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Recovering backpacker, Cornwallite at heart, political enthusiast, catalyst, writer, husband, father, community volunteer, unabashedly proud Canadian. Every hyperlink connects to something related directly or thematically to that which is highlighted.
Showing posts with label anxiety. Show all posts
Showing posts with label anxiety. Show all posts

Friday, 29 November 2013

Catching Fire, Importing Nuts






Quite frankly, this is nuts.  

First, let's recognize the fact that both Canada and the US (and countless other countries, and the private sector) have recognized there is a global mental health crisis, largely because we're doing mental health wrong.  Despite the tools, drugs and practices ranging from workplace accommodations to cognitive behavioural therapy, we still think of people with mental illness as either weak or contagious.


We've been stigmatizing mental health in the same way we used to stigmatize leprosy, causing pain, loss and suffering where it could be easily avoided.

Beyond that, though, does the US seriously want to stop people who have been diagnosed with mental illness from crossing their borders?

Sorry, Russell Brand - no more working in Hollywood.  Too bad, Catherine Zeta-Jones; you don't belong here.  Hey, future Einsteins, you're not welcome in the US - take your crazy notions elsewhere. Foreign leaders are welcome, so long as they aren't hounded by black dogs like Winston Churchill was.

If they disqualify the crazies from entering the country, they surely don't want them in the Oval Office - it's a good thing Abraham Lincoln wasn't diagnosed in his lifetime.

The drivers, the innovators, the leaders in society all have something abnormal about their psychology.  If they didn't, they would be normal and we'd still be questing for fire.  


We celebrate the cognitively disparate just as much as we vilify them.  We eat them up on Homeland and Dexter and Community and Monk.  People with mental illness are our new superheroes.  


You know how Jennifer Lawrence keeps talking about being crazy and weird and craving a diagnosis?  Note the brilliance of thought and performance that comes out of her?  Exactly.

"Mental illness" is a gift, a divergence, a disruption, a catalyst.  Like any naked flame, it can blaze out of control and cause a brushfire, but with a bit of structure and the right fuel, you can get both heat and light.

We want access to these cognitive forces of nature; we want to help them reach their maximum potential safely, not watch them burn out and fade away from afar.  If the US had so stigmatized their exceptional people for the entire course of their history, well, they wouldn't be such a loved/hated power today, would they?

But it gets even worse.  From the same article:

MP Mike Sullivan said what has happened to his constituent is "enormously troubling... How did U.S. agents get her personal medical information?"

The U.S. Immigration and Nationality Act, Section 212, denies entry to people who have had a physical or mental disorder that may pose a "threat to the property, safety or welfare" of themselves or others.

I wonder how they define "threat to property, safety or welfare?"  Through their own ignorance about mental health, US Customs (granted, following US law) have threatened the financial investment Ellen Richardson made for her trip (property) and caused potential harm to her safety and welfare by rubbing salt into her pre-existing, but well-managed condition.


Beyond that - how did they get Ms. Richardson's information?  It's private, in someone else's hands.  They would have had to either do some serious espionage to get information like that on average citizens, or have been provided access to that information by someone else equally paranoid about the masses.  It's obsessive, it's compulsive, it's anti-democratic.


Why would they do such a crazy thing?

It could be the general anxiety about the economy.  Perhaps it's residual fear from 9/11 or connected to the rash of domestic shootings.  It might have something to do with the increased radicalization of their Political Right.  Either way, there's definite paranoia in position.


Sounds a bit like the Department of Homeland Security, doesn't it?

Perhaps that's why the US is trying to firewall themselves off from the crazies - they've got enough problems dealing with their home-grown nuts.


Monday, 22 July 2013

Adressing the Presenteeism Issue (Esther Huberman)


Addressing the presenteeism issue

Presenteeism-BC-1012-MAG-ONLY

On any given day, you may look around your office and see that all your employees are at work. But present doesn’t always mean productive. Presenteeism—absenteeism’s lesser known, but still costly, cousin—occurs when employees who are physically present are, due to a physical or emotional issue, distracted to the point of reduced productivity.
 
As employers increase their sensitivity to the issues surrounding mental and physical health in the workplace, they also increase their awareness of presenteeism. “Everyone is aware of situations where employees are at work but are not productive due to emotional or physical distractions,” says Greg Van Slyke, senior director, business development, with Homewood Human Solutions. “They may call these individuals the ‘walking wounded’ or, to use a sports analogy, say they are ‘playing hurt.’”
 
But beyond this simple definition, presenteeism has several nuances. If, once or twice, an individual is distracted at work by a personal matter, that is not presenteeism or, at least, it is notconsistent presenteeism. According to Emmanuelle Gaudette, prevention and health promotion manager with Standard Life, “If the problem that creates the distraction persists and results in chronic stress with unhealthy physical or emotional manifestations (racing heart, headaches, depression), it becomes a health issue that interferes with productivity.” That’s the presenteeism employers should be concerned about.
 
Lost productivity costs

 Increasingly, plan sponsors and their consultants understand that a well-designed wellness campaign should help improve workplace health and employee productivity. And it is generally understood that the more a wellness strategy is ingrained across all levels of an organization—from procedural to social—the more positive its influence on employee health. To measure the impact of such a strategy, plan sponsors typically track criteria such as degrees of absenteeism, increases/decreases in drug claiming for chronic conditions with a lifestyle connection, short- and long-term disability claims and return-to-work successes and failures.
 
But absent from this list, due to its difficulty in quantifying, is measurement of presenteeism. To properly measure, presenteeism requires initial benchmarking followed by a form of intervention to address its causes. A follow-up remeasurement, post-intervention, then quantifies the degree of presenteeism. It sounds straightforward, but it’s not when you consider the depth to which employee actions, reactions, expectations regarding output and individual physical and emotional influences need to be identified and measured—all while using statistical protocols.
 
The labour-intensive components of this activity—and its need for a command of sophisticated measuring and statistical criteria—preclude many from doing so. Nonetheless, many sponsors continue to want, and need, to know what they can anticipate as their return on investment (ROI) before investing time in planning and delivering a possible solution.
 
Numbers game

 Unfortunately, despite the existence of various North American studies on the matter (some dating back to the mid-’70s), quantifying presenteeism in terms that relate to businesses across the board has been difficult because of issues around consistency and integrity of the studies. Fortunately, clarity is on its way in the not-too-distant future. Soon, Canadians will be able to look to a number of Canadian research projects on absenteeism, disability and presenteeism in relation to wellness investment that will provide metrics rooted in scientific, objective and reputable research mechanisms. These projects, currently under way, are the result of a partnership of insurance companies, educational institutions and others with a vested interest in quantifying the human and ROI value of wellness programs.
 
In one such effort, Standard Life has partnered with the University of Montreal in the study called Developing Better Assessment, Interventions and Policies in Occupational Mental Health: A Multi-disciplinary Approach. The objective of this five-year project is to analyze the link between personal and organizational characteristics; namely, to better understand the influence of a company’s management practices on employee mental health. Early results will be released this fall, with the remainder throughout 2013.
 
Standard Life’s objective is to help educate employers to help them visualize the human and financial cost of mental health issues in the workplace. “We want to put numbers around this issue to help our plan sponsors better understand the negative implications (including presenteeism) of having unhealthy or distracted employees—whether or not they are at work—as well as the value of investing in wellness,” says Gaudette.
 
Getting to ROI

 In an effort to generate quality, scientifically sound data on the ROI of wellness, the Sun Life Wellness Institute partnered with the Richard Ivey School of Business for the Return-on-Investment (ROI) Study of Workplace Wellness Programs, intended to increase evidence and insight into Canadian workplace wellness. Phase 1, completed earlier this year, consists of a comprehensive review of all published literature on the issue of workplace wellness programs and their outcomes. Phase 2, under way now, is a two-year field study involving a number of Canadian organizations and examines wellness strategies in relation to ROI.
 
Dr. Michael Rouse, director of the Health Sector MBA with the Ivey School of Business and head of the joint study, recently shared results of the completed Phase 1 with industry members and says the study’s rigorous review of global literature and studies on the ROI of wellness programs “reveal a savings of 1.5 to 1.7 absentee days per employee, per year when a wellness program is in place. This translates into a savings of $251 to $274 per year, per employee.”
 
Bear in mind, the above statistic is only what has been revealed by research literature to date and includes data from outside Canada. Phase 2 of the study is restricted to Canada.
 
The Burnout factor

 Further insight into the effects of presenteeism, its hidden costs and impacts within the workplace can be found in Sun Life’s recently published report The Burnout Factor. The following details from the report highlight the high toll of poor physical and mental health on workers and, by extension, their employers.
  1. The group with the highest average “burnout factor” (stresses in emotional, financial, personal, professional and health areas) is that of full-time employees. They received a score of 38, which is high in relation to retired individuals (with a score of 20) and in comparison to all Canadians (with a score of 31).
  2. Of the full-time employee group, it is the individuals between the ages of 35 and 44—prime productive working years—who are at a particularly high risk of stress. Their burnout factor score was, on average, 40.4, which is 30% higher than that of the average Canadian.
Why the focus on chronic stress? Because medical research indicates prolonged exposure to stress has strong links to chronic health conditions such as high blood pressure, hardening of the arteries, obesity and more. While other research on this matter is taking place in North America, these two studies are uniquely Canadian and, therefore, are expected to be influential in helping Canadian plan sponsors better understand and quantify expectations around investing in wellness.
 
Outside of any research taking place, the reality is that employers will always need to be sensitive to the human and financial costs of presenteeism, absenteeism and disability in the workplace and will always wish to mitigate those costs. If plan sponsors currently believe in the strong correlation between improved ROI and the time, effort and initiative involved in creating and sustaining a proactive organizational culture that is committed to mental and physical health, then following this data will be key to developing wellness programs in the future.
 
Esther Huberman is a communications consultant with Pal Benefits. ehuberman@palbenefits.com

Wednesday, 6 February 2013

Our Growing Comprehension of Stress and Cognition


Why Can Some Kids Handle Pressure While Others Fall Apart?

Platon for The New York Times
Students at Shaker Heights High School in Shaker Heights, Ohio, on Jan. 25, the day before they took the SAT or SAT math subject test. Clockwise from top left: Elana Ross, Linda Fan, Aryanna Jones, Sasha Rae-Grant, Patrick Reed, Jeremy McMillan. More Photos »


 

Noah Muthler took his first state standardized test in third grade at the Spring Cove Elementary School in Roaring Spring, Pa. It was a miserable experience, said his mother, Kathleen Muthler. He was a good student in a program for gifted children. But, Muthler said, “he was crying in my arms the night before the test, saying: ‘I’m not ready, Mom. They didn’t teach us everything that will be on the test.’ ” In fourth grade, he was upset the whole week before the exam. “He manifests it physically,” his mother said. “He got headaches and stomachaches. He would ask not to go to school.” Not a good sleeper anyway, Noah would slip downstairs after an hour tossing in bed and ask his mom to lie down with him until he fell asleep. In fifth grade, the anxiety lasted a solid month before the test. “Even after the test, he couldn’t let it go. He would wonder about questions he feared he misunderstood,” Muthler said.

 
So this year, Muthler is opting Noah out of the Pennsylvania System of School Assessment, using a broad religious and ethical exemption. Just knowing he won’t be taking the tests in March has put Noah in a better frame of mind about school. “The pressure is off his shoulders now,” his mother said. When he doesn’t grasp a concept immediately, he can talk it through without any panic. “He looks forward to science class and math class again,” Muthler said. “He wants to be a chemical or nuclear engineer.”
      
Muthler understands Noah’s distress; more mysterious is why her son Jacob, who is in eighth grade, isn’t the least bit unnerved by the same tests. He, too, is in the gifted program, but that seems to give him breezy confidence, not fear. “You would think he doesn’t even care,” Muthler marveled. “Noah has the panic and anxiety for both of them.” Nevertheless, she will opt out Jacob from the tests, too, to be consistent.
      
Never before has the pressure to perform on high-stakes tests been so intense or meant so much for a child’s academic future. As more school districts strive for accountability, standardized tests have proliferated. The pressure to do well on achievement tests for college is filtering its way down to lower grades, so that even third graders feel as if they are on trial. Students get the message that class work isn’t what counts, and that the standardized exam is the truer measure. Sure, you did your homework and wrote a great history report — but this test is going to find out how smart you really are. Critics argue that all this test-taking is churning out sleep-deprived, overworked, miserable children.
      
But some children actually do better under competitive, stressful circumstances. Why can Jacob thrive under pressure, while it undoes Noah? And how should that difference inform the way we think about high-stakes testing? An emerging field of research — and a pioneering study from Taiwan — has begun to offer some clues. Like any kind of human behavior, our response to competitive pressure is derived from a complex set of factors — how we were raised, our skills and experience, the hormones that we marinated in as fetuses. There is also a genetic component: One particular gene, referred to as the COMT gene, could to a large degree explain why one child is more prone to be a worrier, while another may be unflappable, or in the memorable phrasing of David Goldman, a geneticist at the National Institutes of Health, more of a warrior.
      
Understanding their propensity to become stressed and how to deal with it can help children compete. Stress turns out to be far more complicated than we’ve assumed, and far more under our control than we imagine. Unlike long-term stress, short-term stress can actually help people perform, and viewing it that way changes its effect. Even for those genetically predisposed to anxiety, the antidote isn’t necessarily less competition — it’s more competition. It just needs to be the right kind.
      
Every May in Taiwan, more than 200,000 ninth-grade children take the Basic Competency Test for Junior High School Students. This is not just any test. The scores will determine which high school the students are admitted to — or if they get into one at all. Only 39 percent of Taiwanese children make the cut, with the rest diverted to vocational schools or backup private schools. The test, in essence, determines the future for Taiwanese children.
      
The test is incredibly difficult; answering the multiple-choice questions requires knowledge of chemistry, physics, advanced algebra and geometry, and testing lasts for two days. “Many students go to cram school almost every night to study all the subjects on the test,” says Chun-Yen Chang, director of the Science Education Center at National Taiwan Normal University. “Just one or two percentage points difference will drag you from the No. 1 high school in the local region down to No. 3 or 4.”
 
In other words, the exam was a perfect, real world experiment for studying the effects of genetics on high-stakes competition. Chang and his research team took blood samples from 779 students who had recently taken the Basic Competency Test in three regions of Taiwan. They matched each student’s genotype to his or her test score.

 
The researchers were interested in a single gene, the COMT gene. This gene carries the assembly code for an enzyme that clears dopamine from the prefrontal cortex. That part of the brain is where we plan, make decisions, anticipate future consequences and resolve conflicts. “Dopamine changes the firing rate of neurons, speeding up the brain like a turbocharger,” says Silvia Bunge, associate professor of psychology and neuroscience at the University of California, Berkeley. Our brains work best when dopamine is maintained at an optimal level. You don’t want too much, or too little. By removing dopamine, the COMT enzyme helps regulate neural activity and maintain mental function.
Here’s the thing: There are two variants of the gene. One variant builds enzymes that slowly remove dopamine. The other variant builds enzymes that rapidly clear dopamine. We all carry the genes for one or the other, or a combination of the two.
      
In lab experiments, people have been given a variety of cognitive tasks — computerized puzzles and games, portions of I.Q. tests — and researchers have consistently found that, under normal conditions, those with slow-acting enzymes have a cognitive advantage. They have superior executive function and all it entails: they can reason, solve problems, orchestrate complex thought and better foresee consequences. They can concentrate better. This advantage appears to increase with the number of years of education.
      
The brains of the people with the other variant, meanwhile, are comparatively lackadaisical. The fast-acting enzymes remove too much dopamine, so the overall level is too low. The prefrontal cortex simply doesn’t work as well.
      
On that score alone, having slow-acting enzymes sounds better. There seems to be a trade-off, however, to these slow enzymes, one triggered by stress. In the absence of stress, there is a cognitive advantage. But when under stress, the advantage goes away and in fact reverses itself.
      
“Stress floods the prefrontal cortex with dopamine,” says Adele Diamond, professor of developmental cognitive neuroscience at the University of British Columbia. A little booster hit of dopamine is normally a good thing, but the big surge brought on by stress is too much for people with the slow-acting enzyme, which can’t remove the dopamine fast enough. “Much like flooding a car engine with too much gasoline, prefrontal-cortex function melts down,” Diamond says.
      
Other research has found that those with the slow-acting enzymes have higher I.Q.’ s, on average. One study of Beijing schoolchildren calculated the advantage to be 10 I.Q. points. But it was unclear if the cognitive advantages they had would stay with them when they were under stress outside the security of the lab environment.
      
The Taiwan study was the first to look at the COMT gene in a high-stakes, real-life setting. Would the I.Q. advantage hold up, or would the stress undermine performance?
      
It was the latter. The Taiwanese students with the slow-acting enzymes sank on the national exam. On average, they scored 8 percent lower than those with the fast-acting enzymes. It was as if some of the A students and B students traded places at test time.
      
“I am not against pressure. Actually, pressure is good [for] someone,” Chang commented. “But those who are more vulnerable to stress will be more disadvantaged.”
      
As of 2014, Taiwan will no longer require all students to take the Basic Competency Test, as the country moves to 12-year compulsory education. The system will no longer be built to weed out children, but to keep them all in school. But academically advanced students will still take some kind of entrance exam. And those elite students will still feel the pressure, which, it bears repeating, will hurt some but help others.

 
“The people who perform best in normal conditions may not be the same people who perform best under stress,” Diamond says. People born with the fast-acting enzymes “actually need the stress to perform their best.” To them, the everyday is underwhelming; it doesn’t excite them enough to stimulate the sharpness of mind of which they are capable. They benefit from that surge in dopamine — it raises the level up to optimal. They are like Superman emerging from the phone booth in times of crisis; their abilities to concentrate and solve problems go up.       
 
Some scholars have suggested that we are all Warriors or Worriers. Those with fast-acting dopamine clearers are the Warriors, ready for threatening environments where maximum performance is required. Those with slow-acting dopamine clearers are the Worriers, capable of more complex planning. Over the course of evolution, both Warriors and Worriers were necessary for human tribes to survive.
      
In truth, because we all get one COMT gene from our father and one from our mother, about half of all people inherit one of each gene variation, so they have a mix of the enzymes and are somewhere in between the Warriors and the Worriers. About a quarter of people carry Warrior-only genes, and a quarter of people Worrier-only.
      
A number of research studies are looking at COMT, including several involving the American military. Researchers at Brown University have been studying COMT’s connection to post-traumatic stress disorder in veterans of the wars in Iraq and Afghanistan. Quinn Kennedy, a research psychologist at the Naval Postgraduate School, is studying how the gene correlates with pilot performance. Douglas C. Johnson, a professor of psychiatry at the University of California, San Diego, is part of a consortium of researchers called the OptiBrain Center, where he is interested in COMT’s role in combat performance and well-being.
      
While the studies are ongoing, the early results show those with Worrier-genes can still handle incredible stress — as long as they are well trained. Even some Navy SEALs have the Worrier genes, so you can literally be a Worrier-gene Warrior. In Kennedy’s sample, almost a third of the expert pilots were Worriers — a larger proportion than in the general population.
      
Kennedy’s work is particularly revealing. She puts pilots through a series of six flight-simulator tests, where pilots endure turbulence, oil-pressure problems, iced carburetors and crosswinds while landing. They are kept furiously busy, dialing to new frequencies, flying to new altitudes and headings and punching in transponder codes.
      
Among recreational pilots with the lowest rating level — trained to fly only in daylight — those with Warrior genes performed best. But that changed with more experience. Among recreational pilots who had the next level of qualification — trained to fly at night using cockpit instruments — the Worriers far outperformed the Warriors. Their genetically blessed working memory and attention advantage kicked in. And their experience meant they didn’t melt under the pressure of their genetic curse.
      
What this suggests, Kennedy says, is that, for Worriers, “through training, they can learn to manage the particular stress in the specific pilot training, even if it is not necessarily transferred over to other parts of their lives.”
      
So while the single-shot stakes of a standardized exam is particularly ill suited for Worrier genotypes, this doesn’t mean that they should be shielded from all challenge. In fact, shielding them could be the worst response, depriving them of the chance to acclimate to recurring stressors. Johnson explains this as a form of stress inoculation: You tax them without overwhelming them. “And then allow for sufficient recovery,” he continued. Training, preparation and repetition defuse the Worrier’s curse.
 
There are many psychological and physiological reasons that long-term stress is harmful, but the science of elite performance has drawn a different conclusion about short-term stress. Studies that compare professionals with amateur competitors — whether concert pianists, male rugby or female volleyball players — show that professionals feel just as much anxiety as amateurs. The difference is in how they interpret their anxiety. The amateurs view it as detrimental, while the professionals tend to view stress as energizing. It gets them to focus.       
 
A similar mental shift can also help students in test-taking situations. Jeremy Jamieson, assistant professor of social psychology at the University of Rochester, has done a series of experiments that reveal how the labeling of stress affects performance on academic testing.
      
The first experiment was at Harvard University with undergraduates who were studying for the Graduate Record Examination. Before taking a practice test, the students read a short note explaining that the study’s purpose was to examine the effects of stress on cognition. Half of the students, however, were also given a statement declaring that recent research suggests “people who feel anxious during a test might actually do better.” Therefore, if the students felt anxious during the practice test, it said, “you shouldn’t feel concerned. . . simply remind yourself that your arousal could be helping you do well.”
      
Just reading this statement significantly improved students’ performance. They scored 50 points higher in the quantitative section (out of a possible 800) than the control group on the practice test. Remarkable as that seemed, it is relatively easy to get a result in a lab. Would it affect their actual G.R.E. results? A couple of months later, the students turned in their real G.R.E. scores. Jamieson calculated that the group taught to see anxiety as beneficial in the lab experiment scored 65 points higher than the controls. In ongoing work, Jamieson is replicating the experiment with remedial math students at a Midwestern community college: after they were told to think of stress as beneficial, their grades improved.
      
At first blush, you might assume that the statement about anxiety being beneficial simply calmed the students, reducing their stress and allowing them to focus. But that was not the case. Jamieson’s team took saliva samples of the students, both the day before the practice test to set a base line, and right after reading the lines about the new science — just moments before they started the first question. Jamieson had the saliva tested for biomarkers that show the level of activation of the body’s sympathetic nervous system — our “fight or flight” response. The experimental group’s stress levels were decidedly higher. The biological stress was real, but it had different physiological manifestations and had somehow been transformed into a positive force that drove performance.
      
If you went to an SAT testing site and could run physiological and neurological scans on the teenagers milling outside the door right before the exam, you would observe very different biomarkers from student to student. Those standing with shoulders hunched, or perhaps rubbing their hands, stamping their feet to get warm, might be approaching what Wendy Berry Mendes and colleagues call a “threat state.” According to Mendes, an associate professor of psychology at the University of California, San Francisco, the hallmark of a threat state is vasoconstriction — a tightening of the smooth muscles that line every blood vessel in the body. Blood pressure rises; breathing gets shallow. Oxygenated blood levels drop, and energy supplies are reduced. Meanwhile, a rush of hormones amplifies activity in the brain’s amygdala, making you more aware of risks and fearful of mistakes.
      
At that same test center, you might see students shoulders back, chest open, putting weight on their toes. They may be in a “challenge state.” Hormones activate the brain’s reward centers and suppress the fear networks, so the person is excited to start in on the test. In this state, decision making becomes automatic. The blood vessels and lungs dilate. In a different study of stress, Jamieson found that the people told to feel positive about being anxious had their blood flow increase by an average of more than half a liter per minute, with more oxygen and energy coursing throughout the body and brain. Some had up to two liters per minute extra.
 
Jamieson is frustrated that our culture has such a negative view of stress: “When people say, ‘I’m stressed out,’ it means, ‘I’m not doing well.’ It doesn’t mean, ‘I’m excited — I have increased oxygenated blood going to my brain. ”

 
As the doors to the test center open, the line between challenge and threat is thin. Probably nothing induces a threat state more than feeling you can’t make any mistakes. Threat physiology can be activated with the sense of being judged, or anything that triggers the fear of disappointing others. As a student opens his test booklet, threat can flare when he sees a subject he has recently learned but hasn’t mastered. Or when he sees a problem he has no idea how to solve.
      
Armando Rodriguez graduated last spring from Bright Star Secondary Charter Academy in Los Angeles, but he is waiting until next fall to start college. He is not taking a gap year to figure out what he wants to do with his life. He’s recuperating from knee surgery for a bone condition, spending his days in physical therapy. And what does he miss about being out of school? Competing.
      
“It’s an adrenaline rush — like no other thing.” He misses being happy when he wins. He even misses losing. “At least it was a feeling you got,” he said. “It made you want to be better, the next time.” Without a competitive goal, he feels a little adrift. He finds himself mentally competing with other physical-therapy patients.
      
Rodriguez recorded a 3.86 G.P.A. his senior year of high school and was a defender for the school soccer team. The knee injury happened during a stint on the school’s football team: his doctor had warned that it was too risky to play, but “I just had to try,” he said. He used to constantly challenge his friends on quiz grades; it’s how they made schoolwork fun.
      
But when he took the SAT last year, he experienced a different sensation. “My heart was racing,” he said. “I had butterflies.” Occasionally, he’d look up from his exam to see everyone else working on their own tests: they seemed to be concentrating so hard and answering questions faster than he was. “What if they’re doing way better than me?” immediately led to the thought, “These people are smarter than me. All the good schools are going to want them, and not me.” Within seconds, he arrived at the worst possible outcome: his hopes of a good college would be gone.
      
It might seem surprising that the same student can experience competition in such different ways. But this points to what researchers think is the difference between competition that challenges and competition that threatens.
      
Taking a standardized test is a competition in which the only thing anyone cares about is the final score. No one says, “I didn’t do that well, but it was still worth doing, because I learned so much math from all the months of studying.” Nobody has ever come out of an SAT test saying, “Well, I won’t get into the college I wanted, but that’s O.K. because I made a lot of new friends at the Kaplan center.” Standardized tests lack the side benefits of competing that normally buffer children’s anxiety. When you sign your child up for the swim team, he may really want to finish first, but there are many other reasons to be in the pool, even if he finishes last.
      
High-stakes academic testing isn’t going away. Nor should competition among students. In fact several scholars have concluded that what students need is more academic competition, but modeled on the kinds children enjoy.
      
David and Christi Bergin, professors of educational and developmental psychology at the University of Missouri, have begun a pilot study of junior high school students participating in math competitions. They have observed that, within a few weeks, students were tackling more complex problems than they would even at the end of a yearlong class. Some were even doing college-level math. That was true even for students who didn’t like math before joining the team and were forced into it by their parents. Knowing they were going up against other teams in front of an audience, the children took ownership over the material. They became excited about discovering ever more advanced concepts, having realized each new fact was another weapon in their intellectual arsenal.
 
In-class spelling bees. Science fairs. Chess teams. “The performance is highly motivating,” David Bergin says. Even if a child knows her science project won’t win the science fair, she still gets that moment to perform. That moment can be stressful and invigorating and scary, but if the child handles it well, it feels like a victory.

 
“Children benefit from competition they have prepared for intensely, especially when viewed as an opportunity to gain recognition for their efforts and improve for the next time,” says Rena Subotnik, a psychologist at the American Psychological Association. Subotnik notes that scholastic competitions can raise the social status of academic work as well as that of the contestants. Competitions like these are certainly not without stress, but the pressure comes in predictable ebbs and flows, broken up by moments of fun and excitement.
      
Maybe the best thing about academic competitions is that they benefit both Warriors and Worriers equally. The Warriors get the thrilling intensity their minds are suited for, where they can shine. The Worriers get the gradual stress inoculation they need, so that one day they can do more than just tolerate stress — they can embrace it. And through the cycle of preparation, performance and recovery, what they learn becomes ingrained.
      
It may be difficult to believe, as Jamieson advises, that stress can benefit your performance. We can read it, and we can talk about it, but it’s the sort of thing that needs to be practiced, perhaps for years, before it can become a deeply held conviction.
      
It turns out that Armando Rodriguez was accepted at five colleges. He rallied that day on the SAT. It wasn’t his best score — he did better the second time around — but it was not as bad as he feared. Rodriguez had never heard of Jeremy Jamieson. He had never read, or ever been told, that intense stress could be harnessed to perform his best. But he understood it and drew strength from it. In the middle of his downward spiral of panic, he realized something: “I’m in a competition. This is a competition. I’ve got to beat them.”
 
Po Bronson and Ashley Merryman are the authors of ‘‘Top Dog: The Science of Winning and Losing.’’
Editor: Vera Titunik

Wednesday, 7 November 2012

Justice For Mental Health


No one should be meant to feel they need to suffer in silence.

 
Think your life is hard?  Suck it up - it's a tough world.  Boss too hard on you?  Maybe you're just not up to the job.  Trouble at home getting you down?  Nobody cares - leave your baggage at home, where it belongs.  Never tell people how you really feel, 'cause nobody cares; if you do, they'll just avoid you.  The people you deal with annoying?  Maybe you're being to soft on them. 
 
That's common wisdom in on our streets, in our places of business, in our homes and on the playground.  Emotional responses are for weak-kneed, bleeding hearts and rage-o-holics.  Those aren't the kind of people you want working for you - right?  The worst employment advice I've ever received was also the most practical - when someone asks how you're doing, always answer "living the dream."  They aren't asking because they are sympathetic, but because they want to judge your usefulness in that moment.

But here's the thing - everyone has limits.  When they are pushed, something gives.  Nearly every majorly successful person I know has suffered a collapsed family, harbours deep-rooted narcissistic self-doubt or partakes in substance abuse.  Frequently, it's all of the above.  This shouldn't come as any surprise, because stress is stress, whether physical or mental.  We have designed our society from top-to-bottom to facilitate work, not people.  The something that's giving is why we have a growing mental health crisis on our hands - and it's costing us.
 
This is most observable among two groups - those with mental illness who are coming into contact with the Justice system on the one side, and First Responders on the other.  Police, Nurses, EMTs, Paramedics, Teachers, parents, spouses and yes, bullied children are the canaries in the cognitive coal mine.  People are chafing, falling, dying because we refuse to realize how harmful our social "suck it up mentality" is.
 
But it doesn't have to be this way.  There are tools, internal and external, that can be applied.  There are mental exercises people can do to nurture resiliency and better manage stress.  Simple things like stopping and counting the positive things in your life can reshape your thought patterns, resulting in more broadly positive attitudes.  There are external solutions like drugs, walks, music and laughter that salve emotional strain.  There's nothing corny about this - it's scientific fact.  Just as eating junk food is bad for your physical health, constantly thinking negative thoughts is harmful for your brain.  The reverse is also true - the entire field of positive psychology was developed around this concept.
 
There are also environmental changes that can be made - innovative workplace designs and work schedules that not only reduce stress, but enhance productivity.  It's the next labour revolution and it's already begun to happen - some players are just ahead of the curve.   
 
We get that planned physical exercise strengthens, but sudden blows or repetitive stresses are harmful.  Some people are designed to be faster or taller or more prone to illnesses than others, physically; the same applies mentally.  
 
Sometimes, pushing against a closed door even harder isn't the solution - sometimes you need to try and give it a pull instead.  That's not being lazy, or weak, or a quitter; it's being smart.
 
Mental health is a pull door that we are still collectively pushing on, to our own detriment.  It's time we stop working against our cognitive natures and proactively, collectively pull the door open.  There's a whole world of opportunity on the other side - we just need to be conscious of this.

 

Monday, 2 April 2012

Delisting Painkillers Won’t End the Pain




If I follow the logic correctly, the theory is that if you remove the substance that’s being abused, then substance abuse will stop.  Those that abuse painkillers like OxyContin do so for purely internal reasons; it’s something they need to get over, with help if necessary, but essentially it’s a “their” problem.
I really hope I’m wrong, because that is so far from the truth as to be cringe-worthy.  Yes, addicts form bio-chemical dependence to substances, but to focus solely on the internal world of the addict is to see but a small fraction of the story.  Look at the broader picture – what are the lives of these people like?  What’s the family life like, the work life like, the social life like?  In short, what external factors might people be trying to escape from?
There is a strong correlation between physical health, mental health and environmental factors.  Look at The Unheralded Business Crisis inCanada as just one example of a report detailing this reality.  In more cases than we would like to admit, back pain, headaches, cardiac issues, etc. can be related to life stresses, like poor work management.  Taking away the options people have to mask these stress-related symptoms isn’t going to solve the problem, only create new ones.
When we tell ourselves addicts or people suffering with mental illness conditions like depression and anxiety are “weak” and just need to “get over it,” we’re sticking our heads in the sand.  The longer we ignore the reality – that our outdated social model is part of the problem – the worse it’s going to get.