how to think for themselves. I guess Wood's idea is that Randy is a sheep. Like everyone else. Except for Wood himself.

3. However, Randy was the first Christian to put up a fight against Wood and argue back against Wood. Randy challenged Wood. The most "annoying" thing for Wood was that Randy would constantly question everything Wood himself believed: "Where did you get your idea then?" And Wood couldn't respond to Randy. Other than with silence.

Saturday, May 16, 2020

"Distressing Near-Death Experiences: The Basics"

A brief overview of hellish NDEs (2014) from NDE researchers Nancy Bush and Bruce Greyson, MD at the University of Virginia.

Wednesday, September 18, 2019

Severe depression

As many have already heard, Jarrid Wilson committed suicide. Wilson was a 30 year old pastor in California who apparently had a lifelong struggle with depression.

In the relatively recent past, there have been other young evangelical Christians who have committed suicide as well. For example, Rick Warren's son Matthew shot and killed himself at age 27 in 2013. Also another pastor in California named Andrew Stoecklein took his own life at age 30.

I don't wish to comment on the ethics of suicide at this moment. Besides, other Christians like Steve have commented on suicide in the past and said far more intelligent and helpful things than I ever could.

Rather I'll just offer a useful screening tool for people who suspect they might be depressed or know those whom they suspect might be depressed. Not that all suicide attempts and suicides are necessarily related to depression but the majority are related to severe depression.

In any case, the "tool" is simply a series of questions that physicians (such as psychiatrists) will ask a person whom they suspect might be depressed to help determine if they are depressed and, if so, the severity of their depression. If they are severely depressed, as opposed to mild or moderate depression, it could mean they're at risk of suicide.

It's taken from a British book called the Oxford Handbook of Clinical Specialties (10th ed.), p 345:

We use a similar but not as memorable mnemonic in the US. They're different mnemonics but the same ideas or concepts underlie both.

You can click on both images to enlarge if need be.

For example, a physician will ask a person how many hours they're sleeping each night, how often, if they're tossing and turning or able to sleep right away. What they find enjoyable (e.g. reading books, watching movies, listening to music, taking walks on the beach) and how frequently they do these things. If they feel embarrassed or guilty of anything. How they feel when they're awake. If they're chronically tired. How well they can concentrate on small, medium, and big tasks. If they're under or over eating. How they're functioning at work and play. If they have made any well formulated plans to commit suicide.

Sunday, February 10, 2019

The Fakers

1. I recently read The Fakers: Exploding the Myths of the Supernatural (Fleming Revell 1980), by Dan Korem and Paul Meier. 

It's similar to secular debunking books except that it was written by two Christians. At the time, Korem was a magician while Meier is a big name in Christian counseling. It has a foreword by Josh McDowell.  

I used to own one or more books by Meier. (I may still have them in a box somewhere.) I was bothered by his cookie-cutter approach. As I recall, he has a classification system adapted from depth psychology, and he pigeonholes people according to that formulaic taxonomy. He also has a rather mechanical view abnormal psychology, like there's a recipe book. 

In this book, Meier frequently appeals to his extensive professional experience with patients ("thousands of patients"). However, the book was published in 1980. I assume the manuscript was submitted for publication no later than 1979. Meier graduated from Duke University in 1975. So wasn't his professional experience pretty limited at the time of writing?

I'm also somewhat dubious about his coauthor. More recently, Korem produced this profiling system:


That looks really flaky to me. It raises the specter of one charlatan denouncing other charlatans. 

2. One aim of the book is to debunk popular candidates for the paranormal like dowsing, the pendulum, Ouija board, automatic writing, table tilting/rapping, firewalking, psychic surgery, necromancy, and fortune-telling (e.g. psychics, cartomancy). 

i) I'm happy to stipulate that some of this is flimflam. If I were making a case for the paranormal, I wouldn't cite some of those as evidence.

ii) However, the authors fail to distinguish between necromancy and apparitions of the dead. There's a difference between initiating contact with the dead and the dead initiating contact. I think there's credible evidence for grief apparitions and crisis apparitions. That doesn't involve a medium.

iii) I think the authors miss the point about the Ouija board. The question at issue isn't so much if that's a way to discover the future but whether people who play with Ouija boards sometimes open a door to the dark side which they can't close. 

iv) Although fortune-telling in the pop culture is bunk, that doesn't mean there's no evidence for precognition. 

v) Psychic surgery might well be a good candidate for sleight of hand. However, I find the studies of Sidney Greenfield on occult healing intriguing, so I don't rule it out tout court:


3. One of their targets is the Lutheran exorcist Kurt Koch. The allegation is that Koch was hoodwinked because he's unfamiliar with how magicians fool viewers. I think there's some validity to that criticism. If someone like Koch had training as a magician, he'd be better equipped to spot the tricks of the trade. Some candidates for the paranormal may well be legerdemain. 

However, the authors only interact with a handful of Koch's voluminous case studies. That's hardly representative. Moreover, Koch is by no means the only source of information on the paranormal and the occult, although he was a very prominent figure at the time of writing. 

4. The authors lean on the work of debunkers like Milbourne Christopher. However, he was a member of CSICOP, founded by Paul Kurtz. That's an organization of militant atheists committed to naturalism. They rule out the paranormal and supernatural a priori because they think the physical universe is all there is, and that's a closed system. Another example is D. H. Rawcliffe. 

This doesn't mean secular debunkers can't expose charlatans. It's a target rich environment. 

5. The authors are skittish on demonic possession. They affirm it in principle, but are dismissive in practice. However, I've read psychiatrists who refer some of their patients to exorcists, after ruling out natural causes. Meier's experience isn't representative. 

6. A basic problem with the book is a double standard, where they accept biblical reports without question, but default to naturalistic explanations for extrabiblical reports about similar phenomena. When it comes to extrabiblical reports, they explain that away by appeal to coincidence, chicanery, the law of large numbers, psychosomatic illness. But that's an artificial dichotomy which smacks of special pleading. It's the same way secular debunkers automatically discount all healing miracles, answered prayers, premonitory dreams, &c.

In the case of Meier, no one is disputing that some people experience hallucinations. Those are easy to call. The real test are hard cases which resist or defy naturalistic explanations. 

Tuesday, November 07, 2017

Jesus and the psychiatrists

My approach to the NT is usually that of a scholar, but in the area of exorcisms it is likely that my personal background will color any conclusions reached. Before going into academic Biblical studies, I studied medicine for four years. My main interest was in psychiatry which resulted in the neglect of other areas, so I never completed my training. My thinking has therefore been shaped by modern psychiatric theory and practice. However, certain experiences I had while I was a medical student, and subsequently when I was a Baptist minister, have also shaped my thinking in a completely different way.

Most psychiatrists do not accept the reality of demons or exorcism. They would regard the exorcisms of Jesus as old-world descriptions of psychiatric problems…A psychiatrist could therefore feel fairly satisfied that the Gospel accounts of demonization can be dealt with in terms of modern psychiatry or medicine.

However, I have personally been persuaded away from this viewpoint by a series of events which occurred while I was studying psychiatry, and during my time in pastoral work…I went once to interview a patient but found that he was asleep. He was lying on his bed, facing the wall, and he did not turn round or respond when I walked in. I sat in his room for a while thinking that he might wake up, and after a while I thought I might pray for him. I started to pray silently for him but I was immediately interrupted because he sat bolt upright, looked at me fiercely and said in a voice which was not characteristic of him: "Leave him alone–he belongs to us". 

Startled, I wasn't sure how to respond, so we just sat and stared at each other for a while. Then I remembered my fundamentalist past and decided to pray silently against what appeared to be an evil spirit. I prayed silently because I was aware that an hysterical disorder could mimic demon possessed…I can't remember exactly what I prayed but probably rebuked the spirit in the name of Jesus. Immediately [as/after] I did so, I got a very hostile outburst along the same lines, but much more abusive. I realized then that I was in very deep waters and continued to pray, though silently. 

An onlooker would have seen a kind of one-sided conversation. I prayed silently and the person retorted very loudly and emphatically. Eventually (I can't remember what was said or what I prayed) the person cried out with a scream and collapsed on his bed. He woke up a little later, unaware of what had happened. I was still trying to act the role of a medic, so I did not tell him anything about what had happened. His behavior after waking was quite striking in its normality. He no longer heard any of the oppressive voices which had been making him feel cut off and depressed, and his suicidal urges had gone. 

This incident made me question every assumption I had made about Gospel exorcisms. Unfortunately for the person involved, this was only the beginning, and as time went on there were many more spirits which had to be dealt with…The story has a happy ending in that this person is no longer troubled by such problems, and has remained so for several years. 

When I was dealing with strange personalities which spoke out of this person I was always careful to speak silently, even if the person appeared to be asleep…These voices answered specific silent questions such as What is your name?, When did you come? This gradually convinced me that I was not dealing with with a purely psychiatric disorder. David Instone Brewer, "Jesus and the Psychiatrists," A. Lane, ed., The Unseen World (Baker 1996), 133-34,140-41.

What's striking about this account is the veridical element. It defies a naturalistic explanation inasmuch as the patient couldn't physically hear what Brewer was thinking. To react to the specific content of silent prayer is telepathic. In fact, initially, the patient wasn't even in a position to be naturally aware of Brewer's presence in the room–much less be able to read his mind. 

Apparently, Brewer is someone from fundamentalist background who rejected his religious upbringing in light of secular science, then, due to firsthand experience as a med student, became convinced that his religious upbringing was right after all. 

Thursday, October 05, 2017

The Psychopath Inside

Most atheists are physicalists. The brain generates the mind. So morality is located in the brain. Consider this example:

James Fallon admits he has a lot in common with serial killer Ted Bundy and Columbine assassin Eric Harris. He is aggressive, lacks empathy and is a risk-taker.

Fallon, a professor of psychiatry and human behavior at the University of California Irvine, accidentally discovered what friends and family have suspected for years -- he has all the genetic traits and brain scan patterns of a psychopath.

"I don't have special emotional bonds with those who are close to me -- I treat everyone the same," he said. "I am involved in a lot of charities and good works, and my intentions are good for the world. But I don't have the sense of romance or love I am supposed to have for my wife. It's not there."

For years Fallon has worked with criminologists and other legal experts to evaluate the brain for abnormalities. But while volunteering with his own family for a study of Alzheimer's disease, Fallon learned on his PET scan that he has all the features of a psychopath.

"The last scan in the pile was strikingly odd," he writes about the 2005 discovery. "In fact it looked exactly like the most abnormal of the scans I had just been writing about, suggesting that the poor individual it belonged to was a psychopath -- or at least shared an uncomfortable amount of traits with one. ... When I found out who the scan belonged to, I had to believe there was a mistake. ... But there had been no mistake. The scan was mine."

"Looking at my genetics, I had lethal combination, but I just had the happiest childhood growing up," he said. Fallon's mother had four miscarriages before his birth and, as a result, he said he was, "treated well because they didn't think I would be born."

"There were dark periods I went through, but they didn't bring me to a psychiatrist, but they told my sisters and teachers to watch out for me," he said. "My mother instinctively knew there was a problem."


Although psychos have abnormal brains, they don't have defective brains, since–according to naturalism–there's no way the brain is supposed to be. And psychopaths can be highly functional. 

On this view, morality is arbitrary. Morality is an artifact of brain structures. If you change the wiring, you change morality.

In theory, evolution might have made psychopathic brains normal rather than abnormal. The majority might have psychopathic brains. Empathetic humans would be abnormal. From a naturalistic perspective, that's all there is to morality. Rewire the brain and you get a different moral code. There's no right or wrong way the brain is supposed to be wired. That's the outcome of the blind watchmaker. 

Sunday, December 13, 2015

What really happened to Muhammad?


According to Muslim tradition, the angel Gabriel appeared to Muhammad from time to time to give him revelations. For Christians, that raises the question: What really happened to Muhammad? 

Short answer: I don't know. I know what didn't happen to him. I know he didn't have an audience with the angel Gabriel. But barring that, what are the alternatives? 

In principle, there are naturalistic and supernaturalistic explanations. We can also distinguish between mental and extramental experiences. 

i) An angel did, indeed, appear to Muhammad. But of course, some angels are fallen angels. 

ii) Arguably, not all evil spirits are demonic. Ghosts are a well-attested phenomenon. What if the souls of the damned sometimes appear to the living? That may be what happens during some seances. 

For all we know, Muhammad dabbled in necromancy. 

iii) He was possessed. I presume that's the most popular explanation among Christians. It can't be proven or disproven in Muhammad's case. 

At his trial (according to Plato's Apology), Socrates talked about a "demon" (daimonion) that used to give him guidance. Of course, he didn't mean "demon" in the Christian sense, but he may have spoken better than he knew. Perhaps Muhammad's case was similar. 

iv) He was psychotic. Suffered from hallucinations. That might be a naturalistic explanation. 

On the other hand, possession and psychosis are not mutually exclusive. 

v) William Blake was a visionary. As I recall, Kenneth Clark attributed his "visions" to Blake's eidetic memory. That's a naturalistic explanation. Might apply to Muhammad, although that's not the first explanation I'd reach for. 

vi) He was a charlatan, like Joseph Smith. He made it all up. 

That's entirely possible. There's certainly evidence, even in Muslim tradition, that he sometimes improvised. 

We can't say for sure because we don't have as much information about Muhammad as we have about other cult leaders like Swedenborg, Joseph Smith, Sun Myung Moon, Herbert W. Armstrong, or Ron Hubbard–to name a few

In the case of Smith, Hubbard, and Moon, a naturalistic explanation is preferable. 

In the case of Swedenborg, it may be more than that. Unlike Smith, who was a social climber, and had much to gain by conning suckers, Swedenborg came from the upper crust. He was a noted scientist. At the same time, he inherited his father's esoteric theology. 

In his case, I tend to think something weird really did happen to him which could either have a naturalistic or supernaturalistic explanation. Psychosis. Possession. Perhaps he dabbled in the occult. Or maybe he suffered from mental illness.  

There's the same range of diagnostic possibilities for Muhammad. Our information about Muhammad is one-sided, although it includes hostile testimony. 

Thursday, June 18, 2015

I'm a leopard!

If he ever meets a real leopard face to face in the wild, he'll find out the hard way what the difference is.

https://www.youtube.com/watch?v=o0rdZk4naYo

Brain/body mismatch?


The medical evidence for a mismatch between brains and bodies is ambiguous. The two studies cited most frequently by transgender activists, published in 1995 and 2000, examined the brains of a total of seven male-to-female transgenders and found that a region of the hypothalamus, an almond-shaped area of the brain that controls the release of hormones by the pituitary gland, was female-typical in those brains. But those studies have been criticized for not controlling for the estrogen — which affects the size of the hypothalamus — that most male-to-female transgenders take daily in order to maintain their feminine appearance.

Gender dysphoric kids


Perhaps the most influential account is that gender dysphoric children have the minds and brains of the other sex, adult transgenderism is inevitable, and early transition to the other sex is the only humane option.

But this narrative is clearly wrong in one respect. Gender dysphoric children have not usually become transgender adults. For example, the large majority of gender dysphoric boys studied so far have become young men content to remain male. More than 80% adjusted by adolescence.
Eric Vilain is a professor of human genetics and pediatrics at the UCLA and director of the Center for Gender-Based Biology. J. Michael Bailey is a professor of psychology at Northwestern University.

Wednesday, June 17, 2015

Otherkin


i) In the vast majority of cases, from what I've read, gender dysphoria is purely psychological. There may be rare instances in which it has a neurological basis. 

One question is whether there's a reliable diagnostic technique to determine which is which. If a patient's condition is psychological in origin, it would be foolhardy to undergo irreversible surgery. 

Likewise, puberty is an unrepeatable stage in the human lifecycle. If hormone blockers postpone that for too long, I assume the damage is irreparable. That's a lost opportunity. Unless you know for a fact that your condition has a neurological basis, why would you cross a line of no return?  

ii) But suppose we can identify those for whom gender dysphoria has a neurological basis. In rare cases like that, is a sex-change operation the solution? 

Medical science is a wonderful gift to humanity, but it's not a panacea. Medical intervention can't make you happy. There are many young, strong, normal, healthy, handsome men and women who are miserable. Medical science can't give you a happy life. You must have something worthwhile to live for.

iii) In addition, there are problems with medical science can't fix. It has many basic limitations. Even if your condition has a neurological basis, that doesn't mean its treatable or curable. 

Take otherkin. Suppose, for the sake of argument, that lycanthropy has a neurological basis. Does that mean a lycanthrope should undergo extreme makeover surgery? Will making his body resemble lupine anatomy solve the problem? No.

He's not a wolf–even if he thinks he's a wolf. He's not a wolf–even if his brain tells him he's a wolf. He has no idea what it's like to be a wolf. He can't. He never will. 

Pandering to his mental illness is not a cure–or even therapy. That's not treatment–that's mistreatment. He self-delusion is already self-destructive. Radical makeover surgery only treats symptoms, effects–and not the underlying cause. 

The only way to cure him is to solve the problem at the source. Repair the brain damage. Stimulate new neural pathways. But, of course, neuroscience lacks the ability do to that as of now. 

Not everything in this life is fixable. But this life is not all there is. The ultimate solution lies in the afterlife. Christian salvation. Heaven. The world to come.

The neurodiversity movement


1. It's a pity that Christians have to spend so much time on homosexuality and trangenderism, but we don't get to pick our battles. In this post I'll take a stab at transgenderism from a Christian public policy perspective. 

Because transgenderism is so politicized, it's hard to find reliable information. Much of the available "information" is put out by advocacy groups. But from what I've read, there's no one transgender category. Rather, transgender breaks down into several different groups:

i) It wouldn't surprise me if some people self-identify as transgender who in fact have a perfectly normal outlook. They pretend to be trangender because that results in an instant promotion in their social status. Take unpopular students in junior high and high school. If they identify as transgender, the establishment gives them an instant positive ascribed status. It's hip and cool to be trans. 

ii) Apparently, some adolescents suffer from gender confusion. That's a temporary phase. As they transition from boyhood to manhood, girlhood to womanhood, they must find their footing. What's their new role? What does it mean to be a man or woman? That's a new experience for them. 

That's something they usually outgrow. However, I expect the problem is now exacerbated by the power elite, and resultant peer pressure, which denigrates distinctive masculine and feminine virtues. Which attempts to shame people into denying intrinsic sexual differences. The current social conditioning probably contributes to gender confusion. 

Facts like broken marriage, blended families, absentee fathers, and the general absence of good adult role models, is, I suspect, another contributing factor.

iii) Then you have some boys and men who become aroused by seeing themselves provocatively dressed as women. This is a persistent condition. But this isn't a woman trapped in a man's body. These are heterosexual males.

And it's a purely psychological condition. Not based on neurological abnormalities. 

Here we go back to the perennial nature/nurture debate. Some mental illness is due to social malformation. 

iv) Finally, there's a fraction of cases where gender dysphoria seems to be the result of brain damage in utero

2. Assuming that classification scheme is roughly correct, how should that be addressed from a public policy standpoint? 

i) Let's begin with 1(iv). We don't think it's culpable to suffer from a neurological deficit. And it's often good to make reasonable accommodations. For instance, I think society should help autistics do whatever they are able to do. From what I've read, autism ranges along a spectrum. Some autistics are savants. But others require round-the-clock supervision. Left unattended, they endanger themselves.

In that case, an accommodation would involve protecting them. To treat them as perfectly normal human beings would be inhumane. 

ii) To take another illustration, we should help hemophiliacs do whatever they can safely do. But by the same token, they should not be allowed to play contact sports. In that case, we should discriminate against hemophiliacs for their own good. 

"Discrimination" is a loaded term, but that's because many people fail to draw an elementary distinction: we should treat like alike, we should treat unlike unalike. Insofar as autistics and hemophiliacs are like normal people, they should be treated like normal people. Insofar as they are different, it may be necessary, for their own wellbeing, to treat them differently. 

On the one hand, there should be reasonable accommodations. On the other hand, there should be reasonable restrictions. 

iii) Suppose, for the sake of argument, that pedophilia has a neurological basis. Even if we think that's exculpatory, that doesn't mean we should accommodate pedophiliacs. We shouldn't legalize pedophilia. 

iv) To defend gender dysphoria on a neurological basis is a double-edged sword for transgender activists. How many of them wish to defend transgender identity on the grounds that transgender people suffer from brain damage? Suffer from neurological abnormalities? 

In fact, there's a neurodiversity movement which chafes against what it views as the social stigma attaching to that classification. It takes the position that diverse neurological conditions are the result of natural variations. There's nothing pathological to treat. Nothing to cure. We shouldn't seek a cure for autism–or hemophilia. Deaf people shouldn't elect to have cochlear implants. 

Of course, that subverts medical science. By that logic, it makes no sense to undergo corrective surgery for a potentially fatal congenital heart defect. Makes no sense to undergo cancer treatment. Makes no sense to remove a benign brain tumor which, if allowed to grow, will prove fatal. 

v) Since, in the overwhelming number of cases, gender dysphoria is purely psychological, it would be medical malpractice to undergo irreversible surgery–or hormone blockers to delay the onset of puberty. That's not the solution, since the problem is psychological rather than physical. And it does irreparable damage to a normal functioning body or normal maturation.

vi) Likewise, if people are out of touch with reality, then we shouldn't accommodate their delusion–anymore than we should hand the car keys to someone who's high on LSD. 

Persuasion by proof or proof by persuasion?


I recently emailed an eminent psychiatrist at a world-renown teaching hospital about transgenderism. I won't say who it was–although I've shared the correspondence with a few trusted friends. This is his response. (I've edited out the personal references):

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There are a few studies out and about that make confusion rife in this domain. What’s noteworthy about them all is how selective they are, how they confuse matters of intersex and well known injuries to the occasional fetus with the vast majority of transgender cases where the causes are clearly psychological, What I always ask these folks is not to tell me what “current understanding” consists of but give me a reference to study. Then as usual–being controversialists rather than clinical scientists–they write back something ad hominem such as “you’re not mainstream” “you’re not a good judge” etc. I can’t therefore comment on “this putative evidence” because it’s all so “putative.”

You may remember, the Multiple personality/False memory craze some ten years ago. Again at that time, I’d hear from fellow psychiatrists–including many “leaders”–that they were “right behind you” but worried that their reputations would be damaged if they came out for me before the win was official!! It was extremely amusing as it revealed the careerism of so many of them. I’ve seen this set of tactics before–I put it this way: Controversialists want to “prove by persuasion” and use every trick they know to “persuade” including silencing you, insulting you, dismissing you etc. I’m, at least I think of myself as, a clinical scientist who wants to “persuade by proof” and am looking to open up the arguments by proposing what counts as proof and what needs to be challenged as “non-proof.”