September 28, 2011

Jonathan Swift Revisited

Readers of this blog may remember a post I did a while ago entitled “Fork in the Road,” briefly referring to the deleterious effects of screens on the brain. The bulk of the article, however, dealt with the effects of anti-depressant drugs, as discussed by Marcia Angell in two essays in the New York Review of Books that pulled no punches on the subject. One thing that particularly impressed me was the impact of the “better living through chemistry” model of mental health on our children. During 1987-2007, the stats of mental disability among children multiplied by a factor of 35, such that mental illness is now the leading cause of disability among this segment of the population. Cruising the Net, one finds numerous studies regarding the effects of Prozac on infants derived from mothers taking the drug during pregnancy, or while breastfeeding: autism, heart defects, poor feeding, insomnia. Not the greatest way to come into the world, it would seem.

Even beyond this is the fact that a certain percentage of American preschoolers—and I was not able to determine what that figure currently is—are on anti-depressant drugs. I find the idea of a three-year-old on Zoloft absolutely chilling, in a Brave New World kind of way. This has got to be a terrible mistake; it’s got to be a way of destroying an infant’s self, so that dependency and psychological disorientation become the “normal” way of being in the world, for these poor kids. Research has suggested this in the case of adults: that the use of anti-psychotic drugs is associated with atrophy of the prefrontal cortex, and that after only a few weeks of drug use the brain begins to function in a different way. How much more powerful and long-lasting must these effects be in the case of toddlers?

The real motivation for getting very young children hooked on these meds is, of course, money: the use of such drugs from a very early age pretty much guarantees Big Pharma an endless supply of customers. It is not, à la Jonathan Swift (“A Modest Proposal”), that there is some kind of plot out there to destroy our children, wreck their intellectual and emotional functioning from age two or even earlier. But if that is the result, does it matter? If the percentage of the under-four age group on anti-depressants continues to grow, then it might be said that deliberately or not, we are eating our children alive. The jury is still out on all this, but the indications are certainly not encouraging.

When it comes to screens, however, so dramatically represented in American society by things such as Facebook and Twitter, there doesn’t seem to be much doubt: these are killers. As Sherry Turkle shows in her most recent book, Alone Together, the much-touted idea of “virtual community” proved to be a fraud. What we really have is increased alienation and depression. All of these social media and accompanying devices peddle a phony intimacy, because if you are at home alone with a screen, that’s where you actually are. Let’s take a look at some of the evidence.

In 1998 a research team at Carnegie Mellon University published an empirical study entitled “Internet Paradox,” demonstrating that within the first year or two online, people were experiencing less social engagement and poorer psychological well-being. The researchers also found that a greater use of the Internet was associated with less family communication, a reduction in local social circles, and an increase in loneliness, as well as higher rates of depression. The authors of the study concluded by suggesting that by using the Net, people were “substituting poorer quality social relationships for better relationships, that is, substituting weak ties for strong ones,” with consequent negative effects. One thinks of Mark Zuckerberg, poor rich asshole, destroying the one real friendship he had (with Facebook cofounder Eduardo Saverin), so that he could acquire a million meaningless ones.

A more recent study, conducted at the University of Michigan for the period 1979-2009, revealed a 48% decrease in empathy among college students during this time, and a 34% decrease in the ability to see things from another person’s perspective. Most of these declines, it turns out, occurred over the past decade, and the general interpretation is that this is related to the isolation involved in the use of personal technology and popular social networking sites that have become so much a part of student life. The study suggested that this was not surprising “in a world filled with rampant technology revolving around personal needs and self-expression.” But it is also the nature of the technology that is at issue, because the Internet and other electronic media are based on speed and distraction, on rapidly shifting attention. It turns out that the higher emotions, such as empathy and compassion, emerge from neural processes that are inherently slow. Various studies have shown that the more distracted we become, the less able we are to experience such emotions, or see things from the perspective of others. In a word, these technologies may be undermining our moral sense. At the very least, it becomes hard to argue that they are promoting community.

It also seems to be the case that the use of screens is creating a different type of human being, partly as a result of the neural rewiring of the brain that these devices engender. Much of the evidence for this argument has been collected and expanded upon by Nicholas Carr in The Shallows: What the Internet Is Doing to Our Brains. Marshall McLuhan had argued that the brain takes on the characteristics of the technology it uses, and we now see this in the cultural shift from print media to screens. For the Internet’s emphasis (and of course, that of Facebook and Twitter) is on searching and skimming, not on genuine reading or contemplation. As a result, given what we now know about the relative plasticity of the brain, the ability to reflect or to grasp the nuance of a situation is pushed to the margins. The Net, he says, is literally rerouting the pathways in our brains, making our thought processes increasingly shallow. It breaks up the content of a text into searchable chunks, and surrounds it with other content. This is why a page online is very different from a page of print. The concentration and attention factor are high for the latter, low for the former. Then there are the various links, which encourage us not to devote our attention to any single thing but rather to jump from item to item. Our attachment to any single item is thus provisional and fragmented. The Net and its related technologies thus constitute an “ecosystem of interruption technologies.”

Print, on the other hand, has (or should I say had?) a quality of calm attentiveness. “The quiet was part of the meaning,” as the poet Wallace Stevens once put it. When a printed text is transferred to an electronic device, says Carr, it turns into something like a website; the calm attentiveness disappears. Instead, the Net & Co. deliver repetitive, intense, and addictive stimuli, promoting very superficial understanding. Basically, you don’t really read on a screen; it’s a different kind of activity: browsing, scanning, keyword spotting, and so on. And the better you get at this, the less able you are to think deeply or creatively. We are, Carr concludes (quoting the playwright Richard Foreman), turning into “pancake people”—spread wide and thin. Facebook and Twitter are turning out such folks by the IHOP-load.

The lack of interest in printed material, and the corresponding upswing in interest in screens is, of course, especially pronounced among the young. In 2009 the average American teenager was sending or receiving 2,272 text messages a month(!). Meanwhile, the amount of time the average American between twenty-five and thirty-four years of age devoted to reading print in 2008 was forty-nine minutes a week. As Maryanne Wolf of Tufts University cogently puts it, “the digital world may be the greatest threat yet to the endangered reading brain as it has developed over the past five thousand years.” Collectively, adds author Christine Rosen, this is the endpoint of the tragedy we are now witnessing:

“Literacy, the most empowering achievement of our civilization, is to be replaced by a vague and ill-defined screen savvy. The paper book, the tool that built modernity, is to be phased out in favor of fractured, unfixed information. All in the name of progress.”

There is little room in this world, Carr points out, for “the pensive stillness of deep reading or the fuzzy indirection of contemplation.” In such a world, he goes on to say, “Ambiguity is not an opening for insight but a bug to be fixed.” The cultural impact follows upon the individual one, then: what we are witnessing is the replacement of a complex inner diversity with a new kind of self, one devoid of any sense of cultural inheritance. Screens are generating the emptiest people in the history of the world, and as in The Matrix, there is no way for these folks to get outside themselves and perceive this. This is the “frenzy” of technological society famously referred to by Martin Heidegger. In the pathological climate of “techno-social Darwinism,” as Rosen calls it, there is no time for stillness. All of these brave new people lack the ability to be alone with their thoughts, or to appreciate the importance of silence. I have found that even the brightest people don’t get it, have no idea what George Steiner meant when he called modernity “the systematic suppression of silence.” Silence, after all, is the source of all self-knowledge, and of much creativity as well. But it is hardly valued by societies that confuse creativity with productivity, and incessant noise with aliveness. As a result, we don’t notice that fundamental aspects of being human are disappearing. During his time at Yale, William Deresiewicz asked his students what place solitude had in their lives. In response, they seemed to be puzzled that anyone would want to be alone. “Young people today,” he concluded, “seem to have no desire for solitude, have never heard of it, [and] can’t imagine why it would be worth having. In fact, their use of technology…seems to involve a constant effort to stave off the possibility of solitude.” The world of creativity, of imagination, of depth of the self, is closing down.

The similarity of all this to toddlers on anti-depressants is thrown into stark relief when you realize that the corporate goal is to hook children as early as possible. Last month, Rullingnet Corp. (based in Canada) launched Vinci, a 7” touch-screen tablet for the under-four age group. It is the first tablet designed for babies as young as one week old—the product of a technological mindset that one can only call “creepy,” in my opinion, although the company’s tag line is, ironically enough, “Inspire the genius.” “We are just leveraging their curiosity,” says the inventor of the device. (Notice how a word from corporate finance gets imported into the world of child-rearing. It was leveraging that brought on the crash of 2008.) In fact, a recent study conducted by Parenting magazine and BlogHer found that 29% of Generation-X moms say their children were onto laptops by age two, and the figure rises to 34% for moms of Generation-Y. In the first month of its release, Rullingnet sold 600 Vincis.

In chapter 3 of Why America Failed I argue that technology has always functioned as America’s hidden religion, and that if you deprive Americans of their gadgets, they become depressed or enraged. What can one say when many users of Apple’s iPhone refer to it as “the Jesus phone”? This is not an accident. Technology in America has been associated with unlimited progress and therefore with utopia, with redemption, and when we are now giving touch-screens to one-week-old babies we are imprinting them in the same way that, say, a baptism might. But the reality of Facebook, Twitter, Vinci and the like is a story of false redemption. As the sociologist Zygmunt Bauman writes, what is omitted from public discussion today is the fact that almost every technological “advance” in recent years has deepened the “continuing decomposition and crumbling of social bonds and communal cohesion.” It goes way beyond the dumbing down of the culture, in other words (horrific as that is); it also involves increasing human disconnectedness, social atomization, rudeness, incivility. One effect of spending most of your time in a virtual world is that of “absent presence”: you treat the world as a mere backdrop, and devalue those around you. These are the hallmarks of a superficial, narcissistic society, one which possesses no inherent meaning, and whose Twittered citizens don’t as well. With techno-imprinting going on now at age one week, I think we can expect that things can only get worse. For there is no getting around it: eating our children alive means we are eating our society alive as well.

©Morris Berman, 2011

September 27, 2011

Zucker-Punched

(Partial disclaimer: in some cases my publicist didn’t say exactly what I have her saying, so I hope both she, and the reader, will allow me a bit of poetic license here. I do think I’ve preserved the spirit of our exchange, however. She’s just trying to drag me into the 22nd century, whereas I retain a certain fondness for the late 17th.)

OK, gather round, you DAA-ers; time to give you the low-down on publicity for WAF. It seems that Wiley, my publisher, finally came to the realization that in order to make money, you’ve got to spend it. Since Western Europe figured this out around A.D. 1500, I had hoped anxiously from the beginning that they would be onto the fundamentals of capitalism more quickly. No such luck (perhaps a bad case of cultural lag, hard to say). I kept sending them messages on the subject, reviewing the work of Ricardo, Smith, J.S. Mill, and Karl Marx for them, discussing the theory of surplus value, adding in Milton Friedman, Paul Samuelson, and the like, but they seemed to be clinging to the theory of clinging: if we hang on to our money, we’ll be OK. So they kept squeezing quarters till the eagles screamed. But finally—it may have been the winter storms in New Jersey, or the flooding that subsequently occurred there, or maybe a stray lightning bolt—they woke up one morning and said, “Let’s give the poor shmuck (i.e., me) a publicist.” When I heard that they had actually hired someone, and were even going to pay her—i.e., actual money; this was not a barter in New Jersey corn or whatever—I had to lie down for a couple of hours just to recover from the shock. Maybe there is a god, I thought; maybe he likes my books. (I was heavily sedated at the time.)

Anyway, that’s Step 1 in this strange adventure. Step 2: my new publicist says to me: what’s really crucial these days are the social media. Things such as magazines, reviews, bookstore presentations, radio and TV interviews—all of that has shrunk in influence, been marginalized. Americans don’t really read that much anymore (as you’ve documented in your previous books); instead, they Twitter and Facebook, so that’s where you’ve gotta be.

Me: But if they don’t read any more, aren’t they the wrong audience for us? I mean, let’s say you take stuff off my blog and put it on Twit and FB (since I’m not going to Twit or Face myself, because I have no interest in those social media, which I think should really be called anti-social media, and think they were designed for addicted, narcissistic morons whose main interest in life revolves around stuff like the fotos Kim Kardashian posted of her psoriasis, not to mention her rear end). Those folks aren’t going to run out and read WAF; no way! For one thing, it has polysyllabic words in it, not to mention—gasp—concepts. And then these media reduce one’s attention span to that of a gnat. It’s not merely that these people don’t read books anymore; they can’t.

Publicist: Not so fast, shmendrick. For better or worse, most Americans now get their information from the web, and this even includes a few intellectuals. The social media reach millions; there’s no such thing now as book promotion without them. We need the folks who are reading your book to be out there talking about it, and one place we can be sure to find them is online. In short, adapt or die, boychik.

Me: But what about the bookstores? Isn’t anyone going to show up to hear me at bookstores?

Publicist (shaking her ahead, in the sense of ‘What a yokel’): You’ll be lucky if you pull in 5 people in Seattle and 10 in LA. Don’t forget your famous appearance in downtown Philly in 2006: 3 people showed up for your talk, and one of them fell asleep during it. The bookstore also had you billed as “Dean of Optometry at UC Fullerton,” or something like that. It can’t get much worse than that, can it?

Me: Yeah, that was indeed a humbling moment, I have to admit. So your idea is that for the next two months I post various rants and raves on any subject I want, including Twit and FB and Kim’s behind, and then you feed these things into Twit and FB, in the hope that someone who reads it will also want to read WAF? Shit, I’d rather chew on razor blades. As far as I’m concerned, Twit and FB are further examples of the collapse of American culture, of our national decline. As someone recently said, screen people are “pancake people”—all breadth and no depth.

Publicist: Perhaps, but it still makes for good PR. Even anti-PR is good PR.

Me: Were you aware that a Canadian company just released a computer tablet for toddlers, designed for babies as young as one week old? It’s not enough that we are killing our infants with Prozac and Zoloft; now we are also going to do them in with screens and touch pads.

Publicist: That’s good! Write about that! Tell your blogfolks (all 65 of them; what a huge following you’ve managed to accumulate!) that the US and Canada, through meds and hi-tech, are deliberately trying to kill our children. I mean, even if it isn’t an actual conspiracy, it seems like they’re doing a good job of it, no? You remember that essay by Jonathan Swift, right? About how Ireland should start cooking and eating its children? Well, do a new post and call it “Jonathan Swift Revisited.” That’ll get the pancakes all a-Twittering.

Me: (Heavy sigh)

Publicist: Frankly, I’m a believer in Bermanism: any culture that is designing computer screens for one-week old babies, and feeding anti-depressants to toddlers, has no future at all. What could be more obvious? When they grow up, they won’t even know what a book is, fer chrissakes.

Me: Jesus…Well, this seems like a fool’s errand, but you’re the publicist, what can I say.

Publicist: You got that right. Now get busy, shmuck. And don’t forget to give your readers the crucial contact info:

Facebook: Whyamericafailed

Twitter: @Yamericafailed

September 16, 2011

The WAF Dust Jacket

Dear Friends,

The text below constitutes the dust jacket of my forthcoming book, Why America Failed. It is already posted on Amazon, but I thought I would post it on this blog as well, fyi. Scheduled release date for book is Nov. 1, but I think it will be in Wiley's NJ warehouse on Oct. 17. Anyway, here goes:

From the Inside Flap

During the final century of the Roman Empire, it was common for emperors to deny that their civilization was in decline. Only with the perspective of history can we see that the emperors were wrong, that the empire was failing, and that the Roman people were unwilling or unable to change their way of life before it was too late. The same, says Morris Berman, is true of twenty-first century America. The nation and its empire are in decline and nothing can be done to reverse their course. How did this come to be?

In Why America Failed, Berman examines the development of American culture from the earliest colonies to the present, shows that the seeds of the nation's "hustler" culture were sown from the very beginning, and reveals how the very tools that enabled the country's expansion have become the instruments of its demise.

At the center of Berman's argument is his assertion that hustling, materialism, and the pursuit of personal gain without regard for its effects on others have been powerful forces in American culture since the Pilgrims landed. He shows that even before the American Revolution, naked self-interest had replaced the common good as the primary social value in the colonies and that the creative power and destructive force of this idea gained irresistible momentum in the decades following the ratification of the Constitution. As invention proliferated and industry expanded, railroads, steamships, and telegraph wires quickened the frenetic pace of progress—or, as Berman calls it, the illusion of progress. An explosion of manufacturing whetted the nation's ravenous appetite for goods of all kinds and gave the hustling life its purpose—to acquire as many objects as possible prior to death.

The reign of Wall Street and the 2008 financial meltdown are certainly the most visible examples today of the negative consequences of the pursuit of affluence. Berman, however, sees the manipulations of Goldman Sachs and others not as some kind of aberration, but as the logical endpoint of the hustler culture. The fact that Goldman and its ilk continue to thrive in the wake of the disaster they wrought simply proves that it is already too late: America is incapable of changing direction.

Many readers will take exception to much of Why America Failed—beginning, perhaps, with its title. But many more will read this provocative and insightful book and join Berman in making a long, hard reassessment of the nation, its goals, and its future.

From the Back Cover
Praise for Why America Failed

"Morris Berman is one of our most prescient and important social and cultural critics. He marries a laser-like intelligence with a deep moral core. His writing is as lucid and crisp as it is insightful. His newest book, Why America Failed, rips open the dark and dying carcass of empire. His analysis is sobering and often depressing. But the truth at this stage in the game is depressing, very depressing. Those who refuse to face this truth because it is unpleasant, because it does not inspire happy thoughts or offer false hope, are in flight from the real. The collective retreat into self-delusion has transformed huge swaths of the American populace into a peculiar species of adult-children who live in aPeter Pan world of make believe where reality is never permitted to be an impediment to desire. It is too bad Berman, who sees and writes about all this with a stunning clarity, lives in Mexico.It gets lonely up here."

—Chris Hedges, author of Death of the Liberal Class and Empire of Illusion

"Morris Berman's masterpiece is a brutally honest, wonderfully crafted,exceptionally well-documented treatise on how America was spawned, several hundred years ago, to devour its offspring—financially, socially, and technologically. Why America Failed shines a harsh, unavoidable light upon the cunning business mindset at the core of America's creation, expansion, and devolution. Berman describes with stunning clarity how and why the 'hustler' mentality, upon which our country was predicated, eviscerated alternative moral or social doctrines, and thus incorporated the seeds of our self-destruction from its very inception. This book is as uncomfortable to read as it is impossible to miss."

—Nomi Prins, author of It Takes a Pillage and Other People's Money

"Morris Berman noticed that it's not morning in America anymore. His message may wake up the millions who are oversleeping while the late-day storm cloudsgather over this land."

—James Howard Kunstler, author of The Long Emergency

"As the decline of America's empire becomes both starker and gradually evident, nothing is more important than accessible analyses of the causes of that decline. Far too few such works exist because of the taboos against writing them. All the more welcome then is Morris Berman's clear, bluntly but cogently written work. Sensitive to the contradictions of U.S. history and how they are now playing themselves out in a changed world, this book will challenge and provoke in all the best senses of those words. Genuinely important to read and to think about."

—Richard D. Wolff, Emeritus Professor of Economics,University of Massachusetts Amherst

September 08, 2011

Freebies

Dear Friends at the DAA65:

We are now going to switch to the WAF50. My publisher, Wiley, wants to do a promo for my new book, Why America Failed. In a word, the first 50 of you writing in to my editor and requesting a free copy, will get one. Not too shabby, eh? Here's the address (you'll need to do the at and the dot correctly, obviously):

enelson*at*wiley dot com

And you folks keep saying I never do anything for you...

mb

August 11, 2011

Time for a New Post

Dear Friends,

We seem to have run out of space on the last post, hitting 201 messages, with me inanely going on about my undying love for Barbara Ann Nowak, so I figured it was time for a new one. Unfortunately, I'm plumb out of ideas rt now; my mind is like a wind tunnel (think George W. Bush, or perhaps Barbara Ann Nowak). So all I can do is give you my speaking schedule, at least what I know at the present time, and you can make plans to charter a huge jet and fly to Seattle and/or LA. Here's the info:

Nov. 4, Seattle: Elliott Bay Book Co., 1521 10th Ave, on Capitol Hill between Pike and Pine, 7 or 7:30 pm.

Nov. 8, LA: Barnes & Noble, Westside Pavilion, 10850 West Pico Blvd., 7 pm.

I'll be speaking about my new book, "Why America Failed," the 3rd (and last) in my American Empire series.

Hope to see you all there...

mb

July 03, 2011

Fork in the Road

There is a theory that the real cause of the collapse of Rome was purely chemical: the Romans manufactured their utensils from lead, the lead slowly leaked into their food through repeated use, and from there the lead entered the bloodstream and finally the brain, which thus deteriorated over time. Most historians don’t put much stock in this, correctly seeing it as one-dimensional and purely material in nature, and dismissive of the social and economic factors (along with Rome’s “imperial overstretch”) that clearly did the ancient empire in. But one wonders if there may be some truth to the theory, even if only a small one. Maybe it was a factor in the overall drama, part of the synergistic forces that led to the empire’s decline. It’s an interesting thought.

I was thinking about this in the context of mounting evidence that in a mechanical-material way, Americans may also be destroying their brains. It now turns out that constant cell phone use may be a cause of tumors in the brain, although the evidence is not definitive at this point. More definitive is the neurological fallout from the use of screens—TV, Internet, e-books, text messaging—along with the phenomenon of multitasking that typically accompanies this. Here the pile-up of data is quite large, collected in articles that have appeared over the last decade in journals such as Harper’s, Atlantic Monthly, the New Yorker, and the New Atlantis, and discussed at length in Nicholas Carr’s book The Shallows. (In particular see studies by Walter Kirn, Christine Rosen, and Maryanne Wolf of Tufts University.) Persistent staring into screens, it turns out, changes the brain, and not in positive directions. Constant screen use seems to have an effect similar to constant marijuana use. It should thus not be too much of a surprise that concomitant with the so-called information revolution has been a dumbing down of the American population, although obviously there are other factors involved (the commodification of education, e.g.). But unlike the Roman fork, which is highly debatable, this material factor is quite certain.

Equally interesting (or horrific, in my view) is what appears to have happened to the American brain as a result of the shift in psychiatry from therapy to drugs. Three comprehensive and very well documented studies have just appeared, arguing that the model of mental illness being caused by brain chemistry is full of holes: The Emperor’s New Drugs, by Irving Kirsch (psychologist at the University of Hull in England); Anatomy of an Epidemic, by Robert Whitaker (author of a 2001 study of the history of the treatment of mental illness); and Unhinged, by Daniel Carlat (a Boston psychiatrist). All three of these men are highly respected in their fields, and their conclusions, along with a discussion of the bible of psychiatry, the DSM (Diagnostic and Statistical Manual of Mental Disorders, about to go into its fifth edition), are presented in two recent articles by Marcia Angell in the New York Review of Books. The overall picture is quite grim.

First, the stats: between 1987 and 2007, the number of those so disabled by mental disorders that they qualified for Supplemental Security Income or Social Security Disability Insurance increased 2.5 times, so that 1 out of 76 Americans now falls into this category (what an amazing statistic). For children, the increase is 35 times during the same time period, and mental illness is now the leading cause of disability among this population. A survey of American adults conducted by the National Institute of Mental Health, 2001-3, found that 46% of them met the criteria of the American Psychiatric Association for being mentally ill at some point in their lives. Ten percent of Americans over the age of six now take antidepressants, and I read elsewhere that in terms of the global market (i.e. in dollars, in sales), American consumption of these drugs amounts to 2/3 of the entire world’s—this for a country that has less than 5% of the planetary population. Even so, as Ethan Watters documents in Crazy Like Us: The Globalization of the American Psyche, “the virus is us: As we introduce Americanized ways of treating mental illnesses, we are in fact spreading the diseases.”

As Ms. Angell points out, much of this spread (at home and abroad) has been economically driven, because once you say that mental illness is the result of an imbalance in brain chemistry, then the obvious “solution” is a pill that will rebalance the brain; and Eli Lilly, Pfizer and the rest are right there to market Prozac, Zoloft, Risperdal, and etc., and make fortunes from the lot. These companies, she writes, “through various forms of marketing, both legal and illegal, and what many people would describe as bribery—have come to determine what constitutes a mental illness and how the disorders should be diagnosed and treated.” But the brain chemistry argument, as all three of her authors point out, involves a great leap in logic. It was found that psychoactive drugs affect neurotransmitter levels in the brain, and from this it was concluded that “the cause of mental illness is an abnormality in the brain’s concentration of these chemicals that is specifically countered by the use of the appropriate drug.” As Daniel Carlat notes, by the same logic one could argue that the cause of all pain is a deficiency of opiates, or that headaches are caused by having too little aspirin in one’s system. The logic, in short, is upside down; and as far as the empirical evidence goes—there is none. Decades of research have demonstrated that neurotransmitter function is normal in people with mental illness before treatment. (One has to wonder about the whole cholesterol industry as well. I read one study that indicated that half of Americans who have heart attacks also have low cholesterol. But that’s another story.)

This type of research tends not to make it into the public eye, however, because negative results on drug efficiency “often languish unseen within the FDA….This practice greatly biases the medical literature, medical education, and treatment decisions.” Positive studies by drug companies get extensively publicized; negative ones get suppressed. And there is a lot of evidence to show that it is the drugs that cause the mental illness. Schizophrenia and depression used to be episodic, interspersed with long periods of normalcy. Now, they are chronic and lifelong. The results of long-term use of psychoactive drugs, says Steve Hyman (a former director of the NIMH and former provost of Harvard), are “substantial and long-lasting alterations in neural function.” The brain begins to function in a different way, in other words, even after only a few weeks of drug use. Complex chain reactions ensue, ones that require additional drugs to combat the side effects of the original drugs. One researcher, Nancy Andreasen, has published evidence that the use of antipsychotic drugs is associated with shrinkage of the brain—atrophy of the prefrontal cortex. (This did make it into the public domain, specifically the New York Times, 15 September 2008.)

Angell’s discussion of the DSM is equally chilling. It turns out that a lot of the decisions regarding what to include as a mental illness have been arbitrary, even whimsical. George Vaillant, a professor of psychiatry at Harvard Medical School, wrote in 1984 that the book represented “a bold series of choices based on guess, taste, prejudice, and hope.” In fact, there are no citations of scientific studies in the DSM to support its decisions--! The actual “science” of the book is thus dubious. Coming back to the economic factor, it turns out that drug companies lavish huge attention and largesse on psychiatrists—gifts, free samples, meals, plane tickets to conferences, and jobs as consultants and speakers. Of the 170contributors to the current version of the book, the DSM-IV-TR, 95 of them have financial ties to drug companies, including all of the contributors to the sections on mood disorders and schizophrenia. What these folks do is expand diagnostic boundaries or create new diagnoses, new “illnesses,” which meshes pretty well with the financial goals of the companies who employ them. David Kupfer, the head of the task force currently working on the fifth edition of the DSM, was (prior to his appointment in this capacity) a consultant for Eli Lilly, Forest Pharmaceuticals, Solvay/Wyeth Pharmaceuticals, Johnson & Johnson, and Servier and Lundbeck. What a shock, that the already large list of mental disorders will be even larger in the new edition. So much for “science.”

Apparently, then, we have our own leaden forks, to the extent that lead may have attacked the Roman nervous system. It’s the result of a number of factors, including the American worship of technology, the search for simple (and individualistic) answers, and a lust for profits that is so huge that Lilly and all the rest couldn’t care less as to whether they are harming the American public. Nor is it very likely that any of the literature on cell phone cancer, neurological damage from screen usage, iatrogenic mental illness (i.e. illness that is doctor-generated, or Big Pharma-generated), will make any difference at all. For the fork in the road occurred decades ago, in psychiatry as well as telecommunications, and a reversal of any of this seems virtually impossible at this point. And as the American brain goes, so goes the empire. I can't help wondering if any of this will make it into the history books, on our decline and fall.