osprey_archer: (books)
What I’ve Just Finished Reading

[personal profile] littlerhymes and I finished Margaret Mahy’s The Changeover, about which I had more mixed feelings than about The Haunting. It does many of the same things just as well as The Haunting: the family relationships (here, I particularly liked Laura’s relationship with her mother Kate), the uncanny magic. But it also has a romance that I can only describe as EXTREMELY 80s (the book was published in 1984), in which school prefect Sorenson backs our heroine Laura into a wall and fondles her breast and then they joke about whether this is sexual harrassment. I think in fact it is!

My theory is that Sorry (I also just can’t with this nickname) is trying to prove that, although he is a boy witch (which is quite rare; most witches are girls), he is a normal boy in OTHER ways. But for goodness sake, Sorry, couldn’t you overcompensate in a way that is NOT groping our heroine?

Edward Prime-Stevenson’s White Cockades confirmed my impression of Prime-Stevenson’s extremely moderate gifts as a writer of fiction. Prime-Stevenson wrote the book to be as slashy as possible (he later recommended it as a book with Uranian undertones in The Intersexes, a nonfiction book about what would eventually be called homosexuality, written under a different penname), and it’s got all the ingredients - the heroes are fascinated by each other at first meeting! And one gives the other a ring! And they swear “whither thou goest, I will go!” - but somehow it doesn’t achieve the depth of emotion of, say, Anne Shirley sobbing in the window seat because someday Diana will get married.

I also read Johann Hari’s Stolen Focus: Why You Can’t Pay Attention - and How to Think Deeply Again, which to be honest I found so depressing that I struggled to finish it. This is the result of an unfortunate collision between the book’s proposed systemic changes to fix some of the reasons why many people are finding it increasingly hard to focus nowadays (very short version: web designers designed many websites to be addictive and distracting because it maximizes their profits), and my current low-key despair about the US ever getting it together to ever make any systemic changes. Or at least any good ones.

What I’m Reading Now

Frances Hodgson Burnett’s T. Tembaron has become my “book to read on my cell phone when I am in line,” which means that progress is slow but ALSO means that every time I am in line I am all “YES, it’s Tembaron time!!!”, which means the slow progress is worth it.

Tembaron has acquired a friend with amnesia AND ALSO inherited a fortune! (Likelihood that the friend with amnesia is actually the lost heir to said fortune: low, but I wouldn’t put it past Burnett!) He is now on his way to England and I am VERY curious to see how English society feels about this slangy New York street urchin with a heart of gold.

In Dracula news, Jonathan Harker has been MENACED by three SEXY LADY VAMPIRES, only to be saved by Dracula who announced to the sexy lady vampires that Jonathan Harker is HIS and then bridal carrying Harker to his room. (I’m making an assumption re: bridal carry, as Harker swooned at the psychological moment.) This book is SO much.

What I Plan to Read Next

Will I finally start reading the physical books on my TBR shelf instead of checking yet more books out from the library? I’ve been meaning to do this for months now, but I keep getting seduced by just one more library book.
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I liked Johann Hari’s Chasing the Scream so much that I went right on to his new book, Lost Connections: Uncovering the Real Causes of Depression - And the Unexpected Solutions. In this book, Hari argues that, although most people in the field of psychology would agree that depression has biological, psychological, and social/environmental components (he’s following the World Health Organization in this argument), in actual practice the medical establishment has focused a lot of attention to fixing the biological causes (through antidepressants), some attention to fixing psychological causes (through therapy), and attempted sporadically at best to address the social causes.

Why not try to tackle those social causes? That’s Hari’s driving question in this book.

There seems to be widespread agreement within the various branches of the psychological profession that poverty, childhood trauma, adverse life events (deaths in the family, break-ups, job loss, etc.), and long-term loneliness are factors that contribute to depression. Now, some of these things are unavoidable - death, for instance - but some of these factors can be addressed, like loneliness. Admittedly addressing it would require reconceptualizing our understanding of medical treatment (“I’m prescribing you a therapeutic gardening club! Stop laughing, I’m serious”), but then so did germ theory.

Hari’s got some fascinating case studies here, and I think it would be great if the public discussion of Hari’s work went something like, say, “Now that we know that loneliness is as bad for human health as obesity and smoking, how can we make it a public health priority to help isolated individuals to find human connection and increase the general sense of meaningful belonging? Should we (I'm picking just one of his many suggestions here) try wider-ranging experiments with universal income?”

But no. I suspect everything else in the book is going to be buried alive in arguments about the efficacy or lack thereof of antidepressants.

Hari’s arguments largely follow Irving Kirsch’s (you can read Irving Kirsch’s summary of his own work here: Antidepressants and the Placebo Effect) in arguing that the actual drug effect of antidepressants is real but, on average, fairly small. According to Kirsch, on the 53-point Hamilton depression scale, which is the scale the FDA requires researchers to use when they are testing antidepressants for FDA approval, the mean difference in effect between antidepressants and placebo treatments was 1.8.

If you want more details I urge you to read Kirsch’s own paper. If you want a rebuttal to Kirsch, Peter Kramer - who wrote Listening to Prozac: The Landmark Book about Antidepressant Drugs and the Remaking of the Self in the early nineties - later wrote Ordinarily Well: The Case for Antidepressants in part as a response to Kirsch. If all these dueling statistics give you a headache, then join the club. What I got out of this in the end is “Sometimes antidepressants help and sometimes they don’t (or don’t help enough), and sometimes the side effects are worth it and sometimes they aren’t.”

Hari himself took antidepressants for thirteen years, starting when he was eighteen, and stopped because he found that they gave him short-term relief but had little long-term effect. This is apparently fairly common, although given the general inability of scientists to agree about anything about antidepressants you will be unsurprised to hear that estimates as to just how common vary widely.

I can see why Hari brought his own life story into it, but ultimately I think it adds an emotional weight that makes him come across as more negative toward antidepressants than he intends. When he was diagnosed with depression at eighteen, he bought hook, line, and sinker into the explanation offered by his doctor (and antidepressant ads at the time), that depression is caused by a chemical imbalance in the brain and nothing else contributes - and in the book there’s a certain raw feeling of if only I could have accepted sooner that there are other factors, maybe I wouldn’t have suffered so much.

But all the same it’s frustrating to see this debate overshadowing everything else in the book, because even if Hari turns out to be quite wrong about antidepressants, his other arguments still stand. Even if Peter Kramer’s stance is one day utterly vindicated, it would still make sense to try to fix the social causes of depression, because then fewer people would get depressed in the first place.

And also a world with less loneliness and childhood trauma and glaring inequality would be a nicer place for everyone to live in.
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I did not expect Johann Hari’s Chasing the Scream: The First and Last Days of the War on Drugs to blow my tiny mind. I knew that the war on drugs grew out of a race panic in the early twentieth century. (“Black men/Mexican men/Chinese men seducing white women with cocaine/cannabis/opium! THIS SCOURGE MUST BE STOPPED.”) I’ve read about many of the experiments Hari cites, like Bruce Alexander’s Rat Park. I was already basically in accord with Hari’s view that the war on drugs has been a disaster.

But nonetheless the book did blow my tiny mind, because Hari not only shows that the war on drugs has only led to an increase in crime and increased power for organized crime without making any perceptible dent in the number of addicts - he also shows that almost everything that I thought I knew about drugs & addiction were wrong.

Case in point: Only 10% of drug users become addicts. This holds true even for drugs like crack cocaine or heroin, even though the general perception with these drugs that “if you try these once you’re probably going to die an addict.” (This is more or less the impression I got in health class.)

In fact it turns out that addiction itself often dies out naturally, even in the absence of any heavy-duty treatment: people drink alcohol or smoke pot or do heroin because the pain and stress in their life is unmanageable, and when they’re in a manageable situation again they either stop entirely or become recreational users again. (Hari cites heroin use statistics among US soldiers in Vietnam: people were terrified that hordes of hopelessly addicted soldiers would come back to the States and wreak havoc, but in fact 95% of the soldiers stopped once they got home. They no longer needed it.)

The reason for this discrepancy is that the War on Drugs narrative about drugs is all about the chemicals in drugs. It promotes the idea that addiction is a result of chemicals: drugs have chemical hooks that hijack your brain and force you to need more drugs forever.

But, Hari explains, although that chemical effect is real, it’s actually not the main factor that drives addiction. “With the most powerful and deadly drug in our culture [nicotine], the actual chemicals account for only 17.7 percent of the compulsion to use.” (183)

Side note. One of the bitter ironies of the drug war is that the two deadliest drugs - alcohol and tobacco - aren’t illegal. (They tried it briefly with alcohol during Prohibition, but that had such deleterious effects on white communities that - imagine - the government actually called that one off.)

Other side note, I suspect that 17.7% figure is a bit shakier than some of Hari’s other evidence, but fortunately he has other evidence to muster to support his argument that environment rather than the innate addictiveness of the chemicals is the main driving factor in addiction. This is where Bruce Alexander’s Rat Park experiments come into play.

Capsule summary: if you put rats in tiny bare cages with no other stimulus (which is basically hell on earth for a social animal like a rat - or a human), nine out of ten will use cocaine till they die. If you put rats in a giant cage with lots of toys and other rats to play with, they will use much less cocaine, and none of them will use it till they die.

Also, it turns out that if you take cocaine-addicted rats out of their tiny bare cages and put them in Rat Park, they will make friends with the other rats and soon break out of their addiction.

What the drug war does, instead, is make it harder for addicts to form meaningful connections with other human beings. It’s hard to get a job or find housing with a drug conviction.

Or, as Hari puts it, “the core of addiction doesn’t lie in what you swallow or inject - it’s in the pain you feel in your head. Yet we have built a system that thinks we will stop addicts by increasing their pain.” (166)

Addicts become addicts because the drugs are the only things that can stop their pain - they’ve bonded with drugs rather than with other human beings, often because their rotten childhood gave them no opportunity to form healthy human bonds.

“Professor Peter Cohen...writes that we should stop using the word ‘addiction’ altogether and shift to a new word: ‘bonding.’ Human beings need to bond. It is one of our most primal urges. So if we can’t bond with other people, we will find a behavior to bond with, whether it’s watching pornography or smoking crack or gambling.” (175)

Also, as Hari outlines later, addicts often find people to bond with through their addictions. Gamblers bond with fellow gamblers, alcoholics bond with the bartender, heroin addicts bond with other heroin addicts, etc. Humans need bonds so much that we will latch onto bonds that will kill us rather than go totally without.

(It occurs to me - this is just me spitballing, not something Hari talks about - that we may have to rethink Maslow’s hierarchy of needs. If people are willing to put emotional bonding above safety and even basic physiological needs like food and shelter, we may need to move it down closer to the bottom of the pyramid. Do psychologists actually use Maslow’s hierarchy of needs anymore anyway? It still has currency in pop psychology, at least.)

This doesn’t even close to summarize Hari’s whole book. He also talks a lot about the destruction the drug war has wrought in countries on major drug supply lines, where drug money allows gangs to become more powerful than the cash-strapped local government. He points out that the reason the drug war spread worldwide is because the US basically strong-armed everyone else into it.

But this has already gotten quite long. So the long and the short of it is that our current drug laws are pretty much the opposite of what you would design if you wanted to design a system that would actually limit the harm of addiction. In countries like Portugal, where drugs have been decriminalized, addiction goes down, because it’s easier for addicts to get help and stop being addicts.

And even the addicts who aren’t ready to quit yet become significantly more functional members of society once they no longer have to hustle to pay astronomical prices to pay criminals for drugs (which are often adulterated - and it’s the adulteration that causes a lot of the side effects we associate with drugs). They get a prescription for their drug from doctors, and they get jobs, start families, settle down, and then often stop using simply because there’s so much else going on in their lives that they no longer really need the drug.

It’s a lot cheaper to administer than a drug war, too. In fact, legalized drugs can be taxed, so they become a net revenue stream rather than a revenue drain. And then you’ve got all sorts of money to spend on other things, like child abuse prevention programs that might make a dent in addiction before the drug-using part even begins.

Win-win all around, really. Maybe someday we’ll put this into practice.
osprey_archer: (books)
What I’ve Just Finished Reading

I was a trifle piqued to discover upon finishing Sara Jeanette Duncan’s A Voyage of Consolation that I had been quite wrong in the matter of who was to marry whom; but it ended with quite enough weddings to satisfy anybody, so I suppose in the end it’s just as well.

And I commenced my Newbery Honor books project with Cornelia Meigs’ The Windy Hill, from 1922, which just barely squeaks in under the copyright wire to be available free online. It’s all right - it’s better than I expected, actually, because I have consistently found all the Newbery decisions in the 1920s completely baffling - but it didn’t light a fire under me.

After this I think I will take [personal profile] evelyn_b’s suggestion and start with the more recent Newbery Honor books & work back, though.

What I’m Reading Now

Rosemary Sutcliff’s Simon! There is a character named Zeal-for-the-Lord who has deserted Parliament’s army on a quest for VENGEANCE. This is only a subplot so we are not about to go all Count of Monte Cristo (UNFORTUNATELY) but nonetheless I’m rooting for him.

I’ve also been working on Gil North’s The Methods of Sergeant Cluff, which is a mystery novel from the 1960s about a detective who solves crimes through his deep knowledge of the local people. “Deep knowledge of the local people” means “taking one look at people and deciding in a split second exactly what shape their cramped little emotional lives take.” It does not involve actually interviewing much of anyone or gathering much in the way of evidence.

Early on, Sergeant Cluff decides that one guy definitely didn’t murder Jane Trundle - even though that guy had been basically stalking her for months, even though Jane had definitely let him down the very night of the murder - because… well, because. Because he’s a nice local boy, I guess. Cluff would prefer it to be someone else.

Cluff has already ruled out both of the men who seem most likely to kill Jane because of sexual jealousy, so I suspect the murderer is going to end up being a girl who was jealous of Jane’s beauty & sex appeal. It’s that kind of book.

I’m also reading Johann Hari’s Chasing the Scream: The First and Last Days of the War on Drugs, which might also be called The War on Drugs: Well, That Was a Terrible Idea Right from the Start, which is exactly as sad as you might expect from that description but also fascinating. I’ve only just started it so I might write more about it later.

What I Plan to Read Next

I went on a sort of shopping spree for free old ebooks to read at work, and now I have so many that it is like looking through a box full of bonbons and trying to decide which one to read next. I’m leaning toward Frances Hodgson Burnett’s The Land of the Blue Flower.

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