Posts filed under 'Science'

CIA brain electrode experiments challenged in lawsuit

It has widely been know that the cold war CIA conducted numerous experiments with LSD and other drugs on unwitting soldiers and civilians. They also conducted horrific studies of various mind-control techniques including the rather silly “psychic driving” of Montreal psychiatrist Ewan Cameron, a monster if ever there was one.

Now the Washington Post‘s Jeff Stein reports on a lawsuit by veterans who claim electrodes were planted in their brains by the CIA. Bizzare, but, alas, not implausible:

CIA brain experiments pursued in veterans’ suit

By Jeff Stein

The CIA is notorious for its Cold War-era experiments with LSD and other chemicals on unwitting citizens and soldiers. Details have emerged in books and articles beginning more than 30 years ago.

But if military veterans have their way in a California law suit, the spy agency’s quest to turn humans into robot-like assassins via electrodes planted in their brains will get far more exposure than the drugs the CIA tested on subjects ranging from soldiers to unwitting bar patrons and the clients of prostitutes.

It’s not just science fiction — or the imaginings of the mentally ill.

In 1961, a top CIA scientist reported in an internal memo that “the feasibility of remote control of activities in several species of animals has been demonstrated…Special investigations and evaluations will be conducted toward the application of selected elements of these techniques to man,” according to “The CIA and the Search for the Manchurian Candidate,” a 1979 book by former State Department intelligence officer John Marks.

“[T]his cold-blooded project,” Marks wrote, “was designed … for the delivery of chemical and biological agents or for ‘executive action-type operations,’ according to a document. ‘Executive action’ was the CIA’s euphemism for assassination.”

The CIA pursued such experiments because it was convinced the Soviets were doing the same.

Victims have sought justice for years, in vain. Now, almost 40 years later, a federal magistrate has ordered the CIA to produce records and witnesses about the LSD and other experiments “allegedly conducted on thousands of soldiers from 1950 through 1975,” according to news accounts.

U.S. Magistrate Judge John Larsen’s Nov. 17 order exempted the agency from having to testify about electrode tests on humans, but Gordon P. Erspamer, lead attorney for the veterans, says “we are pursuing this as well.”

“There is no question that these experiments were done,” Erspamer said by e-mail Tuesday, “but defendants say that they used private researchers and test subjects drawn from prisons, hospitals and nursing homes as subjects, not active duty military [personnel]. CIA said it had no one knowledgeable on this topic.”

Erspamer, senior counsel in the San Francisco office of Morrison & Foerster, said “several” CIA witnesses “are…still alive,” naming some that have been publicly identified, but opting to keep secret others before he calls them.

Papers filed in the case describe “electrical devices implanted in brain tissue with electrodes in various regions, including the hippocampus, the hypothalamus, the frontal lobe (via the septum), the cortex and various other places,” Erspamer said, drawing on [research papers] (http://media.washingtonpost.com/wp-srv/politics/documents/spytalkheathdocument.pdf) written by government scientists.

“We believe that one of our plaintiffs was given a septal implant at [Edgewood Arsenal] (www.edgewoodtestvets.org),” he said, based on an MRI he has “showing a ‘foreign body’ on the border between the septum and the frontal lobe.”

“A lot of this work was done out of Tulane University using a local state hospital and funding from a cut-out (front) organization called the Commonwealth Fund,” he continued, again drawing on the research papers.

“We tried to get docs from Tulane, but they told us that they were destroyed in the hurricane flooding.”

The CIA claims that at least some of the documents should remain classified as “state secrets.” But Magistrate Larson told the agency to come back with a better rationale, a “supplemental declaration explaining with heightened specificity” why the documents should be protected after all these years.

1 comment November 29th, 2010

Hornberger: The government hid the Guatemalan abuses like they hide so many other abuses

Jacob Hornberger, at Media With Conscience,  reflects on “state secrets” in light of the new revelations regarding the horrific research the US Public Health Service conducted in Guatemala:

Syphilis Experiments and the State-Secrets Doctrine

By Jacob G. Hornberger

If I had suggested that the U.S. government had probably done syphilis experimentation on people other than the Tuskegee experiments on unsuspecting American black men, American statists would undoubtedly respond, “Conspiracy theory! Conspiracy theory! It is inconceivable that our government would do such a thing.”

What’s interesting about statists, however, is that when it turns out that government officials really did conspire to do horrific things to people, the statists are never surprised.

Sure enough, it turns out that federal officials did conspire to commit syphilis experiments, not just at Tuskegee but also on unsuspecting prisoners in Guatemalan jails.

The experiments took place in 1948 and just came to light, thanks to a researcher who discovered the experiments in notes kept by one of the federal officials involved in the Tuskegee experiment. The Guatemalan experiments have been kept secret until now — some 64 years later, which confirms that federal officials can be very adept at keeping nefarious federal conspiracies secret.

What U.S. officials did was bring prostitutes that they knew were infected by syphilis into Guatemalan jails to infect prisoners, so that U.S. officials would be able to study the effect that antibiotics had on the syphilis.

Some of the prisoners, however, failed to contract syphilis from the prostitutes. No problem. U.S. officials simply used other ways to infect the men, methods that are too gruesome to describe here.

Keep in mind that these medical experiments took place in 1948, about the time that U.S. officials were prosecuting Nazi officials for subjecting human beings to gruesome medical experimentation.

Keep in mind also that this was the period of time when the U.S. welfare state, which had been adopted in the Franklin Roosevelt administration, was being justified under the rubric of loving the poor, needy, and disadvantaged.

Statists would argue that that’s a long time ago and that the malefactors are now dead. Time to move on, they always say.

Of course, if any of the descendants of those Guatemalan men were to retaliate with a terrorist attack against the United States, federal officials would immediately exclaim, “They just hate us for our freedom and values! The fact that we intentionally infected their father or grandfather with syphilis as an experiment has nothing to do with it.”

Meanwhile, today’s statists argue in favor of the “state-secrets doctrine,” claiming that federal officials should have the power to keep all their nefarious deeds in the so-called war on terrorism secret.

Never mind that 64 years from now, when Americans living at that time discover the horrific and gruesome things that CIA and U.S. military officials were doing in the “war on terrorism,” statists at that time will say the same thing: that that’s ancient history and that it’s time to move on.

The state-secrets doctrine needs to be ditched, completely. Nowhere does it appear in the Constitution. Instead, it was created as a judicial doctrine by the Supreme Court several decades ago, in response to a request by federal officials in a civil suit that reached the Court. The nasty little irony is that the case in which the doctrine was created involved, as it was discovered decades later, lies, wrongdoing, and cover-ups by federal officials. In other words, federal officials defrauded the Supreme Court into adopting the state-secrets doctrine.

We can’t do anything for those Guatemalan men and we can’t do anything to the federal officials who conducted those horrific experiments. But we can do our best to ensure that federal officials cease and desist from committing horrific acts against both foreigners and Americans, including torture and abuse of prisoners and detainees.

The best way to do that — indeed, the best way to restore a sense of honor and decency to our nation, not to mention peace, prosperity, security, and harmony — is to dismantle the CIA’s and Pentagon’s overseas military empire, bring all the troops home and discharge them, dismantle the enormous standing army and military-industrial complex, abolish the CIA, and open up all the files on all the nefarious things that the CIA and the military have done to people, from 1948 all the way through the present.

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Jacob Hornberger is founder and president of The Future of Freedom Foundation.

October 5th, 2010

PHR on Guatemala and CIA research

Physicians for Human Rights has just released the following statement on the relationship between research abuses in Guatemala and recent CIA torture research. [Here are my thoughts on this.]:

October 4, 2010

For Immediate Release

Media contacts:

Nathaniel Raymond, Director of Campaign Against Torture
Email: nraymond@phrusa.org

Stephen Greene, Strategic Communications Consultant
Email: sggreene@gmail.com

Physicians for Human Rights Decries Obama Administration’s Double Standard on Illegal Human Experimentation; 1946 Guatemala Case and Alleged CIA Experimentation on Black Site Detainees Both Deserve Equal Justice

Cambridge, MA–In the wake of revelations about America’s experimentation on unwilling human subjects in Guatemala in 1946, Physicians for Human Rights (PHR) calls on President Obama to equally investigate credible evidence of illegal human subject research on detainees in CIA custody during the Bush administration.

“What was done to 700 Guatemalans 64 years ago without their consent is appalling,” said Physicians for Human Rights CEO Frank Donaghue. “But President Obama’s apologies for the Guatemala case ring hollow when the White House refuses to investigate similar crimes that allegedly occurred in the past decade.  The credible evidence of illegal human experiments by the CIA on black site detainees deserves equal attention and justice.”

PHR’s June 2010 report, Experiments in Torture: Human Subject Research and Evidence of Experimentation in the ‘Enhanced’ Interrogation Program, was the first peer-reviewed analysis of evidence indicating that the Bush administration allegedly conducted illegal human research and experimentation on prisoners in US custody.  The research was apparently used to insulate interrogators from potential prosecution and to standardize the use of torture.

“The conduct of health professionals in both cases—Guatemala and the CIA black sites—makes a mockery of bedrock principles of medical ethics and the law,” stated Scott Allen, MD, lead medical author of the PHR report.  “Human subject research protections mean nothing if they don’t apply to all people all of the time—regardless of politics.”

CIA physicians and psychologists collected and analyzed data on the physical and psychological impact of the “enhanced” interrogation tactics, analysis which became the basis of Department of Justice memos justifying the torture program. This alleged program of illegal human subject experimentation violates medical ethics, federal law, and international research standards, including the Nuremberg Code and the Common Rule. These practices could, in some cases, constitute war crimes and crimes against humanity.

“While the proposed federal commission on the abuses in Guatemala is welcome, the American people must also learn the truth about what was done in our name over the past decade to detainees in CIA custody,” said Nathaniel Raymond, Director of PHR’s Campaign Against Torture and lead author of the PHR report. “The Departments of Justice and Health and Human Services must investigate these credible allegations of human experimentation on detainees by the CIA with the same mandate as the Guatemala case.”

PHR calls on President Obama, working with Congress, to appoint a federal commission to investigate what American physicians and psychologists did to people subjected to torture in US custody. John Durham, the Department of Justice prosecutor tasked with investigating the destruction of CIA interrogation videotapes as well as interrogations that went beyond what was authorized by the Department of Justice memos, should also be given a clear mandate to probe allegations of illegal research at the black sites, Guantanamo and elsewhere.

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October 4th, 2010

Guatemalan Research Horrors and US Hypocrisy: CIA Unethical Research Ignored

According to top US officials, abusing people in the name of research without their permission is awful, truly awful. In fact, it is so awful that it takes two Cabinet officials to apologize. That is, if the abuses were committed a long time ago, by researchers who are not around to be held accountable and if there is a friendly foreign government likely to be outraged about the abuse. However, US officials have so far been totally silent about horrific, unethical research conducted by US government researchers within the last decade.

Recently, Secretary of State Hillary Clinton and Secretary of Health and Human Services Kathleen Sebelius profusely apologized for a study conducted by the US Public Health Service in which nearly 700 incarcerated people and soldiers in Guatemala were, without their knowledge, deliberately infected with syphilis and other sexually transmitted diseases in order to test if penicillin could prevent infection. In a statement the two Cabinet secretaries expressed their outrage at “such reprehensible research.” In fact, so disturbed is the US government at this research that President Obama reportedly will call the Guatemalan president to apologize again.

This research violated the basic ethical principles that were supposed to guide research done on people — “human subjects research” in the professional lingo — since World War II. These principles were codified in the Nuremberg Code internationally and in the Common Rule guiding most research on people conducted or funded by US government agencies, including the Department of Health and Human Services of which the Public Health Service is a part as well as the Defense Department and the CIA. Fundamental to these and all other recent codes of research ethics are two basic principles: informed consent and minimization of harm. Thus, the Nuremberg Code, containing principles developed for the trials of German doctors who conducted horrific experiments in the Nazi concentration camps, begins with the principle of informed consent:

“The voluntary consent of the human subject is absolutely essential. This means that the person involved should have legal capacity to give consent; should be so situated as to be able to exercise free power of choice, without the intervention of any element of force, fraud, deceit, duress, over-reaching, or other ulterior form of constraint or coercion; and should have sufficient knowledge and comprehension of the elements of the subject matter involved as to enable him to make an understanding and enlightened decision. This latter element requires that before the acceptance of an affirmative decision by the experimental subject there should be made known to him the nature, duration, and purpose of the experiment; the method and means by which it is to be conducted; all inconveniences and hazards reasonable to be expected; and the effects upon his health or person which may possibly come from his participation in the experiment.”

A little later the Nuremberg Code states the obligation of medical researchers to minimize harm resulting from experimental procedures:

“The experiment should be so conducted as to avoid all unnecessary physical and mental suffering and injury.

“No experiment should be conducted where there is an a priori reason to believe that death or disabling injury will occur; except, perhaps, in those experiments where the experimental physicians also serve as subjects.”

The Guatemalan study egregiously violated both these principles and deserves opprobrium. Rather than informed consent, the purpose of the study was deliberately hidden from those infected. These individuals were infected with dangerous, often deadly, illnesses. This research was awful, reprehensible, even horrific, and should never have been contemplated, let alone, conducted. I am glad that it only took a short time since historian Susan M. Reverby of Wellesley College revealed the abuses in a soon-to-be-published paper — available in preprint form on Reverby’s website — until  US government officials vociferously condemned it.

But the US government does not need to look back nearly 65 years to find horrific research conducted by US government researchers. In June 2010, Physicians for Human Rights (PHR) issued a report, Experiments in Torture: Human Subject Research and Experimentation in the “Enhanced” Interrogation Program, that documented research and experimentation conducted in this century by CIA physicians and psychologists related to the abusive techniques used as part of the CIA’s “enhanced interrogation” torture program.

These researchers observed the torture of CIA prisoners in the so-called “black sites” and recorded the tortured prisoners’ responses. They paid special attention to the possibility that the torture would kill the prisoners. At times they recommended changes in torture techniques, such as the addition of salt to the water used for the partial drowning techniques that have come to be known as “waterboarding” so as to prevent possible death from induced electrolyte imbalance. This change in procedure allowed the prisoners to be waterboarded many dozens of times while preventing their escape into death. As PHR argued, the main reason for this apparent safety-related research was not the protection of prisoners, but to provide legal cover for the torturers and torture policy-makers by allowing them to claim that medical professionals were assuring the prisoners’ safety.

These abuses were reported by PHR in its peer-review report back in June. (I am one of the authors of that report.) Secretary of Health and Human Services Secretary Kathleen Sebelius was notified by letter of these abuses, abuses that violate the same research ethics principles — informed consent and minimization of harm — that were violated by the Guatemalan STD research. But, rather than express her outrage at this “reprehensible research,” Secretary Sebelius maintained her silence, as did every government official, other than a CIA press spokesman who denied our claims without presenting the slightest bit of evidence. Secretary Sebelius’ department referred an official complaint regarding unethical CIA research to the very same CIA that had already publicly denied the charges. So far, no government agency has committed to investigating these CIA abuses, which occurred far more recently than the Guatemalan horrors.

In response to the over 60 year old Guatemalan abuses, the Secretaries of HHS and State announced the creation of a commission that will undertake to assure that all human subjects research conducted by US researchers meets the highest ethical standards. As NBC News reported:

“In addition to the apology, the U.S. is setting up commissions to ensure that human medical research conducted around the globe meets ‘rigorous ethical standards.’ U.S. officials are also launching investigations to uncover exactly what happened during the experiments.”

If the purpose of the commission is really “to ensure that human medical research conducted around the globe meets ‘rigorous ethical standards,’” there cannot be a double standard. The same rules must apply to all researchers, everywhere, and to all research subjects, whoever they are. Ethics are there to protect the despised and powerless, not just those deemed deserving. Those researchers aiding CIA or other classified activities cannot get a free pass. We are at an important juncture, either unethical CIA research is investigated and those responsible are held accountable or the whole regime preventing unethical research that has been developed since the world became aware of Nazi horrors will collapse in hypocrisy. We cannot afford to let that happen.

October 3rd, 2010

Obama administration distoring science to protect BP

Remember when the Bush administration was distorting science to support their policy preferences? Well, the Obama administration, in this area as in so many others, is mimicking the Bush administration’s worst habits. They are issuing rosy “analyses” of the oil in the gulf, supposedly “reviewed” by scientists within and outside the Federal government. Strange thing, all of the named “reviewers” deny ever reviewing the report. Meanwhile the reports conclusions re being disputed by independent scientists. Dan Froomkin reports:

In responding to the growing furor over the public release of a scientifically dubious and overly rosyfederal report about the fate of the oil that BP spilled in the Gulf of Mexico, NOAA director Jane Lubchenco has repeatedly fallen back on one particular line of defense — that independent scientists had given it their stamp of approval.

Back at the report’s unveiling on August 4, Lubchenco spoke of a “peer review of the calculations that went into this by both other federal and non-federal scientists.” On Thursday afternoon, she told reporters on a conference call: “The report and the calculations that went into it were reviewed by independent scientists.” The scientists, she said, were listed at the end of the report.

“What we were trying to do was give the Incident Command something that they could at least start with,” said Ed Overton, an emeritus professor of environmental science at Louisiana State University. “But these are estimates. There’s a difference between data and estimates.”

Overton said NOAA asked him: “How much did I think would evaporate?” He responded with some ideas, but noted: “There’s a jillion parameters which are not very amenable to modeling.”

He said he didn’t know what NOAA did with his input. “I pretty much did my estimates and let that go,” he said.

And Overton bridled at the way the report was presented — with very precise percentages attributed to different categories. For instance, the report declared that 24 percent of the oil had been dispersed.

“I didn’t like the way they say 24 percent. We don’t know that,” Overton said. “They could have said a little bit more than a quarter, a little bit less than a quarter. But not 24 percent; that’s impossible.”

Michel Boufadel is on the list, but told HuffPost he did not review the report or its calculations. And the Temple University environmental engineer also said its specificity was inappropriate.

“When you look at that dispersed amount, and it says 8 percent chemically dispersed and 16 percent naturally dispersed, there’s a high degree of uncertainty here,” he said. “Naturally dispersed could be 6 or it could be 26.”

Ron Goodman, a 30-year veteran of Exxon’s Canadian affiliate who now runs his own consulting company, was incorrectly listed on the report with an academic affiliation: “U. of Calgary.” He is only an adjunct there. He said he responded to a series of questions from NOAA — “and that was it.”

And once the report came out, he said, “I was concerned that the amount dispersed was very low. I think it was higher by maybe a factor of two or three.”

But all the scientists on that list contacted by the Huffington Post for comment this week said the exact same thing: That although they provided some input to NOAA (the National Oceanic and Atmospheric Administration), they in no way reviewed the report, and could not vouch for it.

The skimpy, four-page report dominated an entire news cycle earlier this month, with contented administration officials claiming it meant that three fourths of the oil released from BP’s well was essentially gone — evaporated, dispersed, burned, etc. But independent scientists are increasingly challenging the report’s findings and its interpretation — and they are expressing outrage that the administration released no actual data or algorithms to support its claims.

HuffPost reached seven of the 11 scientists listed on the report. One declined to comment at all, six others had things to say.

In addition to disputing Lubchenco’s characterization of their role, several of them actually took issue with the report itself.

In particular, they refuted the notion, as put forth by Lubchenco and other Obama administration officials, that the report was either scientifically precise or an authoritative account of where the oil went.

The Obama officials officials copied the Bush officials in respect, the loaded their “independent reviewers” with individuals with close links to the oil industry:

Also worth noting: Four of the “independent scientists” listed on the report work for the oil industry, have until recently, and/or work for consulting companies that do business with the oil industry.

Strange, isn’t it, that the Obama administration wants to run the fall campaign against the Bush administration?

August 20th, 2010

Open source enters biomedical research

Amalia Rosenblum in Haaretz reports that the open source concept is emerging in biomedical research, leading to a major new development in Alzheimer’s disease diagnosis for an unusually small investment of monetary resources. Furthermore, the results are being shared with little regard for traditional “intellectual property” rights which impede rapid dissemination and utilization of newly-generated knowledge:

A daring initiative for the good of humanity
Business must follow science in democratizing knowledge in the Internet age.

By Amalia Rosenblum

The ability to diagnose Alzheimer’s disease based on a spinal fluid test has made significant progress, media outlets around the world reported last week. This progress joins breakthrough studies after decades in which Alzheimer’s research hardly advanced and the disease could only be diagnosed conclusively by an autopsy.

Progress has been made possible by collaboration among scientists, universities, the U.S. administration and large pharmaceutical companies. They aim to disseminate the findings and discoveries immediately, free of charge, waiving scientists’ intellectual property rights. The project, incorporated under the name Alzheimer’s Disease Neuroimaging Initiative, was launched in 2003 and has cost some $100,000. In American terms, the price of one day of war has produced a generational leap in researching one of the most agonizing diseases known to mankind.

Such a low cost underlines the absurd way the race for money and prestige limits the development of critical tests and medicines. A number of factors combine to create a reality almost contradictory to the Hippocratic oath. The main ones are the U.S. administration’s restricted funding for university research and the Bayh-Dole Act, which since the 1980s has let drug companies finance university studies in exchange for exclusive control of the patents and influence over research objectives.

In view of this, the ethos of the Alzheimer’s Disease Neuroimaging Initiative is inspiring. Instead of having small study groups keeping their knowledge secret until publication for fear of losing funds or prestige, scientists now dare to unite resources and information. The idea is seen as innovative in especially competitive areas of medical research. A similar study focusing on Parkinson’s disease was launched recently with $40 million in funding. Similar initiatives are underway in scleroderma (an autoimmune disease ), Huntington’s disease, asthma and heart failure among young women.

But in a wider cultural perspective, this may be seen not as an academic upheaval but an expansion of the new paradigm of know-how based on the Internet revolution – the Wiki or open-source concept. This concept is based on collaboration, transparency and availability of research and development. Entire computer systems are based, at least partially, on open-source software. This philosophy holds that private ownership of content does not serve humanity. Take it from the millions of people who turn to Wikipedia as their first step in seeking information – this idea is contagious.

The problem, of course, is that a similar trend has not yet occurred in the economy. In other words, no sound business model has been designed to accompany the democratization of knowledge or the immediacy and joy of spreading content on the Web.

Scientists, like pilots, teachers, artists and bus drivers, must make a living, of course. And drug companies cannot be expected to risk billions of dollars on experiments and research without making appropriate profits. But as the Alzheimer researchers’ initiative shows, the Internet revolution will spare no Old World monopoly – because nobody can write a patent on the human aspiration for knowledge and answers.

August 19th, 2010

Zoologists more likely to study cute rather than ugly animals

In recent decades we have become aware of the profound role of subjectivity in scientific research. One way that subjectivity affects science is through confirmation bias, the tendency to look for evidence that confirms our cherished beliefs or pet theories, and to ignore or rationalize away evidence that challenges those beliefs. No matter how hard I try to get my research students to understand the pitfalls of confirmation bias, I only succeed to a limited degree.

Another way subjectivity affects science is through our choice of what to study.  New work, reported in the New York Times illustrates this effect. The Times reports on recent study illustrating how aesthetic judgments infiltrate decisions about what to study. It seems that zoologists are far more likely to study cuddly animals than ones found to be ugly:

Reporting recently in the journal Conservation Biology, Morgan J. Trimble, a research fellow at the University of Pretoria in South Africa, and her colleagues examined the scientific literature for roughly 2,000 animal species in southern Africa, and uncovered evidence that scientists, like the rest of us, may be biased toward the beefcakes and beauty queens.Assessing the publication database for the years 1994 through 2008, the researchers found 1,855 papers about chimpanzees, 1,241 on leopards and 562 about lions — but only 14 for that mammalian equivalent of the blobfish, the African manatee.

“The manatee was the least studied large mammal,” Ms. Trimble said. Speculating on a possible reason for the disparity, she said, “Most scientists are in it for the love of what they do, and a lot of them are interested in big, furry cute things.”

Or little cute things. Humans and other mammals seem to have an innate baby schema, an attraction to infant cues like large, wide-set eyes, a button nose and a mouth set low in the face, and the universality of these cues explains why mother dogs have been known to nurse kittens, lionesses to take care of antelope kids.

On a first pass, then, “ugliness would be the deviation from these qualities,” said David Perrett, an evolutionary psychologist at the University of St. Andrews in Scotland. Tiny, close-set eyes, prominent snout, no forehead to speak of: it sure sounds like a pig.

A helpless baby grows into a healthy, fertile youth, which in humans is visually characterized by clarity of shape, sleekness of form and visibility of musculature, said Wendy Steiner of the University of Pennsylvania, who is author of “Venus in Exile” and “The Real, Real Thing,” to be published this fall. “An animal with saggy skin, whiskers and no neck will look like some old guy who’s lost it,” she joked.

The more readily we can analogize between a particular animal body part and our own, the more likely we are to cry ugly. “We may not find an elephant’s trunk ugly because it’s so remote,” Dr. Dutton said. “But the proboscis on a proboscis monkey is close enough to our own that we apply human standards to it.” You can keep your rhinoplasty, though: the male monkey’s bulbous proboscis lends his mating vocalizations resonant oomph.

People are also keenly, even obsessively vigilant for signs of ill health in others. “That means anything that looks seriously asymmetrical when it should be symmetrical, that looks rough and irregular when it should be smooth, that looks like there might be parasites on the skin or worms under the skin, jaundice or pallor,” Dr. Miller said. “Anything mottled is considered unattractive. Patchy hair is considered unattractive.” We distinguish between the signs of an acquired illness and those of an innate abnormality. Splotches, bumps and greasy verdigris skin mean “possibly infectious illness,” while asymmetry and exaggerated, stunted or incomplete features hint of a congenital problem.

August 13th, 2010

Olson: Empathy & Neuropolitics

Gary Olson has argued in a series of articles, some of which have appeared her, that the recent neuroscience discovery of mirror neurons provides valuable insights into the role of empathy in human development. In a new article, Olson puts the capacity for empathy in a social perspective.

I am a bit less convinced that neuron networks necessarily play the role envisioned here. As I read it, the research on mirror neurons is still in its infancy and their role in more complex social cognition is still unclear.

But I think Olson’s argument here really doesn’t rely upon mirror neurons, but only on an inborn capacity for empathy, however it is neuronally implemented. And his articles raises many interesting and profound questions of relevance to those concerned with psychological aspects of social change.

Empathy & Neuropolitics

By Gary Olson

Abstract

Mirror neurons, the brain cells believed to be the basis for empathy, have recently been identified in the human brain.  And yet we’re left to explain the disjuncture between this deep-seated, pre-reflective, moral intuition and the paucity of actual empathic behavior, especially in certain cultures.  I suggest that answers may be found in the bidirectional connection between culture and brain development.

The political theorist William Connally has defined neuropolitics as “. . . the politics through which cultural life mixes into the composition of the body/brain process.  And vice versa.”  In this context, I hypothesize that the neo-liberal ideology justifying free market capitalism is one of the most potent empathy “bracketing off” elements of that culture and hybrid cultural/neurobiological imprinting can override the neurobiological traits that should bring people together.  The dominant culture’s social engineering undermines and attenuates both the acceptance and institutionalization of empathy on a grand scale, while channeling its expression toward system maintenance behaviors.

There are outstanding exceptions, but too many cultural psychologists and other subspecialists have followed too many anthropologists in failing to unpack the meaning of culture itself.  Following Gramsci, I argue that power and class realities have not received sufficient attention in explaining what I’ve described as a societal-wide cultural deficit disorder.  This pathological condition has structural roots in the socio-economic system which influence the brain’s mirror neuron network.  Cross-cultural studies offer a promising avenue for aiding our understanding of this process.

Introduction

“Mirror neurons,” the brain cells many neuroscientists believe are the basis for empathy, were discovered in macaque monkeys in 1996 (Gallese, 1996; Iacoboni, 2008, 2009; Rizzolatti and Sinigaglia, 2008).  Located in area F5 of the premotor cortex, these neurons fired not only when the monkey performed an action but also when it was watching the same action.  The monkey’s neurons were “mirroring” the activity she was observing.

Later, the existence of mirror neurons in the human brain was strongly inferred by Functional Magnetic Resonance Imaging (fMRI) but proof remained elusive.  Now, for the first time, we have direct recorded evidence for their presence.  Roy Mukamel and colleagues (Mukamel et al., 2010) recorded their data from the medial frontal and temporal cortices in 21 patients (with their consent) awaiting surgery for intractable epileptic seizures at UCLA’s Medical Center.  The researchers “piggybacked” onto intracranial depth electrodes implanted into the patient’s brains as part of a search for a potential surgical treatment.  The research team recorded activity in 1,177 neurons in the 21 patients and concluded that “these findings suggest the existence of multiple systems in the brain endowed with neural mirroring mechanisms for flexible integration and differentiation of the perceptual and motor aspects of actions performed by self and others.”

The mirror neurons in the same affective brain circuits are automatically mobilized upon feeling one’s own pain and the pain of others and this neural circuitry is the basis of empathic behavior in which actions in response to the distress of others is virtually instantaneous.  Valayanur Ramachandran, director of the Center for Brain and Cognition at the University of California at San Diego (UCSD) observes that “We used to say, metaphorically, that ‘I can feel another’s pain,’ but now we know that my mirror neurons can literally feel your pain” (Slack, 2007).  Ramachandran, who terms them “empathy neurons” or “Dalai Lama neurons,” writes that “In essence the neuron is part of a network that allows you to see the world from the other person’s point of view, hence the name ‘mirror neuron’” (Ramachandran, 2006).  Where comparable experience is lacking, “cognitive empathy” allows one to “actively project oneself into the shoes of another person” by trying to imagine the other person’s situation (Preston, 2002; Preston et al., 2007; Singer & Lamm, 2009).  This “ability to perceive, appreciate, and respond to the affective states of another” emerges as early as two years of age as the child becomes aware of another’s emotional experience (Decety and Michalska, 2009; Decety, 2008; Decety et. al., 2008; Tomasello, 2009)).

The roots of prosocial behavior, including moral sentiments like empathy, precede the evolution of culture and serve a critical evolutionary function.  Mirroring was selected by evolution because of its adaptive advantage in making some intersubjectivity possible, the effortless and automatic access to other minds.

We now have a wealth of evidence suggesting that empathy, the foundation for morality, was not handed down from on high via social codes from religious authorities and philosophers but constructed from the “bottom-up” (Green in Vedantum, 2007; de Waal, 2008, 2009; Tomasello, 2009; Tangney, et al., 2007; and Iacoboni, 2009).  And if morality is based in biology, in the raw material for the evolution of its expression, the case can be made for a fortuitous marriage of hard science and secular morality.  I should quickly acknowledge that mirror neuron research is not without its skeptics (Dinstein et al., 2008; Lippard, 2009; Virona, 2009, and Hickok, 2009) and the technical details supporting my assertions largely lie outside this paper.  But progress is proceeding at an exponential pace, new discoveries are persuasive, and our understanding of empathy has increased dramatically in barely a decade (Gallese, Eagle and Migone, 2007; Gallese, 2008; Iacoboni, 2008, 2009; Decety and Lamm, 2009).  What follows is some theoretical speculation that places empathy within the entwined context of neural activity, culture and political economy.

Your Brain on Culture

I’ve been pondering the nature of empathy for over two decades, initially as a pedagogical challenge and later, given advances in neuroscience as a broader field of inquiry (Olson, 1987, 2008).  And for me, one of the most vexing questions that remains to be explained, and the burden of this paper is to ask why, if “. . . we are not alone, but are biologically wired and evolutionarily designed to be deeply interconnected with one another” (Iacoboni, 2008, p. 266), so little progress has been made in extending this empathic orientation toward distant lives, to those outside certain in-group moral circles?  Given a world rife with overt and structural violence, one is forced to explain why our deep-seated moral intuition doesn’t produce a more ameliorating effect, a more peaceful world?

Echoing Dominguez (2006), I’m proposing that reality is a social construction and therefore “We should find that the brain would have some sort of bias acquired through exposure to culture.”  Neuroscientist Marco Iacoboni (2007, 2008, 2009), arguably the world’s preeminent authority on mirror neurons, suggests this disjuncture can be explained in part by massive belief systems, including political and religious ones.  I hypothesize below that the neo-liberal ideology justifying global free market capitalism is one of the most powerful of these empathy-shaping belief systems, especially as manifested in cultures like the United States.  Over time, the culture filters and influences how empathy evolves and is expressed (de Waal, 2007, p. 50).  These belief systems can override the automatic, neurobiological traits that should bring people together, leaving selective moral amnesia in their wake.

Some twenty-five years ago, Lewontin, Rose and Kamin (1984) foregrounded a bi-directional link between culture and biology when they wrote, “humanity cannot be cut adrift from its own biology, but neither is it enchained by it.”  Prophetically, they foretold that “our task . . . is to point the way toward an integrated understanding of the relationship between the biological and the social” (cited by Wexler, 2006, p. 13; Tooby and Cosmides, 1992).  It follows that our approach must eschew privileging either brain or culture.  In the first instance, Slaby (2010) warns of the dangers inherent in neuronal reductionism, a sort of “brainhood ideology” (Vidal, 2009) that essentializes the cerebral subject, while an exclusive focus on the social steers us into the cul-de-sac of hyper-cultural reductionism.  Cromby (2007) wisely points toward “hybridity,” an appreciation of the intertwining of “mind-body-world” which mandates an interdisciplinary inquiry.

Pioneers in the new fields of neuroanthropology (Downey and Lende, 2009; Dominguez et al., 2009) and cultural neuroscience (Chiao, 2009; Chiao et al., 2009; Han & Northoff, 2008) demonstrate in their recent work how a careful and critical synthesis of findings and approaches can further our understanding of this complex subject.

Bearing this in mind, it’s no longer debatable that culture has a measurable influence on the brain.  Work by Chiao and colleagues (2008) at Northwestern University and in Japan points toward specific cultural priming (beliefs, values and practices) that modulates neural activity within the anterior rostral portion of the medial prefrontal cortex (MPFC) and posterior cingulated cortex (PCC).  Initial findings, including some on empathy, are intriguing and at the apex of neuroscience research.  Recent studies using fMRI and magneto-ecephalography (MEG) have established that cultural constructs shape the microstructure of the brain and this culturing of the neural signature begins in early childhood and continues into adolescence and early adulthood (Choudhury, 2009; Choudhury and Kirmayer, 2009; Turner and Whitehead, 2008).

This is complemented by a recent review of culture-in-the-brain studies (Dominguez et al., 2009) from the aforementioned fledgling discipline of neuroanthropology which substantiates that cultural experience influences virtually all critical brain areas; shapes and determines neural patterns; affects brain structure; and modulates cognitive function.  At least until early adulthood (Wexler, 2006) our brains are shaping themselves in response to significant and repetitive sensory stimulation from the surrounding environment.  Thereafter the brain and mind seek to create congruence between external realities and these newly existing internal structures and there is more resistance to change.  I’m mindful not to caricature Hebb’s rule (1949) that “The neurons that fire together wire together” but his prescient emphasis on the roles of repetition and synoptic plasticity draw our attention to the critical role of culture’s neurobiological imprinting.

The Cultural Regulation of Emotion

We can now begin to consider the mechanisms at the structural level of deep enculturation or societal engagement that mediate changes in our plastic brain.  Transcultural neuro-imaging offers a promising avenue for aiding our understanding of how specific cultural spaces are navigated (Malafouris, 2010) and cultural neuroscience reveals substantial variation across cultures in terms of how individuals perceive social situations, understand themselves (as selves) and others.  The differences attributable to cultural mediation are significant (Chiao, et al., 2010; 2009; Chiao, et al., 2008), Choudhury and Kirmayer, 2009; Molnar-Szakacs, et al., 2007a, 2007b and Lieberman, 2007).  For example, imaging studies (Hedden, et al., 2008; Han and Northoff, 2008) show that East Asian and Westerners engage in different visual processing activities and their cultural experience “sculps the perceptual brain.”  It isn’t that people from different cultures perceive the world differently, “. . . but they think differently about what they see” (Gabrielli, 2008).  These differences also include variations in terms of encouraging and sanctioning emotion—expressive behavior on the one hand and suppressing and otherwise inhibiting that response on the other.  Studies (Gazzaniga, 2005) suggest that when a person is unwilling to act on a moral belief, the emotional part of her or his brain has not been activated.  As Butler (2007) and colleagues note, these habitual practices reflect dominant cultural values.

This is particularly germane for this discussion because human beings live in specific cultural environments, settings neither of their own choosing nor, in C. Geertz’s words,  “independent of time, place, and circumstances.”  The fact that empathy is a universal hard-wired response “in no way negates the cultural constitution of emotion” (Mesquita & Leu, 2007).  Put another way, the encultured brain moderates an individual’s regulation of emotion, including the very knowledge structures that are drawn upon in automatically reacting to various emotion-evoking situations (Kitayama et al., 2004; Mauss et al., 2008; Sherman et al., 2009).  A recent collection of articles on emotion regulation adopts this definition:

The process by which individuals influence which emotions they have, when they have them, and how they experience them and express these emotions (Gross, 1998, p. 275).

The editors are quick to acknowledge that emotion regulation is a bio-cultural process.  How emotions are expressed depends on socio-cultural context, on the requirements and demands within a specific environment.  Further, they argue that emotions are “already regulated prior to their actual elicitation . . .” under conditions of “automatic emotion regulation” (p. 4).

Hochschild’s (1979, 1983, 2003a, 2003b) path-breaking social theory of emotion asks us to consider the estrangement, specifically the emotional costs to the self, inherent in the management of emotions like empathy.  For example, one cultural response under free-market capitalism’s ideology is to privatize “our idea of care” (2003b, p. 216).  Elites shape the cultural image of care/empathy toward minimizing the emotional needs of others and this closely corresponds to the idea of American rugged individualism.  Emotions are “impaired when the private management of feeling is socially engineered and transformed into emotional labor for a wage (2003, p. x).  Of course, as Hochschild adds, even then “It takes a vigorous emotional effort to repress the wish to care. . . .” (2003b, p. 221).

The dominant culture’s social engineering allows for and even encourages individual expressions of empathy, including volunteerism.  And it’s precisely because one-on-one volunteerism—whether in shelters, soup kitchens or women’s centers—only treats the symptoms and not the sources, that it’s a culturally sanctioned and channeled form of highly personal empathic behavior.  Charity would be another example.  This bracketing off is entirely in keeping with the dominant ideology, poses no threats, and functions to attenuate the acceptance and institutionalization of social empathy on a grand scale.

To reiterate, ample evidence from numerous studies (Henrich and Henrich, 2007, pp. 27-31) demonstrates that cultural learning via imitation from modeled behavior is the most powerful means through which both children and adults learn to practice altruistic behavior.  But this vital cultural transmission is generally limited to modeling individual acts of generosity.

Gramsci’s Politics and the Encultured Brain

Prefiguring the argument to follow, Poder (2008) perhaps comes as close as anyone in highlighting the role of political power in the dynamics of emotional expression and regulation.  His specific focus is more limited and explores anger over reorganization within a corporate culture, but in drawing upon Campbell’s earlier work (1997) Poder states what should be obvious but is too often ignored:  “Individuals are not sovereign beings determining their own feelings and how they can express themselves” (p. 295).  A great deal depends on others’ interpretation—invalidation or positive recognition—of one’s emotional expression.  Poder reminds us that these “feeling rules” are being shaped by ideology and class.

Here I’m comfortable introducing what political theorist William Connally (2002) describes as “. . . politics through which cultural life mixes into the composition of body/brain process.  And vice versa.”  (To my knowledge Connolly was the first political scientist to employ the term neuropolitics although he doesn’t explore the mirror neuron/empathy link in his erudite inquiry.)  Choudhury and Kirmayer (2009, pp. 264-5) astutely and refreshingly extend this notion by placing culture in the context of globalization.  They propose a promising research agenda with implications extending far beyond their immediate concerns with psychopathology and strengthening scientific approaches to psychiatry:  “How do culturally mediated developmental experiences influence subsequent emotion regulation and expression?”  This in turn begs two additional and closely related questions, ones that neuroscience and its proliferating spawn of neuro-subfields have failed to explore, namely:  “How did the cultural information get into the brain in the first place? (Losin et al., 2009, p. 175), and what are the implications for our understanding of empathy?”  An impressive body of evidence now supports the proposition that the human mirror system is at the epicenter of this cultural learning and there is every reason to assume that robust, cross-cultural (well-funded) studies collecting neuro-imaging data will enhance an empirically informed theory about its operation.

By my reading, too many cultural psychologists have followed too many neuro-anthropologists (and vice versa) in failing to unpack the meaning of culture itself.  To the extent that conventional anthropology has explained culture as consisting primarily of a self-sustaining, neutral transmission of beliefs, values, mores and laws passed down through generations, it fails to illuminate the conscious and active invention of culture by institutions serving particular interests.  Here the work of Antonio Gramsci, an early twentieth-century Italian Marxist, is the essential primer and his classic analysis of cultural hegemony can be enormously helpful in moving the investigation forward.  Kate Crehan (2002), an anthropologist herself, takes pains to clarify that for Gramsci culture includes, but is not limited to, how class realities are experienced by members of a specific community, and how members of that cultural milieu come to understand their world, “their lived experience.”1

Gramsci is not a dogmatic, economic reductionist and consistently stresses the organic nature of culture.  However, he was insistent that “. . . ultimately the most important question is that of power:  Who has the power and who does not?  Who is the oppressor and who is oppressed?  And what are the specificities of the relation of oppression?” (p. 6).  For Gramsci, the dominant class culture embodies its worldview even as that perspective assumes the everyday status of common sense.  Given this reality, political scientist Michael Parenti (1999,  p. 13) cautions us that “. . . whenever anyone offers culturistic explanations for social phenomena, we should be skeptical.”  Why?  Because cultural explanations are closer to tautologies than explanations.  Culture itself is what needs to be explained (Parenti, 2006).  However, it should be understood that these cultural narratives, while powerful, are not hermetically sealed from challenges.  Efforts to produce counter-narratives constitute contested cultural terrain, and this was the ongoing struggle to which Gramsci devoted so much of his life’s work.

Finally, in that context, there would seem to be a cautionary note here for scientists as intellectuals.  Crehan argues “Gramsci’s concern is always with the process by which power is produced and reproduced or transformed and how intellectuals fit within this rather than with individual intellectuals themselves” (p. 143).  A cultural neuroscience or neuro-anthropology that fails to account for class will have, at best, no explanatory value and, at worst, further obfuscate reality under the guise of value-free scientific inquiry.

Through the Mind’s Mirror, Darkly

Again, the quandary is why there is such a paucity of real-world empathic behavior, especially in the United States?  If only some 4 percent of the U.S. population can be classified as sociopaths—individuals utterly incapable of empathy—what accounts for a mass culture characterized by an empathy disorder of virtually pathological proportions?  (Studies reveal substantially less incidence of sociopathy in some East Asian countries with percentages ranging from 0.03 percent to 0.14 percent, conditions warranting a follow-up study of its own.)

I’m proposing that future research pursue Goldschmidt’s (1999) observation that “Culturally derived motives may replace, supplement or override genetically programmed behavior.”  The mirror mechanism, a hard-wired biological mechanism, minus positive cultural nurturing, is unlikely to flourish (Rizzolatti and Craighero, 2006).  For example, studies on attachment theory and emotion regulation (Shaver, et al., 2008) suggests links between attachment security and pro-social behavior, including self-transcendent values and empathy.

An enhanced sense of security correlates with being sensitive to other’s needs and a willingness to engage in pro-social responsive behavior.  Conversely we know that empathy is less likely to manifest itself under conditions of attachment insecurity because the individual is more likely to be self-absorbed, personally distressed, and empathically unavailable.  These avoidant individuals fear being “sucked in” by empathy and compassion, not only because of the “hassle” but because people in need bring out their own feelings of personal distress (Shaver, et al., pp. 135-136).  A study on the negative consequences of neo-liberal economic policy in Latin America concluded that an empathic orientation may be crowded out when people are preoccupied with personal needs, insecure, and fearful about tomorrow (Vilas, 1997).  To me it seems entirely plausible that culturally-driven psychological insecurity could weigh as heavily as material deprivation.  Ervin Staub, a pioneering investigator in the field, makes the case that even if empathy is hardwired, people will not act on “. . . unless they have certain kinds of life experiences that shape their orientation toward other human beings and toward themselves” (Staub, 2002, p. 222).

The role of socio-cultural variables in influencing psychopathology (Marsella and Yamada, 2007) is now accepted, and I’m proposing here that it would be instructive to examine whether certain pathogenic cultural factors explain the etiology of what I’ve tentatively labeled a societal empathy deficit disorder (SEDD).  In their well-documented discussion of psychopathy as a disorder characterized by callousness and lack of empathy, Blair and Blair (2009) discuss the existence of a population that has been subject to insufficient moral socialization.  Such individuals reveal an absence of empathic response to the distress of others, an impaired reaction to “moral transgressions.”  What is striking here, at least to me, is the ascription of these behaviors to a subset of outliers and not to the larger society, the implicit message being that the latter’s everyday behavior is well within the “normal” range.

That is, highly competitive societies optimize the behavior of genetically-based, primary sociopaths.  In her book, The Sociopath Next Door, psychologist Martha Stout argues that American culture’s celebration of extreme individualism and “me-first” thinking reinforces anti-social behavior in the United States, including an increasing incidence of primary sociopathy.  If, as suspected, cold and calculating individuals devoid of empathy are represented in higher numbers at the upper levels of business, media, and politics, we can assume these values will become the cultural norm.  Therefore, under a pathological capitalist culture, psychopathy is a successful adaptive behavior for secondary sociopaths intent on getting ahead in society (Mealey, 1995).

Setting aside the genetic, permanent condition for the moment, I’m drawing attention to effective or secondary sociopaths whose empathy deficit is more a product of environmental circumstances (Mealey, 1995).  The terminology remains stubbornly imprecise but we might extrapolate from what Damasio (1990, 1994, 2007) labeled an acquired sociopathic personality when referencing individuals.  Here I’ve described it as an empathy-challenged personality condition having structural roots in the socio-economic system.  This incongruity between our substrate of empathy and the external environment significantly contributes to the creation of empathy-suppressed individuals because the culture virtually requires the methodical bracketing off of empathy.  It’s less a foreclosure and more a question of to whom is empathy directed.  As a result, we habitually violate our biological moral compass (Tollberg, 2007; Johnson, 2005) and secondary sociopathy not only becomes normal behavior but a necessary, rewarded adaptive behavior under the aforementioned “feeling rules” (Lindsay, 2008; Miller, 1999, p. 45). The primate scientist Frans de Waal succinctly captures the system-maintenance function of contrived callousness when he asserts, “You need to indoctrinate empathy out of people in order to arrive at extreme capitalist positions (de Waal, 2007).  Miller (1999) goes a step further by adding, “It may not be strictly necessary to be a sociopath in order to be in a position of power in society, but the rules of the game require doing a good imitation of one.”

One could further surmise that this cultural programming causes psychological discomfort when individuals feel called upon to act on their natural empathic impulses.  Because of the discordance with the dominant culture and even beyond any material deprivation, such behavior may exact a psychic price.  Further, empathy may be pre-empted within this ideological framework because the “losers” are not only presumed to deserve their fate but encouraged to voluntarily assume that role.  As a bonus, this narrative permits privileged groups to embrace the pathological delusion that their behavior is estimable (Johnson, 2005) and this “[S]ort of very harsh political ideology is often sold as being congruent with how human nature operates.  You look at human nature as an extension of nature.  Wall Street is a Darwinian jungle.  But this is not how human nature actually operates” (de Waal, 2007).

In sum, we should approach this topic as a heretofore largely unexamined area of research.  Is the brain’s mirror neuron network significantly influenced by free-market capitalism’s contrived, orchestrated, and virtually unchallenged cultural narrative of hyper-individualism and personal identities constructed on market values.  What role is played by a system of beliefs that simultaneously cultivates a “common sense” bleak view of human nature while denigrating any state role in promoting social solidarity?  Again, I’m suggesting that this  widespread social pathology would benefit from a detailed investigation focusing upon just how certain socio-economic variables shape the culture.  We should remain open to the possibility that some cultures are fundamentally incompatible with the lived expression of empathy.

And if an ethos of empathy is an essential part of what it means to be human, then empathically impaired societies should be found wanting.  For example, one promising avenue might be to devise and test empathy scales in hyper-individualist societies like the United States and presumably more solidaristic, collective, empathic cultural environments in countries like Denmark, Sweden, and The Netherlands.  Given the universality of our biological predisposition toward empathy, we now have both a potent baseline and the potential for accumulating robust empirical evidence upon which to draw further conclusions about this critically important issue within neuroscience.  In the process we might create environments that enhance the flourishing of empathy, the foundation of our moral sense.

Gary Olson, Department of Political Science, Moravian College, Bethlehem, Pennsylvania.  Email:  olson@moravian.edu

Acknowledgements: I’m grateful to K. Crehan, J. Cromby, D. Lende, K. Haddad, M. Iacoboni and K. Kelly for insightful comments on an earlier draft.  Thanks, per usual, to M. Ortiz.

1 This discussion relies heavily on Crehan’s Gramsci, Culture and Anthropology (2002).

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July 9th, 2010

Legal threat delays psychology paper publication

Note psychologist and developer of the major measure of “psychopathy,” the Psychopathy Checklist-Revised, has used threats of a lawsuit to force changes in a paper critical of his work. The American Psychological Association apparently caved and delayed publication of the paper for three years.

I have no strong opinion on the relative merits of the disagreements.If the authors of the critique misquoted Hare, obviously, that should be corrected, either by them or by Hare in a subsequent letter or more detailed response.  But we also know that such disputes are not always cut and dried. Many quotes are subject to differing interpretations as to what was really said.

Regardless of the specific merits, using lawsuits to influence the content of an article that passed peer review is far beyond the pale. The account below, from Scientific American, gives no sense of what was so scary about the critique that Hare resorted to lawyers to stop its publication. The accounts give a sense, rather, of a thin skinned bully who will not tolerate critique.

This experience should raise serious questions about use of the Psychopathy Checklist-Revised, which is often used in forensic settings where the results can have very serious implications. One has to question if Hare has in the past used other forms of influence to suppress criticism of the Checklist, thereby biasing its public record. The Checklist should now undergo serious scrutiny before it’s continued use in forensics is allowed.

While peer review is an imperfect vehicle, I do know from personal experience that peer review at Psychological Assessment is no piece of cake. My most cited paper was published there. However, another of my papers, also frequently cited, was rejected despite several positive reviews. While being upset with the editor, I accepted his decision and submitted the paper elsewhere.

Those critical of Hare have raised the specter of his judgment being influenced by the money he makes from the Checklist. If his claim that the amount is less than $35,000, I find this claim unlikely. More likely, he is threatened by any criticism of his work, which suggests an awareness that it might not survive careful scrutiny. The man doth protesteth too much.

Here is the Scientific American article:

Fear Review: Critique of Forensic Psychopathy Scale Delayed 3 Years by Threat of Lawsuit
Does an academic’s use of legal threats to stop a critical paper from being published subvert the peer review process, which is fundamental to modern scientific research?

By JR Minkel

A leading psychopathy researcher has used the threat of legal action to have changes made to a research paper critical of a widely used criminological rating scale he developed 20 years ago. In the process the paper, which was accepted for publication in 2007 by Psychological Assessment, was delayed three years. It finally appeared in the journal’s June issue, but the whole affair has raised questions about how legal threats can impact the progress of psychological science.

The article in question concerns the Hare Psychopathy Checklist–Revised (PCL-R), which is commonly administered in serious criminal cases to help make sentencing decisions as well as in prisons and psychiatric hospitals to determine suitability for release. A high score on the PCL-R is used to diagnose psychopathy.

People familiar with the matter say the scale’s author, Robert Hare of the University of British Columbia, deserves only partial blame for the delay, to be shared with the American Psychological Association (APA), the journal’s publisher. But they say Hare’s use of legal threats has at best subverted the peer review process that is the crux of modern scientific progress, and could at worst encourage junior researchers in the field of forensic psychology to pursue other lines of research.

“I find this action to be completely inconsistent with the man I had [great] respect and affection for,” says Stephen Hart of Simon Fraser University in British Columbia, a collaborator and former student of Hare’s. “People I speak with automatically think, ‘Well, what’s in that article that makes him so upset? What’s he so afraid of?’”

In their finally published critique of the Hare checklist, Jennifer Skeem of the University of California, Irvine, and David Cooke of Glasgow Caledonian University argue that forensic psychologists and psychiatrists have wrongly come to view the PCL-R as a complete description of psychopathy. They say it leaves out certain characteristics such as low anxiety that are central to the disorder and focuses too much on criminal behavior. These features may “promote overdiagnosis of psychopathy,” they wrote.

According to a document Hare has circulated to journalists and other researchers, Skeem and Cooke’s original manuscript misrepresented Hare’s work by incorrectly paraphrasing a 2005 paper published in Current Psychiatry Reports, taking words out of context from it and other papers to support the argument that researchers have viewed criminal behavior as “important” or “central” to psychopathy.

Based on this disagreement and others Hare and a colleague lobbied a senior editor of Psychological Assessment to get Skeem and Cooke to reexamine their paper, which had already passed peer review, and make revisions. But Hare says the subsequent revisions were minimal, and after consulting with his lawyer he threatened to sue for defamation if the paper was published in its then current form. The APA then appointed a new group of editorial reviewers, who requested additional changes from the authors. “It was [a] shock,” Skeem says of Hare’s legal threat. “This is not about Professor Hare, and it’s only incidentally about the Psychopathy Checklist,” she says. “The focus was really on how we could move the field forward.” Skeem says she now worries that papers she submits for review will be labeled as biased.

The situation could have been worse: In 2008 the British Chiropractic Association sued U.K. writer Simon Singh for libel after he wrote in the Guardian that the group “happily promotes bogus treatments.” Although a judge initially ruled that Singh’s words constituted an assertion of fact, which would have made it hard for him to win a trial case, in April 2010 an appeals court found that his statement qualified as “fair comment” and was therefore protected. Back in the academic world APA publisher Gary VandenBos says he has fielded 20 to 30 legal threats similar to the current one in his 25-year tenure. “The APA has always published any article that was challenged,” VandenBos says, “but APA…has a responsibility to all parties to evaluate a legal claim.”

The current case became more widely known after a commentary on it appeared in the International Journal of Forensic Mental Health (IJFMH), written by two researchers at the University of South Florida in Tampa—Norman Poythress, who frequently collaborates with Skeem, and John Petrila. They argue that threats such as Hare’s “strike at the heart of the peer review process” and “may have a chilling effect on the values at the core of academic freedom.”

In an academic disagreement, “filing a defamation suit…may be the last response in extreme cases,” Petrila says, “but you have to search for a long time before finding a case in which a threat to sue is the first or an early response.”

Hart, who edits IJFMH, says Hare has a vested interest in the PCL-R because he receives significant royalties from it. Hare counters that if money was his goal, he could have made much more by testifying in high-profile criminal cases as some of his colleagues do. He says he receives less than $35,000 annually for royalties associated with the PCL-R and its derivatives.

Hare says his side of the matter has not been heard. “The APA would not have done anything had my complaint not been valid,” he says. “Obviously there was something wrong to start with.” In the document he has circulated he questions why Poythress and Petrila did not seek his version of events before writing their commentary and why Hart did not offer Hare a chance to respond in the same issue of IJFMH.

Other researchers are more concerned with the effects of Hare’s actions on the field, although not all of them are convinced those effects will be enduring. “The reaction to this, and the way this has sort of unfolded, I don’t think [it] leaves anyone thinking litigation is helpful,” says forensic psychologist Daniel Murrie of the University of Virginia, who was not involved in the dispute.

Hart says he would like to see everyone put the “disturbing and embarrassing” matter behind them. “We need to get over this part of it as quickly as possible and get back to science.”

June 22nd, 2010

Barbour: When research is torture

Ginny Barbour, Chief Editor of Plos Medicine discusses the new Physicians for Human Rights report on torture researc, Experiments in Torture. She concurs that the evidence strongly suggests that the CIA engaged in illegal and unethical experimentation on its prisoners. She understands the essential function of investigation and accountability. She endorses the idea of an Office of Human Research Protections investigation:

When research is torture

By Ginny Barbour

I’m on a listserve that discusses many mundane issues that IRBs have to grapple with, but this week the listserve was grappling with something altogether more chilling – whether the CIA and medical professionals experimented on detainees to figure out “better” ways of torturing them.  As one listserve member observed “torture research”  …are not usually words one expects to see in the same sentence. The discussion was sparked by a widely reported – at least in the US – white paper circulated by Physicians for Human Rights, Experiments in Torture .

Reading the paper is not pleasant, but it would be hard to disagree with the conclusions that much of what was done was medical experimentation.  In one passage on waterboarding health professionals are directed to record “how long each application (and the entire procedure) lasted, how much water was applied (realizing that much  splashes off), how exactly the water was applied, if a seal was achieved, if the naso- or oropharynx was filled, what sort of volume was expelled, how long the break was between applications, and how the subject looked between each treatment.”

As a result of these investigations and  “based on advice of medical personnel, the CIA requires that saline solution be used instead of plain water to reduce the possibility of hyponatremia (i.e., reduced concentration of sodium in the blood) if the detainee drinks the water.”

The subsequent protocol for water boarding was known as “Waterboarding 2.0”;  further refinements included a special gurney so that detainees could be moved upright quickly, and the use of a liquid diet so that the detainees were less likely to choke or have an aspiration pneumonia should they vomit.

PHR concludes that the CIA was performing unethical human experimentation, and thus has called for the Obama administration to take a number of steps,  one of which is that “The secretary of the Department of Health and Human Services must instruct the Office for Human Research Protections (OHRP) to begin an investigation of alleged violations of the Common Rule by the CIA and other government agencies as part of the “enhanced” interrogation program.”.

There has been much comment on these actions in the press, especially whether it is realistic or appropriate for PHR to involve the  Office for Human Research Protections.  However, this seems like a logical and sober step, in any civilised society where experimentation on humans, without their consent and for the sole purpose of inducing suffering in them and others is rightly reviled, and when human experimentation is otherwise so closely regulated.

When states behave outside the law, even in the name of pursuing “evil”,  citizens should be fearful but more importantly, be outraged. One mark of a civilised society is the use of normal processes against such actions. The US would go a long way to restoring faith internationally in its observance of human rights were it to  allow the Office for Human Research Protections to investigate the CIA’s actions.

June 17th, 2010

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