Let's take a moment to address some of the conspiracies around #covid19 using psychology and sociology. Thread/
First off, some basic ground theory to put this into context. Human beings work on a very primal level when emotions are high, using a number of cognitive shortcuts
Our emotions serve a primary purpose in survival, and as such they work fast in influencing our behaviour. These are very old, existing before the more clever aspects of our brains, and can be referred to as 'survival mechanisms.'
They evolved during a different time, where major threats were more simple. Aggression, starvation, predators. As such they needed to move quickly, creating fear, alliances based on protection, formation of groups (tribes.)
Later, with the advent of farming and larger society, we developed a penchant for social thinking, subtext, nuance and delayed gratification. We placed a layer of appraisal on emotion, which allowed us to make sense of our wild emotions.
But on a primal level, threat makes us regress. We begin to see the world as good or bad in totality, shutting off the negative aspects of ourselves and pushing them outwards onto events, essentially turning the world into an extension of our emotion.
In this sense, we are spurred to act, and protected not just from the 'external threat,' but also our insecurity and anxiety around our own limitations, we practice internal ignorance for the expediency of survival. But this doesn't work for complex issues.
Back to COVID 19. This is a threat, and as such our emotional mechanisms are used. Some will therefore use the more complex mechanisms to make sense of them, but find that a 'bad' thing like a conspiracy makes more sense to their fear than the reality.
A conspiracy, and being part of a group believing in it, allows one to exercise the idea of control over the external threat, just like me thinking a vaccine and masks will do. The difference is the coherence with reality. Remember, the emotional brain doesn't care for reality.
Our social brains will look for patterns, like constellations, but we need to be sure these are not unduely influenced by emotion. Media and charlatans prey on emotion to short-circuit your appraisal, manipulating you to emotional decisions and impulse.
This is why newspapers show horrible images, and politicians use trigger words. It is to unlock the tribesman in you, to change reality from a complex social dilemma to once of an ancient tiger stalking the homestead.
The nature of a conspiracy relies on our pattern spotting, as within every conspiratorial narrative there are elements of truth, except the link between them is false. Correlation is confused with causation, linearity is falsely created. x = y is created where x = ?y
Our splitting mechanisms push us to see relationships that are not there to help us make sense of the strong emotions forcing us to act, and as such we take a stance. I.e COVID is a grand effort to kill us all by the government vs its a natural inevitability.
This is where social dynamics then take hold. Inclusion in a group of like-minded people is very powerful in settling our primal drives, so it is natural for society to split along similiar ideological lines. And group thinking reinforces this.
When you are in the 'in-group', your access to information becomes biased to your view, those who speak against the narrative-status-quo are ostricised, and the most extreme views become held in respect. I.e, leaders are formed.
These leaders are held to an ideological grandiosity because they represent the dependency and security we all need, but attuned with the emotional interpretation of the unclear situation. The primal brain is soothed.
The difficulty is, naturally, knowing how to spot when one has been
1) misled by their emotion 2) begun to believe in a false narrative 3) trapped by a group dynamic.
The way forward is to discuss, contrast ideas, and come to understandings, but this is where the group dynamic wreaks havoc. We cannot commune if we see each other as evil. In a sense, the other group becomes part of the 'all bad.'
This is not a new phenomenon. It is a survival tool and was useful when we worked in small tribes with easily delineated threats, but the complexity of our world, including the data-heavy decisions around covid 19, means this approach can fail easily.
'experts', like Chris Whitty, who are trained to rely on data and self-appraisal to make informed decisions in the face of ambiguity, are seen as 'the all bad' because the primal brain NEEDS it to feel secure. And charlatans know this and exploit it.
So how do I address this simply, with three equations, (a and b,) influencing (1)
1) Covid (threat) + ((a) emotion + effect of environment, information mediated by critical apprasial ) = behaviour
where
a) emotion is predominant, manipulated by splitting cognition, reinforced by survival techniques and prone to erroneous conspiracy
or
b) emotion is listened to, but environmental data is appraised and split thinking is managed and treated as misleading
depending on path (a) or (b) we see a difference in behaviour, that is (a) mainfests in strong conspiracy as discussed above, and then shamed for trying to move out of it. The threat of changing ones mind is a threat to survival.
(b) leads us along the path of doubt in any strict model, and works on data. There is no marked certainty in (b,) and as such can present a great fear. Remember, the primal brain craves certainty.
Both groups will act, but differently. Here it is masks/vaccines/etc, the behaviour and beliefs tied into the narrative believed. The difference here is that the narrative of conspiracy is safer for those choosing a, thus its hard to shake.
What we have to remember is that belief in a conspiracy is not a reason to harm someone, or judge them, it is simply evidence that they are trying to survive and protect others, and need encouragement to raise questions safely.
If we want to help people protect themselves, i.e wearing masks/getting vaccines, we need to treat them like human beings, not pariahs. Yes, we need to spot the real abusers and manipulators who may knowingly mislead them, but most are simply trying to survive.
The core issue here is the splitting mechanism that prompts this divide is unknown to the person, but very powerful. The way to address it is acceptance of the persons emotion, and creation of safe dialogue. This means engaging kindly.
Encourage people to speak outside the dichotomised groups that err us, do not blame them. The environment has been exactly what they have needed, and many have been lied to over and over, entrenching them further. Once again, no blame.
Yes we will encounter resistance, as the emotional brain does not see this as kindness to start with, but a threat to life. I would be the same if someone suddenly told me my entire survival mechanism was wrong. That is the crux of it.
Hopefully this makes sense, but to summarise
1) our emotions mislead us 2) we fix patterns to support the anxiety behind the emotion 3) we form groups to allay this anxiety 4) the groups trap us and paint questions as threats, restarting the cycle
5) the path out is creating a safe, judgement-free and environment to discuss things and enable people to express their concerns, finding our common goals and empowering them to release their fear, which we all do in different ways
6) address the manipulators and charlatans dispassionately, using facts, logic and asking them questions to explore the limits of their reasoning. Essentially tear down the edifice of fear with reason.
//notes
- social theory, attitudinal dynamics
- Darwinian social psychology
- limbic thinking vs frontal executive function
- psychodynamic / Kleinian infantile mechanisms
- motivational interviewing
- neurotic/psychotic perceptions
I stress that all of the above is written in kindness, all of us being susceptible to the very mechanisms played out as described. We should not feel special for avoiding it, just lucky. Let's be honest, we are all fooled by our emotions. Keep it even, keep it kind, keep it human
The dynamics of this are much more complicated than in the equations offered, as the route is not linear and subject to multiple diversions and outcomes, but the simplicity here is to demonstrate that the early influence of emotion and management results in opposing outcomes
And without resorting to decision trees utilising Kleinian defence, paranoid/schizoid/depressive pathways, an almost infinite variety of nodal junctures in outcome matrices, we can only rely on relative simplicity. Ergo, talk to each other.
Further caveats - these are not simple principles, and any confusion is down to a failure to me to explain them.
I need a coffee :)
I have noticed an error in the baseline equation (1), where (a) is referenced, replace with (a OR b) as these are basic dichotomised pathways
Put that down to managing character limits (on many levels)
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It has been a hard two years. Over 5 million have died, and daily new cases in the UK are over 40,000, with a much lower death rate than before. We can be thankful for this, but must think hard.
If we go back to the major waves, the death rates were much higher. There are multiple reasons for this, including a lower level of natural and vaccine-mediated resistance, and higher death rates in susceptible populations. The virus killed the most at risk.
We know this. Older age, obesity, ethnicity, presence of cancer, or other chronic issues all raised the risk. Although the overall death risk was small, higher risks in large populations still added up. For me, a 33-year-old, it's low, but for my grandma, the risk is intolerable.
Mosaics are quite incredible. Not only do they present contemporary representations of culture that teach us about the past, but also show just how much passion there is for expression. Using sediment to create a totality, quite astonishing.
If anything, these remind me of the mandala approach to unconscious expressionism, not so much in the artistic design, but the time is taken and the knowledge that such things, by nature, are impermanent. This is an expression of the duality of mankind, a brief fire in the dark.
Regardless of the aesthetic appeal, we have to remember that art, from a Jungian perspective, is what unites us and forms the sublimation of our shared fears, loves, and phantasy. With mosaics, we listen to Yeats when he says 'tread softly because you tread on my dreams.
No, not at all. You say that because then you can paint me as an elitist and make yourself seem a hero. Its very obvious, and no matter how much you bluff and try to shame me, your technique is obvious. Its an insult to the intelligence of your following to mislead them so.
If I felt people were beneath me, I would not engage with them. If I felt those who had different views were lesser than me, why would I talk to them as equals? All you accuse me of, you do yourself. You set yourself up like the messiah, the defender of the meek..
And im glad that your words help people, and that others find solace in your confidence. But if there is one thing I have learned, it is that often compromise and caution are more respectful and giving than bluster. Neither of us are heroes, so perhaps accept it.
This here is the problem. People assume my career choice means I don't value people, or see myself as superior. Ask anyone who works in mental health if they believe 'we are better people.' We work with that society have excluded, and it is more humbling than you would know.
Over the last two years, we have gone from 'heroes' to 'enemies' and back, but we do the same job day after day. It is not us, but the political expediency by which we are portrayed for the gain of charlatans and government. Am I Adams's enemy? No. We simply disagree.
To paint myself, and most doctor, as some kind of elitist authoritarian is simply wrong. If we were elitist and authoritarian, we would not have gone into a job where we disproportionately help the poor and forgotten. Why? Because they suffer the most.
Many vocal professional opponents of psychiatry will hide behind philosophy and pedantry to drum up business for their own benefit, whilst clearly aware of the hypocrisy of their ideological crusade.
Much of it is narcissism disguised as "protecting others."
As a psychiatrist also training in psychodynamics, we both work within working models adjusted by idiosyncracy and marred by our own subjectivity, so perhaps such poignant opposition tells us more about one's blindness than vision.
I have seen some force patients off medication, others make false allegations, and even more quote charlatans to undermine those who wish to help. None of us are perfect, but those who claim omnibenificence are, frankly, no better than snake oil salesmen.
In 40 minutes I turn 33 years old, and every year passed gives me pause to reflect on how a deal I made in my youth. When I was 24, and severely depressed, I imposed the date of my own execution. If things did not improve by age 30, that was it.
I was going through therapy at the time, and probably my 3rd major depressive episode, but quite certainly the worst until that point. In truth, it carried on in some fashion until I was around 29, before disappearing for a brief time. At this time the deal was still there.
Around 2017 I suffered the worst depressive episode, and during that time decided to move into psychiatry. In a grandiose manner, I decided to sublimate my pain into helping others. This was selfish, to think my experiences would entitle me to such responsibility.