Posts Tagged ‘anxiety’

Fascinating new research about how the human mind works.

“Humans have a capacity to imagine scenarios, reflect on them, and embed them into larger narratives,” says evolutionary psychologist Thomas Suddendorf at the University of Queensland in Australia. “There appears to be something fundamentally distinct about human “mental time travel” when compared to the capacities of our closest-surviving animal relatives.”

At it most simple, human beings look ahead and believe they can predict their future. But this ability to forecast our futures, however inaccurately, comes at a price.

“We worry about many things we can do little about, and we can experience persistent anxiety about things that may never eventuate,” says Suddendorf.

 

Animals fear predators for good reason (Credit: Anup Shah/Naturepl.com)

Animals fear their natural predators for good reason (Credit: Anup Shah/Naturepl.com)

 

Most of us overcome these worries easily enough. Humans are different from other animals. As the Current Biology website notes, we have an in-built optimism bias, which gives us a rosier view of the future than is really appropriate.

The ability to anticipate is a hallmark of cognition. Inferences about what will occur in the future are critical to decision making, enabling us to prepare our actions so as to avoid harm and gain reward.

Given the importance of these future projections, one might expect the brain to possess accurate, unbiased foresight.

Humans, however, exhibit a pervasive and surprising bias: when it comes to predicting what will happen to us tomorrow, next week, or fifty years from now, we overestimate the likelihood of positive events, and underestimate the likelihood of negative events.

For example, we underrate our chances of getting divorced, being in a car accident, or suffering from cancer. We also expect to live longer than objective measures would warrant, overestimate our success in the job market, and believe that our children will be especially talented. This optimism bias phenomenon is one of the most consistent, prevalent, and robust behaviour or cognition biases documented in psychology and behavioural economics.

This becomes especially important where death is concerned. As far as studies can establish, we seem to be the only animal able to contemplate, understand and cope with our own mortality.

“One of the realities is that you are going to die.” But humans have an amazing ability to apparently ignore – or at least suppress – this eventuality, which Ajit Varki of the University of California dubs “an evolutionary quirk”.

For example, if animals denied the risks of death as many humans do, zebras or antelopes might knowingly graze near hungry lions. They don’t.

But this is innate optimism appears not to be the case for those with depression, for whom the future often appears very bleak. And in reality, they might well be right, at least to some extent, as they are not affected by the irrational “optimism bias”.

“Clinical psychologists are beginning to recognise and disentangle the important roles aspects of foresight play in our mental health,” says Suddendorf.

Depressed people truly appreciate reality, agrees Varki, who has written extensively about human uniqueness and our ability to deny death.

So why do “healthy” people exhibit optimism bias?

“We need that denial,” says Varki. “Otherwise we might curl up and do nothing.”

And instead of facing the transient nature of life, some us engage in apparently reckless activities such as climbing dangerous mountains, driving cars too fast and taking mind-altering drugs, content in our assumption that we’ll be fine.

So the next time you meet someone suffering from depression, don’t be too quick to dismiss their view of the world. They might just be seeing it more clearly than you.

Which is a depressing thought, eh?

  • Study of Holocaust survivors finds trauma passed on to children’s genes
  • New finding is first example in humans of the theory of epigenetic inheritance: the idea that environmental factors can affect the genes of your children
  • The team’s work is the clearest sign yet that life experience can affect the genes of subsequent generations.

In a fascinating study discussed in the Guardian newspaper and elsewhere, it seems that genetic changes stemming from the trauma suffered by Holocaust survivors are capable of being passed on to their children, the clearest sign yet that one person’s life experience can affect subsequent generations.

holocaustThe conclusion from a research team at New York’s Mount Sinai hospital led by Rachel Yehuda stems from the genetic study of 32 Jewish men and women who had either been interned in a Nazi concentration camp, witnessed or experienced torture or who had had to hide during the second world war.

They also analysed the genes of their children, who are known to have increased likelihood of stress disorders, and compared the results with Jewish families who were living outside of Europe during the war. “The gene changes in the children could only be attributed to Holocaust exposure in the parents,” said Yehuda.

Her team’s work is the clearest example in humans of the transmission of trauma to a child via what is called “epigenetic inheritance” – the idea that environmental influences such as smoking, diet and stress can affect the genes of your children and possibly even grandchildren.

The idea is still highly controversial, as scientific convention states that genes contained in DNA are the only way to transmit biological information between generations. However, our genes are modified by the environment all the time, through chemical tags that attach themselves to our DNA, switching genes on and off. Recent studies suggest that some of these tags might somehow be passed through generations, meaning our environment could have and impact on our children’s health. If so, it will provide a whole new area of preventative health care.

Other studies have proposed a more tentative connection between one generation’s experience and the next. For example, girls born to Dutch women who were pregnant during a severe famine at the end of the second world war had an above-average risk of developing schizophrenia. Likewise, another study has showed that men who smoked before puberty fathered heavier sons than those who smoked after.

GenesThe team were specifically interested in one region of a gene associated with the regulation of stress hormones, which is known to be affected by trauma. “It makes sense to look at this gene,” said Yehuda. “If there’s a transmitted effect of trauma, it would be in a stress-related gene that shapes the way we cope with our environment.”

They found epigenetic tags on the very same part of this gene in both the Holocaust survivors and their offspring, the same correlation was not found in any of the control group and their children. Through further genetic analysis, the team ruled out the possibility that the epigenetic changes were a result of trauma that the children had experienced themselves.

“To our knowledge, this provides the first demonstration of transmission of pre-conception stress effects resulting in epigenetic changes in both the exposed parents and their offspring in humans,” said Yehuda, whose work was published in Biological Psychiatry.

It’s still not clear how these tags might be passed from parent to child. Genetic information in sperm and eggs is not supposed to be affected by the environment – any epigenetic tags on DNA had been thought to be wiped clean soon after fertilisation occurs.

However, research by Azim Surani at Cambridge University and colleagues, has recently shown that some epigenetic tags escape the cleaning process at fertilisation, slipping through the net. It’s not clear whether the gene changes found in the study would permanently affect the children’s health, nor do the results upend any of our theories of evolution.

Whether the gene in question is switched on or off could have a tremendous impact on how much stress hormone is made and how we cope with stress, said Yehuda. “It’s a lot to wrap our heads around. It’s certainly an opportunity to learn a lot of important things about how we adapt to our environment and how we might pass on environmental resilience.”

The impact of Holocaust survival on the next generation has been investigated for years – the challenge has been to show intergenerational effects are not just transmitted by social influences from the parents or regular genetic inheritance, said Marcus Pembrey, emeritus professor of paediatric genetics at University College London.

“Yehuda’s paper makes some useful progress. What we’re getting here is the very beginnings of a understanding of how one generation responds to the experiences of the previous generation. It’s fine-tuning the way your genes respond to the world.”

Can you inherit a memory of trauma?

Researchers have already shown that certain fears might be inherited through generations, at least in animals.

Scientists at Emory University in Atlanta trained male mice to fear the smell of cherry blossom by pairing the smell with a small electric shock. Eventually the mice shuddered at the smell even when it was delivered on its own.

Despite never having encountered the smell of cherry blossom, the offspring of these mice had the same fearful response to the smell – shuddering when they came in contact with it. So too did some of their own offspring.

On the other hand, offspring of mice that had been conditioned to fear another smell, or mice who’d had no such conditioning had no fear of cherry blossom.

The fearful mice produced sperm which had fewer epigenetic tags on the gene responsible for producing receptors that sense cherry blossom. The pups themselves had an increased number of cherry blossom smell receptors in their brain, although how this led to them associating the smell with fear is still a mystery.

boy-infront-of-city-e1342200914945-1024x501

The implications of this study are surely enormous. One can only imagine the impact on children of parents living in vicious war zones like Syria and Iraq. The children of parents suffering the horrors of famine in Africa. What changes are we wreaking in our gene pool from the modern day stress of living in overcrowded urban environments, especially those that are grindingly poor, such as in Mexico, Brazil, the Phillipines, India and elsewhere?

And very close to home, what are the impacts on the eventual descendants of the poor people trapped in seemingly never-ending detention in the Australian  immigration system: people who have already suffered the trauma of leaving their homes as refugees, escaping persecution.

We have often heard “the sins of the fathers are vested in the children”. Now it seems their innocent suffering may be, too.

Koreans seem quite calm despite living in a state of perpetual tension on the Korean peninsula. Maybe their huge consumption of Kimchi has something to do with it.

Koreans seem quite calm despite living in a state of perpetual tension on the Korean peninsula. Maybe their huge consumption of Kimchi has something to do with it.

Anxious about that big date, crucial meeting or family gathering?

You may want to prep with a cup of yogurt: a promising new study in Psychiatry Research has found that people who eat more fermented foods, including yogurt, kefir, sauerkraut, kombucha, miso, and kimchi, have fewer social anxiety symptoms. But note, some of these foods, such as kombucha – a fermented tea popular in the Far East and Russia – have had adverse health reactions in some people.

Researchers surveyed more than 700 people and found that the more fermented foods participants ate the less likely they were to experience social anxiety – anxious feelings of distress that interfere with daily social interactions. Even wilder is that this benefit was greatest among people who had the highest rates of neuroticism, a personality trait characterised by anxiety, fear, moodiness, worry, envy, frustration, jealousy, and loneliness.

What makes those foods so powerfully calming? Based on this study alone, the authors can’t say for sure, but previous research points the finger at probiotics, the good-for-you bacteria found in fermented foods. “Social anxiety has gastrointestinal symptoms,” says lead author Matthew Hilimire, assistant professor of psychology at the College of William & Mary, “and probiotics have been shown to reduce gut inflammation. So as the gut becomes less inflamed, some of those anxiety-related symptoms are reduced.”

Eating probiotics has also been shown to affect brain chemistry in a major way, triggering a neurotransmitter called GABA that calms the nervous system – the exact same neurotransmitter targeted by anti-anxiety drugs like Valium, Hilimire explains. The researchers hope that fermented foods could someday be a low-risk treatment for anxiety.

If you don’t want to live on yoghurt or plough through masses of sauerkraut (which wouldn’t be a problem for Mrs Wellthisiswhatithink, but Lord above it’s a problem for anyone sleeping in the same bedroom) the simplest solution might be to trial some of the many probiotics supplements now freely available.

We have long suspected that reducing “inflammation” in the system is a key way to not only improve mood but also defer illnesses like cancer. As in all things, a balanced diet seems the most sensible approach. The ancient Chinese concept of the body becoming “over heated” through the consumption of certain foods may end up being shown to be worthwhile.

chinese pharmacistChinese medicine is, indeed, interesting. On a business trip there many moons ago we were struck down with the most miserable dose of a cold or flu which then settled on our chest, and we ended up feeling very sick indeed.

Travelling alone we really didn’t have the faintest idea what to do, so wandered into a traditional Chinese chemist, full of herbs and potions and things that didn’t really bear too close an examination. The man in the white coat took one look at the hacking, sputum-fountain of a guailo in front of him and sold us a bottle of obscure liquid which as soon as we started quaffing it back at the hotel made us feel remarkably better.

So much better, in fact, that instead of discarding it when we recovered, we took it home and showed it to our GP, telling him how wonderful Chinese medicine is, and we should eat the stuff in Australia.

He asked his Chinese-speaking assistant to decipher the label, then turned back and smiled drily. He said it was hardly surprising that we felt on top of the world when quaffed it, as he strongly suspected the stuff was about 80% morphine. He quietly disposed of it in his office bin.

The commonest illness on earth that turns lives into misery. Yet in many cases, we can make a huge contribution to our own recovery.

The commonest illness on earth that turns lives into misery. Yet in many cases, we can make a huge contribution to our own recovery.

At various stages in the last 56 years, I, like most people, have been prone to anxiety.

In my case, facing a dreadful crisis at one point in my life, it tipped over into full-blown Obsessional Compulsive Disorder and Depression. (Search for either of those terms on this blog for more information.)

Nowadays, perhaps with the benefit of middle aged perspective, (the clear realisation that one will survive most things and come out stronger, given time, and therefore it can be excellent practice to just to try and “roll with the punches” – indeed, the greatest gift of middle age is patience) I am less likely to fall prone to the misery of anxiety.

Perhaps, also, my brain chemistry is more stable, (it is notoriously less so for teenagers and young adults), or I have just learned to recognise anxiety faster, and deal with it more effectively.

In any event, now that I have taken the decision to be open about my own brushes with “mental illness” (which should, of course, be called “physical illness affecting the brain” – I am no more “nuts” than the next person) I am constantly meeting other people who struggle with anxiety disorders of one sort or another, and who often ask my advice when I pipe up about them.

Sadly, I am not an expert.

Or rather, I am expert in what the bloody illness feels like, but not really an expert in how to solve it.

What worked for me, or someone else, might not work for you. So I went looking for some help online, and found this excellent article from the Australian National University, which is well worth a read.

I have made the occasional comment myself in italics. The rest is from ANU. It’s chock full of good commonsense.

I hope you, or someone you know, finds it helpful.

The 10 best ever anxiety management techniques

These techniques fall into three typical clusters:

  • the physical arousal that constitutes the terror of panic
  • the ‘wired’ feelings of tension that correlate with being ‘stressed out’
  • the mental anguish of rumination – a brain that won’t stop thinking distressing thoughts

Cluster One: Physical Arousal

Distressing Physical Arousal – sympathetic arousal causes the heart thumping, pulse-racing, dizzy, tingly, shortness of breath physical symptoms, that can come out of the blue and are intolerable when not understood.

Even low levels of anxiety can cause physical tension in the jaw, neck and back as well as an emotional somatic feeling of doom or dread in the pit of the stomach, which will set off a mental search for what might be causing it.

Method 1: Manage your body.

  • Eat right
  • Avoid alcohol, nicotine, sugar and caffeine
    Certainly in excess. The temptation to self-medicate with alcohol particularly is a curse for those who suffer from anxiety, because it is an utterly transitory solution. As soon as the buzz wears off, one is just as (or often more) depressed, and now dealing with a hangover as well.The most intelligent comment I have ever heard about booze was “I used to drink to drown my sorrows. Then one day I woke up and discovered they’d learned how to swim.” However, in my experience, one or two drinks, especially in the late afternoon or early evening, can be helpful in “switching off” the day and settling down for an evening’s relaxation and a night’s rest. I am also advised that a good session on a treadmill in the spare room or at the gym has a similar relaxing effect.
  • Exercise
  • On going self care
    This needs to be active and deliberate. Looking after yourself is often the lowest priority for people with anxiety or depression. It should be the first.
  • Sleep
    I always rely on the rule “an hour before midnight is worth two after”. I have no idea if that has any scientific basis, but it’s true for me. Similarly, sleeping at the wrong time of the day (eg during daylight hours) can leave one with a sense of worthlessness, or having “wasted time”. That said, I think I am convinced that a short “Nanna Nap” (eg 30-60 mins) in the mid-late afternoon can be health-enhancing and lead to more productive evenings.
  • Consider hormonal changes

Method 2: Breathe

Breathing deeply and being aware of the process will slow down or stop the stress response.

I don’t know why this simple fact is so hard for stressed people to get hold of. Close your eyes. Decide to ignore, momentarily at least, whatever is troubling you. Breathe in, hold the breath momentarily, breathe out through your mouth. Empty your lungs. Repeat. Do it for 60 seconds and you can feel control of your emotions returning. It’s infallible.

Do the conscious, deep breathing for about 1 minute at a time, and do it when you are not stressed, at least 10-15 times per day – just do it every time you are waiting for something eg., the phone to ring, an appointment, the kettle to boil, waiting in a line etc.

Method 3: Mindful Awareness

Close your eyes and breathe; notice the body, how the intake of air feels, how the heart beats, what you can feel in the gut.

Breathe. Just breathe.

Breathe. Just breathe.

  • With eyes still closed, purposefully shift your awareness away from your body to everything you can hear or smell or feel through your skin
  • Shift awareness back and forth from your body to what’s going on around you

You will learn in a physical way that you can control what aspects of the world – internal or external – you’ll notice, giving you an internal locus of control and learning that when you can ignore physical sensations, you can overcome them.

Above all, resist the temptation to make catastrophic interpretations of events that bring on panic or worry. Keeping things “in perspective” allows you to feel more in control and mindful of the present.

Very few things are catastrophic in life, and even catastrophic things can be overcome.

Just decide to stop “blowing things out of proportion”.

Stop luxuriating in fear.

It isn’t good for you, and it never solves the problem.


Cluster Two: Tension, Stress and Dread

Many people with anxiety search frantically for the reasons behind their symptoms in the hope that they can ‘solve’ whatever problem it is,

But since much of their heightened tension isn’t about a real problem, they are actually wasting their time running around an inner maze of perpetual worry.

Even if the tension stems from psychological or other causes, there are ways to eliminate the symptoms of worry.

These methods are most helpful for diminishing chronic tension.

Method 4: Don’t listen when worry calls your name

This feeling of dread and tension comprises a state of low grade fear, which can also cause other physical symptoms, like headache, joint pain and ulcers. The feeling of dread is just the emotional manifestation of physical tension.

You must first learn that worry is a habit with a neurobiological underpinning. Then apply relaxation to counteract the tension that is building up.

Nothing real is causing it, so get rid of the symptoms, and enjoy life without them.

This ‘Don’t Listen’ method decreases the tension by combining a decision to simply ignore the voice of worry with a cue for the relaxation state.

To stop listening to the command to worry, you can say to yourself: “This is just my anxious brain firing wrong”. This is the cue to begin relaxation breathing (as described earlier) which will stop the physical sensations of dread that trigger the radar.

Method 5: Knowing, Not Showing, Anger

When you fear anger because of past experience, (which may be very real, and justified) the very feeling of anger, even though it remains unconscious, can produce anxiety, which does no good to you at all. To know you’re angry doesn’t require you to show you’re angry.

A simple technique: Next time you feel stricken with anxiety, you should sit down and write as many answers as possible to this question, “If I were angry, what might I be angry about?” Restrict answers to single words or brief phrases.

This may open the door to get some insight into the connection between your anger and your anxiety.

Method 6: Have a Little Fun

Laughing is a great way to increase good feelings and discharge tension. Getting in touch with fun and play isn’t easy for the serious, tense worrier.

A therapy goal could be simply to re-learn what you had fun doing in the past and prescribe yourself some fun.

In my experience, this can involve choosing to be around people who are fun, and spending less time with people who “bring you down”. When you are more on an even keel, you can deal with less cheerful people more easily. In the meantime, there’s good reason to avoid them. Seek out positive, gentle, funny people.


Cluster Three: The Mental Anguish of Rumination

These methods deal with the difficult problem of a brain that won’t stop thinking about distressing thoughts or where worry suffocates your mental and emotional life. These worries hum along in the background, generating tension or sick feelings, destroying concentration and diminishing the capacity to pay attention to the good things in life.

Therapy does not need to focus on any specific worry, but rather on the act of worrying itself – the following methods are the most effective in eliminating rumination.

Method 7: Turning it Off

If a ruminating brain is like an engine stuck in gear and over-heating, then slowing or stopping it gives it a chance to cool off. The goal of ‘turning it off’ is to give the ruminative mind a chance to rest and calm down.

Sit quietly with eyes closed and focus on an image of an open container ready to receive every issue on your mind. See and name each issue or worry and imagine putting it into the container.

When no more issues come to mind, ‘put a lid’ on the container and place it on a shelf or in some other out of the way place until you need to go back to get something from it.

Once you have the container on the shelf, you invite into the space that is left in your mind whatever is the most important current thought or feeling.

At night, right before sleep, invite in a peaceful or happy thought to focus on while drifting off.

Method 8: Persistent Interruption of Rumination

Ruminative worry has a life of its own, consistently interfering with every other thought in your mind.

The key to changing this pattern is to be persistent with your attempts to use thought stopping and thought replacement. Its important to attempt to interrupt the pattern every time you catch yourself ruminating – be aware that you’ve spent a long time establishing this pattern and it will take persistence to wear it down.

Work on having a good five minutes without worry … then another .. then a day … and so on. Be patient. Change takes time.

Thought stopping – use the command “Stop” and/or a visual image to remind yourself that you are going into an old thinking habit that just leaves you feeling uptight.

Thought replacement – substitute a reassuring, assertive or self-accepting statement after you have managed to stop the thought. You may need to develop a set of these statements that you can look at or recall from memory.

Method 9: Worry Well, but Only Once

Some worries just have to be faced head-on, and worrying about them the right way can help eliminate secondary, unnecessary worrying. When you feel that your worries are out of control try this next method:

  1. Worry through all the issues within a time limit of 10-20 mins and cover all the bases
  2. Do anything that must be done at the present time. Set a time when it’ll be necessary to think about the worry again.
  3. Write that time on a calendar.
  4. Whenever the thought pops up again say, “Stop! I already worried!” and divert your thoughts as quickly as possible to another activity – you may need to make a list of these possible diversions beforehand. Until it’s time to tackle the issue again, forget it.
    You may find, in the meantime, it quietly resolves itself.

Method 10: Learn to Plan Instead of Worry

A big difference between planning and worrying is that a good plan doesn’t need constant review.

An anxious brain, however, will reconsider a plan over and over to be sure it’s the right plan.

This is all just ruminating worry disguising itself as making a plan and then seeking constant reassurance.

It is important to learn the fundamentals of planning as it can make a big difference in calming a ruminative mind. These include:

  1. Concretely identifying the problem
  2. Listing the problem solving options
  3. Picking one of the options
  4. Writing out a plan of action
Fail to plan, and you plan to fail. Never was a truer word spoken, and especially for people who are inclined to be anxious.

Fail to plan, and you plan to fail. Never was a truer word spoken, and especially for people who are inclined to be anxious.

To be successful in this approach, you must also have learned to apply the thought-stopping/thought-replacing tools or you can turn planning into endless cycles of re-planning.

Once a plan has been made you can use the fact that you have the plan as a concrete reassurance to prevent the round-robin of ruminative re-planning.

The plan becomes part of the thought-stopping statement:

“Stop! I have a plan!”

It also helps the endless reassurance-seeking, because it provides written solutions even to problems the ruminator considers hopelessly complex.


Conclusion

These skills do require patience and determination. However, once learnt, people gain a lasting sense of their own power and competence in working actively with their own symptoms to conquer anxiety through their own efforts.

Getting control of yourself. It’s a wonderfully liberating feeling. Good luck!

We all

I cannot strongly enough recommend that you watch this two and a half minute video. If you do nothing else this year to improve yourself as a person, do this. You will change your life, and make a hugely positive to the lives of those around you. Personally, we are going to watch it again and again.

In this beautifully animated RSA Short, Dr Brené Brown reminds us that we can only create a genuine empathic connection if we are brave enough to really get in touch with our own fragilities. It has reached nearly three million views on YouTube. I frankly wish it could be seen by everyone on the planet. What a change it would make in our societies. Perhaps you could share this blogpost, on your Facebook page, your own blog, or wherever, and help that happen?

Brené Brown, Ph.D., LMSW is a research professor at the University of Houston Graduate College of Social Work. She has spent the past decade studying vulnerability, courage, worthiness, and shame.

Her 2010 TEDx Houston talk on the power of vulnerability is one of the most watched talks on TED.com, with over 15 million views. She gave the closing talk, Listening to Shame,  at the 2012 TED Conference in Long Beach.

Brené is the 2012 author of the #1 New York Times Bestseller Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. She is also the author of the #1 New York Times Bestseller The Gifts of Imperfection (2010), and I Thought It Was Just Me (2007).

Brené is also the founder and CEO of The Daring Way – a teaching and certification program for helping professionals who want to facilitate her work on vulnerability, courage, shame, and worthiness.

Brené lives in Houston, Texas with her husband, Steve, and their two children. You can find out more about her at http://brenebrown.com/

clown

 

There is a curious and well-known phobia where otherwise sane, rational people are scared of clowns.

The phenomenon is relatively recent, as the white-faced red-nosed version of clowns that some people find so alarming is a construction of the 20th century. Before that people with anxiety found something else to fixate on.

Now it seems there’s good reason to be worried. At least in Europe and the USA.

Clowns attack passers by

Freakish aggressive clowns, some allegedly armed with knives, pistols, and bats are driving French towns crazy, chasing down and attacking people.

In the southern port town of Agde, about 15 ‘clowns’ were arrested in a high school car park for ‘laughing manically’ while chasing people. In nearby Marseillan, a clown was detained for damaging a car.

In Montpellier: a ‘clown’ beat a man 30 times with an iron bar and then stole his wallet. Three motorists in the area also complained of “scary clowns.”

The French freak-clown wave began in the north a couple of weeks ago, in suburban Douai. In Bethune, a fake clown got a six-month suspended jail term for threatening passers-by.

A French police statement blames the web. “Since mid-October, a rumor inspired by videos published on the Internet has created the presence of threatening and aggressive clowns in France. Symptomatic of the impact of the Internet, this phenomenon can lead to damaging individual acts and disturbances to public order”.

The ‘clown craze’ is thought to have been triggered by a viral YouTube video and a recent episode of American Horror Story featuring a killer named Twisty.

Clown attack cases didn’t begin in France though: London’s Metropolitan Police dealt with 117 clown-related incidents in 2013.

In Portsmouth, UK, a masked figure began stroking passers-by in the city streets with a single red-gloved finger. As we come from Southampton, we’d believe anything of people in that particular locale.

US police have also made dozens of clown-related arrests, most prevalent in California.

Fear of clowns? It’s understandable.

But why be scared of the very look of a clown?

Coulrophobia – fear of clowns – is difficult to understand. They straddle a cultural nexus between fear and entertainment, but are generally intended to be affectionate, especially towards children.

The phobia may grow from the fascinating concept of “the uncanny valley”. The uncanny valley is a hypothesis in the field of human aesthetics which holds that when human features look and move almost, but not exactly, like natural human beings, it causes a response of revulsion among some human observers.

The “valley” refers to the dip in a graph of the comfort level of humans as something moves toward a healthy, natural human likeness but does not become entirely indistinguishable from a human. Examples of the effect can be found in the fields of robotics and 3D computer animation, among others. Unless the simalcrum is perfect, some people find it disturbing – and some find it so in the extreme.

The term was coined by the robotics professor Masahiro Mori as Bukimi no Tani Genshō (不気味の谷現象) in 1970. The hypothesis has been linked to Ernst Jentsch’s concept of the “uncanny” identified in a 1906 essay “On the Psychology of the Uncanny”. Jentsch’s conception was then elaborated by Sigmund Freud in a 1919 essay entitled “The Uncanny” (“Das Unheimliche”).

Mori’s original hypothesis states that as the appearance of a robot is made more human, some human observers’ emotional response to the robot will become increasingly positive and empathic, until a point is reached beyond which the response quickly becomes that of strong revulsion. However, as the robot’s appearance continues to become less distinguishable from that of a human being, the emotional response becomes positive once again and approaches human-to-human empathy levels.

This area of repulsive response aroused by a robot with appearance and motion between a “barely human” and “fully human” entity is called the uncanny valley. The name captures the idea that an almost human-looking robot will seem overly “strange” to some human beings, will produce a feeling of uncanniness, and will thus fail to evoke the empathic response required for productive human-robot interaction.

For robot, read clown. But why would humans react this way to something which is “almost” human, but slightly different, like a clown? The science is fascinating.

 

"What do you mean you don't want to have sex with me my pretty?"

“What do you mean you don’t want to have sex with me my pretty?”

 

A number of theories have been proposed to explain the cognitive mechanism underlying the uncanny valley phenomenon:

  • Mate selection. Automatic, stimulus-driven appraisals of uncanny stimuli elicit aversion by activating an evolved cognitive mechanism for the avoidance of selecting mates with low fertility, poor hormonal health, or ineffective immune systems based on visible features of the face and body that are predictive of those traits. Put simply, we avoid mating with weird looking people.
  • Mortality salience. Viewing an “uncanny” person elicits an innate fear of death and culturally-supported defences for coping with death’s inevitability.
  • We don’t want to get sick. Uncanny stimuli may activate a cognitive mechanism that originally evolved to motivate the avoidance of potential sources of pathogens by eliciting a disgust response. The more human someone looks, the stronger the aversion to its obvious defects, because (1) defects indicate disease, (2) more human-looking organisms are more closely related to human beings genetically, and (3) the probability of contracting disease-causing bacteria, viruses, and other parasites increases with genetic similarity. To some people, clowns look sick. We don’t want to catch whatever they’ve got.
  • They mess with our brains. Thanks to a concept called “Sorites paradoxes”, when we see a character with both human and nonhuman traits it undermines our sense of human identity by linking qualitatively different categories. That’s why quasi-human monsters like vampires are simultaneously attractive and scary. And why some Halloween costumes scare the bejeesus out of some people.
  • They just don’t measure up to our expectations. There is a concept of “violation of human norms” which says that if someone looks “almost” human, they elicit our model of a another human being and we have detailed normative expectations of how they will behave. Their non-human characteristics will be more noticeable than if they were trying to be something totally non-human, giving the human viewer a sense of strangeness. In other words, a clown stuck inside the uncanny valley is no longer being judged by the standards of a clown doing a passable job at pretending to be human, but is instead being judged by the standards of a human doing a terrible job at acting like a normal person.

So there you have it. If you’re frightened of clowns, you may have deep biological reasons to be so. Although frankly, we think having your new iPhone nicked by a hoodlum is the best reason to view with alarm someone approaching you in the street looking like a refugee from Billy Smart’s circus.

A woman suffering from Alzheimer's disease holds the hand of a relativeAccording to a report emanating from Paris (carried by AFP) long-term use of drugs commonly prescribed for anxiety and sleeplessness is linked to a greater risk of Alzheimer’s, a study said on Wednesday. Whether chronic use of benzodiazepines actually causes the brain disease is unknown, but the link is so glaring that the question should be probed, its authors said.

Dementia affects about 36 million people worldwide, a tally that is expected to double every 20 years as life expectancy lengthens and the “baby boom” demographic bulge reaches late age.

Researchers in France and Canada, using a health insurance database in Quebec, identified 1,796 people with Alzheimer’s whose health had been monitored for at least six years before the disease was diagnosed.

They compared each individual against three times as many healthy counterparts, matched for age and gender, to see if anything unusual emerged.

They found that patients who had extensively used benzodiazepines for at least three months in the past, were up to 51 percent more likely to be diagnosed with Alzheimer’s. The risk rose the longer the patient had used the drug.

But the investigators admitted the picture was foggy.

Benzodiazepines are used to treat sleeplessness and anxiety – symptoms that are also common among people just before an Alzheimer’s diagnosis. In other words, rather than causing Alzheimer’s, the drugs were being used to ease its early symptoms, which could explain the statistical association, they said.

“Our findings are of major importance for public health,” and warranted further investigation, said the team.

“(…) A risk increase by 43-51 percent in users would generate a huge number of excess cases, even in countries where the prevalence of use of these drugs is not high.”
The paper, published by the British Medical Journal (BMJ), is led by Sophie Billioti de Gage at the University of Bordeaux, southwestern France.

In a comment, Eric Karran, head of research at Alzheimer’s Research UK, said the study gathered data over a five-year period only, whereas Alzheimer’s symptoms often appear a decade or more before diagnosis.

“It is difficult to tease out cause and effect in studies such as this,” he said. “We need more long-term research to understand this proposed link and what the underlying reasons behind it may be.”

If you are concerned

Your first step, of course, is to ask your GP or health professional. Benzodiazepines are a class of drug commonly known as tranquillisers and sleeping pills. Benzodiazepines are available on prescription only in Australia, and are mainly used for problems relating to anxiety and sleep.

Approximately 10 million scripts are written annually in Australia. Apart from a fall in prescribing in the early 1990s, prescribing rates have remained fairly constant, with a slight increase in the last few years.

It is estimated that one in 50 Australians are currently taking a benzodiazepine and have been taking the drug for longer than 6 months.

Women are prescribed benzodiazepines at twice the rate as for men, and older people (over 65) receive most of the benzodiazepine scripts for sleeping problems.

The most common benzodiazepines prescribed in Australia are Temazepam, Diazepam, Alprazolam and Oxazepam.

The following is a list of oral benzodiazepines available in Australia. Benzodiazepines are often produced by different drug companies and there may be different trade names for the same drug.

Long Acting
Generic Name Trade Name
Diazepam Valium
Ducene
Antenex
Diazepam Elixir
Diazepam –DP
GENRX Diazepam
Valpam
Clonazepam Rivotril
Flunitrazepam Hypnodorm
Rohypnol
Nitrazepam Mogadon
Alodorm
Clobazam Frisium
Short Acting
Generic Name Trade Name
Alprazolam Xanax
Kalma
Alprax
Alprazolam
Alprazolam –DP
GENRX
Zamhexal
Temazepam Normison
Temaze
Temtabs
Oxazepam Serepax
Murelax
Alepam
Lorazepam Ativan
Bromazepam Lexotan
Triazolam Halcion

More information about benzodiazepines, their uses, and their brand names can be found here.

We stress we do not intend this article to cause alarm, or to encourage anyone to stop taking drugs they have been prescribed. Articles of that kind abound on the internet, and to the contrary we are of the belief that one of the reasons these drugs are prescribed so often is because they are inexpensive and effective. If you have any concerns, speak to your health professional.

However we do agree with the report’s writers that any possible causal link between them and Alzheimer’s needs to be investigated if only for it to be dismissed.

Dealing with sleeplessness

Chronic use of any drug is likely to have uncertain effects. Where benzodiazepines are prescribed for assistance with sleeplessness, we would opine that other ways to address the problem should be tried as well.

These include ensuring you have adequate physical exertion during the day (as people age they tend to become more sedentary), avoiding TV and other stimulants like smartphones and computers for at least 30 minutes before sleep, seeking to calm anxiety about whether you will go to sleep with positive awareness of your overall wellness, employing relaxation exercises, (simple deep breathing can make a huge difference), meditation, and keeping the bedroom at a mild temperature, neither too hot nor too cool. It is unwise to eat a large meal to close to bed-time. Better to eat a snack that is large enough to satisfy your hunger and then enjoy a more substantial breakfast. Reading a book is a classic and successful way to calm down before sleep, but be aware that reading a book on a Kindle or iPad can have the opposite effect – the bright light confuses your brain into thinking you want to still be awake. Similarly, lighting for reading books should be bright enough to let you see, but not too bright.

A positive decision not to worry about life issues overnight is a wise move to combat sleeplessness as well. Write down a list of everything you feel is unresolved in your life, and make a determination to tackle it the next day. Nothing can be done while you lie in bed anxiously awake anyway. This simple act of intention can result in better sleep.

It is a sad fact that sleeplessness creates a vicious circle in our lives – tiredness creates anxiety and sense of worry about our achievement and problem solving ability – the anxiety thus created keeps us awake – we get more tired and more anxious – and so it goes on … For some people it can be a devastating cycle, resulting in deep depressive episodes during which their life can be at risk, and in our observation benzodiazepines are often employed by health professionals to break the cycle. But the natural state of the human body is to sleep, and it appears that we need to find natural ways to encourage it to do so instead of simply popping a pill.