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mental health mondays :: the big lies

the phrase "the big lie" was coined by adolf hitler to describe an untruth on such a grand scale, one that could seem as all-encompassing and passionately communicated that it overcame its self-evident falseness and became accepted. the idea behind it is that the idea would be so ridiculous that no one would believe that a thinking person could make it up. he was onto something there, because there are plenty of examples of people believing ridiculous things. i remember being told in all sincerity that if you dreamt that you died, you actually would die. the question of how people actually evaluated that got skipped right over, because damn, it sounds just crazy enough to work.

is adolf had been born a hundred years after he was, he would likely have made an excellent purveyor of "fake news", something which has come to the public's attention since some have proposed that its omnipresence may have helped tilt the outcome of the american election in favour of eventual winner donald trump. people would see stories repeated on social media- often reading only the associated headlines, which are always written to be as sensationalistic as possible- and assume that the frequency with which they were repeated was evidence of their veracity. in their desperate pursuit of bigger audiences, the mainstream media, those who have built [possibly undeserved] reputations for diligent fact-checking and research, have occasionally been fooled by 'big lies' circulated on social media. the new iphone will have a hologram feature? you couldn't make that up! [except, of course, that someone did.]

but people don't depend on mainstream media to validate what they see, by and large. in fact, many believe that the media shows a liberal bias, a corporatist bias, or a conservative bias, whereby new ideas are ridiculed simply for being new. and those people get their news from sites that validate the things that they feel are true, even in the face of evidence to the contrary. and, in the election, trump's big lies about illegal immigrants being murderers and rapists, the real unemployment rate being 42%, or climate change being a hoax perpetrated by the chinese, had relatively little effect compared to clinton's much more banal half-truths about her hawkish record on military interventions, her shift in position on marriage equality, or her former support for the for-profit prison industry. [in fact, former secretary clinton has a pretty solid record on politifact, not that it helped.]

but what does this have to do with mental health? well, it turns out that there is some psychology behind the appeal of fake news. when it comes to politics, there is the presence of confirmation bias, whereby we seek out information that supports views that we already have, down to the way we phrase questions or terms when searching for information, making it more likely that we will turn up sources that reflect our point of view. the basis of confirmation bias is irrational, which sounds unexceptional enough- people believe irrational things all the time, right? except that belief in irrational or disproved ideas is one of the criteria for mental illness. and aren't we inundated with media images of people who are defined as crazy because of their belief in alien takeovers of the planet or massive government plots to do with placing fluoride in water? and don't such people feed their beliefs by placing an inordinate weight on the opinions of others who share their views?

there hasn't been enough work done on determining the point at which confirmation bias tips into the waters of pathology, but i suspect that the next four years are going to see that continuum tested from different points on the political spectrum.

however, confirmation bias only explains why we fall for fake news that we already agree with. the fact is that there are plenty of cases where we believe stories [like the one about dreaming of your death resulting in your actual death] that don't relate to our other views at all.

well, it turns out that we aren't just biased towards those who share our views, but towards those we normally turn to for information. despite the importance of tracing a story to its original source as a way of evaluating its credibility, one professor conducted a study that revealed people were likely to believe a story they saw on a site they turned to regularly for news, and did not generally bother to check the sources on stories from those sites. so, once we've made a decision to place our trust in a certain source, we stop questioning that source.

in addition, there is the bias i mentioned earlier, that simply seeing something repeated is tantamount to credibility in our minds, unless we make it a habit of questioning everything. in the age of the information glut, trust seems like a luxury we can't afford, and yet paranoia is still considered a sign of mental illness. again, the phrase "that's what they want you to believe" is a trope of the portrayal of mental disorders.

and even if you do have an inquisitive, critical mindset, the repetition of fake news is likely to have an effect anyway, just because your mind starts to accept what it sees all the time as reliable information, even if it's something they would have questioned at first. it's a known psychological phenomenon called the 'continuous influence effect'. it's like our brains' tendency to fight to establish credibility in media finally becomes exhausted and just lets the tidal wave of bullshit wash over us. it's not that we accept the specifics of fake reports, but we tune out and just seeing the words repeated starts to create associations.

the more fake news sites proliferate, of course, and the greater their influence, the more this comes close to being a public health issue. after all, if none of us are able to see the difference between good research and no research, facts become a quaint relic of a previous era, and we're all that guy with the tinfoil hat talking about how the sun is an illuminati plot.

i'm personally a fan of making media literacy a required course in schools and flagging sites that are known to have poor ratings from sites like politifact and snopes. [and for those of you who are thinking that you've heard of them making mistakes in the past, i say: those are just examples, and they're still better than nothing.] but those views are just pipe dreams. you know, crazy.

p.s. :: you will not die if you dream about your own death, i promise. 


as long as you're here, why not read more?


ok, so i've been lax about posting here. i apologise. there are reasons. i don't know if they'ree good reasons, but they include:

i've had a lot of work to do, which is nice because i'm a freelancer and things tend to slow down in the summer, so the more work i get now, the less i have to worry about later [in theory].i started watching the handmaid's tale. i was a little hesitant because i didn't actually like the novel very much; i found it heavy-handed and predictable. the series relies on the novel for about 80% of its first season plot but i nevertheless find it spellbinding. where i felt that the novel beat readers with its politics, the series does a better job of connecting with the humanity in the midst of politics. i'm dithering on starting season two because i am a serial binger and once i know damn well that starting the second season will soon consign me to the horrors of having to wait a week between episodes. i don't know if i can han…

i agree, smedley [or, smokers totally saved our planet in 1983]

so this conversation happened [via text, so i have evidence and possibly so does the canadian government and the nsa].

dom and i were trying to settle our mutual nerves about tomorrow night's conversion screening, remembering that we've made a fine little film that people should see. which is just about exactly what dom had said when i responded thusly:

me :: i agree smedley. [pauses for a moment] did you get that here?

dom :: no?

me :: the aliens who were looking at earth and then decided it wasn't worth bothering with because people smoked even though it was bad for them?
come to think of it, that might mean that smokers prevented an alien invasion in the seventies.

dom :: what ?!?!?

me :: i've had wine and very little food. [pause] but the alien thing was real. [pause.] well, real on tv.

dom :: please eat something.

of course, i was wrong. the ad in question ran in 1983. this is the part where i would triumphantly embed the ad from youtube, except that the governmen…

mental health mondays :: separate and not equal

given the ubiquitousness of racial disparities in the united states, there's no reason why we should be surprised that they exist in mental health care. unlike a lot of other areas, the people in power have acknowledged the problem for decades. but the situation isn't getting any better. 
the united states surgeon general documented the differences between white and non-white mental health care back in 2001 so we can assume that it was already a known problem at that point. two years later, a presidential commission said the same damn thing and groups like the national association for mental health seized on this to develop guidelines on how to bridge the ethnic gap. from the turn of the century through 2007, the number of papers and publications talking about the mental health care gap spiked. the issue was viewed as being on par with obesity when it came to urgent problems.

starting in 2004, researchers undertook a massive project that involved the records of nearly a quart…