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Without remorse

From Thomas Szasz The Freeman: Ideas on Liberty (May 2009): The Shame of Medicine: The Case of Alan Turing:

The persecution of homosexuals is paradigmatic of the history of psychiatry's monumental blunders and brutalities and of its policy of never acknowledging nor apologizing for them. Instead, organized psychiatry intensifies the celebration of its founding quack, Benjamin Rush (1746–1813). Declared Rush, I have selected those two symptoms [murder and theft] of this disease [crime] (for they are not vices) from its other morbid effects, in order to rescue persons affected with them from the arm of the law, and render them the subjects of the kind and lenient hand of medicine. What did Rush mean when he spoke of medical kindness and lenience? Lamenting the excess of the passion for liberty inflamed by the successful issue of the [Revolutionary] war, he explained, Were we to live our lives over again and engage in the same benevolent enterprise, our means should not be reasoning but bleeding, purging, low diet, and the tranquilizing chair. Psychiatry–glorifying the use of coercion as cure–is the shame of medicine.

From Bryan Caplan, EconLog (2009-04-24): Szasz on the Turing Tragedy:

In the last couple of decades, a lot of people have apologized for the past crimes of the groups with which they identify: the U.S. for Japanese internment, the Church for Galileo, Swiss bankers for Nazi money laundering, even the Japanese (kind of) for their war crimes. I’d like to see psychiatrists do the same — to admit that unusual preferences are not disease, affirm that it is wrong to treat people against their will, and turn their backs on the greats of their profession who believed in and practiced coercive therapy.

I’d like it, too. Psychiatrists expect to be taken seriously, both as scientific experts and as benevolent caretakers; I think at least a minimal requirement of being taken seriously on these claims would be for them to own up to the fact that within living memory, their discipline was rife with theories now universally regarded as the worst sort of politically-motivated pseudoscience and therapeutic practices now universally reviled as the worst sort of atrocities. They have been wrong about everything and they ruined life after life with the most appalling sorts of brain-damaging treatment on the basis of these pseudoscientific superstitions. If shrinks want to be taken seriously, they need to start by owning up to their record; because if they can’t do so much as that, the rest of us have every reason to expect that they’ve done nothing to correct the systematic vices that led to the ridiculous lies and sadistic horrors they were inflicting as recently as 30-40 years ago. But I don’t expect anything like it to happen this side of the revolution.*. As Szasz says in The Freeman: Ideas On Liberty (July/August 2009): The Shame of Medicine: The Depravity of Psychiatry:

I am grateful to Caplan for calling attention to a problem most people prefer to ignore. His expectation will, however, not be fulfilled, and it is important to understand why. Claiming competence in astronomy and incarcerating heretics are not integral to the identity of the Catholic Church. In contrast, claiming competence in predicting dangerousness and incarcerating persons alleged to be so because of mental illness are integral to the psychiatric enterprise.

From GT 2008-06-24: Medicated madness

Of all the horrible things that institutional psychiatry routinely does, one of the most infuriating for me is its stupidly aggressive lack of anything approaching self-consciousness or critical reflection. In a field where, not half a century ago, patients were routinely locked away in filthy hellholes that would be hard to distinguish from a medieval dungeon, and, once confined, subjected, against their will, to restraints, tortures and mutilations that would have made Torquemada blush — camphor shock torture, repeated massive electric shocks to the brain, and, at the end of the road, an icepick jabbed through the eye socket and rotated so as to mutilate the brain and deliberately destroy centers of personality and higher cognition — in a field, I say, where all this was dignified as brain damaging therapeutics and regarded as best practices for a scientifically-informed helping profession — in a field where current practitioners now more or less universally agree that torture like this was based on little more than pseudoscience and quackery, and where almost no-one in their right mind would propose ever using practices like these on any patient today — in a field, that is to say, where within living memory thousands of people were subjected to the worst kinds of sadism and torture that the human mind can devise, and all of it based on what are now almost universally acknowledged follies, illusions and lies indulged in by the recognized experts of the field — in such a field, you might expect at least a little bit of humility, historical awareness, and decent caution, rather than sanctimonious self-righteousness and aggressive obliviousness to the idea that psychiatric practice itself might perhaps be part of the problem.

In point of fact, there are countless cases like this one, cases where a life crisis becomes the occasion of massive psychiatric intervention, and where the intervention itself spirals into years of institutionally- and chemically-manufactured madness; in which the stereotypical behavior of the psychiatric patient, invariably passed off as part of her disease, can in fact be traced quite directly to the physiological, behavioral and social effects of the forced drugging, the forced confinement in hospital psychoprisons, and other aspects of psychiatric therapy. Psychiatrists then have the gall to use those same symptoms, created by their own therapy, as proof of the need for even more of the same.

Under the present circumstances, there is no reason to believe that individual psychiatrists or psychiatric institutions will ever trouble themselves to acknowledge this possibility or to incorporate it into their practice in any way that matters. It’s not just the financial incentives — although those are certainly there, and those are certainly important. The problem that underlies the financial problem is that psychiatrists have no real reason to care whether they get things right or not. Why should they? They are backed by cultural prejudices in favor of doctors; they can dismiss any complaints by their patients as literally the ravings of lunatics, and almost no-one will bat an eye; they are backed up by the force of the law, which gives them the power to force their latest and greatest therapies on a literally captive market of unwilling patients. Unless and until psychiatrists no longer have the privilege of inflicting nonconsensual treatment, which is to say, unless and until they become directly accountable to the will and desires of the people for whose benefit they claim to be acting, cases just like Nikki’s are going to happen again, and again, and again.

Footnote. For reference, when I talk about The Revolution, I mean a qualitative social transformation that upends, or completely abolishes, existing relationships of social power. Not necessarily an armed uprising. And not necessarily a discrete event that is obvious to all, most, or even any of the people living through it.

Technological civilization is awesome. (Cont’d.)

There is a common notion that the problem with technology, or with a certain technological view of the world, is that it obliterates immediate relationship with the world, and the appreciation of the here and now for its own sake. That instead it constrains us to view the world as a whole, and everything in it, instrumentally, according to our own demands and interests, not as something wonderful in itself but simply as a sort of standing-reserve which is understood, appreciated, and valued only in relation to human uses, and perhaps human tastes.

Bollocks.

The wonderful thing about technology is that it allows me not only to wonder at the hummingbird out my window this morning (which is — no doubt about it — a wondrous thing), but also at traveling through the glimmering light of 10,000 distinguishable galaxies in the very infancy of the Universe, 13,000,000,000 years ago. So vastly remote that there is no possible angle, and no possible reason to care. Other than the fact that it is there, shining behind a tiny bit of the black that our unaided eyes could only take to be utterly empty. And yet, with only the right tools to gaze at it, is revealed to be shining with the light of a quadrillion stars.

Awesome.

Herbert Spencer Anti-Defamation League (Part 423 of ???)

Here’s noted evolutionary biologist and village atheist Richard Dawkins, in the course of his review of what seems to be a laughable little documentary that he was tricked into giving an interview for:

My own view, frequently expressed (for example in the The Selfish Gene and especially in the title chapter of A Devil’s Chaplain) is that there are two reasons why we need to take Darwinian natural selection seriously. Firstly, it is the most important element in the explanation for our own existence and that of all life. Secondly, natural selection is a good object lesson in how NOT to organize a society. As I have often said before, as a scientist I am a passionate Darwinian. But as a citizen and a human being, I want to construct a society which is about as un-Darwinian as we can make it. I approve of looking after the poor (very un-Darwinian). I approve of universal medical care (very un-Darwinian). It is one of the classic philosophical fallacies to derive an ought from an is. Stein (or whoever wrote his script for him) is implying that Hitler committed that fallacy with respect to Darwinism. If we look at more recent history, the closest representatives you’ll find to Darwinian politics are uncompassionate conservatives like Margaret Thatcher, George W Bush, or Ben Stein’s own hero, Richard Nixon. Maybe all these people, along with the Social Darwinists from Herbert Spencer to John D Rockefeller, committed the is/ought fallacy and justified their unpleasant social views by invoking garbled Darwinism.

— Richard Dawkins (2008-03-28): Lying for Jesus?

There’s a fair amount to praise here, and a fair amount to pick at. For the moment, though, I’d like to point out that Dawkins’ characterization of Herbert Spencer — the 19th century radical libertarian sociologist and philosopher — is completely wrong on two different counts.

Herbert Spencer, dirty evolutionist hippie

First, Spencer was not a Social Darwinist. He was not, in fact, a Darwinist at all; he published his most famous work on evolution and society, Social Statics, in 1851, eight years before Charles Darwin first published On the Origin of Species. His ideas about evolution, especially as applied to society, were Lamarckian, rather than Darwinian; which is not ultimately that surprising, since he came up with them independently of Darwinian evolutionary theory, and before that even existed in published form.

Second, Dawkins is completely wrong about Spencer’s radical political views, which bear virtually no resemblence to the belligerent Rightism and economic royalism of Thatcher, Bush, Nixon, or Rockefeller. Spencer was in fact a feminist, a labor radical, and a vehement critic of European imperialism (which he described as bearing a very repulsive likeness to the doings of buccaneers). Contrary to the most popular, and most wildly inaccurate, caricature of his social views, Spencer did not believe in cutting off charitable relief to, or mutual aid among, the poor, sick, or other folks whom the powers that be might marginalize and dismiss as unfit, in the name of survival of the fittest. (That is his phrase, but it is being misapplied.) Spencer opposed government welfare programs — because he opposed all forms of government command-and-control — but he believed that voluntary charity and mutual aid were not only a positive moral obligation, but in fact were features of the highest forms of social evolution (Social Statics, pp. 291-2), as the old militant mode of hierarchy and command was supplanted by the new industrial mode of solidarity and voluntary co-operation. Spencer devoted ten chapters of his late work, Principles of Ethics, to the duty of Positive Beneficence. He advocated the organization of voluntary labor unions as a bulwark against exploitation by capitalist bosses, and favored an economy organized primarily in free worker co-operatives as a replacement for the slavery of capitalist wage-labor.. For those — like the cartoon Social Darwinist that Spencer is so often portrayed to be — who advocated indifference or harshness towards the poor and blamed poverty on the ignorance, folly, or vices of the poor people themselves, Spencer himself had nothing but contempt:

It is very easy for you, O respectable citizen, seated in your easy chair, with your feet on the fender, to hold forth on the misconduct of the people – very easy for you to censure their extravagant and vicious habits …. It is no honor to you that you do not spend your savings in sensual gratification; you have pleasures enough without. But what would you do if placed in the position of the laborer? How would these virtues of yours stand the wear and tear of poverty? Where would your prudence and self-denial be if you were deprived of all the hopes that now stimulate you …? Let us see you tied to an irksome employment from dawn till dusk; fed on meager food, and scarcely enough of that …. Suppose your savings had to be made, not, as now, out of surplus income, but out of wages already insufficient for necessaries; and then consider whether to be provident would be as easy as you at present find it. Conceive yourself one of a despised class contemptuously termed the great unwashed; stigmatized as brutish, stolid, vicious … and then say whether the desire to be respectable would be as practically operative on you as now. … How offensive it is to hear some pert, self-approving personage, who thanks God that he is not as other men are, passing harsh sentence on his poor, hard-worked, heavily burdened fellow countrymen …. (Social Statics, pp. 203–5)

Of course, there is plenty in Spencer’s views that Dawkins, as a Social Democrat, would object to. But Dawkins has not yet succeeded in identifying what those disagreements would be. Spencer’s humanitarian, pro-labor, pro-charity radical left libertarianism has just about nothing in common with the authoritarian Right-wing political economy that Dawkins rightly condemns.

Further reading:

Notes on the Cultural History of Sleep

Here’s an interesting passage I noticed in an article in the New York Times Magazine, which was mostly about companies trying to sell fancy new mattresses.

The story of our ruined sleep, in virtually every telling I've heard, begins with Thomas Edison: electric light destroyed the sanctity of night. Given more to do and more opportunity to do it, we gave sleep shorter and shorter shrift. But the sleep that we're now trying to reclaim may never have been ours to begin with. It's a myth, A. Roger Ekirch, a professor of history at Virginia Tech, told me. And it's a myth that even some sleep experts today have bought into.

… More surprising still, Ekirch reports that for many centuries, and perhaps back to Homer, Western society slept in two shifts. People went to sleep, got up in the middle of the night for an hour or so, and then went to sleep again. Thus night — divided into a first sleep and second sleep — also included a curious intermission. There was an extraordinary level of activity, Ekirch told me. People got up and tended to their animals or did housekeeping. Others had sex or just lay in bed thinking, smoking a pipe, or gossiping with bedfellows. Benjamin Franklin took cold-air baths, reading naked in a chair.

Our conception of sleep as an unbroken block is so innate that it can seem inconceivable that people only two centuries ago should have experienced it so differently. Yet in an experiment at the National Institutes of Health a decade ago, men kept on a schedule of 10 hours of light and 14 hours of darkness — mimicking the duration of day and night during winter — fell into the same, segmented pattern. They began sleeping in two distinct, roughly four-hour stretches, with one to three hours of somnolence — just calmly lying there — in between. Some sleep disorders, namely waking up in the middle of the night and not being able to fall asleep again, may simply be this traditional pattern, this normal pattern, reasserting itself, Ekirch told me. It's the seamless sleep that we aspire to that's the anomaly, the creation of the modern world.

… Our peculiar preference for one well-organized hunk of sleep likely evolved as a corollary to our expectation of uninterrupted wakefulness during the day — as our lives came to be governed by a single, stringent clock. Eluned Summers-Bremner, author of the forthcoming Insomnia: A Cultural History, explains that in the 18th century, we start overvaluing our waking time, and come to see our sleeping time only as a way to support our waking time. Consequently, we begin trying to streamline sleep, to get it done more economically: We should lie down and go out right away so we can get up and get to the day right away. She describes insomniacs as having a ruthless ambition to do just this, wanting to administer sleep as an efficiency expert normalizes the action in a factory. Certainly all of us, after a protracted failure to fall asleep for whatever reason, have turned solemnly to our alarm clocks and performed that desperate arithmetic: If I fall asleep right now, I can still get four hours.

Nevertheless, while it may be at odds with our history and even our biology, lie-down-and-die is the only practical model for our lifestyle. Unless we overhaul society to tolerate all schedules and degrees of sleepiness and attentiveness, we are stuck with that ideal.

— Jon Mooallem, New York Times Magazine (2007-11-18): The Sleep-Industrial Complex

Besides grousing about one of my linguistic pet peeves — the sloppy misuse of the idiom ____________-industrial complex, the only other thing that I’d like to add is that filing the institutions that currently structure most Americans’ sleep patterns under the vague label of our lifestyle tends to obscure the issue. Depending on your age, the two main institutions that regiment your sleeping schedule are either (1) school, or (2) your job. The first has little to do with lifestyle choices; it’s something that’s forced on children by both their parents and by the government for a good 10-12 years of their lives. After a decade or more of forced training, the job you take is nevertheless a matter of adult choices. But the economic and political environment that structures and constrains those choices — and tends to favor centralized, regimented, official forms of employment not only through cultural prejudice but also through government-enforced subsidy and monopoly — deserves much more critical scrutiny than the term lifestyle conveys. In both cases, the daily schedules that we keep are no better described as an adopted style than is a straightjacket.

Masculinity Studies 102: Let’s ask the experts.

Over at Hit and Run, Kerry Howley, a contributing editor at Reason, explains part of what she finds lacking in a common anti-feminist argument to the effect that large-scale socioeconomic disparities between men and women are the result of inborn differences, rather than pervasive forms of sexism.

The different-preferences-create-different-outcomes argument is ambitiously superficial and question begging. Absent any account of how preferences are shaped, I’m not sure why anti-feminists think they’re saying something intelligent when they boldly assert that men and women want different things. IWF loves to talk about Title IX, and it’s a great example of a cultural shift affecting preferences in young women. Did 14-year-old girls just not like sports before Title IX and the rise of the girl jock? Or did Title IX help create a culture where a broader range of interests could be engendered and cultivated? Does the fact that girls in 1950 did not aspire to captain high school soccer teams say anything interesting about women? I don’t think so.

— Kerry Howley, Hit and Run (2007-11-29): Men Are From North Dakota and Women Are From South Dakota

I’m sure she’s entitled to her opinion. But now let’s see what a real expert has to say about whether or not women experience discrimination in America today: Mr. Brian Sorgatz!

What gender inequality? I ask in earnest. In 2007 in the United States, discrimination based on gender is like highway robbery. Technically, it still exists, but it’s been shrunk to a tiny remnant of the problem it once was.

— Brian Sorgatz, 29 November 2007, 1:55 pm

Well, that’s that. If some dude can’t think of any major examples of inequalities that American women face in 2007, must not be a problem after all. Any woman who thinks she has noticed counterexamples had better get on board with a theory that can make some kind of peace with the realities of human nature.

Like this one, offered by another male expert on discrimination against women:

I think it has much more to do with mate selection criteria — women tend to place more emphasis on men who earn large amounts of money, while men tend to place more emphasis on women who are physically attractive and have the personality traits to make a good mother. This sexual selection pressure would result in men making the tradeoffs and sacrifices that result in higher average salaries, while women would be more likely to pursue other values. Both are rationally pursuing the goals that they perceive benefit them most.

— prolefeed, 29 November 2007, 4:01 pm

Did you know that if you take a series of 1950s sitcom punchlines and slap a sticker with the words mate selection criteria on top of them, that makes it Scientific?

Meanwhile, three minutes later:

Prolefeed, you just raised the I.Q. of the entire thread. Thanks for that.

(Again, it’s not that Prolefeed is necessarily right in every particular. But his thinking is admirably sophisticated.)

— Brian Sorgatz, 29 November 2007, 4:04 pm

The hedge is important. We do have to leave room for other well-researched theories proposed by other men. For example, we must remain open to the possibility that 13,000 years and more of patriarchy turns out to all be the result of the (probably genetic) advantage in upper-body strength that the very strongest men have over the very strongest women. Who knew that so much could turn on a bench-press?

Further reading:

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