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The Wellcome Library specialises in the history of medicine. It’s based in London but has recently put online a collection of images which you are able to use freely under the Creative Commons License. The Head of Wellcome Images says,

Wellcome Images is an invaluable tool for teachers and researchers of medical history, health, clinical and biomedical sciences. Through visuals users are able to develop a more profound understanding of human and animal biology, and can use them in their research and teaching. What is unusual for a picture library of this nature, is that the online service is completely free.

The collection is grouped into six sets (each starting with the letter “W”!) –

  • Wellcome
  • War
  • Wonderful
  • Witchcraft
  • Wellness
  • World

Some of the images are startlingly beautiful. Go have a browse. This is an especially useful resource if you teach biological or health sciences.

Arthur C Clarke proposed three “laws” or principles about prediction –

  1. When a distinguished but elderly scientist states that something is possible, he is almost certainly right. When he states that something is impossible, he is very probably wrong.
  2. The only way of discovering the limits of the possible is to venture a little way past them into the impossible.
  3. Any sufficiently advanced technology is indistinguishable from magic.

There’s a lot of noise these days about “anti-science” – I find this a strange term actually. It’s about as useful as “anti-art” or “anti-philosophy”. “Science” is not a discreet entity. It’s a way of thinking. Deleuze really clarified this for us. He said science was a way of thinking about function. That’s a good summary in my opinion. I enjoy science because it helps me to understand how things work (sometimes!). Deleuze went on to point out that philosophy was a way of thinking about concepts and art about percepts and affects. These great human endeavours – of science, philosophy and art – give us very different ways to think about our lives and the world we live in. Each way of thinking can potentially be illuminating. But it isn’t a competition. The one way of thinking takes nothing away from either of the others.

So when distinguished but elderly scientists claim that “science” is under attack, I fear they’re misguided. What they probably mean is that their world-view is being challenged. Scientists should challenge each other. They should continuously enter into rational debate with each other. But science (thinking about function) is only one way of understanding experience. What’s the science of love? What’s the science of poetry? What’s the science of Shakespeare? Yes, you can take a scientific approach to any of those subjects but there are better ways to understand love and literature.

Health is an interesting case. It’s actually hard to understand. We know when we’ve got it and when we haven’t, but what is it actually? Science can help us to understand a lot about health by helping us to find out how organisms function. But philosophy and art can also help us to understand health, because health is an idea, a concept and an experience too.

So when “scientists” dismiss experiences which they can’t make sense of, it is worth while considering what they have to say, but it’s important not to make the mistake of thinking they are telling the Truth, the Whole Truth and Nothing but the Truth. There’s more to life than understanding function and there’s more to life than we currently regard as possible. We, the human race, progress by not accepting that something is impossible. Progress involves discovering that much more is possible than you previously thought. Daniel Gilbert writes about this very nicely in his Stumbling on Happiness. He says when imagining the future we are always limited by what we know now. Futurologists tend to imagine versions of the present rather than the radically different futures which actually transpire.

I love life at the edge of discovery. It’s like magic.

I’ve been reading some of the happiness literature recently. Not because I’m not happy – I am! But mainly because the area of medicine in which I work is based on two things – taking a holistic view, which really just means engaging with a person instead of just a person’s disease! And, secondly, it’s based on trying to aid recovery and increase resilience, as opposed to just trying to rescue a situation, or repair some damaged tissues. There’s a lot involved in helping someone to get better including enabling self-understanding, instilling hope, encouraging a positive attitude, as well as tackling disease processes. I’m especially interested in an approach to medical care which seeks to understand the uniqueness of each and every patient I see and enabling them to develop in the face of their illnesses – by develop I mean to adapt, to become more creative and to be more fully engaged with their lives (see here)
I read The Happiness Hypothesis and thoroughly enjoyed it. Thought provoking and enlightening. I then moved on to Stumbling on Happiness, by Daniel Gilbert (ISBN 978-0-00-718313-5). These two authors have completely different styles but both are tackling the question of what makes people happy. Gilbert’s book is much more a psychologists approach – in fact, I’d go as far as to say an experimental psychologist’s approach. In the opening chapters he lays out his strong belief that the way to understand how the human mind works is to study phenomena of large numbers of people. He says we can’t rely on the experiences of individuals but we can rely on phenomena which can be demonstrated time and again in group studies. That made me a bit uncomfortable because as a clinician I find that often the statistical “evidence” from group trials turns out not to be appropriate for an individual. Drugs are a great example of this. There isn’t a single painkiller on the market which you can guarantee will take away the pain of a particular patient. It doesn’t matter how many hundreds of thousands of people have benefited from a particular treatment, this particular patient today may well turn out to be the one who gets no response at all. We see the same phenomenon with blood pressure pills, sleeping pills, anything really. Obviously a doctor should recommend the safest treatment which seems to have helped a significant number of patients but he or she must remain open to understanding that for this patient this pill just might not work. We are all actually different. I’ll return to this issue shortly.

I really didn’t want to like Gilbert’s book because of the cover. It looks cheap and puerile. However, you can’t judge a book by its cover! Once I started to read it, I loved it. I’ve read criticisms of his familiar, humorous writing style but it really works for me. It’s a treat to read and it often made me laugh. His cultural references, especially to Beatles songs hit the spot for me. The content was fascinating too. OK, many of these studies published by psychologists have been written about in other books, but Daniel Gilbert presented a fair number of interesting studies which I’ve never read anywhere else.

After a while, psychology experiment after psychology experiment begins to feel like a magic show. So often the result is a surprise. I could almost hear “abracadabra!” in the background! This is fun and interesting but its novelty begins to wane. (Actually his section on magic tricks themselves is particularly interesting – check this post) Throughout the book he held my interest, and he made a good, clear case for the claim that memory, perception and imagination are all imperfect representations of reality –

Foresight is just as fallible as eyesight and hindsight.

I have no doubts about that. However, for me, I’m more comfortable with the understanding that memory, perception and imagination are all creative processes – individual, subjective, creative processes.

Having demonstrated that we are not reliable judges of either what did make us happy, or what will make us happy, he ends up with a recommendation that totally baffled me. In his final chapter (the one before the “Afterword”) he seeks to answer the question “how should we decide what to do?” Somewhat astonishingly he says that as we can’t rely on our memories or our imagination, we should rely on the experiences of others. He claims this will work because we have an over-inflated sense of our individuality and uniqueness. He says “What makes us think we’re so damned special?” and argues “Our mythical belief in the variability and uniqueness of individuals is the main reason why we refuse to use others as surrogates……..surrogation is a cheap and effective way to predict one’s future emotions, but because we don’t realise just how similar we all are, we reject this reliable method…”

Pardon?

The best way to predict how I’m going to feel in a situation is to ask others who have already been in that situation? Yes, I understand the importance of empathy and of sharing stories and learning from others, but, you know something? There’s only ONE Daniel Gilbert! And there’s only ONE me! I liked some of the same Beatles songs as you, Daniel, but I don’t rate statistics and experimental psychology as highly as you do because we’ve lead different lives, in different cultures with a myriad of different experiences.

Just stop for a moment and think about taking his recommendation to rely on the reports of others to predict how you’re going to feel in a certain situation. When was the last time you read a movie review, went to see the movie and had such a different experience from the reviewer that you thought “did we see the same movie?!” In “Who Wants to Be a Millionaire?” you can go 50/50, phone a friend or ask the audience – you might get some clues from what they say but they don’t always give you the right answer – why not? Well Daniel Gilbert answers that himself – they too are humans with fallible memories, fallible perception and fallible imagination. Why should the report of someone else be more reliable than what I know about myself?

I think there are two crucial elements missing from this exploration of happiness – narrative and the importance of meaning. We experience life through the creation of stories – the stories we tell others and the stories we tell ourselves. Storytelling involves using memory, perception and imagination. Through the creation of stories we gain a sense of self AND we make sense of our experiences. Human beings are meaning-seeking, meaning-creating creatures. And two people in the same circumstance will have vastly different experiences because the circumstance is interpreted differently, made sense of differently, means something different to each of them.

Yes, yes, yes, we share more than we often realise. With a bit of empathy we can realise just how much we do share with other people, but I insist, we are all different, all unique and, you know what?

YOU ARE SPECIAL!

Daniel Gilbert says in his book, Stumbling on Happiness, that research shows us that people regret the things they DON’T do much more than they regret the things that they do.

Do you agree? Do you think you’re more likely to regret what you DON’T do…..maybe not today, maybe not tomorrow, but soon and for the rest of your life?

Bird videos

If you like nature programmes, or enjoy bird-watching, this site – birdcinema.com will be a treat for you.

It’s kind of a Youtube for videos of and about birds!

The BMJ published a study today which has been reported across at ScienceDaily. This is an incredibly thoughtful article which questions the prescribing of lipid-lowering drugs (statins) to the elderly. Whilst there is good evidence that lowering lipid levels in younger patients reduces their risk of suffering from cardiovascular diseases, there is not good evidence that the same benefits can be achieved with the elderly. However, doctors are being encouraged to treat the elderly with the same assumptions as they make when treating younger patients. Worryingly, one of the studies conducted in the over-70s who take statins shows that while there did seem to be a reduction in death from cardiovascular diseases, the overall mortality remained the same. In other words they died from something else. In this particular study there was an increase in deaths from cancer. The authors of this paper ask a question which I’m astonished has not been asked before.

Is it possible, they ask, that by introducing preventive treatments in the elderly aimed at reducing the risk of a particular cause of death, we are simply changing the cause of death without the patient’s informed consent?

Too often drugs are presented to the public and the medical profession in terms of “saving lives”. Drugs don’t save lives. However, they do alter the experience of dying, and, of course, therefore, the experience of living. But when coerced into taking medication to “prevent” future diseases, patients are not being told exactly what not dying from this particular disease might mean for them. What are they more likely to die from if they don’t die from heart disease for example? This is not a question that should only be asked when treating the elderly. It’s time we had some decent research on how medication changes the experience of living and dying, not just research which only focusses on single diseases. Only then can doctors and their patients make truly informed decisions.

However, the issue of treating the elderly as if you can expect they will receive the same benefit from a treatment as a younger person is also something we need to think about. It doesn’t make sense. People are different and “evidence” from drug trials conducted on younger people may well not be at all useful “evidence” when making a prescribing decision for an elderly person. To be useful, evidence has to be relevant to the individual patient who is being persuaded to take medication.

green, originally uploaded by bobsee.

If you enjoyed doing the previous “What is this?”, here’s another one.
You’ll have to look very carefully

An Ideal Husband

I used to struggle to get a VHS recorder to record a movie using the timer. Oh, I won’t go into the details. It was just often a pain. When I got a dvd recorder with my new big screen I thought it’d be better. Well it was. But only kind of. Still quite a pain. So I swapped it for a hard disk recorder. Oh joy! It’s so EASY! In fact it’s so easy, there are now lots of movies on there that I haven’t watched yet! But that in its own way can be such a serendipitous delight. Came home from work today and browsed the hard drive. Pressed play when I got to An Ideal Husband. What a treat!

This is such a great movie. It delighted me. I loved the humour, I loved the wit, and I loved the acting. Great cast. I don’t think I’ve seen Minnie Driver do anything better (well, at least as good as her role in Good Will Hunting) Julianne Moore is tremendous in it but Rupert Everett is just the best!

There are so many great lines. Here’s a couple of my favourites

To love oneself is the beginning of a lifelong romance.

**********************************************************************************

To look at a thing is quite different from seeing a thing, and one does not see anything until one sees its beauty

**********************************************************************************

Lord Arthur Goring: I am glad you have called. I am going to give you some advice.

Laura: Oh pray, don’t. One should never give a woman something that she can’t wear in the evening.

This is one of those movies that lifts your heart. You know, sometimes we need a movie like that does that. But more than that this a movie where, due to the brilliance of Oscar Wilde, portrays rich and complex characters. There’s nobody two-dimensional here. Even the characters which seem like caricatures at first meeting are revealed to be much more complex than they first appear. I like that. It reminds me why it’s important not to judge – everyone who rushes to judgement in this story discovers how wrong they’ve been once they see a little more. There is a great little video trailer of the movie here

This is quite the funniest and most original and creative video I’ve ever seen on youtube.

If you’re feeling in need of a good laugh, watch this…….

Dazlious

Just watched Snowcake. Sigourney Weaver and Alan Rickman both acting superbly. She plays a high-functioning autistic adult, Linda, whose daughter has been killed in the car the Alan Rickman character, Alex, was driving. He’s a damaged soul himself having lost his son in a car crash and gone to jail for murdering someone. I won’t tell you the rest of the plot. Get the dvd and watch it.

Here’s what I like about it more than anything else. This is a story about difference. How we are all different, and in the more extreme expressions of our difference other people find us hard to accept. This is a story about acceptance of difference. There are so many unique, non-conforming, not “normal” people in this movie. So many unique and strange characters who manage to fit together……certainly not seemlessly, but well. These are people often connected only through chance happenings, with echoes of their pasts resonating in the present.

Snowflakes are all unique of course. Despite being made of the same stuff, they’re all completely different and that’s in no small part responsible for their beauty.

Here is one of my favourite scenes. The two main characters playing a game of scrabble with the rules having been made up by the autistic Linda. The rules include being able to include made-up words as long as you can demonstrate their use in a sentence. Listen to this dialogue and listen to Linda’s story of “dazlious”